instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Female, 66 years old. Reason: S/P capsule study. eval for capsule location History: eval for capsule location Interval passage of endoscopy capsule, not visualized on this exam.Nonobstructive bowel gas pattern.LVAD and an ICD leads partially visualized. | Interval complete passage of endoscopy capsule. |
Generate impression based on findings. | 66-year-old male patient with metastatic prostate cancer with worsening pain, fatigue. Also with history of pulmonary nodules. Reevaluate. CHEST:LUNGS AND PLEURA: There is right upper lobe bronchiectasis. Scattered areas of mucous plugging noted within the left upper lobe. Patchy areas of centrilobular nodular opacitie... | 1. Centrilobular opacities in the lungs suggestive of aspiration/bronchiolitis.2. Increase in size of right pelvic lymphadenopathy. |
Generate impression based on findings. | Radial neck fracture.VIEWS: Left elbow AP/lateral/oblique (three views) 05/08/15 Cast has been removed. Periosteal reaction/callus formation is noted along the medial and posterior aspects of the proximal ulna and lateral aspect of the proximal radius. Alignment is near anatomic. | Healing fractures of proximal radius and ulna. |
Generate impression based on findings. | 70-year-old with biopsy-proven ADH of the right breast. Clip from that biopsy is displaced superior to the biopsy site. On review of the prior studies, the biopsy clip is noted to be about 2.5 cm superior to the biopsy site. The procedure, risks including bleeding, mistargeting and infection, and benefits of needle-wir... | Successful needle localization of the left breast.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 5-month-old former 27 week gestational age patient with hypercarbia. Where is endotracheal tube?VIEW: Chest AP (one view) 05/08/15, 1106 Endotracheal tube tip is below thoracic inlet. Lower extremity central line tip is at junction of inferior vena cava and right atrium. Feeding tube has been removed. Soft tissue edema... | Changes from chronic lung disease. Resolving right upper lobe atelectasis. |
Generate impression based on findings. | Female, 55 years old. Reason: evaluate NG tube placement History: evaluate NG tube NG tube terminates in the gastric body.Drainage catheters overlie the upper abdomen. Pneumobilia corresponds with postprocedural state.The lower abdomen and pelvis are excluded from the field-of-view. Partially visualized bowel gas.Exten... | NG tube terminates in the gastric body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Patient has had bilateral shoulder surgeries, limiting her positioning. 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 p... | 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. | 52-year-old male with pain Again seen are multiple bilateral rib fractures from T3 to T8 that are healing/healed with adjacent mature callus formation, increased since the prior exam. Additional left T6-T8 healing/healed rib fractures. | No acute fracture is evident. Multiple bilateral healing/healed rib fractures as described above. |
Generate impression based on findings. | Female, 19 years old. Reason: asses stool burden History: chronic constipation Nonobstructive bowel gas pattern.Average stool burden. | Average stool burden. |
Generate impression based on findings. | 43-year-old female with pain in the right arm 3 views of the right shoulder show no acute fracture. Alignment is anatomic.3 views of the right elbow show no acute fracture. No soft tissue swelling. No joint effusion. Alignment is anatomic. | No acute fracture or malalignment. No radiographic abnormality. |
Generate impression based on findings. | Malignant neoplasm of esophagus, preop for MIE. CHEST:LUNGS AND PLEURA: Minimal paraseptal emphysema. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Right chest port tip in the SVC. Mediastinal lipomatosis. Nonspecific hypoattenuating lesion in the right thyroid gland (3/7). Atherosclerotic calcificati... | No signs of distant metastases or lymphadenopathy. Thickened distal esophagus appears similar to prior study. |
Generate impression based on findings. | Female, 82 years old. Reason: 82F with history of nephroureterectomy, with post-operative urine leak; assess for resolution History: as above A cystogram was performed in standard fashion and serial spot films were obtained.The cystogram was performed using the patient's indwelling Foley Catheter. Scout film demonstrat... | 1.No contrast extravasation.2.Persistent left vesicoureteral reflux. |
Generate impression based on findings. | 54-year-old female with left leg pain No acute fracture is evident. Alignment is anatomic. Minimal osteoarthritis affects the right hip. No lytic lesions are evident. Atherosclerotic calcifications are noted. | No evidence of fracture or lytic bone metastasis as clinically queried. |
Generate impression based on findings. | 48-year-old with history of left breast DCIS suspicious for microinvasion presents for needle localization. The case was discussed extensively with Dr. Chhablani and a single wire is placed to approximate the anterior extent of findings. On review of the prior studies, the S shaped biopsy clip and associated mass/calci... | Technically difficult, but successful needle localization anterior to the left breast calcifications.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Check hardware. Hip pain and knee pain with lower back pain Lumbar spine, Pelvis and hips: Bilateral total hip arthroplasties appear unchanged without evidence of new complications. Alignment preserved. Old lower lumbar fixation is also unchanged without new abnormality or evidence of instability. No definite fusion is... | Unchanged bilateral hip and knee arthroplasties. |
Generate impression based on findings. | Metastatic adenoid cystic with pulmonary metastases, evaluate progression. CHEST:LUNGS AND PLEURA: Slight increase in size and/or density of several lesions since the prior study, though no new lesions are appreciated. For example, a right middle lobe cardiophrenic angle nodule measures 11 x 9 mm (5/73), previously 9 x... | Although index measurements of the left lower lobe lesions are provided, these are likely representative of inflammatory radiation reaction rather than tumor based on the radiographic appearance. Nonindex nodules which are not associated with the brachytherapy seeds have increased in size and/or density since the previ... |
Generate impression based on findings. | 68-year-old with history of bilateral focal asymmetries on prior mammograms. Three standard views of both breasts and left spot 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 and distribution. New benign... | Breast cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Metastatic Ewing's sarcoma status post induction chemotherapy pain is improved. Change in mass? The mass around the left iliac bone is much smaller. It now has a flat contour similar in shape to the iliac bone. The medial component measures 6.6 x 1.1 x 8.1 cm and the lateral component measures 7.7 x 1.0 x 6.9 cm. The m... | Marked decrease in size of left iliac mass. Continued diffuse osseous metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin. 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 composed of scattered fibroglandular density. No suspicious ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother and great aunt 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 composed of scattered fibroglandular dens... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left axillary sebaceous cyst. 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 composed of scattered fibroglandular density, unchanged in pattern and ... | 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. | Check for fracture. Pain following falling down stairs. Lateral pain Moderate overlying soft tissue swelling of the lateral malleolus without underlying osseous abnormality. Small effusion. Osseous structures intact other than minimal degenerative changes of the talonavicular articulation | Minimal degenerative changes with soft tissue swelling, no additional acute osseous abnormalities |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer, BRCA mutation carrier. 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, u... | 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. | Portal vein thrombosis. Acute severe pancreatitis, complicated by multiorgan failure. On Coumadin since December 20, 2014. Follow-up to document resolution of ascites and portal vein thrombosis. LIVER: Liver measures 14.9 cm in length. There is no evidence of intrahepatic biliary ductal dilatation. The main portal vein... | With regard to the clinical query, the main portal vein appeared patent and could be visualized to the splenic vein but the superior mesenteric vein could not be identified secondary to overlying bowel gas; consider correlation with cross-sectional imaging if desired. Ascites is resolved. |
Generate impression based on findings. | 61-year-old female with elevated IGF-I, evaluate for pituitary mass There are scattered areas of hypoattenuation particularly involving the subcortical white matter of the right greater than left parietal lobes as well as the right frontal lobes. No intracranial hemorrhage is identified. No intracranial mass or evidenc... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. No evidence of pituitary macroadenoma. Please note further characterization of the pituitary gland including for microadenomas with CT is limited and MRI should be considered for further evaluation.3. Multifocal areas of hypoattenuation in the subcortic... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Unspecified sinusitis (chronic)Deviated nasal septumSigns and Symptoms: chronic, worsening nasal congestion and sinus pain/pressure, treated medically without resolution The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The nasal septum is deviated tow... | 1.There is no paranasal sinus outlet obstruction appreciated. 2.There are scattered opacities throughout the paranasal sinuses which are probably inflammatory and chronic.3.Mild right-sided nasal septum deviation |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of breast reduction surgery in 2013. Two standard digital views of both breasts and cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density in a swirled pattern cons... | 5 mm focal asymmetry in the left breast 12:00 position could represent a benign intramammary lymph node however comparison with prior mammogram is recommended to confirm stability. The lesion is has slightly indistinct margins on the CC view. If patient cannot submit prior mammograms, spot compression views with possib... |
Generate impression based on findings. | Left thumb pain. PIP No acute osseous abnormality observed. A small punctate focus of calcification is observed along the volar aspect of the third and fourth PIP articulations without evidence of a clear donor site. Suspected small incompletely formed sesamoids and a normal variant. In particular the first digit as we... | No acute abnormalities |
Generate impression based on findings. | Male 72 years old; Reason: prostate cancer and pulmonary nodules History: as above; please compare with last CT-Scan CHEST:LUNGS AND PLEURA: Index left upper lobe nodule series 4 image 55, 0.8 x 0.7 cm. Previously 0.7 x 0.6 cm.Reference right middle lobe nodule series 4 image 62, 0.6 cm, unchangedSeveral other nodules ... | 1.Stable disease and stable other findings as above. |
Generate impression based on findings. | Tachycardia, shortness of breath, tachypnea and syncope. PULMONARY ARTERIES: Technically suboptimal infusion quality, however, filling defects are identified within the proximal right descending pulmonary artery extending into multiple segmental and subsegmental branches of the right lower lobe and also possibly proxim... | Acute pulmonary emboli extending from the rock small right descending pulmonary artery into multiple segmental and subsegmental branches. Clinical service is aware of this finding. No signs of right heart strain, pulmonary infarct or hemorrhage. Signs of anasarca.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multi... |
Generate impression based on findings. | Check for healing. Pain Clavicle: Interval partial healing of the distal clavicle fracture with decreased perception of the fracture plane and gross anatomic alignment with improved positioning of the inferior fracture fragment. Additionally the superimposed lucency representing a possible pathologic underlying cause r... | Continued healing of the proximal tibial and fibular fractures along with the distal clavicle fracture, see detail provided |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, they will be used as compar... |
Generate impression based on findings. | Fall from slide. Hip dislocation.VIEWS: Pelvis AP, left hip shoot through lateral (two views) 05/08/15 The left femoral head is superiorly and posteriorly displaced from the acetabulum. No fracture is seen. The right hip is normal in appearance. | Traumatic left hip dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, micro... | 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. | Left basilar joint pain and swelling Mild osteophytic changes of the radiocarpal joint with more pronounced to marked/severe changes of the base of the first digit. The remainder of the wrist is otherwise unremarkable. Soft tissues intact | Scattered degenerative changes most pronounced involving the base of the first digit or first CMC joint |
Generate impression based on findings. | /o HNC and CRT, compare to previous measurements Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the visceral space the thyroid gland rede... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.The thyroid gland is mildly enlarged and heterogeneous. It has not changed substantially when compared to the prior exam. Please note that CT is not very accurate in evaluation of thyroid lesions3.Emphysema... |
Generate impression based on findings. | Check for fusion L5-S1 fixation appears similar with evidence of suspected fusion at this level. Upper lumbar spine unremarkable. Atherosclerotic changes in cholecystectomy clips | Fusion of the L5-S1 disc space with posterior hardware fixation observed without complication |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography.History of benign left breast biopsy 21 years ago. 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 di... | 7 mm round asymmetry in the central posterior left breast best seen on the left cc view with a possible correlate in the superior left breast. This needs further evaluation with spot compression views and possible ultrasound study.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional... |
Generate impression based on findings. | Check for osteoarthritis versus inflammatory changes Hands: Mild scattered osteoarthritic changes with narrowing largely observed in the MCP articulations and radiocarpal joints. Narrowing, sclerosis observed without discrete superimposed additional secondary or primary changes of inflammatory enteritis. Soft tissues u... | Scattered mild-to-moderate degenerative changes compatible with osteoarthritis; see details provided above |
Generate impression based on findings. | Male 69 years old Reason: prostate cancer History: prostate cancer Exam performed for research. | Research exam. |
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. Focal asymmetries in the right breast ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Gunshot wound to left shoulder. Please find bullet Shoulder and humerus: An intact well-formed bullet is projected over the axillary soft tissues of the left shoulder without evidence of distinct soft tissue abnormality or deformity. No underlying osseous abnormalities | No osseous abnormality and bullet projected in the axilla, subcutaneous tissues |
Generate impression based on findings. | History of leiomyosarcoma with evidence of cognitive decline. Evaluate for organic etiology of memory loss. No intracranial mass or evidence of mass-effect. No abnormal parenchymal or meningeal enhancement. No intracranial hemorrhage is identified. No midline shift or herniation. Gray-white differentiation is maintaine... | No CT evidence of intracranial metastatic disease. No intracranial mass or mass effect. |
Generate impression based on findings. | Check for fracture. Fourth finger unable to flex at the AP No radiographic abnormality. MR imaging may be needed to confirm if ligamentous injury is suspected | Normal |
Generate impression based on findings. | Left distal fibular fracture Persistent mild to moderate overlying soft tissue swelling, much as diffuse and involves the medial aspects in addition. Underlying oblique distal fibular fracture is less distinct compatible with continued healing without associated change in alignment. | Healing distal fibular fracture |
Generate impression based on findings. | Head and neck cancer and CRT. CHEST:LUNGS AND PLEURA: Probable intrapulmonary lymph node in the right middle lobe (6/61). No pleural fluid or pneumothorax. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Thymic hyperplasia. No lymphadenopathy.CORONARY ARTERY CALCIFICATION: Mild.CHEST WALL: No significan... | 1. No evidence of intrathoracic metastases.2. 2.3 x 2.7 cm mass which may be originating from the uterus in the left hemipelvis (not in the same location as lesion identified on PET). This may be further characterized by CT abdomen/pelvis with oral contrast to exclude a gynecologic or bowel mass.3. The left upper quadr... |
Generate impression based on findings. | Male 48 years old; Reason: Cholangiocarcinoma please assess and compare to previous imaging and provide index lesion measurements for RECIST History: As above CHEST:LUNGS AND PLEURA: Small nodule left lower lobe series 6 image 69, 3 mm. Previously 5 mm.No other nodules. No effusions.MEDIASTINUM AND HILA: Small nonpatho... | 1.Decrease in size of all measurable lesions. Decrease in ascites. |
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. | Joint swelling and pain. History of gout Moderate effusion with associated fluid fluid level observed best on the lateral projection. A small indistinct lateral margin of the radial condyle is also observed (arrow). Given patient's related history of possible gout, this may be related to patient's underlying condition,... | Nonspecific elbow changes, possibly gout or less likely infection. Please correlate with patient history and CT detail provided above |
Generate impression based on findings. | Malignant neoplasm of tonsil Secondary malignant neoplasm of bone and bone marrow(198.5)Radiotherapy follow-up examination Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymph... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.Degenerative changes are present in cervical spine. |
Generate impression based on findings. | The ventricles and sulci are mildly prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with moder... | 1.No acute intracranial hemorrhage or mass effect. Please note CT is insensitive for acute ischemia, and a MRI should be considered if there is continued clinical suspicion.2.Moderate age-indeterminate small vessel ischemic changes.3.Atherosclerotic changes without evidence of intracranial flow-limiting stenosis or ane... |
Generate impression based on findings. | History of outside hospital lumpectomy with calcifications near the medial margin. Three standard views of the left breast, laterally exaggerated CC view and 4 magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small ma... | A few calcifications near the lumpectomy bed are suspicious for residual disease. Finding was discussed with the patient. She will be seeing Dr. Hahn on Monday to discuss further treatment. Surgical consultation is also suggested. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Hip and knee prosthesis with femur fracture follow-up Patient is status post total hip arthroplasty and knee arthroplasty. Neither articulation and prosthetic appears grossly complicated exam is limited due to positioning and lack of prior studies.In addition, the patient demonstrates a femoral sideplate affixed with n... | Partially healed femoral fracture fixed with a sideplate ORIF and cerclage wires, however please note fractured proximal screws raising concern for interval repositioning and complication difficult to confirm without prior images for comparison. The associated callus formation surrounding both the fracture and proximal... |
Generate impression based on findings. | Headache, hypertension. The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related though they could be ... |
Generate impression based on findings. | Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. No aneurysms or intracranial stenosis is appreciated.The anterior communicating artery and the posterior communicating arteries are identified and a... | 1.No evidence for aneurysm.2.No evidence for cerebral vascular occlusive disease.3.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. CT is insensitive for the detection of meningitis. |
Generate impression based on findings. | Female 43 years old; Reason: History of pancreatic pseudocyts (head and body), acute on chronic pancreatitis. Please re-evaluate for changes or underlying malignancy. History: As above ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver.SPLEEN: No signific... | 1.Marked decrease in size of pancreatic head and intra-pancreatic fluid collections.2.Persistent submucosal edema of the colon.3.Persistent severe diffuse fatty infiltration of the liver. |
Generate impression based on findings. | Left knee pain Mildly asymmetric moderate to marked osteoarthritic changes are observed in the tricompartmental distribution greater on the left. Changes include narrowing, sclerosis and osteophytes. No definite effusions. Old screw tracks and suspected prior surgical repair observed on the left representing the cause ... | Tricompartmental moderate to marked osteoarthritis with underlying deformities prior old fracture repair |
Generate impression based on findings. | Pain 5 degrees of varus angulation is again observed with underlying near severe osteoarthritic changes of the knee greater in the medial compartment. Chondrocalcinosis. Minimal degenerative changes otherwise observed in the proximal hip and distal ankle. Soft tissues are unremarkable.Shoulder: Moderate osteoarthritic ... | Near severe osteophytic changes of the knee with mild varus angulation |
Generate impression based on findings. | Male 60 years old; Reason: evaluation of right sided plural effusion vs loculation. chest tube in place History: dyspnea, hypoxemia CHEST:LUNGS AND PLEURA: Increase in size of pleural effusions with massive bilateral pleural effusions with marked collapse of right and left lungs.9 mm right middle lobe nodule series 6 i... | 1.Increase in size of bilateral pulmonary effusions and collapse. Right chest tube in place.2.Ascites loculated in the lesser sac, unchanged. Small amount of free generalized ascites.3.Loculated fluid collection abutting the liver is no longer present.4.Some mildly dilated loops of small bowel in the pelvis likely nonm... |
Generate impression based on findings. | Reason: Oral mucosal Melanoma restaging History: hx of parotid recurrence - scan for recurrence. CHEST:LUNGS AND PLEURA: Stable right upper lobe pulmonary micronodule (series 5 image 47) compatible with a post inflammatory/post infectious etiology. No new or suspicious pulmonary nodule or mass. Stable pleural thickenin... | No evidence of recurrence or metastases. |
Generate impression based on findings. | 76-year-old female with a history of lung nodule. CHEST:LUNGS AND PLEURA:The reference right apical ground glass nodule measures 21 mm, previously 22 mm (series 5; image 14), unchanged allowing for scan variability.The reference right lower lobe partially marginated nodule measures 17 x 27 mm, previously 17 x 30 mm (se... | 1. No conclusive interval change in the 21 mm groundglass nodule in the right upper lobe which remains suspicious for adenocarcinoma in situ versus atypical adenomatous hyperplasia. Yearly follow-up examination is recommended.2. Indeterminate right lower lobe nodule is also unchanged, the appearance and presence of pro... |
Generate impression based on findings. | 50-year-old male with left proximal thigh mass, biopsied 4/10/2015. Reported epithelioid sarcoma, high-grade. Evaluate for extent of disease. CHEST:LUNGS AND PLEURA: There is a nonspecific 3 mm right lower lobe pulmonary micronodule (image 53, series 5). Calcified left upper lobe punctate granuloma is noted.MEDIASTINUM... | 1. Large, heterogeneous proximal left thigh mass compatible with provided history of malignancy. 2. Retroperitoneal, pelvic, and inguinal lymphadenopathy which likely represent nodal metastases.3. Lytic osseous metastatic lesions with a L4 vertebral body lesion which is at risk for collapse. |
Generate impression based on findings. | Female, 45 years old, history of adenoid cystic carcinoma. The left parotid gland remains smaller than the right and slightly nodular, similar to prior. Also unchanged is soft tissue thickening along the course of the left parotid duct as it traverses the left cheek, to the level of the left maxilla where soft tissue t... | 1.Residual nonspecific soft tissue thickening along the left parotid duct, extending anterior and posterior to the bony left maxillary sinus, similar to prior CTs.2.Residual nonspecific soft tissue thickening within the pterygopalatine fossa, foramen rotundum and foramen ovale, similar to prior CTs.3.No evidence of pat... |
Generate impression based on findings. | 2-year-old female with history of aspiration. G-tube dependence. Dysphagia.EXAMINATION: Oropharyngeal motility study 5/8/2015, 10:15 Dana Sussman, speech and language therapist, supervised the examination.42 seconds of fluoroscopy was used.No penetration or aspiration with thin or nectar thickened liquids administered ... | Normal examination.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Melanoma of skin, site unspecifiedClinical question: Melanoma restagingSigns and Symptoms: hx of recurrence in parotid please restage The patient is status post left mandibular surgery and removal of the submandibular glands. The left parotid gland is partially removed. There is redemonstration of a nodule in the right... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.A filling defect within the left jugular vein is concerning for some thrombus formation. The left jugular vein is not occluded at this time.3.An email was sent to Dr Luke regarding the above findings. |
Generate impression based on findings. | Female, 35 years old. Reason: hx of left ureteral stent with pain History: abdominal pain Double-J ureteral with proximal pigtail in the expected location of the left renal pelvis and distal pigtail in the expected location of the bladder. Two calcified stones seen overlying the left renal pelvis, one measuring up to 1... | Ureteral stent in place. Two calcified stones overlying the left renal pelvis. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 52 years old Female. Reason: assess for lung metastasesRADIOPHARMACEUTICAL: 12.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 152 mg/dL. Today's CT portion grossly demonstrates a nodule in the left lower lobe. There is a diffuse decrease of attenuation in theLiver, consistent with fatty infiltration in th... | 1.Hypermetabolic tumor in the left lower lobe, highly suspicious for cancer such as non-small cell lung cancer or metastasis. |
Generate impression based on findings. | Female, 26 years old. Reason: Rule out obstruction History: Rule out obstruction Percutaneous J-tube overlies the left upper abdomen.Nonobstructive bowel gas pattern. Gas and stool seen within the colon.No free air seen on decubitus imaging.Cardiac pacer leads partially visualized. | Nonobstructive bowel gas pattern. No free air. |
Generate impression based on findings. | 72-year-old female patient with history of non-Hodgkin's lymphoma, renal cell carcinoma, and recent diagnosis of recurrence of thyroid cancer presents with neck mass and shortness of breath. There is a large lobulated soft tissue mass that is left paracentric and extends from the level of the hyoid bone to below the ao... | 1.Large mass extending from the hyoid bone to the mediastinum displacing the trachea, esophagus, and left neck vasculature. The trachea is significantly narrowed at the level of the thoracic inlet. 2.Bilateral neck lymphadenopathy and pulmonary nodules are compatible with history of known metastatic thyroid carcinoma. |
Generate impression based on findings. | Female, 81 years old. Reason: sp transgastric antral mass resection, evaluate gastric motility after Omnipaque given History: none NG tube with side-port above the level of the GE junction.Enteric contrast opacifies the stomach, small and large bowel, and rectum.No evidence of obstruction.Surgical clips and staples ove... | Enteric contrast reaches the rectum. No evidence of obstruction. |
Generate impression based on findings. | 66-year-old male with stage III B non-small cell lung carcinoma status post chemoradiation therapy. Posttreatment surveillance. Presents with dysphagia/odontophagia. CHEST:LUNGS AND PLEURA: Reference right upper lobe mass is difficult to measure accurately but measures approximately 2.9 x 1.5 cm, previously 2.9 x 1.7 c... | No significant interval change in size at the referenced right upper lobe mass. There is interval development of cystic nodule in the right apex which may reflect a necrotic tumor deposit. There is interval increase in size of the previously described necrotic mediastinal lymphadenopathy and apparent esophageal lymphad... |
Generate impression based on findings. | Reason: h/o pharyngeal ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No sign of pulmonary or pleural metastases.Mild upper lobe centrilobular emphysema noted.Unchanged mild bronchiectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.The heart size is normal and... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | History of pelvic fluid collections. No fever. Please evaluate. ABDOMEN:LUNG BASES: No significant abnormality identifiedLIVER, BILIARY TRACT: Cholecystectomy clips. Subcentimeter left hepatic lobe hypoattenuation, too small to characterize, unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abn... | No residual fluid collections identified. No findings to explain patient's fever. |
Generate impression based on findings. | 60-year-old with history of calcifications. 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. No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female, 25 years old. Reason: rule out constipation, fecal load History: abdominal pain, cramping Nonobstructive bowel gas pattern.Average stool burden.Probable calcified fibroid. | Average stool burden. |
Generate impression based on findings. | Male, 83 years old, with history of adenoid cystic carcinoma of the right parotid gland (T4a N0), status post right parotidectomy and right selective neck dissection with flap repair on 2/16/2012. Please note that artifact from dental amalgam does obscure some parts of the upper neck.Again seen are findings related to ... | 1.Redemonstration of treatment related findings with no evidence to suggest recurrent primary tumor or pathologic adenopathy.2.Multiple pulmonary nodules are better assessed on dedicated chest imaging. |
Generate impression based on findings. | 15-year-old male with history of metastatic Ewing sarcoma status post induction chemotherapy. Monitoring for lung nodules. LUNGS AND PLEURA: Interval improved right lung base opacities, nonspecific and likely postinfectious/postinflammatory in nature. No pleural effusions or suspicious massesMEDIASTINUM AND HILA: Left ... | 1.Interval improved right lung base opacities, likely resolving post inflammatory/infectious abnormality and may be followed on subsequent exams.2.No suspicious masses or other findings of new metastases. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Left basilar scarring, otherwise unremarkable.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Right jugular catheter tip in SVC/right atrial level.CORONARY ARTERY CALCIFICATION: Mild. CHEST WALL: Degenerative a... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Metastatic follicular carcinoma of the thyroid, on sorafenib from 10/2013 to 9/29/2014, which progressed and started on cediranib lenalidomide (IRB 10-182) on 10/27/14. There has been slight interval decrease in the size of the heterogeneous mass within the inferior right thyroid resection bed, extending inferiorly int... | 1.Overall slight interval decrease in the size of the right thyroid bed mass and metastatic cervical lymphadenopathy.2.Multiple metastatic lung lesions. Please refer to the concomitant chest CT report for additional details.3.Unchanged mass along the planum sphenoidale, which may represent meningioma versus less likely... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Moderate to severe centrilobular emphysema.Stable benign-appearing micronodules.No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Heterogeneous thyroid enlargement consistent with multinodular goiter.There is no medi... | No sign of metastases or other significant abnormality. Multinodular goiter. |
Generate impression based on findings. | Squamous cell cancer metastatic to lymph nodes. There are stable post-treatment findings in the neck, including right lymph node dissection, without evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervi... | Post-treatment findings in the neck without evidence of measurable mass lesions or significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Unchanged right upper or middle lobe calcified granuloma.No sign of pulmonary or pleural metastases identified.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Stable tracheostomy tube.Calcified mediastina... | No evidence of metastases, or other significant abnormality |
Generate impression based on findings. | 58-year-old female follow-up examination for potential resection. Multiple nodules FDG avid on outside PET per EPIC. Lack of intravenous contrast limits evaluation for lymphadenopathy.LUNGS AND PLEURA: Note is made of innumerable pulmonary nodules bilaterally. For reference a right lower lobe nodule measures 10 mm (50;... | Innumerable bilateral pulmonary nodules as well as mediastinal and right hilar lymphadenopathy, are suspicious for metastatic disease. Note is made of variant anatomy of a tracheal bronchus which probably supplies a small subsegment which may be involved by tumor or collapsed by central obstruction.I personally reviewe... |
Generate impression based on findings. | History of pT2N0 left oral tongue squamous cell carcinoma status post partial glossectomy and left neck dissection, and left oral tongue squamous cell carcinoma with bilateral neck recurrence (T4N2c) status post further treatment. There are postoperative findings related to left partial glossectomy and selective neck d... | 1. Post-treatment findings without evidence of measurable tumor recurrence in the tongue and no significant lymphadenopathy in the neck.2. Carious left maxillary molar. |
Generate impression based on findings. | Male 17 months old Reason: r/o occult fracture History: sibling probable homicideEXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis ... | No evidence of nonaccidental trauma. |
Generate impression based on findings. | Female 13 years old Reason: eval for fx History: injuryVIEWS: Left ankle and left foot 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. | History of left mastectomy for breast cancer now with new right axillary and right breast pain. Three standard views of the right breast and a laterally exaggerated CC view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses , ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right 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. | Progressive triple negative breast cancer. Assess for brain mets The CSF spaces are appropriate for the patient's stated age with no midline shift. A hypodense focus is present in the right external capsule extending into the centrum semiovale. There is associated volume loss. No abnormal enhancing lesions are apprecia... | 1.No evidence for brain metastases. Please note that MRI with contrast is more sensitive in the detection of brain metastases than CT with contrast.2.If there is clinical concern for osseous metastases a nuclear medicine scan may be more sensitive for this.3.There is encephalomalacia centered in the right external caps... |
Generate impression based on findings. | 55-year-old female patient with headache, nausea, vomiting, and dizziness x2 months and recent syncopal episode. Evaluate for intracranial mass. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Mild mucosal th... | No evidence for acute intracranial hemorrhage, mass effect or edema. CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Male, 72 years old, with chronic nasal obstruction. The nasal septum is intact but it deviates fairly significantly towards the right with a rightward projecting bony spur which contacts the wall of the right maxillary sinus. The nasal cavity is otherwise clear and the turbinates are within normal limits. The paranasal... | Rightward deviated nasal septum with an otherwise unremarkable evaluation of the nasal cavity and paranasal sinuses. |
Generate impression based on findings. | 63-year-old female patient with head and neck cancer. Compare to previous. CHEST:LUNGS AND PLEURA: Redemonstration of multiple solid and cavitary metastatic pulmonary nodules. The previously mentioned new cavitating lesion within the right apex is more cystic on this examination without a significant solid portion. Add... | 1. Mixed response to therapy with slight increase and decrease in sizes of mediastinal reference lesions and decreased size of the splenic lesion.2. No significant change in size of the cystic and solid pulmonary nodules with a more cystic appearance of a previously noted new cavitary lesion. 3. Tree in bud opacities w... |
Generate impression based on findings. | Female 24 days old Reason: r/o NEC or bowel dilation History: abdominal distension, desatsVIEW: Abdomen AP (one view) 5/8/2015 at 1347 hours. NG tube terminates at the stomach. Generalized bowel distention with no evidence of free air, pneumatosis intestinalis or portal venous gas. No bowel wall thickening. No ascites.... | Generalized bowel distention as described. |
Generate impression based on findings. | 67-year-old male 3 years status post wedge resection of left lower lobe stage 1a adenocarcinoma. 10 years status post left upper lobe lymphoepitheliod tumor. Following 2 groundglass nodules. Suboptimal evaluation of the right axilla due to extensive metal streak artifact from a right total shoulder arthroplasty device.... | No evidence of residual, recurrent, or metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Patient with PET avid lesion right parapharyngeal space versus deep lobe parotid lesion. Assess and compare to prior scans for change. Extensive dental streak artifact obscures much of the right parapharyngeal space and deep parotid gland region. Within this limitation, there is no evidence of measurable mass lesions o... | 1. No discernible correlate for the hypermetabolic focus in the right parapharyngeal space or deep parotid gland demonstrated on the prior PET, although the region in question is largely obscured by dental artifact. If necessary MRI, ultrasound, or repeat PET may be useful for further evaluation.2. Nonspecific mildly p... |
Generate impression based on findings. | Occlusion and stenosis of vertebral artery without mention of cerebral infarction. Transient ischemic attack (TIA), and cerebral infarction without residual deficits MRA brain:Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, ... | 1.The right vertebral artery remains patent.2.The left vertebral artery now demonstrates some antegrade flow better than on the prior exam. Head functionally ends in the left posterior inferior cerebellar artery. |
Generate impression based on findings. | 62-year-old female with triple negative breast cancer with lung and liver mets. Prechemotherapy. CHEST:LUNGS AND PLEURA: Numerous bilateral scattered pulmonary nodules and micronodules have increased in size and number. For reference, a lingular nodule measures 0.9 x 0.7 cm (series 5, image 55), previously 4 mm. Radiat... | 1.Increased pulmonary nodules, sclerotic osseus lesions, and hepatic lesions suggest disease progression.2.Stable right hilar mass.3.Nonspecific osseus findings, as above. Would favor benign rib fractures and degenerative changes given their distribution, however metastases are not excluded and correlation with bone sc... |
Generate impression based on findings. | History of metastatic thyroid cancer. CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules measuring up to 12 mm (4/70) compatible with metastases. No pleural fluid or pneumothorax.MEDIASTINUM AND HILA: The intrathoracic trachea is severely compressed by left paratracheal confluent lymphadenopathy and is deviat... | Large mediastinal mass severely compressing the intrathoracic trachea and esophagus, presumably confluent metastatic lymphadenopathy. Intrathoracic nodal and pulmonary metastases. Unable to exclude retroperitoneal metastases in the upper abdomen. |
Generate impression based on findings. | Reason: sob s/p surgery History: sob PULMONARY ARTERIES: There is no evidence of pulmonary embolism or right heart strain. LUNGS AND PLEURA: Scattered calcified granulomata are present.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are present, some calcified but none very large. The heart and pericardium are unre... | No evidence of pulmonary embolism. Recent postoperative changes from spinal stabilization surgery are noted.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | pT4aN1 left buccal mucosa squamous cell carcinoma status post treatment. There are post-treatment findings, including left mandibulectomy, flap reconstruction, neck dissection, tracheostomy, and radiation therapy effects. There is no definite evidence of residual tumor or significant lymphadenopathy in the neck. There ... | Post-treatment findings without definite evidence of residual tumor or significant lymphadenopathy in the neck. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.