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Generate impression based on findings. | 52-year-old female postsplint 2 nonweightbearing views of the right knee reveal interval reduction and splinting of the comminuted fracture of the proximal tibia with the overlying splint material limiting evaluation of fine bone detail and making it difficult to visualize the complexity of the fracture. There is a que... | Interval reduction and splinting of the comminuted fracture of the proximal tibia. Please refer to subsequent CT for additional findings. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cyst aspiration. 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. Benign bilateral calcifications including dys... | 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, then these can be used as ... |
Generate impression based on findings. | 58-year-old female with metastatic head and neck cancer restaging examination on oral investigational therapy. CHEST:LUNGS AND PLEURA: Left lower lobe module measures 16 x 27 mm (6/ 53), previously 16 x 27 mm, not significantly changed. Persistent innumerable pulmonary nodules are again seen consistent with the stated ... | Stable to slight interval increase in size of the innumerable pulmonary nodules. Evaluation for new pulmonary nodules is limited secondary to differences in inspiration when compared to prior studies. Slight interval increase in size of the reference mediastinal lymphadenopathy, consistent with the patient's known hist... |
Generate impression based on findings. | 16 year old female with throat pain. There is enlargement of the adenoid tonsils as well as the right palatine tonsil with mild induration and effacement of surrounding fat planes. There is mild ill-defined central low-attenuation within the right palatine tonsil without peripheral enhancement. There are multiple round... | Enlargement and phlegmonous change of the right palatine tonsil with mild effacement and induration of the surrounding fat without evidence of well-defined abscess. Cervical lymphadenopathy which is likely reactive |
Generate impression based on findings. | 65 year old male with lung cancer status post chemoradiation therapy. On observation. CHEST:LUNGS AND PLEURA: Severe centrilobular and paraseptal emphysema. There is interval increase in size of a 4 mm nodule along the periphery of a bulla within the left upper lung, previously 2 mm (46; series 4). Scattered micronodul... | No specific signs of recurrence. Interval increase in size of an indeterminate left upper lobe pulmonary nodule for which follow up in 3 months is recommended to evaluate for interval change. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female, 48 years old, with mucoepidermoid cancer of the buccal and parotid area. Compare to last CT and measure the left infratemporal fossa mass in the coronal and axial planes, and the nodule deep to the left zygomatic arch. Again seen is extensive surgical alteration including left maxillectomy and palatectomy, part... | 1.A large heterogeneous lesion involving the left masticator space, extending up to the skull base, has not significantly changed in size or morphology. No new lesions are detected in the neck.2.No evidence of brain parenchymal metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts as well as an additional left 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. Approximately... | Approximately 16 mm of increasing calcifications in the left breast upper outer quadrant, for which spot magnification views and possibly ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Fall, evaluate for bleed or fracture No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. T... | 1. No evidence of intracranial hemorrhage or mass effect. No skull fracture.2. Advanced chronic small vessel ischemic disease. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is clinical suspicion.3. Chronic paranasal sinus disease as above includ... |
Generate impression based on findings. | Reason: tachycardia, tachypnea; cryptogenic cirrhosis s/p OLT 4/21/2015. PULMONARY ARTERIES: Technically limited study due to motion artifact, limitation to segmental level. No evidence of pulmonary embolus.LUNGS AND PLEURA: Low lung volumes. Large right pleural effusion, decreased from prior study, with associated ate... | 1.No evidence of pulmonary embolus.2.Improved, but persistent large right pleural effusion. Patchy pulmonary opacities in the bilateral lungs, some improved and some new from prior study, suggestive of recurrent aspiration and/or infection. 3.Periportal edema.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.... |
Generate impression based on findings. | CTA HEAD | 1.No evidence of intracranial hemorrhage or mass effect.2.No areas of pathological enhancement.3.No flow limiting stenosis, occlusion, or aneurysm is identified. |
Generate impression based on findings. | Male 46 years old; Reason: LIVER METS, S/P THERASPHERE INJECTION History: COLON CANCER WITH LIVER METS, S/P THERASPHERE INJECTION CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mildly thickened esophagus, nonspecific. Subcentimeter juxtaphrenic lymph nodes.CHEST WALL: Right-sided central... | 1. Stable bilobar calcified hepatic lesions, compatible with metastatic colon cancer.2. Small retroperitoneal lymph nodes, stable to mildly increased in size, nonspecific.3. Underdistended rectum, making assessment for underlying wall thickening suboptimal. |
Generate impression based on findings. | 52-year-old female with closed fracture of upper end of tibia, evaluate tibial plateau fracture status post external fixation. CT of the right knee reveal a comminuted fracture in the proximal tibia involving both lateral and medial tibial plateaus with marked depression and fragmentation laterally. A vertical fracture... | Comminuted fracture of the proximal tibia involving both the lateral and medial tibial plateaus with marked depression and fragmentation laterally as detailed above. |
Generate impression based on findings. | Male 10 years old Reason: Evaluate NG tube placement History: distension, ng placedVIEW: Abdomen AP (one view) 5/10/2015 at 20:17 The NG tube tube has been retracted since the prior exam, the tip is seen at the GE junction. Surgical staples overlie the upper abdomen. Multiple dilated loops of small bowel are again seen... | Distended loops of bowel throughout the abdomen are nonspecific and may represent postoperative ileus. NG tube has been retracted, tip is at the GE junction. |
Generate impression based on findings. | Gunshot wound. Rule out fracture and bullet fragments.VIEWS: Left elbow AP/lateral/oblique (three views) 05/10/15 Soft tissue irregularity is noted medially and posteriorly. There is subcutaneous emphysema. No projectile fragments are identified.The bones are normal in appearance. | No fracture or retained projectile fragments. |
Generate impression based on findings. | 89 year old female with head injury. No evidence of intracranial hemorrhage. There is a 22 mm thick subgaleal hematoma overlying the frontal bone, predominantly on the left. Subjacent to this, there is a 3 mm focus of high attenuation within the left frontal cortex (series 3 image 18) most likely artifactual. There is ... | 1.No evidence of intracranial hemorrhage. Large left frontal subgaleal hematoma with a subjacent small focus of high attenuation in the left frontal cortex which is most likely artifactual. 2.Two extra-axial areas of dural based calcification, possibly calcified meningiomas, along the left parietal convexity, without s... |
Generate impression based on findings. | Reason: ro appy, incarcerated hernia History: RLQ and midline abd pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URE... | Heterogeneity of the lower uterine segment may be artifactual. This could be further evaluated with pelvic sonography if clinically indicated. Otherwise, no specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 15 years old Reason: eval fracture s/p gun shot woundVIEWS: Right femur AP and lateral 5/11/2015 at 0019 hours. (2 views) Proximal femur comminuted fracture and bullet fragments are again noted. Decrease overlap of the fracture is noted after distal traction device placement. | Interval improvement in fracture alignment after distal traction device placement. |
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. Benign left breast calcification, unchanged.No suspicious masses, microcalcifications ... | 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. | History of peripheral T-cell non-Hodgkin's lymphoma status post stem cell transplant complicated by GVHD with persistent rhinorrhea. There is interval increase in diffuse mucosal thickening of the paranasal sinuses, including mild mucosal thickening of the bilateral frontal sinuses, partial opacification of the bilater... | 1.Interval progression of diffuse paranasal disease.2.Persistent partial opacification of the right mastoid air cells and middle ear. |
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. | Male 15 years old Reason: s/p GSW History: s/p GSWVIEWS: Right femur AP and lateral 5/10/2015 at 1951 hours. (2 views) Bullet fragments and comminuted fracture of the proximal right femur with approximately 3 cm overlapping is again noted. Subcutaneous emphysema is also noted. | Status post comminuted fracture of the right femur after gunshot wound as described. |
Generate impression based on findings. | Reason: ro SBO, perforation History: epigastric and R sided abdominal pain, distention. Suboptimal examination due to phase of contrast. ABDOMEN:LUNG BASES: Basilar dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality no... | Postsurgical changes of an appendectomy and fundoplication, which has herniated. Otherwise, no specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 10 years old with vomiting.VIEWS: Abdomen AP and decubitus (two views) at 5/10/2015 An NG tube tube is seen with its tip in the gastric body. Skin staples project over the abdomen. Multiple dilated loops of small bowel are seen throughout the abdomen. Gas is present within the colon and rectum. There is no evidenc... | Distended loops of bowel throughout the abdomen are nonspecific and may represent postoperative ileus. |
Generate impression based on findings. | Shortness of breath. Rule out pneumonia or aspiration.VIEW: Chest AP (one view) 05/10/15, 2309 Mild peribronchial thickening is present. Subsegmental atelectasis is seen in the left base. No other lung opacity is present. Cardiothymic silhouette is normal. | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | 41 year old female hx of colon cancer s/p resection, presenting with epigastric abd pain x 3 days, inability to tolerate po, n/v. Evaluate for bowel obstruction, bowel ischemia. LUNG BASES: No suspicious pulmonary nodules. No focal consolidation or pleural effusion.LIVER, BILIARY TRACT: Liver enhances homogenously with... | 1.Mild asymmetrically increased left perinephric stranding may reflect pyelonephritis in the appropriate clinical setting. No evidence of complication.2.Hepatic steatosis. |
Generate impression based on findings. | Male 15 years old Reason: R/O Fracture History: Pediatric TraumaVIEW: Abdomen AP (one view) 5/10/2015 at 1842 hours. Normal abdominal gas pattern. No evidence of free air or obstruction. No bullet fragments are noted, however a cylindrical radiopaque object (likely external) is overlying the left upper abdominal quadra... | Cylindrical radiopaque foreign body, likely external noted as described. Please correspond clinically. |
Generate impression based on findings. | Female 63 years old; Reason: hx of colonic dilation here with abdominal distention History: abd distention.Additional history from CT of 4/20/2015 indicates history of appendiceal cancer. ABDOMEN: The absence of intravenous contrast limits evaluation of the solid organs and vasculature. Given those limitations, the fol... | 1.Persistent marked dilatation of colon most consistent with ileus. Persistent but increasing dilatation of small bowel may represent ileus although an obstructive component at the right lower quadrant anastomosis cannot be excluded this is a concern may be evaluated further with follow-up films with small bowel follow... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Patient's sister has history of ovarian cancer in her 60s. Two standard digital views and tomosynthesis of both breasts as well as additional left CC view were performed and reviewed with the aid of R2 CAD 9.3. The 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. | Male 15 years old Reason: R/O Fracture History: Status post gunshot wound.VIEWS: Pelvis AP 5/10/2015 (1 views) Both femoral heads are well directed into the acetabulum. Radiopaque foreign body, likely bullet fragment and comminuted fracture of the femur is noted. Subcutaneous emphysema is present. | Proximal femur fracture with no evidence of hip dislocation. |
Generate impression based on findings. | 41-year-old male with epigastric and right upper quadrant pain. LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No suspicious focal hepatic lesion. Stable mild biliary dilatation. Enhancement of the wall of the common bile duct likely secondary to inflammation, similar to prior exam. Marked narrowing... | 1.No significant interval change in inflammatory changes about the pancreatic head, neck and and body.2.Cystogastrostomy tube remains in situ without new peripancreatic collection.3. Marked narrowing of the main portal vein has slightly increased with new slight narrowing of the SMV near the portal confluence, but both... |
Generate impression based on findings. | 62-year-old male with left great toe ulceration, drainage. Question osteomyelitis. 3 nonweightbearing views of the left foot reveal no radiographic evidence of osteomyelitis as clinically questioned. No acute fracture or malalignment. Deformity of the fifth metatarsal head secondary to remote trauma. | No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | 57-year-old male with right hip fracture and pain Again seen is a comminuted fracture through the right femoral neck with mild there is angulation and impaction. No displaced fracture fragments are noted. Small amount of fluid within the joint may represent hemarthrosis. The acetabulum is intact. Small focus of scleros... | Comminuted fracture through the right femoral neck as described above. |
Generate impression based on findings. | Reintubated. Respiratory failure.VIEW: Chest AP (one view) 05/11/15, 0444 Endotracheal tube tip is below thoracic inlet. Feeding tube tip is distal to GE junction and not included on image. Right upper extremity PICC has its tip at junction of superior vena cava and right atrium. Left thoracolumbar curve is again seen.... | Decrease in atelectasis. |
Generate impression based on findings. | Reason: prior CT with c/f collections--re-eval History: prior CT with c/f collections, significant RUQ tenderness. Limited examination without intravenous contrast administration.CHEST:LUNGS AND PLEURA: Scattered granulomas. Slight interval increase in bilateral, right greater than left pleural effusions, with overlyin... | 1.Large 16 cm subcapsular fluid collection with foci of gas and hyperattenuating foci, which may represent hemorrhage or be related to abscess. Correlate clinically.2.Interval decrease in ascites.3.Ileus, not significantly changed.4.Interval removal of packing material and drain. Small foci of perihepatic gas persist. |
Generate impression based on findings. | Male 15 years old Reason: R/O Pneumothorax History: Pediatric TraumaVIEW: Chest AP (one view) 5/10/2015 The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. No focal lung opacities. No effusions or pneumothorax.Visualized osseous structures look intact. No evidence of... | Normal examination. |
Generate impression based on findings. | Respiratory failure. Intubated and weaning.VIEW: Chest AP (one view) 05/10/15, 1328 Endotracheal tube tip is below thoracic inlet. Feeding tube tip in gastric body. A gastrostomy tube is present. Right upper extremity PICC has its tip at junction of superior vena cava and right atrium. Left thoracolumbar curve continue... | Decreasing atelectasis. |
Generate impression based on findings. | Status post gunshot woundVIEWS: Right femur lateral 5/10/2015 (1 views) .There is a comminuted fracture of the proximal right femur with posterior angulation and approximately 3 cm overlapping due to an shot wound. | Comminuted fracture of the right femur as described. |
Generate impression based on findings. | Reason: Evaluate for acute PE History: Sudden onset SOB and chest pain; recent dx of acute PEs on 4/17/15, noncompliant with coumadin Study limited by motion artifactPULMONARY ARTERIES: Technically adequate study. No definite evidence of pulmonary embolus.LUNGS AND PLEURA: Minimal dependent atelectasis. Calcified granu... | No evidence of pulmonary embolism. Subsegmental emboli seen on prior study appear resolved.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
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. Asymmetry in the left lateral breast on the CC view appears to be summation of normal ... | 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. | Right-sided weakness, evaluate for ischemia No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collect... | No evidence of acute intracranial hemorrhage or mass effect. Unchanged chronic infarcts involving the left external capsule and right frontal corona radiata. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | 70-year-old female status post fall, evaluate for fracture 2 nonweightbearing views of the right femur which are limited to the distal two thirds of the femur reveal no acute fracture or malalignment. Pelvis and bilateral hip views reveal mild osteoarthritic changes of the right and left hips with mild osteophyte forma... | Comminuted supracondylar fracture involving both medial and lateral condyles with mild posterior angulation of the distal fracture fragment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views, additional bilateral MLO views, and a cleavage view of both breasts 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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 52 year female febrile, tachycardic, leukocytosis. H/o signet ring adenocarcinoma of colon sp lap right hemicolectomy, transferred with SBO. Exam is significantly limited by streak artifact from retained barium in the colon.LUNG BASES: No suspicious pulmonary nodules. Trace pleural effusions and compressive atelectasis... | 1.Evaluation limited by streak artifact from retained barium in the colon.2.Apparent gallbladder wall thickening with dilated common bile duct; new gallbladder and pericholecystic hypoattenuating hepatic parenchymal lesions. Findings suspicious for cholecystitis with surrounding hepatic microabscesses. Alternatively th... |
Generate impression based on findings. | Subarachnoid hemorrhage The patient is status post right sided craniotomy for right MCA clip placement. There is an extra-axial collection present measuring 5mm thickness associated with mild mass effect. There is associated extra-axial air which is less than on the prior exam and scalp soft tissue swelling.The visuali... | 1.Status post craniotomy for right MCA aneurysm clip placement. Subdural air and blood products have decreased is thickness but have not resolved. |
Generate impression based on findings. | Abdominal distention.. Emesis and abdominal distentionVIEW: Abdomen AP (one view) 5/10/2015 at 1817 hours. NG tube terminates at the stomach.Disorganized, slightly distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Altered mental status. There is redemonstration of an area of encephalomalacia involving the right middle and inferior frontal gyri where there was previously a hematoma. There is no evidence of acute intracranial hemorrhage or mass effect. The ventricles and basal cisterns are unchanged in size and configuration. Ther... | 1. No evidence of acute intracranial hemorrhage or mass effect.2. Right frontal lobe encephalomalacia is unchanged. |
Generate impression based on findings. | research protocol- renal cancer The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.Incidental note is made of a developmental venous anoma... | No evidence for brain metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views of both breasts and an additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pat... | 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. | neck pain with R sided radicular symptoms, h/o neck injury 2 weeks ago and PT. Cervicalgia. Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASC... | 1.No evidence for cervical cerebrovascular occlusive disease. No evidence for vertebral or carotid dissection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 7-year-old male with lower chest pain, fever, and cough. Evaluate for pneumonia or rib fracture.VIEWS: Chest PA/lateral (two views) 5/10/2015 at 16:31 The cardiomediastinal silhouette is normal. There is peribronchial thickening and a retrocardiac opacity present on both views. There is no pneumothorax or pleural effus... | Left lower lobe pneumonia. |
Generate impression based on findings. | Male 61 years old; Reason: Evidence of abscess or drive line infection History: Septic shock Suboptimal study secondary to patient motion artifact.CHEST:LUNGS AND PLEURA: . Increasing small pleural effusions with underlying patchy infiltrate and airspace disease throughout both lung fields but most pronounced in right ... | 1. Driveline seen exiting right rectus muscle and along the driveline is a small fluid collection, measuring 2.1 x 2.1 cm. No internal gas or rim enhancement seen to suggest abscess but correlation with patient's clinical history and physical exam recommended to exclude superimposed infection. Subcutaneous emphysema se... |
Generate impression based on findings. | Respiratory failure.VIEW: Chest AP (one view) 5/11/2015 at 0458 hours. NG tube terminates in the stomach. The position catheter is again noted. ET tube tip is below thoracic inlet. Spinal rods are again noted.Cardiac silhouette size is normal. Increasing in left lower lobe atelectasis and persistent left diaphragmatic ... | Normal examination. |
Generate impression based on findings. | Persistent leukocytosis. There is scattered partial opacification of the left ethmoid air cells. There is minimal mucosal thickening of the right maxillary sinus. The frontal and sphenoid sinuses are clear. The nasal cavity is clear. There is mild deviation of the nasal septum to the left. The lamina papyracea and ethm... | No significant paranasal sinus disease. |
Generate impression based on findings. | Male 10 years old Reason: ETT placement History: Respiratory failure.VIEW: Chest AP (one view) 5/11/2015 at 0638 hours. Central line deep is at the SVC. ET tube terminates below thoracic inlet. Cardiac silhouette size is normal. Left diaphragmatic elevation. Bibasilar opacities, likely atelectasis with no effusions or ... | Bibasilar atelectasis and left diaphragmatic elevation. |
Generate impression based on findings. | Reason: eval for intraabdominal pathology History: vomiting, abd pain. ABDOMEN:LUNG BASES: Left subsegmental atelectasis. Bibasilar dependent atelectasis. Evaluation of fine parenchymal detail limited by motion. LIVER, BILIARY TRACT: Mild intrahepatic and extrahepatic biliary ductal dilatation. Common bile duct measure... | 1.Mild intrahepatic and extrahepatic biliary ductal dilatation. Prominent pancreatic duct. No definite etiology. These could be further evaluated with MRCP if clinically indicated. 2.Diffuse bladder wall thickening may be due to underdistention or cystitis. Correlate with urinalysis. 3.Stable bilateral adrenal nodules. |
Generate impression based on findings. | Reason: PE History: SOB; chest pain PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Bronchial thickening noted. No pleural effusions or pneumothorax. Solid smoothly marginated 6 mm right upper lobe pulmonary nodule.MEDIASTINUM AND HILA: Cardiac size is normal. Mild per... | 1.No evidence of pulmonary embolus.2.6 mm right upper lobe pulmonary nodule, more likely benign than malignant. Consider follow-up low-dose scan in 12 months to confirm stability.3.Bilateral adrenal nodules as above, incompletely evaluated on this examination. Likely benign in the absence of related clinical findings b... |
Generate impression based on findings. | 12 month male with tachypnea and hypercarbia. Evaluate trach placement and atelectasis.VIEW: Chest AP (one view) 5/10/2015 at 18:30 Tracheostomy tube tip is below the thoracic inlet and above the carina. Enteric tube tip is distal to the GE junction and projects off the inferior margin of the image. Lower extremity PIC... | Stable changes of chronic lung disease. |
Generate impression based on findings. | 24-year-old male status post fall, right patellar tenderness. Rule out fracture. 4 nonweightbearing views of the right knee reveal no joint effusion, acute fracture or malalignment. Vascular calcifications are noted. | No acute fracture or malalignment. |
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. Scattered benign calcifications in both breasts, including vascular calcifications on ... | 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, then these can be used as ... |
Generate impression based on findings. | Ms. Washington is a 63 year old female with a family history of ovarian cancer in her sister. She has a family history of a benign right breast biopsy in 2004. She currently complains of dissipating right breast soreness under the arm for the last 2 days with no discrete mass, skin changes or nipple discharge. Three st... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Clinical correlation is recommended if the right breast soreness persists. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMEN... |
Generate impression based on findings. | Female 60 years old Reason: Cirrhosis pre-transplant assess hepatic vasculature and rule out HCC History: Cirrhosis Limited evaluation due to body habitus and distended abdomen.LIVER: Liver is enlarged and measures 19.5 cm in length. The parenchyma is coarsened in echotexture with a nodular liver contour. No focal lesi... | 1. Hepatomegaly with a nodular liver contour and a moderate to significant amount of ascites.2. Gallbladder wall thickening more likely due to ascites/hypoalbuminemia.3. Intraluminal echogenic foci in the gallbladder may reflect cholelithiasis; however evaluation is limited due to body habitus and ascites. |
Generate impression based on findings. | Respiratory distress of the newborn. Increasing oxygen requirements.VIEW: Abdomen and chest AP (2 views) 5/11/2015 The aortic arch, cardiac apex and stomach are left-sided.Cardiac silhouette is normal in size and shape. No focal lung opacities. No effusions or pneumothorax.Normal abdominal gas pattern. No evidence of o... | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Two standard digital views and additional CC 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 an... | 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, 53 years old. Reason: NGT History: NGT Dobbhoff tube tip overlies the proximal jejunum.Surgical staples, clips, and drains overlie the upper abdomen.Nonobstructive bowel gas pattern. Moderate stool burden. | Dobbhoff tube tip overlies the proximal jejunum. |
Generate impression based on findings. | Female 9 days old Reason: 9 day old female on oscillator, evaluate lung fields and ett placement History: hypoxiaVIEW: Chest AP (one view) 5/11/2015 at 0641 hours. ET tube tip is at the thoracic inlet. NG tube terminates at the stomach. Central line tip is at the right atrium. Cardiac silhouette size is normal. Bilater... | Multifocal opacities on a background of diffuse lung haziness and pattern of PIE. |
Generate impression based on findings. | Left third digit injury.VIEWS: Left third digit AP and lateral 5/11/2015 (2 views) Mild PIP joint soft tissue swelling with no fracture or malalignment. | Soft tissue swelling with no fracture. |
Generate impression based on findings. | Male, 56 years old. Reason: Evaluate for obstruction, evidence of gastroparesis History: gastric distention, high residuals NG tube tip in the pyloric area.IVC filter in place. Right femoral catheter with tip in the iliac distribution.Nonobstructive bowel gas pattern. No excessive stool burden. | No evidence of obstruction. NG tube tip in the pyloric region. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Prior groundglass opacity right upper lobe resolved with no new findings.No evidence of metastatic disease.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Heart size and pericardium normal.CORONARY ARTERY ... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious m... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Calcified granulomata.No evidence of metastases. MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None. CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast m... | No evidence of metastases, or other significant abnormality. |
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. Left ICD generator partially obscures ... | 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. | Female 12 years old evaluate healing of first and second metatarsal fractures.VIEWS: Right foot AP and lateral (2 views) 5/11/2015 at 08:45 Healing fractures of the first and second metatarsal are again seen. Periosteal reaction is present and the fracture lines are less distinct indicating interval healing. Alignment ... | Healing fractures of the first and second metatarsals in anatomic alignment. |
Generate impression based on findings. | Reason: h/o parotid SCC, s/p induction, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Numerous micronodules some of which are calcified are unchanged, likely benign.No reliable evidence of pulmonary metastases.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Thyroid calcificat... | 1. No evidence of metastases.2. Numerous micronodules likely benign although continued follow-up is required to ascertain this.3. Very large hiatal hernia. |
Generate impression based on findings. | Reason: cerebral edema, bleed History: hx of glioblastoma s/p resection, 3 seizures in last week now with left sided weakness, facial droop, slurred speech x 2 days Again seen are findings related to recent right frontal craniotomy. Confluent hypoattenuation in the white matter of the right frontoparietal region is com... | 1.Interval progression of right frontoparietal edema/ and or tumor and associated effacement of the adjacent sulci and right lateral ventricle. There is no evidence for acute intracranial hemorrhage. |
Generate impression based on findings. | Reason: eval for pe History: h/o lung ca, cp, sob PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Postsurgical changes of right upper lobectomy. Centrilobular emphysema with concentric lung base scarring. No pleural effusions or pneumothorax. 3 mm right lung base pulmo... | 1.No evidence of pulmonary embolus.2.Nonspecific right lung base micronodule is noted. Given the history of lung cancer, we recommend continued follow up with annual low dose CT.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicab... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy in 2011. 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. M... | 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. | 74-year-old female with lower back pain and possible SI joint arthropathy Exam is limited due to overlying bowel gas and stool. Within these limitations, there is mild degenerative changes at the sacroiliac joints. Severe degenerative disc disease affects the visualized lower lumbar spine. No acute fracture is evident. | Degenerative changes as described above. |
Generate impression based on findings. | Status post fracture.VIEWS: Right wrist AP and lateral 5/11/2015 (2 views) Cast material obscures fine bone details. Healing buckle fracture of the distal radius is in anatomic alignment. | Healing fracture in anatomic alignment. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Mild linear atelectasis or scarring right lower lobe, but no significant abnormality.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size and pericardium unremarkable.CORONARY ARTERY CALCIFICATION: Moder... | No evidence of metastases or other significant abnormality. |
Generate impression based on findings. | 67-year-old female with redness, swelling around recent toe amputation site. Evaluate for osteomyelitis/subcutaneous gas. 3 nonweightbearing views of the right foot reveal interval amputation of the right first digit to the base of the proximal phalanx. The osteotomy line is slightly irregular but appears sharp and int... | Findings may reflect postsurgical changes however osteomyelitis cannot be entirely excluded. If further evaluation/imaging is warranted, MRI can be obtained. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right 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. Stable benign ... | 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. | 52-year-old female with a history of PHT presents with mild hemoptysis. History of hypoplastic tricuspid valve and hypoplastic right ventricle. Status post SVC to right pulmonary artery shunt (Glenn Shunt) at age 11 years. She also has an ASD and a VSD per MRI report 3/16/2009. LUNGS AND PLEURA: The previously describe... | 1. No conclusive findings to account for the patient's hemoptysis as clinically questioned. 2. Cardiomegaly with postsurgical changes of Glenn Shunt procedure.3. A systemic mediastinal venous collateral in the high right paratracheal region is aneurysmally dilated to 12 mm. Right-sided mediastinal systemic collateral v... |
Generate impression based on findings. | 55-year-old female with elevated lactate and dizziness. Evaluate for acute intra-abdominal pathology. ABDOMEN:LUNG BASES: 11 mm right lower lobe pulmonary nodule is only partially visualized (series 4/1).LIVER, BILIARY TRACT: Subcentimeter hypoattenuating lesion in the inferior right hepatic lobe is too small to charac... | 1. Probable myomatous uterus, but adnexal mass cannot be excluded. Pelvic ultrasound is recommended for further characterization.2. 11 mm right lower lobe pulmonary nodule is only partially visualized. Dedicated CT chest is recommended for further characterization.Findings discussed with Dr. Chaney in the emergency roo... |
Generate impression based on findings. | 47-year-old male with multiple myeloma SKULL: Postsurgical changes of a right craniotomy. Small lucent foci in the posterior frontal bone only seen lateral view may represent myelomatous deposits although this is equivocal. CERVICAL SPINE: No suspicious myelomatous deposits. Small anterior osteophytes are present. Vert... | Probable myeloma lesion in the right lateral fifth rib. Questionable lesions in the skull. |
Generate impression based on findings. | Reason: bleed, mass, stroke History: hx of TIA, facial numbness, right sided weakness, loss of sensation since 2200 yesterday There is no evidence of intracranial hemorrhage. The gray-white differentiation appears maintained. The ventricles and basal cisterns are normal in size and configuration. There is no mass effec... | No evidence for acute intracranial hemorrhage, edema or mass effect. Please note that CT is insensitive for the early detection of acute non-hemorrhagic cerebral infarction. |
Generate impression based on findings. | 32-year-old male with GSW trauma Single view of the left humerus reveal no radiopaque foreign object. No acute fracture or malalignment is evident on this single AP view. | No radiopaque foreign object, acute fracture or malalignment is evident. |
Generate impression based on findings. | 60-year-old male with fall from bed onto right shoulder, + ETOH. Evaluate for fracture or dislocation. 3 views of the right shoulder reveal no definite fracture or dislocation. Deformity of the humeral head with osteophyte formation along the inferior glenohumeral joint and greater tuberosity compatible with degenerati... | No definite fracture or dislocation. Other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. A new circumscribed superficial 13 mm oval mass slightly lateral and s... | New mass in the right breast, likely fat necrosis, for which spot compression views and ultrasound is recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EA - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Ms. Hudson is a 54 year old female with a personal history of right breast lumpectomy in 2004 for medullary carcinoma followed by radiation and chemotherapy. She also has a history of benign left breast biopsy and bilateral breast cysts. She has no current breast related complaints. Three standard views of both breasts... | Stable postsurgical changes of the right breast and multiple left 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 find... |
Generate impression based on findings. | 88-year-old female with pain, swelling, inability to bear weight. Evaluate for fracture or dislocation. 3 nonweightbearing views of the right foot reveal mild soft tissue swelling about the dorsum of the forefoot with no acute fracture or dislocation. Degenerative changes at the first metatarsophalangeal joint is noted... | No acute fracture or dislocation. Other findings as above. |
Generate impression based on findings. | 36-year-old male with persistent leukocytosis. Lack of intravenous contrast limits sensitivity for pathology.CHEST:LUNGS AND PLEURA: Mild bibasilar subsegmental atelectasis. Few scattered groundglass opacities in the right upper lobe, most likely due to nonspecific pneumonitis. No suspicious pulmonary nodules or masses... | 1. Surgical drain and and Impella device coursing through the right anterior chest wall with a chest wall hematoma seen just inferiorly. Infected hematoma cannot be excluded. Associated overlying skin thickening may be related to cellulitis. No definite abscess.2. Marked cardiomegaly. |
Generate impression based on findings. | 58-year-old male with right hip and thigh pain with swelling. Evaluate for fracture or alternative etiology of pain and swelling in anterior and lateral right thigh. AP and two judet views of the pelvis reveal no acute fracture or dislocation. Mild osteoarthritis of the hips with osteophyte formation at both acetabula.... | Mild degenerative arthritic changes with no acute fracture or dislocation. |
Generate impression based on findings. | Reason: Left anterior and thigh numbness in SLE pt; assess for CVA History: Left anterior and thigh numbness There is no evidence of intracranial hemorrhage. The gray-white matter appears to be maintained. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The... | 1.No evidence of intracranial hemorrhage, edema or mass effect. 2.Please note CT is insensitive for the early detection of acute non-hemorrhagic cerebral infarction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1988. Personal history of uterine cancer at age 11 years old. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts, additional bilateral CC as well as bilateral MLO views were... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: intracranial lesion History: lightheadedness No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with mild age-related volume loss. No ext... | 1.No evidence of intracranial hemorrhage, edema or mass effect. Please note CT is insensitive for the early detection of acute non-hemorrhagic cerebral infarction.2.Noncontrast CT is also insensitive for the detection of intracranial lesions, however, there is no specific evidence of a large space-occupying lesion. |
Generate impression based on findings. | Benign neoplasm of cranial nerves The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post left temporal bone surgery with removal of the left mastoid and middle ear with fat graft placement for left cerebellopontine angle cistern mass. Previously noted intracranial ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Status post translabyrinthine approach removal of left cerebellopontine angle mass. There are postsurgical changes present and hypodensity in the left cerebellum which remains stable. Please note that MRI is more sensitive in the detection of residu... |
Generate impression based on findings. | 64-year-old male with pain 3 views of the left foot demonstrate diffuse bone demineralization suggestive of osteopenia. Degenerative changes primarily affect the first MTP joint, DIP joints, and tarsometatarsal joints. No acute fracture or malalignment is evident. No osseous erosions. Well-corticated ossicle along the ... | 1.Left SLAC wrist may be secondary to trauma or CPPD arthropathy. Possible early right SLAC wrist.2.Degenerative changes as described above. |
Generate impression based on findings. | Male, 68 years old, with metastatic parotid cancer, pre clinical trial assessment. Head:A 16 x 13 x 9 mm rim-enhancing lesion is now evident within the right superior parietal lobule inducing mild local edema. There also appear to be one or perhaps two additional lesions within the left superior parietal lobule, again ... | 1.Two or perhaps three metastatic lesions are present within the bilateral parietal lobes. These should be further evaluated with contrast-enhanced MRI.2.Postsurgical findings in the neck with no evidence of recurrent primary tumor. Enlarged lymph nodes in the superior mediastinum show no significant change.3.Several p... |
Generate impression based on findings. | Ms. Cannatello is a 63 year old female with a personal history of left breast lumpectomy in April 2014 for ILC/LCIS followed by radiation and hormonal therapy. She has a personal history of uterine cancer. No current breast related complaints. Three standard views of both breasts and two left spot magnification views w... | Expected postsurgical changes of the left 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 - Diagn... |
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