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Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: The maxillary sinuses are clear. The ostiomeatal units are clear.Posterior ethmoids: The posterior ethmoid air cells are clear.Sphenoid sinus: The sphenoid sinus and bi... | Unremarkable CT of the sinuses. |
Generate impression based on findings. | Reason: h/o tonsil ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Minimal ectasia ascending aorta.No mediastinal or hilar lymphadenopathy.CORONARY ARTERY CALCIFICATION: Mild. CHEST WALL: Prior chest port removed.ABDOMEN: Abs... | No evidence of metastases, and no interval change. |
Generate impression based on findings. | Male 65 years old; Reason: Liver Ca with biliary drain, fell out History: Tube out ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT:: Numerous heterogeneously enhancing hepatic masses, one of the largest in the right lobe measuring 6.0 x 6.1 cmThere is diffuse intrahepatic biliary dilatation, l... | 1.Multiple hepatic masses compatible with known history of pathology proven malignancy. Occlusion of the right portal vein as above. No biliary drain is seen.2.New deep venous thrombosis of the right external iliac and femoral veins.3.Indeterminate sclerotic and lytic lesions in the bony pelvis as above can be further ... |
Generate impression based on findings. | Thumb mass. Evaluate for joint arrangement. Mild osteoarthritis affects the interphalangeal joint of the thumb, with small osteophytes. I see no discrete mass. | Mild osteoarthritis. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Benign-appearing punctate micronodules, some calcified.MEDIASTINUM AND HILA: Calcified lymph nodes, but no mediastinal or hilar lymphadenopathy.CORONARY ARTERY CALCIFICATION: Mild. CHEST WALL: Unchanged right rib deformity a... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | There is a left frontal approach ventriculostomy catheter, with tip near the right foramen of Monro. Hyperdense contrast material is identified within the lateral ventricles, with greater density within the left lateral ventricle. A small amount of air is noted in the nondependent left frontal horn, presumably iatroge... | No ventricular dilatation. High density contrast material identified throughout the ventricular system, with increased density of contrast in the left lateral ventricle with respect to the right, although this could relate to positioning of the distal shunt catheter. Slightly asymmetric right cerebellopontine angle sub... |
Generate impression based on findings. | Right shoulder injury and pain after fall. The bones appear slightly demineralized, suggesting osteopenia. I see no fracture or malalignment. Tiny osteophytes suggest minimal osteoarthritis, essentially within normal limits for age. | Tiny osteophytes, but no fracture or malalignment. |
Generate impression based on findings. | Chronic lymphoid leukemia on clinical trial. There has been overall interval increase in size of the supraclavicular and upper mediastinal lymph nodes. For example, a right supraclavicular lymph node measures 22 x 26 mm, previously 15 x 23 mm and a left supraclavicular lymph node measures 21 x 28 mm, previously 17 x 19... | Interval increase in size of supraclavicular and upper mediastinal lymph nodes. |
Generate impression based on findings. | The fifth toe swollen after hitting couch base, suspected fracture. I see no acute fracture. There is mild deformity of the head and neck of the first metatarsal, with 2 orthopedic screws, indicating prior surgery. Mild osteoarthritis affects the first metatarsophalangeal joint. Evaluation of the interphalangeal joints... | Postoperative changes and other findings as described above without acute fracture evident. |
Generate impression based on findings. | Metastatic PR. Overall, the bones appear slightly demineralized suggesting osteopenia. Mild osteoarthritis affects the glenohumeral joint. On the AP view, the acromiohumeral interval is narrowed to approximately 3-4 mm suggesting the possibility of a chronic rotator cuff tear. There is expansile remodeling of the right... | 1.Arthritic changes of the shoulder as described above.2.Thoracic vertebral body compression fractures.3.Expansile remodeling of the right fifth rib presumably due to treated metastatic prostate cancer. |
Generate impression based on findings. | History of head and neck cancer status post chemoradiation therapy. Compare to prior measurements. There are post-treatment findings in the right cheek, without evidence of measurable local tumor recurrence. Several lymph nodes within the neck are stable in size. There is unchanged asymmetry of the parotid glands and a... | 1. Post-treatment findings in the right cheek, without evidence of measurable local tumor recurrence, although the region is partially obscured by dental streak artifact. 2. Stable size of lymph nodes within the neck, which are not significantly enlarged by size criteria. 3. No significant interval change in the metast... |
Generate impression based on findings. | PHARYNX/LARYNX: There is a large right-sided tonsillith, with a smaller one on the left. The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass or pathological enhancement.GLANDS: The postcontrast appearance of the ... | 1. Continued stable appearance of the neck with no evidence of residual cervical lymphadenopathy.2. Stable appearance of lung apices. Please see separately dictated report for CT of the chest for further details. |
Generate impression based on findings. | 47-year-old male patient with excess oropharyngeal secretions, TENS, intubated, History:. There are partially-imaged upper aerodigestive track tubes. There is moderate mucosal thickening within the bilateral maxillary sinuses and bubbly secretions within the left maxillary and right sphenoid sinuses. There is mild scat... | Findings suggestive of acute sinusitis and otomastoiditis in the appropriate clinical setting, although intubation may contribute to the presence of sinonasal and temporal bone secretions. |
Generate impression based on findings. | Male 28 years old; Reason: assess for anastomotic leak History: persistent fever CHEST:LUNGS AND PLEURA: Small right-sided pneumothorax. Adjacent atelectasis seen. Small bilateral pleural effusions and underlying atelectasis.MEDIASTINUM AND HILA: Status post gastric pull-up. Multiple locules of gas seen extending from ... | 1. Status post gastric pull-up. Multiple locules of gas seen extending from level of high postsurgical anastomosis, suspicious for anastomotic breakdown. Correlation with patient's surgical history/clinical symptoms recommended. 2. Small right-sided pneumothorax. Adjacent atelectasis seen. Small bilateral pleural effus... |
Generate impression based on findings. | Inversion/pain. Fracture? There is a 4 mm density adjacent to the distal aspect of the medial malleolus best seen on the AP view which could conceivably represent a small minimally displaced avulsion fracture fragment, but may be chronic in etiology. I see no discrete fracture line or donor site. Ankle joint alignment ... | Small density along the distal aspect of the medial malleolus could conceivably represent a small minimally displaced avulsion fracture fragment, but is of indeterminate age and may be chronic in etiology. |
Generate impression based on findings. | Female, 79 years old. Reason: Eval Dobbhoff tube for placement History: Dobbhoff Repositioned Dobbhoff tube tip projects over the gastric body.Nonobstructive bowel gas pattern.Status post median sternotomy. Epicardial pacer wires.Pleural effusions. | Dobbhoff tube tip projects over the distal gastric body. |
Generate impression based on findings. | Pain. Evaluate right wrist out of brace. Plate and screw/pin devices affix a comminuted intra-articular fracture of the distal radius in near anatomic alignment. I see no hardware complications. There is a mildly displaced fracture through the ulnar styloid. There is soft tissue swelling, particularly along the dorsal ... | Orthopedic fixation of distal radius fracture and other findings as above. |
Generate impression based on findings. | Female, 37 years old. Reason: rule out gastro gastric bypass History: weight gain Single contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. During the exam, no spontaneous or provoked gastroesophageal reflux was observed. Fluoroscopic evaluation of eso... | 1. Small gastric pouch with rapid emptying into the proximal small bowel.2. No gastrogastric fistula. |
Generate impression based on findings. | Reason: h/o right parotid cancer, s/p surgery and chemoRt History: r/o lung mets LUNGS AND PLEURA: No evidence of metastases.Foci of linear scarring are seen in the lung bases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.Status post CABG.CORONARY ARTERY CALCIFICATION: Severe. CHEST WALL: Degen... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Foot pain/bunion. There is a mild to moderate hallux valgus deformity appearing similar to that seen on the prior study. The remainder of the foot appears normal. | Hallux valgus deformity appearing similar to that seen on the prior study. |
Generate impression based on findings. | Cystic fibrosis and history nasal polyps and sinus surgery; worsening congestion and decreased smell over past several months. There are postoperative findings related to endoscopic sinus surgery, including bilateral uncinectomy, upper maxillary antrostomy, and partial ethmoidectomy. There is moderate mucosal thickenin... | 1. Postoperative findings related to endoscopic sinus surgery with bilateral maxillary and right sphenoid sinusitis.2. Extensive dental disease. |
Generate impression based on findings. | Status post excision of soft tissue sarcoma of the lumbar spine and lumbar fusion. Evaluate for degenerative changes, hardware failure. Back pain. Again seen is a posterior stabilization device with screws entering the L2, L3, and L4 vertebrae. The tips of the L2 screws overlie the superior endplate of L2, but this app... | Postoperative changes and other findings as described above appear similar to those seen on the prior study. Mineralization within the subcutaneous fat of the lower back is slightly more prominent on the current study than on prior studies; while I suspect that this is postoperative and/or treatment-related, if there i... |
Generate impression based on findings. | Reason: R weakness History: internal capsule? There is no evidence of intracranial hemorrhage. The gray-white differentiation matter appears to be maintained. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. Atherosclerotic calcifications are present along t... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 83-year-old female with MCP swelling over the second and third Left hand: Severe osteoarthritis affects the basilar joint appearing similar to the prior exam. Triscaphe joint arthritis. Severe joint space narrowing and sclerosis of the second and third MCP joint with mild anterior subluxation of the proximal phalanges.... | Severe arthritis with a mixed degenerative and CPPD etiology as described above. |
Generate impression based on findings. | Reason: h/o HNC and CRT CHEST:LUNGS AND PLEURA: Numerous scattered solid and sub-solid pulmonary nodules, some of them increased in size.For reference, upper lobe nodule now measures 9 mm x 12 mm (series 5, image 26), previously 8 mm x 11 mm. Reference nodule at right lower lobe measures 20 mm x 16 mm (series 5 image 5... | Interval increase in the size of the known pulmonary metastasis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Ms. Barnard is a 45 year old female presenting with lateral left breast pain. In October 2012, a short-term 6 month follow-up ultrasound was recommended to establish stability of probable intramammary lymph nodes in the right breast. Family history of breast cancer in paternal aunt, paternal grandmother, and paternal g... | No mammographic evidence of malignancy. Patient's left breast pain should be managed clinically. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Scree... |
Generate impression based on findings. | 65-year-old male. Reason: assess blood flow, r/o hydronephrosis History: AKI 2/2 large volume shifts RIGHT KIDNEY: Right kidney measures 11.6 cm in length. Right renal cortical echogenicity is mildly increased which may reflect medical renal disease. No evidence of hydronephrosis or shadowing renal calculus.LEFT KIDNEY... | 1.Bilateral increased renal cortical echogenicity may reflect medical renal disease.2.No evidence of hydronephrosis or shadowing renal calculus.3.Free pelvic fluid is seen in the right and left lower quadrants. |
Generate impression based on findings. | 86 years Male Reason: mets lung cancer. s/p MPDL3280A, pls c/w previous study and evaluate dx status. History: lung ca Lack of intravenous contrast limits evaluation of solid viscera. Lack of oral contrast limits evaluation for bowel pathology.LUNGS BASES: See same day dedicated chest CT for complete evaluation. No sus... | No specific evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | Metacarpal fracture 2 views of the right hand reveal a mid diaphyseal fracture of the fourth metacarpal. This is transversed by a K wire. Another K wire is seen in the distal metaphysis. The bones appear in anatomic alignment. No change from the previous exam | Fixation of fourth metacarpal fracture in anatomic alignment |
Generate impression based on findings. | Reason: h/o parotid ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Healed granulomatous disease and basilar scarring and dependent atelectasis.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.The heart is mildl... | 1. No evidence of metastases.2. New severe hydronephrosis and hydroureter. |
Generate impression based on findings. | 76-year-old female with metastatic lung cancer status post radiation therapy to the chest. LUNGS AND PLEURA: Left apical nodule (series 6; image 53) measures 9 x 6 mm, previously 9 x 6 mm, unchanged.Additional index left upper lobe nodule (series 6; image 59) measures 10 x 6 mm, previously 10 x 6 mm, unchanged.Referenc... | No significant change in small pulmonary nodules and mediastinal nodes. Unchanged right upper lobe and paramediastinal fibrosis and volume loss compatible with radiation changes. No new sites of disease identified.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Cellulitis and PICC placement.VIEW: Chest AP (one view) 05/11/15, 1342 Left upper extremity PICC tip is at junction of superior vena cava and right atrium.Cardiothymic silhouette is normal. The aortic arch, cardiac apex, and stomach are left-sided. No focal lung opacity is present. | Normal chest. Left upper extremity PICC tip in right atrium. |
Generate impression based on findings. | Female 7 years old with UTI BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade* Right: 0 Left:... | Incomplete rotation of the right kidney, otherwise normal exam.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal... |
Generate impression based on findings. | Male 74 years old; Reason: renal cell carcinoma - please compare to previous scans per recist 1.1 History: renal cell carcinoma CHEST:LUNGS AND PLEURA: Small left greater than right pleural effusions, increased in size on left and new on right. Numerous pulmonary metastases seen bilaterally. Reference right upper lobe ... | 1. Numerous pulmonary metastases, stable to mildly increased in size. Small left greater than right pleural effusions, increased in size on left and new on right. 2. Stable to mild interval increase in size of left adrenal metastasis3. Bilobar hepatic metastases, without significant change.4. Additional nodal metastase... |
Generate impression based on findings. | pT4aN0 carcinoma ex pleomorphic adenoma of the right parotid with right auditory canal recurrence in 6/2014. There are post-treatment findings related to right parotidectomy and lateral temporal bone resection as well as radiation therapy. There is now extensive soft tissue deficiency in the surgical bed region with de... | 1. Post-treatment findings with interval development of extensive soft tissue deficiency in the right parotid and temporal bone surgical bed with exposure and demineralization of the posterior right mandible, which is likely due to necrosis and perhaps superimposed infection. While no discrete mass is apparent, underly... |
Generate impression based on findings. | Evaluate fracture 3 views of the left hand reveal dorsal soft tissue swelling. There is a comminuted fracture of the base of the fifth metacarpal in anatomic alignment. It is fixed with 2 K wires. | Fracture of the base of the fifth metacarpal fixed in anatomic alignment. |
Generate impression based on findings. | Chronic dyspnea and low DLCO. Evaluate for chronic thromboembolic disease. The comparison chest radiograph performed on 5/11/2015 demonstrates subsegmental left lower lobe atelectasis, without focal pulmonary opacities or pleural effusions. The ventilation images show a uniform distribution of activity on single-breath... | Minimal tracer retention in the lung bases on washout ventilation images. No evidence of pulmonary embolism. |
Generate impression based on findings. | 24-year-old male with pain and acromioclavicular dislocation Pelvis: No acute fracture or malalignment is evident. Mild sclerosis of the superior acetabulum bilaterally. Osseous bump along the superior lateral aspect of the femoral head may represent a CAM lesion.Hip: Dense calcification in the medial musculature may r... | 1.Acromioclavicular separation as described above. 2.Findings compatible with CAM type FAI bilaterally. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is mild mucosal thickening in the right maxillary sinus. There is redemonstration of a hyperdense ... | No acute intracranial abnormality. |
Generate impression based on findings. | 59 years Female Reason: Pt enrolled in clinical trial History: Please compare to prior scan CHEST:LUNGS AND PLEURA: Left lower lobe nodule measures 8 mm (series 5, image 69), unchanged from the previous exam. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA: Supraclavicular and mediastinal lymphadenopath... | Increased supraclavicular, mediastinal, retroperitoneal, mesenteric, and pelvic lymphadenopathy. |
Generate impression based on findings. | Female, 57 years old. Reason: dysphagia History: dysphagia Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces or mural contour... | 1.No mass lesion or focal narrowing of the esophagus. No other anatomic abnormality, significant esophageal dysmotility, gastroesophageal reflux.2.Questionable small hiatal hernia. |
Generate impression based on findings. | 10-year-old male status post liver transplant with new onset vomiting and diarrhea. ABDOMEN:LUNG BASES: Small right pleural effusion, decreased from prior with associated compressive atelectasis. Resolution of pericardial effusion.LIVER, BILIARY TRACT: The transplanted liver enhances normally. The main portal vein is p... | 1.Decrease in size of right pleural effusion and resolution of pericardial effusion.2.Resolution of the dilated loops of small bowel in the right lower quadrant.3.Increase in ascites.4.Stable splenic infarct.5.Nonspecific bladder wall enhancement, correlate with signs/symptoms of infection. |
Generate impression based on findings. | Reason: FOllow up for sinonasal carcinoma s/p TFHX History: Follow up for sinonasal carcinoma s/p TFHX CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Mild basilar scarring or subsegmental atelectasis.MEDIASTINUM AND HILA: Right jugular catheter, tip in SVC. There is no mediastinal or hilar lymph... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 43-year-old female with rheumatoid arthritis Right foot: 3 views of the right foot show mild to moderate joint space narrowing at the MTP and PIP joints. Intertarsal joint space narrowing. Hallux valgus and pes planus deformity. Degenerative changes and osteophyte formation at the tarsometatarsal joints. No erosions ar... | 1.Findings suggestive of synovial osteochondromatosis in the right tibiotalar joint are new.2.Findings compatible with rheumatoid arthritis not significantly changed since the prior exam. |
Generate impression based on findings. | 50-year-old male with history of lung cancer. Please compare to previous and measure. CHEST:LUNGS AND PLEURA: Reference ground glass nodule in the left upper lobe measures 23 x 18 mm, previously 22 x 18 mm (series 6; image 53). Again seen are postoperative changes of a right lower lobe wedge resection with soft tissue ... | 1. Mixed solid groundglass nodule in the left upper lobe remains suspicious for an indolent adenocarcinoma in situ.2. No evidence of metastatic disease. No evidence of lymphadenopathy.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Renal cell carcinoma. There is unchanged increased radiotracer uptake in the posterior right and left sixth ribs and anterolateral seventh rib, corresponding with nonspecific sclerotic rib lesions seen on the same day CT. The focal radiotracer uptake in the right parietal bone is also unchanged.Radiotracer uptake in th... | 1. Unchanged appearance of the non-specific right skull and bilateral ribs lesions, possibly representing metastatic disease or benign processes. No new suspicious osseous lesions identified. 2. Degenerative changes of the spine, as above. |
Generate impression based on findings. | 79-year-old female post MVC We see a comminuted intertrochanteric fracture of the right femur with varus angulation at the fracture site as well as approximately 1.5 cm medial displacement of the lesser trochanteric fragment. Mild osteoarthritic changes affect both hips. Degenerative arthritic changes affect the visual... | Comminuted intertrochanteric fracture of the right femur and other findings as above. |
Generate impression based on findings. | Metastatic breast cancer on treatment. The increased radiotracer uptake in the L4 vertebral body, compatible with metastatic disease, appears similar to prior.Scattered areas of increased radiotracer uptake in the thoracic spine, shoulders, hips, and knees most likely represent degenerative changes. | Unchanged appearance of the L4 vertebral body metastasis. |
Generate impression based on findings. | 38-year-old male status post shoulder dislocation. Assess healing 3 views of the left shoulder show glenohumeral joint alignment within normal limits. Minimally displaced fracture of the greater tuberosity appears similar to the prior study accounting for positional differences. Tubular lucencies within the glenoid pro... | Left greater tuberosity fracture with postoperative changes and other findings as above. |
Generate impression based on findings. | 74-year-old female with history of thoracic aortic aneurysm status post repair and type B aortic dissection. CT ANGIOGRAM:Stable mild aneurysmal that dilation of the descending thoracic aorta measuring up to 4.1 cm. Normal aortic arch vessel anatomy. Redemonstration of chronic type B aortic dissection in the descending... | 1. Stable postoperative changes of the aortic arch with type B dissection as detailed above.2. Stable nonspecific enlarged mediastinal lymph node, which may be related to postsurgical change given its location near multiple surgical clips. |
Generate impression based on findings. | Reason: abscess, PNA History: fevers LUNGS AND PLEURA: Interval increase in bilateral pleural effusions with associated atelectasis. Also interval increase in the consolidation of the right lung, lingula and left lower lobe.MEDIASTINUM AND HILA: ET tube in place. Cardiac size is upper limits of normal. No significant p... | Interval increase in the bilateral pleural effusions with associated atelectasis. There is also interval increase in the consolidation of bilateral lungs.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Non-Hodgkin's lymphoma status post bone marrow transplant. A faint focus of activity in the right parietal bone is non-specific and may represent a metastasis or benign lesion. Attention to this region on follow up is recommended. A focus of increased activity is seen in the right distal forearm.A focus of uptake in th... | 1. Non-specific focus of activity in the right parietal bone and the right distal forearm, which may represent a metastasis or benign lesion. Follow-up is recommended and correlate with PET report.2. Nonspecific areas of increased activity elbows, which can be due to arthritis or tumor.3. Multiple additional areas of i... |
Generate impression based on findings. | 86-year-old male with a history of metastatic lung cancer. LUNGS AND PLEURA: The referenced left lower lobe peripheral partially solid/partial cystic nodule measures 2.3 x 1.5 cm, previously 2.3 x 1.3 cm (image 64; series 4). There is adjacent pleural thickening, appearing similar to the prior study. There is mild cent... | No significant interval change in size of the previously described left lower lobe pulmonary nodule. Given the unchanged appearance since 11/2012, this is suggestive of round atelectasis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Post MVC Brain: There is encephalomalacia in the right occipital lobe compatible with evolution of previously seen hematoma on remote CT and MRI. No acute intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or herniation. Gray-white differentiation is maintained. Sul... | 1. No evidence of intracranial hemorrhage or mass effect.2. Encephalomalacia in the right occipital lobe related to remote hemorrhage seen on studies dating back to 2009.3. No acute fracture or subluxation in the cervical spine.4. Multiple congenital segmentation anomalies in the cervical spine and degenerative changes... |
Generate impression based on findings. | 26-year-old male with pain. Evaluate right wrist. 3 views of the right wrist again show a screw traversing the fracture of the proximal pole of the scaphoid. Portions of the fracture appear less distinct suggesting some interval healing. The proximal pole of the scaphoid appears slightly sclerotic which may reflect ava... | Orthopedic fixation of scaphoid fracture as described above. |
Generate impression based on findings. | Prostate cancer with right hand and right foot numbness for 3 days. Evaluate for tumor or structural issue. Head: There is evidence of prior frontal craniotomy with subjacent metallic density is noted. Remote prior bilateral parietal bur holes are also noted. There is no evidence of intracranial hemorrhage, enhancing i... | 1. No evidence of intracranial hemorrhage or enhancing intracranial lesion to suggest metastases. If there are no contraindications, MRI may be more sensitive for small lesions.2. Subcentimeter sclerotic lesions within the left aspect of the C6 vertebral body, left transverse process of T3 and right aspect of the manub... |
Generate impression based on findings. | 40-year-old female with right knee pain Right knee: Minimal joint space narrowing compatible with minimal osteoarthritis. No acute fracture or malalignment is evident. No joint effusion.Left hand: No acute fracture is evident. Alignment is anatomic. Cyst of the third digit PIP is not apparent on radiograph. | No acute fracture or malalignment is evident. Minimal osteoarthritis of the right knee. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. Trace susceptibility and intrinsic T1 hyperintensity is noted extra-axial in location along the right occipital pole, likely relating to evolving subdural blood products, likely birth related.... | Trace right posterior subdural blood products, likely evolving and birth related. Otherwise, unremarkable noncontrast MRI brain. |
Generate impression based on findings. | 39-year-old male status post R THA. Had prior IMN removal on 3/30/15 w/AVN. AP views of the pelvis and right hip show components of a total right hip arthroplasty situated in near anatomic alignment. Skin staples, a drain and foci of gas density in the soft tissues reflect recent surgery. Partially visualized deformity... | Postoperative changes of right total hip arthroplasty. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent... | No evidence of acute infarct. Moderate chronic small vessel ischemic changes, which are stable to minimally progressed when compared to prior study from 2012.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Breast cancer. Abnormal uptake of radiotracer in the sternum is not significantly changed, compatible with metastatic disease. An additional focus of uptake in the right acetabulum, seen on the posterior view, is non-specific and may also represent a metastatic lesion. Scattered foci of increased uptake in the thoracol... | 1. Stable uptake in the sternum, compatible with metastasis.2. New non-specific focus of activity in the right acetabulum, which may be due to metastasis or degenerative change. |
Generate impression based on findings. | Male 68 years old; Reason: Evaluate lesion seen on previous CT History: HCV ABDOMEN:LUNG BASES: Minimal atelectasisLIVER, BILIARY TRACT: Hepatic lesions as below:1. Previously seen in segment 6 hypoattenuating lesion on venous phase with mild filling in on delayed phase is stable (11:39). 2. Multiple hypervascular foci... | 1.Stable hepatic lesions as above. |
Generate impression based on findings. | Reason: evaluate for source of infection History: cough, shortnesss of breath Motion limits sensitivity.LUNGS AND PLEURA: Bronchial/bronchiolar wall thickening and centrilobular nodules, more prominent within the left lung, compatible with a bronchiolitis which may be on an infectious basis.No focal areas of consolidat... | Bronchial/bronchiolar wall thickening with centrilobular nodules, predominantly in the left lung, compatible with bronchiolitis which may be infectious in etiology.. |
Generate impression based on findings. | 78-year-old female with a history of lung adenocarcinoma status post right upper and middle lobectomy. LUNGS AND PLEURA: Small right pleural effusion, new from prior examination. There is a left lower lobe groundglass nodule measuring 8 mm in diameter (31; series 5), previously 8 mm. There are numerous bilateral scatte... | 1. Postsurgical changes of prior right upper and middle lobectomy. There are multiple nonspecific ground glass and nodular densities identified bilaterally, some of which are new. While these may be post-infectious or post-inflammatory in etiology, follow up examination in 3 months is recommended to evaluate for interv... |
Generate impression based on findings. | Frontal sinus: A small calcified lesion in the left frontal sinus likely represents a paranasal osteoma. Otherwise, the frontal sinus and frontoethmoidal recesses are clear. Anterior ethmoids: Very mild mucosal thickening of the right anterior ethmoid air cells. The left anterior ethmoid air cells are clear.Maxillary ... | Mild mucosal thickening in the paranasal sinuses as described above. |
Generate impression based on findings. | 74-year-old female with shoulder pain and + impingement signs. Eval for OA, impingement. 3 views of the left shoulder show mild osteoarthritis of the AC joint and mild osteoarthritis of the glenohumeral joint perhaps progressed slightly when compared to prior study. Mild degenerative arthritic changes also affect the v... | Osteoarthritis. |
Generate impression based on findings. | Ms. Slavik is a 60 year old female recalled from screening mammogram for focal asymmetries in the right breast. She has no current breast related complaints. An ML view and four spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heteroge... | 1.0.7 cm mass with associated vascularity in the right lower inner breast. Ultrasound-guided biopsy is recommended for further evaluation of this mass. The patient is not on any blood thinning medications.2.Benign morphology masses in the right breast 6:00 location and 10:00 location, likely representing complicated cy... |
Generate impression based on findings. | 70-year-old male with metastatic colon cancer on chemotherapy. CHEST:LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema. Scattered bilateral pulmonary micronodules, some calcified, nonspecific though unchanged. In addition, a right middle lobe fissural node measures up to 6 mm (series 4, image 56... | 1.Decreased hepatic metastases, nearly resolved.2.Stable pancreatic body mass.3.Stable mediastinal, retroperitoneal lymphadenopathy.4.Stable 6 mm right middle lobe pulmonary nodule and another nonspecific micronodules, some calcified. |
Generate impression based on findings. | Right neck mass, h/o Zenker's diverticulum. H/o fall with a small cerebral hemorrhage and neck mass noted on scan. CT images demonstrate a well circumscribed, 22mm x 22mm, homogeneous lesion with around 30 HU density located in the right upper neck at the C3 vertebral level superficial and adjacent to the right ICA and... | Right upper neck lesion aspiration under CT guidance. It is cystic. Its location suggests that it could represent a second branchial cleft cyst. |
Generate impression based on findings. | Female 39 years old; Reason: STAGE III ANAL CANCER S/P CHEMORT COMPLETED 9/14. EVALUATE FOR INTERVAL CHANGE History: ANAL CANCER CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Small anterior mediastinal soft tissue attenuation, may reflect residual thymic tissue.CHEST WALL: Right chest w... | Stable exam as above. |
Generate impression based on findings. | History of thyroid cancer metastatic to the skull s/p thyroidectomy and resection of the skull lesion. Neck: The thyroidectomy bed appears unchanged. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical v... | 1. No evidence of measurable tumor recurrence in the neck.2. No significant interval change in the skull metastases.3. Lung metastases. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Reason: 57 y/o m with RUL cavitary lesion and history of hemotpysis, most likely infectious, tobacco smoker so following to resolution in case of malignancy. History: see above LUNGS AND PLEURA: Extensive upper lobe predominant emphysema with large right apical bullae.Significant interval improvement in the right upper... | 1.Significant interval improvement in the airspace opacities and consolidation right upper lobe compatible with treated infection.2.Severe upper lobe predominant emphysema with multiple large right apical bulla. |
Generate impression based on findings. | 45-year-old female Reason: acute kidney injury/bump in creatinine History: uptrending creatinine . RIGHT KIDNEY: The right kidney measures 11.2 cm in length and demonstrates mild increased renal cortical echogenicity which may reflect medical renal disease. There is no evidence of hydronephrosis or shadowing renal calc... | No evidence of hydronephrosis or shadowing renal calculus. Stable increased bilateral renal cortical echogenicity suggestive of medical renal disease. |
Generate impression based on findings. | Reason: 52 y/o woman with recurrent ovarian cancer receiving chemotherapy. Evaluate for treatment response and extent of disease. History: Increasing tumor marker. CHEST:LUNGS AND PLEURA: Left upper lobe pulmonary micronodule, unchanged, compatible with postinflammatory/postinfectious etiology. No new or suspicious pul... | Abdominopelvic lymphadenopathy is stable to decreased in size compared to prior. No new sites of disease. |
Generate impression based on findings. | Male 65 years old; Reason: 65M with gastrinoma presenting for follow up scans History: surveillance scans Extensive beam hardening artifact from upper abdominal postsurgical sequela, making evaluation suboptimal. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Severe calcified coronary ar... | 1. Again visualized is extensive nodular/lobulated gastric wall thickening. Mesenteric root mass without significant change in size. Essentially unchanged reference gastrohepatic lymph node. Additional soft tissue thickening at this level seen, similar to prior study. Mild to moderate upstream gastric dilatation, uncha... |
Generate impression based on findings. | 58 year old female with history of osteoarthritis with lumbar back pain, worse on right eval for OA, degenerative disease Severe degenerative disc disease at L4/L5 and moderate degenerative disc disease at L3/L4 appears similar to prior study. Severe facet joint osteoarthritis affects the lower lumbar spine and perhaps... | Degenerative arthritic changes similar to prior study. |
Generate impression based on findings. | 55-year-old male with hand pain. Evaluate for fracture. 3 views of the right hand show deformity of the fourth and fifth metacarpals indicative of old healed fractures, but we see no acute fracture. Bone excrescence along the radial aspect of the first metacarpal head and along the base of the middle phalanx of the mid... | Old posttraumatic changes and other findings as above with no acute fracture evident. |
Generate impression based on findings. | 56-year-old female with pain, evaluate for fracture 3 views of the left wrist again show a comminuted intra-articular fracture of the distal radius with portions of the fracture better visualized on current study compared with the prior study perhaps related to physiologic resorption. Alignment is near-anatomic. There ... | Distal radial fracture as above. |
Generate impression based on findings. | 64-year-old male with a history of cough and shortness of breath. Evaluate interstitial lung disease. LUNGS AND PLEURA: Note is made of reticulation , traction bronchiectasis and possible honeycombing with a posterobasilar predominance, in a pattern suggstive of UIP/IPF. There is no pleural effusion or pneumothorax.MED... | 1. Bilateral fibrotic changes most pronounced in the lower lobes in a UIP pattern. This may be idiopathic or secondary to mixed connective tissue disease. Differential diagnosis would also include chronic hypersensitivity pneumonitis, 2. Nonspecific mediastinal lymphadenopathy may be reactive in etiology. I personally ... |
Generate impression based on findings. | 60-year-old female status post fusion Right wrist: Again seen are orthopedic screws affixing the capitolunate and triquetrohamate articulations. We see no hardware complication. The capitolunate articulation appears less distinct compared to prior study suggestive of some interval healing. The triquetrohamate articulat... | 1. Postoperative changes of the right wrist as described above with findings suggestive of continued healing of the capitolunate articulation. 2. Left scapholunate interval widening and basilar joint osteoarthritis as above. |
Generate impression based on findings. | Male 21 days old Reason: abd distension, constipation.VIEWS: Abdomen AP and decubitus (two views) 5/11/2015 at 14:23 The cardiac apex and stomach are on the left. There is nonspecific bowel distention with no evidence of obstruction, fecal impaction, or free air. | Distended bowel without evidence of obstruction. |
Generate impression based on findings. | Male, 76 years old. Reason: eval ngt placement History: ngt NG tube with tip just above the GE junction and side port in the mid to lower esophagus.Enteric contrast within the colon from recent prior examination.The pelvis is excluded from the field-of-view. Multiple dilated loops of small bowel are again seen. | 1.NG tube with tip and side port within the esophagus. This can be advanced.2.Persistent dilated small bowel loops suggest post operative ileus vs persistent partial small bowel obstruction. |
Generate impression based on findings. | Male 9 days old Reason: confirm PCVC placement History: 37 week gestational age.VIEW: Chest AP (one view) 5/11/2015 at 1448 hours. Interval removal of NG tube and esophageal temperature probe. UVC terminates at the RA/IVC junction. A right upper extremity PCVC terminates at the right axillary vein.Cardiac silhouette si... | Interval retraction of UVC and placement of right upper extremity P CVC as described. |
Generate impression based on findings. | 76 year-old female patient with history of lung cancer status post chemotherapy. ABDOMEN:LUNG BASES: Please refer to dedicated CT chest performed the same day for complete details.LIVER, BILIARY TRACT: No suspicious hepatic lesions seen. Mildly nodular contour is not significantly changed compared to prior.SPLEEN: No s... | 1.No significant interval change or evidence of metastatic disease in the abdomen or pelvis.2.Please refer to dedicated chest CT for complete details concerning the thorax. |
Generate impression based on findings. | Reason: Pulmonary HTN perhaps related to RA. ILD, bronchiectasic from RA? History: Dyspnea. LUNGS AND PLEURA: Scattered pulmonary micronodules are again seen. Reticular and groundglass opacity of the anterior lungs. Bronchiectasis and subpleural lung base scarring unchanged from prior study. There is mild subpleural cy... | Subpleural reticular scarring and cystic changes of the lung bases without significant change from prior study, consistent with auto-immune disease or hypersensitivity pneumonitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | There is extensive susceptibility artifact related to a surgical clip in the anterior cerebral artery distribution as well as motion artifact that somewhat limits this exam. There is again a saccular aneurysm arising from the right M2 segment that is only well seen in on the axial source images and measures up to 5 mm... | Somewhat technically limited exam demonstrates a grossly unchanged left middle cerebral artery aneurysm, and a right middle cerebral artery aneurysm that may be minimally increased in size. Comparison is limited due to differences in technique. |
Generate impression based on findings. | Reason: mets lung cancer. s/p 3 cycles of chemo. pls c/w previous study and evaluate tx response and dx status.Pls provide measurement to all leisons History: lung ca CHEST:LUNGS AND PLEURA: Right apical nodule (image 25 series 4) measuring 21 mm x 14 mm previously measuring 21 mm x 14 mm.Subtle increase in right pleur... | 1.Right upper lobe irregular marginated nodule is unchanged.2.Mild increasing right pleural and subpleural nodularity suggesting progression of metastatic disease.3.Osteoblastic/osteolytic metastases in the axial skeleton with the last few lytic lesion in the right pedicle of T11. |
Generate impression based on findings. | MVA, pain. Decreased range of motion. Again seen is deformity of the neck and glenoid of the left scapula as well as underlying left ribs, likely due to old trauma, appearing similar to that seen on a chest radiograph from July 18, 2014. Fragments of heterotopic bone are noted along the shoulder joint but these likewis... | Chronic-appearing shoulder deformity and other findings as described above. |
Generate impression based on findings. | 65-year-old female with abdominal pain. Assess for small bowel wall thickening. ABDOMEN:LUNG BASES: Mild streaky bibasilar subsegmental atelectasis. A smaller focal, triangular shaped opacity in the inferior right lower lobe is most likely due to subsegmental atelectasis or scarring (series 3/20).LIVER, BILIARY TRACT: ... | No significant bowel or colonic wall thickening or enhancement. |
Generate impression based on findings. | 71-year-old male Reason: 71 y/o man w/ a hx of Acute on chronic kidney disease History: Cr 7 RIGHT KIDNEY: Right kidney measures 11.4 cm in length. There is increased cortical echogenicity which is suggestive of medical renal disease. No shadowing calculi or hydronephrosis is present. Again seen is a right renal cyst m... | Increased echogenicity of bilateral renal cortices suggestive of medical renal disease. No hydronephrosis or shadowing calculi. |
Generate impression based on findings. | Left forearm injuryVIEWS: Left wrist AP and lateral 5/11/2015 (2 views) There is a buckle fracture of the distal radius. Alignment is anatomic. | Left distal radius buckle fracture. |
Generate impression based on findings. | Status post intramedullary rod of left femur for pathologic fracture secondary to metastatic breast cancer. Evaluate for healing. Again seen is intramedullary rod and screw/nail device affixing a pathologic fracture of the base of the femoral neck in near-anatomic alignment. The medial aspect of the fracture remains vi... | Orthopedic fixation of pathologic fracture appearing similar to that seen on the prior study. |
Generate impression based on findings. | Reason: 76 y/o woman with recurrent ovarian cancer with chronic right sided hydronephrosis, s/p right ureteral stent placement, now with rising creatinine. Evaluate for worsening right hydronephrosis or new left hydronephrosis. History: Rising creatinine. RIGHT KIDNEY: Right kidney measures 12.7 cm in length. There is ... | 1.Right sided severe hydronephrosis with cortical thinning. Although comparison is difficult due to differences in modality, when compared to the prior CT, this hydronephrosis appears unchanged. Renal stent is not definitively identified on this examination.2.Partially visualized splenic lesions compatible with metasta... |
Generate impression based on findings. | 60-year-old with history of dense breasts and previous cysts. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No dominant mass, suspicious microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 58-year-old man with recent fall with tenderness, left lateral knee. Has swelling and point tenderness. I see no fracture or malalignment. I see no large joint effusion. | No fracture or other specific findings to account for the patient's pain. |
Generate impression based on findings. | Male 2 days old Reason: what is the source of fluid collection in abd? History: 1 DOL with anemia, abd with blue discoloration LIVER:The liver contour is normal. The liver is enlarged and measures 8.9 cm in length. In the right lobe the liver there is a heterogeneous, lamellated mass which measures approximately 4.9 cm... | 1.Large, heterogeneous mass in the right lobe of the liver. Differential considerations include embryonal rhabdomyosarcoma, hemangioendothelioma, and hepatoblastoma. Further characterization with MRI is recommended.2.Debris-containing free fluid in the abdomen and pelvis most likely due to hemorrhage. |
Generate impression based on findings. | Reason: CVA History: CVA There is no evidence of intracranial hemorrhage. The gray-white matter differentiation appears to be maintained. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull... | No evidence of intracranial hemorrhage or mass effect. 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. | There is redemonstration of postoperative changes related to left parotidectomy and left eyelid weight implantation. There is slightly improved edema of the left external auditory canal walls diffusely, but no evidence of measurable mass lesion, within the limitations of this noncontrast exam. Evaluation of the surgic... | 1. Expected post treatment changes without evidence of mass lesion or cervical lymphadenopathy within the limitations of this noncontrast exam.2. Interval development of left apical pulmonary micronodules.3. Significant bilateral carotid bifurcation atherosclerotic disease. |
Generate impression based on findings. | Anterior ankle pain for 3 weeks. Stress fracture of talus? There is a 5 mm rounded density dorsal to the talonavicular joint with a couple of additional small linear densities dorsal to the head of the talus. There is a defect along the dorsal surface of the underlying talar head. These findings are suggestive of a mil... | Findings suggestive of a small, mildly displaced fracture fragment arising from the dorsal aspect of the head of the talus. These findings were discussed with Dr. Lickerman at the time of dictation. |
Generate impression based on findings. | 55-year-old female. Prekidney transplant evaluation. Assess vasculature to support transplant. Lack of intravenous contrast limits sensitivity for solid organ pathology.ABDOMEN:LUNG BASES: Few scattered pulmonary micronodules, some of which are calcified, likely benign from prior granulomatous process. No suspicious pu... | 1. 1.6 cm right renal lesion, incompletely characterized but suspicious. Further evaluation with contrast-enhanced cross-sectional imaging or ultrasound is recommended.2. Moderate to severe at atherosclerotic calcifications of the abdominal aorta and bilateral common iliac arteries. Minimal calcification of the bilater... |
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