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Generate impression based on findings. | Clinical question: 35-year-old man with AMS, evaluate for acute change. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, ventricular sy... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Female 22 years old; Reason: eval for appy vs hydro/pyelo History: atypical Rt flank pain and RLQ pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signif... | 1.Right ovarian cyst as described above. Ovarian torsion is felt less likely.2.Left hydroureter with probable left ureterocele. |
Generate impression based on findings. | DecorticationVIEW: Chest AP Cardiothymic silhouette normal. Right chest tube in place. Right pleural effusion has decreased in the interval. Patchy opacities at the right lower lobe. Minimal patchy atelectasis left lower lobe. There is subcutaneous emphysema in the right lateral chest wall. No evidence of pneumothorax. | Right pleural effusion has decreased when compared to the prior study. |
Generate impression based on findings. | Clinical question: Review hemorrhage. Signs and symptoms: Status post craniotomy for reanastomosis of temporal artery indirect left side. Nonenhanced head CT:Examination is status post left temporal and frontal craniotomy. Small extra-axial left frontal acute hemorrhage measuring maximum of 6 mm in thickness and withou... | 1.Status post left temporal/frontal craniotomy.2.Extra-axial acute blood product measuring maximum of 6 mm in thickness at the surgical site in the left frontal region is noted.3.Extensive left hemispheric encephalomalacia and chronic changes of right basal ganglia and right posterior parietal/occipital consistent with... |
Generate impression based on findings. | Increased work of breathingVIEW: Chest AP and abdomen AP NG tube tip in the stomach. Right upper extremity pain with tip in the right brachiocephalic vein. Cardiothymic silhouette normal. Diffuse lung atelectasis bilaterally without pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pne... | Diffuse lung atelectasis bilaterally without significant change. |
Generate impression based on findings. | 44 year-old female with history of right breast lumpectomy for DCIS in July 2013 followed by radiation therapy. Stable bilateral breast masses compatible with fibroadenoma as per ultrasound done on 12/23/13 and 4/29/2014. Patient is due for a bilateral diagnostic mammogram. Three standard views of both breasts and 2 sp... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1987. History of breast carcinoma in 2 sisters. Two standard digital views of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of... | 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. | 7 years Male with Reason: submandibular abscess History: pain Slight motion limits detailed evaluation of the pharynx. Enlargement of the palatine tonsils, which touch in the midline, causing narrowing of the airway. Asymmetric soft tissue along the posterior aspect of the left palatine tonsil may relate to asymmetric ... | 1.Findings consistent with acute tonsillitis, resulting in moderate narrowing of the airway. 2.No discrete abscess is identified.3.Hypoattenuation suggestive of edema and possibly developing phlegmon tracks in the deep neck spaces on the right, as detailed above, with resultant inflammatory changes of the significantly... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. The area of concern in the right basal ganglia follows CSF signal on all sequences, compatible with a prominent perivascular space. There are no areas of abnormal signal or pathological enhancement.... | 1.Findings indicate that the area of concern in the right basal ganglia represents a prominent perivascular space. 2.There is no evidence for basal meningitis or other infectious process.3.There is no evidence for acute ischemic cerebral infarction. |
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. Stable benign calcifications and focal asymmetr... | 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. | Failed extubationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left upper extremity PICC with tip obscured by the posterior spinal fusion rods. Ventriculoperitoneal shunt catheter in place. Cardiothymic silhouette normal. Patchy atelectasis left lower lobe not signifi... | Patchy opacities likely atelectasis in the left lower lobe. |
Generate impression based on findings. | Frontal sinus: There is partial opacification of the right frontal sinus. The left frontal sinus and frontoethmoidal recesses are clear. Anterior ethmoids: The anterior ethmoid air cells are clear. Incidental note is made of two sclerotic foci along the left anterior ethmoid air cells likely representing osteomas.Maxi... | Partial opacification of the right frontal sinus. Otherwise, no significant paranasal sinus disease. |
Generate impression based on findings. | Male, 71 years old. Reason: abdominal pain s/p paracentesis. 71M pancreatic ca History: as above Multiple prominent loops of small and large bowel. Enteric contrast within the colon from recent prior examination.No free air seen on upright imaging.Biliary and pancreatic duct stents in place. | Prominent loops of small and large bowel may represent early ileus. No free air. |
Generate impression based on findings. | Acute respiratory failureVIEW: Chest AP ET tube tip at the level of the thoracic inlet. Left subclavian central line with tip in the SVC. Cardiothymic silhouette normal. Patchy atelectasis left lower lobe. The left hemidiaphragm is elevated not significantly changed. | Patchy atelectasis left lower lobe not significantly changed. |
Generate impression based on findings. | Blunt trauma and transient loss of consciousness.VIEWS: Cervical spine AP/lateral (two views) 05/11/15, 2303 and 2306 Vertebral body heights and disc spaces are maintained. No fracture is identified. A minimal left cervical curve is present most likely as a result of the cervical collar or due to muscle spasm. No preve... | No fracture or dislocation. |
Generate impression based on findings. | syncope and collapse NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorr... | Multifocal wall calcifications and various degreed luminal stenosis as described above indicating atherosclerotic changes.The left paraclinoid segment ICA demonstrated more than 70% of luminal stenosis with wall calcifications.No aneurysm was seen.Prosthetic right eye glove.No evidence of acute ischemic or hemorrhagic ... |
Generate impression based on findings. | 65 years Male Reason: Evaluate for mass leading to gallbladder obstruction History: RUQ pain, dilated gallbladder on U/S without signs of cholecystitis, HCC diagnosed by imaging LUNG BASES: No suspicious pulmonary nodules. No focal consolidation or pleural effusion. Minimal scarring at the right lung base.LIVER, BILIAR... | 1.Hydropic gallbladder and cholelithiasis without specific findings of cholecystitis. Correlation with same-day ultrasound is recommended. If there remains clinical concern for acute cholecystitis, HIDA scan may be considered.2.Cirrhotic liver morphology with extensive varices, as above.3.Right inferior hepatic lobe le... |
Generate impression based on findings. | Female 27 years old; Reason: 27F with KTWS here for splenectomy. Evaluate splenic vasculature. History: Evaluate splenic vasculature ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: A TIPS extends from the right hepatic vein to the right portal vein. The main portal vein is dilated to the conf... | 1.Splenomegaly. Patent splenic artery and splenic vein.2.TIPS in situ with stable portal vein prominence and decompression of multiple upper abdominal varices.3.Bicornuate uterus. |
Generate impression based on findings. | History of right excisional biopsy for ADH in 2008. Benign left breast biopsies in the 1980s. History of breast carcinoma in daughter diagnosed at age 39 and maternal aunt diagnosed in her 80s. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Trauma.VIEW: Pelvis AP (one view) 05/11/15, 2258 The round, smooth femoral heads are well directed into normally formed acetabula. No fracture is seen.Minimal sacral scoliosis is present; a left sacral curve is seen. A moderate amount of feces is noted in the rectosigmoid. | No fracture. |
Generate impression based on findings. | 24 year old female who presented with perforated colon of unclear etiology (possibly ischemic), s/p TAC; septic shock, possible pericardial effusion. CHEST:LUNGS AND PLEURA: Large left and small right pleural effusions with associated compressive atelectasis; left lower lobe is nearly completely collapsed. Superimposed... | 1.Large volume ascites with peritoneal enhancement, raising possibility of superimposed infection.2.Large pericardial effusion.3.Bilateral pleural effusions, left greater than right, with near complete collapse of the left lower lobe.4.Mild generalized ileus.Findings were relayed via telephone to Dr. Humphries at appro... |
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. A subcentimeter benign-appearing mass in the le... | 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 51 years old; Reason: assess for ? Crohn's, diverticulitis History: abd pain.Additional history per discussion with Dr. Kupfer indicates prior perirectal abscess. ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PA... | 1.No findings to explain abdominal pain. No CT findings to suggest inflammatory bowel disease. Incidental finding of cortical scarring right upper pole. |
Generate impression based on findings. | 67-year-old female with bilateral lower extremity edema and elevated D dimer with a history of leg trauma and shortness of breath. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. Right ventricular dilation, flattening of the interventricular septum and reflux of contrast into the s... | 1. No evidence of pulmonary embolus.2. Bronchial wall thickening can be seen in bronchitis. Findings consistent with pulmonary emphysema.3. Findings suggestive of elevated right heart pressures/right heart dysfunction, as described above.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not appl... |
Generate impression based on findings. | altered mental status. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemo... | Significant motion artifacts especially extracranial portion degraded image quality for precise interpretation, thus, if clinically indicated, the exam should be repeated.Intracranial arterial system as well as extracranial craniocervical system below the bifurcation appear to be normal. |
Generate impression based on findings. | Respiratory failureVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. Right upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Right upper lobe atelectasis new from prior study. Patchy atelectasis in the left lower lobe. No pleural effusion or pneumothorax. Gastrostomy... | New patchy atelectasis in the right upper lobe and left lower lobe. |
Generate impression based on findings. | Female, 72 years old. Reason: Dobbhoff History: Dobbhoff Dobbhoff tube tip overlies the gastric fundus.The pelvis is excluded from the field-of-view. Gas and stool seen within the colon. Moderate stool burden.Pacer leads in place.Mild basilar atelectasis. See same-day chest radiograph for additional findings. | Dobbhoff tube tip overlies the gastric fundus. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. CTA HEAD | 1.There is no evidence for dissection of the vertebral or carotid arteries.2.There is no evidence for intracranial cerebrovascular occlusive disease nor any evidence for intracranial aneurysm.3.There is no evidence for acute intracranial hemorrhage, mass effect or edema. |
Generate impression based on findings. | Prematurity desaturationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip at the GE junction. Umbilical line unchanged. Cardiothymic silhouette normal. Bilateral atelectasis increase from prior study. Mild pulmonary interstitial emphysema not significantly changed. No pleural effusion or... | Bilateral atelectasis increase from prior study. |
Generate impression based on findings. | Male, 65 years old. Reason: r/o ileus History: h/o c diff colitis Nonobstructive bowel gas pattern.Average stool burden.Small pleural effusions. See same day chest radiograph for additional findings. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: For pulmonary embolus History: swelling prior dvt likely new dvt PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Mild paraseptal and centrilobular emphysema, predominantly upper lobes. No pleural effusions or pneumothorax. No suspicious nodules or masses.MEDIAS... | 1.No evidence of pulmonary embolus.2. Mild paraseptal and centrilobular emphysema predominantly upper lobes.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. I personally reviewed the Images and/or procedure with the Residen... |
Generate impression based on findings. | 5-year-old male, confirm NG assessment.VIEW: Chest AP (one view) 5/11/2015 at 20:39 Endotracheal tube tip is between thoracic inlet and carina. NG tube tip projects over the gastric body. Cardiac pacemaker device overlies the upper abdomen with leads projecting over the heart. Median sternotomy wires are intact.The car... | NG tube with tip in the gastric body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history positive for breast cancer in 3 maternal aunts as well as for ovarian cancer in a paternal aunt. Two standard digital views of both breasts and additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast... | There is an asymmetry in the central left breast, mid-depth, on the MLO view, for which spot compression views and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 35 years old; Reason: 35 yo with metastatic breast cancer with liver mets, presenting with sob and right chest pain History: sob, chest pain ABDOMEN:LUNGS BASES: Multifocal metastases in the lung bases, some of which have increased in size. Breast prostheses. Please refer to chest CT dictated separately under pu... | 1.Progression of disease based on marked increase in size of liver lesion. Lung metastasis at least some of which have increased in size. Please refer to chest CT reported separately. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: There is minimal patchy opacification of left greater than right anterior ethmoid air cells.Maxillary sinuses: There is mild mucosal thickening within the left maxillary sinus along the floor. The maxillary sinuses are otherwise... | Minimal scattered paranasal sinus disease as detailed above. Patent bilateral ostiomeatal units bilaterally. No CT evidence of acute sinusitis. Mild-moderate rightward nasal septal deviation. |
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 additional 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 distribu... | 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. | PainVIEWS: Right ankle AP, oblique and lateral There is a minimally displaced oblique fracture involving the distal fibula. The ankle mortise joint is normal. There is marked soft tissue swelling about the ankle joint. | Minimally displaced oblique fracture distal fibula. |
Generate impression based on findings. | altered mental status. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemo... | Significant motion artifacts especially extracranial portion degraded image quality for precise interpretation, thus, if clinically indicated, the exam should be repeated.Intracranial arterial system as well as extracranial craniocervical system below the bifurcation appear to be normal. |
Generate impression based on findings. | Ms. Halmlutterodt is a 65 year old female presenting for routine mammogram. She has no current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and... | Bilateral benign calcifications. 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. | Note that patient motion limits evaluation, cervical spine greater than brain, and subtle abnormalities may not be seen.BRAIN: The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abno... | 1.No evidence for acute ischemic cerebral infarction or other intracranial abnormality.2.Limited evaluation of the cervical spine due to motion artifact may obscure more subtle abnormalities. |
Generate impression based on findings. | Male 75 years old; Reason: eval for pancreatitis, obstruction History: emesis, pain, obstipation.The patient is an old ABDOMEN:LUNGS BASES: Post sternotomy. Severe calcifications coronary arteries aorta and valvar. ICD device. Gynecomastia.Contrast in prominent esophagus suggesting motility abnormality and possibly ref... | 1.High-grade focal mechanical obstruction likely due to adhesions involving loop of distal small bowel in the right lower quadrant.2.The mildly ischemic based on hyperreninemia and fat stranding around it.3.Multifocal airspace disease in the left lung concerning for pneumonia or aspiration. Other chest findings as abov... |
Generate impression based on findings. | 35-year-old female with metastatic cancer presenting with shortness of breath and pleuritic chest pain. PULMONARY ARTERIES: Technically adequate study without evidence of pulmonary embolus. The main pulmonary artery measures 1.9 cm in diameter. There is no evidence of right heart strain. The right main pulmonary artery... | 1. No evidence of pulmonary embolus.2. Persistent pulmonary metastatic disease. Slight interval increase in size of the reference mediastinal lymphadenopathy. Persistent subpectoral and hilar lymphadenopathy as well as hepatic metastatic disease.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: ... |
Generate impression based on findings. | Male 8 months old Reason: r/o GB sludge History: on TPN; has increasing alk phos LIVER:Liver is located within the omphalocele. The liver measures 10.5 cm in length with a smooth contour and normal echogenicity. No focal hepatic masses are identified. There is no ascites.GALLBLADDER, BILIARY TRACT: The gallbladder is n... | 1.The gallbladder is not discretely identified. There is no biliary ductal dilatation.2.Echogenic kidneys compatible with renal parenchymal disease. |
Generate impression based on findings. | Reason: eval PE History: sob, rectal ca .PULMONARY ARTERIES: Technically adequate study. Linear filling defect in the lingular artery, may represent pulmonary web or residual of prior embolus.LUNGS AND PLEURA: Innumerable pulmonary metastases, which appear increased in size and number. Reference nodules in the lung bas... | 1. No definite acute pulmonary embolus identified.2.Interval increase in the right pleural effusion. Innumerable pulmonary metastases again noted, which appear increased in size and number.3.Persistent collapse of the right upper lobe,PULMONARY EMBOLISM: PE: Indeterminate.Chronicity: Chronic.Multiplicity: Single.Most P... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Sister diagnosed with breast cancer at age of 80. 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 distributio... | 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. | Pain fell off bikeVIEWS: Left forearm AP and lateral No acute fracture or dislocation. There is soft tissue swelling about the wrist joint. | No acute fracture or dislocation. Marked soft tissue swelling about the wrist joint and if clinically indicated dedicated wrist radiographs could be obtained for further evaluation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Total knee arthroplasty 2 views of the right knee reveal a total knee arthroplasty in anatomic alignment. No evidence of fractures or dislocations. | Right total knee arthroplasty in anatomic alignment |
Generate impression based on findings. | Pt with new seizures, last 2 mos 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.The visualized portions of the paranasal sinuses are c... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Exostoses and pain.EXAMINATION: MR left ankle without contrast 05/11/15 The screw tract through the medial malleolus into the metaphysis is again seen. The lateral aspect of the distal tibia is overgrown posteriorly and on the talus is slanted. The physis appears fused medially and centrally and is fusing laterally.The... | Exostoses with mass effect on the fibula. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast cysts at the 6 o'clock position. 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 dist... | 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. | DesaturationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the proximal esophagus. Cardiothymic silhouette normal. Patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis not significantly changed. |
Generate impression based on findings. | FractureVIEWS: Right fifth digit AP and lateral There is a comminuted fracture involving the base of the proximal phalanx of the fifth digit. The distal fracture fragment is minimally medially displaced. The overlying cast obscures fine bony detail. | Comminuted fracture of the proximal phalanx of the fifth digit. |
Generate impression based on findings. | Leg ulcerations. Evaluate for osteomyelitis. Examination of the right tibia and fibula reveals diffuse soft tissue swelling. There is chronic periosteal reaction in the diaphysis of the tibia and of the fibula. No acute periosteal reaction. No bone destruction to suggest osteomyelitis.2 views of the left tibia and fibu... | Chronic periosteal reaction. No acute bone abnormalities |
Generate impression based on findings. | There are no areas of pathological enhancement. There is no extraaxial fluid collection. The intracranial internal carotid arteries are normal in course and caliber. Atherosclerotic changes noted in the cavernous portions of the internal carotid arteries with associated narrowing of the cavernous portion of the LICA b... | 1.Periventricular and subcortical white matter, brainstem, and thalamic lesions are most likely vascular related.2.Atherosclerosis and 65% stenosis of the V1 segment of the right vertebral artery just above its origin. Please note that the PCAs have fetal origins with hypoplastic p1 segments and the right vertebral art... |
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. Scattered benign calcifications are present. No... | 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: renal architecture with inability to cath for 12 hrs, abd pain History: Neurogenic bladder. BLADDER Wall Thickness: Normal Contents: Distended and normal. No catheter tubing is seen within the distended bladder. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not obser... | 1.Distended urinary bladder, no catheter tubing is visualized within the bladder. 2.Partially visualized right pelvic kidney. No evidence of hydronephrosis.*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 th... |
Generate impression based on findings. | Male, 58 years old, history of myelodysplastic syndrome, pre-stem cell transplant evaluation. A lobular soft tissue lesion is evident within the upper outer aspect of the left orbit. The lesion seems to be interposed between the superior and lateral recti muscles, and contacts and mildly deforms the adjacent globe. At ... | 1. No evidence of sinonasal inflammatory disease.2. A lobular cystic appearing lesion is evident within the upper outer aspect of the left orbit with evidence of chronic bony remodeling suggestive of a long-standing indolent lesion. The differential diagnosis would include a cystic lesion of the lacrimal gland as well ... |
Generate impression based on findings. | Male 51 years old; Reason: eval for edema vs infx vs ascites as cause of swelling History: testicular swelling. RIGHT TESTIS: Right testicle is normal and symmetric in size and echogenicity. LEFT TESTIS: Left testicle is normal and symmetric in size and echogenicity.RIGHT EPIDIDYMIS: Right epididymal head cyst.LEFT EPI... | There is massive scrotal edema with increased vascular flow. While these findings are nonspecific, in the correct clinical context, such as immunocompromised host, these findings may be signs of early necrotizing fasciitis or Fournier's gangrene. No abscess.No intratesticular lesion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1996. Personal history of lung cancer diagnosed at age 41. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers th... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. The sensitivity of mammography for detecting breast cancer is decreased in patients with dense breasts such as this patient. Physical exam assumes a more important r... |
Generate impression based on findings. | Images of the right anterior skull base and maxilla are degraded by artifact. Innumerable enhancing lesions, which are predominantly at the gray-white junction, are scattered throughout both cerebral hemispheres as well as the cerebellum and brainstem, many of which demonstrate high signal on T2/FLAIR-weighted images.... | 1.Innumerable enhancing lesions scattered throughout both cerebral hemispheres and the cerebellum/brainstem are compatible with metastatic disease. Left frontal dural thickening and enhancement may relate to reactive changes versus dural spread of tumor.2.Multiple abnormal enhancing lesions in the calvarium and upper c... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density.There is a focal asymmetry in the left breast outer upper breast, posterior depth.No su... | There is a focal asymmetry in the left breast outer upper breast, posterior depth, for which comparison to prior studies is recommended. If prior studies cannot be obtained, spot compression views and possibly ultrasound is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD ... |
Generate impression based on findings. | 69-year-old female with a history of lung cancer, shortness of breath, weight loss. Evaluate right lower lobe fluid. LUNGS AND PLEURA: Note made of marked centrilobular and paraseptal emphysema with an upper lobe predominance. No focal consolidation, pleural effusion or pneumothorax. There is right basilar scarring/ate... | Right basilar scarring/atelectasis. Scattered bilateral pulmonary micronodules. No suspicious pulmonary nodules or masses are identified.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 21-year-old male with pain. Rule out fracture. There is an apparent step-off at the articular surface of the base of the middle phalanx of the third toe seen only on the oblique view which is felt to be artifactual. We see no definite fracture or dislocation. Although these are nonweightbearing views, there is suggesti... | Step-off along the articular surface of the base of the middle phalanx of the third toe is felt to be artifactual, however if there is clinical concern for a fracture, dedicated radiographs of the third toe may be considered. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. There is a focal asymmetry in the righ... | Focal asymmetry in the right breast inner lower quadrant, for which spot compression views and possibly ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Mr. Murrell is a 25-year-old female presenting with bilateral physician-detected breast masses. She denies any overlying skin changes or nipple discharge. Upon physical exam of the superior portions of both breasts, no discrete masses are palpated.Targeted breast ultrasound is performed for the superior portions of bot... | No sonographic evidence of malignancy. Correlation with physical exam is recommended to ensure concordance with this negative imaging. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually, starting at the age of 40. BIRADS: 1 - Negative.RECOMMENDATION: C - Cl... |
Generate impression based on findings. | 58-year-old male patient with right upper extremity and right lower extremity weakness. There is no evidence for acute intracranial hemorrhage. Scattered foci of periventricular and subcortical white matter hypoattenuation as well as foci of hypoattenuation in the brainstem and bilateral basal ganglia compatible with e... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema.2.Periventricular and subcortical white matter, brainstem, basal ganglia, and thalamic lesions are most likely vascular related.3.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Reason: Assess small cell lung CA History: SOB LUNGS AND PLEURA: Right lower lobe lesion measuring 2.5 x 1.7 cm (series 7 image 37), previously 2.2 x 1.6 cm. Lingular scarring unchanged. . Lung base scarring with bronchiectasis.MEDIASTINUM AND HILA: Cardiac size is unremarkable. Mild thickening of the pericardium. No s... | Right lower lobe superior segment lesion without significant increase in size. Mediastinal and hilar lymphadenopathy. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Ms. McCarthy is a 35-year-old female with personal history of bilateral mastectomies status post TRAM flap reconstruction. She now presents with four palpable areas in her left breast for the past 6 months. She denies any overlying skin changes. Upon physical exam of the left reconstructed breast, there are three palpa... | Benign oil cysts in the left reconstructed breast. No sonographic evidence of malignancy. The patient is to follow-up with Dr. Jaskowiak later today. All results and recommendations relayed to the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
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. Stable benign intramammary lymph nodes in the u... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of left modified radical mastectomy 7/2013 for IDC and DCIS. Patient recently underwent right breast reduction. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 40-year-old female with swelling, pain. Rule out injury. A side plate and screw device affixes a healing/healed distal fibular fracture in near anatomic alignment. 2 screws affix a healed/healing fracture of the medial malleolus also in anatomic alignment. Additional orthopedic screw traverses the anterior aspect of th... | Postoperative changes as described above without acute fracture. |
Generate impression based on findings. | 49-year-old male, screening for LVAD workup. LUNGS AND PLEURA: Right basilar scarring/atelectasis. No focal consolidation, pleural effusion or pneumothorax. No suspicious pulmonary nodules or masses are identified. There is mild bronchial wall thickening in the lower lobes.MEDIASTINUM AND HILA: Cardiomegaly. Hypoattenu... | Cardiomegaly. No acute pulmonary process.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 71-year-old male with swelling left posterior lateral back status post paracentesis. Evaluate cause of posterior left swelling status post paracentesis, fluid? 3 views of the ribs show numerous markers placed along the lower ribs presumably denoting the site of interest. Soft tissue swelling along the left flank region... | Left flank soft tissue swelling without underlying rib fracture. Please refer to chest and abdomen radiograph reports for further information. |
Generate impression based on findings. | Peritoneal mesothelioma ABDOMEN:LUNG BASES: Please refer to separate chest CT reportLIVER, BILIARY TRACT: No significant change in extensive perihepatic serosal tumor deposits.SPLEEN: AbsentPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable mild bilateral ... | Relatively stable tumor burden as described. |
Generate impression based on findings. | 44 years Female Reason: bypass complication? SBO? History: upper abd pain, lower odynophagia, tender epig LUNG BASES: No suspicious pulmonary nodules. No focal consolidation or pleural effusion.LIVER, BILIARY TRACT: Liver enhances homogenously without focal lesion. Mild intra and extra hepatic biliary ductal dilatation... | 1.Limited evaluation of the stomach with lack of intraluminal contrast time of imaging.2.Postsurgical findings related to Roux-en-Y gastric bypass surgery.3.Stranding and edema surrounding the gastric pouch may relate to gastritis; if there is concern for leak upper GI fluoroscopic study would be indicated.4.Hypoattenu... |
Generate impression based on findings. | There are interval extensive postoperative changes relating to completion glossectomy of remnant tongue with flap reconstruction, partial central mandibulectomy and laryngectomy. The right submandibular gland has also been removed. Infiltration of the right neck fat planes is consistent with interval right neck dissec... | 1. Extensive interval postoperative changes as detailed above, with an area of questioned enhancing spiculation along the left paramedian reconstructed floor of mouth, just medial to the left mandibular osteotomy margin. This is nonspecific and could be postoperative, although given its asymmetry and appearance, close ... |
Generate impression based on findings. | 57-year-old male with pain in lower lumbar region. 4 views of the lumbar spine demonstrate no acute fracture or malalignment. Vertebral body heights are preserved. Mild degenerative changes are present, most pronounced at L4/L5 with disc space narrowing, osteophytes, and vacuum joint phenomenon. Mild degenerative chang... | Degenerative changes as described above without acute fracture or malalignment. |
Generate impression based on findings. | 19-year-old male with finger pain. Evaluate for fracture. 3 views of the left middle finger again show a fracture through the proximal phalanx extending to the radial aspect of the PIP joint with fracture fragments in near-anatomic alignment. | Proximal phalanx fracture. |
Generate impression based on findings. | 19-year-old male with pain, swelling. Rule out fracture. 3 views of the left hand show a comminuted but predominantly oblique fracture through the proximal phalanx of the middle finger extending to the radial aspect of the PIP joint. Alignment is near anatomic. | Left third proximal phalanx fracture as above. |
Generate impression based on findings. | 51-year-old male with distal fibular fracture status post orthopedic fixation. 3 views of the right ankle demonstrate a side plate and screw device which affixes an oblique fracture of the distal fibula in near anatomic alignment. The fracture line remains visible on the lateral view. Mildly displaced fractures of the ... | Orthopedic fixation of distal fibular fracture and other findings as described above, not significantly changed. |
Generate impression based on findings. | 57-year-old male with distal phalanx pain. Evaluate for distal phalanx fracture There is a comminuted fracture through the tuft of the distal phalanx with mild distal displacement. Small excrescence arising from the base of the proximal phalanx may represent old trauma. Congenital coalition of the lunate and triquetrum... | Tuft fracture as described above. |
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. Scattered subcentimeter foci of FLAIR abnormality are nonspecific, otherwise there are no areas of abnormal signal intensity or diffusion abnormality. No extra-axial fluid collection is identi... | 1.No evidence of PRES or other structural abnormality.2.Scattered nonspecific foci of FLAIR intensity.3.Partially-empty sella. |
Generate impression based on findings. | 23-year-old male with left foot pain. Evaluate for fracture. Left ankle: We see no fracture or dislocation. There is soft tissue swelling along the anterior aspect of the ankle.Left foot. We see no fracture or malalignment. Small lucency in the base of the proximal phalanx of the great toe may represent a cyst or an en... | Soft tissue swelling without fracture evident. |
Generate impression based on findings. | 79-year-old male with left hip pain. There is severe osteoarthritis of the left hip, with extensive joint space narrowing, subchondral sclerosis, and osteophyte formation. No acute fracture or dislocation is seen. Pelvic surgical clips and vascular calcifications are again identified. Moderate osteoarthritis of the rig... | Severe left and moderate right hip osteoarthritis without fracture. |
Generate impression based on findings. | 51 years, Female. Reason: eval for gross abnormalities History: abd pain Nonobstructive bowel gas pattern with moderate stool burden. Right upper quadrant surgical clips likely from prior cholecystectomy. Mild degenerative changes of the lower lumbar spine.No focal lung opacity. Please refer to chest radiograph from th... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: breast cancer please eval disease status and compare to previous imaging History: met breast cancer CHEST:LUNGS AND PLEURA: Previously noted right lower lobe ill-defined nodule is not identified on the current exam.Focal area of atelectasis noted at the right costophrenic angle.No suspicious pulmonary nodules o... | 1.Left breast mass unchanged.2.Stable osseous metastases.3.No new sites of disease identified. |
Generate impression based on findings. | 76 years, Male. Reason: check dht position History: dht pulled out Feeding tube overlies the proximal gastric body. Nonobstructive bowel gas pattern. Surgical changes of mitral valve repair and incompletely imaged pacemaker leads are noted. Bilateral pleural effusions with patchy bibasilar opacities. Please refer to de... | Feeding tube overlies the proximal gastric body. |
Generate impression based on findings. | Male, 52 years old.RFO trigger: BMI over 40,Suspected RFO location: ABDOMEN Name of suspected RFO: NONE Attending Surgeon name/pager: Gottlieb # 9539 Two adjacent areas with linear radiodensities compatible with a Ray Tech markers are noted overlying the right upper quadrant on the image with time stamp 1956. Per the r... | No expected radiopaque foreign objects following the removal of the Ray Tech sponges which were being used to pack the patient's ostomy.Findings were discussed by telephone with the attending surgeon Dr. Gottlieb on 5/11/2015 at 2025. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of stable inverted left nipple. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dis... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 52 years, Male. Reason: NGT repositioning History: NGT repositioning The enteric tube has been advanced with tip in the distribution of the proximal gastric body and side port overlying the gastric fundus. Paucity of bowel gas without definite obstruction. Degenerative changes of the visualized spine are noted. Midline... | Enteric tube with tip overlying the proximal gastric body. |
Generate impression based on findings. | 52-year-old female status post left breast excisional biopsy for ADH presents for bilateral diagnostic mammogram. Previously documented right breast cyst on prior outside ultrasound Three standard views of both breasts , 2 spot compression views of right breast and 2 spot magnification views of left breast were perform... | Postsurgical changes in 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 - Diagnostic Mam... |
Generate impression based on findings. | 51 years Male Reason: eval for fluid collection, retroperitoneal bleed History: s/p paracentesis, left sided abd wall pain and swelling Lack of intravenous contrast limits evaluation of solid viscera. Lack of oral contrast limits evaluation for bowel pathology.LUNGS BASES: No suspicious pulmonary nodules. No focal cons... | Findings concerning for left body wall hematoma, as described above. Superimposed infection not excluded.New severe anasarca. |
Generate impression based on findings. | 37 year old female with severe abd pain and distension, most in RUQ/RLQ, vomiting. Hx of multiple abd surgeries. LUNG BASES: No suspicious pulmonary nodules. No focal consolidation or pleural effusion.LIVER, BILIARY TRACT: Liver enhances homogenously without focal lesion. Gallbladder is unremarkable.SPLEEN: No signific... | No findings to account for abdominal pain. |
Generate impression based on findings. | 38-year-old male with mid sternal costal instability. Evaluate for subluxation of the sternocostal joints. LUNGS AND PLEURA: No focal consolidation, pleural effusion or pneumothorax. No suspicious pulmonary nodules or masses are identified.MEDIASTINUM AND HILA: No evidence of lymphadenopathy.CORONARY ARTERY CALCIFICATI... | No acute cardiopulmonary process. No evidence of sternocostal joint subluxation, as clinically questioned.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 76 years, Male. Reason: NGT placed History: advanced NGT Exam is limited by motion artifact and residual oral contrast within the colon. Enteric tube has been advanced with side-port in the appropriate position and tip overlying the gastric fundus. No definite bowel obstruction. Midline surgical staples and postsurgica... | Enteric tube with tip overlying the gastric fundus. |
Generate impression based on findings. | 55-year-old with history of right mastectomy for breast cancer in 2000, status post chemotherapy and radiation. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distri... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram.Reviewed by fellow, Dr. Deep... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views, bilateral ML views, and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 55-year-old female presents with a palpable mass in the left breast for left breast diagnostic mammogram. Mammogram: Three standard views of the left breast, exaggerated left CC lateral view and 2 spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed ... | Palpable abnormality in the left breast corresponds to a benign lipoma. Clinical correlation is recommended. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due in October, 2016. Results and recommendation were ... |
Generate impression based on findings. | 74-year-old male with a history of a lung nodule. LUNGS AND PLEURA: The reference right lower lobe subpleural groundglass nodule with cystic components measures 12 x 7 mm, previously 11 x 7 mm (series 7; image 222).The reference 4 mm groundglass nodule in the right upper lobe is also unchanged, previously 4 mm (series ... | No significant interval change in the reference groundglass nodules in the right upper and right lower lobes. Atypical adenomatous hyperplasia and adenocarcinoma in situ remain as differential considerations. Continued annual follow-up is recommended.I personally reviewed the Images and/or procedure with the Resident/F... |
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