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Generate impression based on findings. | Left upper quadrant abdominal pain ABDOMEN:LUNG BASES: Bibasilar dependent atelectasis, unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: 2 cm simple appearin... | Right nephrolithiasis. Left renal cyst. No CT findings to explain patient's left upper quadrant abdominal pain. |
Generate impression based on findings. | The ventricles and sulci are prominent, suggesting very mild global volume loss slightly greater than expected for the patient's stated age. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No ext... | Very minimal global volume loss suggested, greater than expected for the patient's stated age. Otherwise, unremarkable contrast enhanced MRI of the brain. No MR evidence of intracranial demyelinating disease. |
Generate impression based on findings. | Male 67 years old Reason: Assess vasculature prior to kidney transplant History: Pre-transplant evaluation ABDOMEN:LUNG BASES: Left lower lobe nodule measures 5 mm in diameter image number two, series number 3, not significantly changed from previous study.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: M... | Extensive atherosclerotic changes.Stable left lower lobe nodule.Radiation seeds in the prostate. |
Generate impression based on findings. | 68 year-old female history of multiple myeloma and hip pain. The bones are demineralized. Right hip: There is no acute fracture or dislocation. Alignment is anatomic. There is no evidence of myelomatous lesions.Pelvis: Surgical tacks project over the lower pelvis. Lytic lesions related to myeloma are better evaluated o... | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 22-year-old male with history of unequal posture and medic right knee injury as a child. No acute fracture or dislocations. There is a subtle cam deformity along the left femoral neck. The right pubis, ischium, and obturator foramen are slightly smaller than the left. The soft tissues are unremarkable. | Likely congenital abnormalities of the right pelvis and subtle cam deformity of the left femoral neck. No acute fractures. |
Generate impression based on findings. | 59-year-old female with history of RA. Right hand: There is significant joint space narrowing about the carpal bones with bone on bone apposition. There are secondary degenerative changes at the distal radial ulnar joint. There are moderate osteoarthritic changes at the DIP joints. Mild narrowing of the 4th MCP joint. ... | Findings consistent with asymmetric rheumatoid arthritis worse in the right hand and left foot. |
Generate impression based on findings. | Female, 61 years old, with chronic sinusitis and hearing loss. The frontal sinuses are clear and the fronto-ethmoidal recesses are unobstructed. The ethmoid air cells are clear. The sphenoid sinuses are clear and the sphenoethmoidal recesses are unobstructed. Maxillary sinuses are clear and the maxillary outflow pathwa... | No evidence of active sinus inflammatory disease. |
Generate impression based on findings. | 27-year-old male with history of fifth PIP injury. The 5th distal phalanx is held in mild extension. No acute fracture or dislocation. Alignment is anatomic. Mild soft tissue swelling about the 5th PIP. | Mild extension of the 5th distal phalanx which represent tendinous injury, however there are no fractures or avulsions appreciated. |
Generate impression based on findings. | 83-year-old male with history of knee pain. There is severe chondrocalcinosis of the menisci. Tricompartmental osteophytes indicate mild osteoarthritis. There are scattered arterial calcifications. There is perhaps some erosion along the lateral aspect of the lateral femoral condyle. | Chondrocalcinosis of the menisci and subtle erosion of the lateral aspect of the lateral femoral condyle which can be seen in many conditions such as CPPD arthropathy and gout. |
Generate impression based on findings. | Male 55 years old; Reason: right testicular swelling History: r/o torsion RIGHT TESTIS: Normal vascular flow and normal echogenicity. There is a small amount of fluid on the right.LEFT TESTIS: Normal vascular flow and normal echogenicity.RIGHT EPIDIDYMIS: The right epididymis is heterogeneously enlarged with increased ... | 1.Enlarged right epididymis with increased echogenicity and vascular flow consistent with epididymitis. 2.Vascular flow and echogenicity of the testicles are normal bilaterally. No evidence of torsion as clinically questioned. |
Generate impression based on findings. | Male 66 years old Reason: establishing baseline for participation in a clinical trial, IRB 13-0936. Please provide bi-dimensional measurements per RECIST v1.1 History: neuroendocrine carcinoma of the lung LUNGS AND PLEURA: Post surgical scarring and volume loss on the right consistent with previous upper lobectomy.Tria... | Postsurgical abnormalities in the right hemithorax with no sign of recurrent or metastatic disease in the chest. |
Generate impression based on findings. | 64-year-old female with history of bladder cancer status post cystectomy and colon cancer status post subtotal colectomy now with loop ileostomy, known fistulas and leaks. Here with fever. Outside hospital CT notes fluid collection in the pelvis, evaluate for abscess/leak and is amenable to drainage. ABDOMEN:LUNG BASES... | 1.Postoperative/post therapeutic changes in the pelvis, and an unchanged pelvic collection of contrast and air which is similar in appearance dating back to 2012 which presumably is filled via fistulous connection with small bowel.2.No new fluid collections are seen.3.No other evidence of infection. |
Generate impression based on findings. | 70 year-old female with history of pain. Mild osteoarthritis affects the hip. The left SI joint is not imaged. The soft tissues are unremarkable. | Osteoarthritis as above. If there is clinical concern for SI joint pathology, dedicated SI joint radiographs may be obtained. |
Generate impression based on findings. | Female 24 years old; Reason: abdominal pain, evaluate for acute appendicitis History: guarding + pain ABDOMEN:LUNGS 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. Normal appendix.2. Mild to moderate circumferential wall thickening versus underdistention (latter favored given patient's reported history of right-sided pain; however, correlation with patient's clinical history/physical exam recommended to exclude colitis) involving distal transverse colon and mid descending colo... |
Generate impression based on findings. | Female 58 years old Reason: fall onto R hand Sept 2014 with persistent pain History: R hand 4th metacarpal pain Bone mineralization is normal. Alignment is anatomic. There is mild to moderate interphalangeal joint space loss compatible with osteoarthritis. No acute fracture or dislocation. | Osteoarthritis without evidence of acute fracture. |
Generate impression based on findings. | Male 71 years old Reason: R shoulder pain History: R shoulder pain Moderate to severe osteoarthritis affects the right shoulder with glenohumeral osteophytes. There is moderate to severe joint space loss. Enthesopathic changes are seen in the humeral head suggestive of underlying rotator cuff disease.No acute fracture ... | Moderate to severe right glenohumeral osteoarthritis |
Generate impression based on findings. | Male 19 years old Reason: 19 yo male with chronic steroid use and shoulder pain, rule out avn History: pain Right shoulder: Bone mineralization is normal. Alignment is anatomic. No acute fracture or dislocation. Joint spaces are normal. No radiographic evidence of avascular necrosis.Left shoulder: Bone mineralization i... | No radiographic evidence of avascular necrosis. |
Generate impression based on findings. | Female 56 years old Reason: outside diagnosis of RA and gout, evaluation for these History: pain Left hand: There is mild to moderate interphalangeal joint space loss most suggestive of osteoarthritis. Moderate osteoarthritis affects the basilar joint. No focal erosive change.Right hand: There is mild to moderate inter... | Osteoarthritic changes as detailed above. No evident erosive change. |
Generate impression based on findings. | Knee instability and pain Tiny osteophytes indicate minimal osteoarthritis, essentially within normal limits considering the patient's pain. There is also chondrocalcinosis of the menisci, as well as arterial calcification in the posterior soft tissues. I see no fracture or malalignment. I see no large joint effusion. | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 59-year-old female with sudden onset of sciatica two months ago. No improvement. Mild-moderate degenerative disk disease affects L5/S1. Mild degenerative disk disease affects L4/5. Small osteophytes project from the anterior aspects of the lumbar vertebra. Alignment is within normal limits. Vertebral body heights are p... | Degenerative disk disease as described above appearing similar to the prior study accounting for slight positional and technical differences. |
Generate impression based on findings. | Dislocation reduced. Axillary view needed to assess reduction. Glenohumeral joint alignment is within normal limits. I see no fracture. | Glenohumeral joint alignment within normal limits. |
Generate impression based on findings. | Cervical fusion. Screw placement? There is a posterior stabilization device with screws entering the C3 through C6 vertebrae. I see no hardware complications. A drain and foci of gas density in the posterior soft tissues reflect recent surgery. There is moderate multilevel degenerative disk disease. There is loss of th... | Postoperative changes of cervical spine fusion without radiographic evidence of hardware complication. |
Generate impression based on findings. | Puncture wound, pain and swelling after stepping on needle. Foreign body? There is a 1.5-cm linear metallic density within the heel pad compatible with a broken needle tip. I see no fracture. | Broken needle tip in the heel pad. |
Generate impression based on findings. | Neck pain after MVA. Evaluate for fracture. I see no fracture or malalignment. Intervertebral disk spaces are within normal limits. The neural foramina appear patent. | No fracture evident. I see no findings to account for the patient's pain. |
Generate impression based on findings. | Hip pain The bones appear demineralized suggesting osteopenia/osteoporosis. I see no fracture or malalignment. Mild osteoarthritis affects the left hip joint. Degenerative arthritic changes also affect the left sacroiliac joint and visualized lower lumbar spine. | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Status post fall down sewer, now with L3/L4 back pain. I see no fracture or malalignment. The lumbar spine appears normal. I see no findings to account for the patient's pain. | No fracture or other findings to account for the patient's pain are evident. |
Generate impression based on findings. | 9 year old male with respiratory distress.VIEW: Abdomen AP (one view) 1/15/2015, 21:25 Interval advancement of the enteric feeding tube with the tip now in the second part of the duodenum. The nasogastric tube has been removed. Right central catheter projects in the distribution of the right common iliac vein. Disorgan... | Enteric feeding tube with tip in the second part of the duodenum. |
Generate impression based on findings. | 9-year-old male with respiratory distress. Evaluate feeding tube position.VIEW: Abdomen AP (one view) 1/15/2015, 16:55 There has been placement of an enteric feeding tube, which is looped within the stomach with the tip in the distribution of the gastric body. Additionally, a nasogastric tube is in place with the tip i... | Enteric feeding tube looped in the stomach and nasogastric tube with tip in the distal body/antrum of the stomach. |
Generate impression based on findings. | Six month old male with tracheoesophageal fistula, status-post intubation.VIEW: Chest AP (one view) 1/16/2015, 05:00 Endotracheal tube tip just below the thoracic inlet. Right central venous catheter with tip possibly within a left-sided IVC. NG tube in place with tip in the fundus of the stomach and side-port at the l... | Moderate anterior apical pneumothorax. |
Generate impression based on findings. | 47 year old male with history of endocarditis, assess for septic emboli. CHEST:LUNGS AND PLEURA: Minimal basilar atelectasis. No significant pleural effusion or consolidation.MEDIASTINUM AND HILA: Heart size upper normal, with no pericardial effusion. Mild coronary artery calcifications, and moderate calcifications of ... | 1.Findings of thoracolumbar diskitis/osteomyelitis.2.No findings of septic emboli or infection otherwise. |
Generate impression based on findings. | 56 year old male with abnormalities on chest x-ray. Fever of unknown origin. Evaluate. CHEST:LUNGS AND PLEURA: Interval progression of apical fibrosis, bronchiectasis and paraseptal emphysema. There are bilateral basilar groundglass opacities with mosaic attenuation. There is nonspecific left basilar nodule measuring 4... | 1.Findings raise suspicion for chronic findings of lung transplant rejection. Given basilar predominance of the groundglass opacities, infectious etiology is less likely; however, if the patient is immunocompromised, atypical infection is a consideration. Dedicated ILD protocol CT chest may be considered for further ev... |
Generate impression based on findings. | Status post right total hip revision The AP view of the right hip reveals components of a total hip arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. A drain and foci of gas density within the adjacent soft tissues reflects recent surgery.The AP view of the ... | Right total hip arthroplasty revision as above |
Generate impression based on findings. | 6-month-old male status post tracheoesophageal fistula repair.VIEW: Chest AP (one view) 1/15/2015, 17:57 Endotracheal tube tip just below the thoracic inlet. Right central venous catheter with tip possibly within a left-sided IVC. NG tube in place with tip in the fundus of the stomach and side-port at the level of the ... | Moderate anterior apical pneumothorax. |
Generate impression based on findings. | 40 years, Female. Reason: obstipation History: abdominal pain, nausea and vomiting Lung bases are unremarkable. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Ms. Woodson is a 32 year old female with a personal history of right breast mastectomy in June 2012 for IDC/DCIS followed by chemoradiation and tamoxifen therapy. Three standard views of the left breast (with an additional left MLO view) and three spot compression views were performed digitally and reviewed with the ai... | Benign oil cyst in the left breast. 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 Ma... |
Generate impression based on findings. | Reason: new onset acute chest pain with elevated D-dimer, eval for PE History: chest pain, light-headedness PULMONARY ARTERIES: No evidence embolism. The pulmonary artery diameter is normal, and there is no specific evidence for right heart strain right atrial dilation and reflux of contrast into the liver. LUNGS AND P... | . No evidence of pulmonary embolism, or level of its right heart strain of the right each enlargement in the setting of severe cardiomegaly, and reflux of contrast into the liver.2. Poorly marginated pulmonary nodules of unknown chronicity, at least some present as far back as 2010. The differential diagnosis includes ... |
Generate impression based on findings. | 80 years, Female. Reason: Dobbhoff placement Limited view of the abdomen with motion artifact. Pelvis is excluded from field of view. Dobbhoff tube tip in gastric body. Postsurgical changes are seen. | Dobbhoff tube tip in gastric body. |
Generate impression based on findings. | 6 year old male with rib protrusion.VIEWS: Ribs name of views (number of views views) 1/15/2015 No focal airspace opacity is seen. The aortic arch, cardiac apex and stomach a left-sided. No displaced rib fracture is evident. The cardiothymic silhouette is normal. | Normal examination. |
Generate impression based on findings. | Two small foci of hypodensity bilaterally, inferior to the basal ganglia, demonstrate a location and appearance most consistent with perivascular space (less likely lacunar infarct). The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial he... | 1.Two small foci of hypodensity bilaterally, inferior to the basal ganglia, demonstrate a location and appearance most consistent with perivascular space (less likely lacunar infarct). 2.No CT evidence of acute territorial, cortical infarct. If there is continued clinical concern for acute ischemia, MRI would be recomm... |
Generate impression based on findings. | 10-year-old female intubatedVIEW: Chest AP (one view) 01/16/15 Left upper extremity PICC with tip in the right atrium. ET tube tip is below thoracic inlet and above the carina. Enteric tube with tip below the field of view. Interval removal of right venous catheter.Cardiothymic silhouette is normal. No pneumothorax or ... | Mild patchy left lower lobe atelectasis, improved. |
Generate impression based on findings. | 61 years, Female. Reason: evaluate for cause of abdominal pain Patient is status post sternotomy and cholecystectomy.Nonobstructive bowel gas pattern. Degenerative disease of the spine. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 74 years, Female. Reason: enteric tube There is contrast in the jejunum with progression into the colon. Given recent earlier fluoroscopic contrast study, cannot definitively distinguish whether the contrast seen is from prior injection or current injection of contrast. No evidence of bowel obstruction. Evaluation for ... | Contrast seen in both small and large bowel as above. No evidence of bowel obstruction. |
Generate impression based on findings. | 7-month-old male intubated patientVIEW: Chest AP (one view) 01/16/15 Endotracheal tube tip is below thoracic inlet and above the carina. Nasogastric tube tip is in the body of the stomach.Persistent left upper lobe collapse. Right upper lobe atelectasis. Bibasilar patchy opacities likely represent atelectasis. The card... | Persistent left upper lobe collapse with right upper lobe and bibasilar atelectasis. |
Generate impression based on findings. | 34-year-old female with chest pain, elevated d-dimer PULMONARY ARTERIES: No pulmonary embolus. Enlargement of the main pulmonary artery measuring 4.0 cm may represent pulmonary arterial hypertension LUNGS AND PLEURA: Interval increase in basilar predominant ground glass opacities with fibrosis and areas of subpleural s... | 1.No pulmonary embolus. Severe worsening pulmonary arterial hypertension. 2.Interval increase in basilar predominant ground glass opacities and fibrosis in an NSIP pattern, suggesting progressive scleroderma related interstitial lung disease given the patient's clinical history and associated findings as described abov... |
Generate impression based on findings. | Ms. Suskind is a 45 year old female recalled from screening mammogram for an asymmetry in the right breast. Family history of breast cancer in mother (diagnosed at the age of 50) and maternal second cousin (diagnosed at the age of 36). An ML view and two spot compression views of the right breast were performed digital... | Simple cyst in the right breast. No mammographic or sonographic 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 - Screenin... |
Generate impression based on findings. | 6 year old male with left lower rib cyst, protrusion and pain.VIEWS: Chest AP/lateral (two views) 1/15/2015 No focal airspace opacity is seen. The aortic arch, cardiac apex and stomach a left-sided. No displaced rib fracture is evident. The cardiothymic silhouette is normal. | Normal examination. |
Generate impression based on findings. | 6-day-old male on HFOVVIEW: Chest AP (one view) 01/16/15 ET tube tip is at the thoracic inlet. Umbilical artery catheter is at the level of T6. Umbilical vein catheter is in the right atrium. Three right-sided chest tubes are in place, unchanged in position.Interval improvement of pneumothorax. No pleural effusions. Le... | Interval improvement of pneumothorax. |
Generate impression based on findings. | 17 year-old female status post fall evaluate for fracture.VIEWS: Mandible Panorex (one view), pelvis AP and frog leg (two views), and left knee AP oblique and lateral (3 views) 1/15/2015 MANDIBLE: No acute fracture or malalignment evident.PELVIS: Irregularity of the pubic symphysis suggests osteitis pubis. No acute fra... | Normal examination. |
Generate impression based on findings. | 79-year-old female with history of pain. The bones are demineralized suggesting osteopenia/osteoporosis.Left hip: Moderate osteoarthritis affects the left hip. No acute fracture. Bandlike density overlying the lesser trochanter could represent artifact or subacute postraumatic heterotopic mineralization within the soft... | Degenerative arthritic changes of the hips and lumbar spine and other findings as above without acute fracture evident. |
Generate impression based on findings. | Leptomeningeal carcinomatosis with concern of elevated CSF pressures after intrathecal chemotherapy. There is a subdural hematoma along the right frontal lobe measuring up to 10 mm in thickness. There is small hyperdense component layering suggestive of acute blood products. Previously seen pneumocephalus has resolved.... | 1. Evolution of previously seen immediate postsurgical changes of Ommaya catheter placement from 12/4/2014. There is a right frontal subdural hematoma with attenuation suggestion of acute on chronic blood products. Ommaya catheter tip is in unchanged position.2. Minimal local mass effect without midline shift. |
Generate impression based on findings. | 75-year-old female with history of abdominal pain, evaluate for hernia or traction. ABDOMEN:LUNG BASES: No significant pleural effusion or consolidation. Severe coronary artery calcifications.LIVER, BILIARY TRACT: Scattered calcified granulomas in the liver parenchyma, and a small right anterior cyst, unchanged. Postop... | Mildly dilated proximal small bowel, with relatively collapsed distal small bowel and gas/stool in the colon. Most likely incomplete/partial obstruction. |
Generate impression based on findings. | 14-year-old male status post motor vehicle accident now with knee pain.VIEWS: Left knee AP oblique and lateral (3 views) 1/15/2015 No acute fracture or malalignment is evident. 2-cm lucent lesion in the posterior distal femoral metaphyseal cortex is nonspecific and may represent a nonossifying fibroma or early aneurysm... | No acute fracture malalignment. Nonspecific lucent lesion in the cortex of the posterior distal femoral metaphysis may represent a nonossifying fibroma or aneurysmal bone cyst. |
Generate impression based on findings. | Reason: Dermatomyositis-ILD History: Worsening dyspnea LUNGS AND PLEURA: Under to severe basal predominant interstitial lung disease has, if changed at all, slightly worsened in the bases; this change is subjective but there is decreased lung volume. Findings consist of reticular opacities with mild honeycombing, tract... | Equivocal progression of moderate to severe interstitial lung disease, consistent with a UIP pattern. No new abnormalities. |
Generate impression based on findings. | 30 year-old female status post fall. Left shoulder: There is a fracture of the proximal humerus involving the greater tuberosity and we suspect the surgical neck. There is minimal displacement of the greater tuberosity. The suspected surgical neck fracture is nondisplaced. There is evidence of a lipohemarthrosis as wel... | 1.Proximal humerus fracture as above.2.Mild degenerative disc disease of the lumbar spine. |
Generate impression based on findings. | 75-year-old female with chest pain PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Basilar scarring/atelectasis. No suspicious pulmonary nodules or masses. Punctate calcified nodules may represent prior granulomatous disease. No pleural effusions.MEDIASTINUM AND HILA: Calcified mediastinal and hilar lymph no... | No pulmonary embolus or other acute findings to account for the patient's symptomsPULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 78 years, Male. Reason: Dobbhoff Dobbhoff tube tip in region of the gastric body. Nonobstructive bowel gas pattern. Moderate stool burden. Pelvis is excluded from view. Lower lumbar spine laminectomy defects. Healing right lower rib fracture. | Dobbhoff tube as above. |
Generate impression based on findings. | sudden headache with hypertension. No evidence of acute ischemic or hemorrhagic lesion on this scan.Patchy low attenuations on bilateral periventricular white matter indicate non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shi... | No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal to mild non specific small vessel disease. |
Generate impression based on findings. | 50 year-old female status post cholecystectomy. Evaluate perihepatic cyst. ABDOMEN:LUNG BASES: Bilateral small, right greater than left, pleural effusions with overlying mild compressive atelectasis.LIVER, BILIARY TRACT: Near complete resolution of previously noted perihepatic cyst on the MR examination which now measu... | 1.Postoperative changes of cholecystectomy with gallbladder fossa fluid collection as above. 2.Residual perihepatic cyst.3.Bilateral small pleural effusions, right greater than left. |
Generate impression based on findings. | 59 years, Male. Reason: evaluate for obstruction History: bilious vomit Nonobstructive bowel gas pattern.Scattered surgical clips noted. Bones appear demineralized. There is left lung base atelectasis/consolidation. Please refer to dedicated chest radiography for additional findings. | Nonobstructive bowel gas pattern. Please refer to dedicated chest radiography for additional findings. |
Generate impression based on findings. | Female 7 years old Reason: evaluate for knee abnormalities History: bilateral knee pain x 1 yearVIEWS: Pelvis AP and frog leg. Bilateral knees AP, lateral and oblique 1/15/15 (8 views) Pelvis: Both round, smooth and normally formed femoral heads are well directed to a normally developed acetabulum. No AVM or SCFE.Bilat... | Normal examination. |
Generate impression based on findings. | Female 32 years old; Reason: evaluate for cause of generalized abdominal pain, concern for ovarian cyst vs appendicitis vs PID History: generalized LQ pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No si... | 1.Right ovarian cyst.2.No CT findings of acute appendicitis.3.The pain persists consider MRI of the pelvis for further evaluation for entities such as endometriosis and adenomyosis. |
Generate impression based on findings. | 42-year-old female with shortness of breath, DVT. PULMONARY ARTERIES: Limited examination due to suboptimal contrast bolus. Allowing for this limitation, no large central pulmonary emboli.LUNGS AND PLEURA: Interval progression of bilateral extensive linear and nodular opacities and patchy areas of basilar prominent con... | 1. No large central pulmonary emboli, allowing for limitation of suboptimal contrast bolus. 2. Progression of extensive linear and nodular bilateral pulmonary opacities with areas of basilar consolidation. These findings are suspicious for pulmonary Kaposi's sarcoma or other lymphoproliferative process, with atypical i... |
Generate impression based on findings. | 34-year-old female with shortness of breath. Evaluate for pulmonary embolism and status of pleural effusion. PULMONARY ARTERIES: No evidence of pulmonary embolism. LUNGS AND PLEURA: Mild interval increase in the size of the fluid containing cavitary right lower lobe mass now measuring 4.7 x 3.7 cm (series 8, image 71) ... | 1. No evidence of pulmonary embolism.2. Metastasis in the anterior left ventricle with probable adherent thrombus. MR or TEE may be helpful to further characterize extent of thrombus. 3. Interval increase in size of the cavitary right hilar mass. The mass encases and narrows the middle and right lower lobar pulmonary a... |
Generate impression based on findings. | 4-year-old male status post stepping on glass. Rule out foreign body.VIEWS: Right foot AP lateral and oblique (3 views) 1/15/2015 Shallow soft tissue defect noted at the plantar surface of the midfoot, without radiopaque foreign body evident. No acute fracture or malalignment is seen. | Soft tissue defect without associated radiopaque foreign body. |
Generate impression based on findings. | Male 38 days old Reason: is the bowel gas pattern normal, is there pneumatosis History: bloody stool dilated loopsVIEW: Abdomen AP (one view) 1/16/15 at 449 hours. Misplaced NG tube again noted.Disorganized, less distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestin... | Disorganized, less distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Status post fixation An intramedullary rod affixes a fracture of the mid clavicular diaphysis in near-anatomic alignment. There appears to be a small amount of callus adjacent to the fracture suggesting an attempt at healing. I see no hardware complications. | Orthopedic fixation of clavicular fracture as above. |
Generate impression based on findings. | 68 years, Male. Reason: ileus Mild interval increase of predominantly colonic gaseous distention and rectal tube is displaced distally (compared to 1/11/2015). See same day chest radiography for additional findings. | Mild interval increase of predominantly colonic gaseous distention, rectal tube migration distally (compared to 1/11/2015). |
Generate impression based on findings. | Male 38 days old Reason: abdominal distension History: bloody stoolVIEW: Abdomen AP (one view) 1/15/15 at 2001 hrs NG tube tip is at the thoracic esophagus. Disorganized, persistently distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal venous gas. | Misplaced NG tube.Disorganized, persistently distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Left knee pain Four views of the left knee are provided. Mild medial compartment narrowing indicates mild osteoarthritis. There are also tiny osteophytes.A subcentimeter ovoid calcific density overlying the lateral tibial spine of the right knee on the frontal views could represent a loose body in a the joint. Amorphou... | Mild osteoarthritis and other findings as above. |
Generate impression based on findings. | 94-year-old male with hematuria. Evaluate. ABDOMEN:LUNG BASES: Bilateral moderate-sized pleural effusions, right greater than left, with overlying mild compressive atelectasis. Cardiomegaly with mild to moderate pericardial effusion.LIVER, BILIARY TRACT: Few scattered subcentimeter hypoattenuating foci within the liver... | 1.Gastric wall thickening and prominent folds may be related to edema versus gastritis.2.Enlarged and heterogeneous prostate gland. Findings may to be related to benign prostatic hypertrophy versus prostate carcinoma. Evaluation for malignancy with MRI may be considered if clinically indicated.3.Nonspecific bladder wal... |
Generate impression based on findings. | 17 year old female with abdominal distention, rule out perforation.VIEWS: Abdomen AP and crosstable lateral (two views) 1/16/2015, 05:16 Right femoral venous catheter with tip in the distribution of the right external iliac vein. Disorganized nonobstructive bowel gas pattern. No evidence of pneumoperitoneum, portal ven... | No evidence of pneumoperitoneum. |
Generate impression based on findings. | 44 year old female with history of left upper quadrant pain. Evaluate left retroperitoneum, with history of aortic tear from hardware. ABDOMEN:LUNG BASES: Left lower lobe thickening/scar at the site of prior sleeve gastrectomy. No significant pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEE... | 1.No evidence of aortic injury, however this exam was not tailored for specific evaluation of aorta.2.Postoperative findings as above.3.Ventral hernias, currently non-obstructive |
Generate impression based on findings. | 33 years, Female. Reason: 33F with chronic constipation and retained barium Percutaneous G tube noted. There is small residual contrast material noted in the right lower pelvis. Scattered postoperative changes. Nonobstructive bowel gas pattern. | There is small residual contrast material noted in the right lower pelvis. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 52 years old; Reason: driveline infection History: drainage at driveline ABDOMEN:LUNG BASES: Heart size is enlarged. There is a left ventricular assist device with a drive line coursing through the upper abdomen detailed below.LIVER, BILIARY TRACT: Liver is normal in morphology. Multiple small layering gallstones ... | 1.Mild skin thickening surrounding the exiting driveline in the subcutaneous tissues but no discrete fluid pocket to suggest an abscess.2.Cholelithiasis3.left adrenal lesion |
Generate impression based on findings. | Female 12 years old Reason: hx of SCT now presenting with fever History: cough, feverVIEWS: Chest AP/lateral (two views) 1/15/15 and 1950 hrs Central line terminates at the SVC. Cardiac silhouette size is normal. Left lower lobe streaky opacity, likely subsegmental atelectases. | Left total lobe streaky opacity is described. |
Generate impression based on findings. | 19-month-old male evaluate renal stones. 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* R... | 1.Renal stone previously seen in the inferior pole of the right kidney no longer evident.2.4-mm hyperechoic focus in the region of the right renal collecting system may represent a residual stone or possibly renal sinus fat. 3.No evidence of hydronephrosis or additional nephrolithiasis.*SFU grading system: Grade 0: No ... |
Generate impression based on findings. | 0-day-old male withplacementVIEW: Chest/Abdomen AP (two view) 01/16/15 Umbilical artery catheter tip is at the T10 level. Umbilical venous catheter is coiled with tip in the proximal umbilical vein. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Diffuse haziness may represent transient tachypne... | Umbilical venous catheter is coiled within the proximal umbilical vein. |
Generate impression based on findings. | Status post DHS A dynamic hip screw device affixes a nondisplaced fracture of the proximal femur in near-anatomic alignment. The fracture line is indistinct suggesting healing, appearing similar to the prior study. I see no hardware complications. Moderate osteoarthritis affects the hip joint. The bones overall appear ... | Orthopedic fixation of healing proximal femoral fracture. |
Generate impression based on findings. | 30 year old female status post proximal humerus fracture. Redemonstrated is a proximal humerus fracture. The glenohumeral joint is within normal limits. | Proximal humerus fracture. |
Generate impression based on findings. | 55 years, Male. Reason: Evaluate position of DHT History: TENS/SJS pt, new DHT Study limited by motion artifact and limited field of view. DHT tip in gastric body. Mildly dilated small bowel loops measuring up to 3.1cm, incompletely seen. | DHT tip in gastric body. Mildly dilated small bowel loops, suggestive of small bowel obstruction. |
Generate impression based on findings. | Female 12 years old Reason: assess ETT History: intubated in PICUVIEW: Chest AP (one view) 1/16/15 at 312 hours ET tube tip is at the carina. Feeding tube is present. Right upper extremity central line terminates at the RA/SVC junction. Cardiac silhouette size is top normal. Persistent left lower lobe opacity, likely a... | No change in left lower lobe opacity. |
Generate impression based on findings. | Fracture A plate and screw device affixes a comminuted fracture of the distal fibular diaphysis in near-anatomic alignment, with slight anterior translation of the distal fracture fragment relative to the proximal fracture fragment. I see no hardware complications. Early immature bone formation is noted along the fibul... | Orthopedic fixation of distal fibular and tibial fractures as above. |
Generate impression based on findings. | Head CT:Incidental note is made of a cavum septum septum pellucidum et vergae; otherwise the ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid co... | 1.Negative unenhanced brain CT.2.There is a nondisplaced fracture involving the angle of the left mandible medially, extending through the roots of ADA teeth 17 and 18. |
Generate impression based on findings. | 17 year-old female status post colonoscopy now with abdominal pain. Rule out perforation.VIEWS: Chest and abdomen AP, abdomen cross table lateral (3 views) 1/16/2015 01:44 Right femoral venous catheter with tip in the distribution of the right external iliac vein. Disorganized nonobstructive bowel gas pattern. No evide... | No evidence of pneumoperitoneum. |
Generate impression based on findings. | Female 7 months old Reason: f/u exam History: Status post liver transplant, intubatedVIEW: Chest AP (one view) 1/16/15 at 318 hours. Central line terminates at the right atrium. Feeding tube is noted. Reidentification of right upper abdominal quadrant surgical clips, IVC stent is again noted. ET tube terminates below t... | Interval right upper lobe atelectasis development. |
Generate impression based on findings. | 27-year-old female with fever, diarrhea, and leukocytosis. Evaluate for colitis. ABDOMEN:LUNG BASES: Mild bilateral basilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality noted... | 1.Perineal abscess draping along the medial buttocks bilaterally as above. Associated edema extends to the level of the anus. Evaluation of fistulization to the bowel is limited by CT and fluoroscopic study with contrast or MRI is recommended if clinically indicated.2.No CT evidence of colitis as clinically questioned. |
Generate impression based on findings. | Reason: hx of aneurysm, eval for enlargement/rupture History: HA, presyncope Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. There is a 5.4-mm by 5.4-mm axial dimension aneurysm present at the righ... | 1.Stable right middle cerebral artery aneurysm.2.No evidence for cerebral vascular occlusive disease.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | coiled basilar artery aneurysm which was recurred and ruptured. Recoiling of the aneurysm was performed on Dec 30 2014. Metallic artifacts due to basilar tip aneurysm coiling.Right frontal approach ventriculostomy catheter, the tip location is located on the right side foramen of Monroe.Remained IVH especially on bilat... | No evidence of new ischemic or hemorrhagic lesion on this scan.Marked metallic artifacts due to basilar tip aneurysm coiling.Remained IVH with ventriculostomy tube insertion status, stable ventricular system.Multifocal various aged ischemic lesions as described above. |
Generate impression based on findings. | 17 year-old male with fifth toe painVIEWS: Left fifth toe AP, oblique, and lateral (3 views) 01/14/15 There is ankylosis of the distal and mid phalanx of the fifth digit. No acute fracture or malalignment is evident. No osseous erosions to suggest osteomyelitis. | No acute fracture malalignment is evident. |
Generate impression based on findings. | Status post TSA Components of a right total shoulder arthroplasty device are situated in near anatomic alignment without specific radiographic findings to suggest hardware complication. Mild osteoarthritis affects the acromioclavicular joint. | Total shoulder arthroplasty as above. |
Generate impression based on findings. | Ms. White is a 53 year old female presenting for a short-term follow-up for a cluster of cysts in the left breast. She has a personal history of right breast lumpectomy in 2006 for IDC/DCIS followed by chemoradiation therapy. Three standard views of the left breast were performed digitally and reviewed with the aid of ... | Probably benign cluster of cysts in the left breast. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Left shoulder pain. No trauma or previous history. Increased with abduction. Rule out osteoarthritis or other causes. I see no frank osteoarthritic changes. The acromion is slightly low-lying with respect to the distal clavicle, but the acromiohumeral interval is preserved. I see no specific findings to account for the... | No specific findings to account for the patient shoulder pain. If further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | 65-year-old female with chest pain, d-dimer PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: There is a mosaic attenuation pattern. 4-mm right upper lobe micronodule (series 9 image 58) and focal linear scarlike opacity in the right upper lobe (series 9 image 66) have a benign appearance. Well mar... | 1. No pulmonary embolism or other acute findings to account for the patient's symptoms. 2. Mosaic attenuation pattern which may be from chronic pulmonary embolism, hypersensitivity pneumonitis, or small airways disease. PULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proxima... |
Generate impression based on findings. | 13-year-old female with symptomatic juvenile hallux valgusVIEWS: Left foot AP, oblique, lateral weight-bearing (3 views) 01/14/15 No acute fracture is evident. Hallux valgus deformity is present. | Hallux valgus deformity. |
Generate impression based on findings. | Altered mental status, CVA No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-axial collections. There... | 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. | Lumbago. Spondylosis? There is mild multilevel degenerative disk disease throughout the lumbar spine. Moderate to severe facet joint osteoarthritis affects the lower lumbar spine. There are minimal anterolistheses of L4 and L5. There is hypertrophy of the spinous processes with associated degenerative arthritic changes... | Degenerative disk disease and facet joint osteoarthritis as above. |
Generate impression based on findings. | 4-year-old male with abdominal distention on physical examVIEWS: Abdomen AP (one views) 01/15/15 Surgical sutures are seen in the left upper quadrant. Gaseous distention of small and large bowel. No evidence of obstruction. No pneumoperitoneum, pneumatosis intestinalis, or portal venous gas. | Nonspecific bowel gas pattern. |
Generate impression based on findings. | 44-year-old female status post left shoulder revision. Overlying splint material limits evaluation of fine osseous detail. Hardware components of a total shoulder arthroplasty are in gross anatomic alignment without radiographic evidence of hardware complication. There is a cortical step off along the proximal humerus ... | Postoperative changes of total shoulder arthroplasty as above. |
Generate impression based on findings. | Altered mental status, rule out stroke, bleed, infection No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Extensive area of hypoattenuation in the periventricular and subcortical white matter is nonspecific but favored to represent chronic ... | No acute intracranial findings; specifically 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. | 78 years, Female. Reason: evaluate new NG tube placement History: NG tube Study limited by motion artifact and exclusion of pelvis. Enteric tube tip in the gastric body. Air containing loops of small and large bowel noted. IVC filter at L3/4 level. | Enteric tube tip in the gastric body. |
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