instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Male, 63 years old.RFO trigger: R/O RFO. Emergent surgery. Suspected RFO location: n/a Name of suspected RFO: Instrument counts correctAttending Surgeon name/pager: eggener No unexpected radiopaque foreign body. NG tube with tip projecting just distal to the GE junction and side port projecting over the distal esophagu... | No expected radiopaque foreign body. NG tube side-port projects above the GE junction and should be advanced.Findings were discussed by telephone with the attending surgeon Dr. Eggener by the radiology resident on call at 6:08 PM on 5/12/2015. |
Generate impression based on findings. | Female 8 years old Reason: rule out fracture proximal radius or ulna History: outstretched right hand against wall today when running, increased pain and swellingVIEWS: Right wrist PA, oblique, and lateral (3 views) 5/12/2015 at 17:24Right forearm AP and lateral (2 views) 5/12/2015 at 17:33 There is soft tissue swellin... | Buckle fracture of the distal radius. |
Generate impression based on findings. | 69-year-old female with swelling, decreased ROM and pain. Evaluate for fracture. Left shoulder: 3 views of the left shoulder show a fracture through the surgical neck and greater tuberosity in the left humerus with fracture fragments in near anatomic alignment. Glenohumeral joint alignment is within normal limits. The ... | Proximal humerus fracture as described above. |
Generate impression based on findings. | Female 46 years old; Reason: hematuria History: hematuria ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. No evidence of fatty liver.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormalit... | 1.By CT, no findings to explain hematuria. |
Generate impression based on findings. | Female 5 years old Reason: s/p diaphragm repair History: DesatsVIEW: Chest AP (one view) 5/13/2015 at 04:56 Endotracheal tube tip is between the thoracic inlet and the carina. NG tube with its tip in the gastric antrum. Chest tube projects over the left hemithorax.The stomach is now within the abdomen with interval res... | 1.Right lung atelectasis or evolving pulmonary contusion. Stable left pneumothorax.2.Interval repair of diaphragmatic rupture. |
Generate impression based on findings. | 71-year-old male patient status post paracentesis with abdominal pain and ecchymoses. Question of hematoma. Lack of IV contrast limits evaluation of vascular structures and the solid parenchymal organs.ABDOMEN:LUNG BASES: Small bilateral pleural effusions with overlying atelectasis.LIVER, BILIARY TRACT: There is a smal... | 1. New large soft tissue collection along the anterior lateral left hemiabdomen likely represents a seroma.2. Decrease in ascites.3. Pancreatic mass and associated metastatic deposits are inadequately evaluated without IV contrast. |
Generate impression based on findings. | 39 year old female with back pain, vaginal bleeding after hysterectomy. Evaluate for stones or retroperitoneal hematoma. LUNGS BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules. LIVER, BILIARY TRACT: Liver and gallbladder are unremarkable.SPLEEN: No significant abnormality noted.PANCREA... | 1.Status post hysterectomy.2.3.1 cm left adnexal cystic lesion may represent an ovarian cyst, likely physiologic. If salpingo-oophorectomy was also performed, other considerations include postoperative seroma, lymphocele, or less likely abscess, evaluation for which is limited by lack of intravenous contrast. |
Generate impression based on findings. | 40-year-old male with shoulder pain, old injury, right radicular pain. Evaluate for fracture, dislocation, DJD Cervical spine: 3 views of the cervical spine show a congenital non-segmentation anomaly of C4 and C5. Small osteophyte formation projecting from the anterior aspects of C2, C5 and C6 vertebral bodies. There i... | Minimal degenerative changes and other findings as above. We see no fracture. |
Generate impression based on findings. | 11-year-old male with history of headache. Evaluate for shunt complication.VIEWS: Shunt series: Skull AP/lateral (two views), chest AP/lateral (two views), abdomen AP/lateral (two views) 5/12/2015, 2041 Ventriculostomy tube tip just to the left of midline in the middle cranial fossa. The shunt descends along the right ... | No evidence of extracranial shunt malfunction. |
Generate impression based on findings. | There is a minimally displaced punctate chip fracture involving the inferolateral margin of the right orbital rim. There is soft tissue emphysema within the preseptal space as well as emphysema and fat stranding extending along the lateral margin of the orbit into the extraconal post septal space. The globes appear in... | 1.Punctate chip fracture involving the inferolateral margin of the right orbital rim with adjacent fat stranding and emphysema that extends into the lateral post septal extraconal orbit that may represent infection or blood products. 2.Complete paranasal sinus opacification may represent sinusitis in the appropriate cl... |
Generate impression based on findings. | 5-year-old female patient status post car versus pedestrian injury with head trauma. MAXILLOFACIAL: There is a scalp hematoma overlying the midline forehead and soft tissue swelling about the left orbit and temple. There is a comminuted fracture of the left frontal and sphenoid bones along the superior aspect of the le... | 1.Complex comminuted fracture of the superior left bony orbit and adjacent left anterior cranial fossa floor structures involving the left superior orbital fissure/optic canal, with associated soft tissue swelling, proptosis, and thickening of the superomedial to lateral extraocular muscles.2.Slitlike ventricles and po... |
Generate impression based on findings. | There are stable postoperative changes related to posterior surgical fusion of T11-L3. Bilateral connecting rods and bilateral transpedicular screws at T11, T12, L2 and L3 are unchanged; the distal tip of the left L3 transpedicular screw is not definitely beyond the posterior cortex, but appears similar to prior. Luce... | 1.No evidence of acute fracture or subluxation.2.Stable postoperative findings related to fusion of T11-L3, without evidence of acute hardware complication.3.Stable chronic compression deformity of L1, with stable retropulsion of fracture fragments, resulting in mild/moderate narrowing of the bony spinal canal.4.Stable... |
Generate impression based on findings. | Female, 67 years old.RFO trigger: BMI over 40 and multiple surgical teamsSuspected RFO location: abdomen Name of suspected RFO: Instrument counts correctAttending Surgeon name/pager: zachary Body Mass Index (BMI): 47.04 No unexpected radiopaque foreign body. NG tube with tip projecting over the gastric fundus and side ... | No expected radiopaque foreign body. NG tube side-port projects above the GE junction and should be advanced.Findings were discussed by telephone with the attending surgeon Dr. Zachary by the radiology resident on call at 6:36 PM on 5/12/2015. |
Generate impression based on findings. | Female 5 years old Reason: Intubated, Rising Lactate History: IntubatedVIEW: Chest AP (one view) 5/12/2015 at 23:22 The endotracheal tube tip is between thoracic inlet and carina. NG tube is within the gastric antrum. A chest tube projects over the left hemithorax.The stomach is located in the thoracic cavity as seen o... | Increasing gaseous distention of the intrathoracic stomach from traumatic diaphragmatic rupture as seen on CT. Bilateral lower lobe opacities represent either pulmonary contusions or atelectasis. |
Generate impression based on findings. | 32-year-old female with fall, wrist pain, evaluate for fracture 3 views of the left wrist show no fracture or malalignment. There are no other findings to account for the patient's pain. | No fracture or other findings to account for the patient's pain. |
Generate impression based on findings. | 49-year-old female. Callback from screening mammogram for a 9 mm focal asymmetry in the right breast at the 12 to 1 o'clock position. A standard ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, un... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 62 year old male with hx pancreatitis, kidney tx. Abd pain, rigors. LUNGS BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Scarring is noted at the lung bases.LIVER, BILIARY TRACT: 1.5 cm hypoattenuating lesion approaching water density is unchanged, compatible with simple cyst. Gallb... | 1.Findings of acute pancreatitis demonstrating interval change in the pancreatic head, with increased edema and peripancreatic stranding. New hypoattenuating focus within the pancreatic head may indicate interval development of fluid collection or necrosis. Internal gas focus within the collection raises the question o... |
Generate impression based on findings. | 8-month-old female with history of right arm pain, limited range of motion.VIEW: Chest AP (one view) 5/12/2015 at 2135 The cardiomediastinal silhouette is within normal limits. No focal lung opacities or pleural effusions. The cardiac apex and stomach are on the left side.The right acromioclavicular joint appears widen... | Normal exam. |
Generate impression based on findings. | Acute respiratory failureVIEW: 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. Left lower lobe atelectasis not signif... | Left lower lobe atelectasis and probable small left pleural effusion not significantly changed. |
Generate impression based on findings. | 92-year-old female patient with abdominal pain, atrial fibrillation, lactic acidosis. Evaluate for intra-abdominal pathology. ABDOMEN:LUNG BASES: There is a small right and trace left pleural effusion. Moderate to severe centrilobular emphysema with fibrotic changes in the lung bases. There are bibasilar groundglass op... | 1. Dilated gallbladder with discontinuous wall enhancement and pericholecystic fluid is concerning for ischemic cholecystitis with perforation.2. Bibasilar ground glass opacity and consolidation which may represent infection.3. Cirrhotic morphology of the liver.4. High-grade stenosis of the celiac artery.5. Collapse of... |
Generate impression based on findings. | HPV+ invasive squamous cell carcinoma of the nasopharynx (T3N0). There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unchanged. The airway... | No evidence of locoregional tumor recurrence or significant lymphadenopathy in the neck. |
Generate impression based on findings. | RDSVIEW: Chest AP ET tube tip immediately above the carina. Umbilical venous catheter tip at the caval atrial junction. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally increased from prior study. Mild pulmonary interstitial emphysema again noted. No pleural effusion or pneumothorax. | Diffuse atelectasis increase from prior study. |
Generate impression based on findings. | Female 5 years old hip by car and thrown approximately 30 feet. Evaluate for intra-abdominal injury. ABDOMEN:LUNG BASES: The majority of the stomach extends through a diaphragmatic defect into the left thoracic cavity. Left pneumothorax and left chest tube with a small amount of adjacent soft tissue gas are incompletel... | 1.The majority of the stomach extends through a diaphragmatic rupture into the left thoracic cavity.2.Right adrenal hemorrhage.3.Devascularized or lacerated superior pole of the left kidney with perihilar free fluid which could represent urine or hemorrhage.4.Partially visualized left pneumothorax.5.Right lung opacitie... |
Generate impression based on findings. | DesaturationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube removed in the interval. The umbilical venous catheter tip at the cavoatrial junction. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally not significantly changed. Mild pulmonary interstitial emphysema not significan... | Diffuse atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | 32-year-old female with right knee pain after fall. Evaluate for fracture 4 views of the right knee show no fracture, malalignment or joint effusion. We see no findings to account for the patient's pain. | No fracture or other findings to account for the patient's pain. |
Generate impression based on findings. | 75 years, Male. Reason: eval g tub History: g tube placement Nonobstructive bowel gas pattern. Gastrostomy tube tip projects over the gastric body and appears similar in position to prior study.Lung bases are clear. Vascular calcifications are noted. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Breast carcinoma; abdominal pain and bloody stool. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant change in low attenuation lesion within the medial aspect of segment 5 of the right lobe of the liver best seen on image 47 of series 3 measuring 1.3 x 1.4 cm.SPLEEN: No significan... | Abnormal diffuse wall thickening involving the cecum and proximal colon. Would favor an acute inflammatory/infectious colitis over neoplasm. No abscess or obstruction.Mildly complex left adnexal cyst.No change in the right lobe worrisome low-attenuation focus; a metastatic etiology cannot be excluded. |
Generate impression based on findings. | 8-month-old female with history of right arm pain and limited range of motion status post extension and rotation traumaVIEWS: Right shoulder AP, with internal and external rotation (2 views) 5/12/2015 at 1952 No fracture or dislocation. | Normal exam. |
Generate impression based on findings. | 18 years, Female. Reason: abdominal pain History: abdominal pain Nonobstructive bowel gas pattern with average stool burden. Catheter overlies the expected course of the right iliac vein.Please refer to chest radiograph from the same day for additional details. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 79 years, Female. Reason: r/o ileus History: constipation Nonobstructive bowel gas pattern with average stool burden. Calcific densities in the left lower quadrant may represent phleboliths versus calcified lymph node. Lung bases are clear. Degenerative changes affect the lower lumbar spine. | Nonobstructive bowel gas pattern with average stool burden. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of right breast reduction and left benign breast biopsy. Two standard digital views of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. B... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then these can be used as ... |
Generate impression based on findings. | 24 years, Male. Reason: 24yo M w/ nausea/vomiting, r/o obstruction History: as above No evidence of intraperitoneal free air. There continues to be mildly prominent small bowel loops, however, these have improved since the prior study as well as the fold thickening seen previously. Bibasilar linear airspace opacities m... | No definite evidence of obstruction or intraperitoneal free air. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There is a small left maxillary mucosal retention cyst along the anterior wall. A larger mucosal retention cyst or polyp is present along the floor the right maxillary ... | 1. No significant paranasal sinus disease.2. Asymmetric fat stranding along the right posterior cervical triangle and deep to the right sternocleidomastoid muscle with focus of adjacent air along sternocleidomastoid muscle margin. Please correlate with any recent intervention.3. No evidence of cervical lymphadenopathy ... |
Generate impression based on findings. | 10 year old female status post left pial synangiosis for moyamoya. There are postoperative findings related to recent left temporal craniotomy for pial synangiosis procedure. There is decreased extra-axial blood products subjacent to the surgical site that now measure 4 mm in thickness, previously 5 mm. There is also d... | Postoperative findings related to recent left pial synangiosis procedure with decreased extra-axial and extracranial blood products and no midline shift or herniation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin in 50s. 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 patte... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 4-year-old female with history of pain. Evaluate for fracture.VIEWS: Right foot AP, lateral and oblique (3 views) 5/12/2015 at 2107 Oblique fracture through the great toe metatarsal diaphysis without subluxation or malalignment. Overlying soft tissue swelling is noted. No additional fracture. | Oblique fracture through the great toe metatarsal in near anatomic alignment. |
Generate impression based on findings. | DesaturationVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. The umbilical venous catheter is unchanged. Cardiothymic silhouette normal. Bilateral lung atelectasis minimally improved from prior study. Bilateral pulmonary interstitial emphysema more prominent. No pleural effusion or pneumothorax. | Bilateral pulmonary interstitial emphysema more prominent when compared to the prior study. |
Generate impression based on findings. | 65 years, Male. Reason: s/p DHT readjustment History: see above Dobbhoff tube projects in the region of the gastric cardia. Nonobstructive bowel gas pattern. | Dobbhoff tube should be advanced.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach are left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | 30-year-old male with foot pain unable to bear weight Mild soft tissue swelling over the dorsum of the foot. No acute fracture is evident. Although these are nonweightbearing views, there is suggestion of mild hallux valgus deformity. | No acute fracture or malalignment is evident. If further imaging is clinically warranted, MRI may be considered. |
Generate impression based on findings. | GE junction adenocarcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CORONARY ARTERY CALCIFICATION: None. CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Too small to characterize subcentimeter low-attenuation focus within ... | Negative for acute, inflammatory, or metastatic focus. |
Generate impression based on findings. | 77 years, Female. Reason: r/o ileus History: n/v Enteric tube is coiled in the stomach with tip projecting over the proximal gastric body. Nonobstructive bowel gas pattern with average stool burden. Right upper quadrant cholecystectomy clips are noted.Please refer to the chest radiograph from the same day for additiona... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | There are no areas of abnormal attenuation or pathological enhancement. The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. The ... | No evidence of flow-limiting stenosis, occlusion, or aneurysm. |
Generate impression based on findings. | Chronic sinusitis treated with multiple antibiotics and steroids, not improved. There is a 2 mm wide right maxillary sinus retention cyst. The paranasal sinuses are otherwise clear. There are bilateral Onodi cells and bilateral Haller cells, which are anatomic variants. The nasal cavity is clear. The nasal septum is de... | Aside from a punctate right maxillary sinus retention cyst, the paranasal sinuses and nasal cavity are clear. |
Generate impression based on findings. | Reason: PE? History: SOB, ddimer pos PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Mild, fine pattern of centrilobular emphysema predominantly upper lobes. Mild dependent atelectasis. Mild bibasilar scarring. Intrapulmonary lymph node noted. No pleural effusions or p... | No evidence of pulmonary embolus. Moderate centrilobular emphysema of the 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 Resident/Fellow and agree wit... |
Generate impression based on findings. | Patient with history of palate cancer, with neck pain There is a diffuse homogenous attenuation soft tissue lesion centered on the carotid space showing similar enhancement comparing to the degree of surrounding muscle. The soft tissue lesion is extending toward the left side parapharyngeal wall and posteromedially obl... | 1. Newly developed diffuse soft tissue thickening surrounding the left carotid bulb within the left carotid sheath. Diagnostic possibilities include recurrent tumor, post radiation/treatment changes and carotidynia. Neck MRI with and without contrast enhancement may be considered for further imaging evaluation.2. Norma... |
Generate impression based on findings. | 63-year-old female with renal cell cancer with lung and liver metastases. CHEST:LUNGS AND PLEURA: Multiple scattered parenchymal lung nodules are again seen subjectively unchanged. The reference nodules are measured as follows:Left upper lobe nodule (series 6, image 27) measures 0.8 x 0.9 cm, previously 0.8 x 11.0 cm.R... | 1. Widespread and diffuse metastatic disease with with minimal change since 3/28/2015. Majority of lesions are stable in size with some reference measurements noted above minimally increasing in size.2. Due to enhancement characteristics of surrounding liver parenchyma, evaluation of the enhancing liver masses could no... |
Generate impression based on findings. | Invasive squamous cell carcinoma of the base of the tongue; screening exam prior to clinical trial. Head: There is no evidence of intracranial mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged parana... | 1. An infiltrative mass that measures up to approximately 35 mm that is centered in the right tongue base with extension posteriorly across the glossopharyngeal sulcus, extension laterally into the pterygoid musculature, and extension anteriorly into the oral tongue, but no evidence of extension across the midline, is ... |
Generate impression based on findings. | Reason: Increased chest pain and nausea w/concern for recurrent breast cancer; please evaluate History: See Above. CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules/nodules, unchanged. No new pulmonary nodules or masses. Left upper lobe subpleural scarring and atelectasis likely relate... | 1.New left internal mammary chain mildly enlarged lymph node with possible overlying sternocostal junction involvement. Osseous involvement can be further evaluated with bone scan if clinically indicated. 2.Stable left femoral head destructive metastasis. |
Generate impression based on findings. | Reason: h/o left neck melanoma History: s/p surgery, r/o recurrence. Head: There is no evidence of intracranial mass or abnormal enhancement. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sin... | 1. No definite evidence of measurable melanoma recurrence in the neck. 2. No evidence of intracranial metastases. |
Generate impression based on findings. | There are no areas of abnormal attenuation or pathological enhancement. There are moderate atherosclerotic changes in the cavernous and supraclinoid segments of the bilateral internal carotid arteries, left greater than right, with associated scattered mild narrowing of the intracranial portions of the left internal c... | 1.Expected postsurgical changes from left endarterectomy without evidence of complication.2.Atherosclerotic changes with 60% stenosis of the proximal right internal carotid artery.3.Atherosclerotic changes and moderate stenosis of the V4 segment of the right vertebral artery.4.Atherosclerotic changes of the intracrania... |
Generate impression based on findings. | 34-year-old female. History of high-grade DCIS status post left lumpectomy with reexcision and complete mastectomy. Patient reports having right breast reduction surgery done this past year. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 C... | 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. | Buttock and thigh pain.VIEWS: Right femur AP/lateral (two views) 05/13/15 The femur is normal in appearance. No fracture is identified. | Normal examination. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex is left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Reason: ro PE History: postpartum SOB PULMONARY ARTERIES: Mildly limited due to patient habitus. No evidence of pulmonary embolus to the level of the segmental arteries.LUNGS AND PLEURA: Patchy alveolar opacity of the right lung, predominantly in the middle and lower lobes. Small pleural effusions bilaterally, right gr... | 1.No evidence of pulmonary embolus.2.Diffuse alveolar opacity predominantly of right middle and lower lobes with bilateral lower lobe consolidation and small pleural effusions. Findings may represent alveolar edema or infection.3.Mild cardiomegaly may reflect postpartum status but follow up PA and lateral chest radiogr... |
Generate impression based on findings. | 36 year old female with epigastric, RUQ pain. Eval for intraabdominal pathology. LUNG BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules. LIVER, BILIARY TRACT: Liver enhances homogenously without focal lesion. Low density gallbladder wall thickening without gallstones or other findings. ... | Gallbladder wall thickening, better evaluated on same-day right upper quadrant ultrasound without other abnormality to suggest etiology. Thickening can be seen in cholecystitis, but is nonspecific. If diagnosis for acute cholecystitis remains equivocal clinically, HIDA scan may be considered. |
Generate impression based on findings. | Alcoholic cirrhosis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic morphology. 0.4 cm transiently enhancing focus without obvious washout within the peripheral aspect of segment 8 of the right lobe of the liver best seen on image 15 of series 9. Scattered granulomas. No ductal dilat... | Cirrhotic liver morphology. Subcentimeter right lobe transiently enhancing focus without obvious washout; while a benign perfusion etiology is favored, would pay special attention to this lesion on future surveillance scans.No ductal dilatation. Mild splenomegaly. No ascites. |
Generate impression based on findings. | 10 year old female status post pial synangiosis procedure for moyamoya now with decreased responsiveness. There are unchanged postoperative findings related to recent left temporal craniotomy for pial synangiosis procedure. There are unchanged extra-axial blood products subjacent to the surgical site that measure 4 mm ... | Unchanged postoperative findings related to recent left pial synangiosis procedure with unchanged extra-axial and extracranial blood products and no midline shift or herniation. If there is concern for acute ischemia, an MRI brain is suggested. |
Generate impression based on findings. | PICC placement. Epilepsy.VIEW: Chest AP (one view) 05/13/15, 0830 Right upper extremity PICC tip is in right atrium. Vagal nerve stimulator device is in the left chest with leads extending into the midline neck. A gastrostomy tube is present. Coils are seen at the GE junction.Cardiothymic silhouette is normal. The aort... | Right upper extremity PICC tip is in right atrium. |
Generate impression based on findings. | 1-day-old male born at 29 weeks' gestation. Confirm line placement.VIEW: Chest AP and Abdomen AP (2 views) 5/12/2015 at 18:54 Chest: The cardiothymic silhouette is normal. The cardiac apex and stomach are on the left. Diffuse bilateral granular opacities represent atelectasis of surfactant deficiency.Abdomen: Umbilical... | Umbilical artery catheter terminates at T9. Bilateral lung opacities of respiratory distress syndrome. |
Generate impression based on findings. | 72 year old male with head and neck cancer evaluate for treatment, please provide measurements. Evaluate pancreatic mass. Evaluation of the mid abdomen is limited by streak artifact from right abdominal wall spinal stimulator device and L4-5 orthopedic posterior spinal fixation hardware.LUNG BASES: No focal consolidati... | Nonspecific cystic lesion of the uncinate process, most likely representing an IPMN. |
Generate impression based on findings. | 78-year-old female. History of right mastectomy for IDC. No current breast complaints. 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 distribution. A linear marker w... | 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent... | No acute abnormality. Mild/moderate chronic small vessel ischemic changes. |
Generate impression based on findings. | 61-year-old male patient with right lower quadrant pain, vomiting, prior kidney cancer. Question of appendicitis or recurrent cancer. ABDOMEN:LUNG BASES: Minimal dependent basilar atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion is seen.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormal... | 1. 3 mm obstructing right ureteral calculus at the level of the ureterovesical junction with associated hydroureteronephrosis and perinephric inflammatory change.2. Non-obstructing right nephrolithiasis.3. Normal appendix. |
Generate impression based on findings. | 1-year-old male born at 29 weeks' gestation, evaluate ET tube placementVIEW: Chest AP and abdomen AP (2view) 5/12/2015 at 19:42 Chest: There has been interval intubation with the ET tube tip below the thoracic inlet and above the carina. Diffuse bilateral granular lung opacities are unchanged.Abdomen: Umbilical artery ... | ET tube below the thoracic inlet above the carina. Diffuse bilateral opacities of respiratory distress syndrome. |
Generate impression based on findings. | Images are limited by patient motion. There is only minimal 2 mm nodular enhancement remaining abutting the dural surface in the area of the previously seen ring-enhancing lesion of the right paramedian frontal lobe (1401/69). In the location of the previous left cerebellar ring-enhancing lesion, there is also 3 mm pu... | 1. Interval significant decreased size of right frontal and left cerebellar enhancing metastases, now only punctate nodules. No new enhancing lesions identified.2. Stable appearance of extensive encephalomalacia with areas of hemosiderin deposition, likely posttraumatic.3. Stable appearance of right frontal and smaller... |
Generate impression based on findings. | Reason: eval lung fields History: cp, sob PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Mild bronchial thickening. No pleural effusions or pneumothorax. No suspicious nodules or masses.MEDIASTINUM AND HILA: Cardiac size is within normal limits. No pericardial effusio... | No evidence of pulmonary embolus. Mild bronchial thickening, suggestive of bronchitis. Mild bilateral mediastinal and hilar lymphadenopathy is somewhat disproportionate to degree of airway thickening but most likely to be infectious. Conservative CT follow up in 3 month suggested to confirm resolution.PULMONARY EMBOLIS... |
Generate impression based on findings. | 12-year-old female with abdominal pain.VIEW: Abdomen AP (one view) 5/12/2015 at 20:53 Disorganized nonspecific bowel gas pattern without evidence of obstruction. There is gaseous distention of the colon. No free air or ascites. | Normal examination. |
Generate impression based on findings. | The study is limited secondary to significant motion artifact. The ventricles and sulci are unremarkable. There is no midline shift or mass effect. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventricular and subcortical white matter, consistent with moderate... | Limited study secondary to patient motion and inability to complete the exam. Contrast enhanced images were not obtained. No diffusion abnormality to suggest acute infarction. Chronic lacunar infarcts and small vessel ischemia appears similar to prior. Unable to assess meningeal enhancement or acute hemorrhage. |
Generate impression based on findings. | 17-year-old female with history of pelvic pain/thigh pain.VIEWS: Pelvis AP and frog-leg (2 views) 5/13/2015 at 0307 No fracture or dislocation. The femora are well directed into the acetabula. Small amount of stool is seen within the colon. | Normal examination. |
Generate impression based on findings. | Reason: PE History: chest pain; colon cancer, ascites and carcinomatosis PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Mild dependent atelectasis and lung base scarring. Scattered pulmonary micronodules. Small pleural effusions.MEDIASTINUM AND HILA: Cardiac size is w... | No evidence of pulmonary embolus. Scattered pulmonary micronodules. Partially imaged known carcinomatosis..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 Resident... |
Generate impression based on findings. | Followup T4aN0 squamous cell cancer, status post chemo RT completed in June of 2014. There are post-treatment findings in the neck, including diffuse pharyngeal mucosal edema. There is no evidence of a residual measurable supraglottic mass. There is no significant airway narrowing. There is no significant cervical lymp... | Post-treatment findings in the neck without evidence of measurable residual supraglottic mass. No evidence of significant cervical lymphadenopathy by size criteria. |
Generate impression based on findings. | 32-year-old female patient with right lower quadrant pain, tenderness, vomiting. Question of appendicitis. 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 si... | 1. Non-visualization of the appendix though no significant peri-cecal inflammatory changes to suggest acute appendicitis.2. No other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 5-year-old female patient with known facial fractures and unresponsiveness. HEAD:There is hyperattenuating material along the right convexity that measures up to 3 mm in thickness, compatible with a subdural hematoma. Some of this blood product appears to be layering along the right tentorium. Previously seen focus of ... | 1.Slitlike ventricles and small cisterns raises question for a component of diffuse edema. Recommend continued follow-up imaging.2.Subdural hematoma along the right cerebral convexity is not significantly changed from prior and there is blood product that is favored to be layering along the right tentorium.3.Stable com... |
Generate impression based on findings. | 15-year-old male with history of left-sided pain.VIEWS: Pelvis AP, frog-leg (2 views) 5/13/2015 at 0258 No fracture or dislocation. The proximal femora are well directed into the acetabula. Small amount of stool within the colon. | Normal examination. |
Generate impression based on findings. | History of horseshoe kidney and repeat UTI. BLADDER Wall Thickness: Normal Contents: Decompressed post catheterization. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: NormalKIDNEYS Cortical Echogenicity: 6 mm renal stone is again seen at the superior pole of the right kidn... | Nonobstructing right superior pole 6 mm nephrolith, without hydronephrosis. Horseshoe kidney.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Gr... |
Generate impression based on findings. | 32 years, Female. Reason: Obstructive gas pattern? History: abdominal pain in colon cancer Nonobstructive bowel gas pattern with average stool burden. Contrast is noted within the bladder and bilateral renal collecting systems presumably from recent contrast-enhanced CT chest study. Lung bases are clear. Please refer t... | Nonobstructive bowel gas pattern.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 44-year-old female patient with history of potential coagulation disorder and IVC filter placement. No shortness of breath or chest pain. Evaluate IVC filter and any clot surrounded it. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: The gallbladder is surgically absent.SPLEEN: No significant... | IVC filter in place; phase of contrast is suboptimal for evaluation of clot burden, however, no obvious thrombus is identified. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP Gastrostomy tube in place. Multiple surgical clips in the left upper quadrant. There is a cecostomy tube at the right lower quadrant. Large amount of fecal burden. There is a linear radiopaque density projected in the midline at the lower thoracic region and may be external in location or r... | Large amount of fecal burden. |
Generate impression based on findings. | 5-year-old female trauma victim. Evaluate for fracture.VIEWS: Cervical spine lateral (1 views) 5/12/2015 at 18:33Chest AP (1 view) 5/12/2015 at 18:29Pelvis AP (1 view) 5/12/2015 at 18:31 Cervical spine: There is straightening of the cervical spine which may be due to positioning. OG and ET tubes are in place. Vertebral... | 1.Ossific densities anterior to C1 and C2 are concerning for fracture and further evaluation with cervical spine CT is recommended.2.Elevation of the left hemidiaphragm and lucency projecting over the left lung base which represents pneumothorax, stomach or combination of both.3.Left basilar opacities from either atele... |
Generate impression based on findings. | Increased neck and chest pain/concern for recurrent breast cancer and recent left internal jugular vein DVT; evaluate for progression. There is further interval increase in size of multiple left neck lymph nodes, many of which now appear to be partly necrotic. For example, a left level 3 lymph node measures 12 x 15 mm,... | 1. Interval increase in size of the left neck lymphadenopathy, which likely represents progression of recurrent breast cancer metastases.2. Partially-imaged persistent stranding in the left upper chest and lower neck subcutaneous tissues and left axilla, with thickening of the overlying skin may represent post-treatmen... |
Generate impression based on findings. | Follicular non-Hodgkin's lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCORONARY ARTERY CALCIFICATION: None. CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormalit... | Negative for acute, inflammatory, or neoplastic process. No adenopathy. |
Generate impression based on findings. | 62-year-old female with pain Posterior stabilization device with screws entering L2, L3, L4, and L5 with no evidence of hardware complication. There is mature bone graft along the posterolateral aspects of the lumbar spine bilaterally. Increased density within the intervertebral disc spaces suggests some interbody fusi... | Postoperative and degenerative changes as described above. |
Generate impression based on findings. | 52-year-old with history of right benign biopsy in 2014 presents for follow-up exam. No current breast 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 elements. Percutaneously placed clip is... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 58-year-old female patient with infected surgical wound. Evaluate for postop abscess, other acute intra-abdominal pathology. ABDOMEN:LUNG BASES: Minimal dependent atelectasis.LIVER, BILIARY TRACT: Cirrhotic morphology of the liver is again noted. No focal hepatic lesion is identified. The gallbladder is surgically abse... | Small pocket of fluid and air within the right upper abdominal wall is likely post-surgical. Underlying soft tissue stranding is noted; if there is clinical concern for a sinus tract or enterocutaneous fistula, a sinogram may be considered. |
Generate impression based on findings. | 11-year-old male with left finger fracture status post CRPP 3 views of the fourth finger demonstrate 2 orthopedic pins affixing a fracture of the head of the middle phalanx in near anatomic alignment. Periosteal reaction suggests an attempt at healing. | Orthopedic fixation of healing phalangeal fracture. |
Generate impression based on findings. | Mediastinal mass. There is partially-imaged bulky mediastinal lymphadenopathy. There are also enlarged supraclavicular and level 4 lymph nodes. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unremarkable. The airways are patent. The imaged intra... | Partially-imaged bulky mediastinal lymphadenopathy and enlarged supraclavicular and level 4 lymph nodes are compatible with lymphoma. |
Generate impression based on findings. | 74-year-old male Reason: follow up of renal stone and hydronephrosis History: follow up of previous hydronephrosis. RIGHT KIDNEY: The right kidney measures 9.4 cm in length. There is no hydronephrosis or shadowing renal calculus.LEFT KIDNEY: The left kidney measures 9.3 cm in length. There is no hydronephrosis or shado... | No hydronephrosis or shadowing renal calculus. |
Generate impression based on findings. | 58 year old female with history of MM; pre auto-sct evaluation SKULL: 2 views of the skull reveal no discrete myelomatous lesions.CERVICAL SPINE: 2 views of the cervical spine reveal no discrete myelomatous lesions. Mild anterior osteophyte formation compatible with mild degenerative changes, otherwise alignment is ana... | No discrete myelomatous lesions. Mild degenerative changes as above. |
Generate impression based on findings. | Pain There is approximately 20 degrees of dextroscoliosis of the thoracolumbar spine as measured from the superior endplate of T12 to the inferior endplate of L5. There is elevation of the left hemipelvis relative to the right on this weightbearing study. Moderate facet joint osteoarthritis affects the lower lumbar spi... | Degenerative arthritic changes and mild scoliosis as described above. |
Generate impression based on findings. | 85 year old male with hx of urothelial carcinoma in right upper tract s/p radical nephrectomy and radical cystectomy, evaluate for metastatic disease. LUNG BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Minimal dependent atelectasis.LIVER, BILIARY TRACT: Liver enhances homogenously ... | 1.No evidence of tumor recurrence or metastasis.2.Stable postsurgical changes related to right nephrectomy and cystoprostatectomy with ileal conduit formation and right lower quadrant ostomy.3.Large parastomal hernia containing a loop of large and small bowel. |
Generate impression based on findings. | 14-year-old male with an anterior mediastinal mass. Evaluate for abdominal or pelvic involvement. ABDOMEN:LUNG BASES: Mild right basilar atelectasis. No pleural effusion, pneumothorax, or pulmonary nodule is seen.LIVER, BILIARY TRACT: The liver is enlarged and measures 16.8 cm in length at the midclavicular line. It en... | 1.Mild hepatomegaly.2.No abnormally enlarged lymph nodes by CT criteria in the abdomen or pelvis. |
Generate impression based on findings. | 72-year-old female with large STM over 4th toe at MTPJ/PIPJ right foot for approximately 2 month. Evaluate for bone involvement of STM 4th toe right foot 3 views of the right foot reveal no abnormality of the bones or soft tissues. Mild osteoarthritis affects the first MTP joint. No fracture or malalignment. | Mild osteoarthritis as above. |
Generate impression based on findings. | Airway compromise, possible substernal goiter. There is diffuse enlargement of the thyroid gland with multiple nodules in the right lobe and isthmus. There is associated tracheal deviation to the left and narrowing of the trachea to a minimum of 12 mm in width. The right lobe of the thyroid extends to the level of the ... | 1. Multinodular goiter with narrowing of the trachea to a minimum width of 12 mm. In addition, the right lobe of the thyroid extends to the level of the thoracic inlet and to the level of the hypopharynx, which is also mildly narrowed.2. Findings related to multiple systems atrophy. Please refer to the prior brain MRI ... |
Generate impression based on findings. | Status post cervical fusion Again seen are posterior stabilization rods with screws entering the C3, C4, C5, C6, T1, and T2 vertebrae. The tips of the T1 screws overlie the C7/T1 intervertebral disc space. I see no acute hardware complications. Severe degenerative disc disease affects C4/5, C5/6, and C6/7. Relatively m... | Postoperative changes of cervicothoracic fusion appearing similar to those seen on the prior study. |
Generate impression based on findings. | There is redemonstration of a round, well-demarcated lesion in the left posterior temporooccipital white matter, which demonstrates a peripheral rim of T2/susceptibility hypointensity with T2 hyperintensity centrally, which is similar in size in axial dimension, however, appears slightly contracted in the craniocaudal... | 1.Slight cranio-caudal contraction of the well-demarcated lesion in the left posterior temporooccipital white matter; no new lesion is identified.2.Mild chronic small vessel ischemic disease appears grossly similar to prior. |
Generate impression based on findings. | 56 are old female Reason: Acute on chronic renal failure in cirrhotic History: Acute on chronic renal failure in cirrhotic . RIGHT KIDNEY: The right kidney is 11.0 cm in length. Renal parenchyma is mildly increased in echogenicity which may reflect medical renal disease. There is no evidence of hydronephrosis or shadow... | 1.Increased echogenicity of the bilateral renal cortices may reflect medical renal disease. No evidence of hydronephrosis or shadowing renal calculus.2.Cirrhotic liver with a moderate amount of ascites. |
Generate impression based on findings. | 83-year-old female patient status TEVAR 1/1/2015. Surveillance of endografts. CHEST:LUNGS AND PLEURA: Right basilar atelectasis noted. Moderate upper lobe predominant paraseptal and centrilobular emphysema is seen.MEDIASTINUM AND HILA: The ascending aorta appears within normal diameter and is unchanged. The origins of ... | 1. Redemonstration of a thoracic aortic stent graft with a type III endoleak, appearing similar to the prior study.2. Stable appearing infrarenal abdominal aortic aneurysm.3. Unchanged saccular outpouching of the right common iliac artery, presumably a partially thrombosed conduit. |
Generate impression based on findings. | Male 53 years old Reason: Patient with continued LFT abnormalities but now obstructive picture. Eval for biliary and gall bladder pathology, and blood flow/clots in major blood vessels around liver. History: elevated LFTs, icterus LIVER: Liver is enlarged and measures 20.4 cm in length. The parenchyma is moderately coa... | 1.Hepatomegaly with moderately coarse and echogenic liver parenchyma without intra or extrahepatic biliary ductal dilatation. No ascites. Patent hepatic inflow and outflow vessels with normal flow.2.Layering biliary sludge in the gallbladder without gallbladder wall thickening, pericholecystic fluid, or shadowing galls... |
Generate impression based on findings. | 79 year old female with known benign calcifications presents for annual mammogram. Family history of breast carcinoma in her mother diagnosed at age 40. No current breast 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... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.