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Generate impression based on findings. | Male 61 years old Reason: of liver, evaluate TIPS patency History: same LIVER: The liver has a nodular contour with a coarsened echotexture consistent with cirrhosis. The liver measures 10.4 cm in length. There is no ascites. There is no focal mass.BILIARY TRACT: Status post cholecystectomy. No intrahepatic or extrahep... | 1.Patent TIPS. There is hepatopedal flow at the undivided left portal vein. No ascites. Remaining hepatic inflow and outflow vessels are patent with normal flow.2.Cirrhotic liver with no focal mass. |
Generate impression based on findings. | Left thumb metacarpal reconstruction for giant cell tumor. Evaluate for healing of intercalary ICBG. Again seen is a plate and screw device affixing bone graft to the first metacarpal in near anatomic alignment. I see no hardware complication. Osteotomy margins are indistinct suggesting healing. Small lucent foci in th... | Orthopedic fixation of first metacarpal bone graft appearing similar to the prior study. |
Generate impression based on findings. | Reason: r/o craniosynostosis History: poor head growth and premature closure of anterior fontanelle Please note that this is not a dedicated craniofacial CT. Exam is limited secondary to motion.The metopic suture is fused, as expected. The sagittal and lambdoid sutures remain open. There is patency of the coronal sutur... | Exam is limited secondary to motion. Grossly, the expected sutures appear patent, with suggestion of very minimal patency of the anterior fontanelle, which is within normal limits for age. The posterior fontanelle is closed. If further follow-up imaging is clinically warranted, consider dedicated craniofacial CT. |
Generate impression based on findings. | Clinical question: 8 month old with immunodeficiency undergoing allogenic stem cell transplant. Signs and symptoms: Rule out infection/abnormalities. Nonenhanced maxillofacial CT:Ethmoid sinuses are developed and without evidence of disease.Maxillary sinuses are developed however small and with intravenous of minimal m... | 1.The frontal and sphenoid sinuses are not developed.2.Minimal mucosal thickening bilateral maxillary sinuses and with compromise bilateral ostiomeatal units.3.Well-pneumatized ethmoid sinuses, bilateral mastoid air cells and middle ear cavities and unremarkable images through the nasal passage.4.Extensive left and to ... |
Generate impression based on findings. | 17-year-old male with ankle inversion injury 2 days ago.EXAMINATION: Right ankle AP, oblique, and lateral (3 views) 5/13/2015 at 09:35Right tibia and fibula AP and lateral (2 views) 5/13/2015 at 09:27 Right ankle: There is an ankle joint effusion and soft tissue swelling most prominent along the lateral malleolus. Fain... | Right ankle joint effusion and soft tissue swelling. Faint lucency in the distal fibula may be a normal variant however fracture cannot be entirely excluded. If the patient has persistent pain follow-up radiographs may be obtained in 7-10 days to confirm this finding. |
Generate impression based on findings. | AORTOGRAM: Normal caliber infrarenal aorta with no evidence of stenosis or aneurysm. PELVIC ANGIOGRAM: On the right, the common, and external iliac arteries are widely patent. The internal iliac artery is chronically occluded. There is a stent in the external iliac artery which is widely patent. On the left, the commo... | Aortogram and right lower extremity angiogram with findings as noted above.PLAN: The patient will follow-up with vascular surgery to discuss surgical options for her ischemic rest pain. |
Generate impression based on findings. | 66 year old female with pleural and peritoneal mesothelioma s/p resection, on observation, eval EOD, compare to previous. LUNG BASES: Trace right pleural effusion. No suspicious pulmonary nodules. Prominent intercostal lymph node seen posteriorly and other smaller intercostal lymph nodes are not significantly changed. ... | 1.No measurable metastatic disease in the abdomen or pelvis. Small amount of perihepatic ascites is seen unchanged.2.Dedicated chest CT is dictated separately. |
Generate impression based on findings. | Reason: altered mental status History: altered mental status The exam is slightly limited secondary to motion. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are promi... | 1.No evidence of intracranial hemorrhage. 2.Slight progression of periventricular and subcortical white matter hypoattenuation, likely representing chronic small vessel ischemic changes. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued... |
Generate impression based on findings. | 44-year-old female. Patient had an right breast intraductal mass at the 4 o'clock position on outside hospital imaging, presents for ultrasound-guided biopsy. Patient reports history of nipple discharge. Evaluate for papilloma versus IDC. Right breast ultrasound re-identified the target lesion for biopsy. The lesion to... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 71 year old with history of right lumpectomy 8/2013 for IDC and DCIS followed by radiation. No current breast complaints. Three standard views of both breasts and two spot magnification views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scat... | 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. |
Generate impression based on findings. | 50-year-old male with diabetic foot infection, ulcer on R middle toe with purulence, erythema and edema. There is diffuse soft tissue swelling with irregularity of the soft tissues of the third toe compatible with ulceration. There is osteolysis of the tuft of the distal phalanx of the third toe compatible with osteomy... | Osteomyelitis of the distal phalanx of the third toe and other findings as above.Findings were discussed with Dr. Mary Clare Masters by phone on 5/13/2015 at 11:40 AM. |
Generate impression based on findings. | 9-month-old male with Nezelof syndrome, immunodeficiency undergoing allogenic stem cell transplant. Evaluate for infection or other abnormalities prior to transplant. CHEST:LUNGS AND PLEURA: No focal opacities or pleural effusion.MEDIASTINUM AND HILA: No pericardial effusion or significant lymphadenopathy. Heart size w... | Normal examination. |
Generate impression based on findings. | 63-year-old male patient with abdominal pain, fever. LVAD status post subtotal colectomy. Lack of IV contrast limits evaluation of vascular structures and solid parenchymal organs.ABDOMEN:LUNG BASES: Severe coronary artery calcifications are noted. A left ventricular assist device is in place; the left afferent cannula... | 1. Status post right and transverse partial colectomy with an ileostomy and mild disproportion of the proximal to distal small bowel loops.2. Small amount of ascites is unchanged. |
Generate impression based on findings. | Clinical question: Biliary vision and double vision. Signs and symptoms: Headache and blurry vision. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Cerebral cortex, cortical sulci, ventricular system, CSF spac... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 69 years, Female. Reason: Hx of recent colonoscopy here with abd pain History: RLQ abd pain Nonobstructive bowel gas pattern with above average stool burden.Degenerative changes of the lower lumbar spine.Cardiomegaly. Lung bases are clear. | Nonobstructive bowel gas pattern with above average stool burden.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 35 years, Male. Reason: check NJ tube position History: NJ tube; pancreatitis Enteric tube with tip in distribution of the gastric antrum. Incompletely imaged bowel gas pattern with a dilated loop of small bowel in the left upper quadrant. Lung bases are clear. | Enteric tube with tip in the distribution of the gastric antrum. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Follicular NHL on observation. 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. There is multilevel degenerative spondylosis of the cervical spine. The airways ar... | No significant lymphadenopathy in the neck to suggest active lymphoma. |
Generate impression based on findings. | 14-year-old male with history of recent PICC placement. Chest mass.VIEW: Chest AP (one view) 5/13/2015, 1032 Interval right upper extremity PICC placement, with tip projecting over the superior vena cava. No pneumothorax, pleural effusion or pulmonary consolidation. The cardiomediastinal silhouette is unchanged, with m... | Interval right upper extremity PICC placement with tip overlying the superior vena cava. |
Generate impression based on findings. | Thymic neuroendocrine carcinoma, status post resection. There are postoperative findings in the upper mediastinum and subtotal thyroidectomy. There is a no evidence of measurable mass lesions or significant lymphadenopathy in the neck. However, a subcentimeter right paratracheal lymph node appears stable to slightly la... | 1. Postoperative related to thymic tumor resection and subtotal thyroidectomy with a nonspecific subcentimeter right paratracheal lymph node that appears stable to slightly larger, although artifact limits precise evaluation.2. Persistent consolidation and architectural distortion of the lung apices suggestive of radia... |
Generate impression based on findings. | Female, 49 years old.RFO trigger: Organ Transplant Suspected RFO location: upper abdomen Name of suspected RFO: Sponges, sharps, Instruments miscellaneous Attending Surgeon name/pager: Millis 8217 Body Mass Index (BMI): 35.36 No unexpected radiopaque foreign object. Surgical drain in place with tip in the right upper q... | No expected radiopaque foreign object.Findings were discussed by telephone with the attending surgeon, Dr. Millis at 11:30 AM on 5/13/2015. |
Generate impression based on findings. | 74 year old female status post right lumpectomy in July 2014 for DCIS and ADH and left lumpectomy for invasive ductal carcinoma and DCIS in 2011, presents today for routine follow up. Patient has undergone radiation and hormonal therapy with tamoxifen. No current breast complaints. Three standard views of both breasts ... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Pain to left radial side. Left wrist injury. Evaluate for fracture. I see no fracture, malalignment, or other 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. | Pain. Follow-up fifth metatarsal fracture. Again seen is a transverse fracture through the base of the fifth metatarsal with fracture fragments in near-anatomic alignment. Slight widening of the fracture plane may reflect physiologic resorption of healing. Otherwise the fracture appears similar to that seen on the prio... | Fifth metatarsal fracture as above. |
Generate impression based on findings. | 56 year old with history of left lumpectomy for IDC in 2011. Patient received radiation and chemotherapy. History of breast carcinoma in paternal cousin. No new 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 ... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 34-year-old female with abdominal pain. Evaluate gallbladder. Cholelithiasis. No gallbladder wall thickening or pericholecystic fluid. Negative sonographic Murphy's sign. No extrahepatic biliary ductal dilatation. The common duct measures 5 mm. The distal common duct is not visualized due to overlying bowel gas. | Cholelithiasis without evidence of cholecystitis. If further investigation of the common duct is clinically indicated, MRCP would be recommended. |
Generate impression based on findings. | Neck stiffness. The cervicothoracic junction is not well-seen on the lateral view due to overlying anatomy. Severe degenerative disc disease affects C6/7. Moderate to severe degenerative disc disease affects C5/6. Mild to moderate degenerative disc disease affects C3/4. There is also mild multilevel facet joint osteoar... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | Male 43 years old Reason: 43M with recurrent pancreatitis and large pancreatic pseudocyst History: Pancreatic pseudocyst ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Previously measured cystic lesion near the tail of the pancreas measures 1.3 x 1.1 cm... | 1. Interval near resolution of the large pseudocyst near the uncinate process. Small cystic lesion in the body of the pancreas is stable. Follow-up imaging in 3-6 months is recommended |
Generate impression based on findings. | 12-year-old male. Evaluate for pes planus.EXAMINATION: Left foot AP, oblique, and lateral weight bearing (3 views) 5/13/2015 at 09:57Right foot AP, oblique, and lateral weight bearing (3 views 5/13/2015 at 09:48 Bilateral pes planus deformity. No acute fracture or malalignment. | Bilateral pes planus deformity. |
Generate impression based on findings. | Radiculopathy Again seen is ankylosis of the sacroiliac joints as well as the L1, L2, and L3 vertebral bodies. I suspect that there is also ankylosis of the facet joints of the lumbar spine, particularly at the lower lumbar levels, where there are additional bony hypertrophic changes. Mild degenerative disc disease als... | Findings compatible with ankylosing spondylitis with additional degenerative arthritic changes as described above. |
Generate impression based on findings. | Reason: chest pain, fever, leukocytosis History: chest pain, fever, leukocytosis PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolus.LUNGS AND PLEURA: Mild lung base scarring and dependent atelectasis. Subsegmental atelectasis of the right lower lobe. No pleural effusions or pneumothorax. N... | No evidence of pulmonary embolus. Subsegmental atelectasis/scarring at the lung bases unchanged. No specific findings of infection.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 pro... |
Generate impression based on findings. | 32-year-old female with history of old fracture, evaluate for arthritic changes AP view of the pelvis demonstrates chronic appearing deformity of the left superior pubic ramus likely representing old fracture. No acute fracture is evident. Alignment is anatomic. 2 views of the right hip show no acute fracture or malali... | Chronic appearing deformity likely from prior superior pubic ramus fracture without evidence of acute fracture or malalignment. |
Generate impression based on findings. | 52-year-old female with closed fracture of upper end of tibia, evaluate tibial plateau fracture status post external fixation. CT of the right knee reveal a comminuted fracture in the proximal tibia involving both lateral and medial tibial plateaus with marked depression and fragmentation laterally. A vertical fracture... | Comminuted fracture of the proximal tibia involving both the lateral and medial tibial plateaus with marked depression and fragmentation laterally as detailed above. |
Generate impression based on findings. | 38 years Female Reason: eval for hemorrhage History: bloody stool, normal C-scope 05/12 LUNG BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules. LIVER, BILIARY TRACT: Liver enhances homogenously without focal lesion. Gallbladder is unremarkable.SPLEEN: No significant abnormality noted.PA... | 1.No evidence of active enteric hemorrhage.2.Mild to moderate amount of free fluid, slightly more than expected for physiologic. No loculated fluid collection or intraperitoneal free air identified. |
Generate impression based on findings. | 75-year-old female patient with history of bladder cancer. Evaluate for metastatic disease with delayed imaging. ABDOMEN:LUNG BASES: Minimal lingular atelectasis.LIVER, BILIARY TRACT: No focal hepatic lesion is identified.SPLEEN: Patient is status post splenectomy. A soft tissue density nodule in the left upper quadran... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 52-year-old female with foot pain, evaluate for inflammatory arthritis Right foot: Small radiodensity along the lateral aspect of the head of the first proximal phalanx only seen on the AP view is likely external to the patient/artifact. No acute fracture. No osseous erosions. Alignment is anatomic. Small plantar calca... | No specific evidence of inflammatory arthritis. |
Generate impression based on findings. | Thymic neuroendocrine carcinoma. CHEST:LUNGS AND PLEURA: Paramediastinal radiation fibrosis bilaterally and left lateral parenchymal consolidation, pleural retraction and bronchiectasis also consistent with radiation fibrosis in the upper lobe, lingula and anterior lower lobe. Scattered poorly defined nodules in the lo... | No new or suspicious pulmonary nodules in the aerated lung parenchyma. Right paratracheal soft tissue/lymph nodes appear slightly more prominent, please refer to neck CT report for details. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. Large amount of fecal burden. No pneumatosis or pneumoperitoneum. | Large amount of fecal burden. |
Generate impression based on findings. | Reason: h/o supraglottic laryngeal ca and CRT, compare to previous, measurements pls. History: none CHEST:LUNGS AND PLEURA: Minimal dependent atelectasis. No pleural effusions or pneumothorax. No suspicious nodules or pulmonary masses.MEDIASTINUM AND HILA: Cardiac size is within normal limits. No pericardial effusion. ... | No evidence of metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Hirschsprung diseaseVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. There is mild dilation of the transverse colon. Mild amount of fecal burden. No pneumatosis or pneumoperitoneum. | Mild dilation of the transverse colon with mild amount of fecal burden. |
Generate impression based on findings. | Follow-up Again seen are posterior stabilization rods with screws entering the T12-L3 vertebrae. I see no hardware competitions. Severe degenerative disc disease affects L1/2, and moderate degenerative disc disease affects L2/3. Relatively mild degenerative disc disease affects the thoracic spine. Degenerative disc dis... | Postoperative and degenerative changes as described above. |
Generate impression based on findings. | Pain in joint. Mild osteoarthritis affects the glenohumeral and acromioclavicular joints. The bones appear slightly demineralized, suggesting osteopenia/osteoporosis. A few subcentimeter focal rounded lucencies are noted within the proximal humerus that I suspect simply reflect underlying osteopenia/osteoporosis; howev... | 1.Degenerative arthritic changes as above.2.Small round lucencies in the proximal humerus on a background of diffuse demineralization likely simply reflect osteopenia/osteoporosis; however, electrophoresis can be considered to evaluate for the possibility of multiple myeloma, if clinically warranted. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with stable mild-moderate chronic small vessel ische... | No acute intracranial hemorrhage or abnormal enhancement. Stable mild-moderate chronic small vessel ischemic changes. |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in normal alignment, with a normal lumbar lordosis. There is moderate-severe disc space narrowing at L5-S1 with a vacuum disc. The vertebral body and disk space heights are otherwise well-maintained. There is mild development... | 1. Developmental narrowing of the visualized spinal canal with superimposed mild spondylotic changes. Findings most prominent at L5-S1 where there is moderate-severe right and moderate left foraminal narrowing as there is significant disc height loss. Moderate central spinal canal stenosis at L4-L5.2. Nonobstructing le... |
Generate impression based on findings. | 53-year-old male with left lower quadrant pain, bright red blood per rectum-evaluate for diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | 1. Descending and sigmoid colon diverticular changes without evidence of focal wall thickening or abscess. |
Generate impression based on findings. | Lung cancer evaluate for recurrence. CHEST:LUNGS AND PLEURA: Right upper lobe nodule measures 6 x 6 mm in transaxial dimensions (5/16) and 9 mm in length (sagittal image 63). This is not significantly changed from prior measurement of 5 x 6 x 9 mm and contains a punctate internal focus of soft tissue density. This lesi... | No significant change in slow-growing 6 x 6 x 9 mm right upper lobe nodule, possibly a low-grade adenocarcinoma (AIS/MIA). |
Generate impression based on findings. | Reason: pleural and peritoneal mesothelioma s/p resection, on observation, eval EOD, compare to previous History: none LUNGS AND PLEURA: Status post right pleurectomy/decortication.Mild decreased lung volume of the right lung with mild right apical and basilar pleural thickening.No pleural nodules identified.No evidenc... | 1. Stable exam without evidence of recurrent or metastatic disease.2.Status post right pleurectomy/decortication.3.Healing sternal fracture. |
Generate impression based on findings. | 42-year-old with biopsy proven left breast cancer on neoadjuvant chemotherapy, felt a tender lymph node in the right axilla. Ultrasound was performed for the right axilla, detected were 3 normal-appearing lymph nodes without any suspicious features. Dr. Kulkarni confirmed these findings at the time of this study. | No sonographic evidence for malignancy in the right axilla. BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 85-year-old male with prostate cancer with biochemical recurrence, status post ;brachytherapy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality noted within the liver parenchyma. Gallstones are again seen without other biliary tract complication and are unchanged.SPLEE... | 1. No CT evidence for metastatic disease seen.2. 1.6 cm unilocular cystic lesion in uncinate process of pancreas unchanged since 2013. This most likely reflects a intrapancreatic mucinous neoplasm without signs of malignancy. This should continue to be followed on subsequent examinations.3. Cholelithiasis without compl... |
Generate impression based on findings. | PainVIEWS: Right hand AP, right fifth digit oblique and lateral There is an acute fracture involving the base of the distal phalanx of the fifth digit. There is narrowing of the DIP joint with associated soft tissue swelling at this site. There is volar displacement of the distal fracture fragment. | Acute fracture distal phalanx of the little finger. |
Generate impression based on findings. | There is a 1 mm displaced fracture of the posterior left mandibular body with a comminuted component along the lingual surface and a simple component along the buccal surface. The fracture courses anterior and posterior to ADA tooth #17 with resultant pericoronal lucency but no definite dental fracture. There is howev... | 1.Acute fracture of the posterior left mandibular body as described above.2.Multiple dental caries. |
Generate impression based on findings. | Exam is somewhat limited by patient motion. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are a few foci of nonspecific T2/FLAIR hyperintensity within the frontal subcortical and deep white matter. There is no diffusion abnormality.... | 1. A few nonspecific T2/FLAIR hyperintense foci within the frontal white matter. Otherwise, unremarkable noncontrast MRI brain.2. Moderate patchy paranasal sinus disease. Please correlate clinically. |
Generate impression based on findings. | Prolonged ileus with emesis and poor oral intakeVIEWS: Abdomen supine and upright Disorganized nonobstructive bowel gas pattern. There is no abnormal bowel dilation. No abnormal air-fluid levels. No evidence of pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Previous immediate postoperative changes have completely resolved. There is a stable right posterior parietal approach ventriculostomy catheter, the tip just to the left of midline at the expected location of the mid body of the left lateral ventricle when compared to prior exam. The lateral and third ventricles are n... | 1. Interval significant decrease in size of lateral and third ventricles, which are now essentially slit-like and not well delineated. Stable dilated appearance of fourth ventricle. Stable ventriculostomy catheter.2. Interval development of paranasal sinuses disease as detailed above. |
Generate impression based on findings. | Postoperative evaluation The lower cervical spine is not well-seen on the lateral view due to overlying anatomy. Artifact overlying the neck represents a collar/brace. There are posterior stabilization rods with screws entering C2, C3, C5, C6, T1, and T2. There is also an anterior plate with screws entering C3 and C4. ... | Postoperative and degenerative changes as described above. |
Generate impression based on findings. | Pulmonary interstitial emphysemaVIEW: Chest AP ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Cardiothymic silhouette normal. Pulmonary interstitial emphysema bilaterally more prominent on the left side. Bilateral atelectasis not significantly changed. No pleural effusion or pneumothorax. | Bilateral pulmonary interstitial emphysema more prominent on the left side. |
Generate impression based on findings. | Cough, history of MAI. Change in size of lung nodules? LUNGS AND PLEURA: Complete collapse of the left lower lobe likely due to an internal mucous plug measuring fluid density (3/62). Trace adjacent pleural fluid.Severe centrilobular emphysema. Bilateral mucous plugging, predominantly in the lower lobes. Unchanged area... | Left lower lobe collapse, most likely due to a mucous plug. Signs of pulmonary hypertension. Emphysema and mucous plugging. No suspicious pulmonary nodules. Right upper lobe lesion has been stable over multiple exams is likely benign and does not need to be followed unless clinically warranted. |
Generate impression based on findings. | 65 years, Male. Reason: s/p ngt adjustment History: see above Dobbhoff tube is coiled with tip projecting over the infradiaphragmatic stomach with correlation from CT study from 4/29/2015 indicating a prior gastric pull up procedure.Partially visualized nonobstructive bowel gas pattern.Pleural effusions and basilar pul... | Dobbhoff tube is coiled with tip projecting over the infradiaphragmatic stomach with correlation from CT study from 4/29/2015. |
Generate impression based on findings. | Reason: lung cancer History: re-stage; s/p 2 cycles of chemotherapy. CHEST:LUNGS AND PLEURA: Numerous pulmonary nodules and multifocal areas of consolidation as well as multifocal areas of groundglass opacity compatible with extensive neoplastic involvement of both lungs that has progressed since the prior outside exam... | 1.Numerous groundglass and solid nodules with multifocal areas of consolidation demonstrating interval progression compared to the outside exam dated 3/13/2015 and compatible with multicentric and extensive metastatic adenocarcinoma of the lung.2.Mediastinal and extensive retroperitoneal lymphadenopathy.3.Radiolucent l... |
Generate impression based on findings. | 82-year-old male with newly diagnosed T1 high-grade bladder cancer. Evaluate for involvement and upper urinary tract and evaluate for metastases. ABDOMEN:LUNG BASES: Small right pleural effusion. No other significant abnormality seen.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormali... | 1. Small right pleural effusion.2. No CT evidence of metastatic disease or upper urinary tract disease. |
Generate impression based on findings. | 65 years, Male. Reason: s/p DHT placement History: see above Dobbhoff tube is coiled within the stomach and may be kinked with tip unchanged and projecting over the infradiaphragmatic stomach (correlation from CT study from 4/29/2015 indicating a prior gastric pull up procedure.)Partially visualized bowel gas pattern w... | Dobbhoff tube is coiled with tip projecting over the infradiaphragmatic stomach, possibly kinked. |
Generate impression based on findings. | 58-year-old female with recurrent metastatic mucinous vaginal cancer now status post pelvic exenteration with an Indiana pouch, currently with cellulitis and fluid collection near Indiana pouch. Pain, erythema CHEST:LUNGS AND PLEURA: Again seen are bilateral lung nodules consistent with metastatic disease. No new nodul... | 1. Small bowel obstruction with level of obstruction approximating site of prior noted anterior ventral wall Richter's hernia.2. Perforation of air into the subcutaneous fat with extensive fluid/inflammatory changes. 3. Exact delineation of what is bowel and what is perforation and free air in the subcutaneous fat and ... |
Generate impression based on findings. | 65 years, Male. Reason: s/p DHT placement History: see above Pelvis excluded from field-of-view.Dobbhoff tube coiled in gastric pull-up probably in the supradiaphragmatic stomach. Nonobstructive bowel gas. | Dobbhoff tube probably coiled in supradiaphragmatic stomach.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Left shoulder pain and arm tingling. Moderate osteoarthritis affects the glenohumeral joint and mild osteoarthritis affects the acromioclavicular joint. The bones appear slightly demineralized suggesting osteopenia/osteoporosis. Degenerative arthritic changes affect the visualized spine. Note is made of a tortuous aort... | Osteoarthritis. |
Generate impression based on findings. | 82 years, Female. Reason: C. dif, severe sepsis, eval for ileus History: see above Gas seen throughout the entire small bowel and colon consistent with a generalized ileus. No thumbprinting to suggest submucosal edema. No obvious intramural or free air given limitation of supine view. Some of the left abdomen is cut of... | Limited exam. Generalized ileus. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular st... | 1. Unremarkable noncontrast MR appearance of the brain.2. Unremarkable MRA of the head.3. Extensive paranasal sinus disease especially anteriorly. Please correlate clinically for possible acute sinusitis. |
Generate impression based on findings. | Male, 14 years old, with spondylolysis and low back pain for months. Chronic bilateral pars interarticularis defects are again seen at L5. There is a slight, 1 to 2 mm, anterolisthesis of L5 relative to L4 and S1.Schmorl's node deformity is present along the anterior superior L4 endplate. A congenital fusion anomaly of... | 1.Chronic bilateral pars interarticularis defects at L5 with a resultant slight anterolisthesis of the L5 vertebral body relative to the levels above and below.2.Schmorl's node deformity along the anterior superior L4 endplate.3.No other significant abnormalities. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Limited study as patient is wheelchair bound and limited mobility. Two standard digital views of both breasts (total of 6 images) were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 65 years, Male. Reason: NGT placement History: see above Previously seen Dobbhoff tube has been removed.NG tube sidehole projects at the level of the diaphragmatic hiatus. NG tube tip projects in the distribution of the gastric body.Nonobstructive bowel gas pattern. Pelvis excluded from field-of-view. Right pleural eff... | Doppler removed. NG tube placed as described. |
Generate impression based on findings. | Pain at rest and ambulation. Knee osteoarthritis? 4 views of the right knee reveal severe osteoarthritis most profoundly affecting the patellofemoral joint. There is a small to moderate sized joint effusion as well as ossicles posteriorly that may represent loose intra-articular bodies. Overall the degenerative changes... | Osteoarthritis. |
Generate impression based on findings. | Male 69 years old Reason: history of bladder cancer status post robotic radical cystoprostatectomy and pelvic lymph node dissection, with extracorporeal ileal conduit urinary diversion on 11/23/12, evaluate for metastatic disease History: see above ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter liver lesions are unchanged... | 1. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 48 years, Male. Reason: distention? bowel obstruction>? History: poor tolerance of TFs, Persistent diffuse dilatation of colon with some gas seen in mildly prominent ileum. No discrete transition zone favors ileus over obstruction.Dobbhoff tube projects in the pyloric area. In addition there is a nasogastric tube tip p... | Favor generalized ileus. Slightly less colonic distention compared to yesterday. |
Generate impression based on findings. | Male, 84 years old, altered mental status. Patchy periventricular white matter hypoattenuation is again seen, similar to prior, a nonspecific finding. No parenchymal edema, mass effect or loss of gray-white distinction is seen. No intracranial hemorrhage or any abnormal extra-axial fluid is detected. The ventricles are... | 1.Relatively mild periventricular hypoattenuation which may reflect age indeterminate microvascular ischemic disease.2.No definite acute abnormalities and no significant interval changes to account for the patient's symptoms. |
Generate impression based on findings. | Right femur plasmacytoma. Evaluate for recurrence. Again seen is an intramedullary rod and screw device traversing a lytic lesion of the proximal femoral diaphysis with internal cement in near-anatomic alignment. I see no hardware complications. The size of the lesion is similar to that seen on the prior study. The cor... | Orthopedic fixation of proximal femur lesion as above. |
Generate impression based on findings. | Reason: Pleural mesothelioma please compare to prior exam. History: Pleural mesothelioma with prior pleurectomy/decortication. CHEST:LUNGS AND PLEURA: Status post right-sided pleurectomy decortication with volume loss in the right lung and elevation the right hemidiaphragm and stable small right pleural effusion.Right ... | 1.Continued mild interval increase in pleural nodularity on the right.2.Mild interval increase in size of a right apical subpleural nodule.3.Persistent small loculated right subpulmonic effusion. |
Generate impression based on findings. | Female 63 years old Reason: evaluate sigmoid stricture History: evaluate sigmoid stricture seen on colonoscopy.Additional history from records indicates appendiceal carcinoma. Pelvic radiation. Tender external hemorrhoids were present and lidocaine jelly was applied.Catheter placed per rectum. Initial attempted filling... | Apple core narrowing short segment rectosigmoid colon concerning for neoplasm given the history and absence of diverticulosis. The remainder of the colon was not adequately evaluated.Findings discussed with Dr. Nimit Desai.Fluoro time: 6 minutes 1 second (Entrance dose 163, DAP 4,461). |
Generate impression based on findings. | Male 69 years old Reason: history of bladder cancer status post robotic radical cystoprostatectomy and pelvic lymph node dissection, with extracorporeal ileal conduit urinary diversion on 11/23/12, evaluate for metastatic disease History: see above ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter liver lesions are unchanged... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Left hand pain. Please assess for fracture and arthritis. I see no fracture. There is perhaps slight widening of the scapholunate interval suggesting ligamentous laxity, of questionable clinical significance. There is also a small cortical defect along the ulnar margin of the lunate which likewise is of questionable cl... | Minimal scapholunate widening and small defect along the lunate as described above, of questionable clinical significance. I see no fracture. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with minimal ... | No acute intracranial hemorrhage. Minimal age-indeterminate small vessel ischemic changes. |
Generate impression based on findings. | Male 58 years old Reason: history of peritoneal mesothelioma s/p CRS/HIPEC, on observation, pls compare to previous History: none CHEST:LUNGS AND PLEURA: Nonspecific minimal right-sided pleural thickening.MEDIASTINUM AND HILA: Right supraclavicular borderline enlarged lymph node measures 1.2 x 1 cm image #12, series #3... | Slight interval increase in the size of the cystic lesions in the liver and anterior to the pancreatic tail. |
Generate impression based on findings. | 71 year old female with hx of bladder cancer s/p radical cystectomy, evaluate for metastatic disease with delayed imaging, CT urogram. LUNG BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules. Minimal scarring/atelectasis. Small pericardial effusion.LIVER, BILIARY TRACT: Liver enhances ho... | Postsurgical findings related to cystectomy and neobladder formation, without specific evidence of tumor recurrence or metastasis. |
Generate impression based on findings. | Malignant neoplasm of breast (metastatic). Tachycardia, SOB, hypoxia, hypotension. PULMONARY ARTERIES: Technically adequate. No evidence of pulmonary embolus.LUNGS AND PLEURA: Small pleural effusions. Subtle thickening of the fissures. Moderate bronchial wall thickening and attenuation of the airways bilaterally, with ... | No evidence of pulmonary embolus. Bronchial wall thickening more likely to be reactive airways disease or infectious than metastatic. Diffuse metastatic disease.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 72 year old female s/p multiple ex laps with recurrent incisional hernia and pain. LUNG BASES: No focal consolidation or pleural effusion. No suspicious pulmonary nodules. LIVER, BILIARY TRACT: Liver enhances homogenously without focal lesion. Gallbladder is unremarkable.SPLEEN: No significant abnormality noted.PANCREA... | 1.Multiple, discontinuously dilated small bowel loops and relative distal decompression suggesting partial small bowel obstruction, likely from multifocal adhesive disease.2.Large ventral abdominal hernia containing stomach and small bowel. |
Generate impression based on findings. | 65-year-old male patient with recurrent colon cancer with spread to small bowel mesentery status post resection with positive margins. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Biapical scarring and nodularity is unchanged. An cystic area with adjacent groundglass nodule within the right upper lobe is not signif... | 1. No specific evidence of locoregional recurrence or metastatic disease. 2. Unchanged right upper lobe ground glass/cystic focus. |
Generate impression based on findings. | 77-year-old male. Reason: Evaluate for SBO, CT 5/11 with ileus. History: Abdominal pain. The scout film shows a nonobstructive bowel gas pattern. IVC filter, biliary stent, and right upper lung surgical clips are noted. The lung bases are excluded from the field-of-view.Transit time to the terminal ileum was 45 minutes... | No signs of stricture or adhesions. Solitary distal ileal diverticulum.Fluoroscopy time: 5 minutes 21 secondsI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female 11 years old Reason: chair fell on toe History: pxVIEWS: Right first toe AP, lateral, and oblique (3 views) 5/13/2015 at 12:33 No acute fracture or dislocation. | No fracture. If there is persistent pain, repeat radiographs may be obtained in 7-10 days. |
Generate impression based on findings. | 19 year old female, evaluate scoliosisVIEWS: Thoracolumbar spine AP supine (1 views) 5/13/2015 at 13:08 Levoscoliosis of 60 measured from the superior endplate of T1 to the inferior endplate of T9. Dextroscoliosis of 74 degrees measured from the superior endplate of T10 to the inferior endplate of L4. No segmentation a... | Thoracolumbar scoliosis as described above. |
Generate impression based on findings. | Age: 51 years. Sex : Female. Reason for study: Reason: Evaluate swallowing ability History: dysphagia, hypophonic speech, dysarthria, suspected MSA, Parkinsonism. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was reco... | Flash vestibular penetration without aspiration.Please see speech therapist's report for additional details. |
Generate impression based on findings. | Right ICA and ACA clipping: "brain freezes" and headaches. There are postoperative findings related to right internal carotid artery and anterior cerebral artery clipping. Streak artifact from the surgical hardware partly obscures surrounding anatomy. Within this limitation, there is no evidence of intracranial hemorrh... | Postoperative findings related to right internal carotid artery and anterior cerebral artery clipping without evidence of acute intracranial hemorrhage or new or recurrent aneurysms, within the limitations of surgical hardware artifact. |
Generate impression based on findings. | Age: 55 years. Sex : Female. Reason for study: Reason: ? ongoing aspiration History: above. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. No static images were obtained.The exam was positive... | Positive for vestibular penetration without aspiration.Please see speech therapist's report for additional details. |
Generate impression based on findings. | Age: 55 years. Sex : Female. Reason for study: Reason: r/o lesion vs. swallowing dysfunction History: hx lupus. Fluoroscopic guidance was provided for an oropharyngeal motility study performed by the Speech Pathology section of the ENT service. The examination was recorded on videotape. Two static images were obtained.... | No penetration or aspiration.Please refer to speech therapist's report for additional details.Severe reverse lordosis at C2/3 and moderate to severe degenerative disc disease and anterior osteophyte formation from C3 to C7. Please correlate with the patient's history for possible remote trauma. |
Generate impression based on findings. | 62-year-old female with pain, stiffness. Evaluate for CPPD, OA changes 3 views of the left hand show minimal osteoarthritis affecting the interphalangeal joints. There are also tiny osteophytes at the second metacarpophalangeal joint. Tiny density between the radius and lunate could conceivably represent a small focus ... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 38-year-old with palpable lump in the right breast, and tender lump in the right chest wall. History of benign biopsy in the right breast, presumably at the site of palpable lump. Three standard views of both breasts with two spot compression views of were performed digitally and reviewed with the aid of R2 CAD, 9.3. ... | No mammographic or sonographic evidence of malignancy. Clinical follow-up is recommended. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: Persistent hyponatremia, evaluate for lung malignancy. History: As above LUNGS AND PLEURA: Mild apical pleural thickening and basilar scarring mixed with minimal atelectasis. No pleural effusions or pneumothorax. No suspicious nodules or masses. Mild emphysemaMEDIASTINUM AND HILA: Cardiac size is within normal ... | No acute cardiopulmonary process. No primary lung malignancy as clinically questioned. |
Generate impression based on findings. | There are postoperative findings related to partial left glossectomy, left segmental mandibulectomy with plate and screw fixation and free flap reconstruction, as well as left neck dissection. Although the bone graft has not completely fused with the native mandible, there is no evidence of hardware complications. The... | Post-treatment findings in the oral cavity region with a newly apparent areas of swelling and hyperenhancement along the posterior left hypopharyngeal wall that measures up to 15 mm, which is likely inflammatory in nature, although recurrent tumor cannot be entirely excluded and further evaluation via endoscopy may be ... |
Generate impression based on findings. | Female, 57 years old. Reason: please assess for aspiration and dysphagia. History: dysphagia Double contrast evaluation of the esophagus revealed no mucosal or mural abnormalities. No hiatal hernia was identified. On single contrast imaging of the hypopharynx, there is a posterior compression of the cervical esophagus... | 1.Normal esophageal motility and peristalsis.2.No evidence of aspiration.3.Posterior compression of the cervical esophagus by anterior osteophytes and a prominent cricopharyngeus. |
Generate impression based on findings. | 27-year-old female Reason: Evaluation of TIPS History: evaluation of TIPS . PORTAL VENOUS: Main portal vein is patent with hepatopedal flow. Left portal vein area demonstrates hepatopedal flow. Right portal vein was not visualized. TIPS is patent with hepatofugal flow. Velocity at the portal segment measures 0.9 m/s, a... | 1. Patent TIPS with hepatofugal flow. Remainder of the visualized hepatic inflow and outflow vessels are unremarkable.2.No ascites. |
Generate impression based on findings. | Male 8 years old Reason: r/o fx History: Chair hit left ankle 2 days ago, can't bear weightVIEWS: Left ankle AP, oblique, and lateral (3 views) 5/13/2015 at 13:20 Minimal soft tissue swelling. No acute fracture, joint effusion, or dislocation. | No fracture. |
Generate impression based on findings. | Reason: mets lung cancer, ALK+, on Crizotinib past 4 yrs. pls c/w previous study and evaluate tx response. History: lung cancer LUNGS AND PLEURA: No measurable mass at the left lower lobe. Residual distortion of this area persist. Right middle lobe micronodule is without significant change since 2010 study.MEDIASTINUM ... | No evidence of recurrence or residual disease. No apparent change from prior study. |
Generate impression based on findings. | Male, 59 years old. Reason: Has ileostomy and Crohn's disease and short gut. Gets obstructive symptoms History: Abdominal pain and obstructive symptoms The scout film shows a paucity bowel gas and multiple surgical clips and suture material throughout the abdomen. Barium was administered retrograde through the ostomy a... | 1.No evidence of strictures or adhesions in this patient with an extremely shortened small bowel.2.No radiographic evidence of active inflammatory changes.3.Multiple, too numerous to count filiform, hyperplastic polyps consistent with post inflammatory polyps. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (4/3/2015, 4/13/2015), Images from stereotactic core needle biopsy with specimen radiograph and postprocedural left mammographic images (4/24/2015) performed at St. Mary's Hospital. For comparison, digital mammographic im... | Status post stereotactic biopsy of the left breast, with a result of LCIS. Pathology slides should be reviewed at the University of Chicago. Follow-up plan should be determined based on the pathology results.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
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