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Generate impression based on findings. | Female 61 years old Reason: r/o renal stones (L CVA tenderness) History: L flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality not... | No evidence of renal stones or hydronephrosis. |
Generate impression based on findings. | 40 years old, Female, Reason: fracture History: fell on tail bone with severe pain No evidence of fracture or malalignment. Severe degenerative changes affect L5-S1. | Degenerative changes at the lower lumbar spine without evidence of fracture or malalignment. |
Generate impression based on findings. | Evaluate for areas ischemia, hemorrhage, history of cerebral thrombosis with cerebral infarction. There is no evidence of intracranial hemorrhage or mass. There is mild cerebral white matter hypoattenuation. The ventricles are normal in size and configuration. There is no midline shift or herniation. There are vertebra... | Mild cerebral white matter hypoattenuation is nonspecific, but may represent age-indeterminate small vessel ischemic disease. No evidence of intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct and cerebral venous thrombosis. An MRI/MRV may be useful for fu... |
Generate impression based on findings. | Male 52 years old Reason: abdominal pain ams History: abdominal pain Limited study due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Bilateral dependent atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLAND... | Limited study due to lack of intravenous contrast. No CT findings to explain patient's acute abdominal pain. |
Generate impression based on findings. | 22 years old, Male, Reason: eval for syndesmotic injury History: ankle pain Along the posterior aspect of the tibial epiphysis there is a small ossific fragment compatible with an acute fracture of the posterior tibial plafond. There is significant soft tissue swelling posterior aspect of the ankle. No additional fract... | Acute fracture of the posterior tibial plafond and associated soft tissue swelling. |
Generate impression based on findings. | Female 41 years old Reason: abdominal pain, tranpslant pt History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Pancreas is mildly but diffusely enlarged. Its difficult to evaluate the pancreas ... | Limited study to lack of intravenous contrast. Mildly enlarged pancreas which may be compatible with acute pancreatitis. Correlation with serum markers is recommended.These findings were discussed with and acknowledged by Dr. Wood at the time of dictation. |
Generate impression based on findings. | Male 44 years old Reason: r/o stone L side History: gross hematuria/pain L flank ABDOMEN:LUNG BASES: Centrilobular emphysema.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, UR... | No evidence of urolithiasis or hydronephrosis. |
Generate impression based on findings. | 44 years old, Female, Reason: r/o frx History: pain No fracture or malalignment evident. There are small intra-articular ossific fragments in the anterior tibiotalar joint which may represent loose bodies, likely from prior trauma or degenerative changes. Degenerative changes affect the midfoot. | No fracture or malalignment. Small intra-articular ossific fragments in the anterior tibiotalar joint may represent loose bodies. |
Generate impression based on findings. | Male 55 years old Reason: rule out dissection History: chest pain, back pain CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Ascending aorta is ectatic measuring up to 4.5 cm on image number 54, series number 10. Descending thoracic aorta is normal in size. However there are multiple ulcer... | Ectatic ascending aorta. Ulcerating plaques and eccentric mural thrombus involving the distal descending thoracic aorta without evidence of dissection. |
Generate impression based on findings. | Female 52 years old Reason: right-sided kidney stone, gallbladder pathology History: ruq pain, hx kidney stone ABDOMEN:LUNG BASES: Linear atelectasis in the right lung base.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | Right renal stone and mild right caliectasis.. Prominent right ureter with mild inflammatory changes which may be secondary to recently passed stone. A punctate calcification in the right distal ureter is seen on coronal images may represent a punctate stone versus a phlebolith. |
Generate impression based on findings. | Female 65 years old Reason: r/o appy History: fever, RLQ pain The study is limited due to lack of intravenous contrastABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ... | Cholelithiasis. Limited study due to lack of intravenous contrast. |
Generate impression based on findings. | Male 67 years old Reason: eval for anastomotic leak, abscess, bleed History: recent whipple, eval for bleed vs abscess. fever, vomiting, abd pain. ABDOMEN:LUNG BASES: Trace right-sided pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Postsurgical c... | Mild wall thickening of the jejunal loops anastomoses the pancreas, likely postsurgical. Small amount of fluid and on the pancreas, postsurgical. |
Generate impression based on findings. | Female 29 years old Reason: Evaluate for causes of worsening abdominal pain History: Abdominal pain, nausea, vomiting in pt with h/o Noonan's syndrome, chronic constipation/obstipation, s/p colonic decompression yesterday ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormali... | Mild wall thickening of the rectosigmoid and left colon may be compatible with colitis. Otherwise unremarkable study. |
Generate impression based on findings. | 39 years old, Female, Reason: Fell on hand. r/o fracture; hemarthrosis History: Pain thenar area and wrist No acute fracture or dislocation of the wrist and. | No acute fracture or dislocation. |
Generate impression based on findings. | Male 52 years old Reason: HO of fistulizing crohn's dz with perianal dz s/p diversion cb coccyx osteo s/p resection pw failure to thrive. Q: intra abd or pelivc abscess? recurrent osteo? History: above ABDOMEN:LUNG BASES: Bilateral moderate pleural effusions and dependent atelectasis, new from previous study.LIVER, BIL... | Extensive decubitus ulcers and perianal abscesses. There is an enterocutaneous fistula extending from the midline pelvis to the perianal region.Osteomyelitis of the sacrum cannot be excluded.The balloon of the Foley catheter should be moved into the bladder. Currently the balloon is in the prostatic urethra. |
Generate impression based on findings. | 24 years old, Female, Reason: rule out fx History: pain, leg injury Comminuted fracture of the proximal diaphysis of the left fibula in near anatomic alignment. There is associated lateral soft tissue swelling. No additional fractures are evident. No evidence of knee joint effusion the extensor mechanism appears intact... | Comminuted fracture of the proximal diaphysis of the left fibula with associated soft tissue swelling. |
Generate impression based on findings. | 27 years old, Female, Reason: MVC History: neck pain No acute fracture or subluxation. No significant soft tissue swelling. Mild straightening of the cervical spine is likely related to positioning. Vertebral heights and disk spaces are maintained. The neural foramina are normal in appearance. Granuloma in left lung ap... | No acute fracture or subluxation. |
Generate impression based on findings. | 20 years old, Female, Reason: is there a fx or dislocation History: pain= trouble walking s/p fall No acute fracture or dislocation. Small knee joint effusion. Extensor mechanism appears intact. | Small knee joint effusion without acute fracture or dislocation. |
Generate impression based on findings. | 45 years old, Female, Reason: r/ fx History: pain and swelling/bruising Fracture of the patella with a predominately transverse orientation. No significant distraction of the fracture fragments. There is a moderate-sized knee joint effusion. | Transverse fracture of the patella with associated joint effusion. |
Generate impression based on findings. | Chest painVIEW: Chest AP 1/18/15 Cardiothymic silhouette normal. Patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. Left PICC has been removed in the interval. | Patchy atelectasis in the right lower lobe and left lower lobe. |
Generate impression based on findings. | There is an unchanged left cerebral convexity mixed attenuation subdural hematoma that measures up to 15 mm in width with layering hyperattenuated blood products and associated unchanged 8 mm shift of the septum pellucidum to the right and unchanged subfalcine and uncal herniation. There is no evidence of new intracra... | No significant change in the heterogeneous left cerebral convexity subdural hematoma with 8mm midline shift.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 39 years old, Female, Reason: r/o cancerous growths or lytic lesions on spine, less likely fxr History: low back pain, sciatica No acute fracture or malalignment. Vertebral body heights and disk spaces are preserved. No evidence of lytic or blastic lesion as clinically questioned. One of the tubal ligation clips is now... | No acute fracture or malalignment. No evidence of lytic or blastic lesion as clinically questioned. |
Generate impression based on findings. | 61 years old, Female, Reason: r/o fx History: pain No evidence of fracture or dislocation. Mild degenerative changes are present. | No evidence of fracture or dislocation. |
Generate impression based on findings. | 29 years old, Female, Reason: r/o acute fxr History: knee pain s/p fall Left knee: No evidence of fracture or dislocation. No definite evidence of soft tissue swelling or joint effusion.Right knee: No evidence of fracture or dislocation. No definite evidence of soft tissue swelling or knee joint effusion. | No evidence of fracture or dislocation. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is mild asymmetry of the lateral ventricles which is likely an anatomical variant. There is a magna cisterna magna. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. ... | No acute intracranial hemorrhage or mass-effect.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Snoring, sinus congestion, and sinus surgery. There are postoperative findings related to bilateral uncinectomy, antrostomy versus prominent secondary ostea, and perhaps partial ethmoidectomy. There is opacification in the medial right maxillary sinus near the neo-infundibulum and residual portions of Haller cells. The... | Postoperative findings related to endoscopic sinus surgery with opacification in the medial maxillary sinuses near the neo-infundibulum and residual portions of Haller cells, as well as a tiny retention cyst in the right sphenoid sinus. The paranasal sinuses are otherwise clear. |
Generate impression based on findings. | There are postoperative findings related to left parietal craniotomy and partial resection of the parietal calvarium. There is a small amount of residual pneumocephalus in the region of the surgical bed. There is persistent extensive confluent cerebral white matter hypoattenuation with regional sulcal effacement, but ... | 1. Postoperative findings related to left parietal craniotomy and partial resection of the parietal calvarium for resection of a meningioma without evidence of acute intracranial hemorrhage.2. Persistent left cerebral hemisphere vasogenic edema surrounding the resection bed, but no significant midline shift. |
Generate impression based on findings. | Assess pathology causing pain/effusion. The bones appear slightly demineralized. Tiny osteophytes indicate minimal osteoarthritis. There is a small joint effusion, but I see no erosions. I see no fracture or malalignment. | Mild osteoarthritis and small joint effusion. |
Generate impression based on findings. | Right hip pain after fall. Evaluate for fracture. I see no fracture or dislocation. There is perhaps slight narrowing of the hip joint which may reflect very mild osteoarthritis. The bones appear slightly demineralized, perhaps presenting osteopenia. | No fracture evident. |
Generate impression based on findings. | Patient with metastatic cancer with known spinal metastases and metastasis to right pinky finger now with wrist and forearm pain. Please evaluate for lesions. There is an aggressive-appearing lytic lesion of the distal ulnar diaphysis with poorly defined margins and destruction of the cortex, particularly along its rad... | Distal ulnar metastasis as described above. |
Generate impression based on findings. | Status post fusion. Evaluate hardware. There are posterior rods with screws entering the L4, L5, and S1 vertebrae. I see no hardware complications. There is also a new spacer device between the L5 and S1 vertebral bodies. Mature bone graft material is noted along the lateral aspects of the lower lumbar spine. Severe de... | Postoperative changes of lumbosacral fusion and degenerative changes as described above. |
Generate impression based on findings. | Back pain. Evaluate for signs of "osteo" or fracture. I see no radiographic features of osteomyelitis. I see no fracture. Mild degenerative disk disease affects L5/S1. Mild to moderate degenerative disk disease affects L1/2. Moderate to severe degenerative disk disease affects T12/L1. Moderate facet joint osteoarthriti... | Degenerative disk disease and other findings as described above without radiographic evidence of osteomyelitis or fracture. |
Generate impression based on findings. | Pain and swelling. Rule out fracture. There is an oblique intra-articular fracture through the lateral condyle of the head of the proximal phalanx of the great toe. Fracture fragments are in near-anatomic alignment. There is an orthopedic screw in the first metatarsal head. Moderate osteoarthritis affects the first met... | Fracture of the proximal phalanx as described above. |
Generate impression based on findings. | Pain and swelling to left scapula from battery and fall down stairs. Fracture? I see no fracture or malalignment. | No fracture evident. |
Generate impression based on findings. | Mid foot tenderness.VIEWS: Left foot AP/lateral/oblique (3 views) 01/19/15 The bones are normal in appearance. A fracture is not identified. No soft tissue swelling is seen. | Normal examination. |
Generate impression based on findings. | 68 years, Female. Reason: femoral trialysis in place? History: femoral trialysis in place Right femoral access catheter projects over the right common iliac stent. Surgical drain with tip in the pelvis. Foley catheter in place. Surgical staples. Nonspecific bowel gas pattern without specific evidence of acute obstructi... | 1. Right femoral access catheter projects over the right common iliac stent. 2. Postoperative changes with pneumoperitoneum better seen on prior radiographs from the same day. |
Generate impression based on findings. | 2-year-old female with known left femur fracture.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, right femur AP, right tibia fibula AP, ... | No additional fractures are noted. |
Generate impression based on findings. | 55 years, Male. Reason: NGT repositioned, pulled back 6cm since last KUB History: NGT pulled back 6cm Skin staples noted. Enteric tube tip overlies the gastric body. Bilateral double J stents. Right sided abdominal drain unchanged. The pelvis is out of the field-of-view. Stable mild to moderate gaseous distention of sm... | Stable gaseous distention of small bowel loops and colon, consistent with ileus. |
Generate impression based on findings. | Swollen foot, erythema. Concern for gout. There is diffuse soft tissue swelling, particularly along the dorsum of the foot. There is at least partial fusion of the first tarsometatarsal joint via two orthopedic screws; the tip of one of the screws enters the distal aspect of the navicular. Two additional screws affix a... | Soft tissue swelling, postoperative changes, and other findings as described above; I see no specific radiographic features of gout. |
Generate impression based on findings. | 68 years, Female. Reason: h/o bowel perforation, recent bowel surgery - assess for obstruction History: emesis, decreased ostomy output Pneumoperitoneum again noted on both AP and decubitus views, in the setting of known bowel perforation and recent surgery may be expected. Correlate with surgical history. Surgical sta... | 1. Pneumoperitoneum in the setting of known bowel perforation and recent surgery may be expected. Correlate with surgical history. No acute obstruction. 2. Cardiomegaly and basilar opacities consistent with atelectasis, small effusions and edema. |
Generate impression based on findings. | 56-year-old who is recalled from screening for focal asymmetries in the right breast. An ML view and spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 67-year-old female with history of distal thoracic aortic intramural thrombus. Evaluate for thrombus. CT ANGIOGRAM: Multifocal regions of atherosclerotic disease and thrombus within the thoracic and abdominal aorta. Common origin of the innominate and left carotid arteries. There is a focal thrombus along the anterior ... | 1.Extensive multifocal thoracic and abdominal aortic thrombus which demonstrates an exophytic as well as a protruding component as detailed above. There is saccular aneurysmal dilatation of the abdominal aorta which is mildly increased compared to the prior exam. Thrombus at the level of the ascending aorta may be the ... |
Generate impression based on findings. | Five day old male status post peripherally inserted central venous catheter placement.VIEW: Chest and abdomen AP (two view) 1/18/2015, 14:00 Interval placement of a left upper extremity PICC with the tip terminating in the left internal jugular vein. New nasogastric tube, with tip terminating in the fundus of the stoma... | Left upper extremity PICC with tip terminating in the internal jugular vein. |
Generate impression based on findings. | 2 year-old female with fall down stairs with refusal to bear weightVIEWS: Pelvis AP/frogleg, left femur AP/lateral, left tibia-fibula AP/lateral, left foot AP/lateral/oblique (9 views) 01/18/15 Pelvis: There is a fracture through the left femoral metadiaphysis with medial and posterior displacement of a butterfly fragm... | Acute fracture through the left femoral metadiaphysis with medial and posterior displacement of a butterfly fragment. |
Generate impression based on findings. | 55 years, Male. Reason: s/p NGT placement History: s/p NGT Skin staples noted. Enteric tube tip overlies the gastric body. Bilateral double J stents. Right sided abdominal drain unchanged. The pelvis is out of the field-of-view. Stable mild to moderate gaseous distention of the colon and jejunal loops with air fluid le... | Enteric tube tip overlies the gastric body. Stable gaseous distention of small bowel loops and colon, consistent with ileus. |
Generate impression based on findings. | Abdominal distentionVIEWS: Chest and abdomen AP, abdomen cross table lateral 1/18/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Bilateral atelectasis improved from prior study. No pleural effusion or pneumothorax. Multiple dilated loops of bowel no... | Multiple dilated loops of bowel not significantly changed. |
Generate impression based on findings. | Female; 64 years old. Reason: interval change; PNA History: SOB; worsening pleural effusions LUNGS AND PLEURA: Moderate bilateral pleural effusions have mildly increased since prior study, particularly loculated fluid in both major fissures and the left apex. Bilateral pleural catheters are in place. Interval appearanc... | 1. New nodular septal thickening in the inferior left lung, suspicious for lymphangitic spread of tumor.2. Findings suggestive of superimposed edema with bronchial wall thickening, increased effusions, and body wall anasarca.3. Nonspecific basilar atelectasis/consolidation, left greater than right.4. Increased mediasti... |
Generate impression based on findings. | Hypodensity is found within the white matter without associated mass effect, demonstrating some interval progression compared to 2008. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortica... | Small vessel disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 2-day-old female born prematurely, evaluate central line placement.VIEWS: Chest and abdomen AP (two views) 1/18/2015, 15:13 The UVC has been repositioned with the tip now in right portal vein. The UAC tip is at T6. The endotracheal tube tip is below thoracic inlet and above carina. Enteric tube tip is in stomach.Persis... | UVC tip now in the left portal vein. Persistent diffuse hazy pulmonary opacity. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP 1/18/15 Tracheostomy tube, NG tube and left PICC again noted. Cardiothymic silhouette normal. Patchy atelectasis in the left lower lobe not significantly changed. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis ... | Patchy atelectasis left lower lobe not significantly changed. |
Generate impression based on findings. | Pain. Second digit fracture? There is perhaps mild soft tissue swelling, but I see no fracture or malalignment. | No fracture evident. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP 1/19/15 Multiple embolization coils, vascular coils, pulmonary and SVC stents again noted. Cardiothymic silhouette normal. Minimal atelectasis in the right lower lobe. Minimal blunting right costophrenic angle representing small right pleural effusion. | Minimal atelectasis right lower lobe. |
Generate impression based on findings. | 32-year-old female with history of pain and swelling. Hand: No acute fracture or malalignment. Mild soft tissue swelling about the base of the index finger.Wrist: There is mild soft tissue swelling without acute fracture. There is a negative ulnar variance. | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | 59 years, Male. Reason: abdominal distension, History: abdominal distension Nonobstructive bowel gas pattern. Average stool burden. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 83 year old female with history of hematuria Please note lack of IV and oral contrast limits evaluation of solid organ pathology, and also of the GI tract.ABDOMEN:LUNG BASES: Lung bases are clear with only minimal basilar scarring, and no significant pericardial effusion. Severe coronary artery calcifications.LIVER, BI... | Nonobstructive left UPJ 4-mm calculus with minimal adjacent stranding as above. |
Generate impression based on findings. | 65-year-old female with chest pain. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Pulmonary artery size is within normal limits. No evidence of right heart strain.LUNGS AND PLEURA: Moderate bronchial thickening most prominent in the right lower lobe which may suggest bronchitis... | No evidence of pulmonary embolism. No acute abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | 2-year-old female with diarrhea. Please evaluate peri-stomal hernia for possible obstruction. Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnor... | 1. Right lower quadrant colostomy with parastomal hernia involving ileum, cecum and ascending colon. 2. Second anterior ventral wall uncomplicated hernia containing only transverse colon. 3. No evidence of bowel obstruction or other complication. |
Generate impression based on findings. | 2-day-old female born prematurely, status post central line placement.VIEWS: Chest and abdomen AP (two views) 1/18/2015, 13:52 The UVC has been repositioned, now looping back upon itself within the umbilical vein. The UAC tip position is unchanged, at the T6 level. The endotracheal tube tip is below thoracic inlet abov... | UVC now looping back upon itself with the tip terminating in the umbilical vein. Persistent diffuse hazy pulmonary opacity. |
Generate impression based on findings. | Fall, dementia, abrasion to face No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss. Sulci and ventricles are within normal limits for age without evidence of h... | No evidence of acute intracranial hemorrhage or calvarial fracture. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mas... | Negative unenhanced brain CT. Specifically, there are no CT findings to explain the patient's symptoms. |
Generate impression based on findings. | Fracture.VIEWS: Right foot AP/lateral/oblique (3 views) 01/19/15 No fracture is identified. Demineralization is noted. No soft tissue swelling is identified. | Demineralization. No fracture identified. |
Generate impression based on findings. | 18 years Female with Reason: retropharyngeal abscess History: L neck swelling; s/p I\T\D peritonsillar abscess and tonsillectomy on 1/16 Postsurgical changes related to recent bilateral tonsillectomy.Interval development of prominent fluid collection with multiple internal foci of gas in the left parapharyngeal space, ... | 1. Postsurgical changes reflecting recent bilateral tonsillectomy.2. Extensive fluid collections, with internal foci of air, asymmetric soft tissue inflammatory changes and superficial fat stranding of the left neck, which is suspicious for persistent/progressive left peritonsillar and parapharyngeal infection.3. Promi... |
Generate impression based on findings. | Female 72 years old. History of bilateral breast cancer. Right lumpectomy 2005 status post chemoradiation and left breast mastectomy 2012. No current symptoms. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which... | Stable postsurgical changes of the right breast. 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: 2 - Benign finding.RECOMMENDATION: ND -... |
Generate impression based on findings. | 20 years, Female. Reason: toxic megacolon History: crohn's colitis, abd pain Nonobstructive bowel gas pattern with mild gaseous distension of bowel loops in the right lower quadrant, which could represent a focal ileus. Slight leftward scoliotic curvature of the lumbar spine. | Nonobstructive bowel gas pattern with mild gaseous distension of bowel loops in the right lower quadrant which could represent a focal ileus. No specific evidence of toxic megacolon as clinically questioned. |
Generate impression based on findings. | Reason: fall, hit head History: no new focal deficits The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.The visualized portions of the paranasal sinuses demonstrate a mucus retention cyst in the ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There are periventricular white matter hypodensities present which are known to the related to the patient's demyelinating disorder. Please refer to recent MRI for more comments. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and abdomen AP 1/19/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Minimal atelectasis left lower lobe. No pleural effusion or pneumothorax. Multiple dilated loops of bowel within the abdomen. No pneumatosis or pne... | Abnormal multiple dilated loops of bowel within the abdomen. |
Generate impression based on findings. | 59-year-old female with HIV, alcoholic/HCV cirrhosis, cholelithiasis. Evaluate for ileus, colonic distention, and liver architecture. ABDOMEN:LUNG BASES: Mild bilateral basilar atelectasis.LIVER, BILIARY TRACT: The liver demonstrates a nodular surface contour with hypertrophy of the left lateral segment and widening of... | 1.Findings compatible with cirrhosis and portal hypertension. Evaluation of HCC is limited on this single phase examination. If there is concern for HCC, dedicated triple phase examination is recommended. 2.Unchanged chronic nonocclusive thrombus of the portal vein and extending to the level of the confluence.3.Hydropi... |
Generate impression based on findings. | Altered mental status, BG ICH and IVH There is a intraparenchymal hematoma centered at the left thalamus measuring 2.4 x 3.5 cm in the axial plane and approximately 3.5 cm in the craniocaudal dimension. There is intraventricular extension with hemorrhage including the lateral, third, and fourth ventricles. There is rig... | 1. Intraparenchymal hematoma centered at the left thalamus with intraventricular extension.2. Prominence of the ventricular system with recent placement of right frontal EVD. |
Generate impression based on findings. | 71-year-old male with history of flatulence and irritation. Evaluate for obstruction. Distended abdomen without tenderness to palpation. Please note lack of IV contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Large right greater than left pleural effusions and associated atelectasis/consolidation... | 1.Large right greater than left pleural effusions with associated atelectasis. New patchy opacities in the lungs may represent aspiration, infection or edema.2.Large amount of ascites, increased from prior.3.Left lower quadrant loculated fluid collection with heterogeneous contents suggesting hemorrhagic material. |
Generate impression based on findings. | 47-year-old female with facial swelling, difficulty breathing, difficulty speaking Poor dentition is noted with periapical lucency surrounding many of the remaining teeth, more prominently noted about left maxillary molars. Adjacent to these left maxillary molars is a hypoattenuating rim enhancing lesion measuring 12 x... | 1.Extensive process involving the deep tissues of the left neck with an appearance most suggestive of multifocal phlegmon and cellulitis which may have arisen from left maxillary molar caries/periapical abscesses. This process does extend superficially to involve the subcutaneous tissues. Although the airway is displac... |
Generate impression based on findings. | Female, 82 years old, with stridor at outside hospital, mild respiratory distress at UCMC, assess mass compressing trachea. The left lobe of the thyroid is replaced by a large, heterogeneous mass containing perhaps a few calcifications which measures at least 66 x 51 mm transaxial and 110 mm craniocaudal. This lesion e... | A large, heterogeneous masslike process replaces the left thyroid lobe with substernal extension into the mediastinum. Although not as significantly abnormal as the left, the right lobe of the thyroid is also enlarged and slightly heterogeneous.A nodule of tissue anterior to the trachea and similar in appearance to thy... |
Generate impression based on findings. | Reason: fall, hit head History: no new focal deficits The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.The visualized portions of the paranasal sinuses demonstrate a mucus retention cyst in the ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. There is no interval change since the prior exam from yesterday.2.There are periventricular white matter hypodensities present which are known to the related to the patient's demyelinating disorder. Please refer to recent MRI for more comments. |
Generate impression based on findings. | 63-year-old female with concern for pulmonary edema versus pneumothorax versus aspiration in patient with known interstitial lung disease and pulmonary hypertension, also concern for small bowel obstruction. Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate vascular struct... | 1. Emphysematous changes along with chronic interstitial changes at lung bases. 2. Focal wedge-shaped consolidation in lateral aspect of right middle lobe, nonspecific with differential of infection, aspiration or vascular embolic disease. 3. Trace pleural effusion and right lung base. Number 4. Small pericardial effus... |
Generate impression based on findings. | 16-year-old male with fifth metacarpal painVIEWS: Left hand PA/oblique/lateral (3 views) 01/18/15 No acute fracture or malalignment is evident. Soft tissue welling over the 5th metacarpal head. Normal exaggeration of the pitlike depression in the head of the 5th metacarpal. | Soft tissue swelling over the 5th metacarpal head without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Male; 89 years old. Reason: rule out pe History: sob PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Severe emphysema. Patchy and nodular opacities in a centrilobular distribution in both lower lobes with moderate atelectas... | 1. No acute pulmonary embolus.2. Bibasilar nodular opacities and multifocal atelectasis suspicious for infection or aspirate. These should be followed to resolution to exclude malignancy as an underlying mass could be obscured.3. Severe emphysema.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity:... |
Generate impression based on findings. | 44-year-old male with right upper quadrant pain. Evaluate. ABDOMEN:LUNG BASES: Interval resolution of bilateral pleural effusions. Mild right basilar atelectasis.LIVER, BILIARY TRACT: Interval placement of percutaneous cholecystostomy tube with metallic marker within the region of the gallbladder. The gallbladder is co... | 1.Interval placement of percutaneous cholecystostomy tube with a collapsed gallbladder. No loculated fluid collections. 2.No specific findings to account for patient's pain. |
Generate impression based on findings. | 23-year-old female with left-sided abdominal pain, cervical motion tenderness. Evaluate for appendicitis, diverticulitis, signs of PID. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality n... | 1. Benign congenital abnormality in the left kidney, incompletely evaluated. 2. Small amount of low-density fluid in the endometrial cavity, most often this represents physiologic changes in a female patient of this age. 3. No other abnormality seen. |
Generate impression based on findings. | 56 year old male with history of pancreatitis, pseudocyst and rapid rise in white blood cell count Please note lack of IV contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Small left pleural effusion and bibasilar subsegmental atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEE... | 1.Enlarged pancreas with marked retroperitoneal fluid consistent with acute pancreatitis.2.Small amount of intraperitoneal ascites. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP 1/19/15 Disorganized nonobstructive bowel gas pattern. No abnormal dilated loops of bowel. No pneumatosis or pneumoperitoneum. Patchy atelectasis right lower lobe. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Four month old male with severe pulmonary hypertension, status post intubation.VIEW: Chest AP (one view) 1/19/2015, 14:59 The endotracheal tube tip is below the thoracic inlet above the carina. The nasogastric tube tip is within the body of the stomach with the side port below the GE junction.New right upper lobe atele... | New right upper lobe atelectasis. |
Generate impression based on findings. | Intracerebral hemorrhage, assess ventricle size and bleed. There is a intraparenchymal hematoma centered at the left thalamus measuring 2.6 x 4.0 and approximately 3.7 cm in the craniocaudal dimension. There is surrounding edema. Again seen is intraventricular extension with hemorrhage including the lateral, third, and... | 1. Slight interval enlargement of intraparenchymal hematoma centered at the left thalamus with intraventricular extension. There is slight increase in rightward midline shift. Diffuse sulcal effacement again seen suggestive of elevated intracranial pressures.2. Unchanged dilatation of the ventricular system. Right fron... |
Generate impression based on findings. | History of bowel obstructionVIEW: Abdomen AP 1/19/15 NG tube tip in the stomach. Multiple surgical sutures at the right lower quadrant. There are two radiopaque densities projected over the left midline of the abdomen likely to represent postoperative changes. The previously noted dilated loops of bowel have resolved. ... | The upper abdomen is not included in the radiograph and within this limitation no definite free intraperitoneal air. |
Generate impression based on findings. | 60 year-old male with left upper quadrant abdominal pain. Obstruction versus colitis. Within the limits of a non-IV contrast enhanced examination, limiting the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: Bibasilar atelectasis without o... | 1. Atrophic native kidneys with nonobstructing calyceal calculus unchanged since 3/15/14 CT examination. 2. Right iliac fossa transplant kidney unchanged in position or appearance without evident complication seen. 3. Three anterior abdominal wall ventral hernia is unchanged. 4. Left inguinal hernia containing only mes... |
Generate impression based on findings. | Four month old male born prematurely, status-post intubation.VIEW: Chest AP (one view) 1/18/2015, 16:51 Interval intubation with the endotracheal tube tip below the thoracic inlet and above the carina. Additionally, there has been interval placement of an enteric feeding tube with the tip terminating in the body of the... | Interval intubation. Improved right basilar atelectasis. |
Generate impression based on findings. | Reason: Dx Esophageal cancer History: Evalaute disease/ chck for progression/compare CHEST:LUNGS AND PLEURA: Interval increase in bilateral pulmonary nodules. Reference right middle lobe nodule (image 46/110) now measures 15 mm previously measuring 12 mm.Reference left lower lobe subpleural nodule (image 54/110) now me... | Continued increase in pulmonary nodules and intrathoracic lymphadenopathy. |
Generate impression based on findings. | ET placementVIEW: Chest AP 1/19/15 ET tube, NG tube, gastrostomy tube and right chest tube again noted. The sidehole of the right chest tube is within the subcutaneous tissue. Cardiothymic silhouette normal. Patchy atelectasis in the right lung and left lower lobe not significantly changed. There is bilateral small ple... | Bilateral atelectasis and small pleural effusions not significantly changed. |
Generate impression based on findings. | 34-year-old female who is status post D&C. Evaluate for abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sig... | 1.Enlarged, heterogeneous, enhancing uterus is nonspecific and may be secondary to recent post procedural edema; however, differential considerations include fibroid uterus versus inflammatory disease. 2.No loculated fluid collections to suggest an abscess as clinically questioned. 3.Bilateral renal cortical thinning i... |
Generate impression based on findings. | Four month old male with respiratory distress syndrome and desaturations.VIEW: Chest AP (one view) 1/18/2015 14:44 The enteric feeding tube has been removed. There is persistent right basilar atelectasis, on a background of chronic lung disease. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax... | Chronic lung disease with associated right basilar atelectasis. |
Generate impression based on findings. | Respiratory distressVIEW: Chest AP 1/19/15 Cardiothymic silhouette normal. Minimal 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. | 37 years old. History of left lumpectomy in 2007 for invasive ductal carcinoma and DCIS. Patient has received radiation, chemotherapy and hormonal therapy. No new breast complaints. Three standard views of both breasts were performed digitally with an additional lateral exaggerated left CC view and reviewed with the ai... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient. The patient had her annual MRI today, and that will be... |
Generate impression based on findings. | Male; 63 years old. Reason: s/p stenting of esophageal perforation, please assess fluid/air in chest cavity History: SOB, back pain CHEST:LUNGS AND PLEURA: Moderate right and small left pleural effusions with adjacent bibasilar atelectasis/consolidation. Left chest tube in place with tip in the superior aspect of the m... | 1. Status post distal esophageal clipping and stent placement. Mild pneumomediastinum.2. Moderate right and small left pleural effusions with adjacent bibasilar atelectasis/consolidation. Left chest tube in place with tip in the superior aspect of the major fissure; the tube likely courses through the parenchyma of the... |
Generate impression based on findings. | 78 years, Male. Reason: s/p dobhoff History: as above Dobhoff tube tip in the gastric body. Nonobstructive bowel gas pattern. Average stool burden with stool predominantly located in the proximal colon and rectum. Left hip intramedullary nail partially imaged. | Dobhoff tube tip in the gastric body. |
Generate impression based on findings. | Redemonstrated is an unchanged left cerebral convexity mixed attenuation subdural hematoma that measures up to 15 mm in width with layering hyperattenuated blood products and associated unchanged 8 mm shift of the septum pellucidum to the right and unchanged subfalcine and uncal herniation. There is no evidence of new... | No significant change in the heterogeneous left cerebral convexity subdural hematoma with 8 mm midline shift. |
Generate impression based on findings. | Evaluate pleural effusionVIEW: Chest AP 1/18/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left PICC and left chest tube again noted. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis in the right upper lobe. |
Generate impression based on findings. | 80 years, Female. Reason: NGT placement History: Hematemesis NG tube exchanged for Dobhoff with tip in the gastric body. Nonobstructive bowel gas pattern. Surgical staples. Arterial calcifications. | NG tube tip in the gastric body. |
Generate impression based on findings. | Male, 39 years old, left submandibular abscess with fistula to the left lower dental abscess. A rim enhancing, centrally hypoattenuating collection is evident within the left submandibular space measuring 27 x 24 mm. This collection seems to connect via a cortical defect in the mandible to the alveoli of the left first... | 1. Left submandibular space abscess likely arising from dental infection within the adjacent mandibular alveoli.2. Asymmetric thickening of the right palatine tonsil may be inflammatory or even a normal variation. Correlation with direct visualization is suggested.3. Paraseptal emphysema. |
Generate impression based on findings. | Reason: h/o lung ca, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Reference right upper lobe mass has not significantly changed measuring 38 x 20 mm on image 38/90 (28 x 21 mm on prior. The prior report indicates that this measured 28 x 21 mm please note that the actual measurement is 38 x 21 ... | 1. Stable reference mass in right upper lobe and perihilar area. Interval increase in a non reference right lower lobe nodule.2. Stable right sided pleural thickening and effusion. |
Generate impression based on findings. | Interval evacuation of the left cerebral convexity subdural hematoma via two Burr holes. There remains primarily hypodense extra-axial fluid as well as pneumocephalus. Mass effect has significantly decreased, with midline shift now measuring 3 mm (previously 8 mm) and improved medialization of the left uncus. Expected... | Expected changes from interval evacuation of a left cerebral convexity subdural hematoma. |
Generate impression based on findings. | TachypneaVIEW: Chest AP 1/18/15 Feeding tube, left central line and IVC stent again noted. Multiple surgical sutures project over the right upper quadrant. Cardiothymic silhouette normal. Patchy atelectasis in the left upper lobe and left lower lobe not significantly changed. No pleural effusion or pneumothorax. | Patchy atelectasis left lung unchanged. |
Generate impression based on findings. | Ms. Gounari is a 54 year old female with a personal history of left breast mastectomy in 2006 followed by chemotherapy and tamoxifen therapy. She has no current breast related complaints Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is h... | 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. |
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