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Generate impression based on findings. | Three old female with right hip pain, rule out fracture/dislocation.VIEWS: Pelvis AP and frog leg lateral (two views) and right knee AP lateral and oblique (3 views), 1/18/2015 PELVIS: No fracture or malalignment is evident. No large joint effusions are seen. There is a moderate stool burden distributed throughout the ... | Buckle fracture of the proximal tibial metaphysis. |
Generate impression based on findings. | 38-year-old female with flank pain and hematuria. Evaluate for nephrolithiasis. ABDOMEN:LUNG BASES: Mild bilateral basilar atelectasis.LIVER, BILIARY TRACT: The liver shows mild hepatomegaly without other abnormality.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No si... | 1.Mild right hydroureteronephrosis and asymmetric right perinephric fat stranding without obstructing calculus. Findings are nonspecific but commonly seen with a recently passed stone. However, other etiologies for these findings cannot be excluded, such as stricture or inflammatory etiology.2.Mild hepatomegaly. |
Generate impression based on findings. | Status post MVA, upper back/right posterior neck pain and numb sensation to right upper extremity. The cervical vertebral bodies are appropriate in height. There is straightening of the cervical spine which may be in part positional. Alignment is otherwise maintained. No fractures are identified in the cervical spine. ... | 1. No evidence of acute fracture or subluxation in the cervical spine.2. Mild degenerative changes in the cervical spine. |
Generate impression based on findings. | 1-day-old male , former 28 week gestation, intubated, evaluate ET tubeVIEW: Chest AP (one view) 01/19/15, 0450 ET tube tip is below the thoracic inlet and above the carina. NG tube tip is in the stomach. Umbilical venous catheter tip is in the right atrium.Cardiothymic silhouette is normal. No pleural effusion or pneum... | ET tube tip is below thoracic inlet and above the carina. |
Generate impression based on findings. | Evaluate feeding tubeVIEW: Abdomen AP 1/18/15 The feeding tube tip in the stomach. Retained contrast within the large bowel. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. Diffuse body wall edema. | Feeding tube tip in the stomach. |
Generate impression based on findings. | Chest tube placementVIEW: Chest AP 1/19/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left PICC unchanged. Again noted left chest tube with sidehole in the subcutaneous tissue. Cardiothymic silhouette normal. Bilateral atelectasis increased in the interval. Bilateral small pleura... | Malpositioned left chest tube without pneumothorax. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Scattered benign calcifications are present in both breasts.No suspicious ma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | Male; 62 years old. Reason: r/o PE, rt chest pain and hemoptysis History: right sided chest pain PULMONARY ARTERIES: No evidence of pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Patchy and nodular opacities in the right upper and middle lobes have an... | 1. No acute pulmonary embolus.2. Patchy and nodular opacities in the right upper and middle lobes, most compatible with infection. Moderate surrounding hazy ground glass opacity, suggestive of hemorrhage. Given the patient's age, follow up to resolution is recommended.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not ap... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distorti... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: assess right middle opacification on CXR History: CCU pt on 3 pressers LUNGS AND PLEURA: Bibasal atelectasis versus aspirate with trace pleural fluid.MEDIASTINUM AND HILA: Right jugular catheter tip at RA/SVC junction. Mild coronary calcification. Scattered small lymph nodes. CHEST WALL: No significant abnormal... | Bibasal atelectasis versus aspirate with trace pleural fluid. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Occasional benign calcifications are unchanged in both breast... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 2-year-old male with history of posterior urethral valve BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Observed. Left: Observed.KIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU... | Normal examination without hydronephrosis.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. **SFU grad... |
Generate impression based on findings. | Reason: 39 y/o F with h/o fundoplication in 2011, now with recurrent heartburn. 2013 EGD (elsewhere) noted possible paraesophageal hernia. UGI requested to further evaluate. Double contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. Fluoroscopic evaluat... | 1. Moderate esophageal dysmotility with breakup of primary peristaltic wave.2. Large volume reflux with patient turning.3. Intact Nissen fundoplication with small paraesophageal hernia.4. Given the lack of Nissen wrap filling, little intraabdominal esophagus, and gross reflux, wrap loosening cannot be excluded. 5. Sign... |
Generate impression based on findings. | 51-year-old male with history of hip arthroplasty. Right hip: Hardware components of a right total hip arthroplasty are situated in anatomic alignment without radiographic evidence of hardware complication. There is a new focus of heterotopic bone along the lateral aspect of the supraacetabular ilium. There are scatter... | Total hip arthroplasty as above. |
Generate impression based on findings. | 49-year-old female with metastatic lung cancer. Evaluate disease status. ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions. Status post cholecystectomy. No intrahepatic biliary ductal dilatation. Mild common bile duct dilatation is likely related to the cholecystectomy.SPLEEN: No significant abnormality notedPANCR... | 1.Stable enlarged portacaval lymph node most likely metastatic disease as above.2.Please refer to concurrent CT chest report for details regarding disease in the chest. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 20-year-old female with history of fracture. There is a comminuted fracture of the distal diaphysis of the fifth metatarsal. The fracture line is less distinct indicating some healing. | Healing 5th metatarsal fracture. |
Generate impression based on findings. | Nine year old female with edema, evaluate for fracture.VIEWS: Right third finger PA, lateral and oblique (3 views) 1/18/2015 Bandlike soft tissue swelling is evident just proximal to the proximal interphalangeal joint of the third digit without underlying fracture or malalignment seen. | Soft tissue swelling without underlying fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 54-year-old female with history of knee surgery. Hardware components of a left total knee arthroplasty are situated in near anatomic alignment without radiographic evidence of hardware complication. Moderate osteoarthritis affects the right knee as seen on the frontal view. | Left total knee arthroplasty as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Scattered benign calcifications are u... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: 40 yo M w/ necrotizing pancreatitis, hilar mass found on CXR History: further evaluation of hilar mass LUNGS AND PLEURA: Multilobulated mass measuring 46 x 38 mm on image 54/111 in the left upper lobe highly suggestive of primary lung cancer.Severe emphysema. Linear scarring or atelectasis at the bases.MEDIASTI... | 1. Left upper lobe mass highly suggestive of primary lung cancer.2. Left hilar lymphadenopathy.3. Left adrenal mass incompletely characterized but may represent metastatic disease.4. Severe emphysema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | One day old male, ex 28 weeker, status post intubation and line placementVIEWS: Chest and abdomen AP (2 views) 01/18/15, 1132 ET tube tip is below thoracic inlet and above carina. NG tube tip is in stomach. UVC has been retracted and tip is in the right atrium.Cardiothymic silhouette is normal. Interval decrease in lun... | 1.UVC tip is in the right atrium. ET tube tip is above the carina. 2.Interval improvement of bilateral diffuse atelectasis.3.Interval development of disorganized bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A focal asymmetry in the left breast ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of left lumpectomy and sentinel lymph node biopsy in 2011 for IDC and DCIS. She completed radiation and chemotherapy. History of right lumpectomy for carcinoma in 1997. History of breast cancer in sister, maternal cousin and paternal cousin. States recent right breast firmness. Three standard views of the right... | Indeterminate palpable right breast upper outer quadrant lesion. Surgical consultation is recommended. If tissue is not obtained by palpable guidance, then ultrasound guided biopsy should be performed. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Stable multiple subcentimeter benign ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | ET placementVIEW: Chest AP 1/18/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Umbilical lines unchanged. There are three chest tubes on the right with the sideholes likely within the subcutaneous tissue. There is recurrence of the moderate size right subpulmonic pneumothorax. Car... | Malpositioned chest tubes with recurrence of the moderate size right subpulmonic pneumothorax. |
Generate impression based on findings. | Reason: hematoma formation History: new left neck swelling in setting of anti-coagulation Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET... | 1.The right vertebral artery appears to be occluded intracranially as follows at its origin.2.There is a left parotid gland mass present. This is suspected to be neoplastic. Although most likely this is benign, malignancy cannot be excluded on this exam.3.Subacute infarction along the right basal ganglia4.Right cerebel... |
Generate impression based on findings. | The ventricles and sulci are appropriate for patients age. There is no acute intracranial hemorrhage, mass-effect or midline shift. Redemonstrated is patchy periventricular and subcortical white matter hypoattenuation which is nonspecific, and is likely vascular related. Previously demonstrated mastoid fluid has resol... | No acute intracranial hemorrhage. Nonspecific white matter hypoattenuation which is likely vascular related of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Multiple dilated veins are present in both breasts. Arterial calcifications ... | A round asymmetry in the anterior lateral aspect of right breast. Spot compression view and possible ultrasound study is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 67-year-old female with history of fall. Right shoulder: Mild osteoarthritis affects the glenohumeral and acromioclavicular joints. There is spurring of the anterior aspect of the acromion. We see no fracture.Right knee: Moderate osteoarthritis affects the knee especially at the patellofemoral compartment. There may be... | Degenerative changes as above without acute fracture. |
Generate impression based on findings. | 29 years, Female. Reason: ileus History: N/V Gaseous distension of colonic loops containing enteric contrast from recent CT. No evidence of acute obstruction. | Nonobstructive bowel gas pattern. Colonic contrast from recent CT. |
Generate impression based on findings. | Reason: h/o lye ingestion 1985, esophagectomy s/p colonic interposition, s/p laryngectomy 1/2014 and recent Provox placement 1/14/15 p/w bleeding from mouth and tracheobronchitis. History: Patient continuing to cough up blood through mouth with large clots, unable to actively visualize bleeding with scope through stoma... | 1.Inferior thyroidal artery branches surround the paradox. No pseudoaneurysm is appreciated to explain the patient's stomal bleeding.2.Status post laryngectomy and colonic interposition with placement of provox.3.Hypodense material in the oropharynx is suspected to represent blood products. |
Generate impression based on findings. | Ms. Levenda is a 58 year old female with left breast cancer. She is scheduled for left breast lumpectomy and sentinel lymph node biopsy on 1/19/2015. She presents today for ultrasound guided wire localization of index cancer. On review of the prior ultrasound studies, there is an irregular, hypoechoic mass in the left ... | Successful US-guided needle localization of the left breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Reason: eval swallow History: dysphagia. Additional clinical history of recurrent SCC of the proximal esophagus status post chemoradiation with concern for stricture. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. A right central venous catheter termina... | 1. Proximal esophageal stricture measuring 4-5 mm in diameter correlating with the location of the patient's known esophageal tumor. 2. No distal esophageal or gastric lesions identified. 3. An episode of silent aspiration was observed, which cleared with voluntary coughing. 4. Other findings as described above. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP 1/18/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The umbilical venous catheter tip within the right atrium. The umbilical arterial catheter tip at L4. Cardiothymic silhouette normal. The malpositioned three chest tubes are again noted... | Malpositioned chest tubes with moderate size right subpulmonic pneumothorax unchanged. |
Generate impression based on findings. | 67 years, Female. Reason: 67F s/p cystectomy, with distention; assess for ileus vs obstruction Interval removal of vaginal packing material and enteric tube. Mild gaseous distention of the bowels consistent with generalized ileus. Scoliosis, laminectomy changes, and DJD of the spine. Skin staples noted. Partially seen ... | Interval removal of vaginal packing material and enteric tube. Mild gaseous distention of the bowels consistent with generalized ileus. |
Generate impression based on findings. | The examination is limited by lack of IV contrast. There are bullet fragments in the floor of the mouth adjacent to a chronic mandibular fracture. A tracheostomy defect is noted, deep to which is an area of tracheal narrowing measuring approximately 20 x 10 x 16 mm in AP x TR x CC dimensions (series 8, image 70). Ther... | 1.Findings consistent with a post tracheostomy stricture with measurements as described above.2.Paranasal opacification and air-fluid levels in the maxillary and sphenoid sinuses likely related to prior intubation.3.Bullet fragments in the floor of the mouth and chronic mandibular fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | LUNG BASES: Small left pleural effusion and minimal associated atelectasis. Right lower lung interlobular septal thickening, nonspecificLIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality n... | 1.Partial bowel obstruction in the lower abdomen likely due to adhesions. Abdominal and pelvic ascites, and differential enhancement of the bowel loops, without bowel wall thickening or pneumatosis. Unless an alternative etiology of ascites is evident,ascites raises the question of bowel injury.2.No arterial occlusion ... |
Generate impression based on findings. | Chest tube replacementVIEWS: Chest AP and lateral 1/18/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. The umbilical venous catheter tip in the right atrium. There are two new chest tubes on the right with tips at the apex posteriorly. The moderate size right subpulmonic pneumothorax has ... | Placement of new chest tubes on the right with interval decrease in size of the moderate size right pneumothorax. |
Generate impression based on findings. | 17 year-old female status post appendectomy with persistent pain. ABDOMEN:LUNG BASES: New moderate bilateral pleural effusions are evident, left greater than right with associated compressive atelectasis. A central venous catheter is in place with the tip terminating in the high right atrium.LIVER, BILIARY TRACT: Multi... | 1.Postsurgical changes related to appendectomy, with a surgical drain present within the midline pelvis.2.Multiple new organized and partially organized fluid collections within the abdomen and pelvis most consistent with abscesses.3.New bilateral pleural effusions with associated compressive atelectasis.4.Diffuse mild... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Evaluate pneumothoraxVIEW: Chest AP and abdomen AP 1/19/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The two chest tubes on the right unchanged. Umbilical lines unchanged. Cardiothymic silhouette normal. The right subpulmonic pneumothorax has decreased in size. Patchy atelectasi... | Right subpulmonic pneumothorax has decreased in size. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 11-year-old male vomiting. History of malrotation.VIEWS: Chest AP, abdomen AP supine, abdomen left decubitus (3 views) 01/18/15 Cardiothymic silhouette is normal. Mild peribronchial cuffing suggestive of bronchiolitis/reactive airway disease. No focal areas of consolidation. No pleural effusion or pneumothorax.Nonobstr... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Scattered benign calcifications are present in both breasts.No suspicious ma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 71 years Male with AMS. Patient is intubated, please assess for acute changes. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No mass, midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are mildly prominent, likely age-related, w... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Ms. Mitacek is a 34 year-old female presenting with left unilateral bloody nipple discharge. She recently had an MRI that showed a total of three areas of enhancement (two on the left, one on the right). The anterior enhancing lesion in the left breast was of higher suspicion. The posterior enhancing lesion in the left... | (1) Successful MR guided core needle biopsy of the left breast 12 o'clock enhancing lesion with successful clip placement. Pathology is pending.(2) The posterior enhancing lesion in the left breast and the enhancing lesion in the right breast were not seen on today's MRI exam. A short-term 6 month MRI follow-up is reco... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 59-year-old male with recent unwitnessed fall and possible head trauma. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No mass, midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age, without evidence... | No evidence of intracranial hemorrhage or mass effect. Calvarium and soft tissues are unremarkable. No specific evidence of recent head trauma. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: assess for tracheal stenosis History: dysphonia LUNGS AND PLEURA: Atelectasis and consolidation involving both lung bases, left greater than right. Trace associated pleural fluid. Bronchial wall thickening.MEDIASTINUM AND HILA: Focal, roughly 50% narrowing of the trachea, 6 - 7 cm above the carina. No definitiv... | 1. Focal, roughly 50% narrowing of the trachea, 6 - 7 cm above the carina. No definitive mass is identified given limits of technique. This may be secondary to a prior endotracheal tube.2. Atelectasis and consolidation involving both lung bases, left greater than right. Trace associated pleural fluid. Bronchial wall th... |
Generate impression based on findings. | Male; 62 years old. Reason: 62yo M with cavitary lesion on XRAY concerning for TB vs neoplasm History: - LUNGS AND PLEURA: Thick-walled cavitary lesion in the left upper lobe measures 4.1 x 4.1 cm (image 27, series 5) with internal air fluid level and mild surrounding and satellite patchy groundglass opacities, most su... | Thick-walled cavitary lesion in the left upper lobe with surrounding groundglass opacity, most suspicious for infection with differential considerations as above. Enlarged mediastinal lymph nodes are most likely reactive. However, follow-up to resolution is advised for the possibility of malignancy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Ms. Taylor Harris is a 59 year old female presenting for a routine mammogram. She was previously followed on a short term basis for calcifications in the left upper outer breast. She has no current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 C... | Stable benign calcifications in the left breast. 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 - Screeni... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Biopsy clip is presen... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | There is no diffusion abnormality to suggest acute infarct. No intracranial mass or mass effect. The ventricles and sulci are within normal limits for age. No extra-axial fluid collection is identified. There is moderate degree of T2/flair hyperintensity throughout the periventricular and subcortical white matter as w... | 1. No evidence of acute infarct. No evidence of intracranial mass or mass effect.2. Advanced chronic small vessel ischemic disease.3. No significant stenosis in the intracranial or extracranial circulations. |
Generate impression based on findings. | Lung Cancer. LUNGS AND PLEURA: Volume loss and bronchiectasis with consolidation medial right upper lobe, not significantly changed presumably secondary to radiation fibrosis. Scattered punctate micronodules unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant change in infiltrati... | 1. Stable CT demonstrating an infiltrative right chest wall mass and right upper lobe consolidation. The right upper lobe consolidation may represent post XRT fibrosis rather than residual disease.2. Small intrathoracic nodes are unchanged.3. See abdomen CT report for details regarding an upper abdominal mass. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Left nephrectomy, with surgical clips in the nephrectomy bed... | 1.Pelvic air-filled cavity network in the cystectomy/hysterectomy bed as above.2.No identifiable anterior cutaneous fistula tract.3.No site of enteric fistula to pelvic air cavities is seen, however suspected site is at rectum -- if further imaging clarification would be helpful, fluoroscopic rectal contrast administra... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 15-year-old male with sickle cell disease and vaso-occlusive diseaseVIEWS: Pelvis AP/frog leg, left femur AP/lateral, right femur AP/lateral, right knee AP/lateral, left knee AP/lateral (10 views) 01/18/15 Pelvis: There is deformity and flattening of the right femoral head with lateral uncovering of approximately 20%. ... | Findings suggestive of avascular necrosis of the right femoral head. No acute fracture malalignment is evident. |
Generate impression based on findings. | 2-year-old male with right leg fracture.VIEWS: Right tibia/fibula AP and lateral (two views) 1/18/2015, 23:09 Interval casting of the oblique tibial diaphyseal fracture with persistent anterior and lateral displacement of distal fracture fragment. Overlying cast material obscures fine bone detail. | Casting of the tibial diaphyseal fracture as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. An intramammary lymph node is seen a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | There is narrowing of the subglottic airway superior to the tracheostomy with surrounding soft tissue edema secondary to radiation changes, which are unchanged from the prior exam without evidence of enhancing tumor. The remaining visualized aerodigestive tract is without focal effacement or enhancement. There is no c... | 1.Post treatment changes in the neck without evidence of abnormal enhancement, mass, or lymphadenopathy.2.Please refer to separately dictated chest CT report for thoracic findings. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A biopsy clip in the right breast at ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 46 years old; Reason: Evaluate for recurrent ovarian cancer History: right upper quadrant abdominal pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mild calcified coronary artery disease. CHEST WALL: Bilateral axillary surgical clips, bilateral breast prostheses.ABDOMEN:LIVER,... | 1. New retroperitoneal lymphadenopathy, appearance consistent with metastatic disease.2. Stable 1 cm focus deep to umbilicus, although nonspecific may be related to postsurgical fat necrosis, attention on followup imaging recommended to exclude additional metastatic site. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Ms. Dabney is a 73 year old female with a personal history of left breast mastectomy in 2014 followed by hormonal 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 composed of scatter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. Stable benign mass is present in retroareolar region in both ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 63 year-old female with pancreatic cancer status post Whipple procedure -- please evaluate for evidence of disease recurrence. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Calcified lymph nodes again seen from prior granulomatous disease. No other enlarged lymph nodes identified. CHEST... | 1. Status post Whipple procedure with expected associated postoperative findings. 2. Interval resection of pancreatic body, pancreatic tail and spleen since 10/16/14. Anterior midline 2.5-cm either collection or low density tissue is seen which may represent postoperative change adjacent to sutures, but cannot be diffe... |
Generate impression based on findings. | 71 years, Male. Reason: ?feeding tube position History: None Enteric tube tip overlies the forth portion of the duodenum. Paucity of bowel gas.Patient is status post sternotomy. LVAD and ICD leads partially visualized. | Enteric tube tip overlies the forth portion of the duodenum. Paucity of bowel gas. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 2-year-old male status post trauma, evaluate for fracture.VIEWS: Right tibia/fibula AP and lateral (two views) right ankle AP lateral and oblique (3 views) 1/18/2015 An oblique fracture of the distal tibial diaphysis is seen with anteromedial displacement of the distal fracture fragment. There is significant soft tissu... | Oblique tibial diaphyseal fracture as above. |
Generate impression based on findings. | 92 years, Male. Reason: eval for signs SBO History: constipation Vascular calcifications noted. DJD of the spine, SI joints, and hips.Nonobstructive bowel gas pattern. Average stool burden. | Nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | Nine year old female with Langerhans cell histiocytosis of the pelvis, on chemotherapy. Evaluate disease status. EXAMINATION: MR enterography without and with IV contrast 1/19/2015 A heterogeneous, but predominantly T1 and T2 hyperintense lesion is identified within the right iliac wing, which demonstrates significant ... | Interval decrease in size of the right iliac wing lesion and improvement of the surrounding bone marrow edema consistent with treatment response, with no new foci of disease identified. |
Generate impression based on findings. | Leg lengthening.VIEWS: Left femur AP/lateral (two views) 01/19/15 External fixator remains in place. No loosening of screws is identified. Plate and screws device in medial distal femur is again noted. Distraction at the osteotomy site measures 6 cm laterally. New bone formation in the osteotomy site appears slightly i... | Increase in distraction at osteotomy site. |
Generate impression based on findings. | Reason: esophageal lesion History: dysphagia for dry food, bilateral oophorectomy Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal su... | Normal esophageal and gastric mucosa. No evidence of reflux. Minor esophageal dysmotility with trace proximal escape. |
Generate impression based on findings. | Female; 48 years old. Reason: eval for lymphadenopathy, lung mass, outside w/u: CT chest 10/2014 with RLL opacity and LAD, s/p bronch with atypical cells, then had med which was negative. History: cough, initially with hemoptysis LUNGS AND PLEURA: Mild upper lobe predominant centrilobular emphysema. Very mild streaky s... | 1. Mild centrilobular emphysema. Otherwise, no significant pulmonary abnormality.2. No mediastinal or hilar lymphadenopathy. |
Generate impression based on findings. | Reason: tracheal polpys noted on CT chest outside History: voice hoarseness LUNGS AND PLEURA: 6 mm smoothly marginated nodule in the medial right lower lobe (image 69/110).MEDIASTINUM AND HILA: Lobulated mass involving posterior wall of distal trachea just above the carina causing roughly 50% narrowing of the airway. T... | Masses involving posterior wall of distal trachea and in the bronchus intermedius. While the differential diagnosis is extensive and includes inflammatory and neoplastic etiologies, the main considerations are benign neoplasms such as squamous cell papillomas or malignant lesions such as squamous cell carcinoma, ACC or... |
Generate impression based on findings. | 37-year-old female with history of fifth proximal phalanx fracture. Again seen is a transverse fracture through the neck of the proximal phalanx of the fifth toe. There is minimal plantar displacement of the distal fracture fragment. Overall this appears similar to the prior study. | 5th toe fracture as above. |
Generate impression based on findings. | Female; 63 years old. Reason: History of metastatic breast cancer on treatment. Compare to prior imaging and evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging and evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: New moder... | 1. New moderate subpleural atelectasis/consolidation in the right upper lobe is nonspecific with differential considerations as above. A new underlying mass cannot be excluded.2. New subcarinal necrotic lymphadenopathy could be reactive versus due to metastatic disease.3. Increased right pleural effusion. Slightly incr... |
Generate impression based on findings. | Reason: hx H\T\N radiation and secondary aspiration, presenting with hemoptysis from sublaryngeal source, looking for likely pulmonary source History: Progressive hemoptysis last 24 hours LUNGS AND PLEURA: Patient is an acute diffuse air space opacities involving all lobes more pronounced in the lower lobes. This is co... | Extensive new multifocal airspace and ground glass opacities more predominant in the lung bases compatible with acute aspiration/infection. Concomitant hemorrhage may be present. |
Generate impression based on findings. | 62-year-old male with history of pT4b N1a anaplastic thyroid carcinoma status post treatment, please compare to previous with measurements. Neck: Stable appearance of postoperative findings related to total thyroidectomy, neck dissection, and right vocal cord augmentation. Stable ill-defined soft tissue within the righ... | 1. Stable posttreatment findings, without evidence of locoregional tumor recurrence or significant lymphadenopathy.2. No evidence of intracranial metastases. |
Generate impression based on findings. | Right femur fracture.VIEWS: Right femur AP/lateral (two views) 01/19/15 A cast obscures bone detail. Plate and screws device remains in place. Oblique fracture of mid femur is in near-anatomic alignment. Callus formation has developed in the interval. | Healing fracture of the mid femur. |
Generate impression based on findings. | Ms. Williams is a 77 year old female with a personal history of left breast lumpectomy for IDC/DCIS in April 2013 followed by radiation therapy. She has no current breast related complaints. Three standard views of both breasts, a left laterally exaggerated CC view, and two left spot compression views were performed di... | 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.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnos... |
Generate impression based on findings. | 42 year old female with history of wrist surgery. Two orthopedic pins affix the scaphoid to the lunate and capitate in near-anatomic alignment. There is mild soft tissue swelling laterally. There are new lucencies within the lunate, triquetrum, and pisiform which are not clearly evident on the prior study. As the remai... | Orthopedic fixation of the scaphoid to the capitate and lunate. Other findings as above. |
Generate impression based on findings. | Evaluate NG tubeVIEW: Abdomen AP Moderate amount of fecal burden. Disorganized nonobstructive bowel gas pattern. There is no NG tube identified. No pneumatosis or pneumoperitoneum. | NG tube not identified in this radiograph. |
Generate impression based on findings. | Reason: follow-up nodules on jan 2014 CT - active smoker History: none LUNGS AND PLEURA: Scattered ground glass and solid micronodules, the largest of which is groundglass and measures 5 mm in the left lower lobe (image 76/117).Emphysema.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size normal w... | Continued stability of scattered groundglass nodules as discussed above. Despite stability small ground glass nodules are typically followed to 3 years as there is a risk of low grade slowly growing adenocarcinoma therefore continued CT follow up is recommended (first scan in our PACS is an outside study dated 10/9/201... |
Generate impression based on findings. | FractureVIEWS: Left middle finger AP and lateral Again noted healing Salter II fracture involving the distal phalanx of the left middle finger. The alignment is not significantly changed from prior study. There is soft tissue swelling about the left middle finger. | Healing Salter II fracture involving the distal phalanx of the left middle finger. |
Generate impression based on findings. | 10-year-old male with known Salter-Harris type II fracture.VIEWS: Great toe AP and lateral (two views) 1/19/2015, 09:49 A fracture extending through the base of the great toe distal phalanx is again seen, without significant interval change in alignment. No significant periosteal reaction or callus formation is evident... | Salter-Harris type II fracture of the great toe distal phalanx, without significant interval change. |
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