instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 50 year-old female with history of right shoulder pain. Tiny glenoid osteophytes indicate minimal osteoarthritis. The shoulder is otherwise unremarkable. There is an incompletely imaged orthopedic fixation device and stimulator leads projecting over the lower cervical spine. | Minimal osteoarthritis as above. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP There is moderate amount of fecal burden at the rectosigmoid region. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden at the rectosigmoid region. |
Generate impression based on findings. | 69-year-old female with history of knee prosthesis. Hardware components of a right total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. There is heterotopic bone along the medial aspect of the joint which appears similar to prior. The silhouette ... | Total knee arthroplasty as above. |
Generate impression based on findings. | 62-year-old female with history of stage IV melanoma. Re-evaluate disease status. CHEST:LUNGS AND PLEURA: Reference right lower lobe nodule measures 0.7 x 0.6 cm (series 20584, image 50), previously measuring 0.9 x 0.8 cm. An additional reference right lower lobe nodule measures 1.1 x 0.9 cm (series 20584, image 69), p... | 1.Mild interval decrease in size of the pulmonary nodules. 2.Interval decrease in size of right adrenal nodule. 3.No new sites of disease. |
Generate impression based on findings. | Reason: h/o vocal cord ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Stable scattered calcified and noncalcified micronodules.Mild subpleural reticulation and fibrosis similar to the prior exams.No new suspicious pulmonary masses.MEDIASTINUM AND HILA: Tracheostomy tube in place... | No interval change without evidence of metastatic disease. Mild pulmonary fibrosis stable. |
Generate impression based on findings. | 55-year-old female with history of pain. There is narrowing of the medial tibiofemoral compartment along with tricompartmental osteophytes indicating moderate osteoarthritis. There is no joint effusion. Mild osteoarthritis affects the right knee as seen on the frontal view. | Osteoarthritis as above. |
Generate impression based on findings. | 60 year-old male with history of right knee prosthesis. Hardware components of a right total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. Anterior soft tissue swelling limits evaluation of the extensor mechanism. Mild osteoarthritis affects the... | Right total knee arthroplasty as above. |
Generate impression based on findings. | 57-year-old female with a history of a right mastectomy in 1990 with recurrent invasive carcinoma along the right chest wall in 2011. Family history of two paternal cousins with breast cancer. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Ms. Smith is a 72-year-old female with a personal history of right breast lumpectomy in 2005 and left breast mastectomy in 2012 followed by chemoradiation therapy. Family history of breast cancer in mother and sister. Dr. Jaskowiak palpated a right breast mass at the 2:00 position. The site has been marked. Upon physic... | Benign sebaceous cyst in the right breast without sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 9-year-old male with history of histo, fungal ball in chest, abdomen, or pelvis CHEST:LUNGS AND PLEURA: No pleural effusion. Patchy opacity in the right lower lobe (series 4, image 33). Bibasilar atelectasis. Focal nodule measuring 6 mm (series 4, image 40) in the right lung base likely represents round atelectasis. Mu... | 1.Right multifocal lower lobe pneumonia and bilateral atelectasis.2.Generalized ileus.3.Poor corticomedullary differentiation, a finding of medical renal disease. |
Generate impression based on findings. | 88 years, Female. Reason: 88 yo F AMS, SOB History: SOB Large fecal material noted in the distended rectum compatible with fecal impaction. Decreased bowel gas from prior study. No definite evidence of obstruction.DJD of the spine. Vascular calcifications noted. | Large fecal material noted in the distended rectum compatible with fecal impaction. Decreased bowel gas from prior study. No definite evidence of obstruction. |
Generate impression based on findings. | Ms. Gosden Pollack is a 56-year-old female called back for findings seen on 3-D whole breast ultrasound in the left breast. She has a family history of breast cancer in mother and maternal grandmother. Upon physical exam at the area of concern identified by the 3-D whole breast ultrasound, no discrete mass is appreciat... | No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due next in Dec 2016. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Reason: dyspnea; crackles on physical exam; possible ILD History: see above LUNGS AND PLEURA: Mild bibasilar, right greater than left, linear interstitial abnormality with borderline bronchiectasis and bronchial wall thickening. No significant air trapping, nodularity, or honeycombing. No pleural effusion. Mild parasep... | Mild bibasilar, right greater than left, linear interstitial abnormality with borderline bronchiectasis and bronchial wall thickening. No significant air trapping, nodularity, or honeycombing. Though the appearance is nonspecific, it is likely secondary to scarring. |
Generate impression based on findings. | Pain. Evaluate healing of "proximal phalanx" fracture. The bones appear slightly demineralized. Again seen is a fracture through the dorsal aspect of the base of the distal phalanx of the great toe. The fracture line is less distinct on the current than on the prior study dose suggesting some interval healing. I see no... | Healing distal phalangeal fracture. |
Generate impression based on findings. | Some thin soft tissue stranding is noted in bilateral external auditory canals. The middle ear cavities and mastoid air cells are clear. The scuta and ossicles are intact bilaterally. No erosive changes are identified. There are no soft tissue masses identified within either middle ear cavity. The roofs of the attic a... | Some thin soft tissue stranding is noted in bilateral external auditory canals. Otherwise negative high-resolution CT scan of the temporal bones. |
Generate impression based on findings. | Reason: h/o anaplastic thyroid ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No interval change in the residual scarring at the left lung base.No suspicious pulmonary masses or masses.MEDIASTINUM AND HILA: Status post thyroidectomy.No hilar or mediastinal lymphadenopathy noted.... | No interval change without evidence of metastatic disease. |
Generate impression based on findings. | 4-month-old male with respiratory distress and history pulmonary hypertension. New right upper lobe atelectasis on recent chest radiograph.VIEW: Chest AP (one view) 1/19/2015, 10:40 The endotracheal tube tip is below the thoracic inlet and above the carina. The nasogastric tube tip is within the stomach, with the side ... | Improved right upper lobe atelectasis on a background of persistent and unchanged chronic lung disease. |
Generate impression based on findings. | FractureVIEWS: Left elbow AP and lateral Healing lateral condylar fracture again noted. There is minimal periosteal reaction along the distal humerus. The overlying cast has been removed in the interval. No elbow joint effusion. | Healing distal humeral fracture as described above. |
Generate impression based on findings. | Status post fall on right knee There is a joint effusion, but I see no fracture. Alignment is within normal limits. Mild osteoarthritis affects the knee. There is chondrocalcinosis of the menisci. Arterial calcifications in the soft tissues. | Osteoarthritis and joint effusion, without fracture evident. |
Generate impression based on findings. | Reason: Assess Crohn's of small bowel History: History of Crohn's; RLQ pain. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 30 minutes. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no ulcers, sinus tracts, fistulae, or adhesions. No separation ... | Normal examination of the small bowel and proximal colon. |
Generate impression based on findings. | Reason: f/u of abnl CT done while had pneumonia History: abnl chest x ray LUNGS AND PLEURA: Minimal subpleural scarring in periphery of superior segment right lower lobe. Linear scar or atelectasis in the lingula.MEDIASTINUM AND HILA: Scattered small subcentimeter lymph nodes. Minimal coronary calcification.CHEST WALL:... | No significant cardiopulmonary abnormality. Minimal subpleural scarring in periphery of superior segment right lower lobe. Linear scar or atelectasis in the lingula. |
Generate impression based on findings. | Postoperative prosthetic assessment Three views of the right hip show a components of a total hip arthroplasty device situated in near anatomic alignment. The acetabular component appears slightly more vertically oriented on the current study than on the prior study, but this may simply be an artifact of patient positi... | Total hip arthroplasty and other findings as above. |
Generate impression based on findings. | Pain. Evaluation of right small finger. Again seen are two orthopedic pins affixing a large mallet fracture of the base of the distal phalanx of the fifth finger. The mallet fracture fragment appears dorsally rotated on the lateral view, resulting in a 2-mm gap of the articular surface. The volar margin of the fracture... | Orthopedic fixation of distal interphalangeal fracture as described above. |
Generate impression based on findings. | 55 y/o female with right breast CA; vaguely palpable left axillary node A targeted left axillary ultrasound was performed for the palpable area of concern. Several prominent lymph nodes are identified.Three large lymph nodes are noted in the lateral superior axilla, two of which have abnormal morphology. One of these n... | Left axillary lymphadenopathy.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Right knee pain. Evaluate for osteoarthritis. Three views of the right knee are provided. There is severe osteoarthritis particularly affecting the medial compartment where there is bone on bone apposition. There is also a mild varus deformity of the knee.Mild osteoarthritis affects the left as seen on the frontal view... | Osteoarthritis. |
Generate impression based on findings. | Brain:No intracranial mass or mass-effect. No abnormal parenchymal or meningeal enhancement. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. No large destructive lesions are seen within th... | 1. No significant paranasal sinus disease. Minimal mucosal thickening is seen in the paranasal sinuses on the current study and is improved since 12/29/2014.2. Bilateral mastoid air cells and middle ear cavities appear well aerated without CT findings to suggest mastoiditis or otitis media.3. Extensive sclerosis and ex... |
Generate impression based on findings. | 86 years, Male. Reason: ? partial obstruction History: bloating and decreased stool for 5 days Nonobstructive bowel gas pattern with average stool burden. Lumbar spine degenerative changes. | Nonobstructive bowel gas pattern with average stool burden. |
Generate impression based on findings. | 58 year-old female with history of left nephrectomy for RCC and intra-abdominal abscess. ABDOMEN:LUNG BASES: Small left lung base focal opacity (4/19), approximately 7 mm in diameter and is decreased in size from prior.LIVER, BILIARY TRACT: Small amount of pneumobilia, unchanged. Slightly decreased perihepatic ascites.... | 1.Post operative findings of left nephrectomy with gas-filled cavity having slightly decreased in size. Given the persistence of gas within this cavity, and the adjacent descending colon, this raises the question of fistulous connection as no additional sources of gas are identified.2.Loculated mid pelvis fluid collect... |
Generate impression based on findings. | Three-year-old male with hydronephrosis, follow-up one year scan BLADDER Wall Thickness: The bladder wall is thickened at the vesicoureteral junction bilaterally. Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 1 Left: 2 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echog... | Grade 2-3 left hydroureteronephrosis. Scarred right kidney.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thi... |
Generate impression based on findings. | Male 54 years old; Reason: Metastatic pancreas cancer currently on therapy/clinical trial please assess and compare to previous imaging and follow/provide index lesion measurements for RECIST CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary metastases. Reference measurements as follows:Stable to minimally increased... | 1. Stable to mild interval enlargement of pulmonary metastases and pancreatic tail/splenic lesion as above. |
Generate impression based on findings. | Increased work of breathingVIEW: Chest AP 1/19/15 Left upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Minimal atelectasis left lower lobe. No pleural effusion or pneumothorax. The stomach is distended. | Minimal atelectasis left lower lobe. |
Generate impression based on findings. | Status post fracture, check healing Hip: Three pins remain well situated without evidence of complication. Normal alignment with decreased fracture visualization compatible with interval healing and bridging material. Underlying moderate hip osteoarthritisPelvis: Moderate osteoarthritis of the right hip is also observe... | Healed left femoral neck fracture with hardware. No complications |
Generate impression based on findings. | There is evidence of prior bilateral uncinectomy and right-sided ethmoidectomy.Frontal sinus: Moderate opacification of the bilateral frontal sinuses and is interval worse.Anterior ethmoids: Near-complete opacification of the anterior ethmoid air cells.Maxillary sinuses: Interval worsening of moderate maxillary sinus ... | 1. Moderate to severe pan-sinus disease, which is slightly worse from recent CT of the head dated 1/16/15 and much worse compared to CT 11/4/2014. 2. Focal areas of dehiscence are seen in the left cribriform plate and fovea ethmoidalis on the left. These are of uncertain age and may be developmental versus related to a... |
Generate impression based on findings. | FractureVIEWS: Right little finger AP and lateral Again noted fracture involving the distal aspect of the proximal phalanx of the left little finger. The examination is limited due to the overlying cast material. | Fracture of the distal aspect of the proximal phalanx of the left little finger. |
Generate impression based on findings. | Female 58 years old; Reason: 58y/o patient with left breast cancer; Surgery DCAM 2C 1/19/15 Left breast wire loc lump and SNBx 2pm History: 58y/o patient with left breast cancerRADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four p... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | FractureVIEWS: Right wrist AP and lateral Again noted healing buckle fractures involving the distal radius and ulna in near anatomic alignment. The overlying cast obscures fine bony detail. | Healing buckle fractures distal forearm as described above. |
Generate impression based on findings. | Pain Interval increased and now severe degenerative changes involving the base of the first digit with more moderate scattered degenerative changes more distally and mildly more pronounced involving the first and second digits. Alignment persists without additional soft tissue abnormalities. Wrist is otherwise intact | Progressing and now moderate to severe degenerative changes again most pronounced involving the first carpometacarpal joint with decreased changes distally |
Generate impression based on findings. | Reason: lung cancer, s/p resection and adjuvant chemo. Pt has been on antifungal medication for fungal infection in lung. Pls c/w previous study to evaluate disease status and infection. History: lung ca and fungal infection. 90 CHEST:LUNGS AND PLEURA: Right upper lobe part solid opacity (series 4/33) measuring 38 x 41... | 1.Slight interval progression of multiple groundglass and part solid lesions in the right lung compatible with synchronous primary and locally metastatic adenocarcinomas. 2.No specific evidence of fungal infection. |
Generate impression based on findings. | Reason: evidence of critical stenosis History: left sided neglect, ataxia, visual field deficit 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 ... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.there is encephalomalacia present along the right occipital lobe4.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 5.CT is insensitive for the earl... |
Generate impression based on findings. | Pain along medial tubercle and left fascial band Left foot: No radiographic abnormality.Right foot: Minimal degenerative changes involving the first MTP and midfoot (navicular articulations) without additional superimposed abnormality. Alignment and soft tissues otherwise intact. | Minimal osteoarthritis without focal acute abnormality |
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 mega cisterna magna. The ventricles and basal cisterns are otherwise normal in size and configuration. There is no midline shift or herniation. T... | No acute intracranial hemorrhage or mass-effect. |
Generate impression based on findings. | Distal radial surgery Interval increasing bridging callus formation obscuring the osteotomy lines. Underlying fixation hardware otherwise intact evidence of complication. Alignment preserved throughout with increasing callus formation. Old ulnar styloid fracture unchanged. Distal wrist and visualized portions of the ha... | Healing distal radial surgical repair |
Generate impression based on findings. | Pain, check for fracture Interval decreasing visualization of the scaphoid waist fracture compatible mild minimal interval healing. Diffuse demineralization compatible with disuse. Scaphoid deviation views do not demonstrate associated displacement or malalignment | Partial interval healing of the scaphoid waist fracture |
Generate impression based on findings. | Female 82 years old. Left breast focal asymmetry seen in 2013. History of benign right breast biopsy. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. The 14 mm circumscribed mixe... | Stable focal asymmetry in the left breast upper outer quadrant. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in one year. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMEND... |
Generate impression based on findings. | Male 65 years old; Reason: prostate cancer History: prostate cancer CHEST:LUNGS AND PLEURA: There a few scattered pulmonary nodules. The largest located in the right upper lobe (image 30/image 124) .Pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality not... | 1.Findings of hepatic metastases2.Soft tissue mass in the right prostatic bed that extends into the expected location of the right ureter. |
Generate impression based on findings. | Pain along fifth MTP Mild degenerative changes large involving the first MTP without additional superimposed foot acute abnormality. Specifically the fifth digit is well visualized and free of fracture or malalignment. No soft tissue abnormality. Small plantar heel spur and although prior exam suggested pes planus defo... | Mild osteoarthritic changes of the first MTP, see comments above |
Generate impression based on findings. | Male 76 years old; Reason: metastatic prostate cancer evaluation of disease during therapy under investigation History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Upper lobe pulmonary nodule measures 0.9 x 0.4 cm (image 34/series 4) previously, 0.9 x 0.7 cm.Subjectively, the other nodules appear unchanged.MEDIA... | 1.Stable exam without size increase in the reference lesions.2.Please refer to same day bone scan for evaluation of the osseous metastatic disease. |
Generate impression based on findings. | Female 47 years old; ABDOMEN:LUNG BASES: Subcentimeter bilateral lower lobe pulmonary nodules. No prior comparison available.Postsurgical changes in the breasts.Subcentimeter right chest wall lymph node (image 7 / series 2).LIVER, BILIARY TRACT: Hypodense sub-centimeter hepatic foci, the largest in segment 7 of the liv... | 1.Nonspecific subcentimeter pulmonary nodules; follow up is suggested. 2.Left adrenal nodule; follow up is suggested. 3.Subcentimeter hepatic foci, too small to fully characterize. |
Generate impression based on findings. | 40 year-old female with history of left radial head fracture Again seen is an approximately 2 mm cortical step-off along the radial head consistent with an intra-articular radial head fracture. A joint effusion is again noted. | Radial head fracture appearing similar to the prior exam. |
Generate impression based on findings. | 5-year-old male with history of Hirschsprung's and diarrhea since October. Infectious workup negative.VIEW: Abdomen AP (one view) 1/19/2015 Large stool burden, increased from the prior examination, which is distributed throughout the entire colon. The bowel gas pattern is nonobstructive. No portal venous gas, pneumatos... | Large stool burden scattered throughout the colon, increased from the prior exam. |
Generate impression based on findings. | There is a small subdural hematoma located along the left paramedian tentorium without significant underlying mass-effect. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The degree of myelination is appropriate for age. The... | There is a small subdural hematoma located along the left paramedian tentorium without significant underlying mass-effect. |
Generate impression based on findings. | Male, 44 years old, history of tonsil cancer. Generalized nasopharyngeal thickening persists with effacement of the right fossa of Rosenmuller, unchanged. Also seen is edema of the right palatine tonsil and oropharynx, again not significantly changed from prior. Mucosal edema continues down to the supraglottic larynx, ... | Redemonstration of treatment related findings in the neck with no evidence to suggest local disease recurrence or progressive pathologic adenopathy. |
Generate impression based on findings. | Evaluate fecal burdenVIEW: Abdomen AP There is moderate amount of fecal burden without evidence of obstruction. No dilated loops of bowel. No evidence of pneumoperitoneum. | Moderate amount of fecal burden. |
Generate impression based on findings. | 79-year-old male with RCC; evaluate for mets. No abnormal osseous foci are identified to indicate metastatic disease.Focal increased activity within the medial aspects of both knees, bilateral shoulders, and the bilateral first CMC joints, greater on the right compatible with degenerative changes.Physiologic activity i... | No evidence of bone metastases. |
Generate impression based on findings. | 49-year-old female with ampullary cancer status post resection and adjuvant chemotherapy. Recurred with liver metastases seen on CT and MRI. Evaluate interval change. CHEST:LUNGS AND PLEURA: Stable appearance to the lungs with no evidence of new foci of parenchymal lung nodules or air space disease. No pleural disease ... | Stable examination without metastatic lesion identified. If concern over liver lesions exists, MR may be more sensitive for evaluation and follow-up. |
Generate impression based on findings. | Reason: 81 yo M with HCC, please evaluate for evidence of lung metastases. History: none LUNGS AND PLEURA: Mild focal scarring at the right apex.Respiratory motion artifact degrades detail at the lung bases but no suspicious nodules are visible.No pleural effusions.MEDIASTINUM AND HILA: No significant lymphadenopathy.N... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Reason: 69 yo F w generalized abd pain. Incomplete colonoscopy 1/2015 due to restricted mobility of colon. Pls eval for lesions, other abnormalities History: abd pain The scout film showed a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Barium flowed freely from the rectum to the cecum. Th... | 1.Sigmoid and descending colon diverticulosis. 2.Tortuous ascending and sigmoid colon.3.No evidence of polyps or masses. |
Generate impression based on findings. | Ms. Rojas is a 52 year old female with a personal history of left breast mastectomy in 2005 for multifocal IDC followed by chemoradiation and tamoxifen therapy. Family history of ovarian cancer in sister and breast cancer in two paternal nieces. No current breast related complaints. Three standard views of the right br... | Scattered benign calcifications in 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: ... |
Generate impression based on findings. | Reason: h/o HNC and CRT,compare to previous measurements History: none CHEST:LUNGS AND PLEURA: A moderate amount of debris in the pre-carinal trachea along its posterior wall.No suspicious nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Tracheostomy tube in place.No hilar or mediastinal lymphadenopathy.Car... | No interval change. No evidence of metastatic disease. |
Generate impression based on findings. | Reason: History of Head and Neck Cancer History: History of Head Neck Cancer LUNGS AND PLEURA: Emphysema and scarring in the middle lobe and lingula unchanged. Scattered punctate micronodules are unchanged and presumably postinflammatory. No new pulmonary nodules.MEDIASTINUM AND HILA: Moderate coronary calcification. S... | No evidence of pulmonary metastases. |
Generate impression based on findings. | Increased work of breathing. History of VSD repair.EXAMINATION: Chest AP (one view) 01/18/15 Sternal sutures are noted. A gastrostomy tube is present.Cardiac silhouette is mildly enlarged. Mild peribronchial thickening is seen. Subsegmental atelectasis is present in left lower lobe. | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | Subarachnoid hemorrhage adjacent to the left occipital lobe has decreased in density consistent with expected evolution. There are no new foci of intracranial hemorrhage. Diffusion abnormality within the corpus callosum demonstrates hypodensity. The ventricles and basal cisterns are normal in size and configuration. T... | 1.Subarachnoid hemorrhage adjacent to the left occipital lobe has decreased in density consistent with expected evolution. There are no new foci of intracranial hemorrhage. 2.Diffusion abnormality within the corpus callosum demonstrates hypodensity. |
Generate impression based on findings. | PIP joint dislocation Persistent small chip fracture along the volar lip of the middle fifth phalanx, overall similar to 11/3/14 with Morse discrete isolation of the chip component. Mild fixed flexion again observed without change. Decreased soft tissue swelling | Small volar minimally displaced avulsion fracture along the volar aspect of the proximal fifth phalangeal base, essentially unchanged. |
Generate impression based on findings. | Pain Humerus and elbow: Interval surgical fixation with a side plate involving the distal humeral diaphysis and radial condyle. No evidence of hardware complication. Post alignment preserved. Minimal heterotopic bone and/or callus formation is observed largely anteriorly. Fracture plane again extends through to the int... | ORIF of distal humeral intra-articular fracture |
Generate impression based on findings. | Restaging for T2N0 left retromolar trigone squamous cell carcinoma status post treatment. There are interval post-treatment findings in the left neck and oral cavity region. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. There is stranding surrounding the... | Interval post-treatment findings without evidence of measurable locoregional mass lesions or significant cervical lymphadenopathy. |
Generate impression based on findings. | 50 year-old female with hematuria. 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 notedKIDNEYS, URETERS: Both kidneys show normal morpho... | 1. No significant abnormality seen -- no abnormality seen to account for patient's hematuria. 2. Stable examination since CT examination 4/9/13 |
Generate impression based on findings. | Check for rheumatoid. Pain and decreased range of motion Minimal small punctate calcification is observed along the ulnar aspect of the third PIP articulation, presumably old traumatic injury. Four mild to moderate degenerative changes the radiocarpal joint and involving the base of the first digit. No specific focal c... | Old posttraumatic changes involving the third digit and degenerative changes involving the base of the thumb and radiocarpal joint. |
Generate impression based on findings. | Foul smelling sacral ulcer with elevated ESR/CRP. Concern for underlying osteomyelitis. Angiographic images demonstrate increased blood flow to the region surrounding the right hip. Blood pool imaging also demonstrates some increased activity in the region of the right hip.Delayed osseous phase imaging demonstrates no ... | 1.No evidence of sacral osteomyelitis.2.Increased blood flow, blood pool, and delayed activity in the right hip particularly anteriorly may reflect cellulitis and/or myositis in this region. Correlation clinically and with pelvic/hip radiographs may be useful. |
Generate impression based on findings. | Pain in both knees and back Knees: Moderate tricompartmental osteoarthritic changes greater than medial compartment with osteophytes, sclerosis and narrowing. No effusions. Alignment preservedL. spine: Moderate degenerative changes of the L5-S1 disk space with narrowing, vacuum phenomena and sclerosis. The upper levels... | Moderate L5-S1 degenerative changes with similar mild to moderate changes of the knees |
Generate impression based on findings. | Pain involving the great toe and right shoulder Toe: Interval increased visualization of the two previously described fractures involving the base of the middle first phalanx and base of the distal phalanx. Specifically the fracture edges are indistinct giving an appearance compatible with subacute timing and partial i... | Partial interval early healing of the right shoulder and two left toe fractures |
Generate impression based on findings. | Osteosarcoma follow-up Lower leg and knee: Longstem left total knee arthroplasty appears unchanged without evidence of new complication or tumor recurrence. Alignment maintained. Resected proximal fibula | Left total knee arthroplasty unchanged without evidence of associated complication or plain film findings of tumor recurrence |
Generate impression based on findings. | Lower extremity pain Interval surgical removal of the two distal fibular sideplates and I am rod. Additionally the small K wire and fixation plate of the medial malleolus also removed with minimal retention of a single broken screw in the distal metaphysis. Scattered surgical staples overlie deformity of the distal fib... | Hardware removal with a new small mid fibular nondisplaced subacute fracture |
Generate impression based on findings. | 73 old female with left sided neglect, ataxia, visual field deficit There is encephalomalacia involving the right occipital lobe with adjacent hypodensity which may reflect evolving ischemia versus gliosis. Periventricular and subcortical white matter hypodensities of a moderate degree are present. The CSF spaces are a... | 1.Encephalomalacia present along the right occipital lobe with adjacent hypodensity which may reflect evolving ischemia versus gliosis. 2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 3.CT is insensitive for the early detect... |
Generate impression based on findings. | Pain Leg length study and knee: One degree of valgus angulation is observed along with moderate knee osteoarthritis. Tricompartmental changes include chondrocalcinosis, narrowing, sclerosis and osteophytes. Changes are greater than medial aspects.Proximal femur demonstrate a total hip arthroplasty in gross anatomic ali... | Moderate knee osteoarthritis with minimal valgus angulation and right total hip arthroplasty |
Generate impression based on findings. | Fell and osteoporosis. Mild degenerative changes of minimal sclerosis small osteophytes and minimal disk space narrowing. Vertebral bodies, disks heights and alignment otherwise all preserved. Lower facet sclerosis and posterior elements otherwise appear intact | Mild degenerative changes are seen involving lower facets |
Generate impression based on findings. | Hypodensity is present throughout the white matter and pons including a focal defect within the right thalamus, not associated with mass effect. There is diffuse mild volume loss without a specific lobar predominant atrophy pattern. The are no findings of ventricular obstruction or hydrocephalus. There are no masses, ... | 1.Advanced small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended.2.Diffuse mild volume loss without a specific lobar predominant atrophy pattern.3.No acute intracranial hemorrhage.4. A small air fluid level is present within the right ma... |
Generate impression based on findings. | Desmoplastic small round cell tumor, pre-stem cell transplant evaluation No radiographic abnormality other than incomplete eruption of the third molars bilaterally associated with a mildly impacted left lower third molar. Visualized portions of the sinuses are clear | No acute abnormality |
Generate impression based on findings. | Pain Interval removal of surgical K wires affixing the comminuted and intra-articular distal middle fifth phalanx fracture. Similar deformity and mild impaction persists without evidence of new superimposed abnormality. Soft tissue swelling and fixed moderate flexion involving the DIP articulation is again observed | K wires removed |
Generate impression based on findings. | Neck and arm pain Moderate scattered degenerative changes with relative sparing at C4-5 and C7-T1. Alignment and vertebral body heights preserved, however sclerosis, disk space narrowing and osteophytes are identified. No evidence of instability observed on flexion or extension. Soft tissues are unremarkable | Moderate degenerative changes without evidence of instability. See detail provided |
Generate impression based on findings. | 50 year-old female with history of metastatic colon cancer. Evaluate extent of disease. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Central catheter line unchanged in position with tip of catheter in the right atrium. Scattered normal appea... | 1. Majority of the metastases are stable to slightly decreased in size. However, several adjacent satellite lesions have increased in size with discordant response. No new hepatic lesions seen. 2. No other evidence of metastatic disease seen. |
Generate impression based on findings. | Female 38 years old; Reason: ? cause of pain, - EGD and US History: LUQ abs pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The hepatic and portal veins are patent.SPLEEN: No significant abnormality noted.PANCREAS: No signific... | 1.No localizing inflammatory process in the abdomen or pelvis.2.Suboptimal evaluation of the transverse and descending colon as the colon is not distended. Slight hyperenhancement of the rectal mucosa. if colitis is a clinical concern, consider colonoscopy. |
Generate impression based on findings. | Metastatic breast cancer restaging. Attention spine lesion.RADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates bilateral breast prostheses and a right axillary dissection. Anterior subpleural scarring in the mid right lung consistent wit... | 1.Hypermetabolic T6 and T7 osseous metastases have slightly progressed from previous.2.No additional FDG avid metastatic disease.3.Stable markedly hypermetabolic left thyroid nodule could again represent a benign or malignant primary thyroid nodule. |
Generate impression based on findings. | Liver transplant. Nasojejunal tube placement.VIEW: Abdomen AP (one view) 01/19/15, 1219 Feeding tube tip tip is at the duodenojejunal junction. A pelvic catheter is present. IVC stent and right upper quadrant surgical changes are noted. A drain overlies the right upper quadrant.Bowel gas pattern is disorganized. | Feeding tube tip at duodenojejunal junction. |
Generate impression based on findings. | Male 77 years old; Reason: colon cancer on chemotherapy. evaluate for interval change History: colon cancer CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary lesions compatible with metastatic disease. Some of the lesions form conglomerate masses, inseparable from the underlying lung.Reference left upper lobe lesion... | 1.Near stable size measurements of the reference lesions. |
Generate impression based on findings. | Leukemia. Lung evaluation before chemotherapy.VIEWS: Chest PA/lateral (two views) 01/19/15 Cardiothymic silhouette and pulmonary vascularity are normal. No focal lung opacity is present. | Normal examination. |
Generate impression based on findings. | 59 female, immunocompromised, experiencing confusion. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. The visualized portions of the p... | No evidence for acute intracranial hemorrhage, mass effect, or edema. |
Generate impression based on findings. | Reason: h/o AVM resection History: follow up surveillance Right common carotid artery: There is no stenosis at the carotid bifurcation on the basis of NASCET criteria. There is no evidence for carotid dissection.Right internal carotid artery: There is opacification of the right anterior and middle cerebral arteries. Ve... | 1.No evidence for cerebral aneurysm, recurrent AVM or arteriovenous fistula.2.Status post removal of right temporal lobe AVM without recurrence.3.Status post embolization of right PCA aneurysms without recurrence. |
Generate impression based on findings. | Crepitus, effusion. Assess for causes of pain. Four views of the right knee are provided. Moderate osteoarthritis affects the knee, particularly the patellofemoral joint. There is also a moderate-sized knee joint effusion.Moderate osteoarthritis also affects the left knee as seen on the frontal view. | Osteoarthritis and joint effusion. |
Generate impression based on findings. | Reason: h/o ACOM and left MCA aneurysms; both s/p coiling with MCA known recurrence History: surveillance Right internal carotid artery: There is opacification of the right anterior and middle cerebral arteries as well as partial opacification of the right posterior cerebral artery. Venous and parenchymal phases were w... | 1.The patient is status post stent assisted embolic coil occlusion of an anterior communicating artery aneurysm. There is no evidence for recurrence of this aneurysm.2.There is redemonstration of a 3 mm recurrence of a left carotid terminus aneurysm originating from the proximal left a1 segment of the left anterior cer... |
Generate impression based on findings. | Male 55 years old; Reason: follow up abnormal US History: abnormal us ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver parenchyma is unremarkable for unenhanced technique. Gallbladder contains hyperdense gallstones.SPLEEN: Small splenic granulomata.PANCREAS: No significant abnormality no... | 1.Postsurgical changes in the right kidney without definite evidence of residual disease.2.Two lesions within the left kidney one cortically-based hyperdense lesion, the other within the hilum of the left kidney which does not fit the criteria for a cyst. Neither of the lesions can be further characterized with noncont... |
Generate impression based on findings. | 53 year-old female with known peripancreatic fluid collections, status post cyst gastrostomy. ABDOMEN:LUNG BASES: Slight increase in left basilar pleural effusion and atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Prior splenectomy. The anterior abdominal collection (series 3 , image 37) has ... | 1. Slight increase in size of left pleural effusion and left basilar atelectasis. 2. Cyst gastrostomy catheter/stent into the to left upper quadrant collections. Size of the collections are unchanged with minimal residual in the smaller posterior collection, and no significant change in larger left anterior collection ... |
Generate impression based on findings. | Ms. Kaonohi is a 52 year old female with a personal history of left breast mastectomy in 2012 for DCIS. Family history of breast cancer and maternal aunt. No current breast related complaints. Three standard views of the right breast with one right spot compression view were performed digitally and reviewed with the ai... | 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. | Right knee pain. Concern for osteoarthritis. Significant crepitus on exam. Four views of the right knee are provided. Severe tricompartmental osteoarthritis affects the knee, with bone on bone apposition of the medial compartment as well as a varus deformity. I see no joint effusion.Severe osteoarthritis also affects t... | Severe osteoarthritis. |
Generate impression based on findings. | Restaging metastatic breast cancer with chemotherapy.RADIOPHARMACEUTICAL: 15.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 109 mg/dL. Today's CT portion of the neck and pelvis demonstrates scattered sclerotic lesions within the osseous pelvis. Please see diagnostic CT reports for details of the chest and... | 1.No FDG avid tumor currently in the neck, chest, abdomen or pelvis.Diagnostic CTs of the chest and upper abdomen also performed at today's visit will be reported separately. |
Generate impression based on findings. | Status post left distal femur resection/endoprosthetic reconstruction for osteosarcoma. Evaluate for recurrence/implant failure. Again seen is resection of the distal femur and reconstruction with a longstem total knee endoprosthesis device. I see no specific radiographic features of hardware complication or tumor recu... | Postoperative changes of distal femoral reconstruction without evidence of recurrence or implant failure. |
Generate impression based on findings. | Breast cancer. Check for metastatic disease Femur: A poorly visualized permeative lucency is observed in the distal diaphysis with associated endosteal scalloping along lateral margin. More proximally a more mottled appearance is observed in the proximal diaphysis although this may represent demineralization. Small cal... | Questionable humeral and a definite distal left femoral lesion suspicious for metastatic disease. No lesion appears to represent an immediate pending fracture, however close follow-up and correlation would be recommended given weight-bearing concerns within the femur. |
Generate impression based on findings. | History of left breast asymmetries. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or areas of architectu... | 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. | Female 63 years old; Reason: 63 y/o female with colon Ca. Reciving chemo. Compare to prior scan History: colon CA CHEST:LUNGS AND PLEURA: Right upper lobe lobe pulmonary nodule measures 1.3 x 0.8 cm (image 47/series 5) previously, 1.4 x 0.9 cm.The right middle lobe index lesion measures 1.2 x 1.2 cm (image 50/series 5)... | 1.Near stable size measurements of the reference lesions. Only the hepatic lesion has slightly increased in size. |
Generate impression based on findings. | Chronic nasal congestion, post-nasal drip, and anosmia. There is mild to moderate opacification of the maxillary sinuses, ethmoid air cells, and nasal cavity. There is a small retention cyst in the left frontal sinus. There is sclerosis and thickening of the affected sinus walls. There is mild nasal septal deviation wi... | Sinonasal opacification which may represent chronic rhinosinusitis, perhaps with a component of polyposis. |
Generate impression based on findings. | Female 59 years old; Reason: Rule out worsening or new infection, bleed, or mass History: cytopenias, confusion, cough, abdominal pain CHEST:LUNGS AND PLEURA: Evaluation of pulmonary parenchyma suboptimal due to respiratory motion artifact. Stable left greater than right pleural effusions with adjacent compressive atel... | 1. Findings suspicious for worsening multifocal pneumonia/infectious process as described. New and increasing areas of patchy air space disease, particularly in upper lobes, right greater than left, increasing patchy air space disease and tree in bud nodularity also noted in right upper lobe posteriorly and in right lo... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.