instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Female, 45 years old, status-post fall. Head:At most, there is minimal nonspecific periventricular hypoattenuation. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The ventricular system is normal in size and morphology. The visualized paranasa... | 1. No acute intracranial abnormality.2. No traumatic cervical spine abnormality.3. Subcentimeter lesions are evident within the posterior aspect of the C7 vertebral body, one of which is sclerotic while the other is lucent with associated thinning of the adjacent cortex. These are nonspecific and may reflect a benign p... |
Generate impression based on findings. | Leg pain Interval moderate degenerative changes scattered throughout the lumbar spine with relative preservation of L2-3 and changes most pronounced involving L5-S1. Specifically minimal antero-listhesis of L3 on 4 is observed with otherwise unremarkable alignment above and below. No evidence of instability on flexion ... | Moderate degenerative changes with associated antero-listhesis. See detail provided |
Generate impression based on findings. | T2N1 esophageal carcinoma status post chemotherapy and radiotherapy completed August 2013. There is no evidence of measurable esophageal mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous... | 1. No evidence of measurable esophageal mass lesions or significant cervical lymphadenopathy. 2. Patchy opacities in the periphery of the right lung may be related to aspiration. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | 63-year-old female with history of metastatic breast cancer on treatment. Compare to prior imaging evaluate for response and extent of disease. Again seen are foci of increased or tracer uptake within the body of the sternum and right lateral sixth rib, unchanged.Previously seen increased uptake in the right mandible l... | Stable osseous metastases. No new sites of disease. |
Generate impression based on findings. | Pancreatic protocol CT needed for assessment of cholangitis/abscess. ABDOMEN:LUNG BASES: Scarring and atelectasis at the right lung base without other abnormality notedLIVER, BILIARY TRACT: Interval placement of large-bore biliary stent traversing the head of the pancreas with expected pneumobilia proximally. Gallstone... | 1. Insertion of large-bore biliary stent through the pancreatic head. 2. Pancreatic head mass again seen with dilatation of proximal pancreatic duct from obstruction. 3. Increasing densities of pancreatic tissue and increased peripancreatic fluid changes from pancreatitis -- no peri-pancreatic discrete fluid collection... |
Generate impression based on findings. | There post-treatment findings in the neck, including epiglottis resection, total thyroidectomy, and bilateral cervical lymph node dissection. There is persistent thickening of the supraglottic mucosal tissues without evidence of a measurable tumor. There is also no evidence of a mass in the thyroidectomy bed. There is... | Post-treatment changes in the neck without discernible evidence of tumor recurrence or significant lymphadenopathy in the neck.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 55-year-old male with known Crohn's colitis with a long narrowing in the transverse and descending colon. Evaluate. ABDOMEN:LUNG BASES: Mild bilateral basilar atelectasis.LIVER, BILIARY TRACT: Segment 7 hypoattenuating lesion consistent with a cyst is stable. Two additional subcentimeter hypoattenuating lesions in the ... | 1.Chronic inflammatory changes involving the transverse and descending colon are unchanged in distribution, consistent with history of inflammatory bowel disease. 2.Left femoral head avascular necrosis. |
Generate impression based on findings. | 50 years, Female. Reason: Wegner's Granulomatosis on pred. with possible pill cam retention History: watery stools, hematemesis, melena Examination of the periphery is limited by patient body habitus. Diaphragm is out of field of view. Within this limitation, no camera pill is identified. Nonobstructive bowel gas patte... | Examination of the periphery and under the diaphragm is limited by patient body habitus. Within this limitation, no camera pill is identified. Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | 34-year-old female, evaluate sagittal balance Moderate to severe degenerative disk disease affects L4/5. There is approximately 2 cm negative sagittal balance and approximately 3 cm negative coronal balance. No focal vertebral body anomalies are identified. There is minimal leftward cervicothoracic curvature and minima... | Negative sagittal and coronal balance and degenerative disk disease as described above. |
Generate impression based on findings. | 19 year-old male with swelling There is a comminuted, but predominately transverse fracture of the base of the fifth metacarpal with mild posterior displacement of the distal fragment. Overlying soft tissue swelling is noted. | Base of the fifth metacarpal fracture as described above. |
Generate impression based on findings. | Reason: 53 y/o woman with metastatic breast cancer receiving chemotherapy. Evaluate treatment response and extent of disease. History: Chronic abdominal pain in the RUQ and epigastrium. CHEST:LUNGS AND PLEURA: Subpleural fibrosis anteriorly on the right consistent with prior radiation therapy. Relatively hyperlucent le... | Stable skeletal lesions. No new sites of disease. |
Generate impression based on findings. | 69-year-old male with history of cholangiocarcinoma status post resection. Evaluate for new abnormalities or recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable postoperative findings of partial right hepatectomy, and cholecystectomy, without interval change. No new masses or fi... | Stable postoperative findings of right hepatectomy without evidence of tumor recurrence. |
Generate impression based on findings. | 58 years, Male. Reason: R/O bowel obstruction History: bowel assessment for PEG placement No evidence of free air. Gaseous distention of bowel at right abdomen. Colon is filled with desiccated stool. No definite evidence of obstruction. | No evidence of free air. No definite evidence of obstruction. |
Generate impression based on findings. | 76-year-old female with recent craniotomy and removal of right meningioma, currently with headache. Postsurgical findings related to recent bicoronal craniotomy and resection of large right frontal meningioma, including: air, blood products, and surgical packing material subadjacent to the craniotomy site. Heterogeneou... | Postsurgical changes related to recent craniotomy and resection of large right frontal meningioma, including: subadjacent pneumocephalus, blood products, and surgical packing material. Residual edema and mild deformity of the right frontal lobe. Mild subarachnoid hemorrhage and small amount of blood tracks along the fa... |
Generate impression based on findings. | 13-year-old male status trauma secondary to motor vehicle accident, evaluate for aortic injury. CHEST:ANGIOGRAM: The great vessels of the chest demonstrate normal caliber, and are without evidence of dissection or submural hematoma. There arch demonstrates conventional anatomy, as does the celiac axis. The peripheral v... | 1.No evidence of aortic injury as clinically questioned.2.Bilateral duplicated renal collecting systems, without evidence of obstruction. |
Generate impression based on findings. | Male 11 years old; Reason: renal artery aneurysm History: left renal artery aneurysm The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. Cortical phase images show the kidneys to be of normal size and morphology. There is prompt uptake of the radiopharmaceutical by ... | Normal renal perfusion and morphology. There is mild relative delay in excretion of the left kidney, which may be related to patient's known left renal artery aneurysm. |
Generate impression based on findings. | 68-year-old male with shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Large bilateral central pulmonary emboli with associated right ventricular strain.LUNGS AND PLEURA: Left upper lobe micronodule measuring up to 4 mm (series 12, image 71). No focal lung opacity or pleural effusion.MEDIASTINU... | Large bilateral central pulmonary emboli with right ventricular strain.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Main.RV Strain: Positive. |
Generate impression based on findings. | Three day old former 27 to 28 week gestational age patient with PICC placement.VIEW: Chest AP (one view) 01/19/15, 1322 Left upper extremity PICC has its tip superior to C4. Feeding tube tip is in stomach and side-port is at GE junction. Umbilical venous line tip is in right atrium.Coarse bilateral lung opacities are n... | PICC tip is not located centrally. Coarse bilateral lung opacities. |
Generate impression based on findings. | Ankle painVIEWS: Left ankle AP, oblique and lateral No acute fracture or dislocation. The ankle mortise joint is normal. No joint effusion noted. | Normal examination. |
Generate impression based on findings. | 42 year-old with metastatic neuroendocrine cancer. Please evaluate for interval change. Conversation with the clinical service, patient with history of intraluminal tumor extending from it the ileocecal valve and proximally involving long segment of the terminal ileum. ABDOMEN:LUNG BASES: No significant abnormality not... | 1. Stable hepatic metastatic disease.2. Mild interval increase in the marked wall thickening of the terminal ileum without significant change in the extent of the length, which is patient's primary site of disease per clinical history. 3. Soft tissue nodularity in deep pelvis has mildly increased and suspicious for met... |
Generate impression based on findings. | Male 65 years old; Reason: prostate cancer History: prostate cancer No abnormal osseous foci are identified to indicate metastatic disease.Focal uptake at the left posterior aspect of the T10 vertebral body likely correlates with focal degenerative changes seen on comparison CT. | 1. No specific evidence of bone metastases.2. Focal uptake at T10 vertebral body likely correlates with degenerative changes given the absence of a suspicious lesion on comparison CT and presence of degenerative changes throughout the spine. |
Generate impression based on findings. | Reason: s/p DAVF R transverse sigmoid embo History: h/a Brain CTA: There are number of dilated and tortuous vascular structures present surrounding the lower brainstem and upper spinal cord . There is a dilated vessel embedded within the lower brainstem measuring 5 x 9 mm in axial dimensions suspected to represent a ve... | 1.The finding suggests persistent vascular malformations in the upper and lower brain stem. Conventional angiography would be more accurate in assessing these.2.Finding suggest arteriovenous malformation at the right gyrus rectus. This is better assessed using conventional angiography.3.There is redemonstration of a ve... |
Generate impression based on findings. | Follow-up of recurrent oral tongue cancer status post resection with +LVI, +PNI and close/positive margins. Completed 6.5/6.5 cycles of FHx on 9/24/14. There are stable post-treatment findings in the neck. The oral cavity region is obscured by dental streak artifact. Consequently, assessment for oral tongue tumor is li... | 1. Stable post-treatment findings in the neck. The oral cavity region is obscured by dental streak artifact, which limits assessment for residual or recurrent oral tongue tumor is limited. 2. No evidence of significant cervical lymphadenopathy based on size criteria. |
Generate impression based on findings. | CLINICAL DATA: Age: 41 years. Sex : Male. Indication: Reason: 41 yo M with fatty liver disease and splenomegaly. Pls eval liver for mass/lesions (significant fatty infiltration did not allow for eval on ultrasound). Eval for disseminated disease in chest/abd that may be causal to splenomegaly. History: transaminitis, s... | 1.Hepatic steatosis, without appreciable liver mass lesions or biliary dilatation.2.Right S1 transpediclar screw fracture, unchanged. |
Generate impression based on findings. | 55-year-old male with history of pain. Left foot: Severe osteoarthritis affects the first MTP joint with prominent dorsal osteophytes. The soft tissues are unremarkable.Right foot: Severe osteoarthritis affects the first MTP joint with prominent dorsal osteophytes. The soft tissues are unremarkable. | Osteoarthritis with osteophyte formation as above. |
Generate impression based on findings. | 69 year-old female with primary hyperparathyroidism. There is physiologic distribution of the radiopharmaceutical. No abnormal focus of activity consistent with an enlarged parathyroid gland is seen. The right thyroid lobe appears to measure 0.25 cm and the left lobe 0.25 cm in length. | No scintigraphic evidence for parathyroid adenoma. |
Generate impression based on findings. | 19-year-old male with history of fracture. There is a 3-mm diamond-shaped fracture fragment along the ulnar aspect of the base of the middle phalanx likely representing an ununited avulsion fracture with intraarticular extension. There has been interval decrease in soft tissue swelling. | Third middle phalanx fracture as above. |
Generate impression based on findings. | Reason: re-staging lung cancer after three cycles of chemotherapy (after cycle 3) History: lung cancer staging CHEST:LUNGS AND PLEURA: Moderately severe centrilobular emphysema.Right apical nodule measuring 27 x 30 mm, decreased from 41 x 38 mm previously (series 4/26).The tumor is contiguous with the posterior pleural... | 1.Decreased size of right upper lobe presumed a primary carcinoma, left hilar lymph nodes and left adrenal gland nodule, consistent with treatment response. 2. Several additional small left lung nodules, unchanged or slightly increased, compatible with metastases or synchronous primary tumors.. |
Generate impression based on findings. | Female 34 years old; Reason: metastatic breast cancer - baseline prior to starting new treatment regimen History: known adenopathy, bone and liver mets CHEST:LUNGS AND PLEURA: There are innumerable scattered pulmonary micronodules compatible with metastatic disease. Post radiation changes are present in the upper lobe ... | 1.Multiple subcentimeter pulmonary micronodules that are suspicious for metastatic disease2.Sclerotic bone metastases3.Multiple hepatic metastases |
Generate impression based on findings. | Ms. Johnson is a 41 year old female presenting for short-term follow-up for calcifications in the right breast. Three standard views of both breasts, additional left CC view, and two right spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely... | Benign calcifications in the right 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 - Screening Mam... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Patchy faint groundglass opacity in right upper lobe is not typical of metastatic disease. It is likely due to aspirate or infection. Continued follow-up is recommended. No new suspicious pulmonary nodules.MEDIASTINUM AND HI... | Faint ground glass opacity in right upper lobe likely due to aspirate or infection. Though it is not typical of metastatic disease, continued follow-up is recommended. |
Generate impression based on findings. | Male; 44 years old. Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Interval resolution of mild subsegmental atelectasis in the right lower lobe.Very mild patchy ground glass opacity in the right lower lobe is most likely post inflammatory or infectious in etiology.Mild m... | No evidence of metastatic disease. |
Generate impression based on findings. | 4-year-old female with abdominal painVIEWS: Chest AP, abdomen AP supine/upright (3 views) 01/19/15 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities.Gas filled loops of small and large bowel in a nonobstructive bow... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Right-sided abdominal mass. Evaluate for mass, stool burden.EXAMINATION: Abdomen AP (one view) 01/19/15 A right thoracolumbar curve is noted. The femoral heads are superiorly and laterally positioned with respect to the acetabula. A gastrostomy tube is present.Only a small amount of bowel gas is present. Gas is seen in... | No evidence of mass or obstruction. Ultrasonography may be helpful if further evaluation is warranted. |
Generate impression based on findings. | 66-year-old female with history of pain. There is a fracture through the neck of the fifth proximal phalanx with mild dorsal angulation of the distal fracture fragment. The fracture line is relatively indistinct which may reflect some healing. | Fifth toe fracture as above. |
Generate impression based on findings. | 56 year old male with metastatic prostate cancer, evaluation of disease after 22 cycles of investigational therapy. Again seen are foci of increased radiotracer activity in the right 7th costovertebral junction, L4 and L5 vertebral bodies and sacrum. Activity in the lumbosacral region has decreased in intensity on the ... | Decreased activity of lumbar/sacral metastases. No new sites of disease. |
Generate impression based on findings. | Female 72 years old; Reason: parathyroid anatomy/location History: secondary hyperparathyroidism There is physiologic distribution of the radiopharmaceutical. There is increased activity in the region of the inferior pole of the left thyroid lobe.The right thyroid lobe appears to measure 4.8 cm and the left lobe 4.4 cm... | Increased activity in the region of the inferior pole the left thyroid lobe consistent with parathyroid adenoma. |
Generate impression based on findings. | 75-year-old female with follow-up imaging based on CXR finding from 11/24/2014. Positive smoking history (2.5-pack-years) LUNGS AND PLEURA: Linear opacities in the right middle lobe and lingula which likely represent chronic discoid atelectasis/scarring. The right middle lobe opacity corresponds to the opacity seen on ... | No suspicious lung nodules or masses.Linear opacities in the right middle lobe and lingula likely represent chronic discoid atelectasis/scarring and correspond to the opacity seen on prior chest radiograph. |
Generate impression based on findings. | Langerhans cell histiocytosis and resection.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, pelvis AP, right femur AP, left femur AP, right tibia fibula AP, left tibia f... | Unchanged examination. Postoperative changes in the occiput and no other abnormality. |
Generate impression based on findings. | 16-year-old male with asthma and fixed obstruction. Within the limits of a non IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: LUNGS AND PLEURA: A 1.1 x 1.3 cm (image 89, series 5) subpleural right upper lobe str... | 1.Mild diffuse bronchial wall thickening reflect reactive airways disease.2.Subcentimeter basilar groundglass and solid nodules are nonspecific, but may be post infectious or post inflammatory in etiology.3.Right upper lobe groundglass opacity likely reflects scarring or infection/inflammation. |
Generate impression based on findings. | 9-year-old male with Crohn's disease, evaluate extent of small bowel involvement.EXAMINATION: MR enterography without and with IV contrast 1/19/2015 ABDOMEN:LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma.SPLEEN: No significant abnormality noted... | Bowel wall thickening, luminal narrowing, prestenotic dilatation and mild mucosal hyperenhancement of the terminal ileum consistent with terminal ileitis, likely acute on chronic. No additional sites of small bowel inflammation identified. |
Generate impression based on findings. | Hypertrophy of the left parotid gland, without discrete mass or pathologic enhancement. The right parotid gland is either not present or extremely atrophic. Mildly prominent regional lymph nodes which are non-enlarged by size criteria.The left submandibular gland is slightly enlarged when compared to the right. The th... | Large, but otherwise unremarkable left parotid gland, which may be compensatorily enlarged secondary to absent/atrophic right parotid gland. No pathologic regional adenopathy. |
Generate impression based on findings. | Reason: Metastatic prostate cancer needs re-evaluaiton and compare to prior scans. Measurement when applicable on IRB 09-267. History: Metastatic prostate cancer needs re-evaluaiton and compare to prior scans. Measurement when applicable on IRB 09-267. LUNGS AND PLEURA: Stable punctate calcified and noncalcified micron... | Stable CT with no evidence of pulmonary metastases. |
Generate impression based on findings. | 62 year old with history of left lumpectomy in 2005 for infiltrating ductal carcinoma, status post radiation and chemotherapy. History of benign right breast stereotactic biopsy in 2010. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The ... | Benign post-surgical changes. 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 - Diagnostic Mammogram. |
Generate impression based on findings. | Male; 75 years old. Reason: Retromolar trigone cancer s/p RT, re-staging exam History: Retromolar trigone cancer s/p RT, re-staging exam CHEST:LUNGS AND PLEURA: Stable left lower lobe calcified granuloma. No suspicious pulmonary nodule or mass. No consolidation or pleural effusion. MEDIASTINUM AND HILA: No mediastinal ... | 1. No definitive evidence of metastatic disease.2. Small hypoattenuating lesion in the tail of the pancreas is either new or better seen on today's examination; it is too small to characterize but continued follow-up is recommended to exclude malignancy. It most likely, however, represents a pseudocyst given findings o... |
Generate impression based on findings. | 32-year-old female with a history of breast cancer. Patient with cellulitis around umbilicus. Evaluate for hernia versus urachal cyst. ABDOMEN:LUNG BASES: Bilateral breast prosthesis are noted.LIVER, BILIARY TRACT: Too small to characterize segment 7 hypoattenuating lesion (series 4, image 19).SPLEEN: No significant ab... | 1.Fluid collection with surrounding inflammatory/phlegmonous changes as well as overlying skin thickening. Findings suggestive of inflammatory/infectious process. Additionally, clinically correlate with physical examination for cellulitis. 2.No evidence ofurachal cyst as clinically questioned. 3.Small umbilical hernia ... |
Generate impression based on findings. | 19-year-old male with history of knee pain. Artifact overlies the lower thigh on the AP view. There may be a small joint effusion. The left knee is unremarkable as seen on the frontal views. | Possible small joint effusion, but otherwise normal exam. |
Generate impression based on findings. | 18 year-old male with history of finger fracture. Redemonstrated is an oblique fracture through the base of the distal phalanx with intra-articular extension. Alignment is near-anatomic. The fracture line is less distinct indicating interval healing. | Healing right ring finger fracture as above. |
Generate impression based on findings. | 66 year old female with history of left knee pain. The bones are demineralized suggesting osteopenia/osteoporosis. Minimal joint space narrowing and small osteophytes indicate mild osteoarthritis. Deformity of the patella compatible with healed fracture. Minimal osteoarthritis affects the right knee as seen on the fron... | Minimal osteoarthritis. |
Generate impression based on findings. | 52 year-old female with rheumatoid arthritis, evaluate for interim erosion Left hand: Postoperative and arthritic changes of the wrist are similar to the prior exam with ankylosis of the second carpometacarpal joint and marked narrowing of the third, fourth, and fifth carpometacarpal joints. There is narrowing of the r... | 1. Arthritic changes as described above, consistent with combined rheumatoid arthritis and osteoarthritis. A tiny new lucency in the middle phalanx of the left middle finger may represent a cyst or small erosion, but otherwise there is no evidence of RA progression. 2. Mild interval progression of osteoarthritis affect... |
Generate impression based on findings. | Chronic sinusitis. The paranasal sinuses are clear. The nasal cavity is also clear. There is no significant nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structure... | No evidence of sinusitis. |
Generate impression based on findings. | 54-year-old male with history of finger mass. Evaluate for bone deformity. There is a 5-mm crescentic ossific density adjacent to the dorsal aspect of the tuft of the fifth distal phalanx. This appears sightly smaller when compared to prior which may reflect partial interval resection/erosion. There is no soft tissue d... | Focus of ossification adjacent to the tip of the fifth finger. This lesion may represent a peculiar exostosis, osteoma or possibly postraumatic heterotopic ossification. |
Generate impression based on findings. | Chronic sinusitis. There is a subcentimeter right maxillary retention cyst and opacification of a right anterior ethmoid air cell and a right frontal bullar cell. The other paranasal sinuses are clear. The nasal cavity is also clear. There is mild nasal septal deviation to the left. The lamina papyracea and ethmoid roo... | 1. Subcentimeter right maxillary retention cyst and opacification of a right anterior ethmoid air cell and a right frontal bullar cell. The other paranasal sinuses are clear.2. Periodontal lucency associated with tooth #15. |
Generate impression based on findings. | 65 years, Male. Reason: ng tube placement History: 65M admit for cardiogenic vs septic shock. Now extubated requiring enteral feeds NG tube with tip in the proximal gastric body and sidehole in the gastric cardia near the gastroesophageal junction. Persistent gaseous distension of bowel loops suggesting ileus is incomp... | NG tube with tip in the proximal gastric body and sidehole in the gastric cardia. |
Generate impression based on findings. | Multiple myeloma status post radiation therapy. Restaging exam.RADIOPHARMACEUTICAL: 13.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion grossly demonstrates an ill-defined somewhat permeative lesion in the distal left tibia. Several sclerotic lesions are seen throughout the spi... | Multiple hypermetabolic osseous lesions consistent with multiple myeloma activity. These are present most notably at the distal left tibia but are also seen elsewhere in bilateral lower extremities as well as the distal right humerus. |
Generate impression based on findings. | Ms. Jewell is a 52 year old female recalled from screening mammogram for a focal asymmetry in the right breast. An ML view and three spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchang... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 63 year old male with lung cancer. The comparison chest radiograph performed on 1/19/2015 demonstrates elevation of the right hemidiaphragm. Right basilar atelectasis. Known right hilar mass is not visualized.The ventilation images show decreased/no activity within the right lower lung likely related to elevation of th... | Matched ventilation and perfusion defect in the right lower lung likely related to elevation of the right hemidiaphragm and atelectasis, which may be postobstructive due to known right hilar mass. Measurements as above. |
Generate impression based on findings. | Male; 60 years old. Reason: h/o esophageal ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Mild patchy nodular groundglass opacity in the posterior segment of the right upper lobe is similar to prior study with some areas showing slight increase and others decrease. New very mild... | Findings suggestive of mild aspiration bilaterally. New nonspecific micronodule in the right middle lobe may be post infectious or inflammatory in etiology. Though the appearance is not typical of metastatic disease continued follow up is recommended. |
Generate impression based on findings. | 61-year-old female with ocular melanoma. Evaluate for metastatic disease. CHEST:LUNGS AND PLEURA: Bilateral apical scarring is unchanged. Significant interval change in the right upper lobe nodule, which is nonspecific. Mild bilateral basilar atelectasis.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. He... | 1.No evidence of metastatic disease.2.Unchanged nonspecific right upper lobe nodule. |
Generate impression based on findings. | Post-nasal drip, cough, and frontal headache. There is mild mucosal thickening in the left maxillary sinus and what likely represents a retention cyst or retrained secretion in the right sphenoid sinus. The other paranasal sinuses are clear. The nasal cavity is clear. However, there are bilateral conchae bullosa with p... | Mild mucosal thickening in the left maxillary sinus and what likely represents a retention cyst or retrained secretion in the right sphenoid sinus. The other paranasal sinuses are clear. |
Generate impression based on findings. | Reason: is the ett and CT in proper postion are the lungs clear History: brday desats, intubated, rds, pleural effusionVIEW: Chest AP (one view) 1/19/2015 ET tube tip is below thoracic inlet and above carina. Left upper extremity PICC is in the left subclavian vein. Chest tube is unchanged with side-port outside the ch... | ET tube is in proper position. Malpositioned left chest tube without pneumothorax. Worsening left basilar opacity. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with additional right MLO and right CC views and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Benign intramammary lymph... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 34 years old; Reason: metastatic breast cancer - baseline prior to starting new regimen History: known bone mets There is markedly increased radiotracer uptake in the sternum. There is mottled appearance of the bilateral ribs diffusely as well as the bilateral clavicles. There is increased uptake in the proximal... | Findings consistent with osseous metastatic disease to the right proximal humerus, bilateral ribs and clavicles, sternum, spine and right hemipelvis as described above. |
Generate impression based on findings. | 17-month-old female with dysphagia.EXAMINATION: Oropharyngeal motility study 1/19/2015 Julie Ecclestone, speech and language therapist, supervised the examination.31 seconds of fluoroscopy was used.PRESENTATION: The patient was presented with thin liquids via cut out cup, nectar thickened liquid via cut out cup, and st... | No aspiration or penetration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior mammogram at outside facility, per patient. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is extremely dense, which lowers the sensitivity of mamm... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Mammography is most sensitive when used to assess for interval change. If prior outside mammograms are submitted, comparison can be made.BIRADS: 1 - Negative.RECOMME... |
Generate impression based on findings. | Ocular melanoma. Head: There are stable postoperative findings related to right globe enucleation. There is no evidence of tumor in the right orbit. The left orbit is unremarkable. There is no evidence of intracranial mass or abnormal enhancement. The ventricles are unchanged in size and configuration. There is no midl... | 1. Stable postoperative findings related to right globe enucleation without evidence of measurable locoregional tumor recurrence. 2. No evidence of significant lymphadenopathy in the neck. |
Generate impression based on findings. | Restaging recurrent non-Hodgkin's lymphomaRADIOPHARMACEUTICAL: 13.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 117 mg/dL. Today's CT portions will be reported separately.Today's PET examination demonstrates the following abnormalities:NECK: Very extensive markedly hypermetabolic bilateral jugular lymph ... | 1.Widespread markedly hypermetabolic tumor involving lymph nodes from the neck through pelvis, significantly progressed from previous. Also new diffuse splenic tumor involvement is likely.Diagnostic CTs of the head, neck, chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | 72-year-old female with change in behavior and personality for 3 months, with difficulty performing ADLs. 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 norma... | No evidence of intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Male 66 years old; Reason: 66 y/o M with NHL s/p BEAM/Auto SCT now with current disease, needs restaging please. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: New bilateral axillary (right greater than left), supraclavicular and paraspinal lymphadenopathy seen. Representative right axil... | 1. Findings compatible with interval disease progression, with new and enlarging adenopathy, and mesenteric and bowel disease as above. 2. Ovoid rectosigmoid colon soft tissue attenuation, compatible with neoplastic disease, may reflect intramural or subserosal disease (favored given appearance) versus mesenteric adeno... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is heterogeneously dense, which may obscure small masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 78 years, Female. Reason: evaluate for R kidney stone History: R flank pain over the last few years Postsurgical sequelae of ventral hernia repair and cholecystectomy.Nonobstructive bowel gas pattern. No radiopaque renal stone is identified. There is dextroscoliosis with DJD of the thoracolumbar spine. | No radiopaque renal stone is identified. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of ovarian cancer in her mother in her 50s and breast cancer in a maternal aunt and a paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 63-year-old male with history of fall. Wrist: There is a cortical step-off along the dorsal and lateral aspects of the distal radius indicating a non-displaced fracture. Is difficult to assess whether this fracture extends into the articular surface, although we suspect that it does not. The scaphoid is intact.Hand: Ag... | Distal radius fracture as above.These findings were discussed with Dr. Desai on 1/19/15 at 1520. |
Generate impression based on findings. | 51-year-old male with right ankle pain and fracture Knee: Orthopedic hardware is again seen affixing a comminuted fracture of the proximal tibia in near-anatomic alignment. No hardware complication is evident. The fracture line is indistinct, suggesting some interval healing. There is thickening of the distal patella t... | Orthopedic fixation of healing proximal tibia fracture as described 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 9.3. Tomosynthesis was performed. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Hypodensity is present throughout the white matter in both subcortical and periventricular locations with a suggestion of cortical involvement in the left occipital lobe. There is no significant associated mass effect. The ventricles and sulci are normal in size without evidence of obstruction or hydrocephalus. There ... | 1.Hypodensity is present throughout the white matter in both subcortical and periventricular locations with a suggestion of cortical involvement in the left occipital lobe. Given patient age 67 years this most likely represents ischemia of indeterminate ages, with perhaps cortical involvement in the left occipital lobe... |
Generate impression based on findings. | 34-year-old female with history of fifth metacarpal fracture An oblique fracture through the distal diaphysis of the fifth metacarpal with slight volar and radial angulation of the distal fragment appears similar to the prior study. | Fifth metacarpal fracture appearing similar to the prior exam. |
Generate impression based on findings. | 12-year-old male, evaluate small finger Again seen is deformity of the proximal half of the middle phalanx of the fifth finger, perhaps representing sequela of prior infection. There is new bone formation along the radial aspect of the phalanx that may represent an attempt at healing. Mild radial deviation of the PIP j... | Deformity of the PIP joint of the fifth finger appearing similar to the prior exam as described above. |
Generate impression based on findings. | 18 year-old male status post multiple injuries with pain Several small foci of heterotopic mineralization within the soft tissues of the elbow are consistent with prior trauma. We see no acute fracture or malalignment. No joint effusion is noted. | Multiple foci of heterotopic ossification suggesting prior injury without acute fracture or malalignment. |
Generate impression based on findings. | 70 year-old female with right-sided pain, evaluate DJD Although this exam is nonweightbearing there appears to be mild to moderate dextrorotoscoliosis of the lumbar spine. Severe multilevel degenerative disk disease affects the lumbar spine. Degenerative disk disease affects the visualized lower thoracic spine as well.... | Scoliosis and severe degenerative arthritic changes as described above. |
Generate impression based on findings. | 60 year-old female with right thumb pain There is mild soft tissue swelling about the hand but we see no fracture. Mild osteoarthritis affects the hand. | Osteoarthritis without fracture evident. |
Generate impression based on findings. | Cognitive decline and judgment problems, suggestive of frontal lobe disorder. Evaluate for FTD versus Alzheimer's.RADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 97 mg/dL Today's CT portion demonstrates no gross intracranial pathology.Today's PET exam demonstrates severely decreased ... | Extensive intracranial hypometabolism characterized by severe involvement of the temporal lobes and moderate involvement of the anterior frontal and a smaller region of the parietal as well as posterior cingulate. There is relative sparing of the anterior cingulate and occipital regions. The distribution of these abnor... |
Generate impression based on findings. | 12-year-old female, evaluate for pathologic fracture Again seen is a pathologic fracture through a lucent lesion of the distal radial metadiaphysis with fracture fragments in near anatomic alignment. Early periosteal reaction along the distal radius seen best on the oblique view suggests an attempt at healing. | Early healing of nondisplaced pathologic fracture through a lucent lesion of the distal radius we suspect is benign. |
Generate impression based on findings. | 17-month-old female with dysphagia and oral aversion.EXAMINATION: Oropharyngeal motility study 1/19/2015 Julie Ecclestone, speech and language therapist, supervised the examination.31 seconds of fluoroscopy was used.PRESENTATION: The patient was presented with the nectar thickened liquid via slow flow nipple and cut ou... | No aspiration or penetration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 50 year-old female with left proximal femur lesion, evaluate for interval change Again seen is a focus of sclerosis within the subtrochanteric region of the left femur extending across the medullary canal. The densest component of this lesion measures approximately 2.5 cm with an additional tail of sclerosis extending ... | Sclerotic lesion of the proximal femur as described above, which may represent a benign focus of intramedullary osteosclerosis, fibrous dysplasia or peculiar bone island, appearing similar to the prior exam. |
Generate impression based on findings. | Female 49 years old; Reason: colon cancer follow up History: cough CHEST:LUNGS AND PLEURA: Post surgical changes in the left upper lobe with a wedge resection. The right lower lobe pulmonary lesion measures 5-mm (image 44/series 5) and is unchangedMEDIASTINUM AND HILA: New left hilar lymphadenopathy measures 2.6 x 1.6 ... | 1.New left hilar lymphadenopathy in the region of the prior lung lesion.2.Left T8 destructive pedicle lesion with an extradural component that narrows the central canal approximately 20%. This can be evaluated by MRI if needed. |
Generate impression based on findings. | 11-year-old male with left renal artery aneurysm. HIstory of hypertension. ABDOMEN:LUNG BASES: No pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions. No intrahepatic or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted. Note is made of a splenule.PANCREAS: No significant abno... | Beaded appearance of the inferior of the two left renal arteries most likely due to fibromuscular dysplasia. Polyarteritis nodosa is also a consideration. |
Generate impression based on findings. | Ms. Harvey is a 63 year old female with a personal history of benign right breast biopsy in 2000. She has no current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, un... | Scattered benign calcifications in both breasts. 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 - Diagno... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed 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 suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 67 year old male with groin abscess. ABDOMEN:LUNG BASES: Minimal left pleural effusion, and small pericardial effusion. Small hiatal hernia.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | 1. Perineal abscess at the base of the scrotum, with significant adjacent inflammatory stranding and small loculations/satellite abscess up to ~1cm.2. Bilateral hydronephrosis and bladder distention with wall thickening, likely related to prostate hypertrophy and bladder outlet obstruction.3. 2 cm filling defect abutti... |
Generate impression based on findings. | Reason: preop LV lead placement History: fatigue LUNGS AND PLEURA: Attenuation pattern partially accounted for by exam being obtained in less than optimal inspiration.No suspicious pulmonary nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Residual thymic tissue withi... | 1.Mild mosaic attenuation pattern accentuated by less than optimal inspiration. This may represent small vessel disease. 2.Moderate/marked cardiac enlargement.3.Left-sided ICD with lead wires in the right atrial appendage and two wires within the right ventricle. |
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 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribut... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin and maternal aunt. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure sma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 46 years old; reason: Rectal cancer competed therapy October 2013. Evaluate for interval disease recurrence history: Rectal cancer CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDO... | 1.Postsurgical changes without evident metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Left breast moles. History of oophorectomy. Family history of breast cancer in paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pa... | Benign calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Memory loss. Behavioral change. Normal head CT. Evaluate for Alzheimer's disease versus frontotemporal dementia.RADIOPHARMACEUTICAL: 10.6 mCi F-18 fluorodeoxyglucose (FDG)BLOOD GLUCOSE (FASTING): 100 mg/dL Today's CT portion demonstrates no gross intracranial pathology.Today's PET portion demonstrates severe hypometabo... | Extensive bilateral hypometabolism centered most notably at the left posterior temporoparietal region as detailed above. Given the constellation of findings, Alzheimer's disease is a likely etiology. However, given the prominent occipital involvement, Lewy body dementia is also a consideration. The appearance is not ty... |
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 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in daughter. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern an... | Stable benign morphology mass in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.