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Generate impression based on findings. | Reason: s/p sleeve gastrectomy 11/2014 evaluate for stricture History: nausea/vomiting Spot scout view showed no significant abnormality.Fluoroscopic evaluation of esophageal peristalsis demonstrated a normal primary peristaltic wave with minimal proximal escape.There is postsurgical changes of sleeve gastrectomy. Ther... | 1.Postoperative changes of sleeve gastrectomy.2.Minor dysmotility with trace proximal escape.3.No obstruction of fluid flow.4.The configuration of the sleeve may explain patient's symptoms. |
Generate impression based on findings. | NHL status post BEAM/auto-SCT, now with recurrent disease, needs restaging please. Neck: There has been interval enlargement of extensive lymphadenopathy in the neck and partially-imaged upper mediastinum and axillae. For example a left level 1B lymph node measures 26 x 35 mm, previously 10 x 11 mm, and a left level 2A... | 1. Interval enlargement of extensive lymphadenopathy in the neck and partially-imaged upper mediastinum and axillae, which is compatible with progression of lymphoma. 2. No evidence of intracranial lesions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian cancer, diagnosed at the age of 58. 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, unch... | 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. |
Generate impression based on findings. | 37 year-old female with joint pain and swelling, evaluate for inflammatory arthritis Right hand: There are no erosions or other specific radiographic features of inflammatory arthritis. Note is made of slight ulnar minus variance and hypoplasia of the distal first phalanx.Left hand: Lucency with thin sclerotic margins ... | A single small lucency within the second metacarpal head may represent a cyst rather than a chronic erosion given that the joints otherwise appear normal without additional erosions or other evidence of inflammatory arthritis. Mild osteoarthritis affects the left knee. |
Generate impression based on findings. | Male 15 years old; Reason: ro osteo vs. infarct in RLE History: pain Angiographic images demonstrate symmetric blood flow to the bilateral lower extremities with no evidence of hyperemia. No evidence of abnormal blood pooling on the blood pool images. On delayed osseous phase imaging there is faint uptake in the bilate... | 1. No evidence to support osteomyelitis, specifically there is no focal uptake to correlate with the abnormality noted on recent MRI.2. Faint uptake in the bilateral femoral heads likely related to prior microinfarcts or avascular necrosis. |
Generate impression based on findings. | 68-year-old male with history of fall in November, 2014. Left shoulder: There is an oblique fracture through the proximal humeral metadiaphysis in near anatomic alignment. Small amount of callus formation indicates some healing. There is an anomalous coracoclavicular articulation, a normal variant. Scattered arterial c... | Proximal humerus fracture as above.Findings discussed with Dr. Hong at 1610 on 1/19/15. |
Generate impression based on findings. | 10 month old male status post intracranial hemorrhage, evaluate for swallowing deficits.EXAMINATION: Oropharyngeal motility study 1/19/2015 Julie Eccelstone, speech and language therapist, supervised the examination.55 seconds of fluoroscopy was used.PRESENTATION: The patient was presented with thin liquids via a slow ... | Penetration without aspiration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 61-year-old female status post curettage and cementation of supraacetabular metastatic thyroid cancer focus Again seen is cement within the right acetabulum and ilium compatible with curettage and grafting of a metastatic thyroid cancer lesion. A metallic coil presumably represents prior embolization. A drain has been ... | Postoperative changes of right acetabular lesion grafting with pathologic fracture as described above. |
Generate impression based on findings. | Initial staging of newly diagnosed squamous cell carcinoma right floor of mouth cT1N1.RADIOPHARMACEUTICAL: 12.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion grossly demonstrates an enlarged right posterior jugular lymph node. Mucous retention cysts or polyps are seen in both ... | 1.Markedly hypermetabolic right floor of mouth lesion, consistent with the patient's diagnosis of squamous cell carcinoma.2.Hypermetabolic metastatic lymph node in the ipsilateral right posterior jugular and possibly within a right intraparotid lymph node.3.No FDG avid tumor in the contralateral left neck, chest, abdom... |
Generate impression based on findings. | Female 85 years old Reason: 85 y/o F with dysphagia to solids and pills. Surgical staples are seen in the neck.The esophagus distends normally and demonstrates normal mucosal pattern without evidence of ulceration, stricture or mass. Normal appearing thin folds on mucosal relief.Silent vestibular penetration and trace ... | 1.Episode of silent aspiration. Evaluation with oropharyngeal mode color the study recommended.2.Prominent cricopharyngeus muscle and early Zenker's diverticulum formation.3.Normal esophageal motility.4.Transient hangup of the barium pill the aortic arch and left main bronchus (might be related to volume of oral bolus)... |
Generate impression based on findings. | Male, 75 years old. RFO Trigger: Multiple surgical teams, surgery > 8 hours. Numerous pelvic staples, pelvic surgical drain, and left ureteral stent. No unexpected radiopaque foreign bodies. Nonobstructive bowel gas pattern. Bibasilar pulmonary opacities most consistent with atelectasis and low lung volumes. | No unexpected radiopaque foreign bodies. Postoperative changes as described above. Findings discussed with the attending surgeon Dr. Lee by phone at 16:12 on 1/19/15. |
Generate impression based on findings. | 19-year-old female with history of patellar instability. There is flattening of the femoral trochlea indicating dysplasia with hypoplasia of the medial facet relative to the lateral facet. There is slight lateral translation of the patella with respect to the trochlea. The tibial tuberosity to trochlear groove distance... | Femoral trochlear dysplasia and findings suggestive of prior patellar dislocation. Other findings as above. |
Generate impression based on findings. | 59-year-old male with history of multiple myeloma, post autologous SCT. SKULL: A few punched out lucent lesions within the calvarium are consistent with multiple myeloma and appear similar to the prior exam.CERVICAL SPINE: Limited exam due to inability to suboptimally position the patient with nonvisualization of the l... | Findings compatible with multiple myeloma as described above appearing similar to the prior exam. |
Generate impression based on findings. | Male, 45 years old, history of stroke 3 years ago with increased global weakness since yesterday, left worse than right. Since the prior examination, hyperattenuation involving the left caudate and putamen, and to a lesser degree the right caudate and putamen, has resolved. This change is accompanied by atrophy of the ... | Interval evolution of findings on prior exams which were presumed to reflect nonketotic hyperglycemia. Basal ganglia hyper-attenuation, left more than right, has resolved, but there is evidence of atrophy of the left basal ganglia with ex vacuo dilatation of the left lateral ventricle.No definite evidence of any new or... |
Generate impression based on findings. | And abdominal pain, fevers, chills and fatigue. Evaluate for fluid collection/abscess in the abdomen/pelvis. ABDOMEN:LUNG BASES: Right basilar atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signific... | 1. Postoperative changes in right abdomen following terminal ileum -- right hemicolectomy . 2. 3.5 x 3.1 cm fluid collection adjacent to the anastomosis -- whether this reflects benign fluid versus infection cannot be differentiated on CT. |
Generate impression based on findings. | 60-day-old female with pleural effusions. Chest tube repositioning.VIEW: Chest AP (one view) 1/19/2015, 16:16 Endotracheal tube tip is below thoracic inlet and above carina. The left chest tube tip is in the left apical region.Interval increased opacity in the right upper and lower lobes likely reflects atelectasis wit... | 1.Left chest tube with tip now in the left pulmonary apical region.2.Decreased left lower lobe opacity, and increased right upper and lower lobe opacities. |
Generate impression based on findings. | Colon is adequately cleansed and adequately distended. There is a small to moderate amount of residual fluid which is well tagged with oral contrast.No significant size polyps or masses are seen anywhere in the colon. Minimal diverticulosis sigmoid colon.Note: CT colonography is not intended for the detection of dimin... | No significant size polyps or masses. *OPTIONAL C-RADS CLASSIFICATION:C-1E-2*(see full definitions in: Zalis et al. CT Colonography reporting and data system: a consensus proposal. Radiology 2005;236:3-9)C1: Normal or benign lesions (no polyps > 6mm). Continue routine screening.C2: Intermediate polyp (less than three 6... |
Generate impression based on findings. | One day old female with polydactylyVIEWS: Left hand PA/lateral (two views) 01/19/15 Postaxial polydactyly is present. No osseous elements are present within the digit. The remainder of the hand is within normal limits with normal anatomy. | Postaxial polydactyly without evidence of osseous elements. |
Generate impression based on findings. | 76-year-old female with ovarian cancer who needs reevaluation and comparison to previous examination. Comparison to prior examination is limited given lack of contrast enhancement on the outside examinationCHEST:LUNGS AND PLEURA: Multiple bilateral micronodules are nonspecific. Some of the micronodules are calcified li... | 1.Interval decrease in size of mesenteric metastatic disease.2.Stable splenic hypoattenuating lesions consistent metastatic disease.3.Stable perihepatic metastatic deposits.4.Unchanged moderate right hydroureteronephrosis secondary to metastatic disease at the level of the right mid to distal ureter.5.Diffuse pulmonary... |
Generate impression based on findings. | Right-sided facial and ear pain. Rule out infection or inflammation. Multiple teeth are absent, and there are multiple dental fillings. I suspect that there are cavities of the remaining maxillary molars, but this would be better assessed with dedicated dental radiographs. Poor definition of the left coronoid processes... | Poor dentition with findings as described above. |
Generate impression based on findings. | 49-year-old male with history of MVC two weeks prior now with right neck stiffness and pain. Evaluation of the lower cervical spine on the lateral view is limited due to overlying anatomy. Given this limitation we see no fracture. There is loss of the normal cervical lordosis which may be secondary to positioning or mu... | Degenerative disk disease without a fracture. |
Generate impression based on findings. | 60 year-old female with known transverse colon cancer diagnosed in July, 2014. Staging CT scan. CHEST:LUNGS AND PLEURA: No significant abnormality noted.No nodules, airspace disease or pleural disease seen.MEDIASTINUM AND HILA: No significant abnormality noted. No adenopathy.CHEST WALL: No significant abnormality noted... | Slight increase in size a transverse colon mass typical of colon carcinoma. 2. Slight increase in size and number of adjacent mesenteric small lymph nodes, worrisome for metastatic disease. 3. No evidence of remote metastatic disease seen. |
Generate impression based on findings. | 47-year-old male with history of ORIF. Orthopedic pins affix a comminuted fracture of the fourth proximal phalanx in near anatomic alignment with slight radial angulation of the distal fracture fragment. Additionally, two orthopedic pins affix the remaining middle and proximal phalanges of the fifth finger in anatomic ... | Orthopedic fixation of fourth and fifth fingers as above |
Generate impression based on findings. | 77-year-old male with history of reverse total shoulder arthroplasty. Overlying splint material limits evaluation of fine osseous detail. Hardware components of a left reverse total shoulder arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. Surgical drai... | Left reverse total shoulder arthroplasty as above. |
Generate impression based on findings. | 16-year-old male with history of osteosarcoma for surveillance LUNGS AND PLEURA: Nodular, subpleural opacities are seen in the superior segment of the right lower lobe. Left major fissure intra-fissure lymph node is unchanged (series 4 image 51).MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy.... | Nodular, subpleural opacities in the superior segment of the right lower lobe may be of infectious or inflammatory radiology. Short term follow-up may be considered to ensure resolution. |
Generate impression based on findings. | 46 year old female with history of left femur osteoma resection. Evaluate for recurrence. There is a plate and screw device with tension wires affixing allograft within the proximal femur. The margins are less distinct indicating interval healing. There is no radiographic evidence of hardware complication or tumor recu... | Postsurgical changes as above without radiographic evidence of tumor recurrence. |
Generate impression based on findings. | 47-year-old female with neutropenia, abdominal pain and tenderness. Within the limits of a non-IV contrast enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made:ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY... | 1. Small amount of free mesenteric fluid in the dependent lateral flanks and dependent pelvis without loculation of uncertain etiology. 2. No other diagnostic abnormality seen. |
Generate impression based on findings. | 64-year-old female with history of shoulder pain. There is widening of the AC joint and tapering of the distal clavicle which may reflect prior surgery. The shoulder is otherwise unremarkable. | Widening of the AC joint is likely postoperative, however the shoulder is otherwise unremarkable. |
Generate impression based on findings. | 57-year-old female with history of pain. Evaluation is limited due to inability to optimally position the patient. The glenohumeral joint is in gross anatomic alignment, but this is difficult to assess given the aforementioned limitation. Mild osteoarthritis affects the acromioclavicular joint. | Mild osteoarthritis of the acromioclavicular joint. |
Generate impression based on findings. | 45-year-old male with history of fall now with diffuse pain. Left ankle: There is an oblique fracture through the distal fibula extending to the level of the tibiotalar joint. Alignment is near-anatomic. There is lateral soft tissue swelling.Left knee: There is a moderate-sized joint effusion, however we see no fractur... | 1.Distal fibular fracture as above.2.Joint effusion and a 6-mm linear density within the medial tibiofemoral compartment for which we cannot exclude an underlying fracture; however, we see no lucent fracture line. If patient care warrants further imaging, a CT or MRI may be obtained. |
Generate impression based on findings. | 16-year-old male with recent intubation.VIEW: Chest AP (one view) 01/19/15 ET tube tip is below thoracic inlet and above the carina. Swan-Ganz catheter tip is in the main pulmonary artery. NG tube tip is in the stomach. Left upper extremity PICC tip is at the superior cavoatrial junction.Patchy airspace opacities throu... | Stable right and worsening left airspace opacities. ET tube tip is below the thoracic inlet and above the carina. |
Generate impression based on findings. | 55-year-old female with history of hardware placement and fusion. There are postsurgical changes from interspinous arthrodesis at L4-5 with an orthopedic device and bone graft material noted posteriorly. There is no evidence of hardware complications. The margins of the graft remain distinct at this time, and I see no ... | Postoperative changes of interspinous arthrodesis appearing similar to the prior study. |
Generate impression based on findings. | New onset low back pain. Rule out fracture. There is partial sacralization of the L5 vertebra. There is a compression fracture of L2 with cement in the L2 vertebral body. Loss of height of the L2 vertebral body appears to have progressed slightly since 2008, but I suspect that this is still chronic in etiology. The rem... | Compression fracture of L2 with cement in the L2 vertebral body. Although loss of height of the L2 vertebral body appears to have progressed when compared with the 2008 lumbar spine exam, I suspect this is still chronic in etiology. I see no definite acute fracture. |
Generate impression based on findings. | Left knee pain Four views of the left knee are provided. There is mild medial compartment narrowing and small osteophytes indicating mild osteoarthritis.Mild osteoarthritis affects the right knee as seen on the frontal views. | Mild osteoarthritis. |
Generate impression based on findings. | Metatarsalgia, fifth There is flattening of the medial aspect of the first metatarsal head reflecting prior bunionectomy. There is a slight hallux valgus deformity. I see no specific findings to account for the patient's 5th metatarsal pain. | Postoperative changes of prior bunionectomy, but no specific findings to account for the patient's fifth metatarsal pain. If there is clinical concern for stress fracture, repeat radiographs may be obtained in 10 to 14 days. |
Generate impression based on findings. | 56 year old man with a history of TIA who is being considered for a robotic atrial septal defect closure and is referred to evaluate cardiovascular anatomy for surgical planning.CPT: 75572 Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic dissect... | 1. Very small atrial septal defect (or large PFO) is noted. 2. Normal thoracic aortic anatomy. 3. No severe coronary artery stenoses. 4. Mild burden of coronary atherosclerosis, predominantly located in the proximal and mid LAD and proximal LCx.This portion of the report pertains to the heart and great vessels only. Th... |
Generate impression based on findings. | Assess for fracture. Pain. Two views of the left shoulder are provided. I see no fracture or malalignment.Two views of the left humerus are provided. I see no fracture. There is perhaps mild reticulation of the subcutaneous fat suggesting mild edema.Two views of the left forearm are provided. I see no fracture. | Possible mild subcutaneous edema; I see no fracture. |
Generate impression based on findings. | Rule out SER4 Again seen is an oblique fracture of the distal fibula with fracture fragments in near-anatomic alignment. There is soft tissue swelling, particularly along the lateral aspect of the ankle. I see no frank widening of the medial tibiotalar gutter. | Distal fibular fracture. I see no frank widening of the medial tibiotalar gutter. |
Generate impression based on findings. | Pain status post fall. Rule out fracture. I see no fracture, malalignment, or joint effusion. I see no specific findings to account for the patient's pain. | No fracture or other findings to account for the patient's pain are evident. |
Generate impression based on findings. | Left ankle erythema on dorsal aspect. Warmth/tenderness. Concern for "osteo". Again seen is an oblique fracture of the distal fibula with fracture fragments in near-anatomic alignment. This appears similar to the prior study, although there is minimal periosteal reaction along the fracture suggesting an early attempt a... | Distal fibular fracture and soft tissue swelling without radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Pain and swelling with posterior tenderness to palpation. Rule out abnormality and Baker's cyst if possible. Moderate to severe osteoarthritis affects the knee, with narrowing of the medial tibiofemoral compartment and tricompartment osteophytes. An ossicle projecting posterior to lateral femoral condyle likely represe... | Osteoarthritis and small joint effusion. |
Generate impression based on findings. | Pain, swelling. Rule out fracture. There appears to be swelling of the soft tissues of the ring finger, particularly along the middle phalanx. I see no underlying fracture or dislocation. | Soft tissue swelling without fracture evident. |
Generate impression based on findings. | 1 day old term male with perinatal distress and potential seizures. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. There is fluid within the rudimentary paranasal sinuses, mastoid air cells, and middle ear c... | 1.No evidence of intracranial hemorrhage. 2.Bilateral caput succedaneum.3.Accessory occipital bone ossicles and mild 3-5 mm depression and overlap at the parieto-occipital sutures. 4.An MRI may be beneficial to evaluate for ischemia if there is clinical concern. |
Generate impression based on findings. | The lateral, third and fourth ventricles are mildly enlarged. The cisterns remain patent. There is no midline shift or mass effect. There is severe confluent periventricular and subcortical T2 hyperintensity including the right anterior temporal pole without associated diffusion restriction. There is also increased T2... | 1.No restricted diffusion to suggest acute infarct.2.Severe T2 abnormality involving the periventricular and subcortical white matter, including the right anterior temporal pole, as well as the brainstem consistent with given history of CADASIL syndrome.3.Mildly enlarged ventricles. Given clinical history of CADASIL, t... |
Generate impression based on findings. | Left hip pain after twisting action. Hip fracture? Components of a total hip arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. I see no fracture. I see no specific findings to account for the patient's pain. | Total hip arthroplasty without fracture or other specific findings to account for the patient's pain. |
Generate impression based on findings. | Patient with right rib pain with known metastatic disease now status post fall. Please evaluate for rib fracture. There are sclerotic and permeative lesions affecting multiple bones compatible with the patient's diagnosis of metastatic prostate cancer. This includes an expansile lesion of the lateral aspect of the righ... | Widespread metastatic disease without fracture evident. |
Generate impression based on findings. | 65 years, Male. Reason: assess bowel gas pattern History: distended abdomen. Dobbhoff tip in gastric body. Nonobstructive bowel gas pattern. Mild nonspecific gastric distention. Scattered surgical clips and bullet fragment which projects over the right sacrum. LVAD and sternotomy wires are unchanged. Cardiomegaly, bila... | Mild nonspecific gastric distention. Overall nonobstructive bowel gas pattern. |
Generate impression based on findings. | 7 day old male with abdominal distention and emesisVIEW: Abdomen AP (one view) 01/19/15 NG tube tip is in a gas distended stomach.Nonobstructive bowel gas pattern. No pneumoperitoneum, pneumatosis intestinalis, or portal venous gas. | Normal examination. |
Generate impression based on findings. | Male, 14 years old.RFO No unexpected RFO identified. Nonobstructive bowel gas pattern. Diaphragm is excluded from field of view. Surgical clips noted in the bilateral pelvic soft tissue. Please seen same day chest radiograph for additional findings. | No unexpected RFO identified. Nonobstructive bowel gas pattern. Findings discussed by on call resident Dr. Loeff, the attending surgeon, by telephone at 7:29 on 1/20/2015. |
Generate impression based on findings. | Male 29 years old; Reason: LLQ abd pain History: LLQ abd pain ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: Splenomegaly with spleen measuring 16.8 cm cephalocaudad is seen on coronal image 45.PANCREAS: No significant abnormality noted.ADRENAL GLAND... | 1.Signs of sigmoid bowel perforation with extensive associated fat stranding consistent with inflammation secondary to perforation. Etiology unclear. Consider diverticulitis. Correlate clinically for underlying immunocompromised given the splenomegaly. Rule out inflammatory bowel disease although there are no other sti... |
Generate impression based on findings. | Reason: 2 days of right sided facial numbness without motor deficit--eyebrows raise equally History: right facial numbness x 2 days with mild HA and dizziness The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemor... | No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of hemorrhagic cerebral infarction. |
Generate impression based on findings. | Hip pain and knee pain. Two views of the right hip are provided. The bones appear slightly demineralized, perhaps representing mild osteopenia. Mild osteoarthritis affects the right hip. Components of a penile prosthesis are incompletely imaged on this study. Scattered arterial calcifications are noted.Poorly defined s... | Mild osteoarthritis of the hip and other findings as described above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are mammographic images of right breast (11/28/14) and ultrasound images of right breast (11/28/14) performed at Advocate Trinity Hospital. The mammographic images are compared to the prior mammograms performed at University of Chicago (11/15/13, 12/4/1... | Indeterminate mass in the right breast at 9 o'clock position, for which ultrasound guided biopsy is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 5 -year-old female with hypoxia PULMONARY ARTERIES: A patent left pulmonary artery stent is noted. No definite evidence of pulmonary embolism in the main and segmental pulmonary arteries within the limitation described above.LUNGS AND PLEURA: The posterior basal segment of the right lower lobe is collapsed. There is mu... | 1.Suboptimal examination due to poor bolus. Within this limitation, there is no definite evidence of pulmonary embolism.2.Mucous plugging in the right bronchus intermedius with collapse of the posterior basal segment of the right lower lobe. |
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. | Reason: Head trauma to back of head with syncopal episode History: headache 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 visuali... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 61 years, Male. Reason: assess for obstruction History: no bowel movement x 6 days despite bowel prep Non obstructive bowel gas pattern. Large stool burden distributed throughout the colon, with paucity of stool in the rectum. Mild DJD of the lower lumbar spine. | Non obstructive bowel gas pattern. Large stool burden distributed throughout the colon, with paucity of stool in the rectum. |
Generate impression based on findings. | Female, 72 years old status post surgery Surgical drains and staples project over the abdomen, but we see no unexpected retained foreign body. Mild osteoarthritis affects the hips, SI joints, and pubic symphysis. | No unexpected retained foreign body. These findings were discussed with the attending surgeon Dr. Gottlieb by phone at 20:01 1/19/2015 by the resident on call. |
Generate impression based on findings. | Female, 60 years old s/p robotic vaginal hysterectomy and BSO.RFO trigger: Urgent change in planned procedure. No unexpected radiopaque foreign body seen. Surgical staples course down the midline of the pelvis. Nonobstructive bowel gas pattern. Interstitial gas in the pelvis is likely postoperative in etiology. | No unexpected radiopaque foreign body. Findings were discussed with the attending physician, Dr. Goodall, via telephone on 1/19/2015 at 18:14 by the radiology resident on call. |
Generate impression based on findings. | Reason: s/p provox placement into pt with esophagectomy w colonic transposition, laryngectomy now with bleeding History: as above . Patient noted to have pulsating bleeding from mouth with source suspected to be at the provox. Please embolize arterial source adjacent to the provox and any other source of bleeding. Left... | 1.Embolization of branch of left inferior thyroidal artery adjacent to bleeding site at the patient's provox.2.Findings were discussed with Dr Blair. |
Generate impression based on findings. | 79-year-old male status post fall Knee: Moderate osteoarthritis affects particularly the medial joint compartment. We see no fracture. Chondrocalcinosis is noted within both the medial and lateral tibiofemoral joint compartments. Arterial calcifications are present in the soft tissues.Pelvis: The bones are demineralize... | Osteoarthritis and other findings as described above without fracture evident. |
Generate impression based on findings. | 27 year-old female with right ankle pain, pelvic pain, lumbar spine pain Lumbar spine: There is bilateral L5 spondylolysis with grade one anterolisthesis of L5 on S1, which we suspect is chronic. We see no definite acute fracture. The disk spaces and vertebral body heights are preserved.Pelvis: Evaluation is slightly l... | L5 spondylolysis and spondylolisthesis as well as soft tissue swelling about the ankle. |
Generate impression based on findings. | The lateral third and fourth ventricles are prominent. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is diffuse periventricular and subcortical hypoattenuation as well as hypoattenuation within the pons. There is no extraaxial fluid collection. The visualized portions of the para... | 1.Periventricular and subcortical hypoattenuation as well as hypoattenuation within the pons is nonspecific but likely related to patient's known CADASIL syndrome. If there is clinical concern for acute ischemia, an MRI is recommended.2.Mildly enlarged ventricles. Given clinical history of CADASIL, this may be secondar... |
Generate impression based on findings. | 60 year old male s/p partial nephrectomy. RFO trigger: Urgent change in planned procedure. No unexpected radiopaque foreign body seen. Surgical staples project over the right hemiabdomen. Scattered surgical clips and bilateral JP drains are noted. NG tube tip at GE junction with distal sidehole not visualized but presu... | 1.No unexpected radiopaque foreign body.2.NG tube tip at GE junction. Distal sidehole is not visualized but is presumably in the distal esophagus. Findings were discussed with the attending physician, Dr. Shalhav, via telephone on 1/20/2015 at 08:34. |
Generate impression based on findings. | Prominent ventricles and sulci likely reflect a mild degree of volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. Minimal periventricular and subcortical hypoattenuation is nonspecific but unchanged from the prior exam and likely reflects minimal small vessel ischemic disease. ... | 1.No acute intracranial hemorrhage.2.Periventricular subcortical hypoattenuation is nonspecific but likely is vascular related at this age. |
Generate impression based on findings. | 79-year-old female with history of fall. The bones are demineralized suggesting osteopenia.Left knee: There is a small joint effusion. A bipartite patella is present, a normal variant. Moderate osteoarthritis affects the knee. Faint densities seen on the lateral view at the anterior aspect of the knee may represent loo... | Degenerative arthritic changes of the thoracic spine, lumbar spine, and knee without evidence of acute fracture. Other findings as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in her 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 distribution. ... | 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. |
Generate impression based on findings. | 51 years, Male. Reason: 51 y/o ESRD, HTN here with nausea and abdominal pain s/p cath History: nausea Non obstructive bowel gas pattern. Average stool burden. Pelvic vascular calcifications noted. DJD of the lumbar spine. Please see same day chest radiograph report for additional findings. | Non obstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | 5-year-old female with hypoxiaVIEW: Chest AP (one view) 01/20/15 Multiple embolization coils, vascular coils, pulmonary artery and SVC stents are again noted. Cardiothymic silhouette normal. Right lower lobe atelectasis.Disorganized bowel gas pattern. | Right lower lobe atelectasis. |
Generate impression based on findings. | 56 year old female presents for routine screening mammography. Two standard digital views of both breasts with tomosynthesis 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. | 73-year-old female with shortness of breath. Evaluate for pulmonary embolism. PULMONARY ARTERIES: No evidence of pulmonary embolism. Pulmonary artery size is within normal limits. No evidence of right heart strain. LUNGS AND PLEURA: Nonspecific left upper lobe micronodule most compatible with prior infection or intrapu... | No significant cardiopulmonary abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and abdomen AP 1/20/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Patchy atelectasis bilaterally without pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No abnormal bowel dilation.... | Disorganized nonobstructive bowel gas pattern. |
Generate impression based on findings. | Exam limited due to patient motion.The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. Mild mucosal thickening of the left maxillary sinus, otherwise the vi... | No evidence of acute intracranial hemorrhage, mass effect or edema. Please note that non-enhanced CT is not sensitive for the early detection of acute ischemic stroke . |
Generate impression based on findings. | Male; 67 years old. Reason: large AA gradient, no anticoagulation, positive biomarkers; r/o PE History: chest pain, hypoxia PULMONARY ARTERIES: Single small partially occlusive pulmonary embolus a right lower lobe segmental artery extending into a subsegmental branch (series 4, images 217-227). This clot appears adhere... | 1. Single right lower lobe segmental pulmonary embolus with appearance suggestive of chronic age. The clinical significance of this finding is uncertain. No evidence of right heart strain.2. Mucous plugging causes complete atelectasis of the right lower lobe.3. Findings suggestive of CHF with cardiomegaly, mild pulmona... |
Generate impression based on findings. | 79-year-old female with headaches after fall and loss of consciousness two weeks ago. 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. The ventricles and sulci are prominent, consistent with m... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP 1/19/15 NG tube tip in the stomach. Disorganized nonobstructive bowel gas pattern. The previously noted dilated bowel loops have improved in the interval. No pneumatosis or pneumoperitoneum. | Interval improvement in the bowel dilation with no pneumoperitoneum. |
Generate impression based on findings. | 78 years, Male. Reason: Check G tube placement s/p Foley insertion after original G tube fell out. Contrast injected through a Foley catheter opacifies the stomach with normal gastric fold pattern visualized. The tip of the tube projects over the gastric body on both AP and cross table lateral views, and no extralumina... | Proper positioning of Foley catheter within the stomach as described above. No extraluminal contrast identified. |
Generate impression based on findings. | 72-year-old female with history of ESRD on hemodialysis, hypertension, CHF, cirrhosis, GI bleed (distal ileum/diverticular) presenting with hematochezia for two days. Evaluate. CT ANGIOGRAM: Diffuse severe atherosclerotic calcifications affect the abdominal aorta and its branches. Moderate atherosclerotic calcification... | 1.No evidence of gastrointestinal bleed. 2.Unchanged large volume ascites and diffuse anasarca. Mild interval increase in the large right pleural effusion and interval development of trace left pleural effusion. Reflux of contrast into hepatic veins and suggestion of mild hepatic congestion. Overall, these findings cou... |
Generate impression based on findings. | Call back from screening mammogram for a new mass in the right breast. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. A circumscribed mass with thin halo is redemonstrated at 12 o'clock position in the right breast, suggesting benign etio... | No mammographic evidence of malignancy. Benign cyst in the right breast. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | CLINICAL DATA: Age: 59 years. Sex : Male. Indication: Reason: SBO History: Abdominal pain, emesis. LUNG BASES: Small left pleural effusion and associated atelectasis, and mild interlobular septal thickening in the right lower lobe.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality... | Partial small bowel obstruction with transition point in the lower mid abdomen. At the transition point is a short segment of bowel wall thickening, so underlying neoplasm, infection or inflammation otherwise possible etiologies. There is adjacent small ascites, which may represent bowel injury in the setting of obstru... |
Generate impression based on findings. | Fall, rule out bleeding, bloody nose and face No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is global parenchymal volume loss commensurate with age. No extra-axial collections. No hydroceph... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Mild irregularity involving the left nasal bone anteriorly suspicious for fracture.Findings of nasal bone fracture were not reported in the initial preliminary wet read. Dr. Ali discussed the findings with Dr. Cheema at 1/20/2015. |
Generate impression based on findings. | Male; 75 years old. Reason: r/p PE History: SOB, positive ddimer, CABG on 1/5/15 PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Large left pleural effusion with moderate left basilar compressive atelectasis.MEDIASTINUM AND... | 1. No acute pulmonary embolus.2. Large left pleural effusion with adjacent compressive atelectasis. The effusion is nonspecific and may be related to recent cardiac surgery.3. Mild cardiomegaly.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Stra... |
Generate impression based on findings. | Prematurity evaluate ET tubeVIEW: Chest AP and abdomen AP 1/20/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. The umbilical venous catheter tip in the right atrium. The umbilical arterial catheter tip at T10. Cardiothymic silhouette normal. Minimal atelectasis in the right upper l... | ET tube tip below thoracic inlet and above the carina. |
Generate impression based on findings. | Prematurity evaluate ET tubeVIEW: Chest AP and abdomen AP 1/20/15 ET tube tip in the right mainstem bronchus. The umbilical venous catheter tip in the right portal vein. The umbilical arterial catheter tip at T10. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Patchy atelectasis in the right lower... | Malpositioned ET tube. |
Generate impression based on findings. | There is redemonstration of a relatively circumscribed homogeneously enhancing mass within predominantly the superficial lobe of the right parotid gland. It currently measures 3.3-cm transverse by 3.2-cm AP by 3.7 cm CC. This previously measured 2.7 x 2.8 x 3.6 cm. There are a few small areas of hypoenhancement specia... | 1. Interval increased size of circumscribed right parotid mass predominantly in the superficial portion of the gland, remaining lateral to the right retromandibular vein, although a portion of the mass extends between the mandibular ramus and mastoid. No stylomandibular canal extension.2. No cervical lymphadenopathy. S... |
Generate impression based on findings. | IntubatedVIEW: Chest AP 1/20/15 ET tube tip below thoracic inlet and above the carina. Feeding tube in place. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe and left lower lobe increased in the interval. No pleural effusion or pneumothorax. | Bilateral patchy atelectasis in the right upper lobe and left lower lobe increased in the interval. |
Generate impression based on findings. | 59-year-old male with headache, history of drug use. 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. The ventricles and sulci are within normal limits for age. No extra-axial collections. Aga... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Interval increase in paranasal sinus opacification. |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female; 49 years old. Reason: rule out PE in 49yo F patient with acute onset chest pain History: left-sided chest pain PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Mild bibasilar dependent atelectatic changes. 4 mm ovoid... | No acute pulmonary embolus or other significant cardiopulmonary abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Respiratory distress intubationVIEW: Chest AP 1/20/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette at the upper limits of normal. Patchy atelectasis in the right upper lobe and left lower lobe in a background of chronic lung disease. No pleural effusion or p... | Patchy atelectasis bilaterally in a background of chronic lung disease. |
Generate impression based on findings. | Male 55 years old; Reason: 55 y/o male with AML s/p 2 cycles of consolidation chemo. RLQ/Flank shooting pain worsening x 5 days. U/S completed with prelim indicating no major sources of pain History: pt RLQ/flank shooting pain x5 days, spreading across and behind abdomen at times. ABDOMEN:LUNG BASES: No significant abn... | 1.Uncomplicated appendicitis, further described above.Findings discussed with Lauren Ziskind, NP at 8:40 a.m. on 1/20/2015. |
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. | Seizures hypoxiaVIEW: Chest AP 1/20/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Gastrostomy tube in place. Epidural catheter in place. Bilateral lung opacities at the right lower lobe and left lower lobe likely atelectasis with small bilateral pleural effusions. No evidence of pneumothorax. | Bilateral lung opacities likely atelectasis in the right lower lobe and left lower lobe. |
Generate impression based on findings. | Ms. Serafin is a 39 year old female with a personal history of right breast mastectomy with reconstruction for metastatic IDC in January 2014. She has no current breast related complaints. Three standard views of the left breast with two left spot compression views were performed digitally and reviewed with the aid of ... | 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. | 3-year-old female with fever and hypoxiaVIEW: Chest AP (one view) 01/19/15 Mild peribronchial thickening suggestive of bronchiolitis/reactive airway disease. Patchy multifocal opacities in bilateral lower lobes likely reflects atelectasis. Small left pleural effusion. | Bronchiolitis/reactive airway disease with bibasilar atelectasis and small left pleural effusion. |
Generate impression based on findings. | 39-year-old female status post knee manipulation. Hardware components of a right total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. Alignment is anatomic. There are no acute fractures. There is perhaps a small joint effusion. | Right total knee arthroplasty as above. |
Generate impression based on findings. | 53-year-old female with history of lower back pain. The bones are demineralized suggesting osteopenia. There is severe degenerative disc disease affecting of L4-5 and L5-S1. Moderate degenerative disc disease affects L3-4. Moderate facet joint osteoarthritis most notably in the lower lumbar spine. There is a grade 1 an... | Degenerative disc disease and other findings as above. |
Generate impression based on findings. | 35-year-old male with history of HIV, alcohol withdrawal, presenting with seizures. There is no evidence of intracranial hemorrhage. Mild global parenchymal volume loss is unchanged. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinus... | No evidence of intracranial hemorrhage or mass effect. If there is continued suspicion for an underlying structural lesion, consider MRI for further evaluation. |
Generate impression based on findings. | Female; 55 years old. Reason: r/o PE History: met breast CA with SOB PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema.Again there is improved aeration with mildly decreas... | 1.No acute pulmonary embolus.2.Interval resolution of pericardial effusion.3.Sternal osteolytic/blastic lesion with presternal and retrosternal soft tissue extension, similar to prior study.PULMONARY EMBOLISM: PE: Negative..Chronicity: Not applicable..Multiplicity: Not applicable..Most Proximal: Not applicable..RV Stra... |
Generate impression based on findings. | 11 year old male with sob, evaluate for consolidation. VIEWS: Chest PA/lateral (two views) 1/19/15 at 23:19. Mild peribronchial wall thickening and subtle right lower lobe airspace opacities. Cardiac silhouette normal in size. Metallic densities projecting over the abdomen are presumably external to the patient. Elevat... | Reactive airways disease/bronchiolitis pattern with new subtle right lower lobe airspace opacities suspicious for pneumonia. |
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