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Generate impression based on findings. | 41 years, Male. Reason: abdominal pain, evaluate for free air. Nonobstructive bowel gas pattern. No free air on decubitus view. Feeding tube tip in gastric antrum. Small bilateral pleural effusions, cardiomegaly, and streaky lung base opacities are noted. | Nonobstructive bowel gas pattern. No free air. |
Generate impression based on findings. | 65 year old with history of right breast mastectomy 3/2012 after lumpectomy with positive margins for IDC. Status post radiation, chemotherapy and hormonal therapy. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parench... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There are stable areas of abnormal low density somewhat symmetric in pattern in the posterior cerebellum bilaterally, slightly more extensive on the left side. There is associated volume loss. This finding was not evident on the more remote CT of 2003. The ventricles and sulci are within normal limits. There is no mid... | No acute intracranial abnormality. Stable probable chronic bilateral cerebellar infarcts, not present on the 2003 exam. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | 88 years, Male. Reason: Check biliary stent placement. Lower pelvis excluded from field of view. Exam also limited by blurring from patient respiratory motion. Biliary stent, including pancreatic component, is in the expected position and not significantly changed when compared to recent ERCP images. Nonobstructive bow... | 1.Biliary stent in the expected position without significant interval change compared to recent ERCP images. 2.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | PainVIEWS: Right ankle AP, oblique and lateral No acute fracture or dislocation. The ankle mortise joint is normal. There is soft tissue swelling about the ankle joint. No ankle joint effusion. | No acute fracture or dislocation. |
Generate impression based on findings. | Ms. Stockl is a 25 year old female presenting with unilateral right milky nipple discharge. A targeted right breast ultrasound was performed for the patient’s unilateral milky nipple discharge. Multiple ectatic ducts were identified in the right retroareolar region with no discrete intraductal mass identified. For comp... | Multiple ectatic ducts without evidence of intraductal mass in the right breast. No sonographic evidence for malignancy. All results were relayed to the patient and Dr. Jaskowiak.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | CVA. Altered mental status, difficulty speaking since 9 am. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. There is hypoattenuation involving the left frontal corona radiata extending into the anterior limb of the left internal capsule which may represent infarct. Additional ... | 1. No evidence of intracranial hemorrhage or mass effect. 2. Hypoattenuation in the left frontal corona radiata extending into the left internal capsule is age-indeterminant with subacute infarct not excluded. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI or follow-up CT sho... |
Generate impression based on findings. | Male, 63 years old, history of stage IVb, T4N2cM0 floor of the mouth squamous cell carcinoma s/p wide local excision, rim mandibulectomy, and bilateral selective neck dissection April 2010, followed by adjuvant CRT with TFHX completed in October 2010. Anatomic distortion and volume loss involving the right floor of mou... | Redemonstration of surgical and treatment related findings in the neck with no evidence suggest locally recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | Male 53 years old; Reason: hep c cir tumor surveillance History: hep c cir ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver contour: The liver contour is nodular.Status post cholecystectomy. Features of portal hypertension: Splenomegaly and upper abdominal ascites. Portal vein: Portal ve... | 1.Cirrhotic liver without suspicious hepatic lesion. |
Generate impression based on findings. | Line placementVIEW: Chest AP 1/20/15 NG tube tip in the stomach. The endotracheal tube not visualized and likely to have been removed. Umbilical lines unchanged. Right upper extremity PICC with tip in the right axillary vein. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally increased in the interval. No ... | Right upper extremity PICC with tip in the right axillary vein. |
Generate impression based on findings. | Hip subluxation and.EXAMINATION: Pelvis AP/frog leg (two views) 01/20/15 The femoral head ossification centers are symmetric. Lateral uncovering of approximately 25% is present bilaterally. With frog leg positioning the femoral heads are well seated. The acetabula are mildly dysplastic. Bilateral coxa valga is noted.A ... | Mild lateral uncovering of both femoral heads. |
Generate impression based on findings. | 16 year old female with headache and occipital swelling. There is no evidence of acute intracranial hemorrhage. There is stable hypodense encephalomalacia with volume loss within the bilateral anteroinferior frontal lobes, left greater than right. The ventricles and basal cisterns are unchanged in size and configuratio... | 1.No evidence of acute intracranial hemorrhage.2.Encephalomalacia within the bilateral anteroinferior frontal lobes, left greater than right, likely related to prior contusions. |
Generate impression based on findings. | Reason: evaluate for disease progression. History: synovial sarcoma. LUNGS AND PLEURA: Multiple pulmonary nodules demonstrating mild interval increase in size since the prior exam.Reference nodules as follows:Reference right middle lobe nodule (image 36 series 5) now measures 15 mm x 15 mm , previously measuring 13 mm ... | Multiple pulmonary metastases demonstrating mild interval increase in size. No new sites of disease identified. |
Generate impression based on findings. | Follow-up There is a side plate and screws affixing a fracture of the distal fibula in near-anatomic alignment. Much of the fracture is indistinct suggesting some healing. There are also minimally displaced fractures of the posterior and medial malleoli appearing similar to the prior study. Mild osteoarthritis of the t... | Orthopedic fixation of distal fibular fracture and other findings as above. |
Generate impression based on findings. | Hip subluxation.EXAMINATION: Pelvis AP/frog leg (two views) 01/20/15 Femoral head ossification centers are symmetric. Bilateral coxa valga is present. The femoral heads are well seated within the acetabula. A moderate amount of feces is present in the rectosigmoid. | Bilateral coxa valga. |
Generate impression based on findings. | Hip subluxation.EXAMINATION: Pelvis AP/frog leg (two views) 01/20/15 Femoral head ossification centers are symmetric. They are well directed into normally formed acetabula. Bilateral coxa valga is noted. | Bilateral coxa valga. |
Generate impression based on findings. | There is extensive susceptibility artifact again noted from the patient's indwelling bilateral shunt catheters, which limits evaluation of surrounding structures. The ventricles are stable in size. Right frontal approach and left temporal approach ventriculostomy catheters are grossly stable. There remains diffuse bil... | 1. Decreased enhancement associated with posterior left lateral atrial mass and left lateral occipital periventricular lesion. Similar T2 appearance and size of left atrial lesion. No convincing hyperperfusion these areas, with relative hypoperfusion along the left atrial choroid plexus in the configuration of the tumo... |
Generate impression based on findings. | Left knee pain Four views of the left knee are provided. There is severe narrowing of the medial tibiofemoral compartment with bone-on-bone apposition noted on the skiers view. There are also tricompartmental osteophytes as well as a mild varus deformity of the knee. These findings indicate severe osteoarthritis of the... | Osteoarthritis. |
Generate impression based on findings. | Female 61 years old; Reason: hx resected renal cancer, on surveillance History: hx resected renal cancer, on surveillance ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. Scattered hepatic hypodensities, the largest 3 stable hypodensities near the dome of the liver... | 1.No evidence of recurrence on this noncontrast CT scan. |
Generate impression based on findings. | Pain at first metatarsophalangeal joints. Evaluate bunion and hammertoe deformities. Three views of the right foot are provided. There is a mild hallux valgus deformity. Mild osteoarthritis affects the first metatarsophalangeal joint. There is slight flattening of the medial aspect of the first metatarsal head that cou... | Hallux valgus deformities and other findings as described above. |
Generate impression based on findings. | Female 85 years old; Reason: patient with a history of neuroendocrine tumor, please assess for disease progression History: neuroendocrine tumor CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Esophagus is moderate to severely dilated.Heart size is normal. No ... | 1.Postsurgical changes in the ileum without evidence for recurrent disease.2.Dilated esophagus of unclear etiology. |
Generate impression based on findings. | Previous left total hip Three views of the left hip are provided. Severe osteoarthritis affects the hip. There is deformity of the proximal femur affixed via two orthopedic screws, perhaps reflecting prior SCFE surgery, with nearly 90 degrees of varus alignment of the femoral head/neck relative to the diaphysis.The AP ... | Severe osteoarthritis and other findings as described above. |
Generate impression based on findings. | Pain Three views of the left shoulder are provided. Tiny glenohumeral joint osteophytes suggest minimal osteoarthritis, essentially within normal limits for age. There is a slight lateral downsloping of the acromion process which may not be of any significance. Mild enthesopathic changes are noted along the greater tub... | Minimal degenerative arthritic changes as described above. |
Generate impression based on findings. | Male, 72 years old, history of T2N2b p16+ right base of tongue squamous cell carcinoma. Mild asymmetric thickening of the right tongue base is unchanged and likely reflect sequela of treated tumor. No evidence of local tumor recurrence is seen.Treatment related findings are seen in the neck including thickening of the ... | Treatment related findings with no evidence of locally recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | T3/4 N2b right submandibular gland ductal carcinoma s/p resection 2/28/14 with positive margins. TFHx completed 7/18/2014. Again seen are postoperative findings related to right submandibular gland resection and neck dissection. There is increased enhancement and nodularity at the base of tongue which likely represents... | 1.Post-treatment changes in the neck without discrete mass lesion. No findings to suggest tumor progression. No significant cervical lymphadenopathy.2.Redemonstration of perineural tumor spread along V3 through the foramen ovale. Denervation atrophy of the right muscles of mastication as well as of the right hemitongue... |
Generate impression based on findings. | There has been interval development of mucosal thickening within the bilateral maxillary sinuses as well as complete opacification of the rudimentary sphenoid sinuses and near complete opacification of the posterior ethmoid sinuses. There is near complete opacification of the right maxillary ostium and infundibulum an... | Interval development of paranasal sinus opacification and mastoid air cell / middle ear cavity fluid. These findings may be related to intubation or represent sinusitis and mastoiditis. Please correlate clinically. |
Generate impression based on findings. | Trouble swallowing. Evaluate fusion and hardware. Again seen is an anterior plate with screws entering C4 and C5. There is an intervertebral spacer device at C4/5. Also again seen are posterior rods with screws entering C3, C4, C5, C6, and T1. I see no hardware complications. Severe degenerative disk disease affects C5... | Postoperative changes of cervical spine fusion and degenerative disk disease as described above. |
Generate impression based on findings. | Status post left total hip arthroplasty The AP view of the left hip reveals components of a total hip arthroplasty device situated in near anatomic alignment without radiologic evidence of hardware complication. A drain and foci of gas density in the soft tissues reflect recent surgery.The AP view of the pelvis reveals... | Total hip arthroplasty as above. |
Generate impression based on findings. | Adjacent segment disease. Progression? Again seen is a posterior stabilization device with screws entering L2, L4, L5, and S1. I see no hardware complications. Spacer devices/bone graft are again noted at L2/3, L4/5, and L5/S1 appearing similar to the prior study accounting for technical differences. Severe degenerativ... | Postoperative changes of lumbosacral fusion, scoliosis, and degenerative disk disease appearing similar to the prior study. |
Generate impression based on findings. | Congenital anomaly.VIEWS: Pelvis AP/frog leg (two views), left femur AP/lateral (two views), left knee AP/lateral (two views), left tibia-fibula AP/lateral (two views), left foot AP/lateral (two views) 01/20/15 The proximal femurs are symmetric and normal in appearance. Acetabular configurations are normal.The distal l... | Femoral bifurcation/duplication with tibial aplasia and clubfoot. |
Generate impression based on findings. | Extensive postoperative changes are again seen relating to previous right hemimandibulectomy and superficial parotidectomy. The surgical constructs appear stable in position, without fracture of any instrumentation. Streak artifact from the instrumentation slightly limits evaluation of surrounding structures.The verti... | 1. Areas of new cortical bone loss along the surgical margin between the vertebral and horizontal components of the right hemimandibular bone graft perhaps relating to incomplete healing, as well as along the superior aspect of the vertical component, of uncertain clinical significance. No definite evidence of recurren... |
Generate impression based on findings. | Evaluate left total knee arthroplasty Components of a total knee arthroscopy are situated in near anatomic alignment without radiographic evidence of complication. Skin staples, a drain, and foci of gas density in the anterior soft tissues reflect recent surgery. | Total knee arthroplasty as above. |
Generate impression based on findings. | Pelvic and hip pain. Knee osteoarthritis and pain. Rheumatoid arthritis? Osteoarthritis? Crystal arthritis? The AP view of the pelvis reveals mild osteoarthritic changes affecting both hip joints. Degenerative arthritis also affects the right sacroiliac joint. Overall, the bones appear demineralized. I see no erosions ... | Osteoarthritis of the hips and knees as described above. |
Generate impression based on findings. | Reason: Hx Malignant Neoplasm base of tongue compare with previous scans, measurements please History: none CHEST:LUNGS AND PLEURA: Small stable calcified granuloma, but no other significant pulmonary abnormality and no sign of metastases. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.No coronary calcif... | No sign of metastases, or other significant abnormality. |
Generate impression based on findings. | 17-year-old male with abdominal painVIEWS: Abdomen AP supine, AP upright (two views) 01/20/15 There is mild leftward curvature of the lumbar spine. Lumbarization of the S1 vertebral body is noted. Moderate amount of stool is seen within the rectum and descending colon. Small air-fluid levels are also noted in the right... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Right patella fracture Again seen is a comminuted intra-articular fracture of the patella with fracture fragments in near anatomic alignment. There is a small joint effusion/hemarthrosis. There is mild diffuse soft tissue swelling. | Patellar fracture as above. |
Generate impression based on findings. | Reason: eval for cva History: transient loss of vision 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.Periventricular and subcortical ... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. 3.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | 42 year-old male with pain, redness, and swelling status post I&D 2 days ago, currently with no drainage. Evaluate.Per additional history obtained from the emergency department, patient with left anterior abdominal wall I&D at the level of the umbilicus. ABDOMEN:LUNG BASES: Mild bilateral basilar atelectasis.LIVER, BIL... | 1.Subcentimeter defect in left anterior abdominal wall with mild underlying fat infiltration consistent with mild inflammatory changes. No fluid collections to suggest abscess as clinically questioned.2.Incidentally noted low attenuation lesion in the left upper quadrant may arise from the pancreatic tail versus spleni... |
Generate impression based on findings. | Reason: 88yo female with new AMS and supratherapeutic anticoagulation. History: altered mental status 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 br... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | 13 year old female with fracture. VIEW: Right knee AP, lateral 1/20/15 at 10:01. Two surgical screws affix a distal femoral fracture in anatomic alignment. There is callus formation and the fracture line appears slightly less distinct suggesting some interval healing. There is a probable small joint effusion. The bones... | Healing distal femoral fracture. |
Generate impression based on findings. | 55 year old female with history of carcinoid, pancreatic primary, who presents for re-evaluation of disease. CHEST:LUNGS AND PLEURA: Stable subcentimeter right middle lobe nodule, best visualized on MIP images. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart siz... | Interval increase in size of the arterially rim enhancing hepatic lesions as detailed above.Interval increase in size of the pancreatic mass, which is patient's known primary neuroendocrine tumor according to given history.Interval increase in size of the gastrohepatic lymph node. |
Generate impression based on findings. | 2 year old male with neuroblastoma, suspicion of fungal infection. CHEST:LUNGS AND PLEURA: Interval development of patchy airspace opacities throughout both lungs, most prominent in the lung bases but throughout both upper lobes as well. No pleural effusions. MEDIASTINUM AND HILA: Bilateral central venous catheters. Th... | 1. New patchy bilateral airspace opacities are consistent with infection, with atypical etiologies including fungal infection differential considerations. 2. Left adrenal mass is not significantly changed compared with recent prior studies from 1/7/15 and 1/2/15 allowing for differences in technique. 3. Other findings ... |
Generate impression based on findings. | Male, 61 years old, with history of T1N0 SCC of the left retromolar trigone s/p excision in 8/2012, subsequently presenting with T4N2b SCC of the left upper gingiva s/p surgery and induction chemotherapy with carboplatin/paclitaxel, s/p TFHX 5/5 completed 5/21/2014, status post repair of oroantral fistula and resection... | 1.Demonstration of extensive surgical findings including partial left maxillectomy and soft tissue grafting. There remains a wide fistulous communication between the left maxillary antrum, nasal cavity and oral cavity.2.The left mandibular coronoid process is newly absent relative to the prior study. The sharp margin a... |
Generate impression based on findings. | 71 year old female with history of bladder cancer status post radical cystectomy and ileal conduit diversion, please evaluate for metastatic disease with delayed imaging. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Small gallstones, without additional significant abnormality notedSPLEEN: N... | Postoperative findings of cystectomy with ileal conduit, without evidence of recurrent metastatic disease. |
Generate impression based on findings. | Male 49 years old; Reason: R/O HCC History: HCV, cirrhosis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Morphologic changes of the liver, suggestive of cirrhosis. A couple subcentimeter hypodensity in the the right lobe are too small to accurately characterize, but likely cysts. No suspici... | 1.Cirrhosis with sequela of portal hypertension as described above. No suspicious hepatic lesions. |
Generate impression based on findings. | Reason: hemorrhagic conversion History: ams, on AC The CSF spaces are appropriate for the patient's stated age with no midline shift. There is encephalomalacia involving the inferior and medial aspect of the right cerebellar hemisphere. In general the brainstem is small. Focus of encephalomalacia is also present in the... | 1.Subacute infarction along the right basal ganglia with no evidence for hemorrhagic conversion.2.Right cerebellar encephalomalacia is suspected to be due to old infarction.3.Older lacunar infarction along the left basal ganglia.4.Periventricular and subcortical white matter changes of a moderate degree are nonspecific... |
Generate impression based on findings. | 11 year old female with right knee circumferential tenderness, unable to bear weightVIEWS: Right knee AP, oblique, lateral (3 views) 01/20/15 No acute fracture malalignment is evident. Large joint effusion. Lucent lesion with mild sclerotic border measuring 9 mm without correlate on the lateral view may represent a non... | Large joint effusion without evidence of acute fracture or malalignment. |
Generate impression based on findings. | 51-year-old male with back pain and history of L5-S1 fusion, evaluate hardware and fusion Postsurgical changes of posterior spinal fusion at L5-S1 with posterior stabilization rods and screws entering the pedicles of L5 and S1 as well as interbody spacer device at L5-S1. No evidence of hardware displacement, hardware f... | 1.Postsurgical changes of posterior spinal fusion at L5-S1 without evidence of hardware complication. There is some bony interbody bridging at L5-S1 without solid fusion and can be correlated with prior imaging and timing of surgery.2.Mild degenerative changes as detailed above, relatively prominent at the L2-3 interve... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (10/11/14, 12/13/14), ultrasound images of left breast (12/13/14) and images from ultrasound guided biopsy of left breast and postprocedural left mammographic images (12/17/14) performed at Advocate Trinity Hospital. DIGI... | Biopsy proven invasive and in situ carcinoma in the left breast. Mammographic measurement of the lesion with calcifications is 4 x 4 x 4.5 cm, but that of ultrasound lesion is 12 x 8 x 10 mm. The discrepancy in measurement is probably because the lesion seen on ultrasound is the invasive component only, and the distrib... |
Generate impression based on findings. | Reason: HRCT of the chest for a history of nocardia and pneumonia History: Cough LUNGS AND PLEURA: Moderate to severe centrilobular emphysema is present.Nodular right upper lobe scarring is present, but no other significant abnormality.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.The heart and pericard... | Moderate to severe centrilobular emphysema. No other significant abnormality, and no sign of infection. |
Generate impression based on findings. | Female 41 years old; Reason: 41 yo F with wegeners and renal mass (s/p biopsy c/w wegeners). Please evaluate for change in size of mass History: back pain ABDOMEN:LUNG BASES: Interval resolution of previously seen centimeter pulmonary nodule in the right lobe. Bilateral breast implants.LIVER, BILIARY TRACT: Stable segm... | Interval reduction in size of left renal mass and interval resolution of right lower lobe pulmonary nodule. In conjunction with history of positive renal mass biopsy of Wegener's, these findings likely represent interval improvement in Wegener's granulomatosis. |
Generate impression based on findings. | 61 years old male with a history of esophageal cancer. This study was performed for initial staging. RADIOPHARMACEUTICAL: 15.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 108 mg/dL. Today's CT portion grossly demonstrates distal esophageal thickening. There is a low-attenuation lesion in the right kidney... | 1.Intense FDG uptake in the distal esophageal wall thickening, which is consistent with the patient's diagnosis of esophageal cancer.2.Hypermetabolic lymph node in the mediastinal right paratracheal region, suspicious for nodal metastasis.3.No other evidence of FDG avid tumor. |
Generate impression based on findings. | Left hip pain Three views of the left hip are provided. Severe osteoarthritis affects the hip. This appears similar to the prior study accounting for slight positional differences.The AP view of the pelvis reveals the aforementioned severe osteoarthritis of the left hip. Components of a right total hip arthroplasty dev... | Osteoarthritis. |
Generate impression based on findings. | Tight hips.VIEW: Pelvis AP (one view) 01/20/15 Femoral head ossification centers are symmetric. They are well directed into normally formed acetabula. No fracture is present. | Normal examination. |
Generate impression based on findings. | Reason: eval shunt History: HA, abd pain The patient is status post ventriculostomy tube placement coursing through the right parietal lobe with the the tip of the ventriculostomy tube in the anterior aspect of the body of the right lateral ventricle. It is in stable position. In the lateral ventricles are stable in si... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.The ventricular system is stable in size and in nondilated3.Redemonstration of stigmata of Chiari two malformation. |
Generate impression based on findings. | Ms. Bonini is a 71 year old female with a personal history of bilateral lumpectomies in February 2014 (left breast - DCIS, right breast - microinvasive IDC), complicated by multiple seromas status post aspiration. She has a family history of breast cancer in a maternal aunt. Three standard views of both breasts along w... | Expected postsurgical changes 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 - Diagnost... |
Generate impression based on findings. | 38-year-old female with history of metastatic pancreatic cancer. Evaluate. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. Scattered pulmonary micronodules are unchanged. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without p... | 1.No significant interval change in the pancreatic head mass which encases the superior mesenteric artery and with occlusion of the superior mesenteric vein.2.Mild interval increase in hepatic metastatic disease.3.Stable portacaval lymph node. |
Generate impression based on findings. | Femoral osteotomy.VIEW: Pelvis AP (one view) 01/20/15 A cast obscures bone detail. Plate and screws devices are present in the proximal femurs. In this single plane, the femoral heads are well directed into the acetabula. Proximal femoral osteotomies are well visualized.A moderate amount of feces is present in rectosig... | Femoral heads remain directed into acetabula. |
Generate impression based on findings. | Line placementVIEW: Chest AP and abdomen AP 1/20/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal patchy atelectasis right lower lobe and left lower lobe. No pleural effusion or pneumothorax. The umbilical venous catheter tip is coiled within the umbilical vein. Disorganized nonobstructiv... | Malpositioned umbilical venous catheter. |
Generate impression based on findings. | Reason: Eval for resolution of ground glass opacities of Lower lung fields History: Lung opacifications after heart transplant, complicated by ARDS and bacteremia LUNGS AND PLEURA: Previously seen groundglass opacities have now nearly resolved, except for some residua in the left lower lobe. MEDIASTINUM AND HILA: Media... | Near complete resolution of pulmonary opacities, with no new findings. |
Generate impression based on findings. | Fracture Again seen is a short oblique fracture of the distal fibula. There is minimal posterolateral displacement of the distal fracture fragment. There is also a minimally displaced fracture of the medial malleolus. There is soft tissue swelling about the ankle. | Distal fibular and medial malleolar fractures appearing similar to those seen on the prior study. |
Generate impression based on findings. | Increasing pain in left ankle and foot. History of foot injury as child, has needed ankle brace since then. Three views of the left ankle show severe osteoarthritis of the tibiotalar joint that has perhaps progressed slightly when compared with the prior study. Slight anterior subluxation and inversion of the talus rel... | Severe osteoarthritis of the ankle joint and other findings 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious mass... | 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. | 55-year-old male with lymphoma and mediastinal lymphadenopathy, concern for SVC syndrome. Please evaluate tumor burden.RADIOPHARMACEUTICAL: 14.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 84 mg/dL. Today's CT portion grossly demonstrates large conglomerate mediastinal lymphadenopathy, centered in the an... | 1.Markedly intense hypermetabolic activity associated with large mediastinal conglomerate lymphadenopathy, compatible with known lymphoma. Additional pericardial and low left neck lymph nodes demonstrate mild hypermetabolic activity and may represent additional sites of disease.2.Mild FDG activity associated with nodul... |
Generate impression based on findings. | 51-year-old male with history of end-stage renal disease. Pre-kidney transplant evaluation. Evaluate aorta and iliac vessels. Please note lack of IV and oral contrast limits evaluation of solid organ pathology, and also of the GI tract.ABDOMEN:LUNG BASES: Minimal dependent right lung base opacities, likely atelectasis/... | The aorta and common iliac arteries are normal in caliber, with moderate atherosclerosis as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Unchanged scattered benign calcificati... | 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. | Male 55 years old; Reason: History metastatic renal cancer; assess for progression on pazopanib History: cough CHEST:LUNGS AND PLEURA: There are multiple bilateral pulmonary lesions. Reference left upper lobe lesion measures 1.3 x 1.1 cm (image 34/series 4) previously, 1.3 x 1.1 cm.Reference right lower lobe pulmonary ... | 1.Decrease in size of some of the lesions. 2.Increase in the size of the aortocaval node. |
Generate impression based on findings. | 72 years, Female. Reason: Kidney stone? History: Flank pain No radiopaque renal calculi are identified. Nonobstructive bowel gas pattern. Above average stool burden. | 1.No radiopaque renal calculi seen.2.Nonobstructive bowel gas pattern with above average stool burden. |
Generate impression based on findings. | 20 year-old male with pain in right upper extremity, deformity of clavicle Clavicle and ribs: There is a comminuted but predominately transverse fracture of the mid to distal clavicular diaphysis with approximately 1 shaft width inferior displacement of the distal fracture fragment. The acromioclavicular joint alignmen... | Right clavicle and multiple right rib fractures as described above. |
Generate impression based on findings. | Need left hand for comparison to right hand syndactylyVIEWS: Left hand AP, oblique and lateral The metacarpals and phalanges of the digits are normal. No acute fracture or dislocation. | Normal examination of the left hand. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with an additional right MLO view 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 suspicious ... | 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. | 67 years old male presents for the evaluation of left upper lobe nodular density. RADIOPHARMACEUTICAL: 14.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates interval increase in size of the nodular and streaky opacities in the left upper lobe. Stable nodular ... | 1.Interval increased in size, number, and metabolic activity in the nodular and streaky opacities in the left upper lobe, suspicious for tumor. However, this finding is not specific for tumor and differential diagnosis including infection and inflammatory change.2.Stable nodular densities in the right upper lobe, which... |
Generate impression based on findings. | 50 years, Male. Reason: abd distension History: abd distension with decreased po intake There is prominent loops of jejunum with differential air fluid level on the RUQ. Paucity of bowel gas elsewhere. Early obstruction cannot be excluded. No definite free air. | Prominent loops of jejunum with differential air fluid level on the RUQ. Early obstruction cannot be excluded. No definite free air. Follow up as clinically indicated. |
Generate impression based on findings. | PICC placementVIEW: Chest AP 1/20/15 ET tube tip at the level of the carina. NG tube tip in the stomach. Right upper extremity PICC with tip at the right subclavian vein. The umbilical venous catheter has been removed in the interval. The umbilical arterial catheter tip at T8. Cardiothymic silhouette normal. Minimal at... | Right upper extremity PICC with tip in the right subclavian vein. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast excisional biopsy and benign right breast core biopsy. History of breast cancer in two paternal cousins. Left breast cyst seen on prior ultrasound at the 9:00 position. Two standard digital views of both breasts were performed... | 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. | 54 year-old female with right knee pain Hip: Severe osteoarthritis affects the right hip.Pelvis: Severe osteoarthritis is again visualized affecting the right hip. Relatively mild osteoarthritis affects the left hip. Degenerative arthritic changes also affect the visualized lower lumbar spine.Knee: Small osteophytes in... | Hip and knee osteoarthritis as described above. |
Generate impression based on findings. | 81-year-old male with history of bladder cancer. Status post ileal diversion. Creatinine greater than 2.5. P.O. contrast on the IV. Please note lack of IV contrast limits evaluation of solid organ pathology.CHEST:LUNGS AND PLEURA: Small, right greater than left pleural effusions. Patchy foci of nodular opacities, parti... | 1.Right perinephric stranding and contour abnormality with exophytic projections and nodules in the perirenal fat, in the setting of retroperitoneal adenopathy is suspicious for neoplastic involvement.2.No significant hydronephrosis or hydroureter.3.Small pleural effusions, with patchy focal nodular opacities that are ... |
Generate impression based on findings. | 74-year-old female, evaluate for scoliosis There is levoscoliosis of the thoracolumbar spine, measuring approximately 48 degrees from the superior endplate of T11 to the inferior endplate of L3. Severe multilevel degenerative disk disease and facet joint osteoarthritis also affects the lumbar spine and the lower thorac... | Degenerative disk disease and scoliosis as described above. |
Generate impression based on findings. | Female 71 years old; Reason: reassess mass/ lymph nodes. malignancy of unknown primary History: compare to last scan CHEST:LUNGS AND PLEURA: No dominant lung lesion. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. There is left chest wall port terminates at the cavoatri... | 1.Slight increase in the size of the reference right axillary soft tissue.2.Findings highly suspicious for metastatic disease to the T1 vertebral body and right ischium (unchanged). |
Generate impression based on findings. | 57-year-old male with restaging scan status post left nephrectomy 1.5 years ago. Evaluate. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart is normal in size without pericardial effusion. Mild to ... | 1.Postoperative changes of left nephrectomy without evidence of tumor recurrence.2.Stable nodularity of the right adrenal gland. |
Generate impression based on findings. | 19 year-old female with pain and swelling, inability to bear weight Ankle: There is soft tissue swelling about the ankle. We see no fracture.Foot: No fracture or malalignment. | Soft tissue swelling without fracture evident. |
Generate impression based on findings. | 52-year-old female with history of surgery Evaluation of the cervicothoracic junction is limited due overlying anatomy. Small osteophytes are noted along the anterior aspect of the cervical vertebrae. No large osteophytes are present. There are also small posterior vertebral body osteophytes at C5/6. The disk spaces an... | Small vertebral body osteophytes. |
Generate impression based on findings. | Extensive postoperative findings related to left facial tumor resection, left inferior parotidectomy, left anteromedial maxillectomy, left neck dissection, and flap reconstruction. There is a mild amount of left periorbital edema as well as nonspecific soft tissue along the inferior aspect of the left orbit extending ... | 1.Lack of intravenous contrast slightly limits evaluation. No significant interval change in extensive postoperative findings related to left facial tumor resection and flap reconstruction. No new mass to suggest tumor progression.2.No significant cervical lymphadenopathy. |
Generate impression based on findings. | Reason: h/o maxilla/alveolus ca and CRT, liver hemangioma, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Paraseptal and centrilobular upper lobe predominant emphysema unchanged.Stable calcified and noncalcified micronodules, without evidence of metastases.MEDIASTINUM AND HILA: No mediastin... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 62-year-old male with shortness of breath. Pulmonary embolism. History of lung cancer. PULMONARY ARTERIES: No evidence of pulmonary embolism. Pulmonary artery size is within normal limits.LUNGS AND PLEURA: Increase in size of the large left pleural effusion with pleural nodularity. Linear mass is obscured secondary to ... | No acute pulmonary embolism. Interval increase in left pleural effusion.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | Testicular carcinoma CHEST:LUNGS AND PLEURA: No significant difference in numerous bilateral pulmonary metastatic nodules. Reference right apical nodule best seen on image 10 of series 5 now measures 0.7 x 0.8 cm. Reference lingular nodule best seen on image 34 series 5 measures 1.6 x 1.6 cm.MEDIASTINUM AND HILA: No si... | No significant change in numerous bilateral metastatic pulmonary nodules. No new metastatic focus. |
Generate impression based on findings. | Female 40 years old; Reason: concern for RSD History: pain Angiographic phase images are unremarkable.No evidence of abnormal blood pooling on the blood pool images. On delayed osseous phase imaging there is increased uptake at approximately the region of the left third metacarpophalangeal joint or base of the proximal... | Uptake at approximately the region of the left third metacarpophalangeal joint or base of the proximal phalanx seen only on delayed osseous phase images. Findings not consistent with reflex sympathetic dystrophy and more likely related to previous trauma or arthritis. |
Generate impression based on findings. | Again seen is is evidence of a left temporomandibular joint arthroplasty, with vertically oriented implant affixed to the lateral aspect of the lower left hemimandible with multiple screws. No evidence of hardware displacement. The right hemimandible is again noted to be dysplastic with interval progression of healing... | Postsurgical changes of extensive orthognathic surgery including LeFort 1 osteotomy, right hemimandible sagittal split osteotomy, and left temporomandibular joint arthroplasty. Left temporomandibular prosthesis remains unchanged in position and without evidence of hardware complication. Right mandibular osteotomy also ... |
Generate impression based on findings. | 45-year-old male with history traumatic amputation of the ring finger. There has been amputation of the ring finger through the distal interphalangeal joint. A couple small densities distal to the head of the middle phalanx are present, perhaps representing fracture fragments from the amputated distal phalanx; however ... | Traumatic amputation through the DIP joint of the ring finger as above. |
Generate impression based on findings. | 7-year-old male with distal radius and supracondylar fractures. VIEW: Left elbow (AP, lateral), left wrist (PA, lateral) four views 01/20/15 Left elbow: Alignment is near-anatomic, with mild residual mottling of the distal humerus. Periosteal reaction along the posterior distal humerus appears similar to the prior stud... | Healing supracondylar and distal radial fractures as described above. |
Generate impression based on findings. | 69 year old female with history of recurrent metastatic ovarian cancer with abdominal and sacral metastases. Back pain. Evaluate extent of disease.RADIOPHARMACEUTICAL: 14.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 122 mg/dL. Today's CT portion grossly demonstrates right chest wall port catheter with t... | 1.New moderately FDG avid 2 cm soft tissue cul-de-sac lesion, suspicious for tumor recurrence.2.New hypermetabolic activity associated with a right axillary lymph node and a new right upper lobe lung nodule may represent additional sites of disease versus inflammatory changes. |
Generate impression based on findings. | Female; 61 years old. Reason: hx resected renal cancer, on surveillance History: hx resected renal cancer, on surveillance LUNGS AND PLEURA: Mild upper lobe predominant centrilobular and paraseptal emphysema. Stable biapical scarring. No significant interval change scattered pulmonary micronodules. Reference right uppe... | Stable pulmonary micronodules. No new suspicious pulmonary nodules or masses. Please see report from dedicated CT abdomen and pelvis performed concomitantly. |
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 composed of scattered fibroglandular density, unchanged in pattern and distribution. Arterial calcifica... | 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. | Metastatic renal cell carcinoma CHEST:LUNGS AND PLEURA: Stable bilateral micronodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy with unchanged mild intrahepatic and extra hepatic ductal dilatation.SPLEEN:... | Stable examination |
Generate impression based on findings. | 72-year-old male with bilateral hip pain Right hip: Severe osteoarthritis affects the hip.Left hip: Severe osteoarthritis affects the hip.Pelvis: Severe osteoarthritis is again noted affecting both hips. Moderate osteoarthritis affects the pubic symphysis. Degenerative arthritic changes affect the visualized lower lumb... | Severe osteoarthritis affecting both hips. |
Generate impression based on findings. | Male, 65 years old.RFO trigger: Unexpected change in procedure. Counts correct. No unexpected radiopaque foreign body identified. Two surgical drains in the left hemiabdomen. IVC filter in expected location. Nonobstructive bowel gas pattern. | No unexpected radiopaque foreign body. Findings were discussed with the attending physician, Dr. Millis, via telephone on 1/20/2015 at 14:14. |
Generate impression based on findings. | Ms. Hunt is a 49 year old female with a personal history of left breast mastectomy in 2013 for DCIS followed by radiation and tamoxifen therapy. Family history of breast cancer in mother. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Arterial calcifications are again seen... | 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. History of breast cancer in sister. Personal history of rectal cancer. Two standard digital views of both breasts with additional MLO view were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is heterog... | 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. | 11-year-old male postop SCFEVIEWS: Pelvis AP/frog leg (two views) 01/20/15 Orthopedic screws traverse the femoral necks with tips in the epiphyses bilaterally. The femoral heads are well seated into the acetabula. No evidence of hardware complication. No acute fractures. | No evidence of hardware complication after affixation of bilateral SCFE. |
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