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Generate impression based on findings. | Female 37 years old; Reason: 37 y/o woman receiving adjuvant therapy for breast cancer with new cervical spine pain. Evaluate for bony metastases. History: Cervical spine pain (C6-7) Diffuse increased uptake in the frontal bone likely related to hyperostosis frontalis. No abnormal osseous foci are identified to indicat... | No evidence of bone metastases. |
Generate impression based on findings. | 58-year-old female with history of supraglottic head and neck cancer, status post CRT; compare to previous. Since the prior exam, there has been removal of the right retropharyngeal drain. No evidence of current pneumomediastinum. Interval resolution of the fluid/edema in the retropharyngeal space.Diffuse supraglottic ... | 1. Interval removal of right retropharyngeal drain and resolution of retropharyngeal edema.2. Stable appearance of supraglottic mucosal edema and mild glottic mucosal irregularity, likely post-treatment related.3. No evidence of significant lymphadenopathy in the neck or evidence to suggest progression/recurrence of di... |
Generate impression based on findings. | Extra-axial lesion with enhancement along the right posterior frontal convexity measures 0.9 x 0.6 cm (coronal 1100/62), unchanged. Nonenhancing lesion in the left high convexity with associated susceptibility is unchanged measuring 9 mm (11/146). Right frontal high convexity lesion with associated susceptibility and ... | 1.New enhancing lesion along the left frontal calvarium is suspicious for an osseous metastases.2.Multiple foci of susceptibility in the brain consistent with treated hemorrhagic metastases. No new or enlarging parenchymal or extra-axial lesions. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed with additional views in all projections bilaterally (9 total images) and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pat... | 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 75 years old; Reason: hydronephrosis History: hydronephrosis The posterior abdominal radionuclide angiogram demonstrates no perfusion in the right kidney with delayed parenchymal uptake noted in the periphery. There is no excretion noted with delayed washout. The posterior abdominal radionuclide angiogram demons... | There is evidence of obstruction of the right kidney. There is normal left kidney function. |
Generate impression based on findings. | Reason: h/o squamous cell carcinoma of the left face History: r/o lung mets LUNGS AND PLEURA: No suspicious pulmonary nodules. No pleural effusions.MEDIASTINUM AND HILA: No significant lymphadenopathy.Moderate coronary artery calcifications. No pericardial effusion.CHEST WALL: Compression deformity of the T12 vertebral... | No evidence of metastatic disease. |
Generate impression based on findings. | 46 years old male with history of head and neck cancer, status-post chemotherapy and radiation therapy. This study was performed for restaging. RADIOPHARMACEUTICAL: 15.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion grossly demonstrates linear and nodular densities in the post... | 1.Interval increased metabolic activity in the several hypermetabolic small lymph nodes in the right hilum and infrahilar regions, which may represent inflammatory change or tumor. Please note that the comparison the two studies is limited due to different techniques of the studies.2.New hypermetabolic normal-sized lym... |
Generate impression based on findings. | Female 39 years old; Reason: evaluation for other metastases. History: metastatic breast CA to bone, on endocrine therapy. Restaging, response to therapy.RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 91 mg/dL. Today's CT portion grossly demonstrates a patchy opacity in the left up... | 1. No definite evidence of FDG avid tumor.2. Nonspecific focus of activity in the left lower quadrant correlates with the junction of the descending and sigmoid colon. 3. There is a focus of activity within the thickened posterior nasopharyngeal wall, which is retrospectively seen on prior exam with slight interval inc... |
Generate impression based on findings. | 69-year-old female with history of pain. There is severe degenerative disk disease present at C4-5, C5-6, C6-7 and C7-T1. Alignment is kyphotic. There is moderate neuroforaminal narrowing on the right at C4-5, C5-6, C6-7 and on the left at C6-7. We see no fracture. A tracheostomy tube and surgical clips are present. Th... | Severe degenerative disc disease, mild cervical kyphosis, and nonspecific prevertebral soft tissue swelling. We see no fracture. |
Generate impression based on findings. | Female; 76 years old. Reason: Patient is participating in research study. Evaluate for lung disease History: History of rheumatoid arthritis LUNGS AND PLEURA: 16 mm solitary part solid nodule in the superior segment of the left lower lobe (image 34, series 5). Scattered pulmonary micronodules. No pleural effusions.MEDI... | 16 mm solitary part solid nodule in the left lower lobe, which may be post infectious or inflammatory in etiology and for which 3 month follow up is recommended. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Scattered benign calcifications are unchanged in both breasts. A benig... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 23 year old female with history of running injury. There is no fracture or other findings to account for the patient's symptoms. The left knee likewise appears normal as seen on the frontal views. | No fracture or other findings to account for the patient's symptoms. |
Generate impression based on findings. | Reason: 76 yo M with h/o NSCLC. Please assess for recurrence History: none CHEST:LUNGS AND PLEURA: New right -sided pleural effusion.Bilateral perihilar and paramediastinal fibrosis and atelectasis consistent with post radiation changes.Anterior subpleural fibrotic changes stable. No new suspicious pulmonary nodules or... | No evidence of recurrent or metastatic disease. New moderate-sized right-sided pleural effusion. |
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. Benign appearing m... | 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. | 5-year-old female status post surgeryVIEWS: Left elbow AP/lateral (two views) date Overlying cast material obscures fine bone detail. There are 4 K wires affixing a supracondylar fracture in near-anatomic alignment without evidence of hardware complication. Periosteal reaction is seen along the distal humerus. | Fixation of supracondylar fracture as described above. |
Generate impression based on findings. | 49-year-old female with history of pain. Evaluate for inflammatory arthropathy. Left hand: Minimal osteoarthritis at the interphalangeal joint of the thumb. There is no evidence of osseous erosions or specific radiographic findings of inflammatory arthritis.Right hand: Mild osteoarthritis at the distal interphalangeal ... | No specific radiographic findings of inflammatory arthritis. Bilateral hallux valgus and pes planovalgus deformities as well as minimal osteoarthritis of the hands. |
Generate impression based on findings. | The frontal sinus and frontoethmoidal recesses are clear. The anterior ethmoid air cells are clear. The posterior ethmoid air cells are clear. The maxillary sinuses are clear. The ostiomeatal units are clear. The sphenoid sinus and bilateral sphenoethmoidal recesses are clear. Tiny hyperdensity in the posterior left e... | Paranasal sinuses are clear. |
Generate impression based on findings. | 62-year-old female with history of pancreatic cancer who presents for restaging. CHEST:LUNGS AND PLEURA: Few scattered micronodules are again noted. Nonspecific minimal interval increase in left lower lobe micronodule which measures 3 mm (series 4, image 66), previously measuring 2 mm. No pleural effusions or pneumotho... | 1.Stable size of pancreatic head mass with encasement of the main portal vein, common hepatic artery, and proximal splenic artery.2.Mild decreased perfusion of the apices of the kidneys is again noted.3.Nonspecific new slight nodular haziness of the pelvic omentum. Attention on subsequent imaging is recommended.4.Nonsp... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior mammogram at Advocate in 2013. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography. Scattered calcifications are note... | Scattered calcifications are noted bilaterally. Comparison to prior studies is needed to assess for stability.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | 90 year-old female with headache after recent fall. 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 moderate to severe age-related volu... | 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. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema.No new suspicious nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Cardiac size is normal without evidence of a pericardial effusion.Marked ... | No evidence metastatic disease. Severe emphysema. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1997. 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 ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral mastopexy in 2009. History of breast carcinoma in maternal aunt diagnosed in her 60s. 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... | 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. 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. | 63-year-old male with history of prostate cancer, rising PSA. Evaluate for recurrence. Radiotracer activity likely related to degenerative changes is noted in the shoulders, knees, right foot, lumbar spine, and posterior elements of the cervical spine. Focal left L2 vertebral body lesion correlates with sclerotic lesio... | Suspicious abnormal focus of radiotracer uptake in the L2 vertebral body, compatible with metastasis. |
Generate impression based on findings. | Male 63 years old; Reason: biochemical prostate cancer recurrence History: rising PSA ABDOMEN:LUNG BASES: Scattered micronodules at the lung bases. There is mild fatty pleural thickening at the left lung base.LIVER, BILIARY TRACT: The liver is normal in morphology. No suspicious hepatic lesions and portal veins are pat... | 1.Findings suspicious for bony metastases to the L2 vertebral body on the left.2.Findings suspicious for soft tissue in the prostatic bed which may a site of disease recurrence.3.Nonspecific pulmonary nodules in the lower lobes. |
Generate impression based on findings. | 49-year-old male with pain and soft tissue infection, evaluate for osteomyelitis Osteoarthritic changes affecting the first metatarsophalangeal joint appear similar to the prior exam. Overall the bones are demineralized, but there is no focal osteolysis to indicate osteomyelitis. Extensive arterial calcifications are n... | Osteoarthritis and other findings as described above with no specific radiographic features of osteomyelitis. If further evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | 69-year-old female with history of right total knee arthroplasty. Hardware components of a right total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. Skin staples, surgical drain, and foci of gas density within the soft tissues reflect recent sur... | Right total knee arthroplasty as above. |
Generate impression based on findings. | Metastatic renal cell carcinoma CHEST:LUNGS AND PLEURA: Numerous bilateral metastatic nodules. A representative right lower lobe nodule best seen on image 75 series 5 measures 1.3 x 1.2 cm. A representative left lower lobe nodule best seen on image 65 of series 5 measures 0.9 x 1 cm.Likely metastatic left pleural based... | Intrathoracic metastasis manifest by numerous bilateral pulmonary nodules, left pleural-based metastatic mass, and mediastinal metastatic adenopathy. |
Generate impression based on findings. | 51 years old, Male, Reason: RCC History: RCC CHEST:LUNGS AND PLEURA: Scattered calcified and noncalcified pulmonary micronodules are again noted. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Severe coronary artery calcifications are noted. No significant mediastinal or hilar lymphadenopathy.CHEST WAL... | 1.Significant progression of peritoneal metastatic disease.2.Hepatic parenchymal metastases are not significantly changed in size.3.Retroperitoneal mass abutting the left kidney not significantly changed in size. |
Generate impression based on findings. | FractureVIEWS: Right tibia and fibula AP and lateral There is a healing fracture involving the distal diaphysis of the tibia in near anatomic alignment. There is sclerosis and periosteal reaction reflecting interval healing. | Healing fracture of the distal tibia in near anatomic alignment. |
Generate impression based on findings. | Hypoxia. Bone marrow transplant. Fanconi anemia. Astrocytoma.VIEW: Chest AP (one view) 01/20/15, 1444 Endotracheal tube tip is above carina. Left upper extremity PICC tip is at junction of superior vena cava and right atrium. Right-sided central line tip is in superior vena cava.Left lower lobe opacity has worsened in ... | Worsening left lower lobe opacity may be pneumonia or atelectasis. |
Generate impression based on findings. | 72-year-old female with pain, evaluate for osteoarthritis Mild osteoarthritis affects the left hip, left SI joint and pubic symphysis. | Mild osteoarthritis. |
Generate impression based on findings. | 39-year-old female with shoulder pain Mild osteoarthritis affects the glenohumeral joint. A radiolucent lesion with sclerotic margins within the glenoid probably represents a degenerative cyst. | Glenohumeral osteoarthritis. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP 1/20/15 Nasogastric tube tip in the stomach. Cardiothymic silhouette at the upper limits of normal. Cardiac apex and stomach left-sided. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or ... | No focal lung opacity. |
Generate impression based on findings. | 3-year-old male with history of fracture.VIEWS: Right elbow AP/lateral (two views) 01/20/15 Interval removal of 3 K wires. Indistinctness of the fracture line suggest a healed supracondylar fracture. There is mild periosteal reaction along the distal humerus. Elevation of the posterior fat pad is suggestive of an effus... | Healing/healed supracondylar fracture. |
Generate impression based on findings. | Scoliosis.VIEW: Spine AP supine in brace (one view) 01/20/15 Right curve between T4 and T9 measures 24 degrees. Left curve between T10 and L3 measures 24 degrees. A small to moderate amount of feces is present in the rectosigmoid. | Decrease in left thoracolumbar curve in brace. |
Generate impression based on findings. | FractureVIEWS: Right forearm AP and lateral There are healing fractures involving the mid diaphysis of the radius and ulna in near anatomic alignment. There is periosteal reaction and sclerosis reflecting interval healing. The overlying cast has been removed in the interval. Mild osteopenia noted. | Healing forearm fractures as described above. |
Generate impression based on findings. | Altered mental status, evaluate for acute process No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No extra-a... | No acute intracranial findings. |
Generate impression based on findings. | Epiphysiodesis.VIEW: Right knee AP (one view) 01/20/15 One staple is present in the the lateral aspect of the proximal tibia. Two staples are present in the lateral aspect of the distal femur and two staples are present in the medial aspect. One of the medial staple's prongs are diverging. The rest of the staples have ... | Postoperative change. |
Generate impression based on findings. | Female, 8 years old, with profound SN deafness bilaterally. Right temporal bone:Debris is present along the tympanic membrane, though the tympanic membrane itself is not well visualized. The posterior wall of the external auditory canal is sclerotic and thickened, particularly inferiorly. The mastoid air cells and midd... | 1. Enlarged vestibular aqueducts are seen bilaterally. There may also be some associated incomplete partition of the middle and apical cochlear turns, but poor image quality prevents definitive diagnosis in this regard.2. A small focus of otospongiotic bone is suspected at the fissula ante fenestram on the left. 3. Que... |
Generate impression based on findings. | 22 year old male with history of mixed connective tissue disease and severe primary tricuspid regurgitation and right heart enlargement presents for cardiac CT prior to possible tricuspid valve replacement.CPT: 75574 Left Ventricle: The left ventricular end-diastolic volume is within normal limits There is no thrombus ... | 1. Multiple large calcified masses noted around the heart as described above.2. Severe right ventricular and right atrial enlargement3. Tricuspid valve thickening with malcoaptation and mild leaflet calcification.4. No thoracic aortic aneurysm or dissection noted.5. No obstructive coronary artery disease noted. Of note... |
Generate impression based on findings. | 16-year-old male status post fibular free flap to left lower extremity.VIEWS: Left tibia-fibula AP/lateral (two views) 01/20/15 There is been interval removal of the antibiotic spacer in the proximal tibia with placement of a fibular bone graft. Hardware components of a plate and screw device affixing the tibial epiphy... | Postoperative changes of a fibula bone graft to the proximal tibia as described above. |
Generate impression based on findings. | 32-year-old male with HIV/AIDS and new diagnosis of Burkitt lymphoma; initial staging of disease.RADIOPHARMACEUTICAL: 13.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 89 mg/dL. Today's CT portion grossly demonstrates anterior mediastinal lymphadenopathy, right internal mamillary chain adenopathy and prom... | 1.Extensive FDG avid tumor activity in the anterior mediastinum and retroperitoneum, with additional sites of disease as detailed above.2.Findings suspicious for right renal lymphomatous involvement. Left renal involvement is possible though less likely.3.Multifocal osseous extension as detailed above.4.New non-FDG avi... |
Generate impression based on findings. | CLINICAL DATA: Age: 88 years. Sex : Male. Indication: Reason: 88M s/p ampullectomy with abdominal pain, fever, sepsis History: abdominal pain. LUNG BASES: Large right and small left pleural effusions with associated atelectasis. Cardiomegaly with cardiac assist leads partially visualized. Nasogastric tube within the st... | 1.No retroperitoneal air or fluid collections.2.Large right and small left pleural effusions, and associated atelectasis.3.Pneumobilia, consistent with recent papillectomy.4.Renal cysts, some of which are complex, should be further evaluated with ultrasound. |
Generate impression based on findings. | Reason: COPD, Lung Transplant Evaluation History: SOB LUNGS AND PLEURA: Lobulated and mildly spiculated noncalcified nodule in the right upper lobe (series 4/29) measuring 8 x 13 mm, highly suspicious for primary lung carcinoma.Diffuse severe centrilobular emphysema.Bronchial thickening compatible with bronchitis and v... | 1.8 x 13 mm lobulated and spiculated right upper lobe nodule suspicious for primary lung carcinoma.2. Severe predominantly upper zone centrilobular emphysema.3. Severe coronary artery calcifications.A text page was sent to Dr. Nacpil at the time of reporting. |
Generate impression based on findings. | 51-year-old female status post spinal cord stimulator placement A spinal cord stimulator device overlies the right iliac crest with wires coursing superiorly beyond the field-of-view. Mild osteoarthritis affects both hips. Degenerative arthritic changes also affect the visualized lower lumbar spine. | Partially visualized spinal cord stimulator device and degenerative arthritic changes as described above. |
Generate impression based on findings. | 71-year-old female with bilateral knee pain Right knee: Moderate osteoarthritis affects particularly the patellofemoral joint.Left knee: Mild osteoarthritis affects the knee. | Osteoarthritis, as described above. |
Generate impression based on findings. | 4-year-old female with cough, hypoxia, dehydration.VIEWS: Chest AP/lateral (two views) 1/20/2015, 15:15. The aortic arch, cardiac apex, and stomach are left-sided. The cardiac silhouette is normal in size.Increased lung volumes and peribronchial thickening with lingular and right middle lobe atelectasis. | Reactive airways disease/bronchiolitis pattern with lingular and right middle lobe atelectasis. |
Generate impression based on findings. | 50 year-old female with history of fall. Right wrist: Thin lucency along the distal ulna extending into the ulnar styloid is likely artifactual. We see no acute fracture.Right elbow: There is a nondisplaced intraarticular fracture of the radial head. There is elevation of the distal humeral fat pads indicating a hemart... | Radial head fracture as above. |
Generate impression based on findings. | 32-year-old male with history of ankylosing spondylitis. Cervical spine: There is straightening of the normal cervical lordosis. There are tiny posterior vertebral body osteophytes at C3-4. There is equivocal ankylosis of the facet joints at C2-3. There is mild neuroforaminal narrowing at C4-5 bilaterally. Thoracic spi... | 1.Equivocal ankylosis of the facet joints at C2-3.2.Small thoracic vertebral osteophytes but no specific radiographic features of ankylosing spondylitis in the thoracic spine.3.Prominence of the right femoral head/neck junction is noted and can be associated with femoroacetabular impingement in the correct clinical con... |
Generate impression based on findings. | Urinary bladder carcinoma ABDOMEN:LUNG BASES: Stable chronic lung findings, including pleural plaquesLIVER, BILIARY TRACT: Stable bilobar hepatic cysts.SPLEEN: Stable benign hilar enhancing focusPANCREAS: 0.9 x 0.6 cm cystic focus arising from the uncinate process of the pancreas best seen on image 61 of series 7. In r... | Continued interval decrease in size of left trigonal asymmetrical wall thickening. No evidence of metastatic focus.Subcentimeter pancreatic uncinate process cystic focus unchanged from prior study. Recommend continued surveillance monitoring. |
Generate impression based on findings. | 66-year-old female with history of end to end colonic anastomosis. Evaluate for small bowel obstruction. Evaluation of solid organs is limited given lack of intravenous contrast.ABDOMEN:LUNG BASES: Mild bilateral basilar atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without evidence of inflammatory changes to sugges... | 1.Findings suggestive of mild multifocal early partial small bowel obstruction secondary to multiple adhesions.2.Interval take down of right lower quadrant ostomy. |
Generate impression based on findings. | Reason: HIV not on HAART with odynophagia, has gastric lap band placed, would like to investigate possible migration as etiology of swallowing pain History: Severe odynophagia; EGD 1/19/2015 with esophageal mucosal irregularity noted, path not up yet Frontal scout view shows partial "open" configuration of the lap band... | Phi angle of 43 with partial "open" configuration that may be projectional. If there is slippage it is minimal without functional obstruction to liquid contrast. If worsening symptoms, may reevaluate as clinically indicated. |
Generate impression based on findings. | 7-year-old female with right internal jugular port placementVIEW: Chest AP (one view) 01/20/15 Right internal jugular chest port with tip at the superior cavoatrial junction. Cholecystectomy clips are noted. Interval removal of left upper extremity PICC.Mild cardiomegaly. Low lung volumes. No pleural effusion or pneumo... | Right IJ chest port with tip at the superior cavoatrial junction. |
Generate impression based on findings. | Reason: eval for Crohn's disease History: hx of abscess and fistulas and partial response to Remicade Scout radiograph showed a nonobstructive bowel gas pattern. Spinal fixation device noted. Incomplete exam due to limited patient cooperation. Normal appearing proximal jejunum, unable to evaluate ileum. Transit time to... | Incomplete exam due to limited patient cooperation. Normal appearing proximal jejunum, unable to evaluate ileum. |
Generate impression based on findings. | CLINICAL DATA: Age: 62 years. Sex : Female. Indication: Reason: Triphasic CT to better dilineate large hepatic mass seen on CT History: Hepatitis C cirrhosis with new mass. LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Large right hepatic mass (9/32) measuring approximately 8.5 x 8.5 x 6.4 cm. This... | Large right hepatic mass, consistent with hepatocellular carcinoma, which invades the portal vein. Associated partially necrotic lymph node mass at the hepatic hilum as above. |
Generate impression based on findings. | Male 79 years old; Reason: r/o mass History: Hx CLL and Hx of NHL of ileum, s/p resection CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Aberrant right subclavian artery posterior to the esophagus. Significant interval decrease in mediastinal lymph nodes. A reference AP window lymph node ... | 1.Significant interval improvement in lymphadenopathy of the chest, abdomen, and pelvis as described above. |
Generate impression based on findings. | 5-year-old female status post cochlear implantsVIEWS: Skull AP/lateral (2 views) 01/20/15 Again seen is a right cochlear implant unchanged in position from the prior exam. Interval placement of a left cochlear implant with lead loop in the expected location of the cochlea. The paranasal sinuses are clear. | Bilateral cochlear implants without complications. |
Generate impression based on findings. | Female 89 years old; Reason: 89 y/o with pancreatic ca. On chemo. Compare CT scan to prior History: Pancreatic Ca CHEST:LUNGS AND PLEURA: Right upper lobe subpleural thickening measures 1.7 x 0.4 cm (image 15 is series 5) unchanged.Multiple other pulmonary nodules at the lung bases are also unchanged.MEDIASTINUM AND HI... | 1.Slight decrease in size of the reference hepatic lesions.2.Near stable size measurement of the uncinate process mass. |
Generate impression based on findings. | 44-year-old female with right breast cancer.RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.957 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the right axilla, representing the sentinel node(s). This region ... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | 50-year-old female status post lumbar fusion. Posterior rods with screws are seen entering L4-5. There is no evidence of hardware complication. Spacer device with bone graft material is present between L4-5 appearing similar to prior when accounting for positional and technical differences. There is a grade 1 anterolis... | Postoperative changes of lower lumbar fusion and degenerative disc disease as above. |
Generate impression based on findings. | 62-year-old female with history of pain. Right ankle: There is moderate soft tissue swelling about the lateral aspect of the ankle. There is no acute fracture. There is mild osteoarthritis of the midfoot.Right wrist: Mild osteoarthritis affects the basilar and triscaphe joints. We see no acute fracture. | Soft tissue swelling and osteoarthritis without acute fracture. |
Generate impression based on findings. | 61 year-old female with history of metastatic uterine cancer status post 3 cycles of chemotherapy with rise in CA 125 and abdominal pain. Evaluate disease status. CHEST:LUNGS AND PLEURA: Innumerable nodules consistent with metastatic disease. Reference right lower lobe nodule measures 0.8 x 0.8 cm (series 5, image 37),... | 1.Interval worsening of thoracic, hepatic and retroperitoneal lymphadenopathy.2.Left adnexal thick walled and multiseptated cystic mass most likely patient's primary tumor.3.Interval increase in size of left supraclavicular lymphadenopathy with mass effect on the great vessels as detailed above.4.Interval development o... |
Generate impression based on findings. | Reason: eval for bleed History: headache on xarelto There is an intraparenchymal hematoma centered in the tail of the right caudate nucleus adjacent to the body and trigone of the right lateral ventricle measuring 41 x 16 mm axial dimensions.There is intraventricular blood involving the right lateral ventricle more tha... | 1.There is a hematoma centered in the right caudate tail adjacent to the body and trigone of the right lateral ventricle associated with intraventricular blood . |
Generate impression based on findings. | Female 57 years old Reason: 57yo F with upper extremity DVTs and concern for new PE given bradycardia/tachycardia. History: chest pain, sob. PULMONARY ARTERIES: No evidence of pulmonary embolism.LUNGS AND PLEURA: Bilateral pleural effusions with compressive atelectasis. Interval increase in right pleural effusion.MEDIA... | No evidence of pulmonary embolism. Right greater than left left pleural effusion slightly increased compared to prior exam.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | 15-year-old male with fracture.VIEWS: Right ankle AP, lateral, and oblique (3 views) 1/20/15 at 15:57. Two orthopedic screws affix a fracture of the distal tibial epiphysis in anatomic alignment without evidence of complication. Periosteal reaction along the lateral distal tibia appears similar to the prior study. | Orthopedic fixation of healing distal tibial fracture. |
Generate impression based on findings. | Male; 66 years old. Reason: 66M with Head & Neck cancer on CRT, now with neutropenic fever, SIRS, and persistent tachycardia, new oxygen requirement History: 66M with Head & Neck cancer on CRT, now with neutropenic fever, SIRS, and persistent tachycardia, new oxygen requirement PULMONARY ARTERIES: No acute pulmonary em... | 1. No acute pulmonary embolus.2. Mild nonspecific left basilar atelectasis/consolidation has slightly increased and may be due to aspiration.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 56-year-old male with history of lateral foot pain. The bones are demineralized. There is a small ossicle adjacent to the base of the fifth metatarsal likely representing old trauma. There is an additional ossicle adjacent to the third MTP joint which likewise appears chronic. We see no acute fractures. There is chroni... | Findings suggestive of old trauma, but we see no acute fracture. |
Generate impression based on findings. | 16-year-old male self extubated, reinstatedVIEW: Chest AP (one view) 01/20/15, 1553 ET tube tip is below thoracic inlet and above the carina. NG tube is coiled in the stomach with tip in the gastric fundus. Swan-Ganz catheter tip is in the main pulmonary artery. Left upper extremity PICC tip is at the superior cavoatri... | ET tube tip is below the thoracic inlet and above the carina. |
Generate impression based on findings. | Postoperative changes are seen from previous injury fusion of C5-C6 and C6-C7, with presence of interbody spacers. There is evidence of osseous fusion across the C5-C6 this is. There are areas of linear lucency along the edges of the bone graft at C6-C7, although a portion of the inferior aspect of the bone graft does... | 1. Expected postoperative changes from C5-C6 and C6-C7 anterior fusion, with confluent ossific density across the C5-C6 disk space and minimal bony bridging from the C6-C7 interbody graft along the C7 superior endplate. No acute fracture or subluxation.2. Scattered spondylotic changes most prominent at C5-C6 and C6-C7,... |
Generate impression based on findings. | 57-year-old female with history of right foot pain and swelling. The bones are demineralized. There is a transverse fracture through the base of the proximal phalanx of the fourth toe. The fracture fragments are in near anatomic alignment. | Fourth toe fracture as above.Findings discussed with pager 3498 on 1/20/15 at 1605. |
Generate impression based on findings. | 42-year-old female with history of pain to midfoot. There is no acute fracture or malalignment. No specific radiographic evidence to account for the patient's pain. | No fracture evident or other findings to account for the patient's pain. |
Generate impression based on findings. | Female; 58 years old. Reason: h/o hnc and crt, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Severe interstitial lung disease, peripheral and basilar predominant, with reticulation, honeycombing and traction bronchiectasis, similar to prior. No evidence of metastatic disease.MEDIASTINUM AND HIL... | 1. Severe interstitial lung disease in a pattern consistent with UIP, similar to prior study.2. No evidence of metastases in the chest and upper abdomen. |
Generate impression based on findings. | 76-year-old female with pain, evaluate for fracture Lumbar spine: Severe degenerative disk disease affects the lower lumbar spine. There is also posterior bulging of a partially calcified disk at L2/3. Moderate facet joint osteoarthritis affects the lower lumbar spine. Moderate to severe degenerative disk disease affec... | Degenerative disk disease and osteoarthritis without fracture evident. |
Generate impression based on findings. | Metastatic lung carcinoma with right lower quadrant fullness and edema with shortness of breath ABDOMEN:LUNG BASES: Slight increase in size of loculated pleural effusions. Interval increase in size pericardial effusion.LIVER, BILIARY TRACT: Largely unchanged bilobar hepatic metastases. Reference segment 4 left lobe les... | Slight interval increase in bilateral pleural effusions and pericardial effusion as well as mild ascites. Stable bilobar hepatic metastases. Evaluation of chest CT on separate report. |
Generate impression based on findings. | The right rena artery branch supplying the AML was embolized using 500-700 micron Embospheres until near stasis was achieved. The main feeding artery branch was then embolized using two 3 mm push-able coils. POST EMBOLIZATION ANGIOGRAM: No flow beyond the coil pack with sparing of the remaining renal vessels.The cathe... | Successful particle and coil embolization of right renal angiomyolipoma. |
Generate impression based on findings. | 71 year-old female with hypercalcemia, hyperparathyroidism. Evaluate for adenoma. There are two foci of symmetric, bilateral uptake at the level of the vocal cords on delayed SPECT/CT imaging, compatible with muscle activity. However, there is also a questionable focus of increased radiotracer activity posterolateral t... | Questionable focus of increased activity posterolateral to the right thyroid lobe may represent a parathyroid adenoma. |
Generate impression based on findings. | 61-year-old male with knee pain, assess for osteoarthritis Right knee: Examination of the right knee is limited due to inability to optimally position the patient. Components of a total knee arthroplasty device are identified with lateral dislocation of the patella. Tibiofemoral alignment is within normal limits. The b... | 1. Right TKA with lateral dislocation of the patella.2. Severe osteoarthritis affecting the left knee. |
Generate impression based on findings. | 52-year-old male with pain, evaluate for osteoarthritis or fracture Mild osteoarthritis affects the hip appearing similar to the prior exam. No fracture is visualized. | Mild osteoarthritis without fracture evident. |
Generate impression based on findings. | 16-year-old male with history of renal stones. BLADDER Wall Thickness: Normal Contents: Echogenic focus demonstrating twinkle artifact measuring 8 mm in diameter. No additional debris is present. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical E... | Echogenic focus demonstrating twinkle artifact measuring 8 mm in diameter most consistent with a bladder calculus. *SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all th... |
Generate impression based on findings. | Again seen are postsurgical changes of posterior spinal fusion and interbody fusion at L4-5 and L5-S1 with left S2 screw. Left S2 screw tip is just beyond the anterior aspect of the left sacroiliac joint. Vertebral body heights are maintained. There is grade 1 anterolisthesis of L5 on S1 which remains unchanged. Right... | 1. Again seen postsurgical changes of posterior spinal fusion and interbody fusion from L4 to S1 and placement of left S2 screw. L4-L5 interbody graft is not clearly incorporated. L5-S1 interbody graft demonstrates mild interval increase in density along the superior margin suggestive of some incorporation. 2. There is... |
Generate impression based on findings. | Eight year-old female with PICCVIEW: Chest AP (one view) 01/20/15 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities.Right upper extremity PICC tip is at the superior cavoatrial junction. | Right upper extremity PICC tip is at the superior cavoatrial junction |
Generate impression based on findings. | Female 79 years old; Reason: atypical parkinson's History: tremor, sleep d/o and memory issue Normal symmetric activity is seen in the basal ganglia. | Normal examination. No evidence of nigrostriatal dopaminergic dysfunction. Given the history, these findings are suggestive of essential tremor. |
Generate impression based on findings. | 57-year-old male with history of metastatic prostate cancer. Abnormal foci of radiotracer activity in the thoracic and lumbar spine and bilateral proximal femora appear increased in intensity and size from the previous exam. Right parietal bone and right scapula metastases appear stable. New lesion in the left occipita... | Increased activity and size of spinal and femoral metastases with new right occipital bone metastasis. |
Generate impression based on findings. | There is a large aneurysm of the outflow vein just central to the AV anastomosis, however, there remains a small neck of the anastomosis itself. The artery distal to the AV anastomosis is patent.Findings were discussed with Dr. Thistlethwaite. ANGIOPLASTY: A 7 mm angioplasty balloon catheter was advanced to the narrow... | Juxtaanastomotic aneurysm, likely enlarged secondary to high grade stenosis central to the aneurysm. Successful angioplasty of stenosis with 7 mm angioplasty balloon.PLAN: Patient will follow-up with nephrology and at dialysis. |
Generate impression based on findings. | Pain. Rule-out fracture. The bones appear slightly demineralized. I see no fracture or malalignment. I see no joint effusion. Arterial calcifications are noted. | Demineralized bones and arterial calcifications; I see no fracture. |
Generate impression based on findings. | Assess for causes of left lateral foot pain. Tender to palpation, difficult to walk on it. The bones appear slightly demineralized. I see no fracture. I see no specific findings to account for the patient's lateral foot pain. There are scattered arterial calcifications in the soft tissues. | No specific findings to account for the patient's left lateral foot pain. If there is clinical concern for stress fracture, repeat radiographs may be considered in 7 to 14 days. |
Generate impression based on findings. | Diabetic wound status post partial amputation. The patient has undergone amputation of the forefoot and midfoot. There is a large wound extending from the amputation margin to the anterior margin of the calcaneus and possibly the anterior margin of the talus. Mottled density within the wound presumably represent packin... | Forefoot/midfoot amputation with large surgical wound extending to the calcaneus, the anterior margin of which is indistinct; I cannot exclude the possibility of osteomyelitis of the calcaneus, and if further imaging evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Status post left total knee arthroplasty Components of a left total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of complication. Skin staples, a drain, and foci of gas density within the soft tissues reflect recent surgery. | Postoperative changes of total knee arthroplasty. |
Generate impression based on findings. | Sickle cell with history of avascular necrosis, active effusion. Compare to 2011 x-ray. Four views of the right knee are provided. Bony sclerosis is compatible with the stated history of sickle cell disease and osteonecrosis. I see no subchondral fracture, articular surface collapse, or other findings to suggest diseas... | Bony stigmata of sickle cell disease and possible knee joint effusion appearing similar to the prior study. |
Generate impression based on findings. | Bilateral hip pain. Osteoarthritis? Two views of the left hip are provided. Tiny osteophytes indicate very mild osteoarthritis. A small focus of ossification superior to the greater trochanter may represent chronic enthesopathic changes, not necessarily of any current clinical significance.Two views of the right hip ar... | Mild osteoarthritis and other findings as above. |
Generate impression based on findings. | Increasing oxygen requirementVIEW: Chest AP and abdomen AP 1/20/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | No focal lung opacity. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP 1/20/15 Moderate amount of fecal burden. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden. |
Generate impression based on findings. | 60-year-old female with chest pain. Evaluate for dissection. CT ANGIOGRAM: No evidence of hematoma or dissection in the thoracic or abdominal aorta. Left common carotid artery originates from the innominate artery. Visualized innominate, left common carotid, and subclavian arteries are patent. Mild atherosclerotic calc... | 1.No evidence of aortic dissection as clinically questioned.2.Left pulmonary airspace opacities highly suspicious for infection.3.Stable left apical pulmonary nodule. Follow-up in 3 to 6 months with chest CT to document stability is recommended.4.Moderate cardiomegaly with small pericardial effusion. |
Generate impression based on findings. | History of fractureVIEWS: Left elbow AP, oblique and lateral There has been interval placement of a cast which obscures fine bony detail. The alignment of the osseous structures are normal. | Interval placement of cast with anatomic alignment of the bony structures as described above. |
Generate impression based on findings. | Surgery for transposition of the great vessels. History of rhinovirus.VIEW: Chest AP (one view) 01/20/15, 2112 Epicardial pacer leads are again seen. Mild enlargement of the cardiac silhouette persists. Subsegmental atelectasis is seen in the medial bases. | No evidence of postoperative complication. |
Generate impression based on findings. | 17-year-old male with abdominal pain feverVIEWS: Chest PA, abdomen supine/upright (3 views) 01/21/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities.Stool is noted within the rectum and descending colon. Air-fluid levels are seen. Air distended loops of small bowel a... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 4-month-old male with bradycardia, ET tube placementVIEW: Chest AP (one view) 01/21/15, 0141 ET tube tip is at the thoracic inlet. NG tube side-port is at the GE junction with tip in the proximal stomach.Cardiothymic silhouette is top normal. Large lung volumes. Persistent bibasilar and right upper lobe atelectasis on ... | ET tube tip is at the thoracic inlet. Persistent patchy atelectasis bilaterally on background of chronic lung disease. |
Generate impression based on findings. | Male, 25 years old.Elevated BMI and longer than 8 hours surgery No RFO identified. Nonobstructive bowel gas pattern. Free air noted likely postsurgical. Triangular lucency overlying sacrum and pelvis which may represent free air or unusual fat plane. NGT side port above the GE junction. Multiple surgical clips noted. L... | No RFO identified. NGT side port above the GE junction, recommend advancement. Nonobstructive bowel gas pattern. Free air likely related to surgery. Findings discussed with Dr. Eggener by on call radiologist via telephone on 1/20/2015 at 18:35. |
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