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Generate impression based on findings. | Female 58 years old; Reason: r/o diverticulitis History: LLQ pain ABDOMEN:LUNG BASES: Linear parenchymal opacity in the left lung base.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality not... | 1.Limited study due to motion artifact. No definite CT evidence of acute diverticulitis. Patient has a redundant colon.2.Nonspecific left basilar pulmonary opacities may represent atelectasis, aspiration of possibly pneumonia. Follow up is suggested. |
Generate impression based on findings. | Female 59 years old; Reason: concern for pheochromocytoma History: concern for pheochromocytoma ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The hepatic and portal veins are patent.SPLEEN: Spleen is normal in size. Small partial... | 1.Findings of a 1.4 centimeter pancreatic lesion . Consultation with a pancreaticobiliary specialist and follow up M.R.C.P. are suggested.2.Complex left renal cyst measures 2.5 centimeters, it meets criteria for a Bosniak 2F lesion and follow up is suggested.3.Given the negative exam for the pheochromocytoma, follow up... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage or fluid collection. A focus of encephalomalacia is present along the right periventricular white matter and basal ganglia. There are scattered punctate an... | 1. No intracranial hemorrhage, fluid collection or midline shift. 2. Marked chronic small vessel ischemic changes. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.3. Chronic infarct along the right periventricular white matter and basal ganglia. |
Generate impression based on findings. | Male 67 years old; Reason: s/p NGT History: Distension The nasogastric tube now sharply angulates near the gastroesophageal junction and has its tip in the region of the gastric fundus.Mild gaseous distention of the small bowel with ingested oral contrast now residing within the colon suggestive of an ileus.Catheter ty... | 1.Enteric tube with its tip near the gastric fundus.2.Ileus |
Generate impression based on findings. | Male, 59 years old, with stroke. Hypoattenuation is evident within the inferior right cerebellar hemisphere. The distal right vertebral artery is hyperdense compatible with atherosclerotic disease or thrombosis. Supratentorially, no definite loss of gray-white distention is seen. However, one of the MCA branches within... | 1. Hypoattenuation involving the inferior right cerebellar hemisphere compatible with an acute or subacute infarction.2. Hyperdense MCA on the right without definite evidence of loss of gray-white distinction compatible with acute infarction. Please see subsequent CTA for further details. |
Generate impression based on findings. | There is a large, mixed attenuation subdural hematoma along the left frontoparietal convexity measuring up to 1.9 cm in maximum width, contributing to subfalcine herniation and left to right midline shift of approximately 1.3 cm. There is mass effect on the underlying parenchyma and left lateral ventricle. There is en... | Large left subdural collection, measuring up to 1.9 cm in maximum width with midline shift of 1.3 cm to the right. Mass effect on the left lateral ventricle and trapping of the right temporal horn.Findings discussed with Dr. Subeh by radiology resident on call at the completion of the study. |
Generate impression based on findings. | Male 55 years old; Reason: assess stool burden History: constipation, LLQ abd pain Mild gaseous distention of a small bowel loop in the left upper abdomen measuring up to 2.5 centimeters. Extensive vascular calcifications and phleboliths project over the pelvis.No definite intraperitoneal free air. | 1.Mild gaseous distention of the small bowel loop in the left upper abdomen. |
Generate impression based on findings. | There are postoperative findings related to a left frontal and a left parietal burr hole placement. There is a drainage catheter through the left parietal burr hole, with tip in the left subdural fluid collection. There are small foci of pneumocephalus. The subdural collection is low in attenuation with thin layering ... | Postoperative findings related to two left-sided burr holes with drainage catheter in the left subdural fluid collection. Interval decrease in size of the left subdural collection measuring up to 13 mm and decreased left to right midline shift of 6 mm. |
Generate impression based on findings. | Female 37 years old; Reason: r/o perforation, ileus History: bloody emesis \T\ BM Extensive patchy parenchymal opacities in the left lung base with a left pleural effusion.Gastrostomy catheter projects over the expected region of the gastric body. Additional intraperitoneal catheter projects over the pelvis. There is s... | 1.No significant change in the bowel gas pattern. If patient has persistent bloody emesis consider CT scan for further evaluation. |
Generate impression based on findings. | Female 65 years old; Reason: r/o microperforation in subclavian +/- obstruction in subclavian and SVC History: R arm swelling s/p OHT LUNGS AND PLEURA: There is a moderate right-sided pleural effusion and a small left-sided pleural effusion with overlying compressive atelectasis. There is no pneumothorax. MEDIASTINUM A... | 1. Right anterior chest wall fluid collection which is likely post-surgical in etiology and may represent a seroma/hematoma. 2. Post-surgical changes of a heart transplant with expected post-surgical changes within the mediastinum. 3. Moderate right and small left pleural effusions with associated compressive atelectas... |
Generate impression based on findings. | Female 96 years old; Reason: eval dobhoff placement History: s/p Dobbhoff Enteric tube projects over the region of the gastric body.Bowel gas pattern is unchanged. | 1.Enteric tube terminates in the region of the gastric body |
Generate impression based on findings. | Male 48 years old; Reason: eval g-j placement History: eval g-j placement GJ tube with tip left of midline at the level of the ligament of Treitz. Contrast opacifies the jejunum and duodenum.Postsurgical changes with multiple staples. There are two abdominal drains. | 1.GJ tube with its tip in the region of the ligament of Treitz. |
Generate impression based on findings. | Male, 48 years old.Liver transplant take back, count correct NG tube and surgical catheters placing contrast in the proximal small bowel. There are multiple surgical clips are noted in the upper abdomen. There is free intraperitoneal air.Left basilar pulmonary opacity.No unexpected radiopaque foreign body. | No unexpected radiopaque foreign body.These findings were discussed by telephone with Dr. Renz, the attending surgeon, on 1/3/2015 at 1900 by Dr. Bonham. |
Generate impression based on findings. | Female 62 years old; Reason: r/o obstruction History: severe diffuse abd pain, hx multiple abd surgeries \T\ obstructino 2010 ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Hypervascular area in segments 5/8 which appears peripheral and wedge-shaped and may rep... | 1.No bowel obstruction as clinically questioned. Please see above discussion for ventral hernia.2.if patient's symptoms persist, consider small bowel follow through as an outpatient for further evaluation of bowel transit time.3.Hypervascular right hepatic lobe lesion as detailed above.4.Mildly dilated common bile duct... |
Generate impression based on findings. | There is subtle loss of gray-white matter differentiation of the right inferior and middle frontal gyri, consistent with acute right MCA territory infarct. There is no intracranial hemorrhage. The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect... | 1. Acute right MCA territory infarct. No acute intracranial hemorrhage. 2. Mild age-indeterminate small vessel ischemic changes. 3. Chronic lacunar infarcts in the left external capsule/claustrum and left thalamus.4. 8 mm extra-axial lesion at the left vertex, may represent an incidental meningioma or vascular lesion. ... |
Generate impression based on findings. | Female, 68 years old, new diagnosis of non-Hodgkin's lymphoma, initial staging exam. A soft tissue nodule is seen within the right submandibular space measuring 28 x 16 mm (image 95 series 5). This nodule enhances very similarly to the adjacent submandibular gland and is in fact difficult to separate from it as there i... | Right submandibular space adenopathy compatible with the stated history of lymphoma. The dominant lesion is difficult to separate from the adjacent submandibular gland and may have invaded it or arisen from it. Smaller suspicious lymph nodes are evident elsewhere in the upper right neck as above. |
Generate impression based on findings. | Female 67 years old; Reason: eval for free air; possible on OSH report History: see above Enteric tube terminates in the region of the gastric body. Postsurgical changes are noted within the pelvis with a surgical staple line.Bilateral stents are noted in the common iliac vessels.Gas is noted within the colon. Small po... | 1.Nonobstructive bowel gas pattern.2.Consider CT for further evaluation. |
Generate impression based on findings. | Female 47 years old; Reason: abdominal pain History: abdominal pain There is gas within the colon and probable oral contrast within the rectum.Scattered small bowel gas without obstruction. | 1.Nonobstructive bowel gas pattern |
Generate impression based on findings. | Male, 64 years old, with history of thyroid cancer, follow-up exam. Head:No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Neck:Evidence of total thyroidectomy is redemonstrated. A hyper-attenuating, presu... | 1. Stable disease in the neck.2. No evidence of intracranial metastasis. |
Generate impression based on findings. | Male 67 years old; Reason: NGT in place? History: NGT retracted Enteric tube terminates in the region of the gastroesophageal junction. The bowel gas pattern is nonobstructive.Nasogastric tube is not identifiedHeart size is enlarged. Postsurgical changes of median sternotomy. Vascular catheter projects adjacent to the ... | 1.Enteric feeding tube terminates in the region of the gastroesophageal junction and can be advanced.2.Nasogastric tube is not identified. |
Generate impression based on findings. | Female 56 years old; Reason: assess for megacolon History: sepsis Bowel gas pattern is nonobstructive with gas noted within the colon and rectum. The colon is not distended.Right vascular access catheter. | 1.Nonobstructive bowel gas pattern |
Generate impression based on findings. | There is a right parietal approach ventricular shunt catheter with tip in left frontal horn, unchanged in position. There is no significant interval change of ventricular size and configuration, where the right lateral ventricle is nearly completely collapsed and the left frontal horn is collapsed. The imaged radiopaq... | 1. Right parietal approach ventricular shunt catheter, unchanged in position. Unchanged ventricular size and configuration.2. No intracranial hemorrhage or midline shift. 3. Suboccipital craniectomy with slightly low-lying cerebellar tonsils, unchanged. |
Generate impression based on findings. | Car ran over the left lower extremity one week ago with pain on the medial aspect of the left ankle and lower leg. Evaluate for fracture. Four views of the left knee reveal no acute fracture or malalignment. There is no knee joint effusion. Four views of the left lower leg and ankle reveal a transverse fracture of the ... | 1. Medial malleolus fracture.2. Comminuted distal fibular metaphysis fracture. |
Generate impression based on findings. | Left tibia/fibular fracture. Redemonstration of a transverse medial malleolus fracture and comminuted, predominantly oblique distal fibular metaphyseal fracture. There is no widening of the tibiocalcaneal ankle joint with stress. | No specific evidence tibiocalcaneal joint widening with stress. |
Generate impression based on findings. | Injury post fall. Possible dislocation. Question of fracture. There is a minimally displaced oblique fracture of the head of the middle phalanx of the ring finger with suspected extension into the distal interphalangeal joint. There is also a oblique fracture of the ring finger tuft. The partially imaged left fifth dig... | 1. Oblique fracture of the ring finger middle phalanx with suspected DIP intraarticular extension and tuft fracture.2. Partially imaged deformed fifth digit which appears chronic; if clinically indicated, dedicated radiographs may be obtained for further evaluation. |
Generate impression based on findings. | BRAIN: The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with stabl... | 1. No acute intracranial abnormality. Stable mild chronic small vessel ischemic changes.2. Suggestion of very minimal left scalp swelling in the left supraorbital region. No acute orbital fracture. |
Generate impression based on findings. | Pain/swelling, limited range of motion of the hand and wrist. There is a minimally displaced, acute fracture of the hamate. There is soft tissue swelling of the hand and wrist. There is a comminuted fracture of the index finger tuft with well corticated fracture fragments. | 1. Acute fracture of the hamate; if clinically warranted, CT may be obtained for further characterization.2. Chronic injury of the tuft of the index finger. |
Generate impression based on findings. | Fell with pain in the thumb and medial side of the ankle. Three views of the left hand reveal no acute fracture or malalignment. Three views of the right ankle reveal no acute fracture or malalignment. Multiple well corticated ossicles distal to medial and lateral malleolus may be related old trauma. | No acute fracture or malalignment. |
Generate impression based on findings. | Female 32 years old; Reason: assess LP shunt History: history of fall, hitting side with LP shunt, since x3weeks headaches Shunt Device: Evaluation is limited due to body habitus. The patient did not complete the examination due to inability to lie flat due to pain and difficulty breathing. Shunt tubing is seen overlyi... | Limited study as described above with suboptimal evaluation of the shunt. |
Generate impression based on findings. | Female, 45 years old, with left face droop, slurring, right upper extremity weakness. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ven... | Within limits of CT, no acute intracranial abnormality. If clinical concern for ischemia persist, consider further evaluation with MRI. |
Generate impression based on findings. | Female, 19 years old, found down, altered mental status. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid collection is seen. There is no evidence of mass effect or midline shift. The ventricles and basal cisterns ar... | No acute intracranial abnormality. |
Generate impression based on findings. | Pain/swelling. Question of fracture. Severe osteoarthritis affects the left knee with bone on bone apposition of the lateral tibiofemoral compartment. There are prominent osteophytes. There is a moderate knee joint effusion. No acute fracture is seen. | 1. No acute fracture is evident.2. Moderate joint effusion and severe osteoarthritis. |
Generate impression based on findings. | Female, 47 years old, right-sided weakness. No evidence of parenchymal edema or loss of gray-white distinction is seen. There may be mild periventricular hypoattenuation which is nonspecific but could reflect mild age indeterminate small vessel skin disease. No intracranial hemorrhage or abnormal extra-axial fluid is d... | 1. No definite CT evidence of any acute intracranial abnormality.2. Hyperdense opacification of the right maxillary sinus may reflect inspissated secretions, fungal elements or blood product. |
Generate impression based on findings. | Car accident with pain and left lateral shoulder and elbow. No acute fracture or malalignment of the elbow is seen. No elbow joint effusion is identified.No acute fracture or dislocation of the shoulder is seen. | No fracture or malalignment is evident. |
Generate impression based on findings. | Right knee lateral abscess with worsening pain and history of osteomyelitis. Question of osteomyelitis. No acute fracture or malalignment is evident. No joint effusion is seen. No evidence of cortical destruction. | No specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Swelling, bruising, point tenderness to palpation of the fourth metacarpal. Question of fracture. No acute fracture or malalignment is seen. No soft tissue swelling is identified. | No fracture is evident. |
Generate impression based on findings. | Male, 13 years old, altered mental status, concern for intracranial hemorrhage. The cerebral hemispheres and brainstem are normal in attenuation and morphology. The foramen of Magendie appears slightly more prominent than what is typically seen. The CSF space beneath the vermis is perhaps also mildly prominent. Otherwi... | 1. No acute intracranial abnormality.2. Slight prominence of the foramen of Magendie and perhaps of the CSF space beneath the cerebellar vermis are of uncertain significance. An arachnoid cyst may be considered as well as normal variation. Further evaluation with MRI may be helpful. |
Generate impression based on findings. | Right elbow pain for two days without injury. Question of fracture. No acute fracture or malalignment. The elbow fat pads are nondisplaced. | No acute fracture is evident. |
Generate impression based on findings. | Pain after fall against a wall. Question of dislocation. There is no acute fracture or malalignment. | No acute fracture or dislocation is evident. |
Generate impression based on findings. | MVC with airbag deployment and left lower rib pain. Evaluate for rib fracture. No acute rib fracture is seen. The heart size is normal. No focal lung opacity, pleural effusion, or pneumothorax is identified. | No acute rib fracture is evident. |
Generate impression based on findings. | Back pain status post ground level fall. Evaluate for fracture. There are multilevel degenerative changes of the lumbar spine. The lumbar vertebral body heights are maintained. There is no definite fracture. There is anterior wedging of the T11 vertebral body of indeterminate chronicity. | 1. Multilevel degenerative changes of the lumbar spine without definite acute fracture.2. Age indeterminate compression deformity of the T11 vertebral body. |
Generate impression based on findings. | Male, 78 years old, status post fall with head trauma. Hyperattenuating tissue is seen within the suboccipital scalp which may reflect traumatic injury. Mild subcutaneous thickening in the midline frontal scalp likewise may reflect traumatic injury. No underlying skull fracture is seen.No acute intracranial hemorrhage ... | 1. Age indeterminate small vessel ischemic disease without CT evidence for any acute intracranial abnormality.2. Frontal and suboccipital scalp injury is suspected. No underlying skull fracture is seen. |
Generate impression based on findings. | The patient is kyphotic and osteopenic. Within these limitations, there is no evidence of acute fracture or subluxation. There is mild anterolisthesis of C4 on C5, measuring 2 mm, and minimal anterolisthesis of T1 on T2, likely on a degenerative basis. The vertebral body heights are preserved. There are endplate degen... | 1. No acute fracture or subluxation. 2. Diffuse osteopenia. 3. Multilevel degenerative cervical spondylosis with variable right foraminal stenosis as described. No significant spinal canal stenosis. Mild anterolisthesis of C4 on C5 and T1 on T2, likely degenerative. 4. Partially imaged right apical lung opacity, may be... |
Generate impression based on findings. | Male, 47 years old, with leukocytosis, fever and altered mental status. Assess for signs of infection. Allowing for the minimal mucosal thickening within the maxillary sinuses, the paranasal sinuses are clear. The major sinus ostia are unobstructed. The nasal septum is intact deviating mildly to the right. An NG tube p... | 1. No evidence of significant paranasal sinus infection or inflammation. Partial opacification of the mastoid air cells is a nonspecific finding. This can reflect a sterile effusion or inflammatory fluid. No osseous destruction is seen to suggest an aggressive infection. Correlation with local symptomatology is suggest... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major in... | No acute intracranial abnormality or pathologic enhancement. |
Generate impression based on findings. | Streak artifact from metallic hardware somewhat limits evaluation.CT CERVICAL SPINE: There are postoperative changes related to a posterior spinal fusion at C3 through T1, utilizing bilateral lateral mass screws at C3-C6, pedicle screws at T1 and stabilizing rods. There are decompressive laminectomies at C3 through C7... | 1. Post-operative findings related to posterior spinal fusion at C3-T1, decompressive laminectomies at C3-C7, and anterior cervical discectomy and fusion at C4-C5, with interval improvement in cervical spinal alignment.2. Small, ill-defined fluid collection with locule of air in the surgical bed at the level of C3, whi... |
Generate impression based on findings. | There are post-operative findings related to a suboccipital craniectomy and resection of the posterior arch of C1 for decompression of Chiari malformation. There is evidence of tonsillar cauterization/resection. There remains some crowding of the remaining cerebellar tonsils at the level of the foramen magnum. A fluid... | 1. Post-operative findings related to Chiari decompression. 2. A pseudomeningocele at the surgical bed is seen. Lack of surrounding edema makes infection less likely, though imaging cannot exclude superinfection. 3. Mild syringohydromelia. |
Generate impression based on findings. | Female, 49 years old, history of left retromolar trigone cancer. Head:No mass effect, focal edema or suspicious enhancement is seen to suggest brain parenchymal metastatic disease. The bones of the calvarium and skull base are intact. Mild mucosal thickening is seen within the ethmoid air cells and the maxillary sinuse... | 1.The left posterior maxillary alveolar ridge is absent with a relatively sharp margin at the posterior edge of the remaining ridge. The osseous defect is filled by largely hypoattenuating tissue although the lateral margin shows a thin rim of enhancement. In the context of prior treatment, this could represent surgica... |
Generate impression based on findings. | Re-staging of metastatic thyroid cancer . There are stable post-treatment findings in the neck. There is no evidence of locoregional tumor recurrence. There is no significant lymphadenopathy by size criteria. The salivary glands appear unchanged. There is atrophy of the left parotid gland. The airways are patent. The o... | 1. No evidence of locoregional tumor recurrence or significant lymphadenopathy.2. Multiple metastases and small right pleural effusion within the partially imaged lungs. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Female, 90 years old, with altered mental status. No evidence of parenchymal edema or loss of gray-white distinction. A few small foci of hypoattenuation are seen within the right basal ganglia which are nonspecific and likely related to age indeterminate small vessel ischemic disease. No intracranial hemorrhage or abn... | No acute intracranial abnormality. |
Generate impression based on findings. | Female, 79 years old, history of diabetes, hypertension, presenting with acute onset self-limited confusion found to have hypoglycemia. At most, minimal periventricular hypoattenuation is seen, a nonspecific finding. No parenchymal edema or loss of gray-white distinction is detected. No evidence of intracranial hemorrh... | No acute intracranial abnormality. |
Generate impression based on findings. | Reason: 44 y/o with aml with continued neutropenic fever. sinus infection History: headache The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated.The frontal sinuses are clear.Maxillary sinuses are clear. Ethmoid air cells demonstrate minor opacities.Spheno... | 1.No CT evidence for acute sinusitis. Minor opacities in the ethmoid air cells are probably of little clinical significance.2.No paranasal sinus outlet obstruction is appreciated. |
Generate impression based on findings. | 66-year-old male. Reason: Dobbhoff Placement History: As above Dobbhoff tube curled within the stomach, with tip directed superiorly, overlying the distal esophagus.Mildly prominent loops of small and large bowel, likely ileus pattern. Surgical clips in the left upper quadrant. | Dobbhoff tube curled within the stomach, with tip overlying the distal esophagus. Findings discussed by the on call resident with the ordering provider on 1/4/2015 at 12:42 PM. |
Generate impression based on findings. | 77-year-old male with constipation and leaking around the G-tube site. Concern for obstruction. Nonobstructive bowel gas pattern. Average amount of stool. A G-tube overlies the body of the stomach. The tip of a left-sided central venous catheter terminates at the superior cavoatrial junction. Surgical clip visualized i... | Nonobstructive bowel gas pattern. Interval increase in the left basilar consolidation with air bronchograms suspicious for possible developing infection. This can be better evaluated with a chest radiograph. |
Generate impression based on findings. | Reason: evaluate for stroke History: ams, new afib The CSF spaces are appropriate for the patient's stated age with no midline shift. Atherosclerotic calcifications are present along the distal internal carotid arteries. Atherosclerotic calcifications are present along the distal vertebral arteries.Periventricular and ... | 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. |
Generate impression based on findings. | Male 8 years old Reason: s/p closure of cecostomy tube. now distended History: abdominal distentionVIEW: Abdomen AP (one view) 1/4/15 at 1046 hrs. Cecostomy trapdoor was removed, a small catheter appears to be overlying the region now. Increasing in nonspecific bowel distention, no evidence of obstruction. No free air. | Nonspecific bowel distention. |
Generate impression based on findings. | 38-year-old male with nasogastric tube placement. Note that the pelvis was not included in the exam. Nonobstructive bowel gas pattern. Retained contrast is visualized in the colon. A nasogastric tube tip overlies the body of the stomach. IVC filter is in place at the L1-L2 level. | Nasogastric tube tip in the body of the stomach. |
Generate impression based on findings. | Male 24 years old Reason: abdominal pain History: as above ABDOMEN:LUNG BASES: Left sided pleural effusion with associated compressive atelectasis unchanged. Right basilar atelectasis also unchanged. Previously described multifocal airspace opacities not included in the field-of-view.LIVER, BILIARY TRACT: There is no e... | 1.Stable retroperitoneal hematoma with interval removal of the pigtail catheter.2.Chronic ileus.3.Left pleural effusion and compressive atelectasis unchanged. |
Generate impression based on findings. | Female 17 years old Reason: 17 YO with ankle pain. s/p inversion of right ankle. evaluate for fx History: bony tenderness at lateral malleolus. inability to bear wt or ambulateVIEWS: Right ankle AP, lateral and oblique 1/4/15 (3 views) Soft tissue swelling with no fracture, malalignment or joint effusion. | Soft tissue swelling with no fracture. |
Generate impression based on findings. | Female 85 years old; Reason: 85 yo F w/ pmhx of hypothyroidism, dementia, and hypertension presenting w/ progressive weight loss, severe malnutrition and leukopenia/thrombocytopenia, concerning for malignancy History: evaluate for malignancy d/t weight loss. CHEST:LUNGS AND PLEURA: Mild biapical scarring. Moderate left... | 1.No specific findings to account for patient's symptoms. |
Generate impression based on findings. | 88 year-old female with abdominal pain. Evaluate for toxic megacolon. Nonobstructive bowel gas pattern. Average amount of stool in the colon. Degenerative changes are noted of the lumbosacral spine and hips bilaterally. | No evidence of toxic megacolon. |
Generate impression based on findings. | 54-year-old male. Reason: s/p Dobbhoff replacement History: Dobbhoff placement The pelvis is excluded from the field of view.Interval adjustment of Dobbhoff tube, now with tip overlying the GE junction.Partially visualized nonobstructive bowel gas pattern. | Dobbhoff tube with tip overlying the GE junction. This tube has been removed on subsequent imaging. |
Generate impression based on findings. | Male 20 months old Reason: evaluate for pneumonia History: course breath sounds. Diminished at left baseVIEWS: Chest AP/lateral (two views) 1/4/15 Cardiac silhouette size is normal. Peribronchial thickening and left normal opacity, likely atelectasis or pneumonia. | Bronchiolitis pattern with right lower lobe opacity. |
Generate impression based on findings. | 30 year-old female. Reason: LUQ pain, air-filled loops on cxr History: eval Redemonstration of diffusely dilated loops of mostly colon. These findings were seen on prior abdominal CT dated 11/10/2014 No definite air in the expected region of the ileal pouch, similar to the prior radiographic study. Suture lines and sur... | Postsurgical changes and redemonstration of diffusely dilated loops of predominantly colon. Findings most likely represent chronically dilated bowel loops. |
Generate impression based on findings. | 25 year-old male with testicular swelling. RIGHT TESTIS: The right testicle is normal in morphology, echogenicity and size, measuring 4.9 x 2.7 x 3.4 cm. Color Doppler demonstrate symmetrical blood flow. Spectral Doppler demonstrates normal waveforms.LEFT TESTIS: The left testicle is normal in morphology, echogenicity ... | Findings most suggestive of left epididymitis, possibly acute on chronic given the large increase in size and heterogeneity of the left epididymis. Possible small left varicocele, as well. Patient was discharged home from the ED with antibiotic treatment for presumptive epididymitis. |
Generate impression based on findings. | Male 10 years old Reason: Evaluate for obstruction History: 6 days of abdominal pain, no BM in 3 days, vomitingVIEW: Abdomen AP (one view) 1/4/15 Normal abdominal gas pattern. No evidence of obstruction or free air. No ascites. | Normal abdominal gas pattern. |
Generate impression based on findings. | Syncope, seizure activity, transient. Evaluate for the etiology of possible seizure activity. Question of stroke versus mass. There is no evidence of intracranial hemorrhage. The grey-white matter differentiation appears to be intact. There is mild periventricular and subcortical white matter hypoattenuation which is n... | 1. No evidence of intracranial hemorrhage.2. Age-indeterminate small vessel ischemic disease; CT is insensitive for the detection of non-hemorrhagic, acute ischemic infarcts. If concern for ischemia persists, MRI may be obtained for further evaluation. |
Generate impression based on findings. | Female 10 years old Reason: collapse or infiltrate History: intubated , status epilepticus.VIEW: Chest AP (one view) 1/5/15 at 206 hours. ET tube, central line and misplaced NG tube unchanged. Cardiac silhouette size is normal. Interval development of bibasilar opacities, likely atelectasis. | Interval development of bibasilar opacities, likely atelectasis. |
Generate impression based on findings. | 71-year-old male. Reason: Dobbhoff tube clogged - removed and replaced with new History: new Dobbhoff Dobbhoff tube with tip overlying the proximal fourth portion of the duodenum.Nonobstructive bowel gas pattern. LVAD device. | Dobbhoff tube with tip overlying the proximal fourth portion of the duodenum. |
Generate impression based on findings. | Subcutaneous soft tissue swelling with small associated hematoma is noted in the subcutaneous tissues overlying the left frontal bone without underlying calvarial fracture or associated intracranial abnormality. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no... | Subcutaneous soft tissue swelling with small associated hematoma is noted in the subcutaneous tissues overlying the left frontal bone without underlying calvarial fracture or associated intracranial abnormality. |
Generate impression based on findings. | 36 year old female with right lower quadrant abdominal pain and vomiting. ABDOMEN:LUNG BASES: Minimal basilar subsegmental atelectasis. No pleural effusions.LIVER, BILIARY TRACT: Geographic focus of low-attenuation adjacent to the falciform ligament is compatible with focal fatty infiltration. Otherwise morphologically... | 1. Although the appendix is not well-visualized there are no secondary inflammatory changes in the right lower quadrant to suggest acute appendicitis.2. 2.6-cm left adnexal cystic lesion is within physiologic limits.3. Moderate non-specific bilateral inguinal lymph node enlargement. |
Generate impression based on findings. | Female 16 years old Reason: assess LP shunt History: pain and swelling at shunt siteVIEWS: Abdomen AP and lateral 1/5/15 (two views) An LP shunt is present. Intraperitoneal catheter terminates in the lower pelvis. Intraspinal portion of the catheter tip not visualized. Codman Hakim valve setting is 100 mm of water. Nor... | LP shunt setting as described. |
Generate impression based on findings. | 47-year-old male status post lumbar instrumentation with back pain Posterior rods and screws affix L1, L2, L4, and L5 in near anatomic alignment without evidence of hardware complication. The L3 vertebral body has been removed and replaced with a metallic spacer. Moderate degenerative disk disease affects L5/S1.An IVC ... | Lumbar spinal fixation as detailed above without evidence of complication. |
Generate impression based on findings. | There is no acute intracranial hemorrhage. There is CT evidence of large vascular distribution infarct. There is no extraaxial fluid collection. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no calvarial fracture. The visualized portions of the paranasal sinuses ... | No acute intracranial abnormality, and no significant interval change. 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. | Male 55 years old Reason: evaluate for diverticulitis or other causes of RLQ and suprapubic abdominal pain History: constipation hx, occ loose stools, LLQ pain, sig cardiovascular hx ABDOMEN:LUNG BASES: Trace bibasilar dependent atelectasis.LIVER, BILIARY TRACT: Cholelithiasis without evidence of cholecystitis.SPLEEN: ... | 1.Extensive right body wall collateralization.2.Atrophic kidneys consistent with end-stage renal disease.3.No specific finding seen to account for the patient's pain. |
Generate impression based on findings. | Fall, question of ICH. Head: There is no evidence of acute intracranial hemorrhage. There is moderate periventricular and subcortical white matter hypoattenuation which is non-specific but may represent small vessel ischemic disease. The ventricles and cortical sulci are prominent compatible with age-related volume los... | 1. No acute intracranial hemorrhage.2. Multilevel degenerative changes of the cervical spine without fracture.3. Age-indeterminate small vessel ischemic disease. CT is insensitive for the detection of non-hemorrhagic, acute ischemic infarcts. If concern for ischemia persists, MRI may be obtained. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP (one view) 1/5/15 0336 Fractured shunt catheter is noted again in the neck. Left PICC tip is in the right atrium.The cardiac silhouette is normal.The right lower lobe opacity persists. Additional bibasilar multifocal pulmonary opacities are increased. | RLL pneumonia with worsening multifocal opacities. |
Generate impression based on findings. | 82 year-old woman with history of pain and swelling after dropping object on foot. Diffuse soft tissue swelling is noted, increased from the prior study. The bones are demineralized. There is no acute fracture or malalignment. Arterial calcifications are noted. | Soft tissue swelling without acute fracture or malalignment. |
Generate impression based on findings. | 34-year-old male with abdominal/flank pain. Evaluate for nephrolithiasis. Please note that lack of intravenous and oral contrast limits evaluation for lymphadenopathy, solid organ, and bowel pathology.ABDOMEN:LUNG BASES: The lung bases are clear. Normal cardiac size without a pericardial effusion.LIVER, BILIARY TRACT: ... | 1. No obstructing calculus or hydroureteronephrosis as clinically questioned.2. No specific findings to account for the patient's pain given the limitations of a noncontrast examination. |
Generate impression based on findings. | 47-year-old female status post fall, question fracture Glenohumeral alignment is maintained. No fracture is evident. Minimal arthritic changes affect the acromioclavicular joint. | No fracture or dislocation. |
Generate impression based on findings. | 46-year-old man with history of fall and swelling. Right foot: There is soft tissue swelling about the dorsum of the foot and the ankle. Areas of serpentine sclerosis are seen in the first metatarsal and calcaneus, compatible with bone infarcts. Distal tibia and fibular fractures are noted, but there are no fractures i... | Comminuted pilon fractures of the distal tibia and fibula. |
Generate impression based on findings. | Male 20 years old Reason: evaluate for stone History: lower quad abdominal pain b/l, b/l low back pain, n/v ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma.SPLEEN: No significant abnormality no... | No specific findings seen to account for the patient's pain, specifically no evidence of radioopaque nephrolithiasis or ureterolithiasis. |
Generate impression based on findings. | Female 29 years old Reason: r/o pe History: ttp along Left lower ribs, cough PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Medial left lower lobe atelectasis/consolidation consistent with pneumonia. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: No aden... | 1.No PE.2.Left lower lobe pneumonia. |
Generate impression based on findings. | 49 year old female with left chest wall pain and shortness of breath, evaluate for PE PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Minimal dependent atelectasis. No pleural effusion. No pneumothorax. Small cluster of centriloblar and tree in bud nodules in left upper lobe are nonspecific but may be due to... | No pulmonary embolus.Small cluster of centriloblar and tree in bud nodules in left upper lobe are nonspecific but may be due to bronchiolitis.Findings communicated to ED by Dr. Bennett to Dr. Sofija DegesysPULMONARY EMBOLISM: PE: NegativeChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applica... |
Generate impression based on findings. | 54 year old with history of right-sided breast carcinoma status post mastectomy (2010) and reconstruction. No current breast related complaints. Family history of breast cancer in mother, maternal grandmother, and maternal aunt. CC and MLO views of left breast along with implant displaced CC and MLO views were performe... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 37 years old Reason: evaluate for pna, evaluate for toxic megacolon History: C.diff, bloody stool CHEST:LUNGS AND PLEURA: There are new large bilateral pleural effusions left greater than right with associated compressive atelectasis.MEDIASTINUM AND HILA: The esophagus is patulous. There is no pericardial effusi... | 1.Marked bowel wall thickening and mucosal hyperenhancement affecting primarily the rectosigmoid colon compatible with colitis, most likely infectious or inflammatory in etiology, although ischemia cannot be excluded.2.Improved stool burden.3.New large volume ascites, large pleural effusions are marked body wall edema.... |
Generate impression based on findings. | 58-year-old male with poorly defined abdominal pain. Per the EPIC note, the patient's pain is primarily epigastric. ABDOMEN:LUNG BASES: Partial left lung base consolidation/atelectasis. Normal cardiac size without pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormal... | 1. Soft tissue fullness about the distal esophagus/gastroesophageal junction which is poorly defined, in part due to the paucity of intra-abdominal fat. This may represent a small hiatal hernia, esophagitis or other pathology; correlation with EGD and/or esophagram is recommended as clinically warranted.2. Left lung ba... |
Generate impression based on findings. | There are postoperative findings related to a left frontal and a left parietal burr hole placement. Interval removal of left subdural drain is seen. There are small foci of pneumocephalus. The subdural collection is mixed in attenuation with areas of high and low density. No significant change in size compared to 1/4/... | Compared to 1/4/2015, interval removal of left subdural drain. No significant change in residual mixed density subdural collection along the left cerebral hemisphere. Unchanged mass effect including effacement of the left cerebral sulci and 6-mm rightward midline shift. |
Generate impression based on findings. | 27 year old female with history of nasal fracture, nasal septal deviation, and questionable nasal polyp. There is mild mucosal thickening scattered about the maxillary, ethmoid and sphenoid sinuses. The frontal sinuses are clear. There is a tiny nodular opacity present along the lateral aspect of the right maxillary si... | Mild mucosal thickening of the paranasal sinuses as above. |
Generate impression based on findings. | Female 84 years old Reason: r/o pe History: acute onset sob PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Minimal bibasilar dependent atelectasis. No focal lung consolidation no pneumothorax.MEDIASTINUM AND HILA: The main pulmonary artery is mildly enlarged measur... | 1.No PE.2.Mildly enlarged main pulmonary artery suggestive of pulmonary artery hypertension. |
Generate impression based on findings. | A crescentic left paramedian extra-axial collection is noted at the vertex, underlying the anterior fontanelle, which on coronal reconstruction system crosses the midline, possibly involving the superior sagittal sinus. Given this location and appearance, the differential diagnosis includes venous epidural hemorrhage ... | 1.A crescentic left paramedian extra-axial collection is noted at the vertex, underlying the anterior fontanelle, which on coronal reconstruction system crosses the midline, possibly involving the superior sagittal sinus. Given this location and appearance, the differential diagnosis includes venous epidural hemorrhage... |
Generate impression based on findings. | Male 67 years old Reason: 67 yo M w rectal CA POD 5 s/p LAR with rising WBC, distension - c/f abscess ABDOMEN:LUNG BASES: New nodular right basilar opacity suggestive of aspiration. Small bilateral pleural effusions, right greater than left, with associated compressive atelectasis. Reference cardiophrenic node measures... | 1.Post surgical changes related to low anterior resection with loculated fluid collections in the pelvis and left paracolic gutter presumably representing postoperative seromas.2.Index metastatic lesions without significant interval change since the prior exam.3.Nodular right basilar opacity suggestive of aspiration. |
Generate impression based on findings. | Increased oxygen requirement.VIEW: Chest AP (one view) 1/4/15 1055 Fractured shunt catheter is noted again in the neck. Left PICC tip is in the right atrium.The cardiac silhouette is normal.The right lower lobe opacity persists. Additional bibasilar multifocal pulmonary opacities are increased. | RLL pneumonia with worsening multifocal opacities. |
Generate impression based on findings. | Bilateral consolidation on CTVIEW: Chest AP 1/5/15 Tracheostomy tube tip immediately above the carina. Marked scoliosis of the thoracic spine. Cardiothymic silhouette normal. Patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. | Patchy atelectasis right lower lobe. |
Generate impression based on findings. | Female 74 years old; Reason: r/o mass History: 15 lb wt loss, melena ABDOMEN:LUNG BASES: Emphysematous and fibrotic changes of the lung bases with reticular opacities are representing atelectasis or scarring. Evaluation somewhat limited by motion. Coronary artery calcifications. LIVER, BILIARY TRACT: Prominence of the ... | 1.Ascending colitis, further described above, is nonspecific, and underlying infectious, inflammatory or ischemic etiology is not excluded. |
Generate impression based on findings. | Female 67 years old; Reason: metastatic thyroid cancer, restaging CHEST:LUNGS AND PLEURA: Innumerable lung and pleural metastases. New small right pleural effusion, sequela from prior left-sided wedge resection seen superiorly.Reference left apical mass demonstrates interval decrease in size, measuring 2.8 x 1.6 cm, im... | 1. New small right pleural effusion. Pulmonary and pleural metastatic disease. Mixed response noted with many lung nodules stable to mildly decreased in size, but at least one nodule (right lower lobe nodule submitted for reference) demonstrating interval increase in size. 2. Heterogeneous uterus with left adnexal prom... |
Generate impression based on findings. | No evidence of intracranial hemorrhage. There is no extraaxial fluid collection. Patchy hypoattenuation throughout the periventricular and subcortical white matter is nonspecific but most compatible with chronic small vessel ischemic disease, not significantly changed from prior. The ventricles and sulci are within no... | No evidence of an acute intracranial abnormality. Please note that CT is insensitive for the detection of early nonhemorrhagic stroke. If clinical concern remains high, further evaluation with MRI is recommended. |
Generate impression based on findings. | 66-year-old with history of right breast DCIS status post lumpectomy (2011) and radiation. History of MRI guided biopsy of the right breast demonstrating ALH. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Increasing oxygen requirementVIEW: Chest AP and abdomen AP NG tube tip in the stomach. The umbilical venous catheter tip in the left hepatic vein. There is contrast in the esophagus, stomach and small bowel from the upper GI study. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Patchy atelectasis ... | Patchy atelectasis left lower lobe. |
Generate impression based on findings. | History of recurrent right ear squamous cell carcinoma, status post surgery on 12/8/2014 with PNI and margins, admitted for C1/5 TFHX, post-op evaluation. There are post-operative findings related to right lateral temporal bone resection extending to the middle ear, near total auriculectomy, partial parotidectomy and s... | 1. Post-operative findings related to right lateral temporal bone resection extending to the middle ear, near total auriculectomy, partial parotidectomy and selective right neck dissection with flap reconstruction. Soft tissue in the surgical bed may represent postsurgical change. No definite evidence of residual tumor... |
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