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Generate impression based on findings. | Age: 41 years. Sex : Male. Indication: Reason: patient with abdominal pain, no source identified History: as above. The following observations are made given the limitations of an unenhanced study.LUNG BASES: Severe diffuse air space disease again seen, with small, left greater than right, pleural effusions, nonspecifi... | Limited unenhanced CT.1.Partially visualized pulmonary findings are suggestive of ARDS.2.Small amount of abdominal/pelvic ascites3.Non-specific small bowel wall thickening without evidence of obstruction. |
Generate impression based on findings. | 85 year-old female with severe acute back pain, history of bladder cancer The bones are demineralized. No focal osseous lesion is evident. Again seen is a T6 vertebral body compression fracture, now with greater than 50% loss of vertebral body height. Since the prior exam there is new compression deformity of the T12 v... | Vertebral body compression fractures as described above. The T12 vertebral body compression fracture is new from the prior exam. If further evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | There is redemonstration of a large parenchymal hemorrhage centered in the right caudate tail along the lateral aspect of the posterior body and trigone of the right lateral ventricle. The hematoma is not significantly changed in size. There is expected evolution of the diffuse intraventricular blood products, with ag... | No significant interval change in appearance of right caudate parenchymal and diffuse intraventricular hemorrhage except for expected evolution. Stable asymmetric prominence of the right lateral ventricle as compared to the left, with a suggestive of possible mild transependymal edema along the right atrium/occipital h... |
Generate impression based on findings. | Female; 94 years old. Reason: r/o PE History: dizziness, elevated dimer PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Moderate upper lobe predominant centrilobular emphysema, mildly progressed since prior study. Stable sm... | 1. No acute pulmonary embolus.2. Moderate emphysema, mildly progressive since prior study.3. Findings suggestive of multi-nodular thyroid goiter. Further evaluation with ultrasound can be performed as clinically indicated.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Prox... |
Generate impression based on findings. | Female; 30 years old. Reason: r/o PE History: sudden onset pleuritic CP, SOB, surgery 1 mo ago PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Minimal tree-in-bud like opacity in the left upper lobe in a subpleural location... | 1. No acute pulmonary embolus.2. Possible aspiration, less likely infection, in the left upper lobe as described above.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 70-year-old with history of prior benign biopsy approximately 1 year ago. Three standard views of both breasts with additional bilateral MLO views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | CLINICAL DATA: Age: 44 years. Sex : Male. Indication: Reason: eval nephrolithiasis, less likely appy History: R-sided abd pain radiating to flank. Please note lack of IV and oral contrast limits evaluation of solid organ pathology, and also of the GI tract.LUNG BASES: Mild bibasilar dependent atelectasis, and exam is i... | Small right ureterovesical junction obstructing calculus, and other findings as above. Otherwise exam within normal limits. |
Generate impression based on findings. | 72-year-old male with history of prostate cancer, now with gross hematuria. Evaluate. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse fatty infiltration of the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorma... | 1.Two punctate non-obstructing right renal stones. 2.No suspicious renal masses. 3.Mild bladder wall thickening is nonspecific and may partially be secondary to underdistention. Correlation with cystoscopy recommended.4.Diffuse fatty liver. |
Generate impression based on findings. | 57 year old female with right knee pain, inability to bear weight There is mild joint space narrowing and small osteophytes consistent with mild osteoarthritis, progressed slightly from the prior exam. No large joint effusion is seen. Moderate osteoarthritis affects the left knee as seen on the frontal view. | Osteoarthritis, as described above. |
Generate impression based on findings. | 79-year-old female, assess reason for pain The bones are demineralized. Moderate to severe osteoarthritis affects the glenohumeral joint and moderate osteoarthritis affects the acromioclavicular joint, appearing similar to the prior exam. Glenohumeral alignment is within normal limits as seen on the axillary view. | Osteoarthritis, as described above. |
Generate impression based on findings. | Postoperative prosthetic assessment Three views of the right knee show hardware components of a total knee arthroplasty situated in near anatomic alignment without radiographic evidence of hardware complications. Anterior soft tissue swelling limits evaluation of the patellar tendon. Moderate to severe osteoarthritis a... | Total knee arthroplasty as described above. |
Generate impression based on findings. | 85 year-old male with abdominal aortic aneurysm repair. Patient with distended abdomen. Evaluate. Per chart review, patient with history of metastatic lung cancer. CT angiogram: Post-operative changes of EVAR of a fusiform abdominal aortic aneurysm measuring up to 4.8 cm (coronal series, image 58) without evidence of c... | 1.Postoperative changes of EVAR of a fusiform abdominal aortic aneurysm without evidence of complication. 2.Bilateral retroperitoneal hemorrhage and high attenuation within the thrombosed native aneurysmal sac consistent with prior known AAA rupture.3.Multiple hepatic rim enhancing lesions suspicious for metastatic dis... |
Generate impression based on findings. | Fatty liver disease. Evaluate for mass lesion. LIVER: The liver measures 19 cm in length. Markedly echogenic compatible fatty infiltration. There is a limited ability to visualize intraparenchymal abnormalities with this condition. Relatively hypoechoic region adjacent to the gallbladder fossa probably represents focal... | Echogenic liver probably representing fatty infiltration. Less echogenic region adjacent to the gallbladder probably represents focal fatty sparing. |
Generate impression based on findings. | 52-year-old male with history of lung cancer. Restaging examination. ABDOMEN:LUNG BASES: See concurrent CT chest report for details regarding the thoracic disease. Bilateral small to moderate-sized pleural effusions, left greater than right.LIVER, BILIARY TRACT: There is a vague segment 7 hypoattenuating lesion measuri... | 1.Extensive new omental nodularity highly suspicious for carcinomatosis. 2.Interval increase in free pelvic fluid.3.Vague segment 7 hepatic hypoattenuating lesion highly suspicious for metastatic disease4.Please refer to concurrent CT chest report for details regarding the thoracic disease5.Multiple sclerotic lesions t... |
Generate impression based on findings. | 56 show female with left breast multicentric breast cancer 3 sites -- need lymph for SLBX surgery.RADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.51 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus of increased activity is noted in the left axil... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Ms. Stevens is a 65 year old female with a personal history of left breast lumpectomy in 2011 for IDC with locally advanced disease followed by chemoradiation therapy. No current breast related complaints. Three standard views of both breasts, additional right MLO view, and additional right CC view were performed digit... | Stable postsurgical changes of the left breast. 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 - Diagnos... |
Generate impression based on findings. | Metastatic lung cancer, follow-up CHEST:LUNGS AND PLEURA: Unchanged postsurgical findings in the right lower lobe following lobectomy with associated pleural thickening and minimal residual scarring along the pleura. No suspicious new abnormalities to suggest recurrence. No effusions.The reference pulmonary nodules als... | Stable pulmonary nodules with reference measurements and underlying pulmonary fibrotic appearance |
Generate impression based on findings. | Dizziness with position change, ataxia No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. There is unchanged ventriculomegaly without acute hydrocephalus. No extra-axial collections. There are scatter... | 1. No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Global parenchymal volume loss. 3. Stable ventriculomegaly which is slightly prominent compared to t... |
Generate impression based on findings. | Unspecified viral hepatitis C. LIVER: Coarse, heterogeneous liver echotexture without focal lesion as noted previously. Liver normal in size and contour, measuring 15.1 cm, unchanged. GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No intra-or extrahepatic biliary ductal dilatation. The common hepatic duct mea... | Nonspecific coarse liver echotexture without focal lesion, unchanged. Status post cholecystectomy. |
Generate impression based on findings. | Lower extremity edema, pain Two views of the right leg show musculature enlargement and reticulation of the subcutaneous fat, which may represent edema. There is no acute fracture. Again seen is chronic periosteal reaction along the tibial and fibular diaphyses. Skin staples project over the leg.Three views of the righ... | Soft tissue abnormalities as described above without acute fracture. |
Generate impression based on findings. | Congestion, fever, and neutropenia. There is mild right and moderate left maxillary sinus mucosal thickening. There is also minimal mucosal thickening in the ethmoid sinuses. The other paranasal sinuses are clear. There are nonspecific linear opacities in the nasal cavity. There is mild nasal septal deviation and spur ... | Mild right and moderate left maxillary sinus mucosal thickening, as well as minimal mucosal thickening in the ethmoid sinuses. |
Generate impression based on findings. | Osteoarthritis Three views of the left shoulder are provided. Mild/moderate osteoarthritis affects the glenohumeral joint. There is spurring along the anterior aspect of the acromion process. Enthesophytes are present along the greater tuberosity at the expected insertion of the rotator cuff. The bones are demineralize... | Osteoarthritis as described above appearing similar to prior. |
Generate impression based on findings. | Postoperative prosthetic assessment The bones are demineralized. The proximal femur has been resected and reconstructed with a long stem total hip endoprosthesis. There are no hardware complications. Heterotopic bone formation along the prosthesis appears similar to prior. Osteoarthritis and chondrocalcinosis about the... | Femoral prosthesis appears similar to prior. |
Generate impression based on findings. | Pain Four views of the left shoulder are provided. Osteoarthritis affects the glenohumeral and acromioclavicular joints. The glenohumeral joint alignment is within normal limits. | Mild osteoarthritis. |
Generate impression based on findings. | History of follicular lymphoma in remission. comes in with neutropenia, aphthous ulcers and swelling of neck. Concern for abscess versus recurrence. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The... | No evidence of abscess or recurrent lymphoma in the neck. |
Generate impression based on findings. | Right distal radius osteosarcoma resection and reconstruction, evaluate for healing A side plate and screw device affixes allograft bone between the native radial diaphysis and the carpus. Additional screws are noted within the third metacarpal. The distal allograft appears fused to the lunate. The proximal osteotomy m... | Postoperative changes of distal radius resection without evidence of tumor recurrence. |
Generate impression based on findings. | Male, 74 years old. Elevated BMI and longer than 8 hour surgery; counts correct No RFO identified. NGT side port in the gastric cardia, tip in gastric body. Prominent non-dilated loops of bowel which may represent developing ileus.Skin staples noted. Scattered pelvic and thigh surgical clips noted. | No RFO identified. Prominent non-dilated loops of bowel which may represent developing ileus.Findings discussed with Dr. Steppacher by on call radiologist on 1/20/2015 at 20:00. |
Generate impression based on findings. | Shortness of breath and right upper lobe nodule LUNGS AND PLEURA: Multiple pulmonary findings including a 3.7 x 3.0 cm focal mass (image 63 series 5) in the right lower lobe adjacent to the major fissure with an associated moderate to large pleural effusion and underlying basilar compression atelectasis is observed. Th... | Right lower lobe mass extending to the pleural surface and major fissure with associated large pleural effusion. No definite associated intrapulmonary focal nodular disease to suggest satellite nodules, however lymphadenopathy is observed centrally. See reference measurements provided. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal 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 ma... | Unremarkable contrast enhanced MRI brain and entire spine. |
Generate impression based on findings. | 63 years, Male. Reason: Evaluate NGT position after advancement History: as above NGT side port and tip in gastric fundus. Nonobstructive bowel gas pattern. Pelvis is excluded from view. Surgical drains and clips in the abdomen. | NGT side port and tip in gastric fundus. |
Generate impression based on findings. | There is no diffusion abnormality to suggest acute infarct. There is extensive encephalomalacia with T2/FLAIR hyperintensity and volume loss involving the left cerebellum extending into the left middle cerebellar peduncle consistent . There is also T2 hyperintensity involving the ventral pons as well as T2 hyperintens... | 1. No acute infarct. Extensive encephalomalacia involving the left cerebellum and middle cerebellar peduncle which may be related to chronic infarct, prior infection, or other injury. There is evidence of prior left occipital craniotomy.2. T2 hyperintensity in the right ventral medulla compatible with hypertrophic oliv... |
Generate impression based on findings. | Reason: assess for pleural effusions, pericardial effusion/changes, location of pleurx catheter History: h/o constrictive cardiomyopathy, recurrent pleural effusions s/p pleurx, significant XRT LUNGS AND PLEURA: Pleural catheter located posteriorly with its tip located medially in the mid right hemithorax.Interval decr... | Interval improvement in the loculated right pleural effusion,, pericardial effusion, septal thickening, and pulmonary nodular/consolidative opacities. |
Generate impression based on findings. | Relapsed FCL; completed 6 cycles of BR in May 2014. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. For example, a right level 2A lymph node measures 5 x 8 mm. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. T... | No evidence of recurrent lymphoma in the neck. |
Generate impression based on findings. | Dyspnea LUNGS AND PLEURA: Mild centrilobular emphysematous changes without superimposed discrete focal abnormality, specifically no discrete nodular disease. There is however a mixed groundglass and mild solid component subcentimeter focus observed in the right upper lobe (image 48 series 5) specifically the solid comp... | Bilateral basilar pulmonary changes suggesting chronic aspiration. Otherwise a nonspecific constellation of thoracic changes including mild borderline lymphadenopathy and nonspecific sub-centimeter mixed groundglass nodule with solid components observed in the right upper lobe. Correlation with prior outside imaging if... |
Generate impression based on findings. | Male; 61 years old. Reason: Pleural mesothelioma. Please compare to prior exam per recist criteria. History: Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Diffuse nodular right pleural thickening consistent with mesothelioma, overall slightly decreased. Reference measurements are as follows:1. At the level of the aorti... | Slightly decreased right nodular pleural thickening with slight interval decrease in the reference measurements as above. Stable mediastinal lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | Postoperative prosthetic assessment Three views of the right knee show hardware components of a total knee arthroplasty in near anatomic alignment appearing similar to the prior. Arterial calcifications are present in the posterior soft tissues. Moderate osteoarthritis affects the left knee as seen on the frontal view ... | Total knee arthroplasty appearing similar to prior. |
Generate impression based on findings. | Fracture. Foot pain.VIEWS: Right foot AP/lateral/oblique (3 views) 01/21/15 A cast obscures bone detail. Callus formation is noted along the lateral aspect of the distal fourth metatarsal. There may be some sclerosis/callus formation in the distal fifth metatarsal. | Healing fracture of fourth metatarsal. Probable healing fracture of fifth metatarsal. |
Generate impression based on findings. | Head and neck cancer, follow-up CHEST:LUNGS AND PLEURA: Stable unchanged nonspecific pleural calcifications on the right. Specifically the more focal 5-mm nodule observed along the medial posterior margin is currently not appreciated and likely representing old post inflammatory change. Scattered bilateral basilar grou... | Interval resolution of the nonspecific subcentimeter pleural right lower lobe nodule, presumably post inflammatory. Changes of aspiration without additional new abnormalities to suggest metastatic disease |
Generate impression based on findings. | CLL with erythema and tenderness over lateral and medial malleoli for 3 days, evaluate for fracture Soft tissue swelling is present without acute fracture. Tiny calcifications distal to the fibula may represent old trauma. Arterial calcifications are present in the soft tissues. Evaluation of the Achilles tendon is lim... | Soft tissue swelling without fracture. |
Generate impression based on findings. | 60 year-old male with history of CLL. Compare to prior. CHEST:LUNGS AND PLEURA: Biapical fibrosis. Bilateral scattered pulmonary nodules, not substantially changed. Index lesion in the lingula again measures 7 mm in diameter (image 47; series 5).MEDIASTINUM AND HILA: Mediastinal and hilar adenopathy is stable. Unchange... | Bilateral axillary, mediastinal, hilar, retroperitoneal and pelvic adenopathy stable or equivocally enlarged. Bilateral adrenal nodules, unchanged. |
Generate impression based on findings. | 57-year-old female with left blown pupil, bradycardia, wide pulse pressure and altered mental status. Evaluate for uncal herniation. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. There is calcification of t... | No evidence of intracranial hemorrhage or mass effect. No evidence of herniation as clinically queried. Please note non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct, and MRI should be considered if there is significant clinical suspicion. |
Generate impression based on findings. | 4 month old female (ex-34 week gestational age) with disorganized swallowing and cough with feeds.EXAMINATION: Oropharyngeal motility study 1/21/2015, 1025 hrs. Beth Harrison, speech and language therapist, supervised the examination.31 seconds of fluoroscopy was used.Thin liquid was administered via slow-flow nipple f... | Penetration with half-strength nectar via medium-flow nipple.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 0 day old female, infant of diabetic mother, hypoplastic tibia. Evaluate for any deformity.VIEWS: Pelvis AP/frog leg (two views), left femur AP/lateral (two views), 1/21/2015, 1027 hrs. Proximal femoral metaphyses are normally positioned with respect to the acetabula. No significant abnormality in the pelvis.The left f... | Normal pelvis and left femur. |
Generate impression based on findings. | 53 year old female with cold right foot, absent pulses. ANGIOGRAM:Moderate calcification affects the abdominal aorta and iliac arteries. The abdominal aorta is normal in size. Conventional celiac axis anatomy. The origins of the celiac, superior mesenteric, and inferior mesenteric arteries are widely patent. The iliac ... | 1. Focal partially occlusive soft plaque or thrombus in the distal right superficial femoral artery resulting in decreased distal flow as described.2. Normal left side three vessel runoff.3. Moderate atherosclerotic disease affects a normally sized abdominal aorta. The aortic branch vessels are widely patent. |
Generate impression based on findings. | Reason: Recurrence of rectal abscess, any other signs of active Crohn's disease History: 8 year old with Crohn's disease and history of rectal abscess, on Remicade, with markedly elevated inflammatory markers PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: N... | Rectal wall thickening and inflammation without evidence of fistula or abscess. |
Generate impression based on findings. | 40 year-old female with right proximal tibia myeloma, evaluate for other lesions SKULL: There is a 4 cm lucent lesion involving the right parietal bone with prominence of the overlying soft tissues suggesting a potential soft tissue component (assuming that this is not artifactual on the patient's scalp).CERVICAL SPINE... | Multiple myeloma as described above with additional lucent lesions in the skull and distal left fibula. |
Generate impression based on findings. | Female; 65 years old. Reason: evaluate effusions History: sob LUNGS AND PLEURA: Interval removal of a right chest tube with new trace right pleural effusion.Large left pleural effusion, mildly increased since prior study. No pneumothorax.Mild bibasilar dependent atelectasis/consolidation, similar to prior study.MEDIAST... | Large left and trace right pleural effusions as described above. |
Generate impression based on findings. | 64-year-old male with altered mental status and intubated. Evaluate for changes in ICH. Redemonstrated is a intraparenchymal hematoma centered at the left thalamus measuring 2.6 x 4.0 and approximately 3.7 cm in the craniocaudal dimension. There is surrounding low density vasogenic edema. Again seen is intraventricular... | 1.Stable evolution of the left thalamic intraparenchymal hematoma centered at the left thalamus with intraventricular extension. 2.Overall slight decrease in size of the right lateral ventricle and stable left ventricular dilatation.3.Unchanged rightward midline shift. |
Generate impression based on findings. | Reason: high resolution, ILD protocol CT History: home oxygen, shortness of breath LUNGS AND PLEURA: Consolidation/atelectasis involving the right lower lobe medially compatible with infection or aspiration.Atelectasis in the right middle lobe and left lung base again compatible with aspiration/infection.No pleural eff... | Focal areas consolidation/atelectasis involving the right middle, right lower, and left lower lobes compatible with aspiration and/or infection. No evidence of interstitial lung disease. Stable cardiac enlargement. |
Generate impression based on findings. | history of PML and DIC on ATRA/arsenic therapy. Multiple known intracranial hemorrhages. Please assess for changes. There has been interval resolution of multifocal hemorrhages in the brain and cerebellum. No new foci of hyperattenuation are identified. There is mild diffuse prominence of the ventricular system, which ... | 1. Interval involution of multifocal intracranial hemorrhages. 2. Interval increase in size of the sulci and ventricular system may relate to resolving edema or superimposed pseudo-atrophy secondary to treatment effects. 3. Gas within the right globe may relate to recent vitrectomy. I personally reviewed the Images and... |
Generate impression based on findings. | MDS, neutropenic fevers, and pneumonia. There is a retention cyst in the right maxillary sinus and mild mucosal thickening in the left maxillary sinus. There is scattered opacification of the ethmoid sinuses. There is mild mucosal thickening in the right frontal sinus and opacification of the right frontoethmoid recess... | 1. Scattered paranasal sinus opacification in a sporadic pattern.2. Mild nasal septal deviation and spur directed to the right, which contacts the right inferior turbinate. |
Generate impression based on findings. | 63-year-old male with history of colorectal carcinoma stage IV, and chemotherapy. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again seen, with reference lesions as follows:Left lower lobe posterior nodule (5/73) measures 2 x 1.2 cm, similar to prior 2.1 x 1.4 cm. Additional pulmonary nodules are grossly stab... | Stable pulmonary nodules and lymph nodes as above, without new findings of metastatic disease. |
Generate impression based on findings. | Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Postoperative changes of left pleurectomy/decortication. A single small focus of residual pleural thickening has increased from 3 to 5-mm the left apex at the 11 o'clock position (3/19).Multiple pulmonary nodules have developed within the left lung in the interim, consisten... | 1. Interval development of multiple pulmonary nodules in the left lung, most compatible with metastases.2. Interval development of left axillary and internal mammary chain lymphadenopathy.3. Interval development of gastrohepatic lymphadenopathy with persistent small mesenteric and retroperitoneal lymph nodes appearing ... |
Generate impression based on findings. | Nine-year-old female with history of trauma, pain, swellingVIEWS: Right fourth digit AP/lateral, foot AP (3 views) 01/21/15 No acute fracture or malalignment is evident. | No acute fracture or malalignment is evident. |
Generate impression based on findings. | Parotid gland tumor, dyspnea CHEST:LUNGS AND PLEURA: Redemonstrated are two small pulmonary nodules in the right middle lobe (see image 40 and image 51 series 5). The more solid inferior nodule has increased in size, currently measuring 8 mm from a prior measurement of 6 mm, yet the more cranial faint groundglass nodul... | Mild interval increasing lymph nodes and associated enlargement of the more focal solid nodule in the right middle lobe, seen reference measurements provided. Overall appearance is suspicious for metastatic disease given patient's history of a known malignancy |
Generate impression based on findings. | Joint pain, evaluate for erosive disease/progression Left hand: There is slight narrowing of the fourth MCP joint, which may represent rheumatoid arthritis, but there are no erosions. Mild osteoarthritis affects the DIP joints of the fingers. There may be volar rotary subluxation of the scaphoid.Right hand: There is na... | Erosive arthropathy as described above most severely affecting the MTP joints with progression of left fourth metatarsal head erosion. |
Generate impression based on findings. | 51-year-old male with lower extremity edema and pain Right tibia and fibula: An intramedullary rod and screw device affixes a healing/healed fracture of the distal tibial diaphysis in near-anatomic alignment without evidence of hardware complication. There is also a healing/healed fracture of the distal fibular diaphys... | Soft tissue swelling and postoperative/post traumatic changes as described above without radiographic evidence of osteomyelitis. |
Generate impression based on findings. | NSCLC LUNGS AND PLEURA: Redemonstration of a right upper lobe perifissural cavitating mass (image 36 series 5) now measuring 23 mm x 29 mm previously measuring 26 mm x 33 mm. The solid component (sagittal image 27) has decreased in size now measuring 10 mm x 6 mm previously measuring 12 mm x 8 mm.Persistent thickening ... | 1.Mild interval decrease in size of the right upper lobe cavitating nodule.2.New sclerotic foci within the thoracic vertebrae and stable sclerotic focus within the eighth rib compatible with osseous metastases.3.New left-sided pleural effusion |
Generate impression based on findings. | 76-year-old old male with pain with movement for 5 weeks Mild to moderate osteoarthritis affects the glenohumeral joint. Glenohumeral alignment and the acromiohumeral interval are within normal limits. | Glenohumeral joint osteoarthritis. |
Generate impression based on findings. | 51-year-old male with enchondroma Two views of the left humerus again show a cluster of calcifications within the proximal humeral diaphysis consistent with the suspected diagnosis of enchondroma. A small focus of endosteal scalloping along the posterior margin of the lesion appears similar to the exam dated 5/21/14. T... | Findings compatible with enchondroma appearing similar to the prior exam. |
Generate impression based on findings. | Male; 63 years old. Reason: please assess for leakage of contrast given via OG tube out of esophagus past esophageal stent History: chest pain CHEST:LUNGS AND PLEURA: Small right pleural effusion, decreased since prior study status post right chest tube placement. Small right pneumothorax.Moderate to large left pleural... | 1. Stable distal esophageal clip and stent. Interval decreased adjacent pneumomediastinum. No contrast extravasation.2. Large left pleural effusion, increased since prior study. Left chest tube tip is slightly retracted since prior study and may have tip within the lung parenchyma rather than pleural space. Consider ad... |
Generate impression based on findings. | Female 87 years old Reason: Patient enrolled in clinical trial History: Please compare to prior scan CHEST:LUNGS AND PLEURA: No substantial interval change in reference right middle lobe nodular opacity which measures 1.6 x 1.2 cm (image 71, series 4. Second nodular opacity in the the right middle lobe (image 63, serie... | Stable examination with reference measurements given above. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild global volume loss greater than expected for the patient's stated age. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is id... | 1. No acute infarct. Mild global volume loss greater than expected for the patient's stated age.2. Unremarkable MRA of the head and neck. |
Generate impression based on findings. | 50-year-old female with cardiac arrest. Evaluate for intracranial hemorrhage. The supratentorial ventricles appear small and the gray-white differentiation is less distinct than expected which is suspicious for early diffuse cerebral edema. Basal cisterns remain patent. There is no evidence for intracranial hemorrhage.... | Findings suggestive of early diffuse cerebral edema.These findings were discussed with Dr. Deshmukh (3201), the Neuro-ICU physician taking care of the patient by Dr. Veronesi at the time of this dictation at 1200 on 1/21/15. |
Generate impression based on findings. | 82 year-old female with lymphoma (DLBCL vs. Burkitt's). Needs staging.RADIOPHARMACEUTICAL: 13.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 117 mg/dL. Today's CT portion grossly demonstrates right maxillary sinus mucosal thickening. Thyromegaly. Right lower neck/upper chest mass with destruction of the r... | Extensive markedly hypermetabolic tumor involving the head, neck, chest, abdomen, and pelvis as described above. |
Generate impression based on findings. | Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Mild left pleural thickening appears overall improved. The volume of pleural fluid on the left has significantly decreased, now small. No evidence of contralateral pleural spread. Reference measurements on the left as follows:1. Level of the great vessels (3/20) 9 o'clock p... | 1. Overall improvement in left hemithorax pleural thickening and loculated fluid. Two view improved contrast opacification of chest wall vasculature, index level measurements were adjusted at, an addendum to be previous report will be provided. A residual focus of tumor noted in the left anterolateral costophrenic angl... |
Generate impression based on findings. | 50 years old male with history of head and neck cancer, status-post chemoradiation. This study was performed for restaging.RADIOPHARMACEUTICAL: 12.6 MCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 104 mg/dL. Today's CT portion grossly demonstrates 4 small nodules in the right upper lobe, right middle lobe an... | 1.Several hypermetabolic pulmonary nodules, consistent with tumor. They are most likely due to metastases.2.Increased metabolic activity in the tongue base/epiglottis, which can be due to inflammatory change or tumor.3.Increased activity in the subcarinal lymph node, which can be due to metastasis. |
Generate impression based on findings. | 46-year-old female with a focal asymmetry in the right breast found on the screening mammogram presents for ultrasound guided biopsy of the right breast. Right ultrasound identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 10 x 5 mm at 6:30 position without increased vascul... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 49 year old female with history of liver transplant completed by PTLD. CHEST:LUNGS AND PLEURA: Unchanged right apical foci of ossification and fibrosis (4/15).Left upper lung groundglass opacity (4/20) is unchanged. Minimal right pleural effusion.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No sig... | 1. Stable mildly dilated intrahepatic biliary ducts, unchanged, and other findings as above.2. Left upper lung ground glass opacity, not significantly changed, may be followed on subsequent imaging studies. |
Generate impression based on findings. | Postoperative changes are seen from previous anterior fusion of T12 through L2, with a probable strut graft spanning L1. Susceptibility artifact limits evaluation of surrounding structures.The spine is in normal alignment. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnorm... | November evidence of acute cord compression. Postoperative changes at the thoracolumbar junction. |
Generate impression based on findings. | Male 73 years old; Reason: Relapsed FCL History: Most recently, he completed 6 cycles of BR in May 2014 CHEST:LUNGS AND PLEURA: Stable mild bibasilar scarring. Mild interval decrease in size of nodular lesion in lingular area, measuring 2 x 1.2 cm, image 78 series 6, previously measured 2.4 x 1.4 cm. At site of previou... | Mild interval decrease in size of reference lesions as described. At site of previously seen 1.3 cm right upper lobe groundglass nodule is a cluster of subcentimeter groundglass nodularity, may reflect improving disease. New new site of disease identified. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular st... | Unremarkable noncontrast MRI brain. |
Generate impression based on findings. | Hip pain Two views of the left hip are provided. Again seen is mixed lucency and sclerosis in the femoral head indicating avascular necrosis. There is a slight step off along the superomedial aspect of the femoral head that was not clearly evident on the prior study and may represent focal subchondral fracture. Small o... | Left femoral head osteonecrosis as described above. |
Generate impression based on findings. | Left distal radius aneurysmal bone cyst status post curettage/cementation. Evaluate for local recurrence. Again seen is cement within the site of curettage of a distal radial aneurysmal bone cyst. There is lucency within the bone along the distal and radial margins of the cement, but the overlying cortical bone appears... | Postoperative changes of aneurysmal bone cyst curettage and packing with findings as described above. |
Generate impression based on findings. | Dyspnea on exertion. Lung cancer, follow-up CHEST:LUNGS AND PLEURA: Multiple bilateral irregularly marginated modules are again observed with interval increase in both size and solid components. Multiple lesions are associate with pleural surface thickening and extension as well architectural distortion and retraction.... | Continued interval increasing size of both reference and multiple scattered pulmonary lesions despite differences in patient positioning and technique. Interval increasing size of bilateral pleural effusions create an image and appearance concerning for continued progression of known metastatic and primary lung maligna... |
Generate impression based on findings. | 77-year-old with history of right breast cancer status post mastectomy. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No dominant mass, suspicious microcalcifications or are... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: ? extrinsic compression History: nodular goiter, occ dysphagia Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no abnormalities of the mucosal surfaces or mural contou... | One episode of trace provoked gastroesophageal reflux. Otherwise normal exam. |
Generate impression based on findings. | Reason: patient s/p liver transplant, HIV+, skin cancer, now with organizing pneumonia (LLL). please f/u nodules for resolution History: lung nodules LUNGS AND PLEURA: Decrease in size of the left lower lobe subpleural opacity (image 73 series 4) now measuring 15 mm x 8 mm mm previously measuring 31 mm x 17 mm.Interval... | 1.Subpleural areas of consolidation /atelectasis may represent sites of organizing pneumonia.2.Interval decrease in the prior left lower lobe subpleural area consolidation (organizing pneumonia).3.Increasing right pleural effusion.4.No new suspicious pulmonary nodules or masses. |
Generate impression based on findings. | 63 years old male with a history of PTLD Lymphoma, s/p liver transplant and 6 cycles of R CHOP in need of end of treatment restaging. RADIOPHARMACEUTICAL: 14.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 179 mg/dL. Today's CT portion grossly demonstrates stable soft tissue densities in the bilateral maxi... | 1.No definite evidence of FDG avid tumor on the current study.2.Focal increased metabolic activity in the right side of mandible, which is most likely due to periodontal disease.3.Resolving inflammatory change in the left upper lobe. |
Generate impression based on findings. | Breast cancer, follow-up CHEST:LUNGS AND PLEURA: Mild basilar atelectasis and mildly decreased lung volumes without suspicious superimposed air space abnormality. Specifically no nodules or masses. No effusions.MEDIASTINUM AND HILA: No lymphadenopathyThe cardiac and pericardium are within limitsSmall hiatal herniaCHEST... | Large left breast mass and changes incompletely visualized and with axillary lymphadenopathy correlating with the patient's known breast cancer, however no intrapulmonary or central abnormalities. |
Generate impression based on findings. | Liver transplant and Hodgkin's lymphoma (PTLD-type), stage IVA, status post chemotherapy. The previously described multiple small lymph nodes distributed throughout the neck appear to have decreased in size when compared to the previous exam. For example, the right level 2A lymph node now measures 8 x 12 mm, previously... | 1. Although the right level 2A lymph node is slightly larger than previously, it and other cervical lymph nodes are not significantly enlarged by size criteria. 2. Refer to the separate chest CT report for additional details regarding the lung lesions. |
Generate impression based on findings. | Adenocarcinoma LUNGS AND PLEURA: Postsurgical changes from right upper lobectomy unchanged. No suspicious new nodules or masses identified. Scattered bilateral nonspecific micronodules. No effusions. Mild diffuse emphysematous changesSpecifically stable linear scarring both in the lingular region and right middle lobe.... | No evidence of recurrent or metastatic disease |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate the lumbar spine to be in normal alignment, with a normal lumbar lordosis. There is mild disk space narrowing at L5-S1 especially posteriorly. The vertebral body and disk space heights are otherwise well-maintained. There is no evidence of a pars d... | No evidence of spondylolysis. Trace disk bulges along the lumbar spine without significant stenosis. |
Generate impression based on findings. | Small lymphocytic lymphoma. Evaluate for lymphadenopathy. There is diffuse cervical lymphadenopathy involving the bilateral jugular chains, occipital nodes, and parotid nodes, as well as the imaged portions of the superior mediastinal nodes. Index nodes include:Left parotid node: 12 x 14 mm, previously 12 x 13 mmLeft l... | No significant interval change in the diffuse bilateral cervical lymphadenopathy and partially-imaged superior mediastinum related to lymphoma. |
Generate impression based on findings. | Right hand. Determine if catheter or sheath or thrombophlebitis. At the site of the abnormality, there is a mildly dilated and thrombosed vein. No foreign body was visualized. | Thrombophlebitis. No sonographic evidence of foreign body. |
Generate impression based on findings. | TachypneaVIEW: Chest AP 1/21/15 Cardiothymic silhouette normal. Minimal peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | PainVIEWS: Left ankle AP, oblique and lateral No acute fracture or dislocation. The ankle mortise joint is normal. No joint effusion noted. There is a small radiopaque density immediately adjacent to the base of the fifth metatarsal bone. | No acute fracture or dislocation. Radiopaque density immediately adjacent to the base of the fifth metatarsal bone and if clinically warranted dedicated radiographs of the left foot could be obtained. |
Generate impression based on findings. | Neutropenia and worsening frontal headaches. There is a small left maxillary sinus retention cyst and mild mucosal thickening in the right anterior ethmoid sinus and left frontal sinus. The other paranasal sinuses are clear. There are bilateral conchae bullosa, with opacification on the right. There is mild nasal septa... | 1. Small left maxillary sinus retention cyst and mild mucosal thickening in the right anterior ethmoid and left frontal sinuses. The other paranasal sinuses are clear. 2. Degenerative changes in the right temporomandibular joint. |
Generate impression based on findings. | 74 year old female with ankle pain at lateral and medial malleolus and difficulty with weight-bearing. Concern for arthritis versus trauma. Fell at home, swelling. There is soft tissue swelling about the ankle. I see no fracture. There is streaky calcification and possibly ossification of the distal Achilles' tendon in... | Soft tissue swelling and calcifications as well as mild osteoarthritis as described above. I see no fracture. |
Generate impression based on findings. | Left knee pain. Rule out osteoarthritis changes. Four views of the left knee are provided. There is mild medial compartment narrowing and small tricompartmental osteophytes indicating mild osteoarthritis. Mild osteoarthritis also affects the right knee as seen on the frontal view. | Mild osteoarthritis. |
Generate impression based on findings. | Status post right total knee arthroplasty Components of a total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas density in the anterior soft tissues reflect recent surgery. | Postoperative changes of total knee arthroplasty as above. |
Generate impression based on findings. | Pain. Loose tooth. Dental root fracture? There is a cavity of the distal root of the first right mandibular molar. Additionally, there is resorption of the bone about the roots that may represent an abscess. I see no fracture. There is mild impaction of the adjacent molar, as well as the third right maxillary molar. | Right first mandibular molar cavity and periapical bone resorption in the adjacent mandible which could represent abscess formation. I see no fracture. |
Generate impression based on findings. | 37 year old female with IDC grade 3 breast cancer. No abnormal osseous foci are identified to indicate metastatic disease.Faint radiotracer uptake diffusely within the left breast related to the patient's known breast cancer or post therapy changes.Focus of radiotracer activity within the right anterior 10th rib likely... | 1.No definite evidence of bone metastases. 2.Focus of activity within the right anterior 10th rib likely posttraumatic in etiology.3.Diffuse left breast activity related to known breast cancer or post therapy changes. |
Generate impression based on findings. | 66-year-old female with shoulder pain, evaluate for osteoarthritis Right knee: Severe tricompartmental osteoarthritis affects the knee, appearing similar to the prior exam. Mild varus deformity.Left knee: Severe osteoarthritis has progressed slightly from the prior exam. Mild varus deformity. | Severe osteoarthritis bilaterally. |
Generate impression based on findings. | 5-year-old male with high risk neuroblastoma status-post consolidation therapy, here for pre-antibody workup CHEST:LUNGS AND PLEURA: Bibasilar focal consolidations likely represent atelectasis. No pleural effusions. No suspicious pulmonary nodules.MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopath... | Focal opacities in bilateral lung bases likely represent atelectasis. Unchanged small amount of residual soft tissue in the surgical bed. No evidence of metastatic disease. |
Generate impression based on findings. | 66-year-old female with pain Right hip: The bones are demineralized. No osteoarthritis or fracture evident.Pelvis: The bones are diffusely demineralized. There is slight widening of the pubic symphysis and the margins of the greater trochanters are indistinct, possibly reflecting chronic hyperparathyroidism, appearing ... | Demineralization of the bones and other findings as described above, which may reflect chronic hyperparathyroidism. |
Generate impression based on findings. | 21 year-old female with right lower quadrant abdominal pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality n... | 1.Findings consistent with acute appendicitis.2.Bilateral adnexal lesions with high attenuation raising possibility of hemorrhagic adnexal cysts. Findings relayed to Dr. Ankit Bhatia over the phone at approximately 1:35 p.m. |
Generate impression based on findings. | Status post motor vehicle accident, right shoulder pain extending to neck, rule out fracture There is no acute fracture or malalignment. Minimal osteoarthritis affects the acromioclavicular joint. Mild sclerosis along the greater tuberosity is likely degenerative in etiology. | Minimal osteoarthritis without fracture. |
Generate impression based on findings. | 68-year-old female, assess prosthesis Hip: Hardware components of a total hip arthroplasty device are situated in near-anatomic alignment without evidence of complication.Pelvis: The aforementioned right total hip arthroplasty device is again noted. The bones are demineralized. Moderate osteoarthritis affects the left ... | Total hip arthroplasty as described above. |
Generate impression based on findings. | HIV and low CD4 with new unilateral headache and visual floaters. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is a retention cyst in the left maxil... | 1. No evidence of intracranial hemorrhage, mass, or abscess.2. Partially-imaged carious teeth # 5, 13, and 16. 3. Anterior subluxation of the mandibular condyles. |
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