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Generate impression based on findings. | Reason: esophageal cancer History: regionally advanced cancer s/p neoadjuvant chemotherapy/radiation CHEST:LUNGS AND PLEURA: Centrilobular emphysema with with scattered micronodules some other calcified compatible prior granulomatous disease.No suspicious nodules or masses.No pleural effusions.MEDIASTINUM AND HILA: Cal... | No interval change without evidence of metastatic disease. |
Generate impression based on findings. | 93 year old female with history of aortic valve disorder. Preoperative TAVR CT protocol. Limited field of view for evaluation of central vasculature, so evaluation of soft tissues is limited. Moderate atherosclerosis affects the visualized aorta, with mild atherosclerosis of the common iliac arteries. The celiac trunk,... | 1. Moderate atherosclerosis of the distal aorta, and mild atherosclerosis of the common iliac arteries.2. The right common iliac artery is markedly kinked at the level of the common iliac artery bifurcation. The left common iliac artery is mildly tortuous. |
Generate impression based on findings. | Concern for worsening MAI. Solitary pulmonary nodule LUNGS AND PLEURA: Persistent and mildly shifting areas of bronchiectasis with clustered nodules which many are calcified. Both tree in bud opacities in the right upper and right lung base are again observed scattered micronodules. The left upper lobe specific nodule ... | Persistent bronchiectasis with reimposed opacities again representing suspected chronic infection such as MAI. Overall appearance and disease burden is similar yet shifting in location |
Generate impression based on findings. | Male; 61 years old. Reason: S/P LVAD. S/P chest wound debridement; Eval for fluid collection at chest and VAD drive line site History: Leukocytosis CHEST:LUNGS AND PLEURA: Calcified granulomas. Lungs hypoinflated. Mild streaky bibasilar subsegmental atelectasis, similar to prior study. No pleural effusions.MEDIASTINUM ... | Few nonspecific punctate foci of mediastinal air adjacent to the aortic limb of the LVAD are stable to slightly decreased. No evidence of fluid collection or abscess. |
Generate impression based on findings. | Right cheek squamous cell carcinoma. Check for lung metastatic disease LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No lymphadenopathy.Severe coronary calcifications without additional cardiac or pericardial abnormality.Small hiatal herniaCHEST WALL: Mild gynecomastiaUPPER ABDOMEN: Absence o... | No evidence of metastatic disease |
Generate impression based on findings. | 40 year-old male with new lung cancer, evaluate for sites of metastasis.RADIOPHARMACEUTICAL: 15.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 90 mg/dL. Today's CT portion grossly demonstrates left upper lobe mass. With hilar lymphadenopathy. Paraseptal emphysema. Basilar atelectasis. Enlarged left adrena... | 1.Markedly hypermetabolic left upper lobe mass compatible with patient's known history of lung cancer. Additional hypermetabolic right upper lobe probable nodule. 2.Bilateral hypermetabolic lymphadenopathy.3.Hypermetabolic probable left adrenal metastasis.4.Diffusely hypermetabolic pancreas, which can represent maligna... |
Generate impression based on findings. | 72-year-old male with pain and swelling over medial malleolus Ankle: There is diffuse soft tissue swelling without fracture evident.Foot: No fracture is evident. Soft tissue swelling is again seen. A round, lucent lesion with sclerotic margins in the navicular likely represents a small cyst or ganglion, unchanged. Mild... | Soft tissue swelling and other findings as described above appearing similar to the prior exam. We see no fracture. |
Generate impression based on findings. | 28-year-old female with pain, reduced range of motion, evaluate elbow fracture There is a comminuted fracture of the coronoid process of the ulna with mild volar displacement of the fracture fragments. No fragments have migrated posteriorly within the joint. The remainder of the proximal ulna is intact. The proximal ra... | Coronoid process fracture as described above. |
Generate impression based on findings. | Pre-stem cell transplant evaluation. Patient with history of myelodysplastic syndrome LUNGS AND PLEURA: Scattered subcentimeter nonspecific subcentimeter nodules with apical chronic scarring bilaterally. Mild septal distribution cannot be excluded and associated mild bronchial wall thickening is also observed. Though n... | Mild chronic appearing change in the upper lungs without evidence of superimposed acute disease. See detail provided. |
Generate impression based on findings. | 64-year-old female with history of diplopia. Evaluate for intracranial hemorrhage. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No mass, midline shift or uncal herniation. Gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with mild... | No evidence of intracranial hemorrhage or mass effect. If there is continued suspicion for structural abnormality, consider MRI for further evaluation. |
Generate impression based on findings. | Female; 30 years old. Reason: 30yo F with HIV and AIDS presenting with odynophagia, upper abd, and back pain worsened by swallowing. History: abd pain, odynophagia, back pain CHEST:LUNGS AND PLEURA: Interval resolution of scattered ground glass nodular opacities in both lungs, most likely post infectious or inflammator... | No acute abnormality or findings to explain the patient's symptoms. Interval resolution of bilateral groundglass nodular opacities, most likely post infectious or inflammatory in etiology. |
Generate impression based on findings. | Dyspnea, persistent shortness of breath, IBD on immunosuppression. Further characterize changes on CXR. LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema. Interval worsening of multifocal segmental/subsegmental scarring and atelectasis. No pleural fluid or pneumothorax. Motion artifact at the lung bases lim... | Small airways abnormalities likely related to IBD include very mild bronchiectasis, probable segmental/subsegmental airway narrowing and stenosis resulting in atelectasis and scarring and minimal mucous plugging. Stable mild focal tracheal narrowing. Moderate to severe centrilobular and paraseptal emphysema. No signs o... |
Generate impression based on findings. | Postcontrast images demonstrate enhancing tissue along the site of laminectomy/left facetectomy at L4-L5. Additional enhancing tissue extends along the left lateral epidural space at this level without mass effect upon the sac. Although evaluation remains limited secondary to susceptibility artifact, there appears to ... | Redemonstration of postoperative changes with probable granulation tissue along the left L4-L5 foramen, although evaluation remains limited secondary to susceptibility artifact. |
Generate impression based on findings. | 18 year-old male with pain and swelling after injury, evaluate for fifth finger fracture There is a transverse fracture of the mid diaphysis of the fifth metacarpal with approximately 30-40 degrees volar angulation of the distal fracture fragment. | 5th metacarpal fracture as described above. Findings discussed with Dr. Martin by phone at the time of dictation. |
Generate impression based on findings. | Female; 68 years old. Reason: 68 y/o woman with metastatic breast cancer with new SOB. Evaluate for PE. History: SOB PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. Evidence of right heart strain.LUNGS AND PLEURA: Large left pleural effusion with underlying mild compressive ... | 1. No acute pulmonary embolus.2. Large left pleural effusion.3. Significant interval decrease in pulmonary metastases with few scattered subcentimeter pulmonary nodules remaining.4. Increased increased sclerotic foci in the visualized bones, which are predominantly punctate and consistent with treated metastases.PULMON... |
Generate impression based on findings. | Not moving arm much.VIEWS: Left clavicle AP/axial (two views), left humerus AP/lateral (two views) 01/21/15 A transverse fracture of the proximal humeral metadiaphysis has posterior angulation. Soft tissue swelling surrounds the fractures. | Fracture of the proximal humerus. |
Generate impression based on findings. | Female, 34 years old.Multiple surgical teams involved in retroperitoneal operation, evaluate for RFO. Right upper quadrant surgical clips are seen. IUD is in expected location. Pelvic catheter, likely a temperature probe, is also noted. No unexpected radiopaque foreign objects. | No unexpected radiopaque foreign objects, with other findings as above. Dr. Eggener notified of findings 1/21/2015; 4pm |
Generate impression based on findings. | 93 year old female with severe aortic valve stenosis who is being considered for TAVR and referred for evaluation of her cardiovascular anatomy to help plan the procedure. The patient has significant renal disease, after discussion regarding the risk/ benefit profile with the referring physician and with the patient, t... | 1. Severe aortic valve calcification 2. Thoracic aortic anatomy as above; of note, the leaflet length is slightly greater than the left main height. 3. Mild left ventricular hypertrophy with prominent sigmoid septum and evidence of a resting apical perfusion defect. 4. Severe left atrial dilation. 5. Moderate dilation... |
Generate impression based on findings. | Not moving arm much.VIEWS: Left forearm AP/lateral (two views) 01/21/15 The bones are normal in appearance. No fracture is present. | Normal examination. |
Generate impression based on findings. | Postoperative changes are again seen from left frontal craniotomy for resection of a previous large left frontal lobe mass. There has been interval decrease in size of the fluid filled resection cavity which continues to demonstrate FLAIR hyperintensity, with decreased amount of layering irregular heterogeneous signal... | 1. Expected evolution of postoperative changes from bifrontal craniotomy for resection of a large left frontal lobe mass. No definite evidence of tumor recurrence at this time. Please note that perfusion imaging could not be processed due to technical errors.2. Decreased confluence of the left moderate and right fronta... |
Generate impression based on findings. | 28-year-old female with history of urinary tract infections. Evaluate kidneys and bladder. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormalit... | No hydronephrosis or other structural renal abnormality. |
Generate impression based on findings. | There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size for age. The cerebellar tonsils are in normal position. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute infarct. There are no extraaxial fluid collections or subdural hematoma... | No intracranial mass or mass effect. MRI of the brain appears within normal limits for age. |
Generate impression based on findings. | 17 year-old female with Crohn's disease, evaluate extentEXAMINATION: MR enterography without and with IV contrast 01/21/15 ABDOMEN:LIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma.SPLEEN: No significant abnormality noted.PANCREAS: No significant ... | Mild fixed luminal narrowing of the distal terminal ileum consistent with chronic sequelae of Crohn's disease, without additional areas of active inflammation identified. |
Generate impression based on findings. | Right shoulder pain. Evaluate for fracture. I see no fracture or malalignment. I see no specific findings to account for the patient's shoulder pain. | No fracture or other findings to account for the patient's shoulder pain. |
Generate impression based on findings. | Right groin pain, evaluate for osteoarthritis Two views of the right hip show tiny osteophytes indicating mild osteoarthritis. There is no fracture. Arterial calcifications are noted. | Mild osteoarthritis. |
Generate impression based on findings. | Cough for 4 months, weight loss of 30 pounds. LUNGS AND PLEURA: No pleural fluid or pneumothorax. Mild centrilobular emphysema. Upper lobe predominant subpleural reticulation and honeycombing consistent with mild pulmonary fibrosis, most pronounced in the lingula.13-mm right lower lobe nodule is of mixed density, predo... | 1. No mediastinal mass.2. 13-mm indeterminant pulmonary nodule; a minimally invasive or invasive adenocarcinoma cannot be excluded. Three-month CT follow-up recommended. If the solid component increases at that time, then PET/CT may be warranted.3. Mild pulmonary fibrosis, new from 2002, atypical in distribution for UI... |
Generate impression based on findings. | There is diffuse increased gyral diffusion restriction within the cerebrum and cerebellar grey matter, as well as bilaterally within the caudate, putamen and thalamus suggestive of global hypoxic ischemic injury. Associated increased T2/FLAIR signal is noted in the same distribution. The brainstem is intact without ev... | 1.Findings suggestive of global hypoxic ischemic injury with decreased ventricular size likely relating to cerebral edema.2.Moderate mucosal thickening of the paranasal sinuses. Small amount of fluid in the mastoid air cells bilaterally. Please correlate clinically. |
Generate impression based on findings. | Female 31 years old Reason: r/o acute appy History: RLQ abdominal pain, iv contrast dye allergy The exam is not sensitive for detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given those limitations, the following observations are made:ABDOMEN:LUNG BASES: No significant abno... | Left adnexal cyst (5.1cm largest dimension). Correlate clinically as to the need for further evaluation with pelvic ultrasound.Diffuse fatty liver.No evidence of bowel abnormality to explain right lower quadrant pain. No evidence of appendicitis. Possible sutures suggesting prior appendectomy correlate with surgical hi... |
Generate impression based on findings. | Male 46 years old; Reason: r/o diverticulitis History: no h/o diverticulosis and LLQ pain. ABDOMEN:LUNG BASES: Focal small right lower lobe opacity unchanged from prior exam correlate for infection.Left lower lobe bronchiectasis, unchangedLIVER, BILIARY TRACT: Soft tissue density material layering in the gallbladder li... | Right and left lower lobe lung findings as above, unchanged.No evidence of acute process to explain lower abdominal pain.Numerous other findings as above chronic in nature. |
Generate impression based on findings. | 85 years old, Male, Reason: pt w/ feculent emesis and abd distention. c/f obstruction and need to visualize source Respiratory motion limits fine detail.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: Adjacent to... | 1.Diffuse mild small bowel dilatation without evidence of transition point likely representing an ileus.2.Small soft tissue nodule in the first portion of the duodenum may represent a a submucosal mass. If clinically warranted further evaluation with endoscopy may be helpful for further evaluation.3.Focal dilatation of... |
Generate impression based on findings. | 14-year-old male with right foot/ankle pain after being run over by CTA busVIEWS: Right tibia-fibula AP/lateral, right foot AP/oblique/lateral, right ankle AP/oblique/lateral (8 views) 01/21/15 Soft tissue swelling is identified about the ankle. There is mild cortical irregularity along the medial aspect of the right d... | 1.Soft tissue swelling about the ankle without evidence of acute fracture.2.Mild cortical flaring/irregularity of the distal tibial metaphysis likely represents a prominent physis.3.Dorsal aspect of the midfoot bone fragment without significant soft tissue swelling is equivocal for fracture. Follow-up may be considered... |
Generate impression based on findings. | 63-year-old male with pain, no trauma, metastatic prostate cancer. Evaluate for fracture. Left hip:Two views of the left are provided. No acute fracture or dislocation is evident. Diffuse mottled appearance of the bones compatible with diffuse osseous metastases. Moderate osteoarthritis affects the left hip.Lumbar spin... | No acute fracture or malalignment of the left hip or lumbar spine. Findings compatible with diffuse osseous metastases. |
Generate impression based on findings. | 1-day-old female with RDS, increasing O2 requirement.VIEW: Abdomen and chest AP (two view) 1/21/2015, 10:49 Streaky bibasilar and right upper lobe opacities are evident, consistent with subsegmental atelectasis. No pleural effusion or pneumothorax is seen. The lung volumes are small. The aortic arch, cardiac apex and s... | Multifocal subsegmental atelectasis and low lung volumes. |
Generate impression based on findings. | Female 37 years old Reason: perirectal abscess s/p I\T\D r/o worsening Dz History: increased pain and drainage. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | Two discrete mature perirectal/perianal fluid collections as detailed above. Fat stranding to the perianal skin.Changes left intra-abdominal wall may be related to prior surgery or cancer there is correlate for fistulous communications.Postsurgical changes consistent with ileocolic anastomosis. |
Generate impression based on findings. | Fall one month ago, altered mental status, evaluate for delayed hemorrhage 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 mild global parenchymal volume loss. No hydrocephalus. No extra-a... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | 64-year-old female with right wrist pain and inflammation. Evaluate for wrist fracture. Three views of the right wrist are provided. Mild soft tissue swelling about the wrist. No acute fracture or malalignment. Degenerative changes affect the radiocarpal and distal radioulnar joint. Ossific density adjacent to the ulna... | Soft tissue swelling with no acute fracture or malalignment. Additional chronic findings as above. |
Generate impression based on findings. | 17-year-old male with right upper quadrant abdominal pain, fever ABDOMEN:LUNG BASES: No pleural effusion. Bibasilar dependent groundglass opacities bilaterally likely represents atelectasis.LIVER, BILIARY TRACT: No hepatic lesions. The gallbladder is within normal limits. No intrahepatic or extrahepatic biliary ductal ... | Marked cecal wall thickening with adjacent encapsulated fluid collection. The proximal appendix is only visualized. These findings likely represent complicated appendicitis. Other considerations may include colitis complicated by abscess or typhlitis in the correct clinical context. Small amount of free fluid and react... |
Generate impression based on findings. | 53-year-old male with severe PVD, down to have right lower extremity calf wound, concern for osteomyelitis. Soft tissue defect along the lateral aspect of the mid to distal fibular diaphysis compatible with history of ulceration. Small amount of underlying cortical irregularity may represent acute osteomyelitis. | Soft tissue ulceration with questionable underlying cortical irregularity, which may represent acute osteomyelitis. These findings could be further evaluated with MRI if clinically indicated. |
Generate impression based on findings. | Eight year old female with cough, fever and recent pneumonia status post course of antibiotics. Evaluate for pneumonia.VIEWS: Chest AP/lateral (two views) 1/22/2015 The lung volumes are large and there is peribronchial wall thickening. Streaky left basilar opacity most consistent with atelectasis. The aortic arch, card... | Bronchiolitis/reactive airways disease pattern without evidence of superimposed pneumonia. |
Generate impression based on findings. | Altered mental status. There is a hyperdense mass along the left parietal convexity at the midline measuring 19 x 35 x 21 mm and better seen on prior postcontrast CT and MRI. There is mild local mass effect which appears similar to prior. No intracranial hemorrhage is identified. No midline shift or uncal herniation. G... | 1. No evidence of intracranial hemorrhage or new 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. Left parietal extra-axial mass likely representing a meningioma is grossly stable and better assessed ... |
Generate impression based on findings. | 72 years, Male. Reason: assess OG placement History: as above OG tube side port is at the level of GE junction. Recommend advancement by 12 cm. Incompletely visualized distended loops of colon with paucity of gas beyond the splenic flexure. This may represent colonic ileus, correlate with patient history and symptoms. ... | 1.OG tube side port is at the level of GE junction. Recommend advancement by 12 cm. 2.Incompletely visualized distended loops of colon with paucity of gas beyond the splenic flexure. This may represent colonic ileus. Correlate with patient history and symptoms. Follow-up is suggested to exclude underlying obstruction.F... |
Generate impression based on findings. | 43-year-old female with ulcer medial aspect of left lower leg down to the bone. Evaluate for osteomyelitis, necrotizing fasciitis. Two views of the left tibia/fibula are provided. Moderate soft tissue defect is again seen along the soft tissues overlying the medial aspect of the distal tibial metaphysis. Associated per... | Distal medial soft tissue ulceration with findings suggestive of acute osteomyelitis, increased compared to prior, in a background of chronic deformity. |
Generate impression based on findings. | 82 year old female with abdominal pain. Evaluate for diverticulitis versus small bowel obstruction. ABDOMEN: Lack of intravenous contrast enhancement limits evaluation of solid organs.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: Atrop... | 1.Early descending colonic diverticulitis. 2.Bowel-containing left inguinal hernia with fluid in the hernia sac. Incarcerated/strangulated hernia cannot be excluded and clinical correlation is advised. 3.No findings to suggest small bowel obstruction as clinically questioned. 4.Nonspecific small volume free pelvic flui... |
Generate impression based on findings. | 33-year-old male with history of end-stage renal disease and renal transplant. Also with open wound. Please note lack of IV and oral contrast limits evaluation of solid organ pathology, and also of the GI tract.ABDOMEN:LUNG BASES: Mild patchy bilateral lower lung ground glass opacities, nonspecific. No pericardial effu... | 1. Interval near complete resolution of the previously described right lower quadrant hematoma. Additionally, the previously described right lower quadrant wound is not well visualized.2. Bibasilar ground glass opacities, likely related to infection/aspiration. |
Generate impression based on findings. | Female; 84 years old. Reason: eval for pe History: sob, active ca PULMONARY ARTERIES: No evidence of pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Mild central bronchial wall thickening and diffuse interlobular septal thickening, most suggestive of p... | 1. No acute pulmonary embolus.2. Findings suggestive of mild CHF with cardiomegaly, pulmonary edema, and right pleural effusion.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 15-year-old male with hypoxia after seizure.VIEW: Chest AP (one view) 1/22/2015 The left chest wall neurostimulator position is unchanged. A new left retrocardiac opacity is present, likely reflecting atelectasis, perhaps related to aspiration, although superimposed infection is not excluded. The cardiothymic silhouett... | New retrocardiac opacity likely reflecting atelectasis, perhaps related to aspiration, although superimposed infection not excluded. |
Generate impression based on findings. | 21 years, Male. Reason: abdominal pain, evaluate for obstruction History: LLQ pain Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Respiratory problems after birth, evaluate endotracheal tube placement.VIEW: Chest AP (one view) 1/22/2015, 06:13 The endotracheal tube has been retracted with the tip now terminating below the thoracic inlet and above the carina. Interval placement of an enteric feeding tube is noted, with the tip terminating out of t... | Endotracheal tube in appropriate position with resolution of the right upper lobe atelectasis. Persistent diffuse hazy opacity. |
Generate impression based on findings. | 55 years, Male. Reason: DHT placement Limited view of the abdomen due to motion artifact. Pelvis is excluded from the field-of-view. Dobbhoff tube tip overlies the gastric fundus. Incompletely imaged prominent gas containing small and large bowel, without significant change from prior study. | 1.Dobbhoff tube tip overlies the gastric fundus.2.Incompletely imaged prominent gas containing small and large bowel, without significant change from prior study. |
Generate impression based on findings. | 90 year-old female with bone pain, rule out lytic lesion Thoracic spine There is an age indeterminate compression fracture of the T7 vertebral body which is new from the prior exam dated 1/1/13. Moderate multilevel degenerative disk disease.Lumbar spine: Vertebral body heights are maintained. There is severe degenerati... | New age indeterminate T7 vertebral body compression fracture and degenerative arthritic changes as described above. |
Generate impression based on findings. | 56 show female with foot pain Moderate osteoarthritis affects the first MTP joint. There is flattening along the medial surface of the distal first metatarsal. No fracture is visualized. | Osteoarthritis and additional findings as described above. |
Generate impression based on findings. | 59-year-old female status post left TKA Hardware components of a left total knee arthroplasty device are situated in near-anatomic alignment without evidence of complication. Foci of gas, staples and drain in the soft tissues reflect recent surgery. | TKA in near anatomic alignment. |
Generate impression based on findings. | 59-year-old female with back pain Mild to moderate degenerative disk disease affects L5/1. There is mild anterolisthesis of L5 on S1. Small anterior vertebral body osteophytes are noted along the lumbar spine. Mild to moderate facet joint hypertrophy affects the lower lumbar spine. | Grade 1 anterolisthesis of L5 on S1 and degenerative arthritic changes as described above. |
Generate impression based on findings. | Fall, head laceration, alcohol intoxication Small left parietal subgaleal hematoma. 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 mild global parenchymal volume loss including the cerebe... | 1. No evidence of intracranial hemorrhage or mass effect. 2. Small left parietal subgaleal hematoma with intact calvarium. |
Generate impression based on findings. | 85 years, Male. Reason: Abdominal fullness, emesis. Evaluate for obstruction. Evaluation is somewhat limited by motion artifact. Nonobstructive bowel gas pattern. Surgical clips scattered throughout the pelvis. Spinal degenerative changes and scoliosis are noted, with orthopedic fixation hardware in the lower lumbar sp... | Nonobstructive bowel gas pattern. Please see report from subsequent CT exam for further details. |
Generate impression based on findings. | Headache, vomiting, evaluate for subarachnoid hemorrhage No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. Sulci and ventricles are within normal limits for age without evidence of hydrocephalus. No ... | No evidence of intracranial hemorrhage or mass effect. If there is continued suspicion for intracranial mass, consider MR for further evaluation. |
Generate impression based on findings. | 70 year old female with history of neutropenia and abdominal pain. Assess for infection/bowel wall thickening. ABDOMEN:Please note lack of IV and oral contrast limits evaluation of solid organ pathology, and also of the GI tract.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips. No... | No small bowel obstruction or bowel wall thickening, given the limitations of this exam. No significant ascites, or other findings to explain the patient's abdominal pain. |
Generate impression based on findings. | 35-year-old male with history of Crohn's disease. Evaluate for bowel perforation. 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 notedKI... | 1.Findings consistent with acute on chronic colitis, which may be infectious or inflammatory in etiology. Given the presence of pericecal fluid, ischemic etiology cannot be excluded.2.Other chronic colonic findings of Crohn's disease as above. |
Generate impression based on findings. | 26 years, Female. Reason: Abdominal pain. Nonobstructive bowel gas pattern. Moderate to large stool burden. There is an incompletely imaged nonspecific radiodensity in the left lung base. | 1.Nonobstructive bowel gas pattern. 2.Incompletely imaged left lung base radiodensity, presumably representing overlying structures. If there is clinical concern, further evaluation with dedicated chest radiography is recommended. |
Generate impression based on findings. | 70 years, Male. Reason: Patient s/p ex-lap with abdominal pain. Evaluate for obstruction. Nonobstructive bowel gas pattern, with residual contrast material identified in the colon. Dobbhoff tube tip in gastric body. Bilateral nephroureteral stents. Abdominopelvic surgical clips and staples. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 60 years old; Reason: hx of chronic left upper quadrant abdominal pain, worse this past week with nausea and vomitting history gastric bypass in 2002, hysterectomy, and ventral hernia repair History: same ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Hypoattenuation of the liver, com... | 1.No CT findings to explain patient's history of left upper quadrant pain. Status post gastric bypass.2.Fatty liver. |
Generate impression based on findings. | Infant born prematurely with acute respiratory distress. Evaluate endotracheal tube placement.VIEW: Chest AP (one view) 1/22/2015, 02:58 The endotracheal tube has been advanced with the tip in the right mainstem bronchus. Right upper extremity PICC terminates in the right brachiocephalic vein.New focal right upper lobe... | Right mainstem bronchus intubation, with new right upper lobe atelectasis. Diffuse hazy pulmonary opacity persists. |
Generate impression based on findings. | Images are slightly limited by patient motion. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mast... | No acute intracranial abnormality, although with mild motion limitation. |
Generate impression based on findings. | Female; 47 years old. Reason: eval for retrocardiac opacity c/f for PNA History: see above LUNGS AND PLEURA: Moderate nonspecific left basilar atelectasis/consolidation, not significantly changed since 1/16/15. Minimal right basilar dependent subsegmental atelectasis. No suspicious pulmonary nodules or masses. Trace le... | 1. Moderate nonspecific left basilar atelectasis/consolidation is not significantly changed since 1/16/15. This may be due to aspiration or pneumonia.2. Small pericardial effusion.3. Marked bilateral reactive axillary lymphadenopathy, with biopsy performed on 11/5/14 demonstrating benign etiology. |
Generate impression based on findings. | 64 year old male s/p OG tube placement. Orogastric tube sidehole in the gastric fundus. Nonobstructive bowel gas pattern. | Orogastric tube as above. |
Generate impression based on findings. | Female 58 years old Reason: patient with pancreatic cancer s/p Whipple now with weight loss. Needs restaging History: pancreatic cancer, weight loss. CHEST:LUNGS AND PLEURA: Moderate-sized left pleural effusion and underlying atelectasis. No lung nodules.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL... | New finding of a diffuse submucosal edema involving most of the colon consistent with colitis. Correlate for infectious colitis.Submucosal edema stomach for gastritis.Postsurgical changes of the with soft tissue encasing all the adjacent vasculature as detailed above. Soft tissue may represent a combination of neoplasm... |
Generate impression based on findings. | 51 year old female with known cyst in the right breast presents for annual exam. Family history breast cancer in her paternal aunt. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchan... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 74 years, Female. Reason: Dobbhoff tube moved History: Dobbhoff tube Motion artifact significantly limits evaluation. DHT tip suggested in gastric body. Possible IABP marker at approximately L2 level. Please see same day chest radiograph report for additional findings. | Enteric tube tip as above. |
Generate impression based on findings. | Increased abdominal girth, fullness and dark brown residuals.VIEW: Abdomen AP (one view) 1/22/2015, 06:21 The enteric feeding tube tip terminates in the body of the stomach. The UAC tip projects out of the field of view superiorly. The UVC tip is in the ductus venosus/hepatic vein.Mild interval increased diffuse gaseou... | Mild gaseous distention in a disorganized, nonobstructive pattern. |
Generate impression based on findings. | 75-year-old female with history of left breast lumpectomy and sentinel lymph node biopsy in July 2013 for IDC, presents for routine follow-up. No current breast complaints. Three standard views of both breasts and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 C... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 64-year-old female with toe pain. Evaluate for fracture, dislocation, patient with history of fifth toe surgery, stubbed yesterday, here with pain. Postsurgical changes of resection of the middle phalanx and distal aspect of the proximal phalanx of the little toe. Moderate soft tissue swelling about the little toe. No ... | Postsurgical changes and soft tissue swelling without acute fracture or malalignment evident. |
Generate impression based on findings. | History of acute myeloid leukemia, known sinusitis. Evaluate for interval change. Sinuses: There is unchanged complete opacification of the right maxillary sinus. There is persistent involvement of several adjacent ethmoid air cells, as well as a rudimentary right frontal sinus. There is mild interval increased mucosal... | 1. Persistent pansinus opacification that is most pronounced in the right osteomeatal unit, but otherwise has a sporadic distribution. The degree of opacification in the sphenoid sinuses has increased slightly, but remains relatively mild.2. Tooth # 3 is carious.3. No evidence of acute intracranial hemorrhage or mass. |
Generate impression based on findings. | 4-month-old male with left humerus fractureEXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, right forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, right femur AP, left femur AP, right tibia fibula AP, left tibia fibula AP, rig... | Minimally displaced fracture through the left proximal humerus without additional fractures. |
Generate impression based on findings. | 77-year-old female with history of Crohn's and intestinal fistulas. Evaluate. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable mild intrahepatic biliary ductal dilatation. Perfusion defect versus focal fat sparing noted along the falciform ligament.SPLEEN: No significant abnormality note... | 1.Findings consistent with acute Crohn's disease involving the small bowel and neoterminal ileum. There are multiple sinus tracts and at least two enterocutaneous fistula as detailed above. CT is insensitive for evaluation of fistulous disease and further evaluation with fluoroscopy versus MRI may be considered if clin... |
Generate impression based on findings. | 82 year old female with history of abdominal pain, nausea vomiting, sickle cell, uterine cancer. Evaluate for small bowel obstruction. Please note lack of IV and oral contrast limits evaluation of solid organ pathology, and also of the GI tract.ABDOMEN:LUNG BASES: Bibasilar scarring, similar to prior. Cardiomegaly, wit... | 1.Small bowel obstruction, with likely transition point in the left lower quadrant. Small amount of free fluid in the abdomen comment a setting of small bowel obstruction is nonspecific, but the possibility of ischemia is raised.2.Stigmata of sickle cell disease, and other findings as above without significant interval... |
Generate impression based on findings. | Reason: evaluate for sarcoidosis History: as above LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No lymphadenopathy. No coronary calcifications. CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. No sign... | Normal examination. No evidence of sarcoidosis as clinically questioned. |
Generate impression based on findings. | Female 68 years old; Reason: 68F with breast cancer and DDD/OA, p/w worsening back pain, please eval for bony mets/disease progression Exam is limited given patient's body habitus.Again seen are widespread osseous metastases involving the thoracolumbar spine, sternum, bilateral humeri and ribs, skull and right anterior... | Widespread osseous metastatic disease with apparent mixed interval response. There has been decrease in activity of multiple skull and bilateral rib lesions, however foci involving the right L2 pedicle and bilateral femuri appear to be new. Other lesions involving the bilateral humeri and thoracic spine are stable. |
Generate impression based on findings. | Male 50 years old; Reason: evaluate for abscess or hematoma History: prolonged neutropenia, recurrent fevers, abd distension, c diff and fungemia ABDOMEN:LUNG BASES: New small bilateral pleural effusions. At least two groundglass nodules measuring up to 6 mm are seen in the right lung (3:5 and 3:9), and are nonspecific... | 1. At least two new ground glass nodules are seen in the right lung, which are nonspecific, but likely infectious. Dedicated CT chest is recommended to further evaluate extent.2. Again seen is colonic wall thickening and pericolonic induration extending from the cecum to at least the sigmoid colon, compatible with nons... |
Generate impression based on findings. | Reason: eval for worsening ILD, UIP or infection History: SOB LUNGS AND PLEURA: Continued mild progression in basilar predominant subpleural retraction, bronchiectasis, and groundglass opacity with honeycombing since the prior study. Diffuse centrilobular nodularity has also mildly increased. No new suspicious masses o... | 1. Continued mild progression of interstitial lung disease as described above. 2. No evidence of superimposed infection or other acute process. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. |
Generate impression based on findings. | 74 years old, Female, Reason: eval for porgression History: met urothelial cancer CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema appearing similar to prior exam. Reference left upper lobe pulmonary nodule is not significantly changed in size now measuring 0.4 x 0.5 cm (series 6, image 20), previously measuring ... | 1. New compression fracture of the T11 vertebral body, which previously had a lytic lesion. 2. Osseous metastatic disease not significantly changed compared to prior exam. |
Generate impression based on findings. | 52-year-old female with right knee pain and anterior tenderness. Evaluate for fracture or signs of arthritis. Four nonweight bearing views of the right knee are provided. Small osteophytes along the medial tibiofemoral joint are compatible with minimal osteoarthritis. No joint effusion or soft tissue swelling. No acute... | Minimal osteoarthritis with no acute fracture or malalignment. |
Generate impression based on findings. | Image quality is degraded by motion artifact. There are post-operative findings related to right retrosigmoid craniotomy for tumor resection. The right cerebellopontine angle component appears completely resected. There is a small enhancing lesion involving the right internal auditory canal measuring 6x6x6 mm compatib... | 1. Post-operative findings related to right retrosigmoid craniotomy for tumor resection. No evidence of residual tumor in the cerebellopontine angle. There is a 6x6x6 mm enhancing component in the right internal auditory canal consistent with small residual tumor.2. Communicating hydrocephalus again seen, similar to pr... |
Generate impression based on findings. | Please note that postcontrast images were not obtained as patient was agitated and IV access was not able to be obtainedThere is relatively symmetric increased T2 signal within the mesial temporal lobes bilaterally, along the parahippocampal gyri, extending through both hippocampal tails without associated susceptibil... | 1.Increased T2 signal within bilateral mesial temporal lobes extending through the hippocampal tails, with near symmetry except for greater anterior gyral expansion. Differential includes encephalitis, including herpes and limbic encephalitis, and status epilepticus, with neoplasm considered much less likely. Correlati... |
Generate impression based on findings. | 20 year-old male with pain/swelling. Evaluate for fracture. Elevation of the anterior distal humeral fat pad compatible with a joint effusion. No definite underlying acute fracture is evident. Well corticated ossific density along the lateral aspect of the elbow joint may be related to prior trauma. | Joint effusion with no definite underlying acute fracture. Patient may return in 7-10 days for followup imaging if clinically indicated to exclude occult fracture. |
Generate impression based on findings. | 45-year-old male with right ankle pain. Three non-weight-bearing views of the right foot are provided. Extensive vascular calcifications. Bones are demineralized.Hallux valgus deformity. Large accessory navicular bone. No acute fracture or malalignment is evident. | No acute fracture or malalignment. Additional findings as above. |
Generate impression based on findings. | 68 year-old female with breast cancer, DJD, and chronic shoulder pain. Evaluate for disease progression. CHEST:LUNGS AND PLEURA: No significant interval change in multiple pulmonary nodules. Stable post radiation changes in the right upper lobe.Reference right upper lobe nodule measures 0.6 x 0.6 cm (series 5, image 31... | 1.Stable pulmonary metastatic disease. 2.Extensive sclerotic osseous lesions consistent metastatic disease. Correlation with nuclear medicine bone scan for more sensitive evaluation of osseous metastatic disease is recommended.3.Right breast soft tissue thickening is stable and may be postsurgical in etiology. Correlat... |
Generate impression based on findings. | 27-year-old male with history of abdominal pain, epigastric pain and lupus. Evaluate for pathology of abdominal pain. ABDOMEN:LUNG BASES: Minimal basilar scarring, similar to prior.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADR... | No small bowel obstruction or free air. No acute abnormality to explain the patient's abdominal pain. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. Small foci of abnormal low density are seen in the right basal ganglia as well as possibly just cranial to the right external capsule. There is no extraaxial fluid collection. The visualize... | No acute intracranial hemorrhage. Foci of abnormal density in the right basal ganglia and possibly just cranial to the right external capsule which could represent age indeterminate small vessel ischemic changes/lacunar infarcts. If there remains clinical concern for an acute ischemic event, MRI of the brain is recomme... |
Generate impression based on findings. | Hip dysplasia.VIEW: Pelvis AP (one view) 01/22/15 Femoral head ossification centers are symmetric. They are well directed into normally formed acetabula. No fracture is identified. | Normal examination. |
Generate impression based on findings. | 45-year-old female with recurrent abscess on hand and forearm. Evaluate how deep abscess tracks. Again seen is a peripherally enhancing multiloculated intramuscular fluid collection anterior to the distal humerus in the flexor compartment compatible with an abscess, which has decreased compared to prior, measuring 3.4 ... | Three discrete abscesses within the left upper extremity as described above. No definite CT evidence of underlying osteomyelitis. |
Generate impression based on findings. | Female 68 years old; Reason: 68 y.o. with recurring HPT History: HPT Tc-99m sestamibi was injected preoperatively for lesion localization. No images were acquired. | Successful preoperative injection of Tc-99m sestamibi intravenously. |
Generate impression based on findings. | Male; 55 years old. Reason: pe? History: Pleuritic chest pain, sob, tachycardia, tachypnea, h/o malignancy PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Interval resolution of mild patchy airspace and interstitial opacity... | 1. No acute pulmonary embolus.2. New mild patchy nodular opacities left lower lobe, likely related to prior infection or aspiration.3. Interval resolution of patchy opacities in the right upper lobe.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV... |
Generate impression based on findings. | 67 year old with milky right nipple discharge for several months presents for mammographic work up. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Benign calcifications are aga... | Multiple intraductal lesions in the right breast. Biopsy of one of the lesions is recommended. Breast MRI is also recommended to see the disease extent. Results and recommendations were discussed with Dr. Chhablani. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Reason: Pt has invasive SCC on vocal cord, looking for other cancer History: hoarseness LUNGS AND PLEURA: Mild centrilobular emphysema. No suspicious nodules or masses. No pleural effusions. MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes, some calcified consistent with granulomatous disease. Mild coronar... | No evidence of metastatic disease. |
Generate impression based on findings. | 60-year-old male with history of metastatic renal cell cancer. Baseline exam prior to starting systemic therapy. CHEST:LUNGS AND PLEURA: Multiple diffuse parenchymal lung nodules are seen bilaterally, predominantly micronodules up to a size of 6 mm in right lower lobe (series 4, image 80 and 5 mm in left lower lobe (se... | 1. Prior right nephrectomy. 2. Numerous small parenchymal lung nodules, most likely represent metastatic disease. 3. Left hilar lymphadenopathy with left basilar atelectasis/air space disease. 4. Probable hepatic metastases with reference measurements above. 5. Intussuscepting jejunal mass common nonobstructing at this... |
Generate impression based on findings. | Incidental note is made of nonspecific relatively symmetric prominence of the lateral ventricles. The posterior body and atrium on the right is slightly larger than the left. Of note, the normal calcifications and enhancement associated with the right lateral ventricular choroid plexus appears to be displaced anterior... | 1. Incidental nonspecific prominence of the lateral ventricles with additional more focal prominence of the posterior body and atrium of the right lateral ventricle and apparent anterior displacement of the choroid plexus which may indicate a space occupying intraventricular cyst.2. Unremarkable CTA of the head and nec... |
Generate impression based on findings. | Mandibular distraction, eval ng tube and ett placement.VIEW: Abdomen AP (one view) 01/21/15 NG tube with tip in the stomach. Disorganized bowel gas pattern. No evidence of obstruction. No pneumoperitoneum, pneumatosis intestinalis, or portal venous gas. | Disorganized bowel gas pattern without evidence of obstruction. |
Generate impression based on findings. | 72-year-old male with history of MM.; pre-auto-SCT evaluation. SKULL: Innumerable punched out lesions involving the skull compatible with innumerable myelomatous lesions.CERVICAL SPINE: Bones appear demineralized. Scattered lucencies suggestive of myelomatous lesions. Vertebral body heights and intervertebral disk spac... | Diffuse myelomatous involvement of the axial and appendicular skeleton. Compression deformities are slightly progressed in the thoracic and upper lumbar spine with exception of recently treated deformities. |
Generate impression based on findings. | Reason: HCC screening in a cirrhotic History: HCC ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhosis. 1.2-cm T2 hyperintense lesion in the posterior right hepatic lobe (41:26) likely a small cyst.SPLEEN: Splenomegaly.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETE... | 1.Cirrhosis with sequela of portal hypertension. Mild/moderate ascites and anasarca. No suspicious focal hepatic lesions. |
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