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Generate impression based on findings. | Female 49 years old; Reason: assess for micro thromboembolism not seen on CT PE, has h/o ILD, part of pulmonary hypertension work-up History: SOB The comparison CT chest performed on 1/20/2015 demonstrates extensive bilateral pulmonary opacities.The ventilation images show decreased ventilation which is patchy in appea... | 1. Numerous matched ventilation perfusion defects. Given the extensive nature of the abnormalities, the exam is considered intermediate/indeterminate probability for pulmonary embolism. However there are no definite significant ventilation-perfusion mismatch defects to conclusively suggest pulmonary embolism.2. Multipl... |
Generate impression based on findings. | 57 year old female with head trauma. HEAD: There are postoperative findings related to left pterional craniotomy for clipping of a distal left internal carotid artery aneurysm. There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midl... | 1.Bilateral depressed nasal skeleton fractures with nasal septal disruption. 2.Unchanged postoperative findings related to left pterional craniotomy for clipping of a distal left internal carotid artery aneurysm. 3.No evidence of acute intracranial hemorrhage or skull fracture. I personally reviewed the Images and/or p... |
Generate impression based on findings. | Acute respiratory failure, assess ETT placement.VIEW: Chest AP (one view) 1/23/2015, 02:48 Endotracheal tube tip is below the thoracic inlet and above the carina. Right PICC and left central line again noted, positions unchanged. Enteric feeding tube tip projects out of the field of view. Bilateral multifocal lung opac... | Bilateral multifocal atelectasis, unchanged. |
Generate impression based on findings. | Acute respiratory distress.VIEW: Chest AP (one view) 1/22/2015, 17:02 Endotracheal tube tip is below the thoracic inlet and above the carina. Right PICC and left central line again noted, positions unchanged. Enteric feeding tube tip projects out of the field of view. Bilateral multifocal lung opacities are not signifi... | Bilateral multifocal atelectasis, unchanged. |
Generate impression based on findings. | Patient with hematochezia, evaluate stool burden.VIEW: Abdomen AP (one view) 1/22/2015 A moderate stool burden is distributed throughout the colon, perhaps slightly improved from the prior examination. The bowel gas pattern is nonobstructive, and no portal venous gas, pneumatosis intestinalis or pneumoperitoneum is pre... | Moderate stool burden, perhaps slightly improved. |
Generate impression based on findings. | 2-year-old male with pneumonia and history of chronic constipation presents with questionable metallic foreign body that was noted in the right lower quadrant at outside hospital VIEWS: Abdomen AP/left lateral decubitus (two views) 01/22/15 Amorphous stool within the rectum. Nonobstructive bowel gas pattern. No radiopa... | No radiopaque foreign body is identified as clinically questioned. Moderate feces in the rectosigmoid. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. No mass, midline shift or herniation. There is a region of hypoattenuation within the right greater than left centrum semiovale which is age indeterminate in the absence of prior exams. Additional periventricular and subcortical white matter hypoattenuation is nonspecific ... | 1.No evidence of acute intracranial hemorrhage or mass.2.Hypoattenuation in the right more than left centrum semiovale is age-indeterminate in the absence of prior exams and would be better evaluated by MRI if there is clinical concern an ischemic infarct.3.Asymmetric widening of the extra-axial space along the right f... |
Generate impression based on findings. | One day old full-term infant with desaturationsVIEW: Chest AP (one view) 01/23/15, 0108 Cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Diffuse lung haziness and left upper and lower lobe atelectasis. No pleural effusion or pneumothorax. | Diffuse lung haziness may represent transient tachypnea of newborn. |
Generate impression based on findings. | Reason: altered mental status History: altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions of... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of hemorrhagic CVA. |
Generate impression based on findings. | Pain in middle finger after basketball injury.VIEWS: Right third finger PA, oblique and lateral (3 views) 1/22/2015 Soft tissue swelling is present about the proximal interphalangeal joint. Curvilinear lucency at the base of the middle phalanx may be artifactual as it is seen on only one view, although it may represent... | Equivocal intra-articular nondisplaced fracture of the base of the middle phalanx with associated soft tissue swelling. Correlation with point tenderness is recommended.These findings were discussed with Dr. Louissaint via telephone at 09:03 11/23/2015 |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. Scattered periventricular and subcortical T2 hyperintensities without diffusion restriction or enhancement are nonspecific but may suggest chronic small vessel ischemic disease. Subcentimeter T1 hyp... | 1.No evidence of intracranial metastases.2.Mild chronic small vessel ischemic disease.3.A peripheral oval area of susceptibility along the dura along the anterior left frontal lobe may represent a dural calcification, although a small meningioma cannot be excluded. |
Generate impression based on findings. | Reason: r/o SAH History: sudden onset occipital HA within 1 hr, now much improved The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There... | 1.No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Female, 44 years old.RFO Bilateral nephroureteral stents extending into the region of the ileal conduit in the right lower quadrant. Surgical clips overlie the pelvis. Pelvic surgical drains are noted. There is esophageal temperature probe. Gas filled loops of large bowel. No unexpected radiopaque foreign body. | No unexpected radiopaque foreign body.Findings discussed with Dr. Yamada, attending physician, by phone at 6:58 PM 1/22/2015. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. There is a f... | 1. No acute intracranial hemorrhage.2. A focus of hyperattenuation along the lateral margin of the left retina is likely related to history of retinal hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: r/o space occupying lesion History: new hallucinations The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions ... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | 70 year-old female with left acetabular fracture. A nondisplaced left acetabular/pelvic fracture is redemonstrated. No other pelvic fracture is evident. Mild degenerative changes of the hips, sacroiliac joints, and pubic symphysis are noted. | Redemonstrated left acetabular/pelvic fracture. |
Generate impression based on findings. | 93 year-old male with right hemiarthroplasty Hardware components of a total right hip arthroplasty device are situated in near-anatomic alignment without evidence of complication. Foci of gas, drain and staples in the soft tissues reflect recent surgery. Moderate osteoarthritis affects the left hip. Degenerative arthri... | THA in near-anatomic alignment. |
Generate impression based on findings. | Male, 29 years old.RFO There is radiopaque catheter traversing mid abdomen which is outside the patient her care team. Overlying skin staples are noted. Enteric tube tip is coiled in the fundus. Mildly prominent gas-filled bowel loops.No unexpected radiopaque foreign body. | No unexpected radiopaque foreign body.Findings discussed with Dr. Hurst, attending physician, at 7:22 PM 1/22/2015. |
Generate impression based on findings. | Tachycardia, evaluate for PE PULMONARY ARTERIES: Multiple filling defects involving the bilateral descending pulmonary arteries and multiple segmental and subsegmental pulmonary arteries consistent with acute pulmonary emboli.LUNGS AND PLEURA: Multifocal nodular ground glass opacities involving all lobes compatible wit... | Multiple acute pulmonary emboli bilaterally with findings consistent with multifocal hemorrhage and a small right lower lobe pulmonary infarct.PULMONARY EMBOLISM: PE: Yes.Chronicity: Acute.Multiplicity: Yes.Most Proximal: Lobar - bilateral descending pulmonary arteries.RV Strain: No. |
Generate impression based on findings. | 19 year-old female status post chest tube placementVIEW: Chest AP (one view) 01/23/15, 0307 Right chest tube, surgical sutures, and right perihilar clips are present.Cardiothymic silhouette is normal. No pleural effusion. Small right apical pneumothorax is unchanged. New airspace opacities in the right lung. Subcutaneo... | Persistent right apical pneumothorax. |
Generate impression based on findings. | 72-year-old male status post left total hip arthroplasty Hardware components of the left total hip arthroplasty revision are situated near anatomic alignment without evidence of fracture. Mild residual lucency about the superior margin of the acetabular component appears improved from the prior exam. | Left THA revision without evidence of complication. |
Generate impression based on findings. | 93 year-old female with mechanical fall, evaluate for intracranial hemorrhage. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with moderate a... | 1. New soft tissue swelling overlying the right lateral frontal bone and the left parietal bone, without underlying calvarial or acute intracranial abnormality.2. No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the early detection of acute non-hemorrhagic infarcts, and MRI... |
Generate impression based on findings. | Reason: CDiff infection, worsening abdominal pain concern for worsening colitis; no IV contrast, po OK History: Abdominal pain Evaluation of solid organ pathology is limited without IV contrast. ABDOMEN:LUNG BASES: New small pleural effusions. Small hiatal hernia. LIVER, BILIARY TRACT: No significant abnormality notedS... | 1. Limited study without IV contrast and with oral contrast only partially opacifying the small bowel. Small amount of abdominal and pelvic free fluid appearing similar to the recent prior study without loculation. No obvious colitis.2. New small pleural effusions. |
Generate impression based on findings. | 78-year-old female with left acetabular fracture. A fracture is seen in the roof of the acetabulum extending to the anterior column and minimally to the left superior pubic ramus. Alignment is anatomic. No significant displacement of the fracture fragments is present. No additional associated pelvic or proximal femoral... | Acetabular fracture, as above. |
Generate impression based on findings. | Five month old male with respiratory distress, evaluate for pneumonia.VIEW: Chest AP (one view) 1/22/2015 Right upper lobe focal opacity most consistent with infection. The aortic arch, cardiac apex and stomach are left-sided. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax is evident. | Right upper lobe opacity most consistent with infection. |
Generate impression based on findings. | Male, 63 years old.RFO Foley catheter noted. There is right iliac fossa nephroureteral stent. Nonobstructive bowel gas pattern. No unexpected radiopaque foreign body. | No unexpected radiopaque foreign body.Findings discussed with Dr. Becker, attending physician, over the phone 9:41 PM 1/22/2015. |
Generate impression based on findings. | 3-year-old male with constipation status post bowel regimen, evaluate stool burdenVIEW: Abdomen AP (one view) 01/23/15, 0539 Gastrostomy tube, cecostomy tube, and left upper quadrant surgical sutures and clips are unchanged.Interval decrease in the amount of stool within the colon. Gaseous distention of bowel in a nono... | Very small stool burden, decreased in the interval. |
Generate impression based on findings. | 8 year-old male with periumbilical pain.VIEW: Abdomen AP (one view) 1/22/2015 An above average stool burden is distributed throughout the colon, with desiccated stool present within the rectum. Rightward curvature of the thoracolumbar spine is evident. No pneumoperitoneum, pneumatosis intestinalis or portal venous gas ... | Above average stool burden. |
Generate impression based on findings. | Exam somewhat limited by motion and streak artifact, especially in the skull base and pharyngeal region. No evidence of acute intracranial hemorrhage. No focal mass effect, midline shift or herniation. The ventricles and sulci are normal in size. There are no extraaxial fluid collections or subdural hematomas. The vis... | Allowing for artifact, no evidence of acute intracranial hemorrhage or mass. Note that the suboptimal quality of the exam would make it difficult to detect subtle findings. |
Generate impression based on findings. | 85 year-old female with slurred speech, seizures, left-sided weakness. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with moderate age-relat... | No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the early detection of acute non-hemorrhagic infarcts. |
Generate impression based on findings. | 67 years, Female. Reason: ogt reposition History: ogt reposition Limited view of the abdomen with motion artifact. The pelvis is excluded from view. Enteric tube tip overlies the gastric fundus. Central venous catheter tip overlies the cavoatrial junction. Rotoscoliosis noted. Please see recent CT report for additional... | Enteric tube tip overlies the gastric fundus. |
Generate impression based on findings. | 66-year-old male with history of lymphoma and steroid use with persistent hip and shoulder pain, evaluate for fracture or AVN Hip: Alignment is anatomic. No fracture or other specific findings to account for the patient's pain. There is no radiographic evidence of avascular necrosis.Left shoulder: Glenohumeral alignmen... | No fracture or other specific finding to account for the patient's symptoms. |
Generate impression based on findings. | 49-year-old female with knee pain. Rule out osteomyelitis. Below-the-knee amputation is present. There is severe tricompartmental osteoarthritis and vascular calcifications again noted. No evidence of acute fracture or malalignment. No osteolysis to suggest osteomyelitis. | No evidence of osteomyelitis. |
Generate impression based on findings. | Status post washout for foreign body.VIEWS: Left tibia/fibula AP and lateral (two views) 1/23/2015, 01:45 The previously seen radiopaque foreign bodies, which were present in the soft tissues along the posteromedial aspect of the mid to distal tibial diaphysis are no longer evident. Reticulation of the subcutaneous fat... | Removal of the radiopaque foreign bodies in the soft tissues along the mid to distal lower leg. |
Generate impression based on findings. | Male, 52 years old, history of p16+ right neck TxN2b SCCa of unknown primary, also with history of papillary thyroid carcinoma. Posttreatment and postsurgical findings are again seen including evidence of right neck dissection, infiltration of the fascial planes, as well as evidence of thyroidectomy.No evidence of loca... | Redemonstration of treatment-related findings in the neck with no evidence of locally recurrent tumor or pathologic adenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother. Two standard digital views of both breasts with additional bilateral MLO views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular de... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 25 years, Female. Reason: LP shunt History: LP shunt Radiopaque portions of the LP shunt appear intact. Interval change of the valve pressure setting, now pointing between 7 and 8 o'clock position. Exam otherwise unchanged. | Interval change of the valve pressure setting, now pointing between 7 and 8 o'clock position. Exam otherwise unchanged. |
Generate impression based on findings. | Concern for foreign body, laceration with glass.VIEWS: Left tibia/fibula AP and lateral (two views) 1/22/2015 Multiple radiopaque foreign bodies with geometric borders are seen in the soft tissues of the posteromedial lower leg, the largest measuring up to 6 mm, consistent with foreign bodies, presumably glass given th... | Multiple radiopaque foreign bodies, presumably representing glass, in the soft tissues of the posteromedial lower leg. |
Generate impression based on findings. | There is extensive subcutaneous soft tissue swelling and stranding within scattered hyperattenuating areas in the right mandibular and maxillary soft tissues. No evidence of an acute fracture in the maxillofacial region. A fracture diagnosed on mandible radiographs back in May of 2014 is no longer visualized. The righ... | 1.Extensive soft tissue swelling and hematoma formation of the superficial right mandibular and maxillary soft tissues.2.No evidence of an acute fracture or dislocation.3.The right sigmoid sinus projects into the mastoid portion of the temporal bone, which may represent a normal variant sigmoid diverticulum. |
Generate impression based on findings. | 42-day-old, ex-28 week twin gestationVIEWS: Chest and abdomen AP (two views) 01/23/15, 0602 NG tube side-port is at the GE junction with tip in the stomach. Left lower extremity PICC tip is in the right atrium.Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Bilateral subsegmental atelectasis.No ... | 1.Disorganized bowel gas pattern. 2.NG tube side-port is at the GE junction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Evaluate for pneumonia, desaturations.VIEWS: Chest PA/lateral (two views) 1/22/2015, 23:40 Moderate bilateral pleural effusions are present, without significant interval change when accounting for differences in technique. Associated compressive basilar atelectasis also unchanged. The cardiothymic silhouette is upper l... | Unchanged moderate bilateral pleural effusions with associated atelectasis. Possible pericardial effusion. |
Generate impression based on findings. | 25 years, Female. Reason: LP shunt History: LP shunt Radiopaque portion of the LP shunt is intact with tip overlying the left lower quadrant. Valve pressure setting approximately at two o'clock position. Average stool burden. Nonobstructive bowel gas pattern. | Radiopaque portion of the LP shunt is intact. Valve pressure setting approximately at two o'clock position. Average stool burden. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt and paternal aunt. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 76 years, Male. Reason: constipation History: AMS, abdomen distention Mild to moderate stool burden. Nonobstructive bowel gas pattern. Possible small left pleural effusion. | Mild to moderate stool burden. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 26 years, Female. Reason: abdominal pain Mildly prominent small bowel loops measure up to 3 cm, with relative paucity of colonic gas and presence of air-fluid levels. Findings are suspicious for small bowel obstruction. No pneumoperitoneum. Intrauterine device in expected position. | Findings suspicious for small bowel obstruction. No free air. |
Generate impression based on findings. | Evaluate for pneumonia, desaturations.VIEW: Chest AP (one view) 1/22/2015 Moderate bilateral pleural effusions are seen, with associated airspace opacities likely reflecting compressive atelectasis. The aortic arch, cardiac apex and stomach are left sided. The cardiothymic silhouette is upper limits of normal in size s... | Moderate bilateral pleural effusions with associated compressive atelectasis. Possible pericardial effusion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Asymmetry with questionable distortion in the right outer breast is present. No suspic... | Asymmetry with questionable distortion in the right outer breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are otherwise clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage, mass, or cerebral edema.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views, additional left MLO view and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Fever and questionable history of aspiration.VIEW: Chest AP (one view) 1/23/2015, 03:14 The left chest wall neurostimulator position is unchanged. Slightly decreased retrocardiac opacity suggests improving atelectasis. No additional focal airspace opacity is evident. No pneumothorax or pleural effusion is seen. The car... | Slightly decreased retrocardiac opacity suggests improving atelectasis. |
Generate impression based on findings. | 45-year-old female, evaluate PICC line A PICC is seen extending medially along the humerus, superior chest wall and then crossing right of the midline and extending beyond the field-of-view. There is no kink or discontinuity visualized. The PICC is not present within the forearm. The osseous structures appear intact. | Partially visualized PICC as described above without kinking or discontinuity. |
Generate impression based on findings. | 51-year-old female with back pain and sciatica bilaterally. Rule out fracture versus mass effect. Lumbar spine: Five lumbar vertebral bodies are identified. Disk space narrowing is noted at T12-L1. Degenerative osteophyte formation is seen anteriorly, most prominent at L1-2. Mild superior endplate depression of L1 is m... | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | Tachypnea and respiratory failure.VIEW: Chest AP (one view) 1/23/2015, 05:28 The endotracheal tube has been removed. The left upper extremity PICC tip is in the right atrium, and the left internal jugular central venous catheter tip is in the distal SVC. The nasogastric tube tip is in the prepyloric antrum.Bibasilar at... | Bibasilar atelectasis without significant change. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Bilateral partially obscured ovoid masses are present. No suspicious microcalcificatio... | Bilateral partially obscured ovoid masses. An attempt to obtain patient's prior mammogram should be made to confirm stability of these findings.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister diagnosed at the age of 49. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No susp... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Evaluate for fracture, patient favoring left arm.VIEWS: Left humerus AP and lateral (two views) left elbow AP oblique and lateral (3 views) forearm AP and lateral (two views) 1/23/2015 No acute fracture or malalignment is seen. No elevation of the humeral fat pads is seen to suggest a joint effusion. | Normal examination. |
Generate impression based on findings. | 70 year old female who was recalled from screening mammogram for left breast calcifications and right breast asymmetry. History breast carcinoma in a maternal cousin in her late 20s. Bilateral Diagnostic Mammogram: An ML view of each breast, multiple spot compression views of the right breast, and multiple spot magnifi... | 1. Left breast calcifications, vascular in origin.2. Normal morphology right intramammary lymph node, and a rest of dense breast tissue within the upper outer right breast, corresponding to the asymmetry seen on prior mammogram. No mammographic evidence of malignancy. As long as the patient's physical examination remai... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian cancer, diagnosed at the age of 64. Family history of breast cancer in sister, diagnosed at the age of 74. Two standard digital views of both breasts (total of 13 images) were performed and reviewed with the aid of R2 CAD 9.3. T... | Stable bilateral calcifications and masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 51-year-old male with left shoulder pain There is marked separation of the acromioclavicular joint measuring approximately 4.3 cm. No fracture is visualized. Glenohumeral alignment is within normal limits. | Marked acromioclavicular separation as described above. |
Generate impression based on findings. | Ms. Beard is a 44 year old female presenting with a self palpated mass in the right upper outer breast for the past few weeks along with a physician palpated mass in the left lateral breast. Three standard views of both breasts with two spot compression views in both breasts were performed digitally and reviewed with t... | (1) No mammographic or sonographic evidence of malignancy in the right breast, at site of patient's area of concern. This area can be followed by her primary care physician as clinically warranted. If physical exam findings remain concerning, surgical consultation may be warranted. (2) 0.8 cm solid mass with benign son... |
Generate impression based on findings. | 50 year-old male, evaluate elbow fracture A cast obscures underlying osseous detail. Alignment is grossly anatomic. A poorly visualized fracture within the proximal ulna is noted. | Casted elbow fracture in near-anatomic alignment. |
Generate impression based on findings. | 67-year-old woman with a history of a right breast lumpectomy in 2002 for IDC, status post chemoradiation. Recent history of left breast lumpectomy in Jan 2014 for IDC, status post chemoradiation. Today complains of medial left breast "thickness." Three standard views of both breasts were performed digitally with addit... | Post-surgical changes with medial left breast skin thickening and edema, likely secondary to radiation. 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.RECOMMENDAT... |
Generate impression based on findings. | 13-year-old male status post fracture fixation An intramedullary rod/screw device affixes the distal clavicular diaphyseal fracture in near-anatomic alignment without evidence of complication. Interval callus formation about the fracture line consistent with healing. | Orthopedic fixation of healing clavicular diaphyseal fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral breast reduction in 1999. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 34-year-old female with pelvic pain A small spur along the inferior aspect of the right femoral head appears unchanged from prior exams, possibly an osteophyte. No additional abnormality is identified. | No acute abnormality to explain the patient's pain or significant interval change. |
Generate impression based on findings. | T1N2c tonsillar squamous cell carcinoma, completed CRT on 12/14/12. There is no evidence of mass lesions or significant cervical lymphadenopathy. For example, a right level 2 lymph node measures 4 mm in short axis, previously 4 mm and a right level 3 lymph node measures 5 mm in short axis, previously also 6 mm. The thy... | No evidence of locoregional tumor recurrence or significant lymphadenopathy. |
Generate impression based on findings. | 52-year-old female with known right breast cysts presents for routine follow-up examination. No family history of breast cancer. Bilateral Diagnostic Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglan... | Right simple breast cysts. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Down syndrome and choanal atresia. The images are degraded by patient motion artifact. There is near complete bony stenosis of the right posterior choana with an approximately 1 mm soft tissue gap. There is opacification of the right nasal cavity as well as the right maxillary and ethmoid sinuses. The orbits and imaged... | 1. Right choana atresia with a predominantly osseous component and an approximately 1 mm wide membraneous component, as well as associated retained sinonasal secretions.2. Nonspecific bilateral tympanomastoid opacification, which may represent otomastoiditis. 3. Apparent midface hypoplasia may be related to Down syndro... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 63-year-old male with right wrist pain, history of fracture A cast obscures underlying osseous detail. The distal radius fracture is again noted in near anatomic alignment. | Casted distal radius fracture in near-anatomic alignment. |
Generate impression based on findings. | 37 year old female who has a complaint of painful left breast mass x 5 months. No family history of breast cancer. Bilateral Diagnostic Mammogram: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density.... | 1.Large, ill-defined, hypoechoic mass measuring approximately 9 cm by mammogram, at the one o'clock position of the left breast, 10 cm from the nipple, corresponding to the patient's palpable abnormality. This finding is highly suspicious for malignancy, and core needle biopsy of this mass is recommended.2. Ill-defined... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 42 year old female with biopsy proven fibroadenoma presents for 6-month follow-up examination. No family history of breast cancer. Left Breast Diagnostic Mammogram: Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, w... | Stable biopsy proven fibroadenoma at the 3 o'clock position of the left breast. Stable hypoechoic lesion at the two o'clock position of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in April 2015. Resu... |
Generate impression based on findings. | 70 year-old male status post gastric ESD this evening now with persistent fevers. Please evaluate for intra-abdominal etiology of fevers. Lack of intravenous contrast limits evaluation of solid organs.ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasisLIVER, BILIARY TRACT: Calcifications in the right posterior liver may... | 1. Nonspecific thickening of the antrum of the stomach. No CT evidence of post-procedural complication, as clinical questioned. 2. Right sided pars defect at the level of L5/S1. |
Generate impression based on findings. | HIV, cough, cavitary lesion on chest radiograph LUNGS AND PLEURA: Cavitary mass in the right upper lobe measuring 5.9 x 9.1 cm (series 3 image 37) with multiple adjacent peribronchial satellite nodules and endobronchial opacities. Additional cavitary mass in the right lower lobe measures 7.9 x 5.5 cm (series 4, image 7... | Large cavitary masses within the right upper and lower lobes with adjacent satellite nodules and associated ipsilateral hilar and mediastinal lymphadenopathy. Necrotizing infection is favored over neoplasm. Mycobacterial infection, either MTB or other atypical mycobacteria are favored. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pat... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 31 year old woman with palpable periareolar abnormality for past 4-6 months. History of NF1. Three standard views of both breasts were performed digitally with 2 additional left spot compression views and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. A trian... | No mammographic or sonographic abnormality to correspond with the palpable area of concern which should be managed clinically. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral annual screening mammogram is recommended once the patient is 40 years of age. Re... |
Generate impression based on findings. | 79 year-old female with hip pain. Rule out fracture. Pelvis: No evidence of acute fracture or malalignment in the pelvis. Bilateral mild hip osteoarthritis and moderate to severe degenerative disk disease in the lower lumbar spine are noted.Right hip: Mild osteoarthritis without evidence of acute fracture or malalignme... | No evidence of acute fracture or malalignment. |
Generate impression based on findings. | 54 years, Male. Reason: Nausea and vomiting. Dobbhoff tube tip in gastric body. Foley catheter in the bladder. Average stool burden. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 69-year-old female with right knee swelling, pain. Evaluate for fracture or dislocation. Moderate joint effusion is present. Mild osteoarthritis affects the knee, particularly the medial and patellofemoral compartments. No evidence of fracture or malalignment. Waviness of the patellar ligament is likely related to posi... | Moderate joint effusion without evidence of fracture or malalignment. |
Generate impression based on findings. | Jaw swelling status post break x 2 in motor vehicle collision. Evaluate for abscess versus osteomyelitis. There is a rim-enhancing fluid collection in the left masticator space centered in the masseter muscle that measures approximately up to 25 mm, which is consistent with abscess. There is overlying enlargement and i... | 1. Left masticator space abscess that measures up to 25 mm with associated cellulitis and myositis overlying a minimally displaced fracture of the left mandibular angle. 2. Intact screw fixation of the right mandibular body and ramus fracture. 3. Apparent paucity of opacification of a left external jugular vein branch ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 52 year woman with left breast calcifications seen on screening mammogram. Three views of the left breast, including spot compression views, were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribu... | Segmentally distributed calcifications and vague hypoechoic soft tissue in the left breast upper outer quadrant, without distinct mass identified. Stereotactic biopsy is recommended for further evaluation. Finding and recommendation were discussed with the patient. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H -... |
Generate impression based on findings. | 76-year-old female with recent craniotomy and meningioma resection, now with altered mental status. Redemonstration of postsurgical findings related to recent bicoronal craniotomy and resection of large right frontal meningioma, including air, blood products, dural flap, and surgical packing material subjacent to the c... | 1. Evolving postsurgical changes related to recent craniotomy and resection of right frontal meningioma, including hypoattenuation in the bilateral anterior cerebral artery territories, suspicious for evolving ischemia. There has been mild interval worsening of bilateral frontoparietal edema, more extensive on the righ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy in 2008 and 1989. Family history of breast cancer in two maternal great aunts. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterog... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 43-year-old male with hip pain. Exam is suboptimal secondary to portable technique and patient's BMI. Mild to moderate osteoarthritis affects the right hip. No evidence of fracture or malalignment. | No evidence of fracture or malalignment. |
Generate impression based on findings. | Reason: r/o esophageal path History: dysphagia Scout radiograph of the chest showed at least three nodular pulmonary opacities. Double contrast evaluation of the esophagus and gastric cardia/fundus revealed no morphologic abnormalities of the mucosal surfaces or mural contours. Aortic knob impression was noted without ... | 1.Normal motility.2.No reflux or hernia.3.No mucosal abnormality or structural lesion.4.Scout radiograph of the chest showed at least three nodular pulmonary opacities. Follow up with chest CT suggested.Findings discussed with Dr. Hong at 9:37 AM 1/23/2015. |
Generate impression based on findings. | 32 year old male who has a complaint of bilateral breast enlargement and tenderness. Palpable areas in the upper/outer periareolar region on the left and left retroareolar breast. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and two left spot compression views were performed digitally an... | Bilateral gynecomastia, left greater than right. The patient should consult his physician for management. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: r/o stroke History: AMS, left weakness Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis ... | 1.No evidence for aneurysm.2.No evidence for cervicocerebral occlusive disease3.there is some thickening of the left sternocleidomastoid muscle and some air bubbles adjacent to left jugular vein. Please correlate with patient's clinical history and clinical exam evaluation . |
Generate impression based on findings. | No breast symptoms. History of breast cancer in mother diagnosed at the age of 36 and paternal grandmother. Cyst previously seen at the 6 o'clock position of the right breast. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. Additional CC and MLO views were performe... | Stable benign masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy and cyst aspiration. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 48 year old female who has a complaint of left axillary discomfort x 3 months. History of benign right breast excisional biopsy. History of known multiple fibroadenomata. No family history of breast cancer. Bilateral Diagnostic Mammogram: Three standard views of both breasts were performed digitally and reviewed with t... | Benign morphology left axillary lymph nodes at the site of the patient's focal pain. Stable bilateral benign breast masses. 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 discus... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in four maternal nieces. Two standard digital views, additional right CC view, and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogla... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign excisional biopsy of the left breast. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small ma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 57-year-old female with right ankle pain. Assess for fracture. There has been interval removal of the lateral distal fibular plate and screws device. A fractured tension wire remains in the distal fibular diaphysis. Distal fibular screw and two medial malleolar screws in the distal tibia are again noted. No evidence of... | No evidence of fracture or malalignment in the right ankle. |
Generate impression based on findings. | Male 44 years old; Reason: h/o diverticulitis with recurrent RLQ abdominal pain not improved with oral antibiotic treatment for diverticulitis, please assess for diverticular inflammation and complications, or other cause of RLQ abdominal pain History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality identifiedL... | Near complete resolution of diverticulitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
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