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Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified. Mild mucosal thickening in the left maxillary and sphenoid sinuses with... | No specific findings to explain patient's symptoms. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/26/14, 1/12/15) and ultrasound images of right breast (1/12/15) performed at St. Anthony Hospital. For comparison, digital mammographic images (10/4/12, 3/26/10) are available. DIGITAL MAMMOGRAPHIC IMAGES (12/26/14, 1... | No mammographic or sonographic evidence of malignancy. Benign calcifications and a benign mass in the right breast.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Reason: h/o bladder ca s/p TURBT and cystectomy POD #2, now with acute liver failure, hypotension, seizures. History: h/o bladder ca s/p TURBT and cystectomy POD #2, now with acute liver failure, hypotension, seizures. ABDOMEN:LUNG BASES: Small bilateral pleural effusions with overlying compressive atelectasis.LIVER, B... | 1.Postoperative changes of cystectomy and ileal conduit formation without evidence of perforation, abscess, or other acute abnormalities to explain the patient's symptoms. The cecum is abnormal in morphology and adherent to the right lower quadrant pelvic sidewall, which may be chronic and or postsurgical in etiology a... |
Generate impression based on findings. | 57-year-old male with left groin pain. Evaluate for osteoarthritis. There is sclerosis and osteophyte formation in the left hip without significant joint space narrowing, compatible with moderate osteoarthritis. No evidence of acute fracture or alignment. | Moderate left hip osteoarthritis. |
Generate impression based on findings. | Bilateral breast pain and retroareolar burning sensation. Cysts seen previously in the right breast. 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, which may obscure small masses, unchanged in pattern and distributio... | Stable cluster of cysts in the right lateral breast. No findings to account for the patient's breast pain, and clinical correlation is recommended. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and rec... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 pattern and distribution. No suspicious masses... | 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. | Male 41 years old; Reason: 41 yo male with melanoma to left arm; please do lymphoscintigraphy with mapping to identify sentinel lymph node History: MELANOMARADIOPHARMACEUTICAL: The left upper extremity was prepared in a sterile manner. The lesion corresponding to the melanoma site was identified and a total of 0.5 mCi ... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no residual abnormal density in the area of previously seen resolving left occipital subarachnoid hemorrhage. There is no new intracranial hemorrhage. There is subtle hyperdensity remaining along the mid body of the c... | 1. No acute intracranial abnormality. Interval complete resolution of previously seen left occipital subarachnoid hemorrhage.2. Subtle hyperdensity remaining along the mid body of the corpus callosum in the area of patchy diffusion restriction. |
Generate impression based on findings. | 36 year old female with leg pain, evaluate for spondylolisthesis There is sacralization of the L5 vertebral body and numbering is performed per prior MRI. Vertebral body heights are intact. There is grade 1 anterolisthesis of L4 on L5 with 4 mm of displacement. Alignment is otherwise anatomic. Vertebral body heights an... | 1.Grade 1 anterolisthesis at L4-L5 with moderate right neuroforaminal stenosis, better characterized on recent MRI. No evidence of spondylolysis.2.Lipoma involving the filum terminale is again visualized. Correlate with clinical findings for possibility of tethered cord. |
Generate impression based on findings. | Male 56 years old; Reason: rectal cancer local recurrence. Evaluate interval change History: rectal pain CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules including a calcified right middle lobe nodule and cluster of nodules near the right hilum unchanged from the prior study. No new suspicious pulmonary nodule ... | 1.Interval enlargement of presacral lesion.2.No change in S1 sclerosis which may be due to metastatic disease or from prior radiation. |
Generate impression based on findings. | Female 37 years old; Reason: Level and specific location of uptake (diffuse vs nodular) History: Sub-clinical hyperthyroidism, nodular goiter by US , + antibodies The thyroid images demonstrate uniform increased activity in an asymmetrically enlarged thyroid gland, right greater the left. The 4-hour radioactive iodine ... | Findings consistent with grave's disease. |
Generate impression based on findings. | Reason: 88 yo F with abdominal pain History: abdominal pain C diff+ Limited examination for solid organ pathology without intravenous contrast.ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions with overlying compressive atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abno... | 1. Limited study without intravenous contrast. No obvious colitis allowing for limitations.2. Mild abdominal and pelvic ascites and anasarca.3. Moderate bilateral pleural effusions. |
Generate impression based on findings. | Male 71 years old; Reason: Follow CALGB 80803 Protocol History: Staging, T3N2 Esophageal Cancer, Clinical Trial PatientRADIOPHARMACEUTICAL: 11.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 106 mg/dL. Today's CT portion grossly demonstrates focus of soft tissue density in the distal left aspect of the eso... | 1. Hypermetabolic activity in the gastric cardia consistent with tumor. Increased activity in the distal esophagus is nonspecific and could represent tumor or esophagitis.2. Increased activity in the left proximal femur corresponds to the sclerotic focus CT, suspicious for metastatic disease.3. Low level activity in th... |
Generate impression based on findings. | Upon high contrast windowing, there is suggestion of asymmetric FLAIR hyperintensity in the mesial right temporal lobe on multiple sequences with possible mild expansion of the right amygdala. Hippocampal volume and contour are unremarkable and symmetric.The ventricles and sulci are prominent, consistent with mild age... | 1. Subtle apparent asymmetric T2/FLAIR hyperintensity in the right mesial temporal lobe and possible mild expansion of the right amygdala. Please correlate with EEG findings.2. Probable mild-moderate chronic small vessel ischemic changes. |
Generate impression based on findings. | There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The airways are patent. The imaged intracranial structures are unremarkable. Severe degenerative changes of the visualized spine with anterior fus... | No CT findings to explain patient's symptoms. |
Generate impression based on findings. | Reason: eval of sacral/pelvic mass History: pelvic mass ABDOMEN:LUNG BASES: Nonspecific patchy ground glass opacities. No consolidation. Questionable small pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL... | 1. Large destructive pelvic soft tissue mass compatible with the patient's known Schwannoma as described above, with postoperative changes of lumbosacral spine fusion and sacroiliac joint reconstruction.2. Enlarged pelvic lymph nodes.3. Minimal left pelvicaliceal dilation likely due to left ureteral compression by the ... |
Generate impression based on findings. | Calcifications in the left breast 3 o'clock position. Short-term interval follow-up. No breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributio... | Stable left breast calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually, which would resume in July 2015. Results and recommendation were discussed with the patient. BIRADS: 2 - Benign finding.RECOMME... |
Generate impression based on findings. | Female 36 years old Reason: fibrolamellar HCC restaging CT History: ascites, LE swelling CHEST:LUNGS AND PLEURA: The right lower lobe mixed density mass measures 11.5 x 10.4 cm (image 55; series 13), larger. As noted previously, there is associated compressive atelectasis adjacent to the mass. Pleural-based mass descri... | Overall interval progression of disease with reference measurements given above. |
Generate impression based on findings. | Lung cancer, bone pain, restaging CHEST:LUNGS AND PLEURA: Nodule along along the right lower lobe suture line measures 2.6 x 2.0 cm (series 4, image 55), previously 2.5 x 1.7 cm. Scarring is noted along the right upper lobe suture line. No new suspicious pulmonary masses. MEDIASTINUM AND HILA: Right hilar node measures... | 1. Progression of osseous metastases with increasing lytic lesions in T1, T2, L4, and left ilium with new fractures of T2 and L4.2. Stable hepatic metastases.3. Right hilar nodule has slightly increased in size since the prior exam. Although not FDG avid on an earlier PET scan, this lesion is somewhat suspicious for a ... |
Generate impression based on findings. | 2-year-old male for assessment of fractureVIEWS: Right first toe AP/lateral (two views) 01/23/15, 0947 hours. No periosteal reaction to suggest a healing fracture. Alignment is anatomic. | Anatomic alignment without evidence of healing fracture. |
Generate impression based on findings. | Reason: r/o appendicitis History: abdominal pain, anorexia 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 notedKIDNEYS, URETERS: No sign... | Enlarged appendix measuring 9 mm in the clinical setting of right lower quadrant pain is suspicious for early appendicitis. |
Generate impression based on findings. | 78 year old female with a known right breast cancer treated with neoadjuvant chemotherapy presents for wire localization. On review of the prior studies, a marker cip surrounded by a focal asymmetry presents at posterior upper outer quadrant in the right breast. The procedure, risks including bleeding and infection, an... | Successful needle localization of the right breast clip.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 37 year old female with history of endometriosis s/p multiple abdominal surgeries, now complains of postprandial abdominal pain. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 15 minutes. Fluoroscopic evaluation demonstrated normal mucosa throughout the small bowel, without ul... | Normal examination of the small bowel and proximal colon, without specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 67 year old with proven right breast cancer presents for wire localization. On review of the prior studies, a small mass with a marker clip at the posterior portion. Target mass is located in the breast in the lower inner quadrant region located posteriorly at 5 o’clock. The procedure, risks including bleeding and infe... | Successful needle localization of the right breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Reason: r/o SBO, hx of met colon CA History: persistent N/V, abd distention ABDOMEN:LUNG BASES: Patchy ground glass and tree in bud opacities in the right middle lobe, right lower lobe, lingula, and left lower lobe are new since the prior study. No pleural effusions.LIVER, BILIARY TRACT: Percutaneous biliary catheter i... | 1. Acute high grade bowel obstruction with transition point near the ileocecal valve where there is wall thickening and enhancement of the distal ileum, in addition to cecal wall thickening and fat stranding seen previously. Differential considerations include neoplastic, inflammatory, and ischemic etiologies. 2. Thin ... |
Generate impression based on findings. | 22 year old female with trismus and fever. There is tonsilar enlargement and resultant near complete effacement of the superior oropharynx. There is bilateral cervical lymphadenopathy measuring up to 1.8 cm in short axis. There is no evidence of abscess. The thyroid and major salivary glands are unremarkable. The major... | Non-specific lymphadenopathy and tonsillar enlargement resulting in oropharyngeal airway narrowing without evidence for abscess. |
Generate impression based on findings. | Patient with hypertension and arthralgias. KIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade* Right: 1 Left: 0 Length*** Right: 8.1 cm Left: 7.7 cm Mean for age: 9.0 cm Range for age: 7.1 - 10.8 cmADDITIONAL OBSERVATIONS: Small volume ascites. Bilateral sim... | 1.Grade 1 right hydronephrosis.2.Small volume ascites and bilateral simple pleural effusions.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Gr... |
Generate impression based on findings. | Asymptomatic female for diagnostic mammogram. History of left lumpectomy with radiation treatment in 1991. History of a right cyst aspiration. Family history of breast cancer in a maternal aunt. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma ... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Ma... |
Generate impression based on findings. | Reason: h/o tonsil ca and CRT, compare to previous, measurements pls History: NONE LUNGS AND PLEURA: Small calcified granulomata, but no evidence of pulmonary or pleural metastases.Previously reported right basilar subsegmental atelectasis has resolved.MEDIASTINUM AND HILA: There is no evidence of mediastinal or hilar ... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Male 72 years old; Reason: hx of bladder cancer, evaluate for metastatic disease History: see above The following observations are made given limitations of an unenhanced study.ABDOMEN:LUNG BASES: Nonspecific pulmonary micronodules in the lung bases are unchanged.LIVER, BILIARY TRACT: Cholelithiasis without complicatio... | No evidence of metastatic disease. Moderate to severe chronic left hydronephrosis is unchanged. Two nonobstructive ventral hernias: periumbilical hernia, containing small bowel and upper abdominal peri-stomal hernia, containing colon. |
Generate impression based on findings. | 51 year old female presents for annual diagnostic mammogram as recommended. 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 composed of scattered fibroglandular elements. No suspicious mass, suspicious microca... | 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. | Female 61 years old; Reason: metastatic breast cancer - evaluate response to treatment, compare with previous CT scan with measurements per recist 1.1 History: pulmonary mets CHEST:LUNGS AND PLEURA: The reference right lower lobe pulmonary nodule measures 3 x 3 mm (image 72; series 5), unchanged and possibly representi... | Equivocal enlargement of left pulmonary nodule with measurements given above. |
Generate impression based on findings. | History of head and neck cancer and chemoradiation therapy, compare previous with measurements CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules, some calcified in the right upper lobe. No suspicious nodules or masses.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal. No coronary artery calcificatio... | No evidence of metastatic disease or other significant abnormality. |
Generate impression based on findings. | Syncope, distended neck veins, evaluate for obstructing mass LUNGS AND PLEURA: Basilar atelectasis without suspicious nodules or masses. Interval resolution of pleural based right lower lobe nodule.MEDIASTINUM AND HILA: The SVC is markedly narrowed without contrast opacification. There is no evidence of extrinsic compr... | The SVC is markedly narrowed without evidence of extrinsic compression by a mass lesion. This finding may represent a sequela of scarring from prior catheter placement. Distended venous collaterals are noted within the superficial soft tissues of the chest. |
Generate impression based on findings. | Male 68 years old; Reason: restaging kidney cancer History: restaging kidney cancer, on bevacizumab CHEST:LUNGS AND PLEURA: Previously described pulmonary nodules have regressed and the reference nodule in the right lung has resolved completely. No consolidation or pleural effusion is seen.MEDIASTINUM AND HILA: Superio... | Overall slight interval regression of disease with reference measurements given above. |
Generate impression based on findings. | Elevated d-dimer, evaluate left upper lobe nodule LUNGS AND PLEURA: 7-mm left upper lobe solid nodule (series 6, image 34) with a surrounding cluster of micronodules. No additional pulmonary nodules or masses. These are similar in appearance to the prior exam.MEDIASTINUM AND HILA: Prevascular lymph node measures 1.2 ce... | 1.Left upper lobe nodule with surrounding cluster of micronodules. Infectious / inflammatory etiologies such as granulomatous or atypical infection are favored; increasing adenopathy is suggestive of malignancy, however. 2.Increasing prevascular lymph node and stable left hilar lymph node. |
Generate impression based on findings. | Patient with recurrent epididymitis, evaluate for prosthetic utricle.EXAMINATION: MRI pelvis without IV contrast 01/23/15 A vertically oriented T2 hyperintense structure is seen arising off the posterior aspect of the prostatic urethra measuring 3 x 4 mm in cross-sectional dimension (image 26, series 501) and approxima... | 1.Prostatic utricle, which although small in appearance, may be much larger during voiding and voiding cystourethrogram may be helpful.2.Normally positioned testicles, with a small left hydrocele present. |
Generate impression based on findings. | 50 year old male with history of fistulizing Crohn's disease, s/p ileocecectomy. Now presents with RLQ abdominal pain. Scout radiograph showed a nonobstructive bowel gas pattern. Postsurgical changes compatible with prior ileocecectomy and neoterminal ileum creation were noted.Transit time to the colon was 15 minutes, ... | 1.Postsurgical changes and findings compatible with chronic neoterminal ileum/distal small bowel inflammation as described above. However, there is no evidence of active Crohn's disease or intestinal obstruction.2.Atypical appearance of the distal descending colon which is likely secondary to underdistention. However, ... |
Generate impression based on findings. | History of right breast DCIS status post right lumpectomy in 03/12. No current breast complaints. Three standard views of both breasts were performed digitally with a lateral exaggerated right CC view and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchang... | Stable right breast post-surgical changes. 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 M... |
Generate impression based on findings. | Reason: eval for extension of known dissection History: left flank and upper quadrant pain in distribution of blood flow from known dissection location VASCULATURE: Redemonstration of a type B dissection extending from about the level of the left subclavian artery proximally to about the level of the renal arteries dis... | Type B aortic dissection with a fenestrated flap appearing similar to the prior study. No acute abnormalities to account for the patient's pain. |
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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in two sisters (diagnosed at the age of 54 and 61). 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, un... | 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. | 47-year-old female with hip pain. Right hip: There is sclerosis, osteophyte formation, and medial joint space narrowing in the right hip, compatible with marked osteoarthritis.Pelvis: No fracture or malalignment is evident in the pelvis. Sacroiliac joints appear normal. Bilateral hip osteoarthritis, right greater than ... | Bilateral hip osteoarthritis, right greater than left. |
Generate impression based on findings. | Tachycardia, evaluate for pulmonary embolism PULMONARY ARTERIES: Exam limited by patient motion. Within this limitation there is no evidence of acute pulmonary embolism to the lobar pulmonary arterial distribution. The pulmonary artery is enlarged with mosaic perfusion abnormality suggestive of pulmonary arterial hyper... | 1.Limited examination without evidence of pulmonary embolism through the lobar pulmonary ateries. 2.Small pleural effusions.3.Findings consistent with pulmonary arterial hypertension, unchanged.PULMONARY EMBOLISM: PE: NoChronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: No.... |
Generate impression based on findings. | 53-year-old male with foot ulcer. Rule out osteomyelitis. Transmetatarsal amputation is noted. Soft tissue irregularity of the distal foot adjacent to the amputated first and second metatarsals is compatible with stated history of foot ulceration. The osteotomy lines are distinct. No underlying osteolysis is evident to... | No evidence of osteomyelitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister, diagnosed at the age of 39. 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 pa... | 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. | Extensive susceptibility artifact is noted along the anterior aspect of the images, likely related to dental hardware. This limits evaluation of surrounding structures. The ventricles are within normal limits. The sulci are slightly prominent for patient's stated age which may indicate mild volume loss. The cisterns r... | Mild nonspecific prominence of the sulci for patient's age which may relate to mild global volume loss. Otherwise, unremarkable contrast enhanced MRI of brain although evaluation somewhat limited due to extensive susceptibility artifact from dental hardware. |
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. Focal asymmetries are present in each medial breast. No suspicious microcalcifications... | Bilateral focal asymmetries. 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. | 17 year-old female with ankle pain, evaluate for fractureVIEWS: Left ankle AP/oblique/lateral, right knee AP/oblique/lateral, pelvis AP/frog (8 views) 01/23/15 No acute fracture or malalignment is evident. Phleboliths are incidentally noted in the left hemipelvis. | Normal examination. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/30/14) and ultrasound images of left breast (12/30/14) performed at High Tech Medica Park. digital mammographic images (12/30/14):The breast parenchyma is heterogeneously dense, which limits the sensitivity of the mam... | No mammographic evidence of malignancy. Ultrasound detected 4 benign appearing masses in left breast, likely cysts. Follow up ultrasound in 6 moths is recommended.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | Malignant neoplasm of the stomach, unspecified site. CHEST:LUNGS AND PLEURA: Stable large right pleural effusion and associated right middle lobe atelectasis. Motion artifact.MEDIASTINUM AND HILA: No significant abnormality noted. Multiple small thyroid nodules. Subcentimeter lymph node adjacent to the great vessels (i... | Unchanged pelvic mass. Stable right pleural effusion with associated atelectasis. No significant change in the gastric wall thickening, ascites and hepatic lesions. |
Generate impression based on findings. | 57-year-old female with ankle pain status post fall. Evaluate for fracture. There is medial soft tissue swelling about the ankle. Degenerative changes are noted. Vascular calcifications are present. No evidence of fracture or malalignment in the right ankle. | Soft tissue swelling without evidence of fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of right cyst aspiration. 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, unchanged in pattern and ... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views, additional bilateral MLO 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. Ovoid, partially obscured mass pres... | Partially obscured ovoid mass in the left upper outer breast. Additional imaging, including spot compression views and possible ultrasound, is recommended for further evaluation. Additionally, an attempt to obtain patient's prior mammogram should be made.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMME... |
Generate impression based on findings. | 44-year-old male with abdominal pain. History of drainage of pancreatic fluid collection. Prior Fry procedure. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is mild heterogeneity in the posterior right lobe of the liver, likely unchanged from the prior exam, which may represent flow ab... | 1. Complete portal venous thrombus with cavernous transformation. 2. Diffuse ascites.3. Borderline to mild small bowel dilatation with fold thickening particularly in the ileum as noted above4. Stable splenomegaly. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 suspicious masses, microcalcifications or areas of architectural ... | 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 two benign left breast biopsies. 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 distribu... | 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. | Neoplasm of uncertain behavior in the stomach, intestines and rectum. Assess extent of disease with peritoneal carcinomatosis and ascites. CHEST:LUNGS AND PLEURA: Scattered micronodules can be followed. These are too small to measure currently.MEDIASTINUM AND HILA: Thyroid nodules. No significant adenopathy in the medi... | Ascites and presumed carcinomatosis with no measurable disease. Right adrenal nodule. |
Generate impression based on findings. | Evaluate lung nodules seen on prior CT, dyspnea LUNGS AND PLEURA: Increasing spiculated nodule in the left lower lobe measures 18 x 11 mm (series 4, image 52), previously 12 x 7 mm. Additional bilateral pulmonary nodules previously measured appear stable or smaller as follows:1. Posterior left upper lobe nodule measure... | Increasing left lower lobe nodule with several new left upper lobe nodules on a background of stable to decreasing bilateral upper lobe pulmonary nodules. The morphology of the left lower lobe nodule and left apical nodule are suspicious for primary lung cancers. The additional nodules may may represent inflammatory le... |
Generate impression based on findings. | High probability benign focal asymmetry in the right posterior lower outer quadrant. Short-term follow-up. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distributi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually, which would resume in July 2015. 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. Two standard digital views (total of 7 images) 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 suspicious masses, microcalcifications or are... | 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. | NSCLC status post hyperfractionated RT two years prior. Assess for recurrence. CHEST:LUNGS AND PLEURA: Centrilobular and paraseptal emphysema. No pleural fluid or pneumothorax. No new or suspicious nodules or masses.Post therapeutic changes in the right upper lobe consistent with history of radiation therapy, measuring... | Stable post therapeutic appearance of right upper lobe reference area. No signs of recurrent or metastatic disease. Abnormal skeletal mineralization pattern chronic and unchanged |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Family history of breast cancer in maternal aunt. 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... | 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. | Reason: r/o abscess, SBO, hx of uterine CA History: abd pain, N/V/D, gap acidosis Evaluation of solid organ pathology is limited by the lack of IV contrast.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No signi... | 1.Marked interval increase in size of ill-defined pelvic mass, evaluation of which is limited without IV contrast, now with invasion of the colon and bladder as described above. 2.Increased pelvic and retroperitoneal lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, diagnosed at the age of 42. 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 sm... | 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. | 77 year old with history of benign right breast biopsy (04/14) presents for follow up exam. 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 elements, unchanged in pattern and distribution. A cluster of ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 38-year-old male with right anterior hip pain, pain with right hip abduction. For avascular necrosis. The femoral heads are regularly shaped and normally seated within the acetabula bilaterally without evidence of avascular necrosis. No significant degenerative changes of the hip or sacroiliac joints are present. No fr... | No evidence of avascular necrosis. |
Generate impression based on findings. | The colon is adequately cleansed of stool. There is a small amount of residual fluid which is well type of oral contrast. Prone view is well distended probably due to rapid manual insufflation of room air despite the poor rectal tone. The supine view is somewhat suboptimally distended. Comparison the views from this e... | Short segment stricture distal sigmoid colon strongly benign stricture. No significant size polyps masses anywhere else in the colon.Short segment, non obstructive ileal thickening near terminal ielum.As noted previously the adrenal gland lesion nonspecific although statistically likely benign. Recommend routine 5-year... |
Generate impression based on findings. | 66-year-old male with spinal fusion. Bilateral rods and pedicular screws are present at L4-L5, as well as a L4-5 intervertebral spacer device without evidence of hardware complication. Alignment, intervertebral disk spaces, and vertebral body heights are maintained. No evidence of fracture or malalignment in the lumbar... | Lumbar orthopedic hardware as above without evidence of hardware complication. |
Generate impression based on findings. | Non-small cell lung cancer. Pre-chemo. CHEST:LUNGS AND PLEURA: Large loculated right pleural fluid collection with an enhancing rind which now appears nodular in the costophrenic angle (3/100). Volume of pleural fluid has increased in the interim.Suture line consistent with previous wedge resection along the inferomedi... | Interval worsening of consolidation throughout the right lung, enlargement of right pleural fluid collection and small but enlarging lymph nodes. Reference lesion provided in the body of the report. |
Generate impression based on findings. | 27-year-old female status post finger injury (slammed in door), evaluate for fracture. Mild soft tissue swelling about thumb without evidence of underlying fracture or malalignment. | Mild soft tissue swelling without fracture. |
Generate impression based on findings. | Reason: perihepatic bleeding History: R flank pain, ablation for perihepatic hematoma 1/14 ABDOMEN:LUNG BASES: Basilar subsegmental atelectasis/scarring.LIVER, BILIARY TRACT: Postprocedural changes of radiofrequency ablation of the previously described segment 6/7 hypoattenuating lesion, with hypoattenuation extending ... | Postprocedural changes of radiofrequency ablation as described above without evidence of acute hemorrhage. |
Generate impression based on findings. | Reason: follow up lymphadenopathy, s/p bronch which was negative History: none LUNGS AND PLEURA: Scattered small scarlike opacities without significant interval change.Mild bronchial wall thickening.No suspicious nodules and no pleural effusions.MEDIASTINUM AND HILA: Moderately enlarged mediastinal lymph nodes, particu... | Moderate nonspecific mediastinal lymphadenopathy, unchanged since 6/19/2013. This degree of stability is consistent with a benign etiology such as sarcoidosis, and no further CT follow-up is recommended for this finding in the absence of change in the patient's clinical status. |
Generate impression based on findings. | 33-year-old male with lumbar pain. Alignment, vertebral body heights, and intervertebral disk spaces are maintained. No evidence of fracture or malalignment in the lumbar spine. | No findings to account for lumbar pain. |
Generate impression based on findings. | Female, 40 years old.Laps in the abdomen during surgery, counts correct. Surgical drain overlies right abdomen. Enteric tube tip overlies gastric antrum. Scattered surgical clips. Surgical clamps overlying right femur is outside of the patient. No unexpected RFO. | No unexpected RFO. Findings discussed with Dr. Millis p8217 at 11:41 AM 1/23/2015 |
Generate impression based on findings. | 70 year old male. Recurrent prostate cancer with rising PSA. CHEST:LUNGS AND PLEURA: Equivocal interval enlargement of right lower lobe pulmonary nodule which measures 1.0 x 1.0 cm (image 78; series 5). A second subpleural nodule in the right upper lobe (image 25; series 5) appears stable compared to prior chest CT of ... | Interval progression of disease in both the chest and abdomen with reference measurements given above. |
Generate impression based on findings. | Male 44 years old with history of neutropenia CHEST:LUNGS AND PLEURA: Scattered, bilateral micronodules, unchanged.MEDIASTINUM AND HILA: Punctate thrombus in the SVC. Interval removal of the previous porch.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Previously described subcentimeter hypod... | Significant interval increase in the size of the right inguinal soft tissue mass now encasing and possibly invading the right external iliac vein.Scrotal ultrasound is recommended for further evaluation of the right scrotum.Interval removal of the port. Punctate thrombus in the SVC.Right nephrolithiasis without evidenc... |
Generate impression based on findings. | Male 34 years old Reason: kidney stones History: stones ABDOMEN:LUNG BASES: Subcentimeter bilateral lower lobe nodules are unchanged.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKID... | Left nonobstructing renal calculi.Single stone in the right renal pelvis causing mild right renal caliectasis.Diffuse wall thickening of the colon with submucosal fat deposition. These findings are suspicious for ulcerative colitis. Clinical correlation is recommended. |
Generate impression based on findings. | Reason: h/o nasopharyngeal ca - thin cuts through the nasopharynx/base of skull/orbits, s/p induction chemo, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No sign of pulmonary or pleural metastases.Mild basilar bronchiectasis is seen, without bronchial wall thickening. MEDIASTINUM AND HILA... | 1. No evidence metastases or other significant abnormality.2. The esophagus is patulous, which can be a cause of reflux esophagitis. |
Generate impression based on findings. | 59 year old who had been called back on screening mammogram performed on March 2013. 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 elements, unchanged in pattern and distribution. A small circumscribe... | 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. | Female 27 years old Reason: fever , tachycardia History: as above ABDOMEN:LUNG BASES: Bilateral small pleural effusions and dependent atelectasis, new from previous CT.LIVER, BILIARY TRACT: Hepatomegaly, unchanged.SPLEEN: Splenomegaly, unchanged.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Chest CT portion of the study will be dictated separately. Interval development of bilateral pleural effusions and dependent atelectasis.Patient's known perianal collections have decreased in size within the interval. These collections are incompletely imaged. Perianal fistula tract is again noted. |
Generate impression based on findings. | Male 82 years old Reason: evaluate for disease progression, hx of metatstatic prostate cancer with rising PSA level on lupron History: bone pain CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIAR... | Interval decrease in the size of the most of the index lymph nodes. T12 vertebral body metastatic lesion appears more sclerotic on today's study. |
Generate impression based on findings. | Reason: RUL cavitary lesion History: cough. LUNGS AND PLEURA: A right upper lobe thickwalled cavity has resolved with interval obliteration of the cavity, with a residual masslike lesion measuring 14 x 43 mm, corresponding to the collapsed walls of the previous cavitary lesion, with a small internal focus of calcificat... | Interval resolution of a right upper lobe cavity, with a residual soft tissue mass, most consistent with resolving granulomatous infection, but continued follow-up is recommended. |
Generate impression based on findings. | Female 68 years old Reason: restaging cholangiocarcinoma after 3 months of therapy History: persistent hyperbilirubinemia CHEST:LUNGS AND PLEURA: Interstitial reticular thickening unchanged.MEDIASTINUM AND HILA: Left supraclavicular index lymph node measures 10 by 8 mm on image number 8, series number 13, not significa... | Slight interval decrease in the size of the patient's known common bile duct mass. Index lymph nodes are grossly stable. Significant biliary dilatation persists despite interval placement of metallic stents.Interval development of peritoneal fat stranding , most prominent being adjacent to the descending colon. This ma... |
Generate impression based on findings. | Reason: CVA History: CVA The CSF spaces are appropriate for the patient's stated age with no midline shift. A small hypodense focus is present in the right basal ganglia which was present on the prior exam likely represent an old lacunar infarct.No abnormal mass lesions are appreciated intracranially. No intracranial h... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA.3.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. These have mildly progressed since the pr... |
Generate impression based on findings. | Pain Shoulder: Improved alignment of the AC joint, interval correction of suspected dislocation. Diffuse remodeling of the clavicular head is again observed without evidence of interval change or distinct fracture. Mild degenerative changes of the shoulder otherwise identified without evidence of interval new lesions. ... | Realignment of the acromioclavicular joint |
Generate impression based on findings. | Reason: R/o stroke. Pt w/ cognitive changes, no other frank focal deficits. Possible septic emboli on CT History: Cognitive changes 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 ede... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA3.stable velum interpositum cyst. |
Generate impression based on findings. | Possible elbow fracture. Trauma to left arm and wrist Wrist: Spelled prior distal wrist fixation without evidence of complication or change in alignment. Fracture planes remain relatively distinct and correlation with prior outside imaging if available would be helpful. Ulnar styloid fractureForearm: Minimal heterotopi... | Questionable soft tissue swelling an old repaired ORIF of the distal radius with underlying comminuted intra-articular fracture |
Generate impression based on findings. | Pain Redemonstration of a fragmented and collapsed femoral head with superior migration of the entire femur. Fracture fragments remain within the acetabular fossa and specifically the femoral neck and fragments are close to abutting the superior lateral rim of the acetabulum. No change in alignment when compared to pri... | Extensive AVN with fragmentation of the right femoral head |
Generate impression based on findings. | Male 73 years old Reason: 73 yo male with borderline resectable pancreatic cancer s/p chemo/RT please evaluate for extent of disease and vessel involvement with pancreatic protocol History: pancreatic cancer ABDOMEN:LUNG BASES: Thrombus in the left ventricular apex, again noted without a significant change.LIVER, BILIA... | Slight interval decrease in the size of the pancreatic head mass, otherwise no significant change from previous study. |
Generate impression based on findings. | Male 54 years old Reason: Concern for sacral fluid collection/abscess. Area of sacrum is indurated and warm History: Fever, warm skin, indurated There is diffuse edema of the skin and subcutaneous tissues on the right side of the sacrum where the skin is indurated and warm. No definite collection suspicious for abscess... | Diffuse edema of the skin and subcutaneous tissues suggestive of cellulitis without evidence of abscess. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, diagnosed at the age of 73. Personal history of benign breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, wh... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect subtle changes. If the patient's prior mammograms are submitted, then an addendum to thi... |
Generate impression based on findings. | Male 64 years old Reason: HCV cirrhosis with prior bleeding History: HCV cirrhosis LIMITED ABDOMENLIVER: Liver is enlarged and cirrhotic with coarse echotexture. There is a 3.4 x 3 cm hypoechoic, ill-defined mass in the right lobe of the liver suspicious for hepatocellular carcinoma.BILIARY TRACT: Cholelithiasis withou... | Cirrhosis and portal hypertension. Focal liver mass suspicious for hepatocellular carcinoma. Portal venous thrombus. MRI is recommended for further evaluation.Dr. Reau was notified and acknowledged about the above findings at the time of dictation. |
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 focal asymmetries and bilateral incompletely characterized calcifications ar... | Bilateral focal asymmetries and incompletely characterized calcifications are identified. An attempt should be made to obtain prior mammograms for comparison purposes to confirm stability of these findings. If not possible, then additional imaging is recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need addit... |
Generate impression based on findings. | Pain following fall playing football Small benign-appearing cyst in the lunate aspect of the triquetrum without evidence of a line abnormality. Remainder the wrist is otherwise unremarkable. No malalignment or new abnormality observed on deviation views given positioning. Specifically no evidence of a fracture. | Small benign appearing cyst without evidence of an acute abnormality such as fracture. |
Generate impression based on findings. | Female 75 years old Reason: r/o pancreatic mass History: none ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality notedPANCREAS: There is a 2.2 x 0.9 cm cystic lesion in the uncinate process of the pancreas communicating with the pancreatic duct an... | Cystic lesion in the pons may process of the pancreas likely representing a branch type I PMN. Follow-up MRI in one year may be helpful. Cholelithiasis.Nonspecific nodular thickening of the left adrenal gland. |
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. | Right shoulder fracture Minimally impacted and largely unchanged alignment of a comminuted right humeral head fracture and fracture distinctly extending through the tuberosity. Mild interval healingModerate osteoarthritic changes | Mild continued interval healing of a comminuted right humeral head fracture without interval change in alignment |
Generate impression based on findings. | Male 57 years old Reason: prostate ca History: 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 notedKIDNEYS, URETERS: No significant abno... | No significant change in the CT appearance of the sclerotic spine lesions as described above. |
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. |
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