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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 56 years old Reason: Abdominal pain and weight loss History: Rule out malignancy ABDOMEN:LUNG BASES: Cardiomegaly. Small pericardial effusion.LIVER, BILIARY TRACT: Again noted numerous cysts throughout the liver. No definite solid component is noted.SPLEEN: No significant abnormality notedPANCREAS: No significant ... | Numerous hepatic cysts. Bilateral nephrectomy. Renal transplant, unremarkable.Cardiomegaly and trace pericardial effusion.Possible seminal vesicle cyst. MRI of the prostate may be helpful for further evaluation, if clinically indicated. |
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. | Asymptomatic female presents for routine screening mammography. Personal history of a brain tumor. Two standard digital views with 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 an... | 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. | Right total hip, pain Hip: Marked medial and inferiorly rotated acetabular cup suggesting on multiple projections as a long standing remodeling. No definite distinct fracture is observed, however an acetabular pelvic fracture cannot entirely be excluded without priors for comparison. Specifically the femoral component ... | Repositioning and remodeling long-standing changes involving the acetabular cup suggested given orientation and appearance as well as pseudo-acetabular changes with the prosthetic femoral head superiorly. Please provide outside imaging, if available, to allow sensitive comparison. |
Generate impression based on findings. | Female 54 years old Reason: 54 y/o F smoker with weight loss, left-sided abdominal pain; CT chest/abdomen/pelvis with ORAL CONTRAST ONLY to evaluate (cannot get IV contrast due to renal disease) History: as above This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Right-sided pleural calci... | Limited study due to lack of intravenous contrast. Small fat containing paraumbilical hernia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of lung cancer. Family history of breast cancer in second paternal cousin. 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,... | 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. | Male 52 years old Reason: evaluate for recurrent hiatal hernia History: abdominal pain 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 no... | Right-sided inguinal hernia containing nonobstructed small bowel loops. |
Generate impression based on findings. | Patient with history of SLE and pulmonary hemorrhage. Follow up examination.VIEW: Chest AP (one view) 1/23/2015 The right upper extremity PICC terminates in the SVC. The endotracheal tube and enteric feeding tube have been removed. The previously identified left retrocardiac opacity has improved with only trace residua... | Improved retrocardiac opacity with residual subsegmental atelectasis. |
Generate impression based on findings. | Male, 52 years old, with history of locoregionally advanced base of tongue squamous cell carcinoma T1N2b (p16+), s/p CRT. Evidence of left neck dissection is again seen with infiltration of the fascial planes and scarring along the margins of the sternocleidomastoid muscle. Within this background, no new mass or pathol... | Redemonstration of treatment-related findings the neck with no evidence to suggest mucosal tumor recurrence or pathologic adenopathy. |
Generate impression based on findings. | Left ankle pain Distal oblique fibular fracture without associated additional malalignment or osseous abnormality. Mortise intact and symmetric. Minimal interval healing suggested given improved fracture plane demonstration indicating subacute timing. | Subacute distal fibular fracture with minimal interval healing and without additional new abnormalities |
Generate impression based on findings. | Right knee pain Moderate to severe tricompartmental osteoarthritic changes are again observed involving the right knee. Narrowing, sclerosis and osteophytes with chondrocalcinosis appear unchanged specifically bone-on-bone narrowing is observed involving the patellofemoral compartment no definite effusion. Of particula... | Moderate to severe tricompartmental osteoarthritis |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical (pre-cancerous) and thyroid cancer. 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, unc... | 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. | Check I. M. rod Interval surgical placement of an IM rod with two fixation screws both proximally and distally. Fracture fragments in appearance similar in alignment. | IM rod placement affixing a comminuted mid to proximal femoral diaphyseal fracture |
Generate impression based on findings. | Lower back pain and radiating lower extremity pain Interval increasing marked scoliosis with extensive severe degenerative changes including bone-on-bone disk space narrowing, sclerosis and osteophyte formation. Foramina appear grossly patent and alignment the lateral projection is otherwise intact grossly, however a m... | Increasing scoliosis and degenerative changes, see detail provided and consider MR imaging |
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, unchanged in pattern and distribution. No suspicious masses, microca... | 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. | Shortness of breath PULMONARY ARTERIES: No evidence of acute pulmonary embolism. The pulmonary artery is normal in diameter.LUNGS AND PLEURA: There is mild basilar atelectasis/scarring without acute abnormality. Benign appearing micronodules.MEDIASTINUM AND HILA: The heart size is top normal without evidence of right h... | No evidence of acute pulmonary embolism or other acute abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
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. | 57 years, Male. Reason: 57 male with metastatic lung cancer, abdominal pain. r/o obstruction History: abdominal pain Small amount of gas in sigmoid colon and rectum. Nonspecific paucity of small bowel gas. No definite evidence of bowel obstruction. | Small amount of gas in sigmoid colon and rectum. Nonspecific paucity of small bowel gas. No definite evidence of bowel obstruction. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Family history of ovarian cancer in sister, diagnosed at the age of 56. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compos... | 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. | 34-year-old female with two months history of pain over glenohumeral joints radiating to the biceps. Cervical spine:No significant degenerative changes are present. Alignment, vertebral body, and intervertebral disk spaces are preserved. No evidence of fracture or malalignment.Right shoulder:No significant degenerative... | No significant degenerative changes. |
Generate impression based on findings. | 22 years, Female. Reason: abdominal pain; previously with large stool burden; uncomplicated EGD done today History: abdominal pain; constipation Nonobstructive bowel gas pattern. Average stool burden. | Nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | Chest pain, rule out pulmonary embolism PULMONARY ARTERIES: Markedly limited opacification of the pulmonary artery likely related to SVC occlusion with collateral venous formation. Within this limitation there is no evidence of central pulmonary artery embolism. The pulmonary artery measures 2.9 cm in diameter. LUNGS A... | 1. Limited exam without evidence of central pulmonary artery embolism or other acute abnormality.2. Findings consistent with SVC syndrome.PULMONARY EMBOLISM: PE: Indeterminate.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative.. |
Generate impression based on findings. | 82 years, Female. Reason: please assess NG tube placement History: nausea and vomiting Enteric tube tip overlies gastric body. Cholecystectomy clips noted. Multiple surgical clips overly the pelvis. Dilated loops of small bowel noted in the left abdomen and in the pelvis. This is better evaluated on recent CT. | Enteric tube tip overlies gastric body. Dilated loops of small bowel consistent with SBO seen on recent CT. |
Generate impression based on findings. | 77 year-old female with back and thigh pain, assess scoliosis There is approximately 37 degrees lumbar dextroscoliosis and minimal thoracic levoscoliosis. The coronal balanced measures + 1.3 cm and the sagittal balanced measures + 6.6 cm. Severe degenerative disk disease affects the lower lumbar spine. Moderate multile... | Scoliosis and degenerative disk disease as described above. |
Generate impression based on findings. | Reason: eval laminoplasty History: myelopathy The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. The patient is status post multilevel laminoplasty is with the widening of the left lamina and the interposition of spinous process at C3, C4, C... | 1.Status post recent multilevel laminoplasty cervical spine.2.There are multilevel degenerative changes in the cervical spine with narrowing of the neural foramina . MRI may be helpful if there is clinical suspicion for spinal stenosis. |
Generate impression based on findings. | Reason: Met Colon Cancer: Restaging History: NA CHEST:LUNGS AND PLEURA: Stable size and number of pulmonary metastases. Reference lesion in the right lower lobe measures 3.7 x 2.6 cm (series 5 image 58), previously 3.8 x 2.6 cm. No pleural effusions.MEDIASTINUM AND HILA: Mediastinal lymphadenopathy not significantly ch... | Slight enlargement of metastatic implant in the right lower quadrant may in part reflect differences in angulation. Otherwise stable disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign biopsies and aspirations. Family history of breast cancer and maternal first cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogene... | 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: hx of metastatic prostate cancer with rising psa level on lupron History: bone pain Again seen is increase radiotracer uptake in the T12 vertebra compatible with metastatic disease, unchanged. Punctate lesion in the lateral aspect of the right ninth rib is also unchanged.Degenerative changes in the lumbar spine... | Stable osseous metastases. No new foci of disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother and paternal 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 may obscure small masses, 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Metastatic breast cancer, compare prior exam CHEST:LUNGS AND PLEURA: Persistent loculated right pleural effusion with associated atelectasis, no significant change. There is right apical and subpleural reticulation compatible with prior radiation therapy. Left basilar atelectasis is again noted. Increasing pleural nodu... | 1. Increasing right pleural based nodules.2. Increasing right chest wall mass.3. Increasing soft tissue lesion posterior to the suprahepatic IVC. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister. 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: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: secondary hyperpara, pls eval for ectopic glands or abnormally secreting glands History: secondary hyperpara There is physiologic distribution of the radiopharmaceutical with enlargement of the right lobe of the thyroid gland. Abnormal focus of activity posterior to the superior right thyroid lobe. The right th... | Findings suspicious for right superior parathyroid adenoma. |
Generate impression based on findings. | 75-year-old female with pain. Evaluate right humerus. Components of a right total shoulder arthroplasty device are situated in near-anatomic alignment. There has been interval increased scalloping and lucency surrounding the intramedullary rod, raising the question of hardware loosening. The bones are demineralized, su... | Right total shoulder arthroplasty with findings raising question of hardware loosening along the intramedullary rod. |
Generate impression based on findings. | Reason: eval for parathyroid adenomas/hyperplasia, plan for possible parathyroidectomy History: primary hyperparathyroidism (hypercalemia, hyperparathyroidism), fatigue, renal stones, nausea There is physiologic distribution of the radiopharmaceutical. Abnormal focus of activity posterior and inferior to the left thyro... | Findings suspicious for left inferior parathyroid adenoma. |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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. | Reason: recurrent prostate cancer. eval for mets History: prostate cancer No abnormal osseous foci are identified to indicate metastatic disease.Again seen is right lower quadrant diverting ostomy and moderate to severe right and mild left hydronephrosis, not significantly changed.Degenerative changes again seen in the... | No evidence of bone metastases. |
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. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful left hip joint steroid injection. |
Generate impression based on findings. | Reason: Screening for lung cancer. History: History of tobacco use, at least 30 pack years. Now e-cigarettes. LUNGS AND PLEURA: Punctate calcified granulomata, benign. No evidence of malignancy.Small nonspecific pulmonary cysts are present, of little clinical significance. MEDIASTINUM AND HILA: Mild aortic arch calcifi... | No evidence of lung cancer. Ectasia of the ascending aorta is present, measured at 4.4 cm. Lung-RADS: Category: 1/S (Negative: No nodules and definitely benign nodules/Significant - other)RECOMMENDATION: Continue annual screening with LDCT in 12 months. |
Generate impression based on findings. | Reason: prostate ca Again seen are foci of increased radiotracer uptake in the left skull and left L1 pedicle, unchanged. Again seen is increased greater tracer uptake in the region of the right SI joint, also unchanged. No new foci of disease. | Stable left skull and left L1 pedicle lesions. Stable right SI joint uptake. No new foci of disease. |
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, unchanged in pattern and distribution. No suspicious masses, microca... | 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 vasculature to support kidney transplant; cardiac stenosis The following observations are made given the limitations of an unenhanced studyABDOMEN:LUNG BASES: Severe coronary artery calcifications. No focal pulmonary lesions identified.LIVER, BILIARY TRACT: No focal abnormalities. The liver appears somewhat sm... | Minimal aortic and iliac artery calcifications. Severe coronary artery calcifications. Status post cholecystectomy. Probable cirrhosis with findings of portal hypertension including splenomegaly. |
Generate impression based on findings. | 44-year-old male with left shoulder pain Round, 1.3 cm calcification medial to the humeral neck appears to represent a loose body in the inferior joint recess. Mild degenerative changes affect the glenohumeral joint. | Osteoarthritis and likely loose body in the inferior joint recess. |
Generate impression based on findings. | There is infiltration of the fat planes in the right submandibular space, with resultant induration of the right platysma. Bilateral parotid glands appear mildly enlarged, although are not completely assessed on this study. Scattered prominent cervical lymph nodes are identified, which are not enlarged by size criteri... | 1. Mild infiltration of the fat planes in the right submandibular space with associated platysmal induration. 2. Bilateral enlargement of the lacrimal glands and suspected prominence of the parotid glands (the parotids are only partially visualized on this exam). This pattern of gland enlargement can be seen in the set... |
Generate impression based on findings. | 28-year-old female fell repeatedly 6 days ago while skiing. Developed thumb pain, swelling, and bruising. Rule out fracture. No significant soft tissue swelling is identified. No evidence of fracture or malalignment in the left hand. | No evidence of fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and additional right MLO view 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 suspi... | 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. | 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. No suspicious masses, microcalcifications or areas of archi... | 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. | Reason: restaging gastric antrum (s/p stent) after 'neoadjuvant chemotherapy' for uT3N2Mx cancer. History: none CHEST:LUNGS AND PLEURA: Severe bullous emphysematous changes in both lung bases. No suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Subcentimeter hypoattenuating thyroid nodules. Scat... | 1. Stent in the gastric antrum with a globular focus of air extending from the stent lumen into the anterior wall of the gastric antrum may represent a gastic ulcer. There is no evidence of free intraperitoneal air or contrast extravasation. 2. The previously measured enlarged gastrohepatic lymph node is no longer clea... |
Generate impression based on findings. | 75-year-old female with left shoulder pain. Moderate to severe degenerative changes affect the acromioclavicular and glenohumeral joints. Calcified left upper lobe granuloma is noted incidentally in the left lung. | Moderate to severe degenerative changes affect the left shoulder. |
Generate impression based on findings. | Abdominal aortic aneurysm. 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: Bilateral renal cysts.RETROPERITONEUM, ... | 6-cm infrarenal abdominal aortic aneurysm. 1.1-cm left hypogastric aneurysm. Probable moderate stenoses at the origins of both common iliac arteries |
Generate impression based on findings. | Left neck pain. There is asymmetric prominence of the left palatine tonsil. There is no evidence of significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is minimal degenerative cervical spondylosis and reversal of the usual lordosis, without evidence... | 1. asymmetric prominence of the left palatine tonsil is nonspecific and may be associated inflammatory or infectious process, although neoplasm cannot be excluded. The exam is otherwise limited by the lack of intravenous contrast and endoscopy may be useful for further evaluation.2. Air-fluid levels in the sphenoid sin... |
Generate impression based on findings. | 53-year-old female with knee pain Right knee: Mild sharpening of the tibial spines and tiny osteophytes consistent with minimal osteoarthritis. There is possibly a small joint effusion.Left knee: Sharpening of the tibial spines and small osteophytes consistent with minimal osteoarthritis. No joint effusion.Left tibia a... | 1. Minimal osteoarthritis, appearing similar to the prior exam.2. Unchanged benign-appearing sclerotic lesion of the tibia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views, cleavage 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. Focal asymmetr... | Focal asymmetry in the right 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. Personal history of sarcoidosis. 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 distributi... | 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 with claudication. Evaluate for thrombosis. ANGIOGRAPHY: The abdominal aorta and iliac arteries are normal in size and contour. No significant atherosclerotic calcification. The ostia of the aortic branch vessels are widely patent. Replaced right hepatic artery arising from the superior mesenteric artery. T... | Complete occlusion of the left popliteal - SFA stent graft. Distal flow is reconstituted by collateral vessels as described. |
Generate impression based on findings. | Redemonstrated are postsurgical changes related to a suboccipital craniectomy and resection of the posterior arch of C1. There is mild encephalomalacia and gliosis in the medial cerebellum and vermis. The pineal region operative bed demonstrates minimal non-specific tissue thickening and minimal enhancement and appear... | 1. Postsurgical changes related to suboccipital craniectomy with stable appearance of pineal region operative bed. 2. Interval increase in size of the lateral and third ventricles with transependymal CSF flow, which is concerning for increased hydrocephalus. 3. Stable enhancing structure along the left tentorium which ... |
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. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | 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. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, maternal grandmother, and paternal aunt. Two standard digital views, repeat bilateral MLO views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is co... | 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. | Short of breath, elevated d-dimer PULMONARY ARTERIES: No evidence of pulmonary embolism to the subsegmental pulmonary arterial distribution. The main pulmonary artery is normal in diameter.LUNGS AND PLEURA: Mile basilar atelectasis/scarring without acute abnormality. No pleural effusions.MEDIASTINUM AND HILA: No eviden... | No evidence of acute pulmonary embolus through the subsegmental pulmonary arterial distribution or other acute abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | Reason: intraabdominal infection? History: sepsis/AMS. L abd pain + tender. ESRD/oliguric \T\ allergies (no IV contrast); vomiting/unable to take PO Limited examination without oral or intravenous contrast.ABDOMEN:LUNG BASES: Small right pleural effusion. Left basilar atelectasis/consolidation.LIVER, BILIARY TRACT: Cir... | 1. Findings consistent with hyperparathyroidism and renal osteodystrophy, with severe compression fracture of the L2 vertebral body with bone loss and inferior displacement of the L1 vertebral body as well, which are age indeterminate but new since 2013. 2. Small right pleural effusion and left basilar atelectasis/cons... |
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. | 46 years, Male. Reason: Assess for stool burden History: Constipation, bloating, abdominal pain. Above average stool burden. Nonobstructive bowel gas pattern. | Above average stool burden. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 54 year old female with history of fallopian tube cancer, now with vomiting. Evaluate for bowel obstruction. History pulmonary nodule. CHEST:LUNGS AND PLEURA: No change in 5 mm noncalcified nodule in the right lower lobe on image 54/98. Scarring in the right upper lobe. Small focal areas of pleural thickening at the le... | Wall thickening involving pelvic small bowel which appears mildly progressive when compared to the prior exam with very mild proximal dilatation of small bowel.Enlarging mass adjacent to the stomach.Interval development of ascites.Stable right lower lobe nodule.Mild and nonspecific focal pleural thickening left hemitho... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister and ovarian cancer in mother. Two standard digital views, 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... | 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. | Call back from screening mammogram for a focal asymmetry in the left breast. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The focal asymmetry breast seen on the tomosynthesis images are not well visualized on the spot compression views t... | No mammographic or sonographic 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: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male, 73 years old, with history of esophageal squamous cell carcinoma. Since the prior examination, a bulky mass involving the cervical esophagus has decreased in size. For reference purposes, soft tissue thickening in the vicinity of the prior tumor measures approximately 14 x 12 mm (image 58 series 8), previously at... | Interval decrease in the size of a bulky cervical esophageal tumor with associated decreasing adenopathy.Fractures of the right fourth through seventh ribs are new. |
Generate impression based on findings. | 43 years, Female. Reason: constipation and blood in stool History: S/p posterior cricoid split for bilateral VC paralysis refractory to multiple cordotomies. Interval removal of enteric tube. Nonobstructive bowel gas pattern. Average stool burden. | Interval removal of enteric tube. Nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | 58 years, Female. Reason: ? bowel gas pattern History: abd pain Nonobstructive bowel gas pattern. Moderate stool burden. | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | 70 year-old female with right shoulder pain. History of MGUS. Moderate degenerative changes affect the acromioclavicular and glenohumeral joints. No evidence of fracture or malalignment. | Moderate right shoulder osteoarthritis. |
Generate impression based on findings. | Reason: downtrending hgb, s/p PCI w/ c/f bleeding post procedure History: eval for RP bleed ABDOMEN:LUNG BASES: Moderate centrilobular emphysema. Bibasilar scar/atelectasis. New small right pleural effusion.LIVER, BILIARY TRACT: Hepatic granulomata and small hypoattenuating foci too small to characterize but unchanged.... | 1. Right thigh hematoma incompletely imaged, correlation with physical examination is recommended. 2. No distant hematoma in the abdomen or pelvis. 3. Small right pleural effusion and other findings as described above. |
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. The myelination pattern is appropriate, corrected for age of 42 weeks. ... | Normal examination for gestational status and age. |
Generate impression based on findings. | 66 year old male with left hip pain. Intramedullary rod and screw device affixes a comminuted intertrochanteric fracture in near anatomic alignment without evidence of hardware complication. There is suggestion of interval healing, however there remains medial displacement of the lesser trochanteric fracture fragment. ... | Healing comminuted intertrochanteric fracture with medial displacement of the lesser trochanter fracture fragment. Early heterotopic bone formation. |
Generate impression based on findings. | Call back from screening mammogram for developing calcifications and small mass in the left breast. An ML view and two spot magnification views and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The developing cluster of calcifications at lower inner qua... | Benign appearing mass in the left breast with questionable sonographic correlation. Short term left unilateral mammographic follow-up is recommended in 6 months. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
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, unchanged in pattern and distribution. No suspicious masses, microca... | 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. | Nasopharyngeal cancer currently on induction therapy. There has been interval decrease in size of the mass centered within the nasopharynx and skull base. There is no appreciable residual discrete soft tissue mass within the nasopharynx although the right nasopharyngeal tissues appear slightly more prominent than on th... | 1. Marked interval decrease in size of the nasopharyngeal mass with remineralization of the central skull base. 2. Interval decrease in size of a retropharyngeal and left level IIA lymph nodes.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Profound left sensorineural hearing loss. Left: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular bulb and carotid canal are intact.... | 1. No evidence of inner ear abnormalities.2. Degenerative changes of the bilateral temporomandibular joints. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in grandmother. 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 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. | 62 year-old female with wrist pain and knee pain. Tibial plateau fracture on outside x-ray. Left wrist: Cast material limits evaluation of fine bone detail. Moderate soft tissue swelling about the hand and wrist. Fractures of the distal metaphyses of at least the first, second, and fifth metacarpals are present. Left k... | 1.Metacarpal fractures, as above. Dedicated left hand radiographs may be considered for better evaluation if clinically indicated.2.Minimally depressed medial tibial plateau fracture of the left knee. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 composed of scattered fibroglandular density, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, 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. 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. | 24 year-old female with leg pain status post pedestrian versus automobile motor vehicle collision. A primarily transverse, nondisplaced fracture of the proximal to mid left fibular diaphysis is redemonstrated in near anatomic alignment. Overlying soft tissue swelling is present. | Left fibular diaphyseal fracture redemonstrated. |
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: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 37-year-old male with right ankle pain. No significant soft tissue swelling or joint effusion is identified. The ankle mortise appears intact. No evidence of fracture or malalignment. | No evidence of fracture. |
Generate impression based on findings. | Evaluate for changes in intraventricular hemorrhage. Comatose, exam slightly worse. There is slight interval decrease in size of the large intraparenchymal hemorrhage and associated vasogenic edema centered in the left thalamus with intraventricular extension, along with decreased midline shift. In addition, the latera... | 1. Slight interval decrease in size of the large intraparenchymal hemorrhage and associated vasogenic edema centered in the left thalamus with intraventricular extension, along with decreased midline shift. 2. Decreased hydrocephalus.3. Persistent posterior fossa subarachnoid hemorrhage.I personally reviewed the Images... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin. Two standard digital views, additional right 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 fibroglandula... | 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. | History of leukemia; pre-allo SCT evaluation. There is a periapical cyst associated with a partially-imaged carious tooth #15 and defect in the buccal aspect of the overlying maxillary alveolus that measures up to 28 mm with an air-fluid level. There is diffuse sclerosis and irregularity of the cyst walls. There is mod... | A periapical cyst associated with a carious tooth #15 and defect in the buccal aspect of the overlying maxillary alveolus that measures up to 28 mm with an air-fluid level suggestive of fistulous communication with the oral cavity and perhaps superimposed infection or inflammation, including the mucosal thickening in t... |
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. Personal history of left breast 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and dis... | 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. | Followup of allergic rhinitis, food allergies, possible asthma, and snoring. The paranasal sinuses are clear. The nasal cavity is also clear. There is mild nasal septal deviation directed towards the left. There is a right conchae bullosa, which is an anatomic variant. The lamina papyracea and ethmoid roofs are intact.... | No evidence of active rhinosinusitis. |
Generate impression based on findings. | 78 years old male. Reason: AD History: memory disturbance. There is a large subdural hematoma in the left frontal and parietal regions which compress the brain parenchyma, new as compared with prior study. There is a prominence of the ventricles and sulci, consistent with brain atrophy. Calcifications are seen in the b... | 1. Subacute subdural hematoma in the left frontal and parietal regions. Dr. Tania Rebeiz was notified the findings at about 2:40 pm. 2. Mildly decreased activity in the medial temporal lobes on both sides, which is nonspecific.3. Hypermetabolic lymph nodes in the right parapharyngeal space, which can be due to tumor. S... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, uncha... | Stable benign masses and calcifications. 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. | Premature infant status post PICC placement.VIEW: Chest AP (one view) 1/23/2015, 14:26 Interval placement of a right upper extremity PICC with the tip terminating in the contralateral subclavian vein. The nasogastric tube tip is in the body of the stomach with the side-port at the level of the GE junction.Mild diffuse ... | Right upper extremity PICC with the tip terminating in the contralateral subclavian vein. |
Generate impression based on findings. | History of stroke with altered mental status. There is no evidence of intracranial hemorrhage or mass. There is unchanged minimal patchy cerebral white matter hypoattenuation, which may represent small vessel ischemic disease. The ventricles are unchanged in size and configuration. There is no midline shift or herniati... | 1. No evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. 2. Renal osteodystrophy.3. Nonspecific left otomastoid opacification.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. Family history of breast cancer in paternal aunt. Two standard digital views with bilateral additional MLO 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, ... | 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. | SCLC status post CRT CHEST:LUNGS AND PLEURA: Status post resection of superior left lower lobe. Radiation fibrosis in the left upper lobe with persistent consolidation. Paraseptal and mild centrilobular emphysema. No evidence of recurrence or metastatic disease.MEDIASTINUM AND HILA: Heart size is normal without pericar... | 1.No evidence of recurrent or metastatic disease in the thorax. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/20/14) and ultrasound images for both breasts and axillae (12/20/14) performed at Rush University Medical Center. DIGITAL MAMMOGRAPHIC IMAGES (12/20/14):The breast parenchyma is heterogeneously dense. Scattered benign... | No mammographic evidence of malignancy. Multiple enlarged lymph nodes in both axillae on ultrasound. As per outside radiology report, the patient has a history of lupus which can be a cause of multiple enlarged axillary lymph nodes. Clinical correlation is recommended. If a biopsy of the lymph node is clinically indica... |
Generate impression based on findings. | Reason: prostate cancer, rule out mets History: prostate cancer Punctate foci of increased radiotracer uptake involving multiple thoracic and lumbar vertebrae suspicious for metastatic disease. Linear increased radiotracer uptake in the left scapula and left lateral 10th rib also suspicious for metastatic disease. Larg... | 1.Multiple foci suspicious for osseous metastases including the thoracic and lumbar spine, left 10th rib, and left scapula.2.Large areas of activity in the pelvis may represent Paget's disease or metastases. No additional imaging for comparison. |
Generate impression based on findings. | Reason: history of uterine cancer with paraaortic positive lymph nodes s/p surgery on 1/7/15 History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality... | 1. Status post hysterectomy. Enhancing tissue at the vaginal cuff with a small amount of surrounding fluid may be postoperative in etiology, but residual tumor cannot be excluded on this study. 2. Scattered nonspecific borderline retroperitoneal lymph nodes. Otherwise, no specific evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of left 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 d... | 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. |
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