instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Tooth pain and swelling. Question of abscess in right lower molar with possible tracking in potential space. There is minimal periapical lucency involving the right mandibular first molar tooth (ADA #3) with minimal overlying soft tissue thickening measuring up to 3 mm (image 90, series 3 and image 60, series 80387). T... | Periapical lucency involving the first right mandibular molar (ADA #3) with overlying soft tissue thickening may represent a phlegmonous collection though no discrete fluid collection is identified; correlate with direct examination. |
Generate impression based on findings. | Evaluate lung expansionVIEW: Chest AP 1/4/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left upper extremity PICC with tip in the left brachiocephalic vein. Cardiothymic silhouette normal. Patchy atelectasis in the left lung unchanged. New large right pneumothorax with mediastina... | New large right pneumothorax with mediastinal shift from right-to-left. |
Generate impression based on findings. | Increased work of breathingVIEW: Chest AP 1/4/15 NG tube has been removed in the interval. Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. |
Generate impression based on findings. | Central line placementVIEW: Chest AP (one view) 1/4/15 1640 ET tube tip is at the carina. Left central venous catheter tip is curled at the left brachiocephalic vein, with tip directed cranially. Enteric tube tip is in the distal esophagus.The cardiothymic silhouette is normal.No focal pulmonary opacity, pleural effusi... | Misplaced left central venous catheter. Findings were discussed with the covering PICU resident by the radiology resident on call at 6 p.m. on 1/4/15. |
Generate impression based on findings. | ET placementVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Patchy atelectasis bilaterally increased in the right lung. No pleural effusion or pneumothorax. | ET tube tip below thoracic inlet and above the carina. |
Generate impression based on findings. | Endotracheal tube placementVIEW: Chest AP ET tube tip at the level of the thoracic inlet. Left upper extremity PICC with tip in the left subclavian vein. NG tube removed in the interval. Cardiothymic silhouette normal. Patchy atelectasis bilaterally increased in the interval. No pleural effusion or pneumothorax. | ET tube tip at the level of the thoracic inlet. |
Generate impression based on findings. | 83-year-old male with new onset severe ankle pain. Right ankle: There is mild soft tissue swelling about the lateral ankle without underlying fracture visualized. There has been an osteotomy of the fifth metatarsal which is incompletely visualized. Soft tissue swelling is noted about the distal Achilles tendon.Left ank... | Mild soft tissue swelling and finding suggestive of distal Achilles tendinopathy. |
Generate impression based on findings. | TraumaVIEWS: Pelvis AP (one views) 1/4/15 1406 The femoral heads are well directed into normal appearing acetabula. No fracture or malalignment is present. | No fracture or malalignment. |
Generate impression based on findings. | Pain status post fallVIEWS: Left elbow AP/oblique/lateral (3 views) 1/4/15 There is a supracondylar fracture of the humerus with moderate posterior angulation of the distal fracture fragment. Soft tissue swelling and elbow joint effusion are noted. | Supracondylar humeral fracture. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage. There is no extra-axial fluid collection. The ventricles and sulci are within normal limits for age. There is no midline shift or mass effect. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. Advanced degenerative changes at t... | No intracranial hemorrhage or evidence of mass effect. No hydrocephalus. Please note MRI would be more sensitive for evaluation of small lesions along the sixth cranial nerve. |
Generate impression based on findings. | Increased work of breathingVIEW: Chest AP 1/4/15 NG tube tip at the GE junction. Cardiothymic silhouette normal. Patchy atelectasis right lower lobe in a background of chronic lung disease. No pleural effusion or pneumothorax. | Patchy atelectasis right lower lobe in a background of chronic lung disease. |
Generate impression based on findings. | Bony growth. Swelling.VIEWS: Right knee AP/oblique/lateral (3 views) 1/4/15 An unchanged broad-based exostosis extends anteriorly and medially from the anterior aspect of the proximal tibia, just inferior to the apophysis. No fracture or malalignment is present. No joint effusion is evident. | Unchanged proximal tibial exostosis. |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate normal alignment of the cervical spine, with a normal cervical lordosis. The vertebral body and disk space heights are well-maintained.There is no acute fracture.At C1-C2, there is a normal relationship of the dens with the arch of C1.At C2-C3, the... | 1.No acute fracture or traumatic subluxation.2.Mild left neural foraminal stenosis at T2-3 from left facet arthropathy. |
Generate impression based on findings. | Female 42 years old; Reason: Assess etiology of hemoperitoneum History: s/p bilateral retroperitoneal nephrectomies with blood in dialysate fluid The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LU... | 1.Postsurgical changes relating to recent bilateral nephrectomies. Bilateral hematomas within the nephrectomy beds. Additional hematoma identified within the left upper quadrant.2.Perihepatic, perisplenic and pelvic hyperdense fluid. This is compatible with peritoneal dialysate with hyperdensity likely relating to rece... |
Generate impression based on findings. | 42-year-old with history of architectural distortion on prior mammogram. Short interval follow-up. No family history of breast cancer. 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, unchange... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: eval for aneurysm and progression of ICH/IVH/SAH History: unresponsive, ICH Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET crite... | 1.There is a large right frontal lobe intraparenchymal hematoma associated with subarachnoid and intraventricular blood in the mass effect. No underlying source is appreciated on this exam. 2.There is mild ventriculomegaly present associated with sulcal effacement. This raises the question of hydrocephalus. Please corr... |
Generate impression based on findings. | Reason: Metastatic lung cancer. History: Metastatic lung cancer. CHEST:LUNGS AND PLEURA: Pleural thickening on the left (image 59/104) with basilar scarring unchanged. Previous referenced subpleural nodules and pericardial masses remain resolved. No new pulmonary nodules.MEDIASTINUM AND HILA: Reference prevascular lymp... | Stable CT with no new sites of disease. |
Generate impression based on findings. | 39 year old female with left breast cancer status post chemoRADIOPHARMACEUTICAL: The left breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A foci of increased activity is noted in the left axilla, representing the sentinel node. This... | Sentinel node identified in the left axilla. |
Generate impression based on findings. | Cerebral palsy tachypneaVIEW: Chest AP Left upper extremity PICC with tip in the right atrium. Cardiothymic silhouette normal. Left lower lobe opacity likely atelectasis minimally improved in the interval. No pleural effusion or pneumothorax. Multiple surgical clips in the upper abdomen. | Left lower lobe atelectasis minimally improved in the interval. |
Generate impression based on findings. | Female 12 years old; Reason: 12yo F with SLE, respiratory failure, pancreatitis, eval lung opacities (?alveolar vs interstitial) , r/o splenic thrombosis, pancreatic pseudocyst History: intubated, pancreatitis CHEST:LUNGS AND PLEURA: Extensive dense bilateral perihilar pulmonary opacities with surrounding patchy ground... | 1. Dense bilateral perihilar pulmonary opacities. The differential for this appearance includes hemorrhage, ARDS, or drug reaction.2. Edematous pancreas with ascites, compatible with pancreatitis. |
Generate impression based on findings. | Female; 75 years old. Reason: evaluate for acute causes of suprapubic/periumbilical abdominal pain History: periumbilical/suprapubic crampy abdominal pain, ESRD. ABDOMEN:LUNG BASES: Mild basilar interstitial opacities, pleural thickening, subpleural blebs, and bronchiectasis which are compatible with chronic interstiti... | 1.Extensive wall thickening involving the ascending colon as described above. Appearance worrisome for acute colitis, possibly infectious/inflammatory in etiology, but follow-up imaging is recommended to document resolution and exclude malignancy. 2.Cholelithiasis without CT evidence of cholecystitis.3.Findings compati... |
Generate impression based on findings. | 18 year-old male with history of decreased breath sounds at the bases. Evaluate for consolidation/effusions. History of heart transplant. LUNGS AND PLEURA: Minimal bilateral patchy groundglass opacities, worse on the left. Right lower lung pleural based small foci of atelectasis/consolidation. No significant pleural ef... | Minimal patchy bilateral ground glass opacities, left greater than right, which have increased. These are nonspecific but may be infectious in etiology. |
Generate impression based on findings. | 56-year-old female with left foot gangrene, concern for osteomyelitis There is diffuse soft tissue swelling about the medial foot with multiple foci of gas extending within the soft tissues. Diffuse osteopenia with indistinct margin of the cortex along the medial base of the first phalanx suggesting osteomyelitis. | Soft tissue swelling and multiple foci of gas concerning infection with indistinct cortical margin of the base of the first proximal phalanx raising the question of osteomyelitis. Further evaluation with MRI may be considered clinically warranted. |
Generate impression based on findings. | FractureVIEWS: Right wrist AP and lateral The previously described Salter-Harris type III fracture involving the distal radius is obscured by the overlying cast. The alignment is anatomic. | Fracture of the distal radius in anatomic alignment. |
Generate impression based on findings. | 59-year-old male evaluate for left femoral neck fracture There is a lucent lesion in the left femoral neck seen on this single view of the pelvis, which, given the patient's history of malignancy, could represent a metastasis. No acute fracture is visualized. | Lucent lesion of the left femoral neck raising the possibility of a lytic metastasis. |
Generate impression based on findings. | Male 72 years old Reason: Evaluate for post obstructive pneumonia History: mass on bronchoscopy LUNGS AND PLEURA: Severe apical predominant centrilobular emphysema. Atelectasis/consolidation in the superior segment of the right lower lobe consistent with infection. Multiple pulmonary nodules. Spiculated, lobular right ... | 1.Consolidation consistent with infection in the superior segment right lower lobe.2.Multiple spiculated pulmonary nodules, as well as soft tissue surrounding the right mainstem bronchus consistent with history of NSCLC. 3.Right mainstem bronchus stent, with partial obstruction of the right upper lobe bronchus, and pos... |
Generate impression based on findings. | FractureVIEWS: Right thumb AP and lateral Healing Salter II fracture of the proximal phalanx of the thumb again noted. There is periosteal reaction reflecting interval healing. Alignment is near anatomic. The overlying cast obscures fine bony detail. | Healing fracture of the right thumb as described above. |
Generate impression based on findings. | 48-year-old female with difficulty swallowing. Please evaluate for anatomical abnormality. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Cholecystectomy clips noted in the right upper quadrant.Double contrast evaluation of the esophagus and gastric car... | Findings compatible with gastroesophageal reflux which likely explain the patient's symptoms. |
Generate impression based on findings. | Evaluate chest tube adjustmentVIEW: Chest AP 1/4/15 Endotracheal tube, NG tube and left PICC unchanged. The right chest tube has been retracted and the tip at the right mid lung. There is a small right pneumothorax unchanged. Cardiothymic silhouette normal. Probable small pneumothorax at the left costophrenic angle. Pa... | Retraction of right chest tube with tip in the right midlung. |
Generate impression based on findings. | Chest tube placementVIEW: Chest AP ET tube, NG tube and left PICC unchanged. Interval placement of a right chest tube with interval decrease in size of the large pneumothorax. The tip of the right chest tube is projected over the left upper lobe. Cystic lung changes are present at the left lower lobe. Patchy atelectasi... | Placement of a right chest tube with tip projected over the left upper lobe with interval decrease in size of the large right pneumothorax. |
Generate impression based on findings. | 66-year-old female with history of worsening hypoxia, bilateral lower lung crackles. Also history of sarcoid. LUNGS AND PLEURA: Persistent apical predominant pulmonary fibrosis with traction bronchiectasis and architectural distortion. Interval increased groundglass nodular opacities diffusely. No significant pleural e... | 1. Apical predominant pulmonary fibrosis consistent with history of sarcoid. 2. Diffuse ground glass nodular opacities are new, without significant pleural effusions, could be due to infection, progression of pulmonary sarcoidosis or superimposed edema. |
Generate impression based on findings. | 61-year-old male with history of lung and pharyngeal cancer with cough and congestion. There is mild mucosal thickening of the left frontal, scattered ethmoid, sphenoid, and right greater than left maxillary sinuses. There are no air-fluid levels present to suggest acute sinusitis. The right frontal sinus is hypoplasti... | 1.Mild paranasal sinus mucosal thickening as above.2.Narrowing of the osteomeatal complexes and sphenoethmoidal recesses. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and abdomen AP Tracheostomy tube in place. NG tube tip in the stomach. Cardiothymic silhouette normal. Left lower lobe atelectasis not significantly changed. There is also atelectasis in the left upper lobe. No pleural effusion or pneumothorax. Multiple dilated bowel loops in the abdo... | Multiple dilated bowel loops not significantly changed. |
Generate impression based on findings. | 51 year-old woman with history of trauma and pain in the left shoulder. Left shoulder: There is no acute fracture. Glenohumeral joint alignment is within normal limits.Left humerus: There is no acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | 83-year-old man with history of pain, fall. Left hip: There is severe joint space narrowing of the left hip with subchondral sclerosis and cyst formation. Mild chondrocalcinosis is noted. A penile prosthesis is also noted. There is no acute fracture or malalignment.Right hip: There is mild joint space narrowing of the ... | No acute fracture or malalignment. Degenerative changes as described above. |
Generate impression based on findings. | 80 year-old woman with history of fall, right hip fracture. Right hip: There is a comminuted, intertrochanteric fracture of the right femur with mild medial displacement of the lesser trochanter and mild superior displacement of the distal femoral fracture fragment. The hip joint alignment is anatomic.Right femur: The ... | Comminuted intertrochanteric fracture of the right femur. |
Generate impression based on findings. | 54-year-old with history of calcifications in the right upper outer breast. No current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 73-year-old man with history of low back pain after fall. Pelvis: There is no acute fracture or malalignment.Lumbar spine: Anterior wedge deformity of T12 appears unchanged from CT on 12/5/2014. There is disc space narrowing suggestive of degenerative disc disease at T12/T1 and L3/L4. Additionally, small anterior osteo... | Degenerative disease of the lumbar spine and old compression deformity of T12 without acute fracture or malalignment. |
Generate impression based on findings. | 46-year-old man with history of right ankle fracture status post reduction and external fixation. Again seen is a comminuted fracture of the distal tibia with fracture lines extending to the tibiotalar articulation. There is minimal displacement and the fracture fragments are grossly in anatomic alignment. Additionally... | Comminuted fractures of the distal tibia and fibula in gross anatomic alignment status post external fixation. |
Generate impression based on findings. | Reason: hx of head and neck cancer, compare to previous with measurments. History: as above CHEST:LUNGS AND PLEURA: Multiple pulmonary metastases not significantly changed. The reference right lower lobe pulmonary nodule measures 8 mm on image 80/115 (9 mm on prior).MEDIASTINUM AND HILA: Reference right paratracheal ly... | 1. Stable pulmonary nodule.2. Stable intrathoracic lymphadenopathy. Stable small upper abdominal node which was PET+ in the past.3. Stable osseous metastases.4. Mass in the neck is incompletely evaluated. Please see dedicated neck CT report. |
Generate impression based on findings. | Status post 28 cycles of treatment for metastatic thyroid cancer. There are postoperative findings related to total thyroidectomy and neck dissection. Overall, there is no significant interval change in the size of some of the suprasternal and bilateral supraclavicular subcutaneous tissues lesions. There is stable to m... | 1. Overall, largely stable size of the multiple foci of metastatic tumor in the suprasternal and bilateral supraclavicular subcutaneous tissues, with stable to minimal interval enlargement of the dominant necrotic mass anterior to the left sternocleidomastoid muscle.2. No significant interval change in size of bilatera... |
Generate impression based on findings. | Female 47 years old; Reason: Bilious emesis after retroperitoneal dissection, JJ anastomosis; h/o lap band ABDOMEN:LUNG BASES: Right basilar atelectasis and trace effusion, not significantly changed compared to prior. Left basilar micronodules are nonspecific. Enlarged cardiophrenic lymph node is not significantly chan... | 1.Postsurgical changes relating to retroperitoneal mass resection. Loculated fluid collection within the surgical bed likely represents postsurgical fluid. Continued follow-up is recommended as developing superimposed infection is not excluded.2.New jejunojejunal anastomosis with mildly prominent proximal dilatation, m... |
Generate impression based on findings. | Male; 53 years old. Reason: Pre-kidney Transplant evaluation, assess aorta and iliacs for potential kidney transplant. History: Smoking and 8 years of HD. Evaluation of solid organ pathology and lymphadenopathy is limited by lack of intravenous contrast. ABDOMEN:LUNG BASES: Moderate pericardial effusion. No pleural eff... | 1.Numerous bilateral renal hypodensities, which are incompletely assessed without IV contrast but may reflect acquired cystic disease of dialysis. Please correlate with patient history. 2.Extensive aortobiiliac atherosclerotic disease as detailed above. |
Generate impression based on findings. | Female 68 years old Reason: question of pancreatitis, please use pancreas protocol. rising lipase, emesis. ABDOMEN:LUNG BASES: New patchy partially solid appearing/ground glass opacities consistent with pneumonia. Persistent bilateral pleural effusions with associated compressive atelectasis, increased from the prior.L... | 1.Bibasilar partially solid/groundglass opacities consistent with multifocal pneumonia.2.New wedge-shaped areas of hypoattenuation in the splenic parenchyma consistent with new splenic infarcts.3.Anasarca, with associated new ascites and increased pleural effusions.4.Mild peripancreatic haziness is nonspecific in the s... |
Generate impression based on findings. | 86 year old woman with history of knee pain. There is mild joint space narrowing on this nonweightbearing view with small tricompartmental osteophytes and mild to moderate chondrocalcinosis. There is no acute fracture, malalignment, or joint effusion. | Degenerative changes without acute fracture or malalignment. |
Generate impression based on findings. | 22 year-old woman with history of pain over the dorsum of the foot after being run over by car. Left ankle: There is no acute fracture or malalignment. There is no significant soft tissue swelling or joint effusion.Left foot: There is no acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | 48 year-old woman with history of right fourth digit pain. There is no acute fracture or malalignment. Note is made of a short fourth metacarpal, a finding that has a long differential but may be a normal variant. Additionally, there is negative ulnar variance and a questionable, small erosion of the ulnar styloid. Mod... | 1.No acute fracture or malalignment.2.Questionable erosion of the ulnar styloid, correlate to history of inflammatory arthritis. |
Generate impression based on findings. | Female 79 years old Reason: Rule out SBO History: constipation ABDOMEN:LUNG BASES: Small bilateral pleural effusions with associated compressive atelectasis, right greater than left.LIVER, BILIARY TRACT: Scattered hypoattenuating lesions in the right hepatic lobe are too small to characterize.SPLEEN: No significant abn... | 1.Findings compatible with cecal volvulus with associated dilatation of the small bowel. Associated ascites is worrisome for ischemia.2.Thrombus in the left renal vein likely related to compression secondary to the cecal volvulus.3.Nonspecific cystic focus in the pancreatic head/neck junction area, may represent a side... |
Generate impression based on findings. | History of aortic stenosis, pre-operative planning. Please see accompanying cardiac CT report for description of heart and thoracic aorta. Evaluation of solid organs somewhat limited by arterial phase of contrast. VESSELS:SUPRARENAL ABDOMINAL AORTA: 2.2 X 2.4 cmINFRARENAL ABDOMINAL AORTA: 1.23 X 1.31 cmRIGHT COMMON ILI... | 1.Please see cardiac CT from same day for description of thorax including heart and thoracic aorta.2.Atherosclerotic disease of the abdominal aorta with measurements as above. |
Generate impression based on findings. | Reason: 67 yo with right sided heart failure of uncler cause, assess lungs History: right sided heart failure LUNGS AND PLEURA: Very small right pleural effusion. No evidence of pulmonary fibrosis are significant emphysema.MEDIASTINUM AND HILA: Atherosclerotic calcification of the aorta and its branches. Coronary calci... | Very small right pleural effusion. No evidence of pulmonary fibrosis are significant emphysema. |
Generate impression based on findings. | There is no suspicious intracranial enhancement, acute intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild left maxillary sinus mucosal thickening. The imaged mastoid air cells are clear. The pa... | No evidence of intracranial metastases. |
Generate impression based on findings. | No bowel movement evaluate for obstructionVIEWS: Abdomen AP and left lateral decubitus There is a urinary catheter in place. Gastrostomy tube in place. There appears to be contrast within the collecting systems bilaterally. Multiple dilated bowel loops in the right hemi-abdomen without pneumatosis or pneumoperitoneum. ... | Multiple dilated bowel loops in the right hemi-abdomen may represent partial bowel obstruction and follow-up recommended. |
Generate impression based on findings. | 67-year-old male with Dobbhoff tube placement. Note that the pelvis was not included in the exam. Two right upper quadrant abdominal pigtail catheters are visualized. The multi-sidehole feeding tube tip overlies the proximal jejunum corresponding to the anatomy seen on CT. Nonobstructive bowel gas pattern. Abdominal wo... | The feeding tube tip terminates in the jejunum. |
Generate impression based on findings. | Reason: please eval for signs of infection History: fever, leukocytosis, AMS LUNGS AND PLEURA: Small pleural effusions identified.Mild basilar atelectasis.No focal areas of consolidationMEDIASTINUM AND HILA: No hilar or mediastinal lymphadenopathy.Mild cardiac enlargement without evidence of the pericardial effusion.Mo... | Small bilateral pleural effusions with underlying atelectasis. No specific evidence of infection. |
Generate impression based on findings. | Female 43 years old Reason: Nephrolithiasis, pyelonephritis History: Sepsis likely uro source, back pain ABDOMEN:LUNG BASES: Incidental left fat containing Bochdalek hernia.LIVER, BILIARY TRACT: The patient is status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | 1.No evidence of nephrolithiasis or ureterolithiasis as clinically questioned.2.Gastric band with a somewhat more horizontal configuration than expected, which could reflect slippage. Evaluation with fluoroscopy may be considered as clinically indicated.3.Air within the bladder presumably reflects recent instrumentatio... |
Generate impression based on findings. | chest pain s/p marijuana now with periumbilical abdominal painVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. No abnormal bowel dilation. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: Eval emypema and loculated pleural effusions History: Eval empyema and loculated pleural effusions LUNGS AND PLEURA: Significant interval decrease in the large right pleural effusion previously identified.Scattered foci of air are noted within the effusion with demonstration of a loculated hydropneumothorax.Pre... | Significant interval decrease in the right pleural effusion with scattered foci of pleural air and loculated hydropneumothorax related to placement of a new right-sided chest tube. |
Generate impression based on findings. | Evaluate pneumothoraxVIEW: Chest AP 1/4/15 2202 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. There are now two chest tubes on the right. The superior most chest tube has its sidehole in the subcutaneous tissue. The large right pneumothorax with mediastinal shift from right to left ... | Placement of a new right chest tube with its side hole in the subcutaneous tissue. |
Generate impression based on findings. | Male 66 years old Reason: history of metastatic renal cancer, s/p resection all metastatic cancer, assess for recurrence CHEST:LUNGS AND PLEURA: 1.6-cm calcified right upper lobe nodule unchanged. Additional smaller calcified and noncalcified pulmonary nodules are not significantly changed.MEDIASTINUM AND HILA: Retrost... | 1.Postsurgical changes related to right nephrectomy without evidence of locoregional disease recurrence or distant metastatic disease.2.Sclerotic bone lesions as detailed above, likely benign in etiology given the lack of radioisotope accumulation on the prior bone scan and interval stability. |
Generate impression based on findings. | Pneumothorax desaturationVIEW: Chest AP 1/4/15 2028 ET tube, NG tube and left PICC unchanged. The right chest tube is unchanged. The large right pneumothorax has increased in size with mediastinal shift from right to left. Patchy atelectasis in the left upper lobe and lingula. Cardiothymic silhouette normal. Marked bod... | Recurrence of the large right pneumothorax with mediastinal shift from right to left. |
Generate impression based on findings. | 56-year-old female with nausea and vomiting. Rule out SBO or ileus. Nonobstructive bowel gas pattern. Average amount of stool. Right vascular access catheter is again noted. | No evidence of obstruction or ileus. |
Generate impression based on findings. | Female 53 years old Reason: hx of hep B carrier. Asym. R/o liver changes History: asymptomatic LIVER: The liver measures 13.4 cm in length. Stable coarse hepatic echotexture without focal liver lesion. The main portal vein is patent and demonstrates normal directional flow. GALLBLADDER, BILIARY TRACT: Unremarkable appe... | Stable coarse liver echotexture without suspicious liver lesion. No ascites. |
Generate impression based on findings. | FractureVIEWS: Left forearm AP and lateral Healing fracture involving the distal ulna in near anatomic alignment. There is periosteal reaction and sclerosis at the fracture site reflecting interval healing. Again noted periosteal reaction along the posterior aspect of the mid radius unchanged. | Healing forearm fractures as described above. |
Generate impression based on findings. | Reason: SAH with clipping day 6. to evaluate for cerebral vasculature History: comatose Brain CTA: There is opacification of the distal internal carotid arteries, the distal vertebral arteries and the proximal anterior middle and posterior cerebral arteries. There is approximately 75% stenosis at the ophthalmic segment... | 1.The patient is status post recent embolic coil occlusion of basilar tip aneurysm. There is obscuration for visualization of the proximal anterior, middle and posterior cerebral arteries. Vasospasm cannot be excluded.2.Finding suggests a small subacute infarction along the right posterior inferior cerebellar artery te... |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Negative noncontrast brain MRI. |
Generate impression based on findings. | Evaluate trach tubeVIEW: Chest AP 1/5/15 Tracheostomy tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Patchy atelectasis in the right lower lobe and left lower lobe. Hyperinflated right lung with no pleural effusion or pneumothorax. | Tracheostomy tube tip below thoracic inlet and above the carina. |
Generate impression based on findings. | Reason: 44 y.o with AML with neutropenic fever History: neutropenic fever LUNGS AND PLEURA: Right-sided nodules with surrounding ground glass (images 25 and 43 series 4) compatible with atypical infections including fungal etiologies.No pleural effusions.MEDIASTINUM AND HILA: Cardiac size is normal evidence of pericard... | Right-sided pulmonary nodules with surrounding ground glass opacities compatible with atypical infection including fungal etiologies. |
Generate impression based on findings. | Male 72 years old Reason: metastatic colon cancer s/p hepatic resection in August 2014, evaluate disease status History: colon cancer CHEST:LUNGS AND PLEURA: Reference left basilar nodule now measures 9 mm (image 41, series 5), previously 5 mm. Additional non-reference right basilar nodule now measures 6 mm, previously... | 1.Interval increase in size of multiple pulmonary nodules concerning for metastatic disease.2.Postsurgical changes related to bilobar hepatic wedge resections, without new metastatic lesions identified.3.Resolution of the previously seen pneumobilia and improvement of the subcapsular fluid along the left hepatic lobe.4... |
Generate impression based on findings. | 19 year-old boy with history of left fifth finger pain. There is a partially visualized, oblique fracture of the left fifth metacarpal diaphysis which appears in near anatomic alignment but extends beyond the inferior margin of the study. Associated soft tissue swelling is noted. | Oblique fracture of the left fifth metacarpal diaphysis, partially visualized. Finding was text paged to pager number 9036 at 11:35 on 1/5/2015. |
Generate impression based on findings. | Female 37 years old Reason: elevated LFT's, cholestasis History: jaundice. Additional history from prior M.R.C.P. of orthotopic liver transplant. LIVER: Mildly coarse echogenic liver echotexture suggestive of chronic liver disease. The main portal vein is patent and demonstrates normal directional flow.GALLBLADDER, BIL... | 1. Status post orthotopic liver transplant and cholecystectomy. There is no intra-or extrahepatic biliary duct dilatation. There is splenomegaly and ascites.2. Heterogeneous, enlarged and hypoechoic pancreas. As the appearance is not significantly changed compared to prior studies this is likely within normal limits ho... |
Generate impression based on findings. | Male 67 years old Reason: heart transplant evaluation LUNGS AND PLEURA: Right basilar subsegmental atelectasis/scarring. No pleural effusion or pneumothorax. Non-specific left apical micronodule measuring 4 mm (image 16, series 5) which was negative on recent PET CT. Calcified left basilar micronodule which may be due ... | Right basilar atelectasis. No specific evidence of acute infection. Non specific 4 mm left apical micronodule. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cyst removal. Three 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. Round ma... | 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. | There are no pathologically enlarged cervical lymph nodes.The thyroid gland is enlarged and nodular containing calcification, these findings appear unchanged since 2004. The nasopharynx, oropharynx, hypopharynx, and larynx are unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft ti... | 1.No pathologically enlarged lymph nodes, abnormal soft tissue mass or pathologic enhancement.2.The thyroid gland remains heterogeneous but stable for the past years. |
Generate impression based on findings. | Male 64 years old Reason: recurrent fevers, had CT abdomen that showed pulmonary opacities in the lung bases History: SOB Patient motion artifact limits optimal evaluation.LUNGS AND PLEURA: Patchy right lower lobe nodular opacities, which may be due to infection. Smaller left lower lobe focus of nodular opacities. Ling... | 1.Multifocal nodular pulmonary opacities, as well as ground glass opacities, which could be due to infectious/inflammatory process.2.Lingular atelectasis/consolidation, with adjacent cystic focus, most likely due to pre-existing cyst formation, although cavitary lesion cannot be entirely excluded. |
Generate impression based on findings. | 52-year-old with history of multiple breast cysts. History of bilateral benign cyst aspirations. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, un... | New simple cyst in the left breast upper inner quadrant as described. No mammographic or sonographic 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... |
Generate impression based on findings. | Reason: interval worsening of diffuse bilateral interstitial and air space History: worsening cough LUNGS AND PLEURA: Moderate bilateral pleural effusions. Patchy bilateral groundglass, alveolar, and interstitial opacity with a few areas of traction bronchiectasis, most notably in the inferior lingula. Background mild ... | Moderate bilateral pleural effusions. Patchy bilateral groundglass, alveolar, and interstitial opacity with a few areas of traction bronchiectasis, most notably in the inferior lingula. Background mild centrilobular emphysema. The findings are nonspecific. In the acute setting this may be due to pneumonia or hemorrhage... |
Generate impression based on findings. | 73-year-old male with history of COPD, spontaneous pneumothorax and chest tube placement. May require pleurodesis. LUNGS AND PLEURA: Left lateral chest tube, with tip pointing anteriorly at the level of the mid thorax, and associated subcutaneous emphysema tracking along the left chest wall. Small left anterior pneumot... | Left chest tube, with small anterior residual pneumothorax. |
Generate impression based on findings. | Previously demonstrated mild left ventriculomegaly is no longer evident. There are no findings of ventricular dilatation or hydrocephalus. Foci of susceptibility can be found within the left cerebellar hemisphere, left paramedian vermis, and tips of bilateral occipital horns (left greater than right) consistent with h... | 1.Previously demonstrated mild left ventriculomegaly is no longer evident. 2.Foci of susceptibility can be found within the left cerebellar hemisphere, left paramedian vermis, and tips of bilateral occipital horns (left greater than right) consistent with hemosiderin from prior hemorrhage. 3.Fluid is present within bil... |
Generate impression based on findings. | 79-year-old woman with history of basilar joint arthropathy status post fusion, evaluate for foreign body. There are postoperative findings of first metacarpophalangeal joint fusion with osseous clips affixing the first metacarpal to the proximal phalanx. Deformities of the tuft of the second distal phalanx and the thi... | Postoperative, posttraumatic, and degenerative changes as described above without unexpected radiopaque foreign body. |
Generate impression based on findings. | Female 82 years old Reason: 82F with bladder cancer, s/p neoadjuvant chemo and cystectomy/ileal conduit. Surveillance imaging History: bladder cancer ABDOMEN:LUNG BASES: Reference left basilar partially semisolid/groundglass nodule now measures 1.1 x 1.3 cm (image 10, series 6), previously measuring 0.9 x 1.5 cm. Adjac... | 1.New solid left basilar pulmonary nodules are most consistent with metastatic disease.2.Stable semisolid/groundglass nodules, which could represent additional indolent primary pulmonary malignancy.3.Postsurgical changes related to cystectomy and ileal conduit formation, with fluid collections along the bilateral pelvi... |
Generate impression based on findings. | Male 3 days old; History: prenatal diagnosis left multicystic dysplastic kidney; right pelviectasis BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: The left kidney cons... | 1. Multicystic dysplastic left kidney located in the pelvis.2. Grade 2 right hydronephrosis.*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. Gra... |
Generate impression based on findings. | Reason: newly diagnosed retromolar trigone cancer History: r/o lung mets LUNGS AND PLEURA: No evidence of pulmonary metastases.MEDIASTINUM AND HILA: Enlarged central pulmonary arteries and mild enlargement of the right ventricle, suggestive of pulmonary hypertension.CHEST WALL: No significant abnormality noted.UPPER AB... | 1. No evidence of pulmonary metastases.2. Enlarged central pulmonary arteries and mild enlargement of the right ventricle, suggestive of pulmonary hypertension. |
Generate impression based on findings. | 54-year-old man with history of right knee pain. Moderate osteoarthritis affects the right knee with medial joint space narrowing to near bone-on-bone apposition and small tricompartmental osteophytes. | Moderate osteoarthritis of the right knee. |
Generate impression based on findings. | 77-year-old male with history of recurrent right ear squamous cell carcinoma. Status post surgery. Postop evaluation. LUNGS AND PLEURA: Minimal dependent atelectasis/scarring. 4-mm right upper lobe micronodule (6/23) is unchanged. No new suspicious nodules or masses.MEDIASTINUM AND HILA: Heart size within normal limits... | Unchanged right upper lobe nodule, nonspecific. No new suspicious nodules or masses, or other findings of metastases. |
Generate impression based on findings. | 82 year-old woman status post right hip arthroplasty revision. Right hip: Hardware components of a right total hip arthroplasty device are seen in near anatomic alignment. Acetabular protrusio is again noted. There is no evidence of hardware complication.Pelvis: Bilateral total hip arthroplasty devices are seen in near... | Right total hip arthroplasty without evidence of complication. |
Generate impression based on findings. | Please see accompanying CTA abdomen/pelvis for description of abdominal findings. CHEST:LUNGS AND PLEURA: Trace bilateral pleural effusions. Scattered scarring and subsegmental atelectasis. No suspicious nodules or masses. MEDIASTINUM AND HILA: Please see accompanying cardiac CT report for description of heart and vas... | Large hiatal hernia. Trace pleural effusions and scattered scarring/atelectasis. Please see accompanying cardiac CT report for description of heart and vasculature. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of ovarian cancer in paternal grandmother and paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is heterogeneously dense, which may o... | 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. | Diarrhea abdominal distentionVIEW: Abdomen AP Disorganized nonobstructive bowel gas pattern. No abnormal bowel dilation. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 32 year-old woman with history of elbow pain, evaluate for fracture. There is a lucency with cortical step-off involving the articular surface of the radial head indicating a nondisplaced fracture. The joint effusion has decreased compared to the prior examination. | Nondisplaced, intra-articular radial head fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right MLO view 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 ... | 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. | 57-year-old man with history of right total hip arthroplasty, postoperative evaluation. Right hip: Hardware components of a right total hip arthroplasty device are seen in near anatomic alignment. Heterotopic bone formation is noted about the acetabular component, but there is no evidence of complication.Pelvis: Bilate... | Right total hip arthroplasty without evidence of complication. |
Generate impression based on findings. | Metastatic breast cancer to lung and liver. Left chest wall pain. Status of pulmonary nodules, liver. CHEST:LUNGS AND PLEURA: Left upper lobe nodule now measures 33 x 18 mm on image 35/124 (9 x 21 mm on prior). Some of this measurement includes atelectasis.The previously referenced left lower lobe subpleural nodule has... | Interval increase in size of reference pulmonary and hepatic metastases. |
Generate impression based on findings. | 65-year-old male with history of amiodarone induced lung injury. Cough. LUNGS AND PLEURA: Lower lobe predominant diffuse groundglass opacities. Minimal septal thickening at the periphery, and minimal dependent atelectasis. No architectural distortion, no honeycombing. Scattered micronodules, some of which are calcified... | Diffuse lower lobe predominant ground glass opacities, with minimal septal thickening and no architectural distortion or honeycombing. These findings are nonspecific, but may be seen in cases of amiodarone related lung disease. |
Generate impression based on findings. | Female 52 years old; Reason: 52 F with metastatic gallbladder cancer, please evaluate for interval change. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wall port with tip in right atrium. ABDOMEN:LIVER, BILIARY TRACT: Diffuse hep... | 1. Continued decrease in size and conspicuity of right hepatic lesion. |
Generate impression based on findings. | 77 year old with history of right mastectomy for carcinoma in 1993 followed by adjuvant chemotherapy. No new 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 elements, unchanged in ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral 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. | Evaluate pneumothoraxVIEW: Chest AP 1/5/15 ET tube, NG tube and left PICC unchanged. There are two chest tubes on the right side with a moderate size right pneumothorax with midline shift from right to left not significantly changed. Patchy atelectasis in the lingula unchanged. Cardiothymic silhouette normal. Marked bo... | Moderate size right pneumothorax not significantly changed. |
Generate impression based on findings. | 55-year-old man with history of right knee pain. Severe osteoarthritis affects the right knee with medial joint space narrowing and small tricompartmental osteophyte formation. | Severe osteoarthritis of the right knee. |
Generate impression based on findings. | Female 51 years old; Reason: metastatic breast cancer - evaluate response to treatment. Compare with previous with measurements per recist 1.1 History: adenopathy CHEST:LUNGS AND PLEURA: Nonspecific subpleural nodularity in the right upper lobe likely related to prior radiation therapy.MEDIASTINUM AND HILA: Reference e... | 1.Status post bilateral mastectomy. Reducing right subpectoral fluid collection.2.Mixed response of mediastinal lymphadenopathy.3.New retroperitoneal, porta hepatis and peripancreatic lymphadenopathy.4.Hypoattenuating right hepatic lesion, previously identified on outside hospital PET study is highly suspicious for met... |
Generate impression based on findings. | 77-year-old male with ileostomy formation. Evaluate DLI for takedown. The scout film showed a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Surgical clips are noted bilaterally within the pelvis. Postsurgical changes from the anastomosis are seen within the right lower quadrant. Degenerati... | Diverticulosis of the colon, greatest in the rectosigmoid region, without stricture or leak. No large masses. Exam not designed to evaluate for polyps. |
Generate impression based on findings. | 72 year-old woman with history of low back pain. Lumbar spine alignment is within normal limits. Vertebral body heights are preserved. Small anterior osteophytes project from the vertebral bodies and there is mild narrowing at L3/L4 and L4/L5 with vacuum disc phenomenon. | Degenerative disc disease without acute fracture or malalignment. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.