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Generate impression based on findings. | 60-year-old male patient with history of lymphoma and known right lower quadrant soft tissue mass, right ventricular mass. Evaluate for lymphadenopathy. CHEST:LUNGS AND PLEURA: Examination of the lungs is mildly limited by patient motion. Endotracheal tube terminates in the mid trachea. Upper lobe predominant moderate ... | 1.Multiple intraperitoneal and soft tissue masses as described above.2.Chronic appearing obstruction of the right kidney due to large soft tissue mass in the right hemipelvis.3.Multiple soft tissue lesions in the left kidney and enlarged left adrenal gland compatible with lymphoma involvement.4.Interventricular septal ... |
Generate impression based on findings. | Fall. Rule out fracture. Right ankle injury.EXAMINATION: Right tibia-fibula AP/lateral (two views) 01/23/15 No fracture is identified. The bones are normal in appearance. A small amount of soft tissue swelling is seen over the anterior tibia. | No fracture. If there is ankle pain, ankle radiographs may be helpful for further evaluation. |
Generate impression based on findings. | Stab wound to chest and left pneumothorax. Chest tube.VIEW: Chest AP (one view) 01/24/15, 0610 Midline abdominal staples and left chest tube remain in place. Small left apical pneumothorax continues.Cardiothymic silhouette is normal. Subsegmental atelectasis is present in left upper lobe. No other focal opacities are i... | Continued small left apical pneumothorax. |
Generate impression based on findings. | 81 year old female with Stage IV T4aN0Mx squamous cell carcinoma of the left oropharynx,base of tongue, palatine tonsil, and retromolar trigone presenting for possible pneumonia and chin wound currently on antibiotic. There are post-treatment findings in the neck, including left neck dissection, tracheostomy, and radia... | 1.Extensive post-treatment findings including interval resection of the left mandibular body and flap reconstruction.2.A peripherally enhancing fluid collection within the left parapharyngeal space surgical bed may represent recurrent necrotic tumor, abscess, or a peripherally enhancing post-operative fluid collection.... |
Generate impression based on findings. | Left-sided weakness. Evaluate for CVA. There is no evidence of acute intracranial hemorrhage. Redemonstrated is encephalomalacia in the right occipital, parietal and posterior temporal lobe with ex vacuo dilation of the atria of the right lateral ventricle appearing similar to the most recent previous MRI from 2012.Mar... | 1.No evidence of acute intracranial hemorrhage or other acute abnormality.2.Encephalomalacia in the right occipital, parietal and posterior temporal lobe with ex vacuo dilation of the atria of the right lateral ventricle appearing similar to the most recent previous MRI from 2012. Since CT is insensitive for the detect... |
Generate impression based on findings. | Sciatica. Check for fracture Moderate degenerative changes observed involving L5-S1 with relative preservation of vertebral body heights disk spaces and alignment proximally. Lower facet sclerosis.Cholecystectomy clips. | Moderate osteoarthritic changes centered on L5-S1I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Evaluate for subdural hematoma. There is hyperattenuation in the left convexity subdural collection compatible with acute on chronic subdural hematoma. Overall this collection measures up to 18 mm in maximal thickness which is unchanged. There has been interval near complete resolution of the right frontal convexity su... | 1.New hyperattenuation in the left convexity subdural collection compatible with acute on chronic subdural hematoma, which is unchanged in thickness.2.Unchanged, minimal rightward midline shift and mild mass effect upon the underlying brain parenchyma. 3.Interval near complete resolution of the right frontal convexity ... |
Generate impression based on findings. | The paranasal sinuses are clear. There are bilateral Haller cells. The nasal cavity is also clear. There is no significant nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid groove and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracr... | Interval resolution of sinusitis. |
Generate impression based on findings. | 23-year-old female status post trauma Foot: Alignment is anatomic. There is no fracture or other specific finding to account for the patient's symptoms.Elbow: Normal alignment. No joint effusion or fracture. | No fracture or malalignment. |
Generate impression based on findings. | 24-year-old female patient with intermittent flank pain and hematuria. Evaluate for renal calculus. ABDOMEN:LUNG BASES: Trace bilateral dependent atelectasis.LIVER, BILIARY TRACT: Layering hyperattenuating material in the gallbladder is compatible with sludge.SPLEEN: No significant abnormality noted.PANCREAS: No signif... | 1.Obstructive renal calculus in the distal left ureter with associated mild left hydronephrosis and hydroureter.2.Punctate bilateral nonobstructing renal calculi. |
Generate impression based on findings. | Female 42 years old; Reason: evaluate for source of abdominal pain History: generalized abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. No biliary dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL... | 1.No acute abdominal or pelvic pathology. |
Generate impression based on findings. | 43-year-old female patient with left lower quadrant abdominal pain. ABDOMEN:LUNG BASES: Scattered bibasilar atelectasis and right lower lobe granuloma.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant... | No acute intra-abdominal abnormalities to account for patient's pain. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. No mass effect, midline shift or herniation. The ventricles and sulci are normal in size. There are no extraaxial fluid collections or subdural hematomas. Large right maxillary polyp. The remaining visualized paranasal sinuses and mastoid air cells appear normal. Nondispla... | 1.No evidence of acute intracranial hemorrhage or other acute intracranial abnormality.2.Age-indeterminate, minimally deviated non-displaced right nasal bone fracture.3.Left frontal scalp laceration without calvarial fracture. |
Generate impression based on findings. | Evaluate interval change in left thalamic ICH/IVH and SAH. No significant change in the size of the large intraparenchymal hemorrhage and associated vasogenic edema centered in the left thalamus with intraventricular extension. No significant change in the midline shift. Interval removal of the right transfrontal ventr... | 1.No significant change in the large ICH and associated vasogenic edema centered in the left thalamus with intraventricular extension.2.Interval removal of the ventricular catheter with slight increase in the size of the ventricles, including the temporal horns.3.Persistent unchanged posterior fossa subarachnoid hemorr... |
Generate impression based on findings. | 9-year-old female with lateral malleolus tender to palpationVIEWS: Left ankle AP/oblique/lateral (3 views) 01/24/15, 0951 Moderate soft tissue swelling overlying the lateral malleolus. Irregularity along the lateral aspect of the distal fibula may represent a Salter III fracture. | Probable Salter III fracture of the distal fibula. |
Generate impression based on findings. | There are many small focal enhancing lesions noted along conus and cauda equina as well as sporadic cauda equina nerve root enhancement. In addition, an enhancing lesion is visualized within the canal at 4-5, which was also present previously and is unchanged. There has been resection of a cystic enhancing lesion at t... | 1.Postoperative changes at the L1-L2 vertebral level from resection of a intradural cystic schwannoma with persistent intradural enhancement which may represent residual lesion versus granulation tissue.2.Admixture of posterior epidural fluid with air at the operative site which causes central canal narrowing.3.Multipl... |
Generate impression based on findings. | 14-year-old female status post bowel resection, abdominal painVIEWS: Abdomen AP supine/erect (two views) 01/24/15, 1007 hrs NG tube is coiled in the stomach with tip in the proximal gastric body. Sutures and vessel loops are unchanged. Right lower quadrant stoma is present.No pneumoperitoneum, pneumatosis intestinalis,... | Abnormal bowel gas pattern. Right lower lobe atelectasis or aspiration. |
Generate impression based on findings. | Female 50 years old; Reason: stone and eval for diverticulitis (i know suboptimal w/o contrast) History: L flank pain radiating to LLQ ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality... | 1.3-mm obstructing stone at the left UVJ with proximal moderate hydroureteronephrosis. Given degree of periureteral and perinephric stranding, superimposed infection is not excluded, and correlation with lab values suggested. |
Generate impression based on findings. | Female 51 years old; Reason: r/o obstruction History: abdominal pain, constipation ABDOMEN:LUNG BASES: Grossly stable scattered pulmonary nodules. Again demonstrated is debris within the right lower lobe bronchus with peribronchial thickening and patchy consolidation, likely related to chronic aspiration, somewhat impr... | 1.Very dilated and stool filled rectum and distal sigmoid colon, further described above, contributing to an above average stool burden.2.Nonobstructing bilateral nephrolithiasis.3.Cholelithiasis.4.Likely chronic aspiration, further detailed above. |
Generate impression based on findings. | There is agenesis of the corpus callosum with the superior aspect of the third ventricle extending slightly cephalad in the left paramedian direction. There are no findings of ventricular obstruction or dilatation.There is a left temporo-occipital cleft extending from the brain surface to the occipital horn of the lef... | 1.Agenesis of the corpus callosum.2.Left temporo-occipital closed-lip schizencephaly. |
Generate impression based on findings. | 41-year-old female patient with constipation and KUB with air-fluid levels. ABDOMEN:LUNG BASES: Scattered atelectasis noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS,... | Obstructive inflammatory changes in the terminal ileum and ileocolic junction with proximal small bowel dilatation. Given lymphadenopathy and grossly similar appearance on prior examination in 2009, a chronic inflammatory process, such as Crohn's, is favored versus a chronic infectious etiology. An underlying neoplasm ... |
Generate impression based on findings. | Artifact is present anteriorly on several sequences due to the presence of braces. Given the caveat: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... | Artifact is present anteriorly on several sequences due to the presence of braces. Given the caveat, negative noncontrast brain MRI. Specifically, there are no MRI findings to explain the patient's seizures. |
Generate impression based on findings. | Reason: Painful Varicose Veins - Resistant to Treatment. History: Investigate for more central occlusion/stenosis or pelvic congestion. LOWER CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: 2.5-cm ovoid, likely varice, seen at the gastroesophageal junction (3:38), stable. A couple small p... | 1. Essentially unremarkable patent abdominal vasculature.2. A couple prominent stable periesophageal lymph nodes are nonspecific, but continued follow-up is suggested. |
Generate impression based on findings. | 73-year-old female pre-kidney transplant patient presents for evaluation of vasculature and cyst on left kidney. ABDOMEN:LUNG BASES: Cardiomegaly is noted. Bilateral basilar atelectasis noted.LIVER, BILIARY TRACT: Liver granuloma noted.SPLEEN: Soft tissue nodules adjacent to the spleen are thought to represent splenule... | 1.Left complex cystic renal lesion is suspicious for renal cell malignancy.2.Minimal to moderate calcifications in the iliac arteries and their branches as described above. |
Generate impression based on findings. | Reason: NGT placement History: NGT Dobbhoff tube projects at the gastric antrum. A newly placed nasogastric tube tip projects over the gastric body. | Line placement as described above. |
Generate impression based on findings. | Reason: Please evaluate for Dobhoff positioning History: As above Dobbhoff tube projects over the gastric body. Bilateral partially visualized nephroureteral catheters are seen. Residual oral contrast is seen within the large bowel. | Dobbhoff tube placement as above. |
Generate impression based on findings. | Reason: Evaluate for retained foreign object. Pt s/p C/S History: See above No unexpected radiopaque foreign body. Linear radiopaque density projecting over the right sacroiliac joint is an IUD placed intraoperatively as discussed with resident physician Dr. Siddiqui. | No unexpected radiopaque foreign body. |
Generate impression based on findings. | There are a few punctate foci of restricted diffusion within both right and left cerebellar hemispheres (left greater than right) with associated T2 hyperintensity. Additionally, there is a linear focus of what appears to be restricted diffusion within the right posterolateral pons (series 301 image 205), although thi... | 1.There are a few punctate foci of restricted diffusion within both right and left cerebellar hemispheres (left greater than right) with associated T2 hyperintensity. Additionally, there is a linear focus of what appears to be restricted diffusion within the right posterolateral pons (series 301 image 205), although th... |
Generate impression based on findings. | Male 26 years old; Reason: evaluating changes in rll lesion on previous History: as above LUNGS AND PLEURA: Right lower lobe partially solid partially groundless nodular opacity appears stable compared to prior study with interval development of architectural distortion with associated scarring. There is a new extremel... | 1. Stable right lower lobe partially solid partially ground glass opacity with new evidence of scarring consistent with resolving infection. There are no specific findings to suggest an acute fungal infection.2. New extremely small faint ground glass opacity in the right lower lobe adjacent to the calcified granuloma c... |
Generate impression based on findings. | Reason: stool burden History: constipation, abd pain Small bowel air-fluid levels and prominent proximal small bowel loops with paucity of colonic air. | Finding suspicious for small bowel obstruction. |
Generate impression based on findings. | Reason: Patient with worsening distension and abdominal pain History: as above Nonobstructive gas pattern. Brachytherapy seeds project over the prostate. Aortic biiliac graft is seen. Scoliosis. Multilevel degenerative changes. | Nonobstructive gas pattern. |
Generate impression based on findings. | Reason: placement of dobhoff tube History: malnutrition with anasarca. Dobbhoff tube tip projects over the gastric body. | Dobbhoff tube placement as above. |
Generate impression based on findings. | Reason: DHT placement History: as above Dobbhoff tube tip projects over the gastric fundus. Unchanged lower thoracic findings from chest radiograph on 1/22/2015. Persistent to slightly more prominent gaseous distention of small and large bowel loops favoring ileus. | Dobbhoff tube placement as above. |
Generate impression based on findings. | Reason: gas pattern History: nausea Nonobstructive gas pattern. Slightly limited by motion. | Nonobstructive gas pattern. |
Generate impression based on findings. | 75 year-old female with delusions. Redemonstrated is periventricular hypoattenuation compatible with small vessel ischemic disease of indeterminate ages. Bilateral buphthalmos is again noted. Hyperdense focus adjacent to the lateral aspect of the left globe is unchanged.The CSF spaces are appropriate for the patient's ... | 1. No acute intracranial abnormalities.2. Small vessel ischemic disease of indeterminate ages. |
Generate impression based on findings. | Reason: eval for obstruction History: vomiting Stool filled sigmoid colon. Nonobstructive gas pattern. Thoracic findings are further characterized on same day chest radiograph. Feeding tube tip projects over the gastric body. | Stool filled sigmoid colon grossly stable from recent CT. Nonobstructive gas pattern. |
Generate impression based on findings. | 59-year-old male patient with history of stage IV melanoma presents following additional immunotherapy. CHEST:LUNGS AND PLEURA: Right lower lobe pulmonary nodule measures 0.9 x 0.6 cm (series 4 image 85), previously 1.0 x 0.6 cm. Other subcentimeter right pulmonary nodules remain unchanged.Reference left subpleural nod... | No significant interval change in referenced lesions or new sites of disease. |
Generate impression based on findings. | Reason: Eval Dobhoff tube placement History: resistance when flushing Dobbhoff tube tip projects over transverse duodenum. | Dobbhoff tube tip placement as above. |
Generate impression based on findings. | Reason: 64 y/o woman with metastatic breast cancer receiving chemotherapy. Evaluate treatment response and extent of disease. History: Worsening of chronic cough. CHEST:LUNGS AND PLEURA: New mild reticulonodular opacities at the right apex suggestive of infection.Moderate right pleural effusion, decreased compared to p... | Mixed response with decrease in right pleural effusion and lymphadenopathy but increase in a hepatic metastasis. |
Generate impression based on findings. | Reason: 24 yo male with ileal inflammation on colonoscopy and anal pain and tenderness concerning for perianal fistula/abscess. Please perform Crohn's protocol with imaging through the mid thighs History: regional enteritis, anal pain PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No signif... | Perianal fistulous tract measuring up to 1 cm in maximal dimension emanating from the 3 o'clock position, further described above. |
Generate impression based on findings. | 1 day old term male with fever and seizure like activity. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is nonspecific fluid within the mastoid air cells and middle ear cavities. The skull is unrema... | 1.No evidence of intracranial hemorrhage or gross structural abnormality.2.5-mm caput succedaneum overlying the vertex. |
Generate impression based on findings. | Reason: 77y.o. female w/possible lung lesion over the right first costochondral junction on CXR. Please further eval. History: ? lung lesion on CXR LUNGS AND PLEURA: No suspicious pulmonary nodules. A possible opacity described on a recent chest radiograph was likely due to an artifact.MEDIASTINUM AND HILA: No lymphade... | No significant pulmonary abnormalities. Small pericardial effusion. |
Generate impression based on findings. | Male 36 years old Reason: h/o liver transplant c/b remote h/o hepatic artery thrombosis now w/ acute liver decompensation and eval for re-transplant; eval for thrombosis History: decompensating liver dx LIVER: Status post transplant. Heterogeneity of the hepatic parenchyma. Patent hepatic vasculatureBILIARY TRACT: No d... | 1.Patent hepatic transplant vasculature. |
Generate impression based on findings. | Reason: evaluate left nodular opacity History: abnormal cxr LUNGS AND PLEURA: Mild scarring in the lingula and at the lung bases.Scattered micronodules and small scarlike opacities.No suspicious nodules.MEDIASTINUM AND HILA: No lymphadenopathy.Moderate coronary artery calcification.No pericardial effusion.Tortuous and ... | Mild scarring and no other significant pulmonary abnormalities. |
Generate impression based on findings. | Fever and neutropenia. Osteosarcoma.VIEW: Chest AP (one view) 01/24/15, 1205 Right internal jugular dual-lumen power port catheter tip is at junction of superior vena cava and right atrium.Cardiothymic silhouette is normal. No focal lung opacity is present. | No pneumonia. |
Generate impression based on findings. | 60 year old female with T3N1 cervical esophageal SCC who completed chemo / RT in August 2013 now presenting for followup. There are post radiotherapy changes within the medial upper lobes. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkabl... | No evidence of locoregional tumor recurrence or significant lymphadenopathy. |
Generate impression based on findings. | Back wound drainage. Evaluate for lumbar abscess. Surgery included L3-4 laminectomy and L3-S1 spinous process fusion on 12/26/14. Post-surgical changes are noted of a left L3/4 partial facetectomy, laminotomy, and ligamentum flavum resection as well as an interspinous fusion from L3-L5. There is prominent adjacent soft... | 1.Post-surgical changes of a left L3/4 partial facetectomy, laminotomy and ligamentum flavum resection as well as an interspinous fusion from L3-L5. At L3/4, there has been interval improvement in the lateral recess and central canal stenosis.2.Soft tissue signal abnormality with enhancement in the operative site, the ... |
Generate impression based on findings. | The lower-most containing identifiable ribs is presumed to be T12. With this numbering nomenclature, there is transitional anatomy with lumbarization of S1. There is a rudimentary disc and bilateral pseudoarticulations at S1/2.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. ... | The lower-most containing identifiable ribs is presumed to be T12. With this numbering nomenclature, there is transitional anatomy with lumbarization of S1. There is a rudimentary disc and bilateral pseudoarticulations at S1/2. Otherwise negative lumbar spine without contrast. |
Generate impression based on findings. | BRAIN:The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses a... | 1.No evidence of acute intracranial hemorrhage or other acute intracranial abnormality.2.Mild pharyngeal tonsillar enlargement and reactive adenopathy without abscess or phlegmon3.No evidence of a retropharyngeal abscess. |
Generate impression based on findings. | There is no evidence of intracranial mass, mass effect, or midline shift. Redemonstrated is minimal periventricular white matter hypoattenuation, which likely represents chronic microvascular ischemic disease. The ventricles are normal in size and configuration. There is no acute intracranial hemorrhage. Fluid is pres... | No acute intracranial abnormality. |
Generate impression based on findings. | 58-year-old female with dizziness. Evaluate the posterior circulation. NONCONTRAST CT HEADThe ventricles, sulci, and cisterns are symmetric and unremarkable. Scattered periventricular and subcortical white matter hypoattenuation which is nonspecific but compatible with age indeterminate small vessel ischemic changes. T... | 1.No evidence of acute intracranial hemorrhage or other acute intracranial abnormality.2.No significant steno-occlusive disease, dissection or aneurysm of the major intracranial arteries or arteries of the neck. |
Generate impression based on findings. | 42 year old female with blindness, headache and left facial numbness. There is no evidence of intracranial hemorrhage. There is atherosclerotic calcification of the distal internal carotid arteries. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imag... | 1.No evidence of intracranial hemorrhage.2.Right globe staphyloma and increased opacification of the left globe with unchanged small size compatible with history of retinal detachment and prior surgeries. |
Generate impression based on findings. | 79 year old male with dizziness. There is no evidence of intracranial hemorrhage. There are unchanged mild patchy regions of low-attenuation within the supratentorial white matter most compatible with chronic small vessel ischemic disease. Thre is atherosclerotic calcification of the distal internal carotid arteries. T... | No evidence of intracranial hemorrhage. |
Generate impression based on findings. | Multiple bowel resections. Elevated lipase and abdominal pain. Possible necrotizing pancreatitis. ABDOMEN:LUNG BASES: Small right pleural effusion and right lower lobe opacity are new findings.LIVER, BILIARY TRACT: Normal appearance. Gallbladder is distended.SPLEEN: Normal in appearance.PANCREAS: Normal enhancement. No... | No evidence of necrotizing pancreatitis. New right lower lobe opacity and right pleural effusion may represent pneumonia with parapneumonic effusion. Probable pyelonephritis. Possible loculated right lower quadrant fluid collection. |
Generate impression based on findings. | Fecal disimpaction. Evaluate residual stool burden.VIEW: Abdomen AP (one view) 01/24/15, 1438 A catheter is present within the ascending colonic enema channel.A moderate amount of feces is seen in the hepatic flexure and proximal transverse colon. A moderate to large amount of feces is present in the distal transverse ... | Decrease in stool burden. |
Generate impression based on findings. | Postoperative findings related to a soft tissue flap in the left posterior and lateral neck. No evidence of mass lesions or significant cervical lymphadenopathy by CT size criteria. A stable left level IIa reference lymph node is unchanged, measuring measures 6 x 5 mm, re-measured at 6 x 5 on the prior exam. The left ... | 1.Stable to perhaps slightly smaller reference lymph nodes in the neck. |
Generate impression based on findings. | There is a partial L3 vertebra, deficient left laterally, resulting in levoscoliosis with its apex at L3. There has been prior posterior fusion from L2 through L4 including bilateral pedicle screws at L2 and L4, and on the right at L3, as well as L3 laminectomy. Enhancement is noted along the operative tract, the para... | 1.There is a partial L3 vertebra, deficient left laterally, resulting in levoscoliosis with its apex at L3. 2.There has been prior posterior fusion from L2 through L4 including bilateral pedicle screws at L2 and L4, and on the right at L3, as well as L3 laminectomy. Enhancement is noted along the operative tract, the p... |
Generate impression based on findings. | Within the left level neck IVB region is 3 x 4 cm mass-like lesion (series 6, image 81), most likely representing a conglomerate of enlarged lymph nodes. Small bilateral mucous retention cysts are noted in the maxillary sinuses. The parotid and submandibular glands are normal in size and symmetric bilaterally without ... | 1.Mass-like lesion in the level IVB region of the left neck likely represents a conglomerate of enlarged lymph nodes.2.See the accompanying chest CT for full characterization of the partially visualized mediastinal and bilaterally axial lymphadenopathy. |
Generate impression based on findings. | Shortness of breath. Rule-out pneumonia.VIEW: Chest AP (one view) 01/24/15, 1603 Cardiothymic silhouette and pulmonary vascularity are normal. Lung volumes are mildly to moderately increased. Bronchial wall thickening is noted. Right middle lobe subsegmental atelectasis is resolving. No focal air space disease is seen. | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | Hypoxia. Seizure disorder and hip surgery. Rule out PE. PULMONARY ARTERIES: No filling defects are identified in the main, right, and left pulmonary arteries. Segmental arteries proximally are probably normal. The distal aspects of the segmental arteries cannot be evaluated adequately.The right heart is not enlarged. H... | No pulmonary embolus in the main, right, left, or proximal segmental pulmonary arteries. Consolidation of both lower lobes and small bilateral pleural effusion. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. Abnormal pelvic intestinal loops are only partially imaged. Previous MR enterography demonstrated abnormality. Please see previous report. Red... | 1.Abnormal pelvic intestinal loops are only partially imaged. Previous MR enterography demonstrated abnormality. Please see previous report.2.L5/S1: There is a small broad-based left paracentral protrusion with prominent annular tear which abuts and slightly flattens the left S1 nerve root sheath origin. |
Generate impression based on findings. | 23 female with VP shunt experiencing headache, abdominal pain, and vomiting Redemonstrated is a right transfrontal ventriculoperitoneal shunt catheter with tip terminating at the body of the left lateral ventricle. Ventricle caliber and morphology are unchanged from prior CT. The left lateral ventricle remains nearly c... | 1. No evidence of intracranial hemorrhage, mass, or cerebral edema2. Stable positioning of the right frontal approach ventricular shunt catheter. Stable caliber of the ventricular system.3. Stable posterior fossa asymmetry secondary to hypoplastic left cerebellar hemisphere. |
Generate impression based on findings. | There has been interval decrease in the amount of intraventricular hemorrhage, especially notable involving the left lateral and fourth ventricles. The parenchymal portion of the intracranial hemorrhage also appears slightly decreased in size. There are no foci of interval new hemorrhage. There has also been slight de... | 1.There has been interval decrease in the amount of intraventricular hemorrhage, especially notable involving the left lateral and fourth ventricles. 2.The parenchymal portion of the intracranial hemorrhage also appears slightly decreased in size. 3.There are no foci of interval new hemorrhage. 4.There has also been sl... |
Generate impression based on findings. | Is a well-circumscribed 5 x 5 mm focus within the choroid of the right lateral ventricle measuring -41 Hounsfield units consistent with fat. The ventricles and sulci are normal in size. There are no parenchymal masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or ... | 1.Incidental 5-mm choroidal lipoma.2.No acute intracranial abnormality. |
Generate impression based on findings. | Female 71 years old; Reason: right flank pain History: right flank pain 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:LUNG BASES: 5-mm left basal pulmonary nodule is nonspecific. Bibasal atelect... | 1.Mild/moderate right hydronephrosis with partially obstructing distal right ureteric calculus with additional calcifications within the bladder likely representing passed stones. Right renal staghorn calculus.2.Left basal pulmonary nodule requires follow-up as per Fleischner guidelines. |
Generate impression based on findings. | 97 years, Female. Reason: pls eval for stool burden, distention History: abdominal pain Average stool burden. No evidence of obstruction. Atherosclerotic calcifications aortic, iliac and femoral vasculature. Generalized severe osteoporosis. Degenerative changes lumbar spine. | No findings to explain abdominal pain. |
Generate impression based on findings. | 37 years, Male. Reason: ulcerative colitis r/o toxic megacolon History: fevers colitis Moderately dilated loops of jejunum with non-differential air-fluid levels. Paucity of colonic gas. No evidence of toxic megacolon. No intramural air or free air.Caval filter in expected position. Lung bases clear. No evidence of org... | Small bowel ileus involving primarily jejunum, obstruction unlikely. Given history of fever correlate for small bowel infectious process. No evidence of toxic megacolon. |
Generate impression based on findings. | Female 44 years old; Reason: hx of incisional hernias here with intractable vomiting, pls eval for bowel obstruction History: vomiting, hx of SBO ABDOMEN:LUNG BASES: Stable appearance of nodular pleural thickening in the left lower lobe at site of prior surgery with associated rib resection and myositis ossificans.LIVE... | 1.Stable appearance of intra-abdominal wall hernias without evidence of bowel obstruction at this time.2.Changes related to prior sleeve gastrectomy.3.Nonspecific gallbladder distention. |
Generate impression based on findings. | 29 years, Female. Reason: 29 yo w/gastroparesis here w/ sbo new onset r sided pain History: new onset r sided pain Mildly dilated loops of bowel in the left upper quadrant probably colonic with several suture lines noted. Given history of the surgery continued follow-up advised to rule out early obstruction. Paucity of... | No evidence of obstruction but there are persistent dilated loops of bowel in the left upper quadrant with evidence of prior surgery in the area. If symptoms persist or worsen follow-up plain films may be obtained. |
Generate impression based on findings. | 91 years, Male. Reason: LLQ pain, r/o obstruction History: see 1 Scattered bowel gas nonobstructive pattern consistent with generalized ileus. No intramural air or free air. Extensive atherosclerotic calcifications particularly aorta and branch vessels including splenic artery. Surgical clips lower chest. Sternotomy. L... | Generalized ileus. No obstruction. |
Generate impression based on findings. | 55 years, Male. Reason: post Dobbhoff placement History: see above Pelvis and portions of the right abdomen are excluded from the field of view.About two and does should be sure gastric body. Stomach distended. Scattered mild dilated loops of small bowel consistent generalized ileus. Average stool burden. Lung bases an... | Dobbhoff tube in distribution the gastric body. Generalized ileus. Gastric distention related to placement of the Dobbhoff tube. |
Generate impression based on findings. | 68 years, Male. Reason: ileus History: as above Persistent marked dilatation of transverse colon. Scattered bowel gas elsewhere. Gas distended stomach with percutaneous gastrostomy tube overlying proximal gastric body. This pattern is unchanged from the prior several examinations. No intramural air or free air.Bullae a... | Persistent colonic ileus. No intramural air or free air |
Generate impression based on findings. | Female 33 years old; Reason: severe abd pain, diffuse, can't localize History: severe acute onset abd pain, distended abd, vomiting 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:LUNG BASES: Evid... | 1. Appendicolith and mild periappendiceal fluid but no evidence of acute appendicitis.2. Bilateral adnexal structures are incompletely evaluated in the absence of intravenous contrast however appear at upper limits of normal for patient age. There is low suspicion for ovarian torsion or ovarian lesion unless symptoms a... |
Generate impression based on findings. | Female 63 years old Reason: obstructive uropathy. History: volume overload. RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: 12.3 cm in length. Normal echogenicity.COLLECTING SYSTEM/URETER: Foley catheter in a collapsed urinary bladder.URINARY BLADDER: No sign... | No evidence of renal artery stenosis. Elevated resistive indices nonspecific possibly medical renal disease a low echogenicity is normal.Some irregularities in distance between systoles correlate with EKG.Ascites. |
Generate impression based on findings. | Hypodense foci are present within the white matter without associated mass effect. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collecti... | Small vessel ischemic disease of indeterminate ages, which was demonstrated as chronic disease on the 2013 MRI. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Female 70 years old; Reason: eval for pathology History: abd pain, fever ABDOMEN:LUNG BASES: Mild bibasal dependent atelectasis. Nonspecific density within the lower left breast is incompletely evaluated. LIVER, BILIARY TRACT: Cholelithiasis. No intra-or extrahepatic biliary duct dilatation.SPLEEN: No significant abnor... | 1. Perforated sigmoid diverticulitis with adjacent inflammatory changes including a 3.9-cm air-fluid collection. Adjacent distended and edematous small bowel is likely secondary to the above-described inflammatory process. The possibility of small bowel ischemia was raised however at surgery the small bowel was determi... |
Generate impression based on findings. | 20-year-old male experiencing headache, has VP shunt No evidence of acute ischemic or hemorrhagic lesion. Redemonstrated is a ventriculostomy shunt entering via a right frontal burr hole with its tip located at the left side of the foramen of Monroe, unchanged in position. Hypodensity tracking along the catheter is sta... | 1.Stable ventricular sizes and location of VP shunt.2.No CT evidence for an acute intracranial process. |
Generate impression based on findings. | Male 63 years old Reason: h/o prostate vs testicular cancer, unknown pathology, p/w cord compression, eval for metastatic disease History: back pain, L hip and leg pain, s/p b/l orchiectomy CHEST:LUNGS AND PLEURA: Severe centrilobular and paracentral emphysema. Calcified and noncalcified pulmonary micronodules common n... | Osseous metastatic disease with destructive lesions with complications as described above in the chest and pelvis.Small nonspecific retroperitoneal lymph nodes.Lung emphysema and nonspecific pulmonary micronodules.Small volume contrast extravasation (see technique for details). |
Generate impression based on findings. | Female 55 years old; Reason: eval of acute onset anterior pubic pain History: as above ABDOMEN:LUNG BASES: Mild basal atelectasis. Left lower lobe pulmonary cyst.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No ... | 1.Trace fluid in the pubic symphysis with adjacent inflammatory changes is non specific but may be reactive in etiology. |
Generate impression based on findings. | Female 28 years old; Reason: r/o acute appy, TOA, other acute intraabdominal process History: R flank and lower abdominal pain, vaginal discharge, N/V ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant ... | 1.No evidence of appendicitis or tubo-ovarian abscess. |
Generate impression based on findings. | 60 year-old female. Rule out PE. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus is identified.LUNGS AND PLEURA: Severe upper lobe predominant centrilobular emphysema. There is a 2.2 x 2.5 spiculated semisolid right upper lobe nodule (image 54, series 10), concer... | 1.No evidence of pulmonary embolism.2.Right upper lobe spiculated mass, concerning for primary lung malignancy. This lesion is amenable to percutaneous biopsy if clinically indicated.3.Prominent mediastinal lymph nodes and left adrenal nodularity are nonspecific; metastatic disease is a diagnostic consideration.4.Small... |
Generate impression based on findings. | Male 69 years old; Reason: tumor burden, biliary dilation History: elevated bili, vomiting ABDOMEN:LUNG BASES: Mild right basal atelectasis.LIVER, BILIARY TRACT: No suspicious hepatic lesion. Patent hepatic vasculature. No intra-or extrahepatic biliary duct dilatation.SPLEEN: Status-post splenectomy.PANCREAS: Postsurgi... | 1.Increased omental and mesenteric nodularity consistent with worsening carcinomatosis.2.Stable soft tissue in the pancreatic resection bed.3.Reference lymph nodes are increased in size.4.Scattered osseous lucencies are unchanged. |
Generate impression based on findings. | Male 55 years old Reason: assess for mets History: assess for mets. CHEST:LUNGS AND PLEURA: Right upper lobe subpleural mass series 2 image 40, measures 5 x 2 cm with destruction of adjacent rib.Additional right and left lower lobe subpleural nodules consistent with metastases.MEDIASTINUM AND HILA: Enlarged heterogeneo... | left upper pole renal mass consistent with renal cell carcinoma but pulmonary and osseous metastases as detailed above. |
Generate impression based on findings. | 60 year-old male with history of PE and chronic DVT. Shortness of breath. Rule out PE. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus is identified.LUNGS AND PLEURA: Severe centrilobular emphysema. No focal consolidation. Minimal scarring at the lung bases. Diff... | No evidence of pulmonary embolism.Bronchial wall thickening may represent bronchitis or asthma.Tracheal debris compatible with aspiration.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Female 24 years old Reason: r/o pneumonia, abscess History: fever, leukocytosis CHEST:LUNGS AND PLEURA: Areas of consolidation in both lung apices seen consistent with airspace disease, rule out pneumonia.Nodular opacities measuring up to 1.7 x 1 cm series 5 image 85 in both apices.Nodular opacity superior segment left... | Multifocal airspace disease consistent with infection.Catheter with no measurable loculated collections. Expected postsurgical changes with diverting ileostomy. Subtle fat stranding around the splenic flexure questionable significance but may be related to inflammatory bowel disease. Mild biliary prominence unchanged. |
Generate impression based on findings. | Female 46 years old; Reason: r/o dissection History: back pain, hypertensive, on HD CHEST:LUNGS AND PLEURA: 1.8 x 1.1 cm area of focal bronchiectasis with associated peripheral soft tissue thickening is nonspecific but appears chronic. Multiple nonspecific pulmonary nodules measuring up to 4 mm (series 9, image 29) whi... | 1.No evidence of aortic aneurysm or dissection.2.Diffuse mediastinal and hilar lymphadenopathy with associated enlarged right supraclavicular lymph node is nonspecific.3.Focal bronchiectasis with peripheral soft tissue thickening in the right upper lobe with multiple associated lung nodules. While this may be infectiou... |
Generate impression based on findings. | Hypodense foci are present within the white matter without associated mass effect. There is mild diffuse volume loss without a specific lobar predominant atrophy pattern. There are no findings of ventricular obstruction or hydrocephalus. There are no masses, mass effect or midline shift. There is no evidence for intra... | Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 37-year-old female with chest pain, syncope shortness of breath. Paraplegia from gunshot wound. PULMONARY ARTERIES: Technically adequate exam for evaluation of pulmonary embolism. No pulmonary embolus is identified.LUNGS AND PLEURA: Moderate upper lobe predominant paraseptal emphysema, greater than expected for patient... | 1.No evidence of pulmonary embolism.2.Moderate paraseptal emphysema. Given no smoking history per electronic medical record, associations with IV drug abuse and HIV may be considered in this patient.3.Left adrenal nodularity is incompletely evaluated. Dedicated adrenal imaging may be considered if clinically indicated.... |
Generate impression based on findings. | Male 39 years old; Reason: evidence of pancreatitis or any complications of pancreatitis? History: history of chronic pancreatitis, presenting with usual symptoms. Exam is not sensitive for detecting lesions in the solid organs of vasculature due to the lack of intravenous contrast. Given that limitation, the following... | 1.Prominent colonic stool burdened throughout correlate for colonic inertia. 2.No CT signs of pancreatitis given limitations of no intravenous contrast. |
Generate impression based on findings. | Scattered foci of hypodensity are present within the white matter without associated mass effect. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial... | Small vessel ischemic disease of indeterminate ages. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Female 45 years old Reason: Eval for malignancy History: eval for malignancy. CHEST:LUNGS AND PLEURA: Multifocal areas of groundglass opacity scattered throughout the lungs primarily upper lobes bilaterally. Also areas of groundglass or atelectasis in the lobes. Currently for infection. No evidence of pleural effusions... | Multifocal ground glass opacities in the lungs currently for infection.Prominent jejunum correlate for any abdominal symptoms and possible adhesions. Questionable transition zone of quadrant.Hyperattenuating mass in the spinal canal of uncertain etiology. Correlate rule out metastases from breast carcinoma. |
Generate impression based on findings. | 50 year old female with head and neck trauma. HEAD: There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a left maxillary sinus retention cyst. The imaged mastoid air cells are clear. The skull and extr... | 1.No evidence of intracranial hemorrhage or skull fracture.2.No evidence of cervical spine fracture. |
Generate impression based on findings. | Pain and swelling. History of trauma to fourth digit.VIEWS: Right hand PA, ring finger oblique/lateral (3 views) 01/24/15 Soft tissue swelling surrounds the middle phalanx of the ring finger. An oblique fracture extends through the lateral condyle in and probably enters the articular surface. Posteriorly the fracture h... | Fracture of middle phalanx of ring finger. |
Generate impression based on findings. | Intubated. History of epilepsy. Hip surgery.VIEW: Chest AP (one view) 01/25/15, 0401 Endotracheal tube tip is just below thoracic inlet. Right upper extremity PICC tip is in right atrium. A gastrostomy tube is seen. The spica cast extends to the upper abdomen.Cardiothymic silhouette is normal. Opacities continue in bot... | Persistent opacities in the bases. |
Generate impression based on findings. | Male 91 years old; Reason: 91M h/o CAD, recent influenza, neutropenic p/w weakness, diarrhea, and sepsis. Please r/o PNA, intra-abdominal catastrophe History: see 1 The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations w... | 1.Spiculated left upper lobe pulmonary lesion suspicious for primary pulmonary malignancy.This was conveyed through stat consult by the resident on call to the referring service at time of reporting. |
Generate impression based on findings. | Cough and shortness of breath. Rule-out pneumonia.VIEW: Chest AP (one view) 01/24/15, 1738 Cardiothymic silhouette is normal. Mild peribronchial thickening is present. Subsegmental atelectasis is seen in the medial lung bases. No air space opacity is identified. | Bronchiolitis/reactive airways disease pattern. |
Generate impression based on findings. | 9-week-old former 27 to 28 week gestational age patient with respiratory distressVIEW: Chest AP (one view) 01/24/15, 1936 Endotracheal tube tip is below thoracic inlet. Feeding tube tip is distal to GE junction and not included on the image. Left chest tube remains in place.Soft tissue edema continues.Cardiac silhouett... | Continued bilateral opacities. |
Generate impression based on findings. | 70 years, Male. Reason: eval abdominal distension History: abdominal pain Nonobstructive bowel gas pattern. No intramural or free air given that limitation supine view. Osseous and soft tissue structures are unremarkable. | No evidence of any acute abdominal process. |
Generate impression based on findings. | 50 years, Male. Reason: obstruction? History: see abovr Mildly dilated loops of small bowel centralization consistent ileus and ascites. Small amount of nondilated colonic gas. No obvious intramural or free air. Osseous structures are unremarkable. | Small bowel ileus. No evidence of obstruction. Ascites. |
Generate impression based on findings. | 78 years, Male. Reason: eval Dobbhoff placement History: do hoff pulled out to 45 Pelvis and portion of the right abdomen excluded from field of view.Dobbhoff tube in distribution of distal esophagus and it should be advanced.Nonobstructive bowel gas pattern. | Dobbhoff tube in distribution of the distal esophagus - should be advanced. |
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