instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | Male 38 years old Reason: please compare to previous s/p additional systemic therapy and provide bidimensional measurements per RECIST v1.1 thanks History: melanoma CHEST:LUNGS AND PLEURA: Pleural based micronodular right mid lobe series 5 image 67, unchangedplace micronodules right middle lobe image 61 also unchanged.... | No definite evidence of metastatic disease. Nonspecific pulmonary micronodules in nonpathologic size mediastinal nodes are unchanged. Nonspecific subcentimeter left adrenal nodule also unchanged. |
Generate impression based on findings. | CT HEAD:There is no evidence of intracranial hemorrhage. There are scattered patchy foci of hypoattenuation within the supratentorial white matter that are most compatible with age indeterminant small vessel ischemic disease. There is diffuse volume loss of the cerebellum and to a lesser extent the brainstem. The vent... | 1.No evidence of intracranial hemorrhage.2.Moderate age indeterminant small vessel ischemic disease.3.Cerebellar and brainstem volume loss compatible with diagnosis of spinocerebellar ataxia.4.No evidence of significant steno-occlusive lesion within the head or neck.5.Subcentimeter thyroid nodules that could be further... |
Generate impression based on findings. | Female 73 years old Reason: 73 F with new dx of breast cancer, staging CTs History: right breast cancer. CHEST:LUNGS AND PLEURA: Several right and left apical subpleural blebs and small bullae.Somewhat triangular shape discrete nodule right upper lobe series 6 image 37, 0.9 x 0.7 cm.no other lung nodules. No effusions.... | Right breast nodule.Possible fatty liver.Nonspecific right lung nodule. Enlarged nodular thyroid gland.Focal calcification pancreatic head correlate for history of pancreatitis. Bulbous pancreatic tail suspect normal variant. |
Generate impression based on findings. | Redemonstrated is parenchymal and intraventricular hemorrhage, unchanged in appearance. There are no foci of interval new hemorrhage. Ventricular sizes are stable. There is no significant mass effect with stable minimal midline shift to the left. There is no extraaxial fluid collection. There is mild scattered mucosal... | 1.Redemonstrated is parenchymal and intraventricular hemorrhage, unchanged in appearance. 2.There are no foci of interval new hemorrhage. 3.Ventricular sizes are stable. 4.There is no significant mass effect with stable minimal midline shift to the left |
Generate impression based on findings. | Pain. Rule out fracture/dislocation.VIEWS: Left humerus AP/lateral (two views) 01/24/15 The humerus is normal in appearance. No fracture is identified. No significant soft tissue swelling is seen. | Normal examination. |
Generate impression based on findings. | Pain. Rule out fracture/dislocation.VIEWS: Left elbow AP/lateral/oblique (3 views) 01/24/15 A joint effusion is not present. The bones are normal in appearance. No fracture is identified. | Normal examination. |
Generate impression based on findings. | 67-year-old male with new confusion The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are again noted. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema ... | 1.No evidence for acute intracranial hemorrhage, mass effect, or edema.2.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | 64-year-old male with intracranial hemorrhage. 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. Redemonstrated is hypodensity along a track from a previous ... | 1.No significant change in the large ICH and associated vasogenic edema centered in the left thalamus with intraventricular extension.2.The left lateral ventricle has slightly decreased in size, with the remaining ventricular system stable. |
Generate impression based on findings. | Female 40 years old Reason: 40 yr old female with stage IV cervical cancer. S/P 3 cycles neoadjuvant Taxol/Cisplatin/Avastin. Please assess current disease status and compare with previous scans. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Port-A-Cath tip in proximal right atrium.CHES... | Retroperitoneal and pelvic lymphadenopathy. |
Generate impression based on findings. | Male 68 years old Reason: restaging scans s/p 6 cycles of investigational immunotherapy History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Reference lung with lesions as follows:Irregular shape left lower lobe lesion, series 8 image 70, 2.9 x 1.6 cm. Previously 2.6 x 1.9 cm.Para-mediastinal left lower lob... | Progression of disease based on a lung findings.Other findings as above. |
Generate impression based on findings. | Left arm weakness.VIEWS: Left clavicle AP/tangential (two views) 01/25/15 A fracture of the proximal humeral metaphysis has buckling and greenstick component is. The humeral head is well directed toward the glenoid fossa.The clavicle is normal in appearance. | Fracture of proximal humeral metaphysis. |
Generate impression based on findings. | Shoulder pain.VIEWS: Right shoulder internal/external rotation (two views) 01/25/15 Humeral head is well directed into glenoid fossa. No fracture is seen. | Normal examination. |
Generate impression based on findings. | Male 70 years old; Reason: pt hcc needs surveillance scans History: none CHEST:LUNGS AND PLEURA: Right lung granuloma. Moderate/severe emphysematous changes. Right basal scarring/atelectasis.MEDIASTINUM AND HILA: Heart size is normal. Subcarinal lymph node measures 2.1 x 1.2 cm (series 15, image 55), previously 1.9 x 1... | 1.Multifocal HCC is detailed above. Decrease in size of the dominant right hepatic lesion.2.Subcarinal and retroperitoneal lymphadenopathy.3.Cholelithiasis. |
Generate impression based on findings. | Fatigue and new diagnosis of neuroblastoma. CHEST:LUNGS AND PLEURA: No focal opacity is present. A pleural effusion is not identified.MEDIASTINUM AND HILA: A mass in the left neck measures approximately 8 cm in maximum diameter. The superior aspect of the mass is above C6 and not included in this examination. The mass ... | Neuroblastic tumor in the left retroperitoneum extending across the midline. Metastatic disease in left neck and mediastinum. |
Generate impression based on findings. | Male 45 years old Reason: Melanoma. History: s/p 4 cyles of Yervoy. Restage. CHEST:LUNGS AND PLEURA: Several both calcified and noncalcified pulmonary micronodules. Favor granulomatous disease. No effusions.MEDIASTINUM AND HILA: Scattered nodes most are calcified. Several small nodes are not calcified. Nonpathologic in... | Calcified and noncalcified pulmonary micronodules and mediastinal nodes. Clusters of small axillary nodes, nonspecific. Solitary sub-centimeter hypoattenuating focus liver.No prior exams for comparison. |
Generate impression based on findings. | Female 81 years old; Reason: evaluate for occult malignancy/masses History: unexplained wt loss Motion artifact degrades image quality. 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:CHEST:LUNGS AND PLEU... | 1.No evidence of occult malignancy within the limitations of this noncontrast study. |
Generate impression based on findings. | Reason: r/o PE, eval possible PNA, hx of peritoneal mesothelioma, PE History: cough, CP, SOB, hypoxia. PULMONARY ARTERIES: Exam is limited by poor contrast opacification of the pulmonary arterial system. No pulmonary embolism is identified to the lobar level.LUNGS AND PLEURA: Minimal scarring at the lung bases. No foca... | 1.Limited exam without evidence of pulmonary embolus to the lobar level.2.Slight increase in size of prominent mediastinal lymph nodes and gastrohepatic ligament soft tissue/confluent adenopathy, concerning for neoplastic extension of known peritoneal mesothelioma.3.Findings compatible with pulmonary arterial hypertens... |
Generate impression based on findings. | 76 year old male with lung mass and right vocal cord paralysis. There is a 31 x 47 mm spiculated mass within the right lung apex with adjacent reticular opacities as well as pulmonary emphysema. There is extensive mediastinal and right supraclavicular lymphadenopathy. For example, a right supraclavicular lymph node mea... | 1.Right upper lobe spiculated mass highly suspicious for primary lung neoplasm with nodal mediastinal and right supraclavicular nodal disease was better characterized on recent CT chest. 2.Right vocal cord paralysis likely secondary to mediastinal and supraclavicular disease involvement of the recurrent laryngeal nerve... |
Generate impression based on findings. | Hypodensity is present within the white matter without associated mass effect. There is equivocal hyperdensity within the left MCA just distal to the bifurcation, imaged on one slice only (series 4 image 10). The ventricles and sulci are unremarkable for age. There are no masses, mass effect or midline shift. There is... | 1.Small vessel ischemic disease of indeterminate ages.2.There is equivocal hyperdensity within the left MCA just distal to the bifurcation, imaged on one slice only (series 4 image 10). 3.If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 29-year-old male with laceration. Evaluate for foreign bodies, fracture. No radiopaque foreign body. No underling fracture or malalignment is evident. Soft tissue irregularity at the base of the thumb is compatible with stated history laceration. | No evidence of radiopaque foreign body or underlying fracture. |
Generate impression based on findings. | 30 year-old female with left shoulder pain, lateral ankle pain and swelling, and rib pain. Left shoulder: Minimally displaced greater tuberosity fracture. No additional fracture or malalignment is evident.Left ankle: Moderate soft tissue swelling about the ankle, particularly laterally. Minimally displaced oblique dist... | Greater tuberosity fracture of the proximal left humerus.Oblique distal fibular metaphyseal fracture and likely medial malleolar avulsion fracture. |
Generate impression based on findings. | 56-year-old male with pain. No joint effusion or significant soft tissue swelling. No evidence of fracture or malalignment in the elbow. | No evidence of fracture. |
Generate impression based on findings. | 81-year-old male with poor dentition. Preop assessment prior to potential CABG. Multiple metallic fillings and missing teeth are noted. Multiple teeth are fractured. There are periapical lucencies suggestive of periodontal disease. No specific evidence of osteomyelitis. | Fractures, fillings, and periapical lucencies, as above. |
Generate impression based on findings. | 50 year-old female with fall. Complaining of tenderness/swelling in right calf/foot. Right tibia/fibula: No evidence of fracture or malalignment.Right ankle: Diffuse mild to moderate soft tissue swelling about the ankle. No joint effusion present. No evidence of underlying fracture or malalignment. Right foot: There is... | Avulsion fracture of the base of the proximal phalanx of the great toe. |
Generate impression based on findings. | 71-year-old male with muscle weakness, stroke activation. Encephalomalacia is present involving the anteromedial left frontal lobe with peripheral gliosis and slight right frontal horn ex-vacuo dilatation. This was not present on the right/19/2000 study, yet demonstrates a chronic appearance.Previously demonstrated hyp... | 1.Chronic infarcts involving the right frontal, left temporal, and left occipital lobes.2.Small vessel ischemic disease of indeterminate ages which has progressed. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | 50-year-old female with midline tenderness to palpation after MVC. Cervical spine: Straightening of the normal cervical lordosis likely positional. Moderate degenerative changes affect the cervical spine. Vertebral body heights and intervertebral disk spaces are maintained without evidence of acute fracture or malalign... | No evidence of acute fracture or malalignment in the cervical or lumbar spine. |
Generate impression based on findings. | Left proximal humerus fracture. No trauma history.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right femur AP, left femur ... | Left humeral fracture. Possible right tibial fracture. AP and lateral radiographs of right tibia/fibula may be helpful. |
Generate impression based on findings. | 35-year-old female with neck pain. Rule out fracture. Straightening of the normal cervical lordosis is likely positional. Vertebral body heights, intervertebral disk spaces are maintained. No evidence of fracture in the cervical spine. | No evidence of fracture. |
Generate impression based on findings. | 37 year-old female with right sacral decubitus ulcer. Evaluate for osteomyelitis. There is complete bony fusion of the right hip joint. The left hip joint appears intact. There is marked type ossification about both proximal femurs. Chronic deformity of the sacroiliac joints is noted. Anomalous sacral formation is iden... | Marked deformities of the pelvis and proximal femurs. If there is suspicion for osteomyelitis, cross-sectional imaging such as MRI or CT should be considered. |
Generate impression based on findings. | 19 year-old female with pain status post trauma. Evaluate for injury. No joint effusion or significant soft tissue swelling is identified. No evidence of fracture or malalignment in the left knee. | No evidence of fracture or malalignment. |
Generate impression based on findings. | 67-year-old male with pain, weakness. Known bony metastases from prostate cancer. Evaluate for interval change. The bones are diffusely demineralized.Pelvis: Innumerable, diffuse small sclerotic bone lesions in the lower lumbar spine, pelvis, and femora are compatible with stated history of metastatic prostate cancer a... | Progression of skeletal metastases without evidence of acute fracture or malalignment in the pelvis, hips or femora. |
Generate impression based on findings. | Three day old twin 33 week gestational age patient with increased respiratory distress. History of pneumothorax.VIEWS: Chest and abdomen AP (two views) 01/25/15, 1106 Endotracheal tube tip is above the thoracic inlet. Feeding tube tip is in gastric body. Umbilical venous line tip is at junction of umbilical and left po... | Small to moderate right pneumothorax. Disorganized bowel gas pattern. |
Generate impression based on findings. | Arm injury.EXAMINATION: Left elbow lateral (one view) 01/24/15 The elbow is slightly obliquely positioned. No joint effusion is present. No definite fracture is identified. | No definite fracture. |
Generate impression based on findings. | Pain in arm. Left humerusEXAMINATION: Left humerus AP/lateral (two views) 01/24/15 A buckling transverse fracture of the medial proximal humeral metaphysis is seen. | Fracture of proximal humerus. |
Generate impression based on findings. | Vomiting. History of chronic lung disease.EXAMINATION: Abdomen AP (one view) 01/24/15 Motion artifact is present and precludes evaluation for small free peritoneal air and pneumatosis intestinalis.Mildly dilated bowel loops are present. Bowel gas pattern is disorganized. | Disorganized gas pattern. |
Generate impression based on findings. | 69-year-old male status post L3 to L5 surgery. Bilateral rods and pedicular screws affix L3-L5. Intervertebral spacer devices are noted at L3-4 and L4-5. No evidence of hardware complication at this time. No evidence of fracture or malalignment in the lumber spine. Vascular calcifications are noted in the abdomen. | L3-L5 orthopedic hardware without evidence of complication. |
Generate impression based on findings. | 81-year-old female status post fall with right ankle pain. Rule out fracture. The bones are diffusely demineralized, limiting sensitivity for fracture. There is mild soft tissue swelling about the distal right leg and ankle. Vascular calcifications are noted. The ankle mortise appears intact. No evidence of fracture or... | No evidence of fracture. |
Generate impression based on findings. | 52 female with wrist pain. Evaluate for fracture. No definite fracture or malalignment in the left wrist. There is irregularity of the distal ulna at the articular surface. This is of uncertain clinical significance. | No definite fracture or malalignment. Irregularity of the distal ulna at the articular surface is of uncertain clinical significance. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. Mild hypoattenuation within the pons may be related to age indeterminate ischemia. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/mid... | 1.No acute intracranial abnormality. 2.Mild hypoattenuation within the pons may be related to age indeterminate ischemia. If there is continued clinical concern for acute ischemia, MRI would be recommended. |
Generate impression based on findings. | Mild prominence of the ventricles and sulci indicate mild volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There is severe periventricular and subcortical hypoattenuation which is nonspecific but likely reflects age indeterminate small vessel ischemic disease. The distal basi... | 1.No acute intracranial hemorrhage.2.Severe age indeterminate small vessel ischemic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Diffuse benign calcifications in both ... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. No focal fl... | 1.No acute intracranial abnormality.2.Left mastoid air cells are clear. No focal fluid collections are present in the soft tissues surrounding the left ear. |
Generate impression based on findings. | 71 year old female with left facial weakness. There is no evidence of intracranial hemorrhage, mass or mass effect. There are scattered patchy regions of low-attenuation within the supratentorial white matter. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniatio... | 1. No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. Mild age indeterminant small vessel ischemic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Personal history of uterine cancer diagnosed in 2003. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscur... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Round marker was pla... | Left breast calcifications. Comparison to outside mammogram is recommended. If the calcifications are new or the prior mammogram cannot be obtained, magnification imaging will be needed.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | 80 year old female with head trauma. There is no evidence of intracranial hemorrhage. There are scattered regions of low-attenuation within the supratentorial white matter as well as a more focal region of low attenuation with volume loss in the left medial cerebellar hemisphere (PICA territory). There is atherosclerot... | 1.Soft tissue swelling and hematoma overlying the right aspect of the frontal bone without evidence of intracranial hemorrhage or skull fracture.2.Mild age indeterminate small vessel ischemic disease and a chronic left cerebellar infarct. |
Generate impression based on findings. | There is ventricular asymmetry and effacement of the frontal horn of the left lateral ventricle which is a stable finding but is better characterized on prior MRI from 4/5/2010 and likely reflects chronic volume loss. Dilatation of the posterior left lateral ventricle is unchanged. Left posterior periventricular hypod... | 1.No acute intracranial abnormality.2.Stable ventricular asymmetry, likely related to history of periventricular leukomalacia. |
Generate impression based on findings. | 83 year old with known left breast cancer presents for seed localization. On review of the prior studies, there is a hypoechoic mass on ultrasound at the 5:00 position with a biopsy clip present.The procedure, risks including bleeding, mistargeting and infection, and benefits of radioactive seed placement were discusse... | Successful seed placement for the known left breast cancer.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 16-year-old male with desmoplastic round cell tumor status post stem cell transplant and chemoradiation, now with septic shock and altered mental status. CHEST:LUNGS AND PLEURA: New bibasilar consolidation with air bronchograms, right greater than left. The previously identified left lower lobe pulmonary nodules are no... | 1.New diffuse small bowel wall thickening, which may be infectious or inflammatory in etiology. Graft-versus-host disease is a differential consideration considering the patient's prior stem cell transplant.2.New bibasilar consolidation right greater than left.3.Gastrojejunostomy tube tip now residing in the upper thor... |
Generate impression based on findings. | There is no evidence for intracranial hemorrhage. There are no masses, mass effect or midline shift. The cerebellar tonsils appear somewhat low lying with effacement of the CSF space of the foramen magnum although full evaluation is made difficult by artifact at the skull base. The ventricles and sulci are normal in ... | No acute abnormalities. The cerebellar tonsils are somewhat low lying with effacement of the CSF space of the foramen magnum. MRI with CSF flow imaging may provide more information if clinically warranted.Findings conveyed to Dr. Crain within the emergency department via phone by Dr. Veronesi of the Radiology service a... |
Generate impression based on findings. | 48 years, Female. Reason: Evaluate for megacolon and free air History: metastatic cancer with c.diff and RLQ abdominal pain. Bilateral nephrostomy tubes and nephroureteral catheters identified. IVC filter in expected position. Mild gaseous distention of the stomach and small bowel loops, which are displaced superiorly,... | 1.Free air cannot be excluded on this supine radiograph, and further evaluation with erect or decubitus views can be considered if clinical concern persists. 2.Mild gaseous distention of small bowel loops without colonic distention. |
Generate impression based on findings. | 71-year-old male with a CVA. NONCONTRAST CT HEADNo evidence of acute intracranial hemorrhage. There is loss of gray white in the right insula and right basal ganglia region which is new compared to 2012 and compatible with acute ischemia. In addition, there is a hyperdense vessel in the right M2 distribution. Chronic i... | 1.Occlusion of one of the M2 branches of inferior division of the right MCA with developing parenchymal hypoattenuation in the insula and basal ganglia compatible with acute infarction. 2.Multiple areas of chronic cortical ischemia and scattered age indeterminate small vessel ischemic disease. Mild-moderate scattered a... |
Generate impression based on findings. | There is a large area of encephalomalacia in a right MCA distribution with a dystrophic calcification and ex vacuo dilatation of the right lateral ventricle. Volume loss within the right cerebral peduncle is likely related to Wallerian degeneration. There is 5 mm, left to right midline shift secondary to volume loss. ... | 1.No acute intracranial hemorrhage.2.Large region of encephalomalacia in a right MCA distribution. 3.Hypodensity in the left pons may be related to age indeterminate ischemia.If there is clinical concern for superimposed ischemia, an MRI may be considered. |
Generate impression based on findings. | Right hip pain. Possible slipped capital femoral epiphysis.VIEWS: Pelvis AP/frog leg (two views) 01/26/15 The round smooth femoral heads are well directed into normally formed acetabula. Proximal femoral physes are fused. No fracture is identified. | Normal examination. |
Generate impression based on findings. | 7 year old female with epilepsy and VNS, cortical blindness, G-tube dependence, intellectual disability and adrenal insufficiency presenting with vomiting, listlessness, and seizures. There is no evidence of intracranial hemorrhage. There is global parenchymal volume loss with suspected thinning of the corpus callosum.... | 1.No evidence of acute intracranial hemorrhage.2.Global parenchymal volume loss. Consider MRI for evaluation of the parenchyma if clinically indicated. |
Generate impression based on findings. | 29 years, Female. Reason: evaluate for obstruction and r/o free air- 29 yo w reported h/o cyclic vomiting syndrome p/w intractable vomiting, severe abdominal pain, diarrhea x1 episode, PO intolerance History: intractable vomiting, single episode diarrhea, severe abdominal pain Nonobstructive bowel gas pattern. IUD in p... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 30 years old; Reason: evaluation of epigastric sharp pain, h/o crohns disease ABDOMEN:LUNG BASES: Minimal dependent atelectasisLIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The pancreas is mildly enlarged and edematous with peripancreatic fat stranding. T... | 1.Findings compatible with acute pancreatitis. |
Generate impression based on findings. | Female 80 years old; Reason: stage IV gastric cancer. CT for re-staging after palliative chemo. History: abd pain CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions, right greater than left. Scattered areas of atelectasis. Radiation changes in the left upper lobe.MEDIASTINUM AND HILA: Heart size is enlarged. Tra... | 1.Large gastric mass with subtle nodularity of the upper abdominal mesentery.2.Thickened terminal ileum wall. |
Generate impression based on findings. | Male 64 years old; Reason: eval abd/pelvis for cause of secondary bacterial peritonitis, eval lungs for cause of respiratory decompensation History: tachypnea, ascites PMN >5000 CHEST:LUNGS AND PLEURA: Basilar atelectasis. Left pleural effusion. Small right pleural effusion.MEDIASTINUM AND HILA: No significant abnormal... | 1.Increase in the size of the peripancreatic fluid collection.2.Basilar atelectasis/consolidation and left pleural effusion.3.Bowel wall thickening worst in the duodenum.4.Peritoneal nodularity. |
Generate impression based on findings. | left sided headache No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous st... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Biopsy proven left breast fibroadenoma. Personal history of lupus. History of ovarian cancer in two maternal aunts. Two standard digital views and tomosynthesis of both breasts and an additional right MLO view were performed and reviewed with the aid of R2... | Stable bilateral masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 64 years, Male. Reason: Evaluate for free air History: increased abdominal distention Enteric tube tip overlies the forth portion of the duodenum. Previously seen gastric distention has resolved. No definite evidence of free air. Nonspecific paucity of small bowel gas. No definite evidence of bowel obstruction. Left pl... | Enteric tube tip overlies the forth portion of the duodenum. No definite evidence of free air. No definite evidence of bowel obstruction. Left pleural effusion partially visualized. |
Generate impression based on findings. | 56 yo male with worsening abdominal pain in the setting of acute pancreatitis. Severely limited exam due to patient motion and exclusion of pelvis from field of view. Mild dilatation of visualized small bowel loops may reflect ileus. | Possible ileus pattern although exam is significantly limited due to factors outlined above. Repeat radiographs with a full field of view can be considered for further evaluation if clinical concern persists. |
Generate impression based on findings. | 31-year-old man with history of ankle fracture, evaluate for extension into ankle mortise. Again seen is a minimally displaced fracture through the medial malleolus of the distal tibia with extension of the fracture line to the articular surface. Additionally, there is also a minimally displaced fragment arising from t... | Intra-articular fractures of the medial and lateral aspects of the distal tibia involving and fracture through the distal fibula. |
Generate impression based on findings. | 63-year-old male, evaluate for osteomyelitis Soft tissue swelling with foci of gas extending to the stump. Irregularity of the underlying cortex of the residual fourth and fifth metatarsals is highly concerning for osteomyelitis. Additional more chronic appearing periosteal reaction may be the sequela of chronic osteom... | Findings consistent with osteomyelitis of the stump as described above. |
Generate impression based on findings. | CT HEAD:The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is benign enlargement of the subarachnoid spaces adjacent to the frontal lobes bilaterally. The visualized portions of the paranasa... | 1.No acute intracranial abnormality.2.Findings of benign enlargement of the subarachnoid spaces, which usually resolve by two years of age.3.Cortical irregularity with adjacent sclerosis along the anterior left pedicle of C2 and bilaterally at C6 are likely developmental and represent asymmetric apophyseal fusion. No d... |
Generate impression based on findings. | 20 years, Female. Reason: is there stool burden or obstruction History: constipation. Nonobstructive bowel gas pattern. Normal stool burden. IUD projects over the pelvis in expected position. | Nonobstructive bowel gas pattern. Normal stool burden. |
Generate impression based on findings. | 38 year-old male with laceration from human bite Soft tissue swelling and irregularity volar to the DIP joint. No fracture is identified. Alignment is within normal limits. | Soft tissue swelling without fracture evident. |
Generate impression based on findings. | slurred speech, history of CVA with residual left sided deficit No evidence of acute ischemic or hemorrhagic lesion.There is right PCA territorial encephalomalacia indicating prior ischemic infarction.No change since prior examination.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass ... | 1. Chronic right PCA territorial ischemic infarction with encephalomalacia, no change since prior exam.2. No evidence of acute ischemic or hemorrhagic lesion.Comment: Brain MRI can be considered if clinically indicated. |
Generate impression based on findings. | Reason: r/o PE History: cp w/ hypoxia and d dimer > 20; trop 0.09; left sided cp PULMONARY ARTERIES: Extensive bilateral pulmonary emboli involving lobar, segmental, and subsegmental branches. LUNGS AND PLEURA: Basilar subsegmental atelectasis/scarring. No pleural effusions. Pleural based left lower lobe micronodule is... | Extensive bilateral pulmonary emboli involving lobar, segmental, and subsegmental branches. PULMONARY EMBOLISM: PE: PositiveChronicity: Acute.Multiplicity: BilateralMost Proximal: LobarRV Strain: Positive |
Generate impression based on findings. | 26-year-old male with pain after MVA Alignment is anatomic. No fracture or other specific findings to account for the patient's pain. | No fracture or dislocation. |
Generate impression based on findings. | 31 years, Male. Reason: Evaluate NG placement. Lower pelvis excluded from field of view. NG tube coiled in the gastric fundus. Diffuse colonic gas is again noted and not significantly changed. Cholecystectomy clips. | NG tube tip in gastric fundus. Persistent diffuse colonic dilatation. |
Generate impression based on findings. | 31-year-old female with pain in coccyx after falling Alignment is within normal limits. No fracture is noted. | No fracture or dislocation |
Generate impression based on findings. | 31 years, Male. Reason: Evaluate NG tube placement. Lower pelvis excluded from field of view. NG tube tip in right mainstem bronchus. Diffuse colonic gas is again noted and not significantly changed. Cholecystectomy clips. | NG tube tip in right mainstem bronchus. Persistent diffuse colonic dilatation. |
Generate impression based on findings. | Reason: acute onset facial paralysis r/o stroke History: acute onset facial paralysis The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.T... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.A small extra-axial mass adjacent to the left frontal gyrus most likely represents a meningioma.3.CT is insensitive for the early detection of nonhemorrhagic CVA. |
Generate impression based on findings. | 66 years, Male. Reason: 66yo M with h/o EtOH abuse and ?pancreatitis presenting with abd pain, tenderness on exam, and significant constipation. History: constipation, abd pain Gas filled loops of bowel compatible with generalized ileus. No calcification of the pancreas is identified. | Gas filled loops of bowel compatible with generalized ileus. |
Generate impression based on findings. | 69-year-old female with recent fall, pain Bowel gas and stool obscures the upper pelvis. No pelvic or hip fracture is visualized. Alignment is anatomic. | No fracture or dislocation. |
Generate impression based on findings. | 56-year-old female with pain and swelling Osteoarthritis particularly affects the patellofemoral joint. There may be a small joint effusion. No fracture or dislocation. | Osteoarthritis and possible small joint effusion. |
Generate impression based on findings. | Male 65 years old, evaluate interval change in hepatic abscess ABDOMEN:LUNG BASES: Small right pleural effusion with underlying compressive atelectasis. Worsening left basilar atelectasis / consolidation. Small pericardial effusion. Mild cardiomegaly. LIVER, BILIARY TRACT: Low attention collection at the hepatic dome w... | 1.Decreasing fluid collections at the hepatic dome and inferior to the right hepatic lobe.2.Interval placement of two percutaneous drains.3.Worsening left basilar atelectasis / small consolidation. |
Generate impression based on findings. | Reason: r/o ICH History: AMS The temporal horns of the lateral ventricles are mildly dilated but the sulci are not completely effaced.There are gyriform calcifications present along the medial aspects of the occipital lobes some of which involve the calcarine cortex. Additional cortical calcifications are present along... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.There are gyral calcifications along the medial occipital lobes bilaterally and the inferior anterior aspect of the vermis which are nonspecific. These could represent dystrophic calcifications from prior inflammatory reaction. Please correlate with... |
Generate impression based on findings. | Female 44 years old; Reason: Evaluate for stone History: R flank pain ABDOMEN:LUNGS BASES: Small dependent bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KID... | 1. Mild right-sided hyronephroureter with obstructing 2 mm distal ureteral stone.2. Left adnexal cystic lesion measuring 3.3 cm, most likely physiologic but if clinically indicated further evaluation with dedicated pelvic sonography recommended. |
Generate impression based on findings. | 39-year-old male with neck pain. Status post fall Posterior rods with screws entering the C2, C3, and C4 vertebral bodies in near-anatomic alignment without evidence of hardware complication. Moderate degenerative disk disease at C3-C4 and C6-C7. No fracture. | Orthopedic fixation in near-anatomic alignment without evidence of fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign intramammary and axillary lymph n... | 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. | 16 year old male with desmoplastic round cell tumor s/p autologous stem cell rescue on 1/20 now day +5 from his transplant and acutely decompensating with hypotension. There is no evidence of intracranial hemorrhage. No intracranial mass or mass effect. The ventricles and basal cisterns are normal in size and configura... | 1.No intracranial hemorrhage or mass effect. If there is continued suspicion for intracranial pathology, consider MRI for further evaluation.2.Minimal ethmoid sinus mucosal thickening similar to the 12/17/14 exam is non-specific. |
Generate impression based on findings. | 31-year-old man with history of motor vehicle accident. There is a fracture of the medial malleolus extending to the articular surface with minimal inferior displacement of the distal fracture fragment. Additionally, there is a transverse fracture through the distal fibula with minimal lateral displacement of the dista... | Intra-articular fracture of the medial malleolus and transverse fracture of the distal fibula. Please see subsequent CT for additional characterization. |
Generate impression based on findings. | 54-year-old male with pain, trauma, evaluate for fracture There is a probably oblique fracture to the distal diaphysis of the clavicle with inferior displacement of the distal fragment. The acromioclavicular joint and glenohumeral joint appear within normal limits. Note is made of vascular stents. | Left clavicle fracture as described above. |
Generate impression based on findings. | 80 years, Female. Reason: 80F with gastric cancer, abdominal pain. Eval for SBO. History: abd pain Nonobstructive bowel gas pattern. Right pleural effusion. Pelvic phleboliths noted. | Nonobstructive bowel gas pattern. Right pleural effusion. |
Generate impression based on findings. | 25-year-old male with pain and discoloration There is mild soft tissue swelling about the ankle without fracture evident. Alignment is within normal limits. | Soft tissue swelling without fracture or dislocation. |
Generate impression based on findings. | 85 years, Female. Reason: abdominal distension and emesis History: abdominal distension and emesis Dilated loops of jejunum measuring up to 3.6cm. Gas seen in non-distended colon. Early incomplete small bowel obstruction cannot be excluded. | Dilated loops of jejunum. Early incomplete small bowel obstruction cannot be excluded. |
Generate impression based on findings. | 67-year-old male with desaturation and tachycardia. Evaluate for pulmonary embolism. PULMONARY ARTERIES: Thin linear filling defect in the superior segment of the right lower lobe which likely represents a small, nonocclusive pulmonary embolus with uncertain chronicity. The pulmonary artery is enlarged measuring up to ... | Small, nonocclusive pulmonary embolus in the superior segment of the right lower lobe of uncertain chronicity and questionable clinical significance.The findings were discussed by telephone with Dr. Gera from the clinical service at 10:00am on 1/26/2015.PULMONARY EMBOLISM: PE: Positive.Chronicity: Indeterminate.Multipl... |
Generate impression based on findings. | 82-year-old male evaluate for middle finger fracture There is dorsal dislocation and mild ulnar subluxation of the middle phalanx of the third finger relative to the proximal phalanx. No discrete fracture is visualized. Osteoarthritis affects scattered interphalangeal joints and carpometacarpal joints. | Third finger PIP joint dislocation as described above without discrete fracture evident. |
Generate impression based on findings. | 38 year-old woman status post assault, evaluate for fracture. There is no acute fracture or malalignment. Mild soft tissue swelling is noted about the wrist. | Mild soft tissue swelling without acute fracture or malalignment. |
Generate impression based on findings. | 92 year-old male with ataxia, altered mental status and aphasia for 16 hours. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with mild age-re... | No evidence of intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, 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: NSD - Screening Mammogram. |
Generate impression based on findings. | 42 year-old woman with history of hand laceration, evaluate for foreign body. A 3-mm, ovoid corticated density is seen immediately volar to the head of the second metacarpal and likely represents a sesamoid bone. Significant thenar soft tissue swelling is noted. There is no underlying fracture or malalignment. | Thenar soft tissue swelling without evidence of radiopaque foreign body. |
Generate impression based on findings. | Reason: sickle cell disease, eval for PE, infiltrate History: tachycardia PULMONARY ARTERIES: Technically adequate examination without pulmonary embolus. LUNGS AND PLEURA: Bibasilar linear opacities consistent with atelectasis. No pleural effusions. MEDIASTINUM AND HILA: Normal heart size without pericardial effusion. ... | 1. No pulmonary embolus. 2. Bibasilar atelectasis. 3. Osseous abnormalities consistent with sickle cell anemia. PULMONARY EMBOLISM: PE: Negative. Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Respiratory distress. Ventilator dependent.VIEW: Chest AP (one view) 01/26/15, 0401 Tracheostomy and gastrostomy tubes are present.Lung volumes are large. Segmental atelectasis is present in the medial lower lobes. Streaky perihilar opacities are noted. Mild peribronchial thickening is present. Cardiothymic silhouette ... | Reactive airways disease/bronchiolitis pattern. |
Generate impression based on findings. | History of right lumpectomy for breast cancer in 1998. Patient received adjuvant radiation therapy. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern... | Postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogra... |
Generate impression based on findings. | 46-year-old man with history of left knee pain status post motor vehicle accident. There is no acute fracture or malalignment. There is no knee joint effusion. | No acute fracture or malalignment. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.