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Generate impression based on findings. | Reason: eval for meningitis History: neck stiffness 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.The visualized portions of the para... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.MRI is more sensitive in detecting intracranial involvement from meningitis than non-contrast CT.3.Hyperdense opacification of the left maxillary sinus. This could relate to inspissated secretions, however, fungal sinusitis can not be excluded. The ... |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. G-tube in place. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Male 69 years old; Reason: Evaluate for pneumonia and/or retroperitoneal bleed History: Hb drop 2g in 24 hrs with IABP in place; LLL opacification on CXR; fever to 38.6 + cough CHEST:LUNGS AND PLEURA: Scattered calcified micronodules, likely reflecting sequela from prior granulomatous disease.MEDIASTINUM AND HILA: Calc... | 1. Findings compatible with acute colitis affecting ascending colon, may be of infectious/inflammatory or ischemic etiology and correlation with patient's clinical history/laboratory values recommended.2. Right chest wall/subpectoral postprocedural hematoma. 3. Relatively distal location of intra-aortic balloon pump as... |
Generate impression based on findings. | Little toe swelling. Evaluate for osteomyelitis.VIEWS: Left foot AP/lateral/oblique (3 views) 01/25/15 Soft tissue swelling surrounds the little toe. No bone destruction is seen.Periosteal reaction is noted along the medial aspect of the distal tibia. This is most likely physiologic in nature. | Soft tissue swelling of the little toe with no bone destruction. |
Generate impression based on findings. | Male 78 years old; Reason: r/o PE History: chest pain, prior h/o DVT (no longer on coumadin) The comparison chest radiograph performed on 1/23/2015 demonstrates no focal pulmonary opacities or pleural fluid. Focal nodular opacity in the left lower lobe as described in the chest x-ray report. Please refer to final Chest... | No specific scintigraphic findings to suggest pulmonary embolism. |
Generate impression based on findings. | Altered mental statusVIEW: Chest AP 1/26/15 Cardiothymic silhouette normal. Patchy atelectasis right lower lobe. No pleural effusion or pneumothorax. The stomach is distended. | Minimal patchy atelectasis right lower lobe without evidence of pneumonia. |
Generate impression based on findings. | 71-year-old female with left-sided weakness and altered mental status, history of previous stroke. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. There is encephalomalacia in the left basal ganglia and mild ex vacuo dilatation of the ante... | 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. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged. No new suspicious nodules or masses. Paramediastinal groundglass opacity consistent with prior radiation therapy. No pleural effusions. MEDIASTINUM AND HILA: Small hilar lymph nodes appear u... | Stable pulmonary micronodules. No specific evidence of metastatic disease. |
Generate impression based on findings. | Possible fracture. Left humerus fracture.VIEWS: Left tibia fibula AP/lateral (two views) 01/25/15 Minimal cortical thickening is noted at the lateral aspect of the proximal mid tibia. This is associated with an ill-defined transverse band of sclerosis. | Equivocal examination for fracture. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. No midline shift or herniation. Periventricular and subcortical white matter hypoattenuation which is nonspecific but compatible with age-indeterminate small vessel ischemic changes. The ventricles and sulci are normal in size. Prominent CSF attenuation spaces are noted in... | 1.No definite acute abnormalities.2.Age indeterminate small vessel ischemic disease. 3.Bilateral prominence of the CSF spaces of the inferior middle cranial fossae, likely arachnoid cysts, left larger than right. |
Generate impression based on findings. | NG tube placementVIEW: Chest AP and abdomen AP 1/25/15 Nasogastric tube tip in the stomach. Cardiothymic silhouette normal. Minimal atelectasis right upper lobe. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Nasogastric tube tip in the stomach. |
Generate impression based on findings. | Headache, history of pseudotumor No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Again seen is global parenchymal volume loss, which is advanced for age, and not significantly changed since 12/8/2013. Multiple areas of hypoattenuation are ... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Unchanged empty sella which is a normal variant but can be seen with pseudotumor. 3. Chronic white matter disease likely related to combination of multiple sclerosis and small vessel ischemic disease. |
Generate impression based on findings. | Right-sided abdominal pain, evaluate for pyelonephritis, appendicitis, or hepatobiliary disease ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Mild hepatomegaly. Nonspecific hypervascular lesion in the right hepatic lobe (series 3, image 30). No biliary ductal dilation. The hepatic vasculatu... | 1.No acute abnormality in the abdomen or pelvis.2.Mild hepatomegaly.3.Indeterminate hypervascular lesion in the right hepatic lobe; consider MRI as clinically warranted. |
Generate impression based on findings. | Abdominal distentionVIEW: Abdomen AP 1/26/15 NG tube tip in the stomach. Gastrostomy tube in place. There is a left femoral line in place. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. Minimal atelectasis left lower lobe. There is lateral uncovering of both femoral heads right great... | Mild bowel dilation at the right lower quadrant without obstruction.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 53-year-old male with fever Multiple dental fillings are noted, but there is no bone destruction to indicate osteomyelitis or abscess. There are scattered lucencies within the teeth which may represent cavities. The maxillary sinuses are clear. | No evidence of osteomyelitis or abscess. |
Generate impression based on findings. | Male 30 years old Reason: RUQ US evaluate for stones, pancreatitis History: pancreatitis LIVER: The liver measures 17.0 cm in length. There is no focal liver lesion. The portal vein is patent and demonstrates normal directional flow.GALLBLADDER, BILIARY TRACT: There is no evidence of gallstones, gallbladder wall thicke... | No evidence of cholelithiasis or acute cholecystitis. |
Generate impression based on findings. | Reason: evaluate for post-op changes, eval for ischemia and bleeding History: dysarthria, waxing and waning exam, left hemiparesis The patient is status post right craniotomy for EC-IC bypass. There is extra-axial air present intracranially. There is adjacent right scalp soft tissue swelling.There is some mild hypodens... | 1.Status post recent right craniotomy with continued evolution of postoperative changes. 2.There is any hypodensity in the right angular gyrus which could represent some ischemic injury.3.Punctate lesions in the basal ganglia, brainstem and the left centrum semiovale are suspected to represent lacunar infarcts of indet... |
Generate impression based on findings. | There are diffuse scattered peripheral subcentimeter enhancing foci throughout the cerebellum and cerebrum suspicious for metastatic foci. There is diffuse leptomeningeal enhancement which is most prominent in the posterior fossa and extends into arachnoid granulations in the right occipital calvarium. There is leptom... | 1.Numerous subcentimeter parenchymal enhancing lesions likely represent metastatic foci2.Leptomeningeal carcinomatosis with extension into the left internal auditory canal and along the right trigeminal nerve.3.T2 hyperintensity within pons may be secondary to chronic ischemic changes. |
Generate impression based on findings. | Tachypnea evaluate pneumothoraxVIEW: Chest AP 1/26/15 Cardiothymic silhouette normal. Right chest tube in place. There is a small right apical pneumothorax not significantly changed. Patchy atelectasis in the right lower lobe and left lower lobe not significantly changed. | Right apical pneumothorax not significantly changed. |
Generate impression based on findings. | Reason: recurrent NSCLC? History: shortness of breath. LUNGS AND PLEURA: Right mediastinal and suprahilar mass measures 49 x 39 mm on image 26/85, stable to marginally increased.New moderate bilateral pleural effusions with compressive atelectasis.New patchy air space and groundglass opacity in the left upper lobe whic... | 1. Stable to marginally increased lung/mediastinal mass.2. New bilateral pleural effusions.3. New/increased mediastinal nodes which are nonspecific though continued follow up is recommended.4. New patchy air space and groundglass opacity in the left upper lobe which may be due to aspirate or infection. Is not typical m... |
Generate impression based on findings. | 31-year-old female with kidney disease, SLE, diffuse arthralgias, rule out effusions Right wrist: Alignment is anatomic. There are no erosions or other evidence of inflammatory osteoarthritis.Left wrist: Alignment is within normal limits.. There are no erosions or other evidence of inflammatory osteoarthritis.Right kne... | No evidence of inflammatory arthritis or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Evaluate pneumothoraxVIEW: Chest AP 1/26/15 Cardiothymic silhouette normal. The small left pneumothorax has decreased in size in the interval. Patchy atelectasis left lower lobe. | Interval decrease in size of the small left pneumothorax. |
Generate impression based on findings. | 86-year-old female with right hand swelling and pain Interval development of multiple erosions within the metacarpal heads, first metacarpal base as well as fusion of the carpus/triscaphe joint as well as marked radioscaphoid joint space narrowing. Severe joint osteoarthritis affects the basilar joint and scattered int... | Interval development of erosions, severe radioscaphoid joint space narrowing and carpal fusion as described above, likely representing an underlying inflammatory arthritis. Severe osteoarthritis is also present. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Bilateral confluent pulmonary metasta... | Stable disease with reference measurements provided. |
Generate impression based on findings. | Hypotension, 87 year old female with R hip surgery yesterday and acute Hg drop ABDOMEN:LUNG BASES: Small bilateral pleural effusions. Hiatal hernia.LIVER, BILIARY TRACT: Cholelithiasis without cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significan... | 1. Fractures of the aright acetabulum, superior/inferior pubic rami and right sacrum. 2. Right pelvic and retroperitoneal hematomas. |
Generate impression based on findings. | Reason: status SDHs History: status SDHs There is redemonstration of a left sided extra-axial collection measuring 15 mm in width which is unchanged since the prior exam. There is approximately 2 mm shift of the septum pellucidum towards the right which is stable.Periventricular and subcortical white matter hypodensiti... | 1.Stable left-sided subdural hematoma associated with mild midline shift. |
Generate impression based on findings. | FractureVIEWS: Right thumb AP and lateral Healing fracture involving the base of the proximal phalanx of the right thumb again noted. There is periosteal reaction reflecting interval healing. The alignment is anatomic. | Healing fracture of the right thumb. |
Generate impression based on findings. | 15-year-old male with peritoneal symptoms and jaundice, rule out hepatic process. Within the limits of a non IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN: LUNG BASES: Streaky left basilar atelectasis i... | 1.No hepatic or renal pathology evident, although the examination is limited given the lack of intravenous contrast.2.Fluid collection extending from the inferior left pelvis into the medial compartment of the left thigh worrisome for an abscess.3.Cellulitis overlying the inferior pubic ramus. While there is no evidenc... |
Generate impression based on findings. | 5 month old ex-35 week premie female with suspected NAT and ALTE at 2 months of age required CPR. There is no evidence of acute intracranial hemorrhage. There are bilateral symmetric regions of encephalomalacia within the bilateral frontal lobes as well as within the parietotemporal regions in a watershed distribution.... | 1.Bilateral multifocal areas of encephalomalacia in a watershed distribution likely related to prior hypoxic ischemic injury.2.No evidence of acute intracranial hemorrhage or skull fracture. 3.Horizontal linear lucency in the occipital bone favored to be related developmental variant and less like remote fracture. Comp... |
Generate impression based on findings. | Leukemia and bone marrow transplant. Cough and fever.VIEWS: Chest AP/lateral (two views) 01/26/15, 0156 and 0158 A patchy opacity is present in the medial aspect of the left lower lobe.Cardiothymic silhouette is normal.Right atrial line remains in place with unchanged configuration/curving of the tip. This suggests tha... | Left lower lobe opacity most likely pneumonia. |
Generate impression based on findings. | CoughVIEW: Chest AP 1/25/15 Cardiothymic silhouette normal. Right lower lobe opacity not significantly changed. Minimal atelectasis left lower lobe. Probable small right pleural effusion. | Right lower lobe opacity likely pneumonia not significantly changed. |
Generate impression based on findings. | Fatigue and weakness, Stage IIIC ovarian cancer, s/p TAH/BSO and 9 cycles chemotherapy. CHEST:LUNGS AND PLEURA: 3-mm nodule at the right lung apex (series 6, image 25), unchanged. No new suspicious nodule.MEDIASTINUM AND HILA: Unchanged subcentimeter left-sided calcified and non-calcified thyroid nodules. No mediastina... | Stable examination as described. No new sites of neoplastic disease. |
Generate impression based on findings. | Redemonstration of multiple supratentorial and infratentorial foci of enhancement, many of which have enlarged in the interim, most notably in the left basal ganglia, the left thalamus, and the inferior right cerebellar hemisphere. There are also numerous new foci of enhancement, including a large lesion in the medull... | 1. Findings are consistent with progression of metastatic disease, including: interval enlargement of several supratentorial and infratentorial metastases, as well as numerous new enhancing lesions are identified. Notably, a large lesion is present in the medulla. 2. There has been development of mild T2 hyperintensity... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in paternal great-grandmother diagnosed at age 60. 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 ... | 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. | TachypneaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and aortic arch left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Cough. Leukemia and bone marrow transplant.VIEW: Chest AP (one view) 01/25/15, 1749 Right Port-A-Cath is again seen with tip in right atrium. The configuration of the tip is unchanged in the interval and has not changed in comparison with PET CT from 09/10/14. This suggests that the catheter is not free in the right at... | Right atrial line may not be floating freely in right atrium.Subsegmental atelectasis left lower lobe. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP 1/25/15 Moderate amount of fecal burden. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distrib... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: follow up chronic eosinophilic pneumonia. History: wheezing, shortness of breath LUNGS AND PLEURA: Left lower lobe now better aerated with resolution of the more dense airspace opacity. Residual coarse septal thickening which may represent atelectasis or scarring is seen.No change in other patchy areas of coars... | Left lower lobe now better aerated with resolution of the more dense air space opacity. Residual coarse septal thickening is seen. No change in other patchy areas of coarse septal thickening with peribronchial ground glass opacity, worst in the right upper lobe. |
Generate impression based on findings. | Abdominal painVIEW: Abdomen AP 1/26/15 There is a metallic bullet fragment projected at T12. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. No abnormal bowel dilation. The bladder is distended. There is scoliosis and hip joint space narrowing bilaterally. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: evaluate for malignancy History: bulky cervical adenopathy LUNGS AND PLEURA: 7 mm nodule in the left lower lobe (series 5 image 52), slightly increased in size from 2011 when it measured 5 mm. Mosaic attenuation pattern secondary to pulmonary arterial hypertension. Interval clearing of right upper lobe consolid... | 1. Enlarged nonspecific mediastinal and axillary lymph nodes. Please see separately dictated neck CT for discussion of cervical lymph nodes. 2. 7 mm left pulmonary nodule is slightly increased in size since 2011. Given this increase in size, a 6 month follow up examination is recommended to confirm stability. 3. New ab... |
Generate impression based on findings. | Sepsis.VIEW: Chest AP (one view) 01/26/15, 0149 Projectile fragment is lodged at the T12 -- L1 disk space level. A right cervical rib is noted.Cardiothymic silhouette is normal. No focal lung opacity is present. Mild peribronchial thickening is identified. | No pneumonia. |
Generate impression based on findings. | Male 68 years old; Reason: restaging kidney cancer History: restaging kidney cancer, on bevacizumab CHEST:LUNGS AND PLEURA: Previously described pulmonary nodules have regressed and the reference nodule in the right lung has resolved completely. No consolidation or pleural effusion is seen.MEDIASTINUM AND HILA: Superio... | Overall slight interval regression of disease with reference measurements given above. |
Generate impression based on findings. | Mandible distraction.VIEWS: Mandible AP/left lateral/right lateral (3 views) 01/26/15 A staple, to use as a marker, was placed over the left mandibular distractor.The distractors are intact. Distraction at the osteotomy sites has increased. On the right, the distance between the plates is approximately 6 mm and on the ... | Increase in distraction at mandibular osteotomy sites. |
Generate impression based on findings. | Reason: Patient with h/o nsclc, f/u ct History: f/u ct CHEST:LUNGS AND PLEURA: Postsurgical changes at the right apex including paramediastinal atelectasis, traction bronchiectasis.Multiple scattered bilateral pulmonary nodules measuring up to 4 mm are stable. The reference nodule in the right lower lobe measures 4 mm ... | Continued stability of nonspecific pulmonary nodules measuring up to 4 mm, favoring a benign etiology. No definitive evidence of residual or recurrent disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. New loosely grouped calcifica... | New left breast calcifications. Magnification imaging is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | EmesisVIEW: Abdomen AP 1/25/15 Gastrostomy tube in place. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. There is lateral dislocation of the right hip. There is minimal uncovering of the left femoral head. The acetabula are dysplastic. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 61 years old Reason: HCC screening History: HBV LIVER: The liver measures 19.0 cm in length. The parenchyma is coarsely echogenic consistent with chronic liver disease. No focal mass is identified. The portal vein is patent and demonstrates normal directional flow with peak velocity of 0.3 m/sec.GALLBLADDER, BIL... | 1. Coarsely echogenic hepatic parenchyma consistent with chronic liver disease. No focal hepatic mass.2. Cholelithiasis. |
Generate impression based on findings. | Reason: 66yo M with h/o EtOH pancreatitis with new pulmonary nodules on CXR and extensive smoking/family history concerning for lung cancer. History: chest/abd pain, new pulmonary nodules LUNGS AND PLEURA: No significant pulmonary nodules. The abnormality on the chest radiograph likely represented areas of subsegmental... | No significant pulmonary nodules. The abnormality on the chest radiograph likely represented areas of subsegmental linear atelectasis or aspirate at the right lung base as well as nipple shadows creating a nodular artifact. Mild emphysema. |
Generate impression based on findings. | IntubatedVIEW: Chest AP 1/25/15 ET tube tip immediately above the carina. There is a vagal stimulator device at the left supraclavicular region. Cardiothymic silhouette normal. Patchy atelectasis right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis bilaterally. |
Generate impression based on findings. | 82-year-old with history of left breast cancer status post lumpectomy and sentinel lymph node biopsy with reexcision in 2011. No current 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 densit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | central adrenal insufficiency intubatedVIEW: Chest AP 1/26/15 ET tube tip immediately above the carina. There is a vagal stimulator device at the left supraclavicular region. Cardiothymic silhouette normal. The left lower lobe atelectasis has increased in the interval. No pleural effusion or pneumothorax. G-tube in pla... | Left lower lobe atelectasis has increased in the interval. |
Generate impression based on findings. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Mild left apical groundglass opacity and right basilar scarring/atelectasis unchanged. No new suspicious nodules or masses. No pleural effusions. MEDIASTINUM AND HILA: Small mediastinal lymph nodes unchanged. No adenopathy.... | No significant interval change or evidence of metastatic disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at age 50. 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. Benign calcifications are pres... | 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. | Male 59 years old; Reason: restaging CT 59M with colonCa CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable aneurysmal dilatation of ascending aorta, measuring 4.1 cm. Stable 2 x 1.5 cm prevascular soft tissue hypoattenuation, image 57 series 3, may reflect residual thymic tissue but ... | 1. Stable to interval decrease in size of reference lymph nodes. 2. Stable postsurgical changes in pelvis as above.3. Mild asymmetric prominence of left intrarenal collecting system with 4 mm proximal ureteral stone, correlation with patient's clinical history/symptoms and urinalysis recommended to exclude symptomatic ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Punctate hyperdense material ... | Left breast skin calcifications or artifact. 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. | NG tube placementVIEW: Abdomen AP 1/25/15 NG tube tip in the stomach. Gastrostomy tube in place. There is a left femoral line in place. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. Minimal atelectasis left lower lobe. | NG tube tip in the stomach. |
Generate impression based on findings. | Reason: assess vents History: post sah Compared to the prior exam the width of the third ventricle has decreased from 10 mm to 7mm. on coronal imaging the biventricular diameter at the level of foramen of Monro measures 35 mm and previously was the same. The temporal horns of the lateral ventricles are slightly less di... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Since the prior exam there is had been subtle decrease in the mild ventriculomegaly. |
Generate impression based on findings. | Reason: Right single lung transplant 12/08 now with rejection History: sob LUNGS AND PLEURA: Postop change from right lung transplant. Emphysema in native left lung with scattered calcified nodules.Minimal emphysema in right transplanted lung. Patchy areas of groundglass opacity in the upper and lower lobes most notabl... | Patchy areas of groundglass opacity on the right, most notably in the upper lobe where there is a small associated subcentimeter nodule. This could be seen with bronchiolitis obliterans/rejection. Given the small nodular component, this should be followed on CT to exclude growth. |
Generate impression based on findings. | 74-year-old man status post cervical fusion, evaluate hardware and stability. Postoperative changes cervical spine fusion are seen with ACDF plate and screws at C5/C6 as well as posterior rod and pedicle screws from C2 to T2. The C5 and C6 vertebral bodies are fused. The cervicothoracic junction and upper thoracic spin... | Postoperative changes of cervical spine fusion without evidence of complication or instability. |
Generate impression based on findings. | 52 year-old woman status post right total knee arthroplasty. Hardware components of a right total knee arthroplasty device are seen in near anatomic alignment, similar to the prior examination. There is no evidence of loosening or hardware complication. Unchanged marked osteoarthritis is seen affecting the left knee on... | Right total knee arthroplasty device without evidence of complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: RA, history of fungal infection, follow up nodules History: lung nodules LUNGS AND PLEURA: Grossly stable bilateral nonspecific pulmonary nodules. A nodule in superior segment of the right lower lobe (image 42/99) is no longer cavitary and is now solid and smaller. No new pulmonary nodules.MEDIASTINUM AND HILA:... | Grossly stable bilateral nonspecific pulmonary nodules. A nodule in superior segment of the right lower lobe is no longer cavitary and is now solid and smaller. No new pulmonary nodules.Other findings as above. |
Generate impression based on findings. | ConstipationVIEW: Abdomen AP 1/26/15 Moderate amount of fecal burden without obstruction. No abnormal bowel dilation. No pneumatosis or pneumoperitoneum. | Moderate amount of fecal burden. |
Generate impression based on findings. | 56 year old female with cyclical breast pain presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribut... | No mammographic evidence of malignancy. Patient's complaint of cyclical breast pain should be managed clinically. 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. | Reason: h/o tonsil ca and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered punctate micronodules are stable and presumably postinflammatory. There is diffuse nonspecific mild to moderate bronchial wall thickening. No change in mild lingula ground glass opacity which is not typi... | No evidence of metastatic disease. |
Generate impression based on findings. | History of right mastectomy in 2012 for DCIS. No new breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Stable benign calcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 51 years, Male. Reason: Cause of abdominal pain? History: significant diarrhea, epigastric abdominal pain, also risk factors for mesenteric ischemia Nonspecific bowel gas pattern. Limited exam due to patient habitus. | Nonspecific bowel gas pattern. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral 1/26/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign intramammary an... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: 66 yo female with history of CMML; pre-allo SCT evaluation History: evaluate LUNGS AND PLEURA: Minimal apical scarring bilaterally. Punctate 4-mm micronodule in left lower lobe (60/101) is nonspecific but most likely post inflammatory. Continued follow-up is recommended.MEDIASTINUM AND HILA: Severe coronary cal... | No acute cardiopulmonary abnormality. Punctate 4-mm micronodule in left lower lobe is nonspecific but most likely post inflammatory. Continued follow-up is recommended. |
Generate impression based on findings. | Follow-up pancreatic cancer CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Low-attenuation right thyroid nodule appears unchanged from the prior exam. No mediastinal or hilar lymphadenopathy. Heart size is normal.CHEST WALL: Right chest wall Por... | 1.Pancreatic head mass, unchanged. 2.Stent occlusion with stable intrahepatic biliary ductal dilation; stent occlusion cannot be excluded. |
Generate impression based on findings. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none There is effacement of fat planes surrounding the left carotid spaceWithin the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lympha... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy.2.Since the prior exam there is been some mild narrowing of the left common carotid artery with approximately 40% stenosis. This appears to have mildly progressed when compared to the prior exam. A dedicated ... |
Generate impression based on findings. | finger pain, rule out fracture.VIEWS: Right hand PA and right thumb lateral and oblique No acute fracture or malalignment evident. | Normal examination. |
Generate impression based on findings. | FractureVIEWS: Left forearm AP and lateral Healing fracture involving the distal ulna in near anatomic alignment. There is periosteal reaction reflecting interval healing. Mild osteopenia noted not significantly changed. | Healing distal ulna fracture. |
Generate impression based on findings. | 13 year old male with concern for VP shunt malfunction. There is a right parietal approach ventriculostomy catheter terminating near the foramen of Monro. There is asymmetry of the lateral ventricles with the left frontal horn and body being somewhat dilated, the right frontal horn and body being slitlike, and dilatati... | 1.Intact right parietal approach ventriculostomy catheter terminating near the foramen of Monro.2.Findings compatible with Chiari I malformation. 3.Enlargement of the left frontal horn and lateral ventricle body, bilateral temporal horns, and possibly of the fourth ventricle although no prior exam is available for comp... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: PTX History: Malignant mesothelioma POD5 s/p pleurectomy and decortication. LUNGS AND PLEURA: Small left pneumothorax with loculated hydropneumothorax in the posterior left lower lobe measuring 4.6 x 3.8 cm (series 4 image 56). Two left chest tubes in place. Left lung groundglass opacities, basilar consolidatio... | 1. Postoperative changes of left pleurectomy and decortication with loculated hydropneumothorax and two chest tubes in place. 2. Left pulmonary groundglass opacities, basilar consolidation, and pleural thickening are consistent with recent postoperative changes and atelectasis. 3. Extensive subcutaneous emphysema exten... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left 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, unchanged in pattern and dis... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 65 year old female status post lumpectomy for right breast IDC 7/2013, presents for routine follow up. Patient received neoadjuvant chemotherapy and adjuvant radiation. No current breast complaints. History of breast cancer in maternal grandmother. Three standard views of both breasts were performed digitally and revie... | Stable post-treatment findings in 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: 2 - Benign finding.RECOMMENDATION: ND - Dia... |
Generate impression based on findings. | 68 year old male with history of multiple small bowel resections presents with urgency and diarrhea. Evaluate for Crohn's disease. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 15 minutes. Fluoroscopic evaluation showed postsurgical changes compatible with prior ileocecectomy... | 1.Postsurgical changes as described above with patent anastomosis.2.No evidence of active small bowel inflammation to indicate Crohn's disease. |
Generate impression based on findings. | PICC placementVIEW: Chest AP 1/26/15 Cardiothymic silhouette normal. There is marked scoliosis unchanged. Placement of a left upper extremity PICC which is looped within the left subclavian vein. Patchy atelectasis right lower lobe. | Malpositioned PICC. |
Generate impression based on findings. | 72-year-old with history of right lumpectomy followed by radiation therapy. No current 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 and distribution. No domin... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | FractureVIEWS: Right wrist AP and lateral Healing buckle fracture involving the metaphysis of the distal radius in anatomic alignment. The overlying cast obscures fine bony detail. | Healing buckle fracture distal radius in anatomic alignment. |
Generate impression based on findings. | FractureVIEWS: Right wrist AP and lateral Healing fractures of the distal radius and ulna in near anatomic alignment. There is periosteal reaction and sclerosis reflecting interval healing. The overlying cast obscures fine bony detail. | Healing distal forearm fractures as described above. |
Generate impression based on findings. | Malignant neoplasm of tonsil Secondary and unspecified malignant neoplasm of lymph nodes, site unspecified(196.9)Radiotherapy follow-up examination There is some infiltration of the soft tissues surrounding the right suprahyoid carotid space. This is stable compared to the prior examWithin the suprahyoid neck on the ba... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. A total of 12 digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 60 years old Reason: ETOH cirrhosis evaluate for HCC History: ETOH cirrhosis LIVER: The liver measures 13.8 cm in length and demonstrates cirrhotic morphology. No focal hepatic lesion identified. The main portal vein is patent and demonstrates normal directional flow with a peak velocity of 0.2 m/sec.GALLBLADDER, ... | 1. Cirrhotic liver morphology without focal mass lesion. 2. Trace pericholecystic fluid and trace abdominal ascites.3. Splenomegaly. |
Generate impression based on findings. | 86-year-old with left breast pain for 3 months. The pain described is nonfocal, throughout the left lateral breast. No mass on physical exam is reported. 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 d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Clinical correlation is recommended for the patient's nonfocal breast pain. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMME... |
Generate impression based on findings. | 79-year-old female with a history of a left breast lumpectomy in 2008 for IDC followed by radiation, hormone therapy and chemotherapy. She had a right breast cyst aspiration in 2013. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The ... | Stable post-surgical changes and calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | Male 34 years old; Reason: pain with discomfort above the right testis and small mass palpable in the region of the venous plexus History: scrotal pain RIGHT TESTIS: Right testes measures 4.0 x 2.1 x 3.0-cm; parenchymal echotexture is normal.LEFT TESTIS: Left testes measures 3.8 x 1.8 x 2.9 cm; parenchymal echotexture ... | 1.No focal intratesticular mass.2.Right epididymal head cyst. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of ovarian or uterine cancer in maternal grandmother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchan... | Stable left breast asymmetry. 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. | Female 28 years old; Reason: 28 yo female with morbid obesity needing a kidney biopsy - preop planning for either urology or IR History: nephrotic syndrome ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis, no secondary signs of acute cholecystitis.SPLEEN: No significant abnorma... | 1. No calcified atherosclerotic disease seen, appearance of kidneys as above.2. Focal right ventral abdominal subcutaneous induration, measures approximately 4 x 4 cm, may reflect prior procedural sequela/hematoma and correlation with patient's clinical history/physical exam recommended.3. Cholelithiasis, no secondary ... |
Generate impression based on findings. | 24 year-old woman with history of pain over the fourth carpometacarpal region. Additional history as per chart indicates patient punched a wall. Seen only on the lateral view is a minimally displaced oblique fracture through the base of the third metacarpal. The fracture line extends to the articular surface. There is ... | Intra-articular fracture through the base of the third metacarpal. |
Generate impression based on findings. | Female 73 years old; Reason: Right single lung transplant 12/08 now with rejection History: sob The comparison chest radiograph performed on 1/26/2015 demonstrates interval improvement in the right midlung air space opacities. There is mild blunting of the right costophrenic angle which is similar to prior study. Emphy... | Underlying diffuse asymmetric changes correlate with transplanted right lung with chronic underlying changes. No new super imposed findings to elevate this scan beyond a low probability for pulmonary embolism. Quantification calculations were provided as requested |
Generate impression based on findings. | Male 55 years old; Reason: restaging CT 55M with colorectal CA with liver mets on chemo History: none CHEST:LUNGS AND PLEURA: Ground glass nodule in the left upper lobe measures 5 mm (image 57/series 4), unchanged. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No medi... | 1.No significant size change in the metastatic lesions in the liver. |
Generate impression based on findings. | abdominal pain, evaluate for left ovarian vein thrombus as suggested on mesenteric doppler sono ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnorm... | 1.The left ovarian vein is asymmetrically prominent compared to the right without evidence of extrinsic compression; likely within normal limits. Poor opacification of the mid / peripheral ovarian veins without evidence of thrombus centrally. 2.Unremarkable CTA abdomen / pelvis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in daughter. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distr... | 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. | 25 year old male with chronic postprandial nausea and vomiting, abdominal bloating. Evaluate for Crohn's disease. Upper GI:Double contrast visualization of the esophagus did not demonstrate any morphologic abnormalities of the mucosal surfaces or mural contours. Fluoroscopic evaluation of esophageal peristalsis demonst... | 1.One episode of spontaneous GE reflux to the mid esophagus, but otherwise unremarkable upper GI study. 2.Unremarkable small bowel study, without evidence of Crohn's disease or other findings to account for the patient's symptoms. |
Generate impression based on findings. | 67 year old woman with history of fall and pain over the thumb. The bones are diffusely demineralized. There is no overt acute fracture or malalignment. Severe osteoarthritis affects the triscaphe joint. Mild to moderate osteoarthritis affects the interphalangeal joints, increasing in severity distally. Negative ulnar ... | Degenerative changes without overt acute fracture or malalignment. |
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