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Generate impression based on findings. | No evidence of acute intracranial hemorrhage. No focal mass effect, midline shift or herniation. The ventricles and sulci are normal in size. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. | No evidence of acute intracranial hemorrhage or mass. If there is continued suspicion for intracranial pathology, consider MRI for further evaluation. |
Generate impression based on findings. | prior history of SAH with clipping There is no evidence of acute ischemic or hemorrhagic lesion on this scan.There is evidence of prior aneurysm clipping of the A2 segment of ACA with associated encephalomalacia in the bilateral anterior frontal lobes. Hypoattenuations within the anterior limb of the left internal caps... | 1. Stable prior surgical clipping on ACA related changes since prior exam.2. No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 63 years, Female. Reason: rule out free air History: severely tender w/ rebound and guarding Mildly prominent loops of small bowel are seen in right hemipelvis. No evidence of free air. Please refer to recent CT report. | Mildly prominent loops of small bowel are seen in right hemipelvis. No evidence of free air. |
Generate impression based on findings. | 15-year-old male with left hip painVIEWS: Pelvis AP/frog leg (two views) 01/26/15 Residual contrast is seen within bilateral ureters. Foley catheter is present. Gas distended bowel loops in the right hemipelvis.No acute fracture or malalignment is evident. Right coxa valga. | Right coxa valga. No acute fracture or malalignment is evident. |
Generate impression based on findings. | left side weakness No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses a... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Female, 33 years old.Multiple surgical teams. Correct count. Bilateral nephroureteral tubes. Enteric tube tip overlies the fundus. Esophageal temperature probe present. Right abdominal drain is noted. Surgical clip overly the sacrum, which was seen on prior CT. No unexpected radiopaque foreign body.Intraperitoneal free... | No unexpected radiopaque foreign body. Intraperitoneal free air likely from recent surgery. Findings discussed with Dr. Tenney by phone 1/26/2015 at 21:15. |
Generate impression based on findings. | syncopal episodes on admission with persistent headache. No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Traumatic little finger amputation. Can move digit. No bone protrusion. Bone involvement?VIEWS: Left hand PA/lateral/oblique (3 views) 01/27/15 The soft tissues of the distal phalanx of the little finger have been amputated at the level of the tuft. The tuft appears to protrude. No bone defect is identified. | Soft tissue amputation with no fracture. |
Generate impression based on findings. | 15-year-old female with history of headache x 3 months and vomiting. Evaluate for intracranial mass. The ventricular system appears smaller than expected, however this may be a normal variant. Basal cisterns are patent. There are no areas of abnormal attenuation or pathological enhancement. There is no midline shift or... | 1. No acute intracranial abnormality, or definite enhancing mass lesion.2. The ventricular system appears somewhat diminutive, which may be seen in the setting of pseudotumor cerebri. However, no other CT evidence of pseudotumor is identified. Given the stated history of chronic headaches, non-urgent MRI follow-up may ... |
Generate impression based on findings. | Toe bruised and crooked.VIEWS: Left foot AP left second toe oblique/lateral (3 views) 01/26/15 Soft tissue swelling surrounds the proximal phalanx of the second toe. A Salter II fracture of the proximal phalanx is identified. The metaphyseal fragment is large. Minimal medial displacement is seen and there is lateral an... | Fracture of proximal phalanx of second toe. |
Generate impression based on findings. | 15-year-old male with left thigh swellingVIEWS: 1-mm CT axial scans of the lower abdomen and pelvis were obtained following intravenous administration of contrast without immediate complication. Postcontrast imaging performed as well as coronal and sagittal reconstructions.IV Contrast: 80mL of Omnipaque 300, rate 1.3 m... | 1.Extensive soft tissue swelling with extension inferiorly particularly in the medial femoral compartment concerning for abscess.2.Foci of gas around the left femoral neck may reflect recent joint aspiration. Small amount of fluid surrounds the left femoral neck.3.Cellulitis overlying the inferior pubic ramus. 4.Small ... |
Generate impression based on findings. | Male 61 years old; Reason: 61 yo M with complicated UTI, eval for stones/masses History: renal protocol, abnormal US ABDOMEN:LUNG BASES: Heterogeneously enhancing right pleural-based, right parenchymal and right hilar masses suspicious for metastatic deposits. There is distal atelectasis. The right hilar mass encases t... | 1.Infiltrating left upper pole renal mass suggestive of primary renal cell carcinoma with pulmonary metastatic disease. This likely represents clear-cell carcinoma however other rare variants such as collecting duct carcinoma (medullary carcinoma) could have a similar appearance.2.Right lower pole nonobstructing renal ... |
Generate impression based on findings. | 86 years, Male. Reason: Evaluate for stool History: constipation, poor po intake Above average stool burden. Nonobstructive bowel gas pattern. | Above average stool burden. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | There is diffuse leptomeningeal and extensive perivascular enhancement involving the cerebrum and cerebellum. Patchy T2 hyperintensity is also present, most notable in the left frontal lobe. T2 hyperintensity involving the splenium of the corpus callosum is seen diffusely. There is also a superimposed cystic focus in ... | 1.Diffuse leptomeningeal and perivascular enhancement is nonspecific. Etiologies include granulomatous disease, including neurosarcoidosis, as well as vasculitis, with angiocentric neoplasm and infection considered less likely.2.Mild ventriculomegaly may reflect some degree of communicating hydrocephalus.3.Additional f... |
Generate impression based on findings. | Shoulder pain. Evaluate for fracture.VIEWS: Right clavicle AP/axial (two views), right shoulder internal/external rotation (two views) 01/26/15 The clavicle is intact and normal in appearance no fracture is identified.The humeral head is normally positioned with respect to the glenoid fossa. No fracture is identified.T... | Normal examinations. |
Generate impression based on findings. | CLINICAL DATA: Age: 76 years. Sex : Male. Indication: Reason: eval abd aortic aneurysm - seen on ultrasound in ED History: left abdominal wall pain. LUNG BASES: Mild apical predominant emphysema.LIVER, BILIARY TRACT: Hypoattenuating focus in the right hepatic lobe, nonspecific but most likely benign cysts.SPLEEN: No si... | Marked atherosclerosis, with aneurysmal infrarenal aorta as above. |
Generate impression based on findings. | Female 66 years old Reason: Metastatic gall bladder cancer w tachycardia and hypoxia History: Metastatic gall bladder cancer w/ tachycardia and hypoxia Study is limited by body habitus and motion artifact especially in the the lung bases. PULMONARY ARTERIES: No acute pulmonary embolism to the lobar level. Pulmonary art... | 1. No acute pulmonary embolism to the lobar level. 2. Interval increase in right lung air space opacities which likely represent widespread infection and/or aspiration.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | 16 year old female with sickle cell anemia now with fever, crackles and increased oxygen requirement.VIEW: Chest AP (one view) 1/27/2015 A left basilar opacity is seen with an associated small pleural effusion consistent with acute chest syndrome. The cardiothymic silhouette is enlarged. A right thoracolumbar curve is ... | Left basilar opacity with associated small pleural effusion consistent with acute chest syndrome. |
Generate impression based on findings. | 55-year-old male with abdominal pain and nausea ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific right hepatic hypodensity measures 1.8 cm, incompletely characterized by CT (series 3, image 37)SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADREN... | 1.Findings consistent with a small bowel obstruction with a transition point in the central abdomen. The presence of interloop fluid raises the possibility of a developing ischemic component. No pneumoperitoneum.2. Indeterminate right hepatic lobe lesion; consider MRI as clinically warranted. |
Generate impression based on findings. | Status post fracture.VIEWS: Right ankle AP, lateral and oblique 1/27/15 804 hours. (Three views) Subtle bone demineralization noted. No periosteal reaction or callus formation is present. Alignment is anatomic. | Anatomic alignment of the right ankle with subtle bone demineralization. |
Generate impression based on findings. | Tachypnea. Evaluate pneumothorax.VIEW: Chest AP (one view) 01/27/15, 0020 Right chest tube remains in place. Surgical clips and staples are again seen. Anterior right fifth and sixth ribs have been resected. A hepatic flexure of the colon and is in the right nephrectomy bed.Small right pneumothorax persists. Subsegment... | Persistent right pneumothorax. |
Generate impression based on findings. | Reason: 82 female with metastatic lung cancer. Now with worsening chest pain, syncope. Asses tumor progression and involvement of vessels History: chest pain LUNGS AND PLEURA: Continued increase in size of large left upper lobe mass now measuring 11.0 x 6.7 cm (series 4 image 22). It is again noted to abut the mediasti... | 1. Continued increase in size of large left upper lobe mass and reference right middle lobe mass. The left upper lobe branch of the left pulmonary artery is no longer visualized and is likely occluded or invaded. Reference right upper lobe mass not significantly changed. 2. Increased mediastinal and supraclavicular bul... |
Generate impression based on findings. | 72-year-old female with history of right shoulder pain. There is no acute fracture or dislocation. Alignment is anatomic. Mild osteoarthritis affects the glenohumeral joint. | Osteoarthritis without acute fracture. |
Generate impression based on findings. | Increased intracranial pressure, altered mental status No intracranial hemorrhage is identified. Again seen is areas of thickening of the cortex particularly in the frontal lobes and subcortical band heterotopia, findings which are better seen on prior MRI. No intracranial mass or evidence of mass-effect. No midline sh... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Subcortical band heterotopia and pachygyria as seen on prior MRI. |
Generate impression based on findings. | 72-year-old female with history of joint pain. There is no acute fracture or dislocation. There is mild chondrocalcinosis of the triangular fibrocartilage complex. There is a 1 mm density near the second DIP joint which is nonspecific. Mild degenerative changes at the basilar joint. | 1.No acute fracture. 2.1 mm density near the second DIP joint is nonspecific. Clinical correlation is recommended.3.Other findings as above. |
Generate impression based on findings. | Lower extremity radiculopathy. Status post fusion. Assess L5 -- S1 foramen Again seen are posterior rods with screws entering the L2 through L5 vertebrae. I see no hardware complications. Bone graft is again noted along the right lateral aspect of the lumbar spine appearing similar to that seen on the prior study. Seve... | Postoperative changes of lumbar spine fusion and multilevel degenerative disk disease as described above, with findings suggestive of narrowing of the L5/S1 neuroforamina, although this would be better evaluated with cross-sectional imaging. |
Generate impression based on findings. | 23 year old female assess PICC placement.VIEW: Chest AP (one view) 1/27/2015, 1:46 The right upper extremity PICC tip terminates at the level of the cavoatrial junction.Streaky bibasilar opacities suggests subsegmental atelectasis, appearing similar to the prior exam. The cardiothymic silhouette is normal. No pneumotho... | Right upper extremity PICC tip at the level of the cavoatrial junction. |
Generate impression based on findings. | Reason: lupus cerebritis? History: perseveration, confusion. 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... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Please note that MRI may be more sensitive in identifying cerebral lesions associated with lupus compared to CT |
Generate impression based on findings. | Hypoxia, evaluate for pneumonia.VIEW: Chest AP (one view) 1/27/2015, 07:39 Left central line tip in the superior vena cava. The right upper extremity PICC tip is in the superior vena cava.No focal lung opacity is seen. The cardiothymic silhouette is normal. Gas-containing loops of bowel are present in the right upper q... | No focal opacity to suggest pneumonia. |
Generate impression based on findings. | Reason: SAH History: sah, s/p coiling Compared to the prior exam the lateral ventricles remain mildly dilated but unchanged.The patient is status post embolic coil occlusion of a basilar tip aneurysm.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identifie... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Ventricles remain mildly dilated but stable since yesterday. |
Generate impression based on findings. | 14 year old female with epilepsy, status post endotracheal tube placement.VIEW: Chest AP (one view) 1/27/2015, 07:56 The endotracheal tube is at the level of the thoracic inlet. Left chest wall neurostimulator device in place. The nasogastric tube tip terminates in the body of the stomach with side port below the GE ju... | Right upper and left lower lobe airspace opacities may reflect aspiration, although superimposed infection is not excluded. |
Generate impression based on findings. | 8-month-old former 24 week gestational age patient with chronic lung disease and abdominal distention.VIEWS: Chest and abdomen AP (two views) 01/27/15, 0720 Tracheostomy tube tip is between thoracic inlet and carina. Feeding tube tip is at GE junction with side port in lower esophagus.Cardiothymic silhouette is mildly ... | Chronic lung disease. Large left inguinal hernia containing bowel and distended bowel in the abdomen raises the question of obstruction. |
Generate impression based on findings. | There is a stable right parietal approach ventriculostomy catheter, with its tip in the right frontal horn. The ventricles and sulci are stable in 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 flui... | No acute intracranial abnormality. Stable ventricular system size with right-sided ventricular catheter. |
Generate impression based on findings. | Parotid gland neoplasm CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions with overlying compressive atelectasis. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No lymphadenopathy. Heart size is normal. Trace pericardial effusion.CHEST WALL: Small amount of air in the right neck, likely postoper... | 1.Postoperative changes in the right neck without evidence of disease in the chest, abdomen, or pelvis.2.Right common iliac artery aneurysm. |
Generate impression based on findings. | 45-year-old female with history of left foot injury. There is no acute fracture or malalignment. There is an accessory navicular bone, a normal variant. The soft tissues are unremarkable. | No acute fracture or malalignment. There is an accessory navicular bone, a normal variant, although this can be associated without posterior tibialis tendon dysfunction. |
Generate impression based on findings. | 86-year-old male with remote hx of CVA, presenting with weakness and altered mental status, evaluate for intracranial hemorrhage. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The evaluation of acute ischemia is limited secondary to exte... | 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. Extensive encephalomalacia/volume loss in the left much greater than right middle cerebral artery territor... |
Generate impression based on findings. | History of left lumpectomy in 2004 for intraductal and infiltrating ductal carcinoma. Patient received radiation therapy. History of breast carcinoma in daughter diagnosed at age 28 and ovarian carcinoma in mother. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with... | 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 Mammogram. |
Generate impression based on findings. | 17 year-old female with new fever, left shoulder/chest painVIEWS: Chest PA/lateral (two views) 01/26/15, 2238 hrs Cardiothymic silhouette is top normal. Moderate to large left pleural effusion is present. Adjacent atelectasis and/or consolidation is present. Interval improvement of right pleural effusion with mild resi... | Moderate to large left pleural effusion with adjacent atelectasis and/or consolidation. |
Generate impression based on findings. | Reason: SDH? History: lethargy, on coumadin, recent lumbar drain 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.Periventricular and su... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of hemorrhagic cerebral infarction.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on findings. | 20 year-old male with history of injury. There is anterior subluxation of the humeral head with respect to the glenoid. There are no acute fractures. | Anterior shoulder dislocation without evidence of fracture. |
Generate impression based on findings. | Female 27 years old; Reason: recent h/o soigmoid diverticulitis, still pain. eval for colonic complication. pls with IV and oral contrast History: abd pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No si... | 1.Mild interval improvement in sigmoid inflammatory changes as described above. No extraluminal gas or abscess collection. |
Generate impression based on findings. | 66-year-old male with metastatic pancreatic carcinoma. Evaluate disease status and compare to prior examination. CHEST:LUNGS AND PLEURA: The reference pulmonary nodules appear unchanged from the prior exam. Reference left upper lobe nodule measures approximately 1.2 x 0.7 cm, previously 1.2 x 0.6 cm on image 30 of seri... | Stable examination without change in size of lung nodules. |
Generate impression based on findings. | Reason: Patient has severe asthma, on optimal therapy still with severe symptoms, evaluate for bronchiectasis and ILD History: SOB, wheezing, drop in peak flow LUNGS AND PLEURA: Interval increase in primarily linear right basilar opacities consistent with scarring/atelectasis, though with some clustered nodular areas i... | 1. Mild bronchial wall thickening consistent with the clinical history of asthma, with interval increase in primarily linear right basilar opacities consistent with scarring/atelectasis and possibly aspiration. Further follow up may be helpful as clinically warranted. 2. No evidence of interstitial lung disease or sign... |
Generate impression based on findings. | Images are slightly limited by patient motion. There is scattered hyperdensity along the right anterior/inferior frontal lobe sulci consistent with acute subarachnoid hemorrhage. There are questioned foci of subtle hyperdensity within the subcortical white matter as seen at the level of the right frontal centrum semio... | Small amount of focal right anterior/inferior frontal acute subarachnoid hemorrhage. Additional questioned left temporal occipital subarachnoid blood products as well as possible tiny rounded scattered petechial parenchymal hemorrhages.Dr. Yang discussed these findings over the telephone with Dr. Amrish Deshmukh on 1/2... |
Generate impression based on findings. | Female 25 years old Reason: cholecystitis? History: RUQ pain, bedside u/s with gallstones and thickened ant wall LIVER: The liver is mildly enlarged measuring 19.7 cm in length. No focal liver lesion.GALLBLADDER, BILIARY TRACT: Cholelithiasis without gallbladder wall thickening or pericholecystic fluid. The patient is ... | Cholelithiasis without gallbladder wall thickening or pericholecystic fluid. |
Generate impression based on findings. | Male, 71 years old, with stroke status post tPA. Hypoattenuation involving the right insula and basal ganglia is again slightly more conspicuous than on the prior examination, but not significantly increased in geographic extent. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is see... | Expected evolution of right MCA ischemia involving the insula and basal ganglia. The lesion has become more conspicuous but has not increased in geographic extent. No intracranial hemorrhage is demonstrated. |
Generate impression based on findings. | 72-year-old female with history of pain and swelling. There is mild soft tissue swelling about the medial aspect of the ankle. There is no acute fracture or dislocation. There is a small plantar calcaneal spur. | Mild soft tissue swelling without acute fracture. |
Generate impression based on findings. | Female 49 years old Reason: 49 year-old female with RUQ pain, evaluate etiology History: as above LIVER: The liver measures 16.5 cm in length. There is no focal liver lesion. The portal vein demonstrates normal directional flow with peak velocity is 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Unremarkable appearance of the g... | Unremarkable study. No specific cause for patient's right upper quadrant pain is identified. |
Generate impression based on findings. | Female 60 years old; Reason: Eval for chronic PE History: hypoxia, pulmonary HTN The comparison chest radiograph performed on 1/26/2015 demonstrates findings compatible with COPD as well as bilateral pleural effusions with adjacent atelectasis. The ventilation images show multiple defects bilaterally on single breath a... | Multiple matched ventilation-perfusion defects makes this a low probability scan for pulmonary embolism. |
Generate impression based on findings. | Abdominal pain, evaluate for obstruction, diverticulitis, appendicitis ABDOMEN:LUNG BASES: Reticulonodular opacities at the right base suggest scarring / atelectasis.LIVER, BILIARY TRACT: Nonspecific hepatic hypodensities are too small to further characterize. No biliary ductal dilation.SPLEEN: No significant abnormali... | 1.Small bowel obstruction with a transition point in the right lower quadrant. Small amount of free fluid in the pelvis is abnormal in a patient of this age raising the possibility of a developing ischemic component.2.Nonspecific circumferential thickening of the gastric body / antrum and mild prominence of the pancrea... |
Generate impression based on findings. | Left femoral osteosarcoma, status post 3 cycles of chemotherapy. Again seen is an enhancing infiltrative mass in the left femoral neck extending from the epiphysis to the mid/proximal femoral diaphysis, now measuring 4.0 x 4.6 x 8.3 cm, previously 4.3 x 4.7 x 8.6 cm. The osseous component of the mass again appears more... | 1.Slight decrease in size of the extensive infiltrative tumor in the proximal femur.2.Abnormal signal within the left distal femoral metaphysis and epiphysis as well as the right distal metaphysis is worrisome for metastatic disease, although atypical marrow conversion is a consideration. Further evaluation with MRI of... |
Generate impression based on findings. | 52 year old with history of right breast cancer status post mastectomy. No current 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. ... | 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. | 72-year-old female with history of joint pain. There is no acute fracture or dislocation. There is a small olecranon spur. There is mild chondrocalcinosis at the radiocapitellar and trochlear joints. Enthesophytes are present at the origin of the flexor tendons. | Chondrocalcinosis and other findings as above without acute fracture. |
Generate impression based on findings. | Reason: 64M with h/o heart transplant 06 p/w fever and SOB, L lingular infiltrate seen on CXR eval for infiltrates History: fever, malaise, SOB Reason: 64M with h/o heart transplant 06 p/w fever and SOB, L lingular infiltrate seen on CXR eval for infiltrates History: fever, malaise, SOB LUNGS AND PLEURA: Patchy air spa... | 1. Left upper lobe/lingular airspace opacities consistent with pneumonia.2. Bilateral micronodules measuring up to 7 mm, for which continued follow-up is recommended.3. Postoperative changes of heart transplantation as described above. |
Generate impression based on findings. | Male, 92 years old, with aphasia. Image quality is slightly motion degraded. Again seen is patchy ill-defined periventricular hypoattenuation, not significantly changed. Superimposed more focal areas of hypoattenuation involving the left corona radiata are also not significantly changed.No evidence of intracranial hemo... | Redemonstration of ill-defined periventricular hypoattenuation as well as superimposed more focal hypoattenuating lesions in the left corona radiata. These findings are compatible with age indeterminate ischemic disease. Accounting for slight motion degradation, there has been no significant interval change in the appe... |
Generate impression based on findings. | 72-year-old female with history of pain. Left knee: There is no acute fracture or malalignment. There is moderate to severe chondrocalcinosis of the menisci. There is severe patellofemoral joint space narrowing. Tricompartmental osteophytes are present. Small joint effusion.Right knee: There is no acute fracture or mal... | 1.No acute fracture.2.Moderate to severe degenerative arthritic changes and findings suggestive of CPPD arthropathy. |
Generate impression based on findings. | 39-year-old female with left eye pain with movement, evaluate for orbital cellulitis There are findings of chronic sinusitis with severe mucoperiosteal thickening and superimposed postsurgical changes including resection of the medial left maxillary wall, nasal turbinates and anterior ethmoid air cells. There is a resi... | 1.Findings of chronic sinusitis with sclerosis, thickening and fragmentation the left maxilla and destruction of the left inferior orbital floor. There is soft tissue thickening and enhancement along the left inferior orbital floor which is nonspecific but may be postoperative, inflammatory or infectious. A neoplastic ... |
Generate impression based on findings. | 70-year-old female with history of remote CVA, presenting with altered mental status. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect, or significant midline shift is present. The ventricles and sulci are prominent, consistent with severe age-related volume loss. No extra-axial c... | 1. No evidence of intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Chronic infarct in the posterior right parietal lobe. Additional hypoattenuation in the periventricular and deep white matter in the right parietal lobe exerts questioned mild mass ef... |
Generate impression based on findings. | 84 years, Female. Reason: Abdominal pain, diarrhea, want to evaluate stool burden and obstructive bowel gas pattern or other abnormalities History: Abdominal pain, nausea, vomiting Nonobstructive bowel gas pattern. Average colonic stool burden. IVC filter noted in the expected location. | Average colonic stool burden. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | CLINICAL DATA: Age: 85 years. Sex : Female. Indication: Reason: eval for SBO, etc History: abd pain. LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Moderate fatty atrophy of the pancreas.ADRENAL GLANDS: No significant a... | Postoperative findings and right lower quadrant parastomal hernia as above, without obstruction or other significant acute abnormality. |
Generate impression based on findings. | Reason: h/o HNC/CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Mild coronary artery calcification is present.CHEST WALL: Degenerative abnormalities affect the thoracic spine.ABDOMEN: Absence ... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 64 years, Female. Reason: eval capsule History: eval capsule; hemicolectomy last year Heavy vascular calcifications noted. Capsule projects seen in the RLQ, near the anastomotic suture line. Cannot rule out hold up at the anastomosis. Non obstructive bowel gas pattern. Surgical clip noted at LUQ. Enteric contrast seen ... | Capsule projects seen in the RLQ, near the anastomotic suture line. Cannot rule out hold up at the anastomosis. Non obstructive bowel gas pattern. |
Generate impression based on findings. | 65-year-old male with history of bladder cancer status post radical cystectomy and neobladder; please evaluate for metastatic disease. The absence of intravenous and oral contrast limits evaluation of the solid organs and bowel. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: No signif... | 1. Stable postsurgical changes noted in the pelvis without evidence of disease recurrence, within the limitations of a noncontrast examination.2. Stable right-sided hydroureteronephrosis and dilatation of the proximal left collecting system. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. No mass effect, midline shift or herniation. The ventricle size does not show any significant interval change since prior exam. There is no change of ventricular shunt position, right frontal approach and the tip location at or around 3rd ventricle roof since prior exam. B... | 1. No evidence of acute intracranial hemorrhage or mass. 2. No interval change of ventricular system size or ventricular catheter location since prior exam.3. No interval change in chronic bilateral subdural fluid collections since prior exam. |
Generate impression based on findings. | FractureVIEWS: Left wrist PA/lateral (two views) 01/27/15 The fracture line is no longer visible. Callus is being incorporated into the cortex along the lateral aspect of the distal radial diaphysis. Lateral angulation is decreasing. | Further healing and remodeling at the distal radial fracture. |
Generate impression based on findings. | 64 years, Female. Reason: s/p NGT placement - please assess location of NGT tip History: s/p NGT placement - please assess location of NGT tip The lower abdomen and pelvis are excluded from the field-of-view. Interval placement of enteric tube, with tip projecting in the mid gastric body. Partially imaged central venou... | Enteric tube tip projects in the mid gastric body. |
Generate impression based on findings. | Reason: s/p gastric band re-fill, assess for esophageal dilation Single contrast visualization of the esophagus showed no morphologic abnormalities of the mucosal surfaces or mural contours. Previously seen distal esophageal dilatation is not well seen on current study. Fluoroscopic evaluation of esophageal peristalsis... | Gastric lap band in appropriate position. Mild esophageal dysmotility with proximal escape. |
Generate impression based on findings. | Male, 58 years old, history of T1N2b squamous cell carcinoma HPV+ of base of tongue with metastases to the left neck s/p CRT, completed June 2011. No evidence of any mucosal tumor is seen including at the base of tongue. Note is made of mild mural irregularity along the right wall of the trachea which probably represen... | No evidence of local tumor recurrence or pathologic adenopathy. |
Generate impression based on findings. | Male 48 years old Reason: new oral cancer History: r/o lung mets LUNGS AND PLEURA: Pleural scarring in the right apex with cystic and nodular components likely secondary to prior infectious etiology. Special attention should be paid on subsequent examinations to assess stability. In the right lower lobe, there is pleur... | 1. No specific evidence of lung metastasis.2. Nodular pleural thickening in the right lung apex is likely postinfectious in etiology. Recommend follow-up CT in 3 months to confirm stability. Comparison with prior outside CT studies maybe helpful. |
Generate impression based on findings. | AMS and history of fall while on anticoagulants. Rule out ICH. No evidence of acute intracranial hemorrhage. No focal mass effect, midline shift or herniation. Mild periventricular and subcortical white matter hypoattenuation is nonspecific but compatible with small vessel ischemic changes and is unchanged. Global pare... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | 47-year-old male with persistent right lower quadrant abdominal pain that radiates to left lower quadrant. History of Crohn's disease of small bowel. Determine extent of disease activity. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 15 minutes. Fluoroscopic evaluation showed... | Most of small bowel appears to have been resected. Normal visualized small bowel with grossly patent ileocolonic anastomosis. No evidence of stenotic or active disease. |
Generate impression based on findings. | 17 year-old female status post laparoscopic appendectomy and IR fluid drainage now with new fever and pain for reevaluation of fluid collection ABDOMEN:LUNG BASES: Moderate to large left pleural effusion with adjacent left lower lobe and lingular atelectasis/consolidation. Right lower lobe atelectasis. No right pleural... | 1.Postsurgical changes related to appendectomy.2.Interval decrease in multiple loculated and partially loculated fluid collections within the abdomen and pelvis as described above.3.Left moderate to large pleural effusion with adjacent atelectasis/consolidation. |
Generate impression based on findings. | There are new foci of restricted diffusion in the posterior frontal right centrum semiovale, corresponding to T2 hyperintensity, compatible with acute infarctions. There is redemonstration of decreased diffusion scattered in the right frontal cortex, subcortical white matter, and centrum semiovale, which now appear mo... | 1. New areas of acute infarct in the posterior right frontal lobe.2. Expected evolution of previously identified subacute infarctions in a deep watershed distribution on the right. 3. The distal right internal carotid artery flow void appears diminutive, similar in appearance to previous exam. Absence of normal flow vo... |
Generate impression based on findings. | ABDOMEN:LUNG BASES: Interval decreased small bilateral pleural effusions, left greater than right, and associated atelectasis/consolidation. The amount of airspace opacities, particularly in the right lower lung, is greater than would normally be expected given the small amount of pleural fluid, raising the likelihood... | 1.Interval removal of hepatic dome drain, with one remaining drain in the subhepatic fluid collection as above. This collection may represent persistent abscess, although it is unclear to what extent the gallbladder carcinoma plays a role in this process.2.Adjacent nodular densities with central hypoattenuation could r... |
Generate impression based on findings. | 52 years remote history of moyamoya syndrome secondary to chronic cocaine usage, now presenting with new left-sided weakness. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. No extra-axial collections are identified. Hypoattenuation in the... | 1. The hypoattenuation within the right basal ganglia, right frontal and parietal lobes is more confluent and extensive when compared to most recent head CT. In addition, there are new areas of restricted diffusion on concurrent MRI, most consistent with evolving subacute infarction with superimposed acute infarcts in ... |
Generate impression based on findings. | The cervical spine is in normal alignment, with exaggeration of the normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. At C3-C4, there is a small central disk protrusion which a... | 1. Exam limited due to lack of contrast as well as lack of axial imaging through the thoracic spine. Within these limitations, findings suggestive of osseous metastatic disease throughout the thoracic vertebrae with focal lesions as detailed above. No evidence of vertebral compression deformity at this time.2. Moderate... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspic... | 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. | Dysphagia, evaluate for cancer ABDOMEN:LUNG BASES: Moderate bilateral pleural effusions with overlying compressive atelectasis.LIVER, BILIARY TRACT: Scattered hepatic hypodensities are too small to further characterize.SPLEEN: Accessory splenule.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant ... | 1.No mass or other findings to suggest malignancy.2.Bilateral pleural effusions with overlying compressive atelectasis.3.No acute abnormality in the abdomen or pelvis. |
Generate impression based on findings. | Male 60 years old Reason: ETOH hepatitis evaluate for cirrhosis History: ETOH hepatitis LIVER: The liver measures 18.6 cm in length with diffusely hyperechoic hepatic parenchyma suggestive of fatty infiltration. There is no focal liver lesion. There is minimal nodularity of the liver capsule suggestive of early cirrhot... | 1. Fatty infiltration of the liver with minimal nodularity of the capsule suggestive of early cirrhotic morphology.2. Cholelithiasis. |
Generate impression based on findings. | 70 year-old female with history of sepsis and chronic lower extremity wounds. The bones are demineralized suggesting osteopenia.Right foot: Limited study secondary to only 2 views. There is no acute fracture. Moderate osteoarthritis affects the midfoot and Lisfranc joint. There is mild diffuse soft tissue swelling. The... | Degenerative disease and soft tissue swelling as above without radiographic findings of osteomyelitis. |
Generate impression based on findings. | History of metastatic bladder cancer restaging after two cycles of investigational oral drug CHEST:LUNGS AND PLEURA: Reference left upper lobe nodule measures 5 mm, previously 5 mm (series 6, image 11). Reference right upper lobe nodule measures 9 mm, previously 7 mm (series 6, image 20). No new suspicious pulmonary no... | 1.Increasing pelvic lymphadenopathy.2.Increasing right apical pulmonary nodule.3.Increasing left hilar mass. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal grandmother. Two standard digital views of both breasts and an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unc... | Stable benign 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. | 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. A MicroMark clip is present in the central right breast. Multiple coarse benign calc... | Bilateral coarse calcifications. No mammographic evidence of malignancy. Screening mammography is most sensitive when evaluating for interval changes. If the patient submits outside mammogram, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommend... |
Generate impression based on findings. | History of right mastectomy in 2004 for infiltrating mammary carcinoma. Patient received radiation, chemotherapy and hormonal therapy. No new breast complaints. History of breast cancer in maternal grandmother. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The... | 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. | 85 year-old female with dysphagia on purée diet. This is a limited exam done semierect and only in AP view due to patient's severely limited mobility both with standing and on the exam table.Single contrast evaluation of the esophagus showed severe motility abnormality, with absence of primary peristaltic wave and diff... | Dilated esophagus behind a tight gastroesophageal junction. This finding is nonspecific. Stricturing from from chronic reflux esophagitis and subsequent esophageal dilatation may cause these this appearance. Achalasia is possible but would be unusual for a patient of this age. While no mass lesion is visualized, pseudo... |
Generate impression based on findings. | 65-year-old male with right swollen leg, eval for destructive process Mild osteoarthritis affects the knee. A small joint effusion is noted. Arterial calcifications are present in the posterior soft tissues. No focal lytic lesion is visualized. | Mild osteoarthritis and small joint effusion. |
Generate impression based on findings. | 76 years, Female, Reason: Metastatic breast cancer needs re-evaluation and compare to prior scans. Measurements where applicable. History: Metastatic breast cancer needs re-evaluation and compare to prior scans. Measurements where applicable. CHEST:LUNGS AND PLEURA: Reference nodule in the right upper lobe measures 6 m... | 1.No significant interval change in prior reference pulmonary nodules with slight interval increase in size of additional pulmonary nodules, with measurements provided above. No new pulmonary nodules or mass are identified.2.Persistent mediastinal, hilar and right axillary lymphadenopathy.3.Nonspecific soft tissue lesi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Benign calcification... | 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. | 31-year-old male with wrist injury while skiing last week On the lateral view there is a questionable nondisplaced fracture of the dorsal aspect of one of the bones of the proximal carpal row, most likely the triquetrum. We cannot confirm this on the PA or oblique views. If the patient complains of dorsal pain at this ... | Questionable fracture of the dorsal triquetrum. Further evaluation with CT is recommended if clinically warranted.Findings discussed with Dr. Veskovic (pager 8002) at the time of dictation. |
Generate impression based on findings. | 18 year-old intubated female with ARDSVIEW: Chest AP (one view) 01/27/15, 0237 ET tube tip is below thoracic inlet and above carina. Left subclavian catheter tip is in the superior vena cava. Right upper extremity PICC tip is at the superior cavoatrial junction. Enteric tube courses below the field-of-view.Cardiothymic... | ET tube tip is below thoracic inlet and above carina. Persistent bilateral airspace disease. |
Generate impression based on findings. | 53 year old with a left breast mass detected on screening mammogram presents for ultrasound guided biopsy. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is an irregularly-shaped hypoechoic mass measuring 12 x 7 mm at the 6 o’clock position with increased vascularity, 5 cm from th... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Hip total arthroplasty primary, uncemented The right femoral head and neck have been resected. An acetabular component is affixed in near-anatomic alignment. A femoral component precursor is also situated in near-anatomic alignment. Severe osteoarthritis affects the left hip. Subsequent radiographs have been interprete... | Intraoperative findings of total right total hip replacement as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Leg length discrepancy.VIEWS: Right femur AP/lateral (two views) 01/27/15 Osteotomy gap measures 6.8 cm laterally. Bone formation within the osteotomy appears slightly decreased.External fixator remains in place. No lucencies are seen around the screws. Premature fusion of distal femoral physis and plate and screws dev... | Increase in osteotomy gap and increase in bone formation within gap. |
Generate impression based on findings. | 54-year-old with history of left breast cancer status post mastectomy. No current complaints. Three standard views of the right breast 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 domina... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Pain There is slight prominence of the navicular tuberosity which was present on prior studies and could conceivably reflect old trauma, but is of uncertain current clinical significance. I see no specific findings to account for the patient's pain. | Slight prominence of the navicular tuberosity, unchanged. Otherwise I see no specific findings to account for the patient's pain. |
Generate impression based on findings. | Right knee pain Moderate osteoarthritis affects the knee that appears to have progressed when compared with the prior study. There is now near bone-on-bone apposition of the lateral tibiofemoral compartment on the Skier's view. There are also tricompartmental osteophytes, and a small joint effusion.Mild osteoarthritis ... | Osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Benign calcification... | 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. | 4-year-old male with tachypnea and desatsVIEW: Chest AP (one view) 01/27/15, 0244 Right upper extremity PICC with tip in the right atrium. Gastrostomy tube is unchanged. Spica is partially visualized.Cardiothymic silhouette is normal. Complete left lower lobe collapse with left mediastinal shift. Right upper lobe opaci... | Left lower lobe collapse. |
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