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Generate impression based on findings. | Posterior neck pain, postop day 5. Streaky foci of low density are seen within the posterior soft tissues of the neck that I suspect represents gas. Aside from minimal degenerative arthritic changes, the cervical spine is unremarkable. Note is made of impacted molars. | Findings suggestive of gas density within the posterior soft tissues of the neck. This was relayed to Dr. Schufreider at the time of dictation. As the patient's recent surgery did not involve the neck, computed tomography is recommended for further evaluation, as I cannot exclude the possibility of a soft tissue infect... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Round markers were placed on skin lesi... | Benign right breast mass. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 68 years old Reason: Eval for ascites + progression hepatic mets History: Abdominal distention, Metastatic ovarian Ca LIVER: The liver parenchyma is largely replaced by diffuse metastatic disease. A reference lesion in the left lobe measures 3.6 x 3.9 x 4.9 cm. The portal vein is patent and demonstrates normal d... | 1. Diffuse hepatic metastatic disease and trace ascites.2. Right pleural effusion. |
Generate impression based on findings. | Male 61 years old; Reason: Esophageal cancer, please perform per CALGB 80803 requirements. RADIOPHARMACEUTICAL: 13.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 112 mg/dL. Today's CT portion grossly demonstrates distal esophageal wall thickening which is not significantly changed. There is redemonstratio... | Stable disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | 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. | 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. Benign bilateral calcifications continue to p... | Benign progression of bilateral calcifications. Right focal 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. | Reason: lung cancer and new PE s/p chemorads, ck for malignancy recurrence, look at pancreas for new primary History: PE, dyspnea CHEST:LUNGS AND PLEURA: Large left chest wall mass with extensive obstruction of the left fifth and sixth ribs, measuring approximately 4.7 x 8.2 cm, not significantly changed using comparab... | Large stable left chest wall mass with interval progression of lytic rib destruction. |
Generate impression based on findings. | Pain and swelling There is a comminuted intra-articular fracture of the head and neck of the second metacarpal, with approximately 30 degrees of volar angulation of the distal fracture fragment. Deformity of the fifth metacarpal neck likely represents an old healed fracture. There is swelling of the dorsal soft tissues... | Fracture of the second metacarpal head/neck as described above. |
Generate impression based on findings. | History of right lumpectomy in 2002 for DCIS. Patient received hormonal therapy but did not receive radiation therapy. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular 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: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Knee pain. Assess severity of degenerative joint disease and evaluate for other intercurrent pathology. Four views of the left knee are provided. Moderate to severe osteoarthritis affects the knee with narrowing of the medial tibiofemoral compartment and tricompartment osteophytes. The degree of osteoarthritis appears ... | Osteoarthritis. |
Generate impression based on findings. | Female 56 years old; Reason: Hx of Bladder Cancer s/p cystectomy with neobladder. Eval for recurrent or metastatic disease History: See above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Fatty liver. Cholelithiasis.SPLEEN: Unchanged splenic appearance.PANCREAS: No significant abnormality n... | 1.No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Follow-up A side plate and screws affix a fracture of the distal fibula in near-anatomic alignment. The fracture line is less distinct than that seen on the prior study suggesting some interval healing. I see no hardware complications. I suspect that there is also a healing fracture of the "posterior malleolus" of the ... | Healing fractures as described above. |
Generate impression based on findings. | Reason: Eval for brain metastases History: Ovarian Ca; L-sided facial twitching The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild degree are present predominantly adjacent to the left lateral ventricle.No abnormal mass... | 1. No evidence for acute intracranial hemorrhage mass effect or edema.2. Periventricular white matter lesions adjacent to the left lateral ventricle are present these are nonspecific. Most likely there vascular related at this age3. MRI is more sensitive in the detection of brain metastases compared to noncontrast CT. |
Generate impression based on findings. | Left knee pain. Multi-ligamentous injury. Four views of the left knee are provided. There is a joint effusion. I see no fracture or malalignment.The right knee appears normal as seen on the frontal views.There is approximately 7 degrees of valgus alignment of the knee with respect to the neutral mechanical axis. Mild o... | Joint effusion and valgus alignment of the left knee as described above. |
Generate impression based on findings. | 75-year-old with history of left breast ADH status post excisional biopsy in 2009. The patient also has history of left lumpectomy in 1996 for ILC. Three standard views of both breasts and a left laterally exaggerated were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of... | 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. | 72-year-old male with history of bladder cancer, evaluate and compare to prior CHEST: LUNGS AND PLEURA: Stable bilateral pulmonary nodules, likely benign.MEDIASTINUM AND HILA: No lymphadenopathy. Moderate coronary artery calcifications. CHEST WALL:ABDOMEN:LUNG BASES: No suspicious hepatic lesions. Status post cholecyst... | 1.Status post cystoprostatectomy without evidence of disease in the abdomen or pelvis.2.Stable pulmonary nodules, likely benign. |
Generate impression based on findings. | Male 53 years old; Reason: Prostate cancer, rising PSA, assess for metastatic cancer History: none ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significan... | 1.Status post prostatectomy. No overt CT evidence of metastatic disease. Please also see same day bone scan report. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother and maternal grandmother. History of ovarian cancer in paternal aunt. 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 fibro... | 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. | 62 year-old female with history of multiple myeloma. The bones are demineralized.SKULL: There are innumerable lytic lesions compatible with myeloma.CERVICAL SPINE: No discrete myelomatous lesions. Vertebral body heights are preserved.THORACIC SPINE: No discrete myelomatous lesions. Mild multilevel degenerative disc dis... | Multiple myelomatous lesions as above mostly involving the calvarium. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Round markers were placed on skin lesions overlying both breasts.No su... | 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. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Patient has rash under both breasts. 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 ... | Stable bilateral masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 53 year-old female with history of pain. Left knee: Mild osteoarthritis affects the left knee particularly at the patellofemoral articulation.Right knee: Mild to moderate osteoarthritis affects the right knee particularly at the patellofemoral articulation. | Osteoarthritis as above. |
Generate impression based on findings. | Head trauma, on Coumadin. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. The visualized portions ... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Small occipital subgaleal hematoma. Underlying calvarium is intact. |
Generate impression based on findings. | Asymptomatic female with possible new subcentimeter mass in the right lower inner quadrant. Personal history of uterine carcinoma. Prior mammograms at Rush. ML and spot compression images of the right breast were obtained and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibrogland... | Circumscribed mass in the right lower inner breast, most compatible with an intramammary lymph node or oil cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Right upper lobe micronodule along the fissure is unchanged (series 4 image 52). Basilar subsegmental atelectasis/scarring. No new suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Small hypoattenuatin... | No evidence of metastatic 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. No suspicious masses, microca... | 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. | 71 year-old male with rectal cancer, evaluate and compare to prior CHEST:LUNGS AND PLEURA: Moderate - severe centrilobular emphysema. Scattered calcified pulmonary nodules. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Calcified mediastinal and hilar lymp... | 1.No evidence of disease in the chest, abdomen, or pelvis.2.Nonspecific symmetric posterior bladder wall thickening, increased from prior, raises the possibility of cystitis. |
Generate impression based on findings. | 72-year-old female with history of pain. Right foot: There is a mild hallux valgus deformity. Mild osteoarthritis affects the first MTP and interphalangeal joints. There is a mild pes planus deformity.Left foot: Mild osteoarthritis affects the first MTP and interphalangeal joints. There is a mild pes planus deformity. ... | Mild osteoarthritis and flatfoot deformity bilaterally. |
Generate impression based on findings. | Reason: mets lung cancer, s/p 3 cycles of chemo. pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Severe centrilobular and paraseptal apical predominant emphysema.Increased soft tissue within the area of right apical scarring with a new nodular component measuring 1.2 x 0.9 cm (... | 1. New nodular soft tissue within the area of right apical scarring, suspicious for a new primary neoplasm.2. Interval decrease in thoracic and abdominal lymphadenopathy since the prior study.3. Unchanged left apical reference lesion. |
Generate impression based on findings. | T12/L1: Again seen is the L1 vertebral body fracture with 50% loss of height with mild retropulsion, Mild to moderate facet hypertrophy and ligamentum flavum thickening which is similar to the recent previous MRI. Unchanged minimal spinal canal stenosis. No significant bony neuroforaminal narrowing.L1/2: Mild disk bul... | 1.Compression fracture of the L5 vertebral body with 75% loss of height, moderate retropulsion and degenerative changes which causes severe spinal canal stenosis and compression of the cauda equina. Taking into account differences in technique between CT and MRI, there appears to be no significant interval change. No d... |
Generate impression based on findings. | Female 33 years old Reason: Please evaluate for Hepatosplenomegaly, portal HTN, sarcoid involvement of the liver, spleen, pancreas, or cirrhosis History: 32 yo F with likely pulmonary and hepatic sarcoid. LIVER: The liver measures 14.2 cm in length and demonstrates a lobulated contour and heterogeneous echotexture. No ... | There is no hepatosplenomegaly. Diffusely heterogeneous hepatic echotexture which may be secondary to infiltration from patient's known sarcoidosis. |
Generate impression based on findings. | 61-year-old male with history of kidney neoplasm, reevaluate disease status following systemic therapy. CHEST:LUNGS AND PLEURA: Decreased pleural effusion, with persistent right lower lung/lung base pleural thickening and nodularity (3/72).No pleural effusion.MEDIASTINUM AND HILA: Lower right paraesophageal lymph node ... | 1.Interval decreased right pleural effusion, with persistent right lower lung pleural nodularity suspicious for metastatic disease.2.Right perihepatic hypoattenuating nodule, may represent an exophytic hepatic nodule, and would be better evaluated with dedicated liver MRI.3.Left neck base necrotic lymph node has increa... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional left MLO view 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... | Bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 45-year-old female with a left breast mass detected on recent screening mammogram presents for ultrasound guided biopsy. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a circumscribed oval hypoechoic mass measuring 15 x 10 mm at the 6 o’clock position with increased vascularity... | 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. | 71-year-old male with history of cervical stenosis. Evaluation of the lower cervical spine is limited on the lateral view due to overlying anatomy.Severe multilevel facet joint osteoarthritis appears similar to the prior study. Mild to moderate degenerative disc disease affects C4-5, but the visualized remaining disc s... | Degenerative arthritic changes as described above most severely affecting the facet joints. If further evaluation for cervical stenosis is needed, MRI may be obtained. |
Generate impression based on findings. | abdominal pain, diarrhea The scout film shows a nonspecific bowel gas pattern without any evidence of obstruction or ileus. Barium flowed freely from the rectum to the cecum. There is no evidence of obstructing or constricting lesions. Extensive diffuse colonic diverticulosis was noted. Significant tortuosity and redun... | 1.Extensive diffuse colonic diverticulosis. 2.Significant tortuosity and redundancy of the sigmoid colon was noted. 3.No specific findings to account for patient's pain. |
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. Round markers were placed... | Right breast mass. Spot compression imaging and ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 4-year-old female with fractureVIEWS: Right foot AP/lateral (two views) 01/27/15, 1003 hour The transverse fracture line through the proximal phalanx of the fourth toe is less distinct with surrounding callus formation and periosteal reaction suggestive of interval healing. Alignment is near anatomic. | Healing fourth toe proximal phalanx fracture. |
Generate impression based on findings. | Ventricles and sulci are prominent, indicating volume loss. The basal cisterns remain patent. There is no midline shift or mass effect. Mild scattered periventricular and subcortical T2 hyperintensities are unchanged and nonspecific but likely represent chronic small vessel ischemic disease. There is no diffusion abno... | 1.No evidence of acute infarct, mass effect or edema.2.Stable mild chronic small vessel ischemic disease and volume loss. |
Generate impression based on findings. | 10-year-old male postopVIEWS: Left foot AP/lateral (two views) 01/27/15, 1010 hour The bones appear demineralized. No acute fracture is evident. Persistent equinovarus and pes cavus deformities appear slightly improved since the prior exam. The distal phalanx of the great toe is underdeveloped. | Persistent equinovarus and pes cavus deformities appear slightly improved since the prior exam. |
Generate impression based on findings. | Right foot pain and dorsal swelling; chronic steroid use. The bones appear slightly demineralized. There is mild deformity of the proximal phalanx of the fourth toe likely representing a healing or healed fracture. A small well corticated ossicle adjacent to the lateral sesamoid beneath the first metatarsal head is of ... | Probable old posttraumatic changes without specific findings to account for the patient's foot pain. If there is clinical concern for stress fracture, repeat radiographs may be obtained in 10 to 14 days. |
Generate impression based on findings. | 14-year-old male with pain after falling on outstretched armVIEWS: Left wrist PA/oblique/lateral (3 views) 01/27/15, 1038 hour No acute fracture or malalignment is evident. | Normal examination. |
Generate impression based on findings. | Male 58 years old; Reason: hx of bladder cancer s/p radical cystectomy, evaluate for metastatic disease wtih delayed imaging History: see above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. Couple stable sub-centimeter hypodensities are too small to accurately c... | 1.No evidence of disease recurrence or metastatic 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Scattered benign cal... | 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. | 62-year-old male with history of bladder, urethral, and ureteral cancer, evaluate and compare prior ABDOMEN:LUNG BASES: Basilar atelectasis. LIVER, BILIARY TRACT: Hepatic steatosis. No focal hepatic lesions. Cholelithiasis.SPLEEN: Enhancing splenic nodules similar in appearance to the prior exam may represent hemangiom... | 1.Post surgical changes without evidence of disease in the abdomen or pelvis. Please note that evaluation of the right renal pelvis and ureter is limited secondary to poor contrast opacification due to chronic obstruction.2.Hepatic steatosis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at age 66 and maternal aunt diagnosed at age 80. 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 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: NSB - Screening Mammogram. |
Generate impression based on findings. | 38 years, Male. Reason: assess passage of capsule History: capsule in stomach Spinal fixation device and surgical clips overlying the sacrum are noted. Capsule is not identified.Nonobstructive bowel gas pattern. | Capsule is not identified. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | History of right lumpectomy and sentinel lymph node biopsy in 2006 for IDC. Patient received radiation therapy and hormonal therapy. History of breast carcinoma in two maternal aunts. No new breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The bre... | 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. | 61-year-old male with history of high-risk stage 3 colon cancer. Evaluate for recurrence. CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules, with two new micronodules/intrapulmonary lymph nodes in the right upper lung (5/66) which may be followed on subsequent staging exams. No suspicious masses or consol... | 1.Postoperative findings of right hemicolectomy without evidence of recurrent or metastatic disease.2.Scattered pulmonary micronodules, with two additional micronodules/intrapulmonary lymph nodes in the right middle lobe that may be followed on subsequent exams. |
Generate impression based on findings. | Male 32 years old; Reason: Cystic fibrosis, Lung Transplant Evaluation Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 79.3 % of peak activity (normal >70 %... | Gastric emptying within normal limits. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at age 63. 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... | 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 61 years old; Reason: eval possible liver mets History: HCC, pre liver \T\ Heart transplantRADIOPHARMACEUTICAL: 14.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 128 mg/dL. Today's CT portion grossly demonstrates cirrhotic liver morphology. There is a hypodense lesion in the right lobe of the liver a... | 1. No evidence of FDG avid tumor activity.2. Please note FDG imaging is not sensitive for hepatocellular carcinoma. |
Generate impression based on findings. | Flat feet.VIEWS: Left foot standing AP/lateral (two views), right foot standing AP/lateral (two views) 01/27/15 Bilateral planovalgus is identified. No fracture is seen. | Bilateral pes planovalgus. |
Generate impression based on findings. | Male 86 years old; Reason: hematuria History: hematuria ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable hemangioma in the right hepatic lobe. A couple other hypodensities are only partially visualized on prior study, but likely are cysts.SPLEEN: No significant abnormality noted.PANCREA... | 1.No CT identifiable cause of hematuria. Prostatomegaly with impression on the urinary bladder as described above. |
Generate impression based on findings. | 76 year old female with history of presacral mass, evaluate for abnormalities ABDOMEN:LUNG BASES: Small left Bochdalek hernia.LIVER, BILIARY TRACT: Mild intra-and extrahepatic biliary ductal dilation status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL ... | Stable presacral mass is possibly neurogenic in origin and likely benign. |
Generate impression based on findings. | Hip pain, rule-out SCFE.VIEWS: Pelvis AP/frogleg (two views) 01/27/15 The round, smooth femoral heads are well directed into normally formed acetabula. The proximal femoral physes are almost completely fused. No fracture is identified. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at the age of 32. History of benign bilateral breast biopsies. Two standard digital views and tomosynthesis of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3.... | Postsurgical architectural distortion in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Posttreatment findings are stable. There is no evidence of mass lesions or significant cervical lymphadenopathy. Small hypodense right thyroid nodule is unchanged. Submandibular and parotid glands are atrophic with probable post-treatment changes. The major cervical vessels are patent with moderate to severe right and... | No evidence of tumor recurrence or significant lymphadenopathy. |
Generate impression based on findings. | Male 24 years old Reason: biliary dilation? History: conjug. hyperbilirubinemia LIVER: The liver measures 16.1 cm in length. There is no focal liver lesion. The portal vein is patent and demonstrates normal directional flow with peak velocity of 0.4 m/sec. GALLBLADDER, BILIARY TRACT: Cholelithiasis without gallbladder ... | 1. Cholelithiasis without acute cholecystitis or biliary dilatation. 2. Complex right mid pole cyst demonstrating internal complexity. While this may represent interval hemorrhage/inflammation, further evaluation with renal protocol CT is recommended. A CT scan will additionally further characterize a probable left upp... |
Generate impression based on findings. | Exam is limited as exact location of oral cancer is not described, and outside imaging including potential PET scan is unavailable. In addition, treatment history is not provided. Within these limitations, there is asymmetric enhancement and soft tissue thickening along the left lateral wall of the oral cavity posteri... | 1. Asymmetric enhancement and irregular soft tissue consistent with known malignancy along the left lateral wall of the oral cavity extending from the maxillary to mandibular alveolar processes with associated osseous changes. Left mandibular foramen fat is effaced with suspicion for metastatic spread along the inferio... |
Generate impression based on findings. | Known bilateral breast cysts. Personal history of CML diagnosed at age 31, now in remission. History of breast cancer in mother diagnosed 51 in maternal aunt. Three standard views of both breasts were performed digitally with spot compression images and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is comp... | Right breast benign cyst. 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. | Reason: assess for leak low rectal mass excision site, 9cm from anal verge History: pneumoperitoneum; POD1 from mass excision There was small contained leak anterolateral to the presumed anastomotic site, measuring 1.3 x 1.0 x 0.7 cm. | Small contained leak anterolateral to the presumed anastomotic site. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian cancer diagnosed in 1963. History of breast cancer in two paternal aunts. 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 ... | 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 44 years old Reason: Evaluate for gallstones, biliary dilation History: abdominal pain, increased Bili LIVER: The liver measures 17.8 cm. The hepatic parenchyma is diffusely echogenic and heterogeneous suggestive of fatty infiltration. There portal vein is patent and demonstrates normal directional flow with peak ... | 1. No evidence of gallstones or biliary dilatation. 2. Hyperechoic heterogeneous hepatic parenchyma suggestive of fatty infiltration. |
Generate impression based on findings. | Two year old female with fatally abused siblings.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right femur AP, left femur A... | No fracture or malalignment. Mild adenoidal enlargement. |
Generate impression based on findings. | Status post mandibular distraction, evaluate mandible for healing and assess airway volume. Again seen are bilateral osteotomies involving the mandibular rami with interval removal of previously seen metallic distractors. There is interval development of periosteal reaction bilaterally with 1-2-mm gap at the right and ... | 1. Status post bilateral mandibular osteotomies for distraction. There is interval progression of healing compared to 11/6/2014 with small residual lucencies.2. Improvement in airway volume at the level of the oropharynx compared to 10/3/2013. |
Generate impression based on findings. | Male 73 years old; Reason: Pancreas cancer s/p neoadjuvant chemo please assess per pancreas protocol imaging for treatment response prior to whipple surgery and provide index lesion measurements for RECIST CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change with biapical and lingular pleural scarr... | 1. No significant change from prior study as described. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast cyst aspiration in 2001. History of breast cancer in mother diagnosed at age 44 and maternal cousin diagnosed in her 20s. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast p... | Stable right focal asymmetries. 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. | 81-year-old female with history of myeloma, no prior lytic lesions SKULL: No discrete lytic lesion.CERVICAL SPINE: Marked degenerative disk disease and facet joint osteoarthritis without discrete lytic lesion.THORACIC SPINE: Multilevel degenerative disk disease and small anterior osteophytes without discrete lytic lesi... | No discrete lytic lesion. Degenerative changes as described above. |
Generate impression based on findings. | 65-year-old female with sciatic nerve and chronic back pain, rule out arthritis Lumbar spine: There is grade 2 anterolisthesis of L4 on L5 as well as degenerative disk disease and facet joint osteoarthritis affecting the lower lumbar spine.Thoracic spine: There is mild leftward curvature of the thoracolumbar spine and ... | Grade 2 anterolisthesis of L4 on L5 and degenerative changes as described above. |
Generate impression based on findings. | History of right nipple itching and retroareolar mass. Patient states that the mass has resolved after taking antibiotics. 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 patter... | No mammographic evidence of malignancy. No sonographic abnormality identified. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, which could resume in June 2015 for this patient. Results and recommendations were discussed with the patient. BIRADS: 1 - N... |
Generate impression based on findings. | 51 year-old female with fall and low back pain Vertebral body heights and disk spaces are maintained. Alignment is within normal limits. No fracture is visualized. | No findings to explain the patient's symptoms. |
Generate impression based on findings. | Hip painVIEWS: Pelvis AP/frogleg (two views) 01/27/15 The femoral head epiphyses are well directed into the acetabula. Alignment is anatomic. No fracture is present.A moderate amount of feces is seen in the rectosigmoid. | Normal examination. |
Generate impression based on findings. | 39 year-old female with left hip pain Surgical clips project over the pelvis and right lower quadrant. The hip appears normal for the patient's age. The osseous structures of the pelvis are unremarkable. | Normal exam. |
Generate impression based on findings. | 66 showed female status post TKA Hardware components of a total knee arthroplasty device are situated in near-anatomic alignment without evidence of complication. Gas, drain and surgical clips in the soft tissues reflect recent surgery. | Status post TKA in near anatomic alignment. |
Generate impression based on findings. | Male, 69 years old, history of left cheek squamous cell carcinoma s/p Mohs, with perineural invasion. Skin thickening, subcutaneous infiltration and mild skin retraction are seen within the left cheek compatible with the history of a resected squamous cell carcinoma.A lymph node is present at the tail of the left parot... | 1. Surgical sequelae are evident within the left cheek compatible with the stated history of a resected squamous carcinoma.2. A lymph node at the left parotid tail is concerning for metastatic involvement given its abnormal central hypoattenuation. No definite additional concerning lymphadenopathy is seen. |
Generate impression based on findings. | RUE weakness. Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significant stenosis at the carotid bifurcations. Ther... | 1.Findings are compatible with the diagnosis of Moya Moya. Please refer to MRA from 1/18/15 for additional comments. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma diagnosed at age 48. History of breast cancer in mother diagnosed at age 55. 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 sc... | Stable right 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. | Male 47 years old Reason: assess gall bladder for stones/ liver for fatty infiltration History: RUQ intermittent abdominal pain LIVER: The liver measures 15.4 cm in length. The hepatic parenchyma is diffusely echogenic suggestive of fatty infiltration. No focal liver lesion. The portal vein is patent and demonstrates n... | 1. Diffusely echogenic hepatic parenchyma suggestive of fatty infiltration. 2. No gallstones. |
Generate impression based on findings. | 32 years, Female. Reason: kidney stone History: right kidney stone Nonobstructive bowel gas pattern. Punctate calcifications seen overlying right kidney, compatible with prior CT. No large renal stone identified. | Nonobstructive bowel gas pattern. Punctate calcifications seen overlying right kidney, compatible with prior CT. No large renal stone identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of ovarian cancer in maternal grandmother. History of breast cancer in two paternal aunts diagnosed at age 65 and 68. Two standard digital views and tomosynthesis of both breasts and an additional left CC view were performed and reviewed with the a... | 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. | 49 years, Female. Reason: Evaluate for bowel distention, gas pattern, constipation, air fluid levels History: epigastric pain Heavy vascular calcification. Peritoneal dialysis catheter. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 14-year-old female with headache, with lumboperitoneal shunt for pseudotumor cerebriVIEWS: Abdomen AP/lateral (two views) 01/27/15 Lumboperitoneal shunt tubing is seen without kinking or discontinuity with tip in the left lower quadrant of the abdomen. The intrathecal tip courses above the field-of-view. Codman Hakim v... | No evidence of shunt discontinuity or kinking. |
Generate impression based on findings. | Female 82 years old; Reason: LLL nodule History: Lung cancer please compare to prior PET for restagingRADIOPHARMACEUTICAL: 14.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 138 mg/dL. Today's CT portion grossly demonstrates scattered bilateral pulmonary nodular densities, more prominent in the lower lobes... | 1.New left upper and lower lobe pulmonary nodules with increased FDG activity are suspicious for tumor. 2.Interval decreased FDG activity of the right lower lobe lung nodule. Mild FDG activity of the remaining scattered pulmonary nodules is nonspecific, cannot exclude metastatic disease.3.Focal activity in the ascendin... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Three standard digital views and tomosynthesis 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... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. A benign intramammary lymph node is present in the right upper outer quadrant... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful right spinoglenoid/suprascapular notch injection. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional left CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A pacemaker gene... | 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. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal niece. 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. Round marker was placed on a skin lesion o... | No mammographic evidence of malignancy. Screening mammography is most sensitive when evaluating for interval changes. If patient submits outside mammogram, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECO... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign 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 almost entirely fatty, unchanged in pattern and distribution. A percutaneous... | Stable biopsy clip with surrounding density in the left breast. Oil cyst in the right breast. 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 90 years old; Reason: Evaluate for abdominal pathology History: back and abdominal pain. Hx of waldenstrom, poor appetite ABDOMEN:LUNGS BASES: Increasing left lower lobe consolidation with associated traction bronchiectasis. Intraluminal bronchial fluid seen, appearance consistent with aspiration. Calcified micr... | 1. Increasing small left lower lobe consolidation with associated traction bronchiectasis and evidence of aspiration, correlation with patient's clinical history/laboratory values recommended to exclude underlying infection/aspiration pneumonia.2. Stable exam as above otherwise. No definite evidence of metastatic disea... |
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 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, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign 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. A round marker was placed on a skin lesion and a... | Focal asymmetry in the central right breast. Comparison to outside mammogram is recommended. If the prior mammogram cannot be obtained or if this density is new, spot compression imaging is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | post coronary angioplasty/stenting severe headache Although the scan was performed without contrast enhancement, the scan is essentially postcontrast scan since prior iodine contrast infusion during the coronary procedure.No evidence of acute ischemic or hemorrhagic lesion on this scan.The ventricles, sulci, and cister... | No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of ovarian cancer in mother. History of breast cancer in paternal 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 heterogeneously dense, whic... | 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. | Male 86 years old; Reason: 86 yo newly diagnosed pancreatic ca needs full staging cap pancreatic protocol CHEST:LUNGS AND PLEURA: Unchanged large right pleural effusion with underlying compressive atelectasis. Respiratory motion artifact makes assessment suboptimal. Enlarging bilateral lung nodules noted. Lingular nodu... | 1. Diffuse pancreatic atrophy with ductal dilatation terminating at level of pancreatic head lesion as above.2. Increasing size of bilateral lung nodules as described, nonspecific but suspicious for metastatic disease. Large right pleural effusion with underlying compressive atelectasis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of surgical excision of a right chest wall lipoma in 2013. History of benign left breast biopsy. Two standard digital views and tomosynthesis of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. Th... | Increasing right breast calcifications. Spot magnification imaging is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Evaluate second metacarpal fracture Three views of the left hand reveal a fracture of the second metacarpal head and neck with volar angulation of the distal fracture fragment, unchanged from the previous. Note again is made of old deformity of the fifth metacarpal. Bone detail is obscured by overlying splint. | Fracture of the second metacarpal head and neck with volar angulation of the distal fracture fragment. |
Generate impression based on findings. | Female 77 years old; Reason: Evaluate for intra-abdominal abscess, liver abscess, biliary dilation, pleural effusions, pneumonia History: candidemia, bacteremia, hyperbilirubinemia CHEST:LUNGS AND PLEURA: Extensive emphysema. Small left greater than right pleural effusions, some mediastinal shift towards left due to un... | 1. Bilateral pulmonary emboli, may be chronic due to eccentric/linear configuration and dilatation of pulmonary artery trunk which may be seen in setting of pulmonary arterial hypertension but correlation with patient's clinical history recommended and dedicated CT chest using PE protocol should be pursued as clinicall... |
Generate impression based on findings. | 9-year-old male with cough, wheezing, shortness of breathVIEWS: Chest PA/lateral (two views) 01/27/15 Cardiothymic silhouette is normal. Large lung volumes. No focal pulmonary opacities. Peribronchial thickening is suggestive of bronchiolitis/reactive airway disease. No pneumothorax or pleural effusions. | Bronchiolitis/reactive airway disease. |
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