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Generate impression based on findings. | Headache for 2 days, which disrupted sleep. Evaluate for intracranial abnormality. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Reason: interval change RLL cavitary lesion History: elevated WBC; chronic cough LUNGS AND PLEURA: Redemonstration of postsurgical changes of a right upper lobectomy including right volume loss and rightward shift of the mediastinum. Right lower lung fluid-filled necrotic cavity and overlying atelectasis/consolidation ... | 1.Right postsurgical changes.2.Persistent fluid filled cavity in the right lung base with overlying atelectasis/consolidation with air fluid level suspicious for a persistent lung abscess.3.New left lower lobe patchy consolidation and bronchiectasis, likely infection related to aspiration. |
Generate impression based on findings. | Paresthesias, evaluate for intracranial lesion 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. There is mild asymmetry involving the bilateral lateral ventricles which i... | No evidence of acute intracranial hemorrhage or mass effect. If there is continued suspicion for intracranial pathology, MRI can be considered.. |
Generate impression based on findings. | 45 years, Female. Reason: Evaluate for obstruction History: constipation. Mildly prominent left upper quadrant small bowel loops measuring up to 2.3 cm without evidence of obstruction. Residual oral contrast material is noted distally within the colon from recent CT scan. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female 19 years old Reason: Eval for resolution of abscesses History: abscess on previous CT, ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma.SPLEEN: No significant abnormality notedPANCREAS: N... | Slight interval decrease in size of multiple pelvic fluid collections. Evolving presacral pelvic phlegmon. |
Generate impression based on findings. | Male 77 years old Reason: Patient with HCC and hx of epigastric abscess and recent PNA now with strep bacteremia, please evaluate for progression of disease, sources of infection/ abscess, consolidation, effusion History: As above CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, mild on the right, moderate on the l... | 1. Confluent bilobar hepatocellular carcinoma minimally increased in size compared to prior study. There is regional lymphadenopathy and peritoneal carcinomatosis, not significantly changed compared to prior study.2. Moderate ascites and bilateral pleural effusions, slightly increased compared to prior study. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Minimal patchy low attenuations on bilateral periventricular white matter indicating non specific small vessel disease. No change since prior exam.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter different... | No evidence of acute ischemic or hemorrhagic lesion.No change of non specific small vessel disease since prior exam. |
Generate impression based on findings. | Reason: eval staging for metastatic breast cancer History: metastatic breast cancer CHEST:LUNGS AND PLEURA: Extensive pleural nodularity consistent with pleural-based metastatic disease. Surgical suture material from right lower lobe wedge resection. 6-mm nodule (series 4 image 55) in the left lung also suspicious. No ... | 1. Extensive pleural and osseous metastatic disease. 2. Right adrenal nodule and left pulmonary nodule also suspicious for metastatic disease. 3. Mediastinal and mesenteric lymphadenopathy. |
Generate impression based on findings. | 47 year old female s/p left femoral catheter placement. Left femoral catheter tip at the L5/S1 level, likely in the left common iliac vein. Partially visualized right lower extremity vascular stent. Nonobstructive bowel gas pattern. | Left femoral catheter tip at L5/S1 level, tip likely in left common iliac vein. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Moderate apical predominant emphysema. Scattered pulmonary micronodules, unchanged.MEDIASTINUM AND HILA: Moderate coronary artery and thoracic aorta atherosclerotic calcifications. The ascending aorta is ectatic, and measures 3.6 cm just superior to the coronary ostia. Heart size within normal ... | 1.Ascending aorta and right common iliac artery ectasia as above.2.Moderate pulmonary emphysema. |
Generate impression based on findings. | Respiratory distress, status-post intubation.VIEW: Chest AP (one view) 1/28/2015, 08:01 Endotracheal tube tip terminates below thoracic inlet and above the carina. The left upper extremity PICC tip terminates in the left subclavian vein.Left lower and right lower lobe atelectasis persists. The cardiothymic silhouette i... | Left lower and right lower lobe atelectasis unchanged. |
Generate impression based on findings. | syncope and ataxia No evidence of acute ischemic or hemorrhagic lesion.Minimal non specific small vessel ischemic disease.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. |
Generate impression based on findings. | 16 months old female with ventricular shunt and headache. There is an intact right parietal approach ventriculostomy catheter terminating within the body of the left lateral ventricle and unchanged ventriculomegaly. There are bilateral hyperattenuating subdural fluid collections that have decreased in size. For example... | Intact ventriculostomy catheter and unchanged ventriculomegaly with bilateral subdural fluid collections that have decreased in size. |
Generate impression based on findings. | 72-year-old female with a personal history of left breast cancer status post lumpectomy followed by mastectomy in 2013. The patient also underwent chemotherapy and hormonal therapy. She also has a history of left breast duct removal in 1980 and benign biopsy in 1982. Family history of ovarian cancer in sister diagnosed... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 50 year old male s/p Dobbhoff placement. Pelvis excluded from field of view. Dobbhoff tube tip at junction of gastric fundus and body. Incompletely imaged but mildly dilated and centralized small bowel loops measuring up to 3 cm. Left retrocardiac opacity and left pleural effusion; please see same day chest radiography... | 1.Dobbhoff tip at junction of gastric fundus and body. 2.Incompletely imaged but mildly dilated and centralized small bowel loops, which likely represents persistent ileus and ascites. |
Generate impression based on findings. | Male 7 years old; Reason: refractory stage 4 neuroblastoma on therapy; assess for response after 2 cycles of therapy There are several new additional MIBG avid osseous metastases in the lower thoracic and upper lumbar spine seen on SPECT images; the prior lesions in the lower thoracic and lumbar spine are not significa... | Interval progression of disease as described above. |
Generate impression based on findings. | Ataxia, rule out bleed There is evidence of prior AVM embolization in the right parietal lobe. There is hypodensity in the right parietal lobe which may represent vasogenic edema and/or gliosis. There is mass-effect on the atrium of the right lateral ventricle and midline shift of 8 mm at the level of the foramen of Mo... | 1. Evidence of right parietal AVM status post embolization.2. There is surrounding hypoattenuation which may represent gliosis and/or edema. There is mass-effect and midline shift stable to mildly worse compared to 1/14/2015. No evidence of acute hemorrhage. |
Generate impression based on findings. | Pain. Prosthetic assessment. Two views of the right hip are provided. Components of a total hip arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication.The AP view of the pelvis reveals the aforementioned right total hip arthroplasty device. Moderate osteoarthr... | Right total hip arthroplasty and osteoarthritis as above. |
Generate impression based on findings. | 66 years, Male. Reason: check removal of ureteral stent s/p kidney transplant. Average to above average stool burden. Nonobstructive bowel gas pattern. Right ureteral stent has been removed. Vascular calcifications. Partially visualized right femoral orthopedic hardware. | Interval removal of ureteral stent. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: 63 y/o with R upper lobe mass with recurrent PTX, concern for malignancy vs infection, please eval for LAD, also need high resolution CT History: SOB, recurrent PTX. LUNGS AND PLEURA: Multiple right upper lobe irregular pulmonary nodules with associated scarlike opacities. For reference, right upper lobe spicul... | 1.Right upper lobe irregular nodules both suspicious for primary lung cancer.2.Moderate right pneumothorax and right chest wall subcutaneous emphysema.3.Moderate emphysema.4.Mildly enlarged right hilar lymph node.5.Severe coronary artery calcifications. |
Generate impression based on findings. | Diffuse brain atrophy a bit more significant on bilateral mesial temporal area, no change since prior scan.Large right forehead subgaleal hematoma without underlying skull fracture.No evidence of intracranial acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There... | 1. Large subgaleal hematoma without underlying skull fracture, right forehead.2. No evidence of intracranial acute ischemic or hemorrhagic lesion.3. Diffuse brain atrophy, no change since prior scan. |
Generate impression based on findings. | Malignant pancreatic neoplasm. Biliary stent in place, now with fever. Evaluate for progression of disease, biliary obstruction or abscess. CHEST:LUNGS AND PLEURA: Lingular scarring unchanged. No suspicious pulmonary nodules or masses. No pleural effusion.MEDIASTINUM AND HILA: Reference subcarinal lymph node is roughly... | Gallbladder appears distended on today's exam compared to prior; given clinical presentation, suggest correlation with right upper quadrant ultrasound exam. Neoplastic disease is roughly stable. |
Generate impression based on findings. | Follow-up of recurrent acinic cell cancer treated with surgery, radiation, and TFHX. There are unchanged post-treatment findings related to right parotidectomy and neck dissection with right submandibular gland dissection. There is persistent ill-defined soft tissue in the treatment bed, but no evidence of measurable m... | Unchanged post-treatment findings without evidence of measurable locoregional tumor recurrence or significant lymphadenopathy in the neck. |
Generate impression based on findings. | Female 55 years old Reason: r/o PE, p/w DOE, hx of SLE on coumadin History: DOE PULMONARY ARTERIES: No evidence of acute pulmonary embolism. Pulmonary artery is normal in size. No evidence of right heart strain.LUNGS AND PLEURA: Scattered linear atelectasis/scarring. No pleural effusions. No suspicious masses or nodule... | No acute pulmonary embolism. Small pericardial fluid collection, correlate for possible uremic pericarditis is appropriate clinical context.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | 57-year-old male left lower quadrant pain in the setting of diverticulosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS,... | 1. Multiple punctate calculi within the bladder with associated fat stranding adjacent to the left kidney. These findings likely represent recently passed renal calculi and may be the cause of the patient's pain. No evidence of hydroureteronephrosis.2. Punctate nonobstructing left renal calculus. |
Generate impression based on findings. | 4 year old female with head trauma. This exam is mildly degraded by motion artifact. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. There is a ... | No evidence of intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Female 78 years old Reason: rule out cholecystitis History: pain, enlarged gall bladder, thickened wall the LIVER: The liver measures 18.0 cm in length. There is no focal liver lesion. The portal vein demonstrates normal directional flow with peak velocity of 0.4 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is dis... | Cholelithiasis and acute cholecystitis. Dr. Michael Ward notified at the time of dictation. |
Generate impression based on findings. | Reason: acute PE? History: increasing SOB on OCP PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: No consolidation, pleural effusion, or pneumothorax.MEDIASTINUM AND HILA: No significant mediastinal or hilar lymphadenopathy. Heart size is with no paracardial effusion. No visible co... | No acute pulmonary embolus.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Linear STIR hyperintensity is seen along the medial right iliac bone, likely representing biopsy tract. Within the overlying subcutaneous soft tissues, there are a few oval foci of hypointense signal as well as mild diffuse surrounding decreased signal within the subcutaneous fat with mild skin thickening and T2 hyper... | 1. Findings within the skin and subcutaneous soft tissues overlying the right posterior iliac bone likely relating to patient's known cellulitis and recent bone marrow biopsy. No definite associated abnormal marrow signal or enhancement, and no focal fluid collection/abscess.2. Nonspecific free fluid within the pelvis ... |
Generate impression based on findings. | Reason: eval for areas of bleeding, history of fall with L hip hematoma, hgb drop 11.5 -- 8.5, eval LVAD position changes History: anemia, LVAD, history of GIB CHEST:LUNGS AND PLEURA: Moderate centrilobular emphysema with curvilinear opacity in the right lower lobe cyst with atelectasis. A mild subpleural reticulation ... | 1.Left hip hematoma partially imaged.2.LVAD and other findings as described above. |
Generate impression based on findings. | Reason: rule out PE, likely new cancer patient w /34% blasts History: SOB PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus.LUNGS AND PLEURA: Biapical pulmonary parenchymal scarring. Mild centrilobular and paraseptal emphysema. Right middle lobe and left lingular scarring/atelectasis. Bibasilar depen... | 1.No acute pulmonary embolus.2.Mild emphysema.3.Lymphadenopathy in the chest and visualized upper abdomen, suspicious for metastases or lymphoma.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 28 year old female who felt a small lump in the right breast presents for ultrasound study. The patient does not feel the lump today With physical exam, no discrete mass was palpated in the right breast around 12 o'clock position. Focused ultrasound did not detect any abnormalities at the area of palpable concern. | No mammographic evidence of malignancy. Clinical follow-up is recommended. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually at age 40. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correla... |
Generate impression based on findings. | Renal cancer and right frontal bone lesion demonstrated on bone scan. The maxillofacial bone marrow is diffusely heterogeneous. There are more focal subcentimeter areas of concentric lucency and sclerosis in the right frontal bone anterior to the right frontal sinus and superolateral to the right orbital rim. The orbit... | The maxillofacial bone marrow is diffusely heterogeneous, with more focal subcentimeter areas of concentric lucency and sclerosis in the right frontal bone anterior to the right frontal sinus and superolateral to the right orbital rim. Differential considerations include renal osteodystrophy with early Brown tumors ver... |
Generate impression based on findings. | 49 year old female with atypical intraductal proliferation, bordering on low grade DCIS, presents for needle localization. Target is a marker clip in the left breast located posteriorly at 3 o’clock. The procedure, risks including bleeding and infection, and benefits of needle-wire localization were discussed with the ... | Successful needle localization of the left breast clip.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 66 years old Reason: assess for fibrosis given hepatitis c infection History: as above LIVER: Liver measures 16.1 cm in length. The parenchyma is moderately echogenic and coarsened consistent patient history of chronic liver disease. No focal hepatic mass is identified. The main portal vein is patent and demonstra... | 1. Coarsely echogenic hepatic parenchyma consistent with chronic liver disease. No focal hepatic mass.2. Gallbladder polyp. |
Generate impression based on findings. | 53 years, Male. Reason: NJ tube placement, esophageal tear History: NJ tube placement Motion artifact limits evaluation.Enteric tube tip overlies the gastric fundus. Residual contrast is seen in the large bowel. Additional amorphous hyperdensity seen in the left upper quadrant may be related to enteric contrast in the ... | Enteric tube tip in gastric fundus. |
Generate impression based on findings. | To lesion seen on abdominal ultrasound. Rule out cancer versus benign lesions. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: With respect to the indeterminate lesions described on the recent ultrasound examination:*The lesion in the right lobe (segment 6) measures 1.5 x 1.6 cm (image 36; ser... | Three liver lesions as described above. One is clearly a benign hemangioma, second is probably a hemangioma, and the third is indeterminate. In the absence of known malignancy, it is possible that the third lesion may represent an atypical hemangioma (given hemangiomas elsewhere the liver) however further characterizat... |
Generate impression based on findings. | 49 years, Female. Reason: abdominal pain History: abdominal pain, n/v Nonobstructive bowel gas pattern. No evidence of free air. | Nonobstructive bowel gas pattern. No evidence of free air. |
Generate impression based on findings. | History of left mastectomy for DCIS in 2012. No new breast 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 heterogeneously dense, unchanged in pattern and distribution. No suspicious mass, suspicious microcalcifications or ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 56 year-old male with swollen left knee, evaluate for septic versus inflammatory arthritis. History of metastatic melanoma. A large joint effusion is present. Tibiofemoral osteophytes indicate mild to moderate osteoarthritis. No focal lesions to indicate metastases or erosions are evident. Mild osteoarthritis affects t... | Large joint effusion and osteoarthritis as described above. Given the large joint effusion septic arthritis cannot be excluded, although the effusion itself is nonspecific. |
Generate impression based on findings. | CLINICAL DATA: Age: 20 years. Sex : Female. Indication: Reason: r/o appy History: RLQ pain, vomiting, fever. 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 signific... | No evidence of appendicitis, or other acute significant abnormality. |
Generate impression based on findings. | Chest pain and upper abdominal pain CHEST:LUNGS AND PLEURA: Patchy air space opacity right lower lobeMEDIASTINUM AND HILA: Mildly enlarged mediastinal lymph nodes.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Mild hepatomegaly without mass or ductal dilatation. Hepatic vessels patent.SPLEEN... | Patchy air space opacity right lower lobe. While this may represent atelectasis, an early infectious or inflammatory focus cannot be excluded.Mild hepatomegaly without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | 70 year-old female with pain Right hip: Hardware components of a total hip arthroplasty device are situated in near-anatomic alignment without evidence of complication.Left hip: Hardware components of a total hip arthroplasty device are situated in near-anatomic alignment without evidence of complication.Pelvis: The af... | Bilateral total hip arthroplasties and knee joint osteoarthritis as described above. |
Generate impression based on findings. | Possible left submandibular lymphadenopathy - marble sized, nontender, non-mobile. The left submandibular space is unremarkable. Indeed, the salivary glands appear unremarkable. There is no evidence of significant cervical lymphadenopathy based on size criteria. There is a partially calcified left thyroid lobe nodule t... | 1. No evidence of left submandibular region mass or significant lymphadenopathy in the neck based on size criteria. 2. Partially calcified left thyroid nodule measuring up to 17 mm. A thyroid ultrasound and FNA may be useful for further evaluation. |
Generate impression based on findings. | headache, history of aneurysm coiling NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.There is about 10mm sized metallic artifacts indicating previously inserted aneurysm coil mass around Acom artery area. Due to metallic artifacts, precise evaluation of skull base area is not possib... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Significant metallic artifacts due to prior aneurysm coil mass prevented precise evaluation of coiled aneurysm.3. No CTA evidence of intracranial arterial aneurysm.Comment: since any coiled aneurysm needs to be followed due to potential risk of reca... |
Generate impression based on findings. | Reason: assess for esophageal abnormality, GERD and/or hiatal hernia History: chronic cough; intermittent dysphagia and epigastric pain/discomfort Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Please note that small right apical asymmetric airspace dis... | 1.Mild dysmotility with proximal escape.2.No reflux or hiatal hernia. |
Generate impression based on findings. | Family history of breast cancer in her mother diagnosed at age 49. 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 heterogeneously dense, unchanged in pattern and distribution. A questionable focal asymmetry i... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There are a few punctate foci of T1 hyperintense signal in the left frontal corona radiata with restricted diffusion. There are no other area of abnormal signal. There is no other diffusion abnormality. There is mild prominence of the extra-axial CSF spaces. The ventricles and sulci are within normal limits. The basal... | 1. Restricted diffusion and T1 hyperintensity in the left frontal corona radiata consistent with recent white matter injury/ischemia.2. Patent intracranial vasculature.3. Incidentally seen 6x3 mm T2 hyperintense lesion involving the superolateral surface of the left orbit which may represent a benign small cystic lesio... |
Generate impression based on findings. | Bariatric surgery with nonintentional weight loss ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant a... | Status post gastric bypass. No evidence for acute, inflammatory, or neoplastic process. No bowel obstruction. |
Generate impression based on findings. | 78-year-old female with abdominal pain and nausea. Rule out intra-abdominal pathology. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis.LIVER, BILIARY TRACT: The gallbladder is distended. There is associated gallbladder wall thickening and pericholecystic fluid, as well as perihepatic free fluid. These findings are c... | 1. Findings consistent with acute cholecystitis. Although no definitive radiopaque common duct stone is identified, there appears to be debris within the common bile duct.2. Nonspecific sclerotic lesion in the left ischium. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size within normal limits, and there is no pericardial effusion. No significant mediastinal or hilar lymphadenopathy. No appreciable coronary artery calcifications.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TR... | 1. Findings consistent with given history of multifocal hepatocellular carcinoma.2. Splenomegaly3. Liver volumetrics are as follows: Total hepatic volume is 2112 cm³. Right hepatic lobe volume is 1072 cm³. Left hepatic lobe volume is 1033 cm³.4. The hepatic arterial supply is via the SMA. |
Generate impression based on findings. | Patient with history of fever and neutropenia with perirectal pain PROSTATE, SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTH... | Negative for acute, inflammatory or neoplastic process. No evidence for perirectal inflammatory process or abscess. |
Generate impression based on findings. | 68-year-old with 1 cm mass in her right breast for which ultrasound guided biopsy is requested.. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 10 mm at the 9 o’clock position with increased vascularity, 7 cm from the nipple. The lesion was readily ... | 1. Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.2. Note is made that outside paperwork states that left breast mammograms were performed last November and these should be submitted for completeness. BIRADS: 4 - Suspicious Abnormality.RECOMMEND... |
Generate impression based on findings. | Visual changes, hypotension, headache. Compared to prior CT dated 2/6/2014, there is decrease in hypodensity in the left occipital lobe with residual hypodensity which may represent small infarct as sequela of prior PRES and unchanged from MRI dated 8/7/2014. Unchanged dysplastic and dilated appearance of the lateral v... | 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. Sequela of prior PRES with left occipital hypodensity compatible with small chronic infarct and unchanged ... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with grossly stab... | 1. No acute intracranial hemorrhage. Grossly stable mild-moderate chronic small vessel ischemic changes which were partially visualized on the prior exam.2. Stable appearance of the sella with significant thinning of the anterior wall and a possible mildly expansile cystic anterior sellar structure, with mild mass effe... |
Generate impression based on findings. | Frequent sinusitis. There are postoperative findings related to endoscopic sinus surgery and Caldwell-Luc procedure bilaterally. There are defects in the lamina papyracea bilaterally. There is extensive opacification of the paranasal sinuses throughout. There are also apparent polypoid opacities in the nasal cavity. Th... | postoperative findings related to endoscopic sinus surgery and Caldwell-Luc procedure with evidence of chronic pansinusitis and possible nasal polyposis. |
Generate impression based on findings. | Female 78 years old; Reason: 24 hr uptake and pattern of uptake diffuse vs nodular History: hyperthyroidism and toxic nodular goiter The thyroid images demonstrate heterogeneous activity in an enlarged thyroid gland. There are multiple cold nodules noted bilaterally, with the dominant nodule located in the inferior pol... | Enlarged thyroid gland with multiple cold nodules identified, with the dominant nodule located in the inferior pole of the right lobe. |
Generate impression based on findings. | Recurrent sinusitis treated medically without resolution. There is mild mucosal thickening in the bilateral maxillary sinuses. There is opacification of the majority of the anterior and posterior ethmoid air cells with apparent fluid. There is near-complete opacification of the left sphenoid sinus. There is mild mucosa... | Diffuse paranasal sinus opacification with evidence of chronic sinusitis and suggestion of superimposed acute sinusitis and polyposis. |
Generate impression based on findings. | History of recent syncope/fall with subdural hematoma, evaluate stability. Again demonstrated is subdural hematoma along the falx, extending around the left cerebral convexity. Stable appearance of foci of intraparenchymal and subarachnoid hemorrhage in the bilateral frontal lobes, left greater than right. A trace amou... | 1. There is an unchanged appearance of a subdural hematoma along the falx, extending around the left cerebral convexity, with resultant mild effacement of the left lateral ventricle and 1-cm rightward shift of the midline. 2. Stable multiple foci of intraparenchymal and subarachnoid hemorrhage with intraventricular ext... |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are ultrasound images of right breast (1/22/15) performed at AMIC. There is a circumscribed, lobulated hypoechoic mass measuring 11 x 6 x 11 mm at 8 o'clock position, 4 cm from nipple, in the right breast. No blood flow is detected with Doppler study. T... | Benign appearing mass in the right breast at 8 o'clock position, likely a fibroadenoma. Ultrasound follow-up in 6 months is recommended. If clinically indicated, ultrasound guided biopsy can be performed.BIRADS: 3 - Probably benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | The scout lateral view and the sagittal reformatted images demonstrate minimal grade 1 retrolisthesis of C3 on C4 which appears degenerative in etiology and otherwise normal alignment of the cervical spine, with a normal cervical lordosis. The vertebral body heights are well-maintained. There is multilevel moderate sp... | 1. No acute fracture or traumatic subluxation. Degenerative grade 1 retrolisthesis of C3 on C4.2. Moderate multilevel spondylotic changes as detailed above, with up to moderate-severe left foraminal narrowing at C5-C6.3. Enlarged right lobe of the thyroid gland. Correlation with thyroid function tests is recommended an... |
Generate impression based on findings. | Female 59 years old Reason: cholelithiasis History: ruq pain LIVER: The liver measures 19.2 cm in length and demonstrates echogenic parenchyma suggestive of fatty infiltration. The main portal vein is patent and demonstrates normal directional flow with peak velocity of 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Unremarkabl... | 1. No evidence of cholelithiasis. 2. Mild hepatomegaly with echogenic parenchyma which can be seen with fatty infiltration. |
Generate impression based on findings. | There is anterior cervical discectomy and fusion at C4-C5. There is minimal retrolisthesis of C3 on C4. There is otherwise a normal cervical lordosis. The vertebral body heights are well-maintained. There is variable multilevel disc space narrowing. No worrisome focal marrow signal abnormality is appreciated. Incident... | 1. Evidence of anterior cervical discectomy and fusion at C4/C5. 2. Stable degenerative cervical spondylosis with stable minimal retrolisthesis of C3 on C4 and scattered foraminal stenoses as described. No significant spinal canal stenosis. |
Generate impression based on findings. | Reason: Hx Lung cancer upper lobe Please compare to prior scans, measurements please History: none CHEST:LUNGS AND PLEURA: Stable right paramediastinal postradiation changes. No new or suspicious pulmonary nodules or masses. Bilateral dependent atelectasis. No pleural effusions.MEDIASTINUM AND HILA: Bilateral thyroid e... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Liver cancer history and questionable biliary obstruction. Abdominal pain. ABDOMEN:LUNG BASES: Trace right pleural effusion. Bi-basilar atelectasis. Incompletely imaged 6-mm nodule in the right lung (image 1; series 11) may represent a metastases. Correlation with chest CT advised as clinically indicated.LIVER, BILIARY... | Widespread hepatic metastases as described. Possible pulmonary metastasis; correlation with chest CT as clinically indicated. |
Generate impression based on findings. | Reason: abscess; retroperitoneal hematoma History: hematuria; LVAD pt ABDOMEN:LUNG BASES: Right basilar consolidation with innumerable calcified micronodules unchanged. Left basilar scarring/atelectasis. No pleural effusions.LVAD device partially imaged with a small amount of nonspecific fluid surrounding the outflow t... | No evidence of retroperitoneal hematoma or other acute abnormalities to explain the patient's symptoms. LVAD and other chronic findings as described above. |
Generate impression based on findings. | CLINICAL DATA: Age: 73 years. Sex : Female. Indication: Reason: abd pain with decrease appetite. R/o intra abd path History: pain with some wt loss, decrease appetite. Hx of Hep C not treated. LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abno... | 1.No distinct liver masses.2.No small bowel obstruction, significant ascites or other findings to explain the patient's symptoms. |
Generate impression based on findings. | Periorbital erythema, edema. Preseptal cellulitis versus orbital cellulitis. Question abscess. Assess sinuses. There is edema involving the right preseptal soft tissues without evidence of post-septal extension. There is extensive opacification involving the paranasal sinuses including moderate opacification of the rig... | 1 There is thickening involving the right preseptal soft tissues which may represent cellulitis. No posterior extension to suggest orbital cellulitis. If there is high clinical suspicion, postcontrast CT may be helpful to evaluate for subperiosteal abscess.2. Nodular thickening at the right medial canthus with erosion ... |
Generate impression based on findings. | 64 years, Female. Reason: 64 y/o w GIB, assessment of endoscopic capsule History: GI bleed Capsule overlying the rectosigmoid colon.Extensive vascular calcification. Left upper quadrant clip and right lower quadrant anastomotic suture line again seen. Please refer to recent chest radiography for additional findings. | Capsule overlying region of rectosigmoid colon. |
Generate impression based on findings. | 67-year-old male, evaluate rotator cuff, history of prior repair Contrast is noted within the glenohumeral joint with extension into the subacromial subdeltoid bursa via defects within the distal supraspinatus tendon at its attachment (image 45 series 80220). There is no significant retraction of the supraspinatus tend... | Full-thickness tear of the supraspinatus tendon attachment, without retraction of the tendon. Mild rotator cuff atrophy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. History of breast cancer in mother and sister. Three standard digital views of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fib... | New left breast mass. Spot compression imaging and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: s/p EPD for malignant meso History: for quality of life study patient CHEST:LUNGS AND PLEURA: Interval postsurgical changes of a left diaphragm/pleurectomy. Associated overlying left lower lobe atelectasis/scarring.Right middle lobe pulmonary micronodule compatible with an intrapulmonary lymph node, unchanged. ... | Postsurgical changes of interval left diaphragm/pleurectomy with left lower lobe atelectasis/scarring. No evidence of recurrent disease. |
Generate impression based on findings. | 13-year-old male status post trauma with left elbow painVIEWS: Left elbow AP/oblique/lateral (3 views) 01/28/15 No acute fracture or malalignment. No evidence of joint effusion. | Normal examination. |
Generate impression based on findings. | Reason: Newly Dx HOP cancer. Needs pancreas protocol Ct Scan. History: Abdominal Pain ABDOMEN:LUNG BASES: No significant abnormality noted. Right breast implant partially imaged. LIVER, BILIARY TRACT: Small lesion in the hepatic dome with nodular discontinuous peripheral enhancement following blood pool is consistent w... | 1. Pancreatic head mass as described above is consistent with the patient's known neoplasm.2. Indeterminate mildly prominent periportal lymph nodes and subtle soft tissue infiltration of the porta hepatis. 3. Hepatic lesions as described above have an overall benign appearance, though some are too small to characterize... |
Generate impression based on findings. | 56 year old female with history of left breast benign biopsy and right breast cyst aspiration. Known breast calcifications. 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 heterogeneously dense, unchanged in p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 62 years old; Reason: Hep c cirrhosis and elevated AFP, evaluate for HCC. Creatnine normal. History: same ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cirrhotic morphology redemonstrated. Scattered transient subcentimeter arterially enhancing foci, similar to earlier study, likely ... | No substantial interval change. Left lobe arterioportal fistula. No suspicious lesions. Cholelithiasis. |
Generate impression based on findings. | Reason: 73 yo W with NSCLC s/p wedge resection and SBRT to RUL, LLL in 1/2013 and RML lesion in 11/2014. Please assess for response History: None CHEST:LUNGS AND PLEURA: 25-mm and part solid lesion medially at the right apex (series 6/17), slightly more dense since the previous scan and more obviously increased since 3... | 1. Two right upper lobe, one right middle lobe and one left lower lobe nodule, only minimally changed since the previous scan but all increased compared to earlier scans, consistent with synchronous primary carcinomas.2. No evidence of metastatic 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. | 62 year old female with history of right breast LCIS status post lumpectomy 1/2012 on Arimidex therapy. Physician felt an area of dense tissue in the left breast and a lump in the eft axilla. Family history of breast carcinoma in four paternal aunts and a paternal cousin. Three standard views of both breasts and two sp... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: esophageal tear History: SOB, vomiting CHEST:LUNGS AND PLEURA: Two left chest tubes. More anterior chest tube is located within the lung parenchyma associated with hyperdense fluid within the tip and adjacent to the tube compatible with hematoma. Second chest tube with tip in the left posterior hemithorax. Trac... | 1.Findings suggestive of distal esophogeal rupture with oral contrast provided prior to examination seen in the left pleural space. 2.Large loculated right and small left pleural effusions with pleural thickening suspicious for empyema. Overlying atelectasis/consolidation.3.Two chest tubes. More anteriorly located ches... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. History of ovarian cancer in sister diagnosed at age 62. Two standard digital views and tomosynthesis of both breasts and additional right CC and MLO views were performed and reviewed with the aid of R2 CAD 9.3. The b... | New calcifications in the left breast. Spot magnification imaging is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 66-year-old female, preoperative evaluation for osteoarthritis of the right knee There is approximately 4 degrees valgus orientation of the knee relative to the neutral mechanical axis. Severe osteoarthritis affects the knee. Hardware components of a total left knee arthroplasty device are noted on the AP view. | Severe osteoarthritis and mild valgus deformity. |
Generate impression based on findings. | 5-year-old male with throat pain and streaks of blood in sputum, reports swallowing a small plastic triangular lego 4 days agoVIEWS: Chest AP/lateral (two views) 01/28/15, 0944 hour Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pu... | No radiopaque foreign body is identified. Bronchiolitis/reactive airway disease. |
Generate impression based on findings. | Assess for salivary gland/duct calculi. Right submandibular gland pain and swelling. There are calcific structures along the expected course of the right submandibular gland that measure up to 7 mm. There are also subcentimeter calcific structures within the right submandibular gland. There is minimal right submandibul... | 1. Findings compatible with right submandibular sialolithiasis and sialodocholithiasis with minimal ductal dilatation and no apparent inflammatory changes. 2. Postoperative findings related to endoscopic sinus surgery with evidence of chronic pansinusitis. 3. Nonspecific nodule in the right lung apex that measures up t... |
Generate impression based on findings. | Two month old female with pleural effusion.VIEW: Chest AP (one view) 1/28/2015, 9:55 ET tube terminates below thoracic inlet. NG tube tip terminates in the body of the stomach. Left-sided chest tube unchanged. The cardiothymic silhouette size is normal. Slightly improved multifocal streaky opacities. Unchanged right-si... | Slightly improved multifocal streaky opacities and unchanged right-sided pleural effusion. |
Generate impression based on findings. | Reason: s/p 1 month bilateral lung txp. History: DOE PULMONARY ARTERIES: Technically adequate. No acute pulmonary embolus to the segmental level. The main pulmonary artery is slightly enlarged, measuring 3.1 cm, raising the question of pulmonary arterial hypertension.LUNGS AND PLEURA: Postsurgical changes of bilateral ... | 1.No acute pulmonary embolus.2.Mildly enlarged main pulmonary artery, raises the question of pulmonary arterial hypertension.3.Interval resolution of right lower lobe consolidation.4.Expected interval resolution of postsurgical left pneumothorax and near resolution of left chest wall subcutaneous emphysema.PULMONARY EM... |
Generate impression based on findings. | 12-year-old male complaining of right hip pain x 2 daysVIEWS: Pelvis AP/frog leg (two views) 01/28/15, 0952 hour No acute fracture or malalignment is evident. No evidence of slipped capital femoral epiphysis. Femoral heads are well seated in the the acetabula. | Normal examination. |
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. Benign intramammary and axillary lymph nodes are present bilaterally.No suspicious mas... | 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. | 9-year-old female with nocturnal enuresisVIEW: Abdomen AP (one view) 01/28/15, 1010 hour Moderate amount of stool throughout the colon. Nonobstructive bowel gas pattern. No pneumatosis. | Moderate stool burden. |
Generate impression based on findings. | CLINICAL DATA: Age: 71 years. Sex : Female. Indication: Reason: abdominal pain, stoma infection, leukocytosis History: abdominal pain, stoma infection, leukocytosis. Although this exam was performed with contrast, images were obtained at a delay such that very little venous phase contrast remains, limiting evaluation o... | Findings suggestive of right lower quadrant ostomy site wound infection/cellulitis, correlate with physical exam. No drainable fluid collection/abscess is noted at this time. |
Generate impression based on findings. | New onset severe headache. There is no evidence of intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The orbits, skull, a... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Complex fluid collection -- postoperative resolving hematoma. Pain and numbness in the right abdomen. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant... | 1. Right renal calculus is now located at the right ureterovesical junction. No evidence of associated hydronephrosis.2. Resolution of previously described postsurgical hematomas.3. Indeterminate complex cystic multiseptated lesion of the right adnexa now extends into the right lower quadrant adjacent to the cecum, pro... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in 4 paternal cousins. 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. 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Status post resection of craniopharyngioma, postop assessment. There is interval left frontal and parietal craniotomy with underlying pneumocephalus, extra-axial fluid measuring up to 6 mm, and dependent hyperdense fluid, and mild scalp swelling. There is also mild sulcal effacement in the left frontal lobe perhaps due... | 1. Interval left frontal and parietal craniotomy with a small amount of hemorrhage in the surgical bed.2. Interval partial resection of suprasellar craniopharyngioma. In particular, the left-sided cystic component appears smaller, while the remainder of the tumor appears to be not significantly changed, accounting for ... |
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. Round markers were placed on skin lesions overlying both breasts.No suspiciou... | 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. | 63 year old female with long-standing intermittent left breast pain presents for routine screening mammography. History of benign left breast biopsy. History of breast cancer in maternal aunt diagnosed at age 37. Two standard digital views of both breasts and an additional right CC view were performed and reviewed with... | 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. | Reason: mets lung cancer, s/p 13 cycles of ABT-700 + Erlotinib. Pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Elevation of the left hemidiaphragm with overlying atelectasis, unchanged. Scattered pulmonary micronodules, unchanged. No new or suspicious pulmonary nodules or mass... | Unchanged anterior mediastinal mass and left lower cervical/supraclavicular lymphadenopathy. No new sites of disease. |
Generate impression based on findings. | History of papillary carcinoma status post resection with recurrent left isthmic nodule; here for repeat ethanol ablation. Left hypoechoic isthmic nodule now measures 0.5 cm. Status post thyroidectomy. Stable thyroidectomy bed without worrisome mass lesion. | Repeat ethanol ablation of subcentimeter hypoechoic left isthmic nodule in one month if surgical resection of this lesion is not performed. US FNA W/IMAGE GUIDANCE; 01/28/2014 CLINICAL INFORMATION AND PRE-OPERATIVE DIAGNOSIS: Thyroid carcinoma status post resection with suspicious right level 4 node.OPERATORS: Dr. Cha... |
Generate impression based on findings. | The sulci are within normal limits. The ventricles are somewhat small but likely still remaining within normal limits for a patient of this age. Gray white differentiation is intact. There is no midline shift or mass effect. There are scattered foci of hyperdensity along the superior anterior temporal lobes which like... | 1. Scattered foci of subarachnoid hyperdensity along the anterior temporal lobes, consistent with acute blood products. The possibility of small adjacent developing contusions is not entirely excluded given the history of trauma.2. Left posterior parietal subgaleal hematoma without fracture. |
Generate impression based on findings. | Reason: Pleural mesothelioma please compare to prior exam per recist criteria. History: Pleural mesothelioma LUNGS AND PLEURA: Nodular pleural thickening in the lower right hemithorax consistent with mesothelioma.Reference measurements as follows:1. At the level of the aortic arch (series 20236/33) 2 mm at two o'clock,... | Stable disease. |
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