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Generate impression based on findings. | Male 60 years old Reason: hx of FL s/p auto SCT f/u evaluation History: hx lymphoma CHEST:LUNGS AND PLEURA: Calcified and noncalcified pulmonary micronodules unchanged.MEDIASTINUM AND HILA: Scattered small mediastinal lymph nodes are not significantly changed.CHEST WALL: There is no evidence of axillary, subpectoral, c... | 1.Stable small retroperitoneal lymph nodes without new lymphadenopathy identified. 2.Hepatomegaly and hepatic steatosis unchanged. |
Generate impression based on findings. | Dropped heavy object on toe; has ecchymosis and pain proximal digitVIEWS: Right foot AP, right great toe oblique and lateral There is a Salter II fracture at the base of the distal phalanx of the great toe with associated soft tissue swelling. The remainder of the examination is normal. | Acute Salter II fracture at the base of the distal phalanx of the great toe. |
Generate impression based on findings. | 70 year-old woman with history of right shoulder pain. Hardware components of a reversed right shoulder arthroplasty device are seen in near anatomic alignment. There is no evidence of complication or periprosthetic fracture. | Reversed right shoulder arthroplasty device without acute fracture or complication. |
Generate impression based on findings. | 10-year-old female with history of T. lymphoblastic lymphoma. Evaluate for progression. There is residual soft tissue density within the anterior mediastinum which is better depicted on same day chest CT. There is no evidence of cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. The major... | No evidence of metastatic disease in the neck. Residual soft tissue density within the anterior mediastinum is better depicted on same day chest CT. |
Generate impression based on findings. | TachypneaVIEW: Chest AP 1/5/15 Cardiothymic silhouette normal. Patchy atelectasis in the perihilar region and left lower lobe. Minimal amount of fluid in the minor fissure. No pleural effusion or pneumothorax. | Minimal patchy atelectasis bilaterally without infection. |
Generate impression based on findings. | FractureVIEWS: Right wrist AP and lateral There is a healing buckle fracture involving the metaphysis of the distal radius with associated soft tissue swelling and in anatomic alignment. The distal ulna is normal. | Healing buckle fracture distal radius as described above. |
Generate impression based on findings. | FractureVIEWS: Right wrist AP and lateral Healing buckle fractures involving the distal radius and ulna are in anatomic alignment. The overlying cast obscures fine bony detail. | Healing buckle fractures distal forearm as described above. |
Generate impression based on findings. | 29-year-old female with palpable right breast lump. History of breast cancer in the patient's grandmother. MAMMOGRAM: Three standard views of both breasts as well as CC and mediolateral spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dens... | Focal fatty lobule corresponding to the site of the patient's palpable abnormality in the right upper outer breast. No mammographic or sonographic evidence of malignancy. Palpable lump should be managed clinically. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommende... |
Generate impression based on findings. | Male 74 years old; Reason: 73 M with metastatic colon cancer, please evaluate for interval change. CHEST:LUNGS AND PLEURA: Visualized lungs without significant change including micronodules, calcified perifissural right middle lobe granuloma and emphysematous disease.MEDIASTINUM AND HILA: Again visualized calcified lym... | 1. Enlarging and new hepatic metastatic lesions.2. Heterogeneous enlarged prostate gland with relative hypertrophy of median lobe, likely due in part to underlying benign prostatic hypertrophy. Additionally, correlation with patient's clinical history and PSA values recommended. |
Generate impression based on findings. | Evaluate position of the chest tubesVIEWS: Chest AP and lateral 1/5/15 ET tube, NG tube and left PICC again noted. There are two right chest tubes with one of the tips anteriorly and the other posteriorly. The moderate size right pneumothorax is unchanged. Patchy atelectasis in the lingula. Cardiothymic silhouette norm... | Right chest tubes with one of the tips anteriorly and the other posteriorly. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast carcinoma in mother diagnosed at the age of 50 and maternal niece diagnosed at the age of 55. 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 i... | Stable bilateral masses and 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 76 years old Reason: concern for lower GI bleed, eval for possible IR embolism History: large bloody bowel movements ANGIOGRAM: There is abnormal enhancement in the region of the cecum (image 72, series 6), but no active extravasation is identified. The celiac axis demonstrates conventional anatomy. There is good ... | Abnormal enhancement in the region of the cecum, but no active extravasation identified. A tagged RBC scan can be considered as clinically indicated as it is a more sensitive examination. No definite bleeding vessel identified. |
Generate impression based on findings. | Reason: s/p 28 cycles of tx for metastatic thyroid ca History: thyroid cancer CHEST:LUNGS AND PLEURA: Numerous bilateral pulmonary nodules. No significant change in size or number since the prior exam.Reference right middle lobe nodule (image 51 series 5) is stable measuring 6 mm.Reference left lower lobe nodule (image... | 1. Stable pulmonary nodules. 2. Abnormality involving right 1st sternocostal joint as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at age 76 and sister diagnosed at age 60. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast parenchyma is heterogeneously ... | 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. | Left chest GSW, known T7-T8 fracture, eval for progression/changeVIEWS: Thoracic spine AP and lateral The patient is known to have T7/T8 fractures in these fractures are not clearly visualized in this exam. The alignment of the thoracic spine appears anatomic. | Alignment of the thoracic spine appears anatomic and the previously described fractures are not clearly identified in this exam. |
Generate impression based on findings. | 54 year old female with chronic breast pain presents for screening mammogram. History of benign biopsies. 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 distributi... | 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. | 68 year old female with a history of left breast grade 3 IDC status post modified radical left mastectomy in February of 2007. History of right breast reduction. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchym... | 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. | Reason: bilateral pulmonary nodules, pt with history of breast and colon cancers History: back pain, palpable lumps in mid back subcutaneous tissue LUNGS AND PLEURA: Nonspecific bilateral subcentimeter groundglass pulmonary nodules are unchanged with the reference nodule in the left lower lobe measuring 5 mm on image 6... | 1. Stable small subcentimeter subsolid pulmonary nodules. These are nonspecific but not necessarily metastatic as inflammatory nodules can appear similarly.2. Small lipoma in subcutaneous tissues of left back near T5-6. |
Generate impression based on findings. | 69-year-old male with persistent left hip pain, new since the surgery Lumbar spine: Severe degenerative disease affects L5/S1. Additional anterior osteophytes are noted along the lower thoracic and lumbar spine. Mild loss of height of the L1 vertebral body appears similar to the prior exam.Pelvis and hip: Alignment is ... | Degenerative arthritic changes as detailed above. |
Generate impression based on findings. | 83-year-old with history of left breast carcinoma status post mastectomy in 1992 followed by chemotherapy. No current breast related complaints. Three standard views of the right breast along with a repeat MLO view were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 56 years old; Reason: hx nec pancreatitis with worsening lactic acid level concerning bowel necrosis vs worsening sepsis History: blood in FMS rising lactic acid level increases wbc ABDOMEN:LUNG BASES: Bibasilar atelectasis/consolidation. Small bilateral pleural effusions.LIVER, BILIARY TRACT: Liver is normal in m... | 1.Abnormal CT with extensive bowel wall thickening especially of the transverse colon near the hepatic flexure. Ischemia of the small bowel and colon are not excluded.2.New increasing pockets of gas within the pelvis may represent changes from recent catheter placement however, bowel perforation is not excluded.3.Persi... |
Generate impression based on findings. | 50 year-old female with pain in left foot and ankle There is moderate diffuse soft tissue swelling about the ankle. No fracture is visualized. Note is made of an os trigonum and os peroneum. A small calcaneal spur is present. No foot fracture or malalignment. | Soft tissue swelling about the ankle without fracture evident. |
Generate impression based on findings. | 47-year-old male with right wrist pain There is mild narrowing of the radiocarpal joint. Coalition of the capitate and hamate is again noted. No acute fracture or malalignment. | Osteoarthritic changes and coalition of the capitate and hamate appearing similar to the prior exam. |
Generate impression based on findings. | 39 year-old female, assess for middle phalanx fracture instability There is an oblique fracture of the mid diaphysis of the middle phalanx of the index finger with approximate 5 mm impaction and mild volar angulation of the distal fragment | Middle phalanx fracture as described above. |
Generate impression based on findings. | 21-year-old male with pain and prosthesis, evaluate left hand and index finger Hand: Alignment is anatomic. No fracture or other specific abnormality is noted to account for the patient's symptoms.Left ankle: A plate and screws affix the distal fibula in near-anatomic alignment without evidence of hardware complication... | 1. No specific findings to account for the patient's hand pain.2. Distal fibula fracture fixation without evidence of complication. |
Generate impression based on findings. | 46-year-old female with right hip pain Alignment of the right hip is normal limits. There is mild to prominence of the femoral head- neck junction. A lucency with sclerotic margins at the femoral head-neck junction is consistent with a synovial cyst. An IUD is noted in the uterus. | Synovial cyst and mild prominence of the head, neck junction, which has been associated with femoral acetabular impingement. |
Generate impression based on findings. | 34-year-old male with left knee pain Alignment is within normal limits. No fracture or other specific findings to account for patient's pain. | No specific findings to account for the patient's left knee pain. |
Generate impression based on findings. | 80 year-old female with elbow pain Interval removal of cast. There is deformity of the medial and lateral condyles and a transcondylar fracture line which is indistinct indicating some interval healing. | Healing medial and lateral condylar fracture as detailed above. |
Generate impression based on findings. | DesaturationVIEW: Chest AP 1/5/15 ET tube tip immediately above the carina. NG tube tip in the stomach. Right upper extremity PICC with tip in the right subclavian vein. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally increased from prior study. No pleural effusion or pneumothorax. | Diffuse atelectasis bilaterally increased from prior study. |
Generate impression based on findings. | 54-year-old man with history of multiple myeloma, evaluate for myelomatous lesions. SKULL: There are no discrete myelomatous deposits. Multiple dental fillings are noted.CERVICAL SPINE: There are no discrete myelomatous deposits. Mild degenerative disc disease affects the lower cervical spine. Cervical spine alignment ... | No discrete myelomatous lesions or significant interval change from the prior examination. |
Generate impression based on findings. | FractureVIEWS: Left foot AP and lateral There is a healing fracture involving the base of the first metatarsal. There is sclerosis reflecting interval healing. Alignment is anatomic. | Healing fracture involving the base of the first metatarsal. |
Generate impression based on findings. | FractureVIEWS: Right knee AP, oblique and lateral Cast has been removed in the interval. The two screws in the distal femur are again visualized. Alignment remains anatomic. Minimal periosteal reaction along the distal femur. | Healing distal femur fracture as described above. |
Generate impression based on findings. | Reason: 50F with AIH, cirrhosis undergoing tx w/u; liver MRI with dysplastic nodule; ? mets History: none Focus of increased activity in the anterolateral right fifth rib is likely post-traumatic. No other abnormal foci of activity seen. | Probable post-traumatic increased focus of activity in the anterolateral fifth rib. No definite evidence of metastatic disease. |
Generate impression based on findings. | Reason: eval for PE History: cp, elevated dimer PULMONARY ARTERIES: No significant abnormality noted.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material markedly limits ... | PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | History of olfactory neuroblastoma. There are postsurgical changes within the right ethmoid sinus from prior sinonasal tumor resection. There is persistent moderate mucosal thickening of the right maxillary sinus. There is mucosal thickening of the remaining paranasal sinuses with increased mucosal thickening of the le... | 1. Postsurgical findings related to sinonasal tumor resection without definite sinonasal mass lesion.2. A small amount of enhancing soft tissue along the right anterior cranial fossa appears to have slightly decreased in size and is likely treatment related. Please also refer to concurrent MRI report for additional det... |
Generate impression based on findings. | FractureVIEWS: Left humerus AP and lateral There is a healing proximal humeral fracture with posterior and medial angulation. There is periosteal reaction reflecting interval healing. | Healing humeral fracture as described above. |
Generate impression based on findings. | 54-year-old male status post Dobbhoff tube placement. Note that the pelvis was not included in the exam. Nonobstructive bowel gas pattern. The Dobbhoff tube tip is within a right inferior bronchus. | The Dobbhoff tube tip is within a right inferior bronchus. Results were discussed with Dr. Vanessa Alonso of the primary service by Dr. Josh Finkle of the Radiology service at 11:44 am on 1/5/14. |
Generate impression based on findings. | Reason: h/o olfactory neuroblastoma and CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Scattered micronodules are unchanged since 2012 and likely benign. No evidence of pulmonary metastases.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Interval removal of port cath... | No evidence of metastatic disease. |
Generate impression based on findings. | 23-year-old man with history of scaphoid fracture. There has been interval fixation of a transversely oriented scaphoid fracture with a cannulated, headless screw. The fracture line is indistinct, alignment is near anatomic, and there is no evidence of nonunion. There is no evidence of hardware complication. | Orthopedic fixation of scaphoid fracture without evidence of complication or nonunion. |
Generate impression based on findings. | There are no fractures. The marrow signal is benign. The conus is normal in signal and morphology and terminates at an appropriate level. There is no abnormal enhancement.Please see CT abdomen/pelvis dictation from 12/6/2014 for discussion of abdominal contents.Disc desiccation is present at L3/4 L4/5, and L5/S1. Mild... | 1.L4/5: There is a broad-based central to left paracentral disc extrusion which extends below the disc level causing mild central, mild to moderate left lateral recess, and mild right lateral recess stenosis.2.L5/S1: Central disc protrusion which abuts bilateral S1 nerve root sheath origins without flattening or displa... |
Generate impression based on findings. | Male 72 years old; Reason: eval for progression History: prostate cancer, rising PSA CHEST:LUNGS AND PLEURA: Left basal bronchiectasis. Subcentimeter pulmonary micronodules are nonspecific.MEDIASTINUM AND HILA: Severe coronary artery calcification. Moderate thoracic aorta and branch vessel arteriosclerosis. Subcentimet... | 1.Stable appearance of right superior pole renal mass consistent with renal cell carcinoma. Additional indeterminate attenuation lesions in both kidneys may reflect smaller renal cell carcinomas versus complex cysts. These are unchanged compared to prior study.2.Extensive sclerotic osseous metastatic disease. Nuclear m... |
Generate impression based on findings. | 71 year-old female who is status post stent-assisted coiling of a right posterior communicating artery aneurysm. History of lung cancer. Antegrade flow is present in the distal internal carotid arteries, the distal vertebral arteries, the basilar artery and the proximal anterior, middle and posterior cerebral arteries.... | 1.Status post stent-assisted coiling of right posterior communicating artery are somewhat small remnant which is stable. Signal within the distal right internal carotid artery and proximal right middle cerebral artery is diminished probably related to artifact from the stent. 2.Left posterior communicating artery doubl... |
Generate impression based on findings. | Female, 56 years old. Status post abdominal hysterectomy. Study performed due to elevated BMI. No suspicion for retained foreign object. Nasoenteric tube is incompletely imaged. Surgical clip projected over the left femoral neck. No evidence of retained foreign object. Bowel gas pattern within normal limits. | No evidence of retained radiopaque foreign object. Discussed by myself Dr. Ward with Dr. Tenney at ext 69414 01/05/15 12:20 p.m.. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of endometrial cancer diagnosed at age 55. History of breast cancer in paternal aunt 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 almost en... | Stable 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. History of breast cancer in mother diagnosed in her 80s and maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Tomosynthesis was performed. The breast pare... | 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. | Metastatic thyroid cancer. Neck: There are postoperative findings related to thyroidectomy and left vocal cord augmentation prosthesis insertion. There is interval increase in size of a heterogeneous infiltrative mass anterior to the left internal jugular vein at the level of the thyroidectomy bed, now measuring 27 x 2... | 1. Slight overall interval progression of extensive neck and partially imaged mediastinal tumors.2. No evidence of intracranial metastases, although CT is less sensitive than MRI for the detection of metastases. |
Generate impression based on findings. | Male 68 years old; Reason: Pt is a 68 y/o male with metastatic melanoma, evaluate for progression History: Metastatic melanoma CHEST:LUNGS AND PLEURA: MEDIASTINUM AND HILA: Enlarging right hilar lymph node, measuring 2.6 x 2.4 cm, image 53 series 3, associated luminal narrowing of adjacent right pulmonary arterial segm... | 1. Enlarging right hilar adenopathy. 2. Stable to minimal interval decrease in size of reference left paraaortic lymph node. |
Generate impression based on findings. | 10 years old Female with a history of t-lymphoblastic lymphoma s/p induction therapy. This study was performed for restaging RADIOPHARMACEUTICAL: 2.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 52 mg/dL. Today's CT portion grossly demonstrates interval resolution of the right pleural effusion and pericar... | 1.Interval near complete resolution of FDG avid tumor in the chest. Minimal FDG avid tumor is present in the right anterior mediastinum.2.No evidence of new FDG avid tumor. |
Generate impression based on findings. | Male 50 years old; Reason: evaluate for acute abdominal infection History: abdominal pain, ALL, fever ABDOMEN:LUNGS BASES: Small bibasilar atelectasis.LIVER, BILIARY TRACT: Hypoattenuated appearance of liver likely reflecting underlying hepatic steatosis/parenchymal dysfunction. Small periportal edema. Patent portal ve... | 1. Findings compatible with acute enterocolitis as described, etiology may be postinfectious or inflammatory, ischemic etiology not entirely excluded. 2. Heterogeneous renal parenchymal enhancement with suggestion of striated nephrograms, appearance suspicious for bilateral pyelonephritis. Correlation with patient's cl... |
Generate impression based on findings. | Male 59 years old; Reason: eval liver lesions S/P TACE/RFA 12/10/14 History: HCC, cirrhosis ABDOMEN:LUNG BASES: Unchanged bilateral pulmonary nodules.LIVER, BILIARY TRACT: Segment 8 hypodense mildly heterogenous ablation zone measures 4.3 x 4.1 cm with a rim of hyperdensity on noncontrast scan, and no demonstrable abno... | 1.Segment 8 ablation cavity as described above without suspicious features. No new hepatic lesions. Cirrhosis with portal hypertension.2.Unchanged bilateral pulmonary nodules, nonspecific. |
Generate impression based on findings. | Supine evaluation. Multiple myeloma Baseline exam SKULL: No significant abnormality noted.CERVICAL SPINE: No significant abnormality noted.THORACIC SPINE: Questionable minimal wedge deformity of what appears to be T7. Mild scattered degenerative changes in midthoracic spine with relative sparing both proximally and dis... | No definite superimposed focal changes to suggest myeloma. Minimal mid thoracic degenerative changes and focal solitary deformity of the proximal left femur. This latter finding is nonspecific and not characteristic of a myelomatous lesion, however with the absence of a historical old injury, a myelomatous lesion canno... |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Female 65 years old; Reason: Metastatic cholangiocarcinoma please compare to previous scan and provide index lesion measurements for RECIST CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wall port with tip near cavoatrial junction.... | Stable to mild interval decrease in size of reference mass in liver as above.Stable presacral/adnexal lesion.Large stool burden, no bowel obstruction, correlate clinically for history of constipation. |
Generate impression based on findings. | PainVIEWS: Left knee AP, oblique and lateral No acute fracture or dislocation. No knee joint effusion. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma. Two standard digital views of both breasts and an additional left MLO view were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular de... | 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. | Pain Right total leg evaluation demonstrates two degrees of valgus angulation with underlying moderate degenerative of the knee. More mild osteoarthritic changes of the hip and ankle otherwise observed | Right knee osteoarthritis with minimal valgus deformity |
Generate impression based on findings. | Foot pain evaluate for foreign bodyVIEWS: Right foot AP, oblique and lateral There is a linear radiopaque density measuring approximately 7 mm in the subcutaneous tissue at the plantar aspect of the calcaneus. No acute fracture or dislocation. | Radiopaque foreign body in the subcutaneous tissue at the plantar aspect of the calcaneus. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Negative noncontrast brain MRI. Specifically, there are no MRI findings to explain the patient's symptomatology. |
Generate impression based on findings. | 68 years old male with metastatic melanoma, s/p 4 cycles of Ipilimumab. Please assess response to therapy and compare to previous stdudy. RADIOPHARMACEUTICAL: 14.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 109 mg/dL. Today's CT portion grossly again demonstrates surgical clips in both axillae and posts... | 1.Interval increased metabolic activity in the right hilar and mediastinal lymph nodes.2.Two new nonspecific foci of increased activity in the floor of the pelvis. |
Generate impression based on findings. | Pain fallVIEWS: Right foot AP, oblique and lateral There are acute fractures involving the second, third and fourth metatarsals necks visualized in the oblique radiograph. There is associated soft tissue swelling at the dorsal aspect of the foot. | Acute fractures second through fourth metatarsals as described above. |
Generate impression based on findings. | Pain Ankle: Small minimal chip deformity again representing a dorsal navicular fracture, currently less well visualized , representing continued interval healing. Alignment preservedFoot: No additional radiographic abnormality | Healing navicular fracture |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her maternal grandmother. 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 composed of scattered fibroglandula... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the perihilar region and right lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother at age 55. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchang... | 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. | Cough feverVIEWS: Chest AP and lateral Left chest port in place. Cardiothymic silhouette normal. Minimal patchy atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis bilaterally without infection. |
Generate impression based on findings. | Pain Knee: Right total knee arthroplasty appears unchanged with severe degenerative changes largely involving the medial compartment on the left. Joint space narrowing , sclerosis and osteophytes. No discrete effusion.Left leg length study demonstrates 12 degrees of varus angulation. Mild to moderate over ankle degener... | Severe osteoarthritis of the knee with varus angulation |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of lung carcinoma diagnosed at age 73. Two standard digital views of both breasts, with additional bilateral MLO views, 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. | Asymptomatic female presents for routine screening mammography. History of bilateral axillary sebaceous cysts. Family history of breast carcinoma in her maternal grandmother at age 65. Two standard digital views of both breasts, with additional bilateral CC and MLO views, were performed and reviewed with the aid of R2 ... | Stable circumscribed right breast 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: NSA - Screening Mammogram. |
Generate impression based on findings. | Prior aspiration.EXAMINATION: Oropharyngeal motility study 1/5/15 Julia Ecclestone, speech and language therapist, supervised the examination.111 seconds of fluoroscopy was used.Liquids were administered via a fast flow nipple. Nectar thick liquids were administered via a fast flow nipple. Stage 2 puree, soft solids, a... | Trace penetration without aspiration.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, with additional bilateral MLO and CC views, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectu... | No mammographic evidence of malignancy. Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this report will be made. As long as the patient's physical examination remains normal, routine screening mammogram is re... |
Generate impression based on findings. | FractureVIEWS: Left great toe AP/lateral (2 views) 1/5/15 A Salter Harris type II fracture extends through the great toe distal phalanx base. No joint malalignment is present. | Great toe distal phalanx Salter Harris type II fracture. |
Generate impression based on findings. | Male 63 years old; Reason: HCC screening History: ETOH cirrhosis s/p TIPS ABDOMEN:LUNG BASES: Unchanged fibrotic changes in the posterior lung bases and right middle lobe dating back to 2011.LIVER, BILIARY TRACT: Status post TIPS, patent.SPLEEN: Splenomegaly, measuring up to 14.5 cm, previously as high as 16.5 cm on 1/... | 1.Cirrhotic liver morphology with no suspicious focal liver lesion. Patent TIPS. |
Generate impression based on findings. | Frontal sinus: The frontal sinus and frontoethmoidal recesses are clear.Anterior ethmoids: The anterior ethmoid air cells are clear.Maxillary sinuses: There continues to be a small mucosal retention cyst or polyp in the left maxillary sinus, with trace scattered mucosal thickening. There is mild mucosal thickening alo... | Redemonstration of mild scattered sinus inflammatory changes with interval development of minimally aerated secretions in the left sphenoid sinus. Ostiomeatal units remain patent. |
Generate impression based on findings. | AML, fever of unknown origin, and pre SCT work-up. The paranasal sinuses are clear. The nasal cavity is also clear. There is no nasal septal deviation towards the right. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, and... | No evidence of sinusitis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy in 1970. 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 distr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Left great toe fracture shoulder pain No significant interval change in the avulsed interarticular base of the first phalanx fracture along the medial margin. Alignment unchanged. Associated deformity of the lateral distal first phalanx is also similar without significant and evidence of interval change or to healingSh... | Right tuberosity fracture and unchanged two fractures of the left first toe |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in a paternal aunt at age 60. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern ... | 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. | Bilateral breast pain. Rule out abscess. Skin over the area of pain is marked by Dr. Jaskowiak. Focused ultrasound is performed for the marked areas.In the left breast, 6 - 8 o'clock position near the nipple is marked. The skin of this area appears red. There is a skin thickening with increased blood flow. Just behind ... | Findings consistent with left breast cellulitis, and skin inflammation of right breast. No evidence of abscess formation. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, and an additional right MLO view, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Round marker... | 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. | Left total knee arthroplasty Left total knee arthroplasty appears well aligned with longstem components both proximally and distally. No definite effusion. Minimal heterotopic bone is observed along the medial and lateral aspects, specifically curvilinear focus is observed adjacent to the tibial plateau and possibly ol... | Left total knee arthroplasty, see description provided |
Generate impression based on findings. | Postoperative changes are again seen from right parietal temporal craniotomy as well as a left frontal craniectomy. There is extensive streak artifact from scattered aneurysm clips. There are also additional smaller surgical clips in the right temporal occipital region relating to previous AVM resection, with underlyi... | 1. Significant decrease in size of hypodense left frontotemporal extracranial fluid collection.2. Stable left frontal parietal convexity hypodense subdural fluid collection with mild-moderate mass effect.3. Stable minimal midline shift. |
Generate impression based on findings. | Female 73 years old; Reason: 73 year old female with pancreatic neuroendocrine tumor on therapy. Monitor disease response. History: bloating CHEST:LUNGS AND PLEURA: Scattered subcentimeter pulmonary nodules are unchanged.The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. R... | 1.Near stable size measurements of the reference lesions. There is slight increase and slight decrease in some of the lesions as detailed above. |
Generate impression based on findings. | 56 year old female with history of shortness of breath and new right pleuritic chest pain. Evaluate for PE versus infection. Additional history of breast cancer. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Severe emphysema, unchanged. New foci of nodular opacities, right greater than left, with the large... | No pulmonary embolus. New foci of nodular opacities, right greater than left, concerning for progression of metastatic disease, although atypical infection cannot be excluded.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable.... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts, with additional bilateral MLO views, 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. Round mar... | 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. | Female 36 years old Reason: r/o PE, chest pain and history of PE 18mo ago. History: chest pain pleuritic PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Minimal bibasilar atelectasis and nonspecific bronchial wall thickening. No focal consolidation, pleural effusion... | No evidence of PE.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 36 year old with palpable abnormalities in both breasts. Nontender lump in left breast has been present for multiple years. A palpable abnormality in the right breast has been present for one year. No family history of breast cancer. MAMMOGRAM: Three standard views of both breasts were performed digitally and reviewed ... | The more recently developed palpable abnormality in the right upper inner breast corresponds to a solid mass lesion as described. While this may represent a fibroadenoma, given the size and a more recent development, ultrasound guided biopsy is recommended for further evaluation. Additional lesion in the left lower out... |
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. No suspicious masses, microcalcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Pain Persistent lucency surrounding both fixation screws traversing the first MTP articulation again concerning for loosening. Specifically the threads distally do not appear engaged. Additionally the articulation does not appear fused and demonstrate a new small punctate calcification along the dorsal aspect, possibly... | Persistent concern for loosening of first MCP screws with questionable new small chip fracture |
Generate impression based on findings. | B-cell lymphoma with cough evaluate for pneumoniaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Minimal atelectasis right lower lobe without pneumonia. No pleural effusion or pneumothorax. | No evidence of pneumonia. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast carcinoma in her sister at age 67. 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 dist... | 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. | SI joint pain SI joints: Detail obscured by overlying extensive gas and stool. SI joints appear grossly intact with mild degenerative changes yet patent.L-spine: Mild scattered degenerative changes more pronounced involving L1 through L3 with relative sparing distally. Facet sclerosis at preservation of vertebral body ... | Mild osteoarthritis observed in both SI joints and lumbar spine. See detail provided |
Generate impression based on findings. | Chronic wrist pain Questionable ulnar plus variant without additional distinct abnormality. Soft tissues unremarkable | Suspected ulnar plus variant raise the patient's risk for a TFCC abnormality |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother. Two standard digital views of both breasts, with an additional left MLO view, were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 77 years old Reason: assess HCC progression; need triple phase scan History: abdominal pain CHEST:LUNGS AND PLEURA: Moderate centrilobular and paraseptal emphysema. Cluster of groundglass nodules in the right middle lobe may be related to aspirationMEDIASTINUM AND HILA: There is no evidence of mediastinal or hil... | 1.Interval increase in size of most the arterial enhancing lesions with washout consistent with HCC, as detailed above.2.Cirrhotic morphology of the liver with findings compatible with portal hypertension. |
Generate impression based on findings. | 47-year-old female with intermittent vomiting and diarrhea and abdominal pain. Assess for small bowel abnormality. Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was 45 minutes. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, with no ulcers, sinus tracts, ... | Normal examination of the small bowel and proximal colon. |
Generate impression based on findings. | Female 75 years old Reason: Evaluate for PE, chest pain and desaturations Motion artifact limits the sensitivity of this examination.PULMONARY ARTERIES: Technically adequate exam without evidence of pulmonary embolus.LUNGS AND PLEURA: Large bilateral, partially loculated due to pleural adhesions, pleural effusions. Com... | 1.No PE. 2.Large bilateral partially loculated pleural effusions. 3.Ascites.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. Contrast Extravasation Description:Supervising radiologist: Judy Wu, M.D.Minor or major extravasat... |
Generate impression based on findings. | Right hip pain with lateral movement Moderate bilateral hip osteoarthritis with sclerosis and bulky osteophytes and subchondral cysts, more pronounced on the left. Minimal degenerative changes both SI joints but incompletely severe changes of the lumbar spine, consider dedicated imaging. Calcified fibroidsHips: Proxima... | Moderate osteoarthritis of both hips, detail provided |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of uterine carcinoma. Two standard digital views of both breasts were performed with tomosynthesis and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dis... | Possible new mass in the right breast. 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. | 82-year-old female with chronic kidney disease. Evaluate kidneys. RIGHT KIDNEY: The right kidney measures 10 centimeters in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. There is mild loss of corticomedullary differentiation.LEFT KIDNEY: The l... | 1. Findings compatible with medical renal disease. No hydronephrosis.2. Prominent presumed uterus may be further evaluated with dedicated ultrasound if clinically warranted. |
Generate impression based on findings. | Tenderness and swelling over fifth metatarsal No radiographic abnormality. Dr. Asbury contacted | Normal |
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