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Generate impression based on findings. | 55-year-old female with history of left hip prosthesis. The bones appear slightly demineralized.Left femur: Hardware components of an intramedullary rod and screw device affixing a comminuted intertrochanteric fracture are in gross anatomic alignment without radiographic evidence of hardware complication. The fracture ... | Orthopedic fixation of healing left proximal femoral fracture as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast needle biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distri... | 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. | Dysphagia. The thyroid gland is heterogeneous with multiple nodules, the largest of which measures up to approximately 15 mm. There is also a punctate calcification in the left thyroid lobe. There is no evidence of significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The ma... | 1. Multilevel degenerative spondylosis, including a mildly prominent anterior disc-osteophyte complex at C5-6. 2. Chronic right posterior cerebral artery territory infarct.3. Multiple nonspecific thyroid nodules. A thyroid ultrasound may be useful for further evaluation.4. Some of the remaining teeth are carious. |
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 heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 67-year-old male with history of renal cell carcinoma and pain. There is a lucent lesion of the left femoral head/neck compatible with renal cell carcinoma metastasis which has increased in size when compared to the study from 7/2013. This lesion now measures approximately 6 cm in the greatest dimension and occupies th... | Enlargement of renal cell carcinoma metastasis in the left femoral head/neck with cortical penetration better appreciated on recent CT from 12/9/14 concerning for impending pathologic fracture. |
Generate impression based on findings. | Reason: pt with a history of renal cell cancer, needs baseline scans as we plan to initiate therapy History: renal cell cancer CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Status post CABG with severe coronary arte... | 1. Retroperitoneal lymphadenopathy, the majority of which is stable compared to the prior exam. Interval decrease in size of an enlarged node at the iliac bifurcation with reference measurements provided.2. Other findings as described above without acute interval change. |
Generate impression based on findings. | 4 year old female with pain at the tarsometatarsal joint.VIEWS: Left and right foot AP/oblique/lateral (6 views) 1/28/2015, 1005 hour No acute fracture or malalignment. Mild pes planus bilaterally. | Mild pes planus deformity bilaterally. |
Generate impression based on findings. | Concern for dental abscess. Admitted to MICU due to concern for angioedema. Airway intact, mild swelling of tongue. History of poor dentition, dental caries, pain with palpation at left bottom first premolar (Tooth 21) with mild swelling, but no fluctuance. Neck: Numerous maxillary and mandibular teeth are carious. How... | 1. No evidence of angioedema or airway stenosis in the neck.2. Multiple dental caries without definite associated soft tissue abscess, although assessment for abscess is limited without intravenous contrast. 3. No evidence of intracranial hemorrhage or mass. |
Generate impression based on findings. | 30 year old female with history of malrotation s/p LADD procedure in November 2014, now presents with continually worsening abdominal pain. Scout radiograph showed a nonobstructive bowel gas pattern. Initial fluoroscopic evaluation demonstrated normal passage of contrast through the esophagus and stomach into the proxi... | 1.Multifocal nonobstructive adhesive disease in the right hemiabdomen and pelvis as described above.2.Findings compatible with persistent intestinal malrotation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother and maternal grandmother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, 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. | 75-year-old male with history of hip prosthesis. Left hip: Hardware components of a left total hip arthroplasty device are situated in anatomic alignment without radiographic evidence of hardware complication. A small amount of heterotopic mineralization is noted within the adjacent soft tissues.Pelvis: Again seen are ... | Left total hip arthroplasty as above. |
Generate impression based on findings. | There is minimal right maxillary and ethmoid sinus mucosal thickening. The frontal sinuses are not pneumatized. There are streaky opacities in the nasal cavity. There is S-shaped nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. There i... | Streaky opacities in the nasal cavity may represent rhinitis. Otherwise, no evidence of acute sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsy. History of bilateral cyst aspirations. History of breast cancer in maternal great aunt and paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast pa... | Stable postsurgical architectural distortion in the left breast. Stable benign calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 65-year-old male status post anterior and posterior cervical fusion. The bones of the cervical spine appear demineralized. There is orthopedic hardware reflecting anterior and posterior fusion from C3 through C6 appearing similar to the prior study. We see no evidence of acute hardware complication. Amorphous bone graf... | Postoperative changes of anterior and posterior cervical fusion as described above. |
Generate impression based on findings. | 59 years, Male. Reason: Evaluate for free air History: post upper endoscopic therapy, abdominal pain. Nonobstructive bowel gas pattern. No free air on upright view. Scattered surgical clips. | Nonobstructive bowel gas pattern. No free air. |
Generate impression based on findings. | Mesothelioma ABDOMEN:LUNG BASES: Extensive hilar and pleural metastatic disease again noted; please refer to the chest CT report from the same dayLIVER, BILIARY TRACT: New 1 x 1.2 cm low-attenuation focus within segment 6 of the right lobe of the liver best seen on image 56 SPLEEN: No significant abnormality notedPANCR... | New segment 6 right lobe liver lesion worrisome for new metastatic focus. No significant change in extensive retroperitoneal metastatic adenopathy. |
Generate impression based on findings. | A lobulated, mixed groundglass and ossific attenuation mass is present in the left frontoethmoid recess, which measures up to 25 mm. The mass partially obstructs the left frontoethmoidal recess, but there is no associated erosion of the surrounding paranasal sinus walls. The right frontal sinus is clear. The anterior ... | 1. A left frontoethmoid osteoma measures up to 25 mm, without associated erosion of the paranasal sinus walls. 2. Scattered mild mucosal thickening of the paranasal sinuses.3. A partially imaged catheter fragment is present in the midline of the frontal region. |
Generate impression based on findings. | Female 74 years old Reason: eval for ascites or other abnormalities History: abdominal tightness and bloating, obese abdomen difficult exam LIVER: The liver measures 12.9 cm in length. There is no focal liver lesion. The main portal vein is patent and demonstrates normal directional flow with peak velocity of 0.3 m/sec... | Unremarkable study. In particular no evidence of ascites. |
Generate impression based on findings. | RIGHT TEMPORAL BONE: The external auditory canal is clear. The tympanic membrane is faintly visualized. The scutum remains sharp.The tympanic cavity and mastoid air cells are clear. The ossicular chain and tegmen tympani are intact.The inner ear structures have a normal morphology. The bony coverings of the cochlea, v... | 1. No evidence of temporal bone fracture.2. No definite CT evidence of cochlear abnormality as suspected by history.3. Asymmetrically prominent left jugular bulb which incidentally is only covered by very thin layer of bone although no true dehiscence identified at this time. |
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. | 70-year-old male status post right TKA Hardware components of a right total knee arthroplasty device are situated in near-anatomic alignment without evidence of complication. Osteoarthritis affecting the contralateral knee is seen on the frontal view. | TKA without evidence of complication. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 14-year-old male with right middle finger buckle fracture Again seen is a cortical buckle fracture along the ulnar aspect of the base of the proximal phalanx of the middle finger without significant change. Alignment is anatomic. | Cortical buckle fracture at the base of the proximal phalanx of the middle finger. |
Generate impression based on findings. | 67-year-old male status post rotator cuff repair with pain. Contrast opacifies the glenohumeral joint with extension into the subacromial-subdeltoid bursa consistent with a full thickness rotator cuff tear, which appears to involve much of the distal supraspinatus tendon. There does not appear to be much retraction of ... | Full thickness rotator cuff tear of the distal supraspinatus tendon and additional findings as described above. |
Generate impression based on findings. | 54-year-old female with history of pain. Evaluate for inflammatory arthritis. Right hand: There is slight narrowing of the fourth MCP joint of uncertain clinical significance. There may be minimal juxta-articular osteoporosis at the MCP joints, but this is equivocal and of uncertain clinical significance. There is no e... | 1.Minimal narrowing of the right fourth MCP joint and equivocal juxta-articular osteoporosis, but otherwise no specific radiographic evidence of inflammatory arthritis.2.Minimal osteoarthritis of the left knee. |
Generate impression based on findings. | Reason: r/o hydronephrosis, stone, infection History: drc urinary flow, left flank pain, drainage ABDOMEN:LUNG BASES: Bronchial wall thickening suggestive of reactive airways disease/bronchitis. Basilar subsegmental atelectasis. No pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signi... | 1.Punctate calcification in the bladder lumen likely represents a passed stone. No evidence of obstructing stone or hydronephrosis. Interval improvement in renal enlargement/perinephric stranding seen previously. 2.Persistent bladder wall thickening suggestive of cystitis.3.Bronchial wall thickening suggesting reactive... |
Generate impression based on findings. | 46 year old female with a history of right mastectomy for breast cancer and left breast lift in 2014. Patient feels a small lump in the left breast. Three standard views with two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is compose... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left 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. | Asymptomatic female presents for routine screening mammography. Three standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Round markers were placed on skin lesions overlying both breasts. Focal asymmetry is... | Focal asymmetry in the right upper outer quadrant. Comparison to known outside mammograms is recommended. If the finding is new or the prior mammograms cannot be obtained, spot compression imaging will be needed.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: O - Old Study For Comparison. |
Generate impression based on findings. | 63-year-old male with history of prosthetic assessment. The bones are demineralized.Right hip: Hardware components of a right total hip arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication. Redemonstrated is a comminuted intertrochanteric fracture. The fracture lin... | Right total hip arthroplasty and other findings as described above. |
Generate impression based on findings. | 57 year old with history of left mastectomy for breast cancer. 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 parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspi... | 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. | Male 51 years old; Reason: s/p rectal cancer and liver mets History: None CHEST:LUNGS AND PLEURA: Right upper lobe micro-nodule is increased in size and probably cavitated (image 53; series 4); it now measures 1.0 x 0.8 cm. There is a new subcentimeter right lower lobe nodule (image 53) and enlarging subcentimeter righ... | Enlarging pulmonary nodules, presumably representing metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 76 years, Female. Reason: eval Dobbhoff placement History: s/p Dobbhoff Motion artifacts limits evaluation. Previously seen NG tube appears removed. Dobbhoff tube tip appears advanced and overlies the descending duodenum. Residual contrast seen in the colon. Nonobstructive bowel gas pattern. Left hip prosthesis is note... | Motion artifacts limits evaluation. Previously seen NG tube appears removed. Dobbhoff tube tip appears advanced and overlies the descending duodenum. |
Generate impression based on findings. | Reason: 56 yr old female with metastatic stage IV ovarian cancer, '12 posterior exenteration and chemotherapy. Currently s/p Cycle 6 Doxil therapy. PLease assess current disease status and compare with 7/14 baseline scan. History: abdominal masses CHEST:LUNGS AND PLEURA: Unchanged nodular pleural thickening in the righ... | 1. Increased conspicuity of reticular hypoattenuating pattern along the periphery of the liver and new mild left pleural irregularity are indeterminate. Continued close attention to these regions on follow up studies is recommended. 3. Otherwise stable calcified lymph nodes and peritoneal/soft tissue lesions. |
Generate impression based on findings. | Male 28 years old Reason: CXR findings concerning for atypical infection; neutropenic s/p stem cell transplant History: Neutropenic fever, dry cough x 2 months LUNGS AND PLEURA: Diffuse bilateral upper lobe predominant groundglass opacities with air bronchograms suggestive of multifocal PCP or viral pneumonia, pulmonar... | Diffuse bilateral upper lobe predominant groundglass opacities in a patient with CML is suggestive of multifocal PCP or viral pneumonia, pulmonary hemorrhage, or drug toxicity. |
Generate impression based on findings. | 51-year-old female with history of left heel pain. There is thickening of the distal Achilles' tendon suggestive of tendinopathy with prominent enthesopathic changes at its insertion on the calcaneus. There is also a bony spur along the posterior aspect of the calcaneus suggestive of a Haglund deformity. Mild osteoarth... | Findings suggestive of distal Achilles tendinopathy as well as a Haglund deformity of the calcaneus. This can be further evaluated with MRI if clinically warranted. |
Generate impression based on findings. | Female 51 years old Reason: r/o portal and hepatic vein thrombus, re-eval cirrhosis History: AMS, cirrhosis LIMITED ABDOMENLIVER: The liver measures 16.2 cm in length. Coarsened hepatic parenchymal echotexture and nodular contour consistent with the provided history of liver cirrhosis. No focal hepatic mass is identifi... | 1. Cirrhotic liver morphology without focal mass lesion.2. Splenomegaly.3. Patent hepatic vasculature. |
Generate impression based on findings. | There are multiple enhancing expansile calvarial lesions, the largest of which is centered in the occipital bone extending cranially to the left of midline. The common foci of susceptibility noted within the mass which may represent foci of mineralization or residual flecks of calvarium. There is a more cystic appeari... | 1. No definitive intracranial leptomeningeal metastatic disease, although please note that thin section 3-D T1 post contrast images were inadvertently not obtained.2. Scattered large calvarial enhancing masses consistent with metastatic disease, with pachymeningeal involvement, and more diffuse smooth dural enhancement... |
Generate impression based on findings. | History of headaches, evaluate for structural cause. There is a partially empty sella. 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 mastoid air cells ... | 1. Nonspecific partially empty sella, which can occur in the setting of pseudotumor cerebri.2. No evidence of intracranial hemorrhage or mass effect. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and ... |
Generate impression based on findings. | Reason: 39 y/o M with dysphagia to solids History: as above Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the esophagus and gastric cardia/fundus showed suspected narrowing at the GE junction (series 15) measuring 1.2cm in ... | 1.Suspected narrowing of the GE junction with transient holdup of the barium pill as above. Endoscopic evaluated if clinically indicated. 2.No reflux or hiatal hernia.3.Mild dysmotility with proximal escape. |
Generate impression based on findings. | 86 year old presents for short-term follow-up of right breast calcifications and annual mammogram of the left breast. Family history of breast cancer in mother diagnosed at the age of 27. Three standard views of both breasts and two spot magnification views of the right breast were performed digitally and reviewed with... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Round marker was placed on ... | No mammographic evidence of malignancy. Mammography is most sensitive when evaluating for interval changes. If patient submits outside mammogram, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION... |
Generate impression based on findings. | 59 year old male status post hepatectomy with correct counts. Attending: Dr. Millis. No unexpected radiopaque foreign body. Raytec sponge overlying the right sacrum is sutured to the ostomy site. Abdominal drain enters the right upper quadrant. IVC filter in expected position. Bilateral surgical staples. Foley catheter... | No unexpected radiopaque foreign body. Findings were discussed with the attending surgeon, Dr. Millis, via telephone on 1/28/2015 at 10:55. |
Generate impression based on findings. | 51 year-old female with left hip pain There is mild acetabular sclerosis suggesting mild bilateral osteoarthritis affecting the hips. No fracture or malalignment. | Mild osteoarthritis. |
Generate impression based on findings. | Chronic sinusitis and nasal blockage. There are bubbly secretions in the right maxillary sinus. There is a subcentimeter retention cyst in the right sphenoid sinus. There is opacification of a right anterior ethmoid air cell. The other paranasal sinuses are clear. There is minimal opacification near the left olfactory ... | 1. Findings suggestive of acute sinusitis.2. Chronic fracture of the left nasal skeleton and right temporomandibular joint degenerative changes. |
Generate impression based on findings. | 76-year-old male, evaluate for odontoid mobility There is moderate degenerative disk disease at C3/4 and C4/5. There is no evidence of instability on flexion or extension views. No gross abnormality of the odontoid process. Vascular stent and arterial calcifications project over the carotid arteries. | Degenerative disease without evidence of instability. If there is high suspicion for odontoid abnormality, CT is recommended. |
Generate impression based on findings. | Metastatic urothelial carcinoma status post lung resections and radiation therapy CHEST:LUNGS AND PLEURA: Interval decrease in size of right infrahilar nodular focus best seen on image 59 of series 3 now measuring 1.2 x 0.9 cm; this is in comparison to 2.1 x 1.7 cm on 11/20/2014.Left lower lobe peripheral scarring and ... | Interval decrease in size of right infrahilar nodular focus. Otherwise stable examination. |
Generate impression based on findings. | Mitral valve disorder and atrial fibrillation. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Small mediastinal lymph nodes. For reference purposes, pretracheal lymph node measures 1.5 x 1.1 cm (image 214; series 25). Coronary artery calcifications. Aorta and great vessels grossly within ... | Small mediastinal lymph nodes. Enlarged prostate. Nonobstructive renal calculi. Gallstones. |
Generate impression based on findings. | Male 23 months old with nasal reflux EXAMINATION: Oropharyngeal motility study 1/28/2015 Name of speech pathologist, speech and language therapist, supervised the examination.1:02 seconds of fluoroscopy was used.PRESENTATION: The patient was presented with thin liquids via straw, half-strength nectar via straw, full st... | Trace penetration with thin liquids via straw without cough.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 14 year old female with ankle pain and swelling after injury.VIEWS: Right ankle AP/oblique/lateral (3 views) 1/28/2015 Soft tissue swelling over the lateral malleolus. No acute fracture or malalignment is evident. | Soft tissue swelling without evidence of fracture or malalignment. |
Generate impression based on findings. | History of severe left frontal headache. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present The ventricles and sulci are prominent, consistent with moderate age-related volume loss. No extra-axial collections are identified. There are scattere... | 1. No evidence of intracranial hemorrhage or mass effect. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. Near complete opacification of the bilateral frontal sinuses, ethmoid air cells, and right sphenoid sinus, in a left osteomeatal unit obstructive pattern and right sphe... |
Generate impression based on findings. | Male 72 years old Reason: HCC Screening and GB polyp History: HCC Screening and GB polyp LIVER: The liver measures 13.3 cm in length and demonstrates coarsened hyperechoic echotexture consistent with chronic liver disease. There is a new 0.8 x 0.6 x 0.6 cm hyperechoic lesion. The portal vein is patent and demonstrates ... | New 0.8-cm hyperechoic liver lesion, suspicious in the context of this patient with hepatitis C. Further evaluation with liver protocol MRI is recommended for further evaluation.Findings discussed by myself Dr. Ward with Dr. Adebajo at time of reporting 01/28/15. |
Generate impression based on findings. | Carcinoid tumor of the lung status post resection. CHEST:LUNGS AND PLEURA: Postsurgical volume loss on the right. No signs of recurrent or metastatic disease in the lungs.MEDIASTINUM AND HILA: Severe coronary artery calcifications. Normal heart size. No pericardial fluid. No lymphadenopathy.CHEST WALL: T12 compression ... | No signs of recurrent or metastatic disease. Severe coronary artery calcifications. |
Generate impression based on findings. | 2-year-old male with cough/feverVIEWS: Chest AP/lateral (two views) 01/28/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Mild bronchial wall thickening suggestive of bronchiolitis/reactive airway disease. Left lung base opacity likely represents atelectasis. | Bronchiolitis/reactive airway disease. |
Generate impression based on findings. | Abnormal CT scan unclear history of lung nodules. History of rheumatoid arthritis. LUNGS AND PLEURA: Mild centrilobular and paraseptal emphysema, unchanged allowing for differences in technique. Scattered areas of superimposed cyst formation and subpleural scarring in the anterior lung fields typical of rheumatoid lung... | 1. No suspicious pulmonary nodules. 6-mm nodular density right upper lobe is most likely benign and can be conservatively follow up with CT in 6 months. 2. Small foci of endobronchial debris with signs of small airways disease on the previous outside examination may be due to a remote previous airways process such as f... |
Generate impression based on findings. | 2-year-old female with intermittent cough and mucus productionVIEWS: Chest AP/lateral (two views) 01/28/15 Cardiothymic silhouette is normal. Large lung volumes. No pleural effusion or pneumothorax. No focal pulmonary opacities. Minimal bronchial wall thickening compatible with reactive airway disease/bronchiolitis pat... | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | Reason: s/p almost 2.5 yr s/p robotic converted to open right lower lobectomy for T1bN0M0 stage IA squamous cell carcinoma and almost 3 yrs s/p VATS left upper lobectomy for a T1aN0M0 stage IA adenocarcinoma and T1aN0M0 Stage IA squamous cell carcinoma History: annual f/u LUNGS AND PLEURA: Moderate emphysema, reticular... | Mild nonspecific lymphadenopathy, and no other specific evidence of recurrent disease. |
Generate impression based on findings. | 53 year old with highly likely benign right breast microcalcifications for short-term follow-up of the right breast and annual mammogram of the left breast. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandul... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left breast biopsies. History of breast cancer in mother. Two standard digital views and tomosynthesis of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compos... | 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. | Male 2 months old Reason: is there any aspiration pneumonia History: apneic episode with emesis and increased WOBVIEW: Chest AP (one view) 1/28/2015 The nasogastric tube is looped in the esophagus, with the tip at the thoracic inlet. There is new left lower lobe and right middle lobe atelectasis. The cardiothymic silho... | NG tube looped in the esophagus with the tip in the thoracic inlet. Bibasilar atelectasis.These findings were relayed to the primary team at 11:42 on 1/28/2015 via telephone. |
Generate impression based on findings. | Knee arthroplasty, revision Components of a long stem total knee aortoplasty device are situated in gross anatomic alignment as seen on this single intraoperative radiograph; the proximal extent of the prosthesis is not included on the field of view of this study. An orthopedic pin/screw also overlies the proximal tibi... | Interoperative radiograph of the knee showing hardware components of a total knee arthroplasty in gross anatomic alignment. |
Generate impression based on findings. | Male 52 years old; Reason: Right upper quadrant pain radiating to epigastric region possibly gallbladder Angiographic images are unremarkable. There is prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There is normal excretion of tracer into the intrahe... | Normal hepatobiliary imaging. No evidence of acute cholecystitis. |
Generate impression based on findings. | Lung carcinoma. Baseline study for clinical trial requiring pelvic CT 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 noted... | Negative for acute, inflammatory, or neoplastic process. |
Generate impression based on findings. | 12-month-old femaleVIEWS: Chest AP (one views) 01/28/15 Aortic arch, cardiac apex, and stomach are left-sided. No pleural effusion or pneumothorax. Minimal bibasilar atelectasis. Peribronchial cuffing suggestive of bronchiolitis/reactive airway disease. | Bronchiolitis/reactive airway disease. |
Generate impression based on findings. | Dorsal spine pain T10 -- T11. Elevated sed rate. Rule out pathologic process in the dorsal vertebra. There are anterior vertebral body osteophytes at T9/10. There are mild osteoarthritic changes of the costovertebral articulations at T9 and T10. Intravertebral disk spaces and vertebral heights are within normal limits.... | Mild degenerative arthritic changes as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Stable benign intramammary lymph nodes are present in the right upper ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Male 63 years old; Reason: pt with a history of prostate cancer, please assess for disease progression History: prostate cancer CHEST:LUNGS AND PLEURA: Moderate to severe upper lobe predominant emphysema. Calcified upper lobe predominant nodules likely from old granulomatous disease. The pleural spaces are clear.MEDIAS... | 1.Improvement in the thoracic vertebral body sclerotic lesion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 7-year-old male with refractory stage IV neuroblastoma on therapy CHEST:LUNGS AND PLEURA: No pleural effusions. No focal pulmonary opacities. Minimal bibasilar atelectasis.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No significant mediastinal lymphadenopathy. There is a right hilar lymph node t... | No significant change in retroperitoneal, paraspinal, and osseous metastatic disease. |
Generate impression based on findings. | Lung cancer, on chemotherapy, assess response. Signs and Symptoms: fatigue. CHEST:LUNGS AND PLEURA: No pleural fluid or pneumothorax. Interval resolution of peribronchovascular distribution groundglass opacity seen previously in the left lung as well as decreased in some of the peripheral opacities which are now more l... | Improved size of pulmonary lesions, some of which may have been postinflammatory or infarcts. Skeletal lesions increased in size and number. Left adrenal gland nodules stable. Improved lymphadenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Round marker was placed on a skin lesion overlying t... | 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. | Large B-cell lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality noted... | Stable negative examination. No new adenopathy. |
Generate impression based on findings. | Female 58 years old; Reason: breast cancer with liver mets, please use immune response criteria for measuring lesions History: pre chemo CHEST:LUNGS AND PLEURA: There are post radiation changes in the left upper lobe with linear areas of parenchymal abnormality anteriorly. There is a small left pleural effusion.There i... | 1.Extensive mediastinal, right axillary, hepatic and retroperitoneal disease.2.Subsegmental pulmonary emboli.3.Extensive IVC thrombus extending into right common iliac vein.4.Findings #1,2,3 discussed with Dr Janisch. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal second cousin. Two standard digital views of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small m... | Mass like asymmetry in the left retroareolar region. 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. | 43 year-old female with known right breast cysts presents for annual mammogram. 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. Circumscribed mass ... | 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. | Left knee pain. Suspect osteoarthritis. Two views of the left knee are provided. There is perhaps minimal narrowing of the medial tibiofemoral compartment as well as mild chronic-appearing enthesopathic changes at the quadriceps insertion on the superior aspect of the patella. These findings are essentially within norm... | Minimal degenerative changes as described above, with no additional findings to account for the patient's pain. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in both grandmothers. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Partially visualized ... | Partially visualized left breast mass. Spot compression imaging and ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Back pain The bones appear demineralized suggesting osteopenia/osteoporosis. Vertebral body heights are preserved. Moderate degenerative disk disease affects L4/5, and mild degenerative disk disease affects L1/2. Severe facet joint osteoarthritis affects the lower lumbar spine, and there are grade 1 anterolistheses of ... | Degenerative disk disease and osteoarthritis as described above. |
Generate impression based on findings. | Pain, swelling, decreased range of motion at the PIP joint. Evaluate for fracture. There is soft tissue swelling about the PIP joint. On the lateral view, there is focal lucency along the dorsal aspect of the articular surface of the base of the middle phalanx which I suspect represents a nondisplaced central slip avul... | Findings suggestive of a nondisplaced central slip avulsion fracture of the base of the middle phalanx. This was relayed to Ashley Martin at the time of dictation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Personal history of rectal cancer diagnosed at the age of 62. 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 fibroglan... | Developing density and calcifications in the central left breast. 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. | CVA There is interval development of an intraparenchymal hematoma centered within the right thalamus measuring approximately 4.5 x 3.6 x 4.9 cm in the AP, transverse, and craniocaudal dimensions. There is extension into the lateral ventricles with blood products also extending into the third and fourth ventricles. Vent... | 1. Large intraparenchymal hemorrhage centered within the right thalamus with intraventricular extension.2. Acute hydrocephalus.3. Mild diffuse sulcal effacement, mild leftward midline shift, and partial effacement of the suprasellar cistern indicative of some downward herniation. No uncal or tonsillar herniation. Dr. A... |
Generate impression based on findings. | Tenderness over L4. History of chronic steroid use. Rule out fracture. There is perhaps mild facet joint osteoarthritis affecting the lower lumbar levels. Tiny osteophytes project from the anterior aspects of the lower lumbar vertebrae. Vertebral body heights and intervertebral disk spaces are within normal limits cons... | Possible mild facet joint osteoarthritis of the lower lumbar spine. |
Generate impression based on findings. | TachypneaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Right shoulder decreased range of motion. Status post fall with right shoulder pain. The bones appear demineralized. There is an ossicle anterior to the acromion process that likely represents a normal variant os acromiale. I see no fracture. The humeral head is slightly high-riding which may reflect chronic rotator cu... | Degenerative arthritic changes of the shoulder as described above and possible os acromiale. I see no definite fracture. |
Generate impression based on findings. | NG replacementVIEW: Chest AP 1/28/15 Nasogastric tube tip in the stomach. Cardiothymic silhouette normal. Patchy atelectasis in the right upper lobe and left lower lobe. No pleural effusion or pneumothorax. | Nasogastric tube tip in the stomach. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. History of breast cancer in mother. 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. No suspicious masses, microcalcifi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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 fibroglandular density, unchanged in pattern and distribution. No suspicious masses, mic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious ma... | No mammographic evidence of malignancy. Screening mammography is most sensitive when evaluating for interval changes. If patient submits outside studies, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMM... |
Generate impression based on findings. | There is reversal of the normal cervical lordosis centered at C4-C5. There is prevertebral soft tissue thickening and edema, most prominent at the level of C3-C4. There is enhancing soft tissue in the ventral epidural space posterior to the C4-C5 vertebral bodies. The vertebral body heights are grossly preserved. Ther... | Prominent enhancing prevertebral and ventral epidural soft tissue, most prominent at the C3-C5 levels, contributing to moderate spinal canal stenosis without definite cord compression. There is also abnormal marrow signal of C3-C5 vertebral bodies with more diffuse marrow infiltration at C4 and C5 vertebral bodies. Dif... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in sister diagnosed at the age of 89 and paternal niece. 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 di... | 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. | Lung cancer diagnosed in 2005. Chemotherapy follow-up examination. CHEST:LUNGS AND PLEURA: Postsurgical changes of right upper lobe wedge resection. Severe centrilobular emphysema. 12mm right lower lobe groundglass nodule (6/149) unchanged compared to recent previous, slowly increasing in size compared to remote examin... | 1. Interval enlargement of non-index lymph nodes in the low wall left paratracheal, subcarinal and right inferior interlobar regions. No significant change in measurement of confluent right hilar lymphadenopathy.2. No significant change in pulmonary nodules; the groundglass density right lower lobe lesion remains at le... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of ovarian cancer in mother and sister. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern... | Stable 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Distal femur fracture being treated nonoperatively Again seen is a transverse fracture of the distal femoral diaphysis with mild impaction; alignment is near-anatomic. A small amount of callus has formed along the fracture indicating an attempt at healing. Overall, the bones are demineralized suggesting osteoporosis. T... | Distal femoral fracture as above. |
Generate impression based on findings. | Prostate carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Left thyroid cystic focus. Mildly enlarged mediastinal lymph nodes. A representative right paratracheal lymph node best seen on image 42 measures 1.2 x 1 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY... | Stable examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Postop prosthetic assessment Again seen is an intramedullary rod and screw/nail device affixing intercalary allograft between the native proximal and distal femoral diaphysis. The osteotomy margins remain visible, appearing similar to those seen on the prior study, although there has perhaps been slight increase in bon... | Orthopedic fixation of allograft as described above appearing similar to that seen on the prior study. |
Generate impression based on findings. | CLL CHEST:LUNGS AND PLEURA: Stable biapical scarring.New 0.5-cm right middle lobe micronodule seen on image 68 of series 4; other micronodules stable. Relatively stable right pleural effusion.MEDIASTINUM AND HILA: Stable right thyroid nodule. Bilateral supraclavicular adenopathy relatively stable.CHEST WALL: Stable ref... | 0.5-cm micronodule in the right middle lobe not identified on prior studies. Would recommend special attention to this lung nodule on future scans.Otherwise stable adenopathy. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. A ribbon... | Stable right breast mass. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 28 years old; Reason: Appy History: RLQ pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No signif... | 1.Abnormal CT scan with inflammation in the right lower pelvis.2.The base and midportion of the appendix are normal. Its distal tip terminates within the right lower pelvic inflammation. Given this finding acute appendicitis is not entirely excluded.3.Soft tissue mass between the posterior aspect of the uterus and rect... |
Generate impression based on findings. | Postop evaluation Again seen are components of a "reverse" total shoulder arthroplasty situated in near anatomic alignment. The components appear similar to those seen on the prior study accounting for slight positional differences. Since the prior study, there appears to have been resorption of bone along the lateral ... | Reverse total shoulder arthroplasty device as described above. |
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