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Generate impression based on findings. | 66-year-old male with history of shoulder pain. Mild osteoarthritis affects the acromioclavicular joint. The shoulder otherwise appears normal for age. | Mild osteoarthritis of the acromioclavicular joint. |
Generate impression based on findings. | Reason: mets lung cancer, diffuse bone mets on PET scan and bone scan. Pls evaluate dz status. History: lung cancer ABDOMEN:LUNG BASES: Innumerable bilateral pulmonary nodules. Right lower lobe consolidation and interstitial/ground glass opacities. Please see separately dictated chest CT for description.LIVER, BILIARY ... | 1. Osseous metastases better characterized on recent PET CT. Otherwise, no evidence of metastatic disease in the abdomen or pelvis.2. See separately dictated chest CT for description of known lung cancer. |
Generate impression based on findings. | 68-year-old male with history of left shoulder pain. Hardware components of a reverse total shoulder arthroplasty device are present. The humeral component is malpositioned with anterior subluxation and rotation resulting in the medial margin of the hardware abutting the center of the glenosphere. Immature heterotopic ... | Malposition of right total shoulder arthroplasty and foci of gas suggesting infection in the absence of recent intervention.Findings directly relayed to Dr. Shi at 1630 on 1/28/14. |
Generate impression based on findings. | CT CARDIAC CORONARY ARTERY CTA (CORCTA), 1/28/2015 11:00 AM Aortic and Aortic Root. There is a left sided aortic arch with normal brachiocephalic branching pattern. No thoracic aortic dissection, aneurysm, or coarctation is noted. The thoracic aorta has moderate tortuosity. There is mild to moderate atherosclerosis of ... | 1. Non-obstructive coronary artery disease is noted in the proximal LAD and LCx. There is additionally myocardial bridging of the mid LAD. 2. Thoracic aortic anatomy as described above. 3. Mild calcification of the aortic valve and anterior mitral leaflet. 4. Mitral valve thickening with bileaflet prolapse is noted. 5.... |
Generate impression based on findings. | 63 year old male s/p EGD with dilation of cervical esophageal stricture. Evaluation for esophageal perforation. Single contrast evaluation of the esophagus and gastric cardia/fundus did not reveal any gross morphologic abnormalities. Contrast passed through the esophagus and into the stomach in the expected manner with... | 1.No evidence of esophageal perforation as clinically questioned. 2.Mild esophageal dysmotility as described above. |
Generate impression based on findings. | 73 year old male with history of anemia and obscure GI bleeding. Evaluate for small bowel mass lesion. Scout radiograph showed a nonobstructive bowel gas pattern and left nephrostomy tube. Transit time to the colon was 30 minutes. Fluoroscopic evaluation showed normal mucosa throughout the small bowel, without ulcers, ... | Unremarkable examination of the small bowel and proximal colon, without focal mass lesion or other specific finding identified to account for the patient's symptoms. |
Generate impression based on findings. | The ventricles and sulci are prominent consistent with global volume loss expected for the patient's stated age. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. There is a tiny mucosal retention cyst in ... | No acute intracranial abnormality. |
Generate impression based on findings. | Follow-up of T2 N2c M0 left tonsil squamous cell carcinoma. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. The osseous structures are unchanged. The airways are... | 1. No evidence of locoregional tumor recurrence or significant lymphadenopathy.2. Partially-imaged ground glass opacities in the right lung apex. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Male 62 years old Reason: PE? History: SOB, Ca PULMONARY ARTERIES: Acute right middle lobe subsegmental pulmonary embolism without associated infarction. The pulmonary artery size is normal without right heart strain.LUNGS AND PLEURA: Bilateral dependent atelectasis. No focal air space opacity. No pleural effusion. No ... | Acute right middle lobe subsegmental pulmonary embolism. New subdiaphragmatic hypoattenuating lesion may represent a subcapsular hepatic fluid collection although this is not completely characterized; post-therapeutic change, hematoma/seroma or tumor are in the differential.PULMONARY EMBOLISM: PE: Positive.Chronicity: ... |
Generate impression based on findings. | 57-year-old male with history of left shoulder pain. There is a mild deformity of the distal clavicle and acromion that is thought to represent prior surgery. Small glenohumeral and acromioclavicular osteophytes indicate mild osteoarthritis. The acromiohumeral interval appears slightly narrowed measuring approximately ... | Postoperative changes and mild osteoarthritis without acute fracture. |
Generate impression based on findings. | Malignant neoplasm of thymus, chemotherapy follow-up. Additional history of thyroid cancer. CHEST:LUNGS AND PLEURA: Mild emphysema. No pleural pneumothorax. Unchanged right paramediastinal radiation fibrosis. Right lower lobe pneumatoceles and calcific plaques are evident there is a new one. Linear scarring in the supe... | 1. No significant change in right upper lobe nodule compared to the most recent previous exam, measurements provided. Lymphadenopathy also similar in appearance.2. Unchanged pericardial fluid collection with signs of an old LV apex infarct.3. No signs of recurrence in the thymic bed. |
Generate impression based on findings. | Abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal scarring.RETROPERITONEUM, LYMPH NOD... | Asymmetrical posterior gastric wall thickening with questionable central ulceration. While this frequently is a nonspecific finding, the presence of regional adenopathy raises the possibility of a gastric malignancy. Endoscopy is suggested. No evidence for bowel obstruction. |
Generate impression based on findings. | Reason: is there evidence of appendicitis History: rlq pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Small ... | Acute uncomplicated appendicitis. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are areas of cortical and subcortical T2/FLAIR hyperintensity in the left superior frontal gyrus, as seen on 501/4-7, with additional more laterally located cortical hyperintensity on 50... | 1. Areas of nonenhancing abnormal T2/FLAIR hyperintensity in the left superior frontal gyrus cortex and adjacent white matter, as well as an additional cortical focus more posteriorly and laterally. Findings are concerning for possible focal cortical dysplasia, and correlation with EEG findings is recommended. Low-grad... |
Generate impression based on findings. | Metastatic breast cancer. Clinical trial. CHEST:LUNGS AND PLEURA: There is a cavity measuring 3.5 cm in diameter posteriorly in the right upper lobe (image 27; series 5) which was the site of a prior lung mass which has presumably been resected. Nodularity is noted along the cavity which should be followed to exclude r... | Status-post resection of right upper lobe lung mass. New liver metastases. New subcutaneous mass superficial to the right breast implant. |
Generate impression based on findings. | 49-year-old with history of dense breasts and scattered calcifications. No current 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. Multiple bilateral benign calcific... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually, given multiple prior call-backs. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram... |
Generate impression based on findings. | 79-year-old male with malignant neoplasm of bronchus and lung. Pathology report from outside biopsy 1/16/2015 states non-small cell carcinoma. LUNGS AND PLEURA: Right perihilar poorly defined mass with distal right lower lobe consolidation/atelectasis. Innumerable bilateral pulmonary nodules compatible with metastases.... | 1.Poorly defined right perihilar lung mass with distal atelectasis likely represent primary lung malignancy. 2.Innumerable pulmonary metastases. 3.Mediastinal lymphadenopathy. 4.Osseous metastases. |
Generate impression based on findings. | 55-year-old female with acute left flank pain, evaluate for renal stone. Also history of right breast cancer. ABDOMEN:LUNG BASES: Right breast mass and skin thickening consistent with known malignancy.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant ... | 1.No evidence of renal/collecting system stone or other acute abnormalities to explain the patient's symptoms.2.Right breast mass with skin thickening and retrocrural lymphadenopathy consistent with the patient's known metastatic malignancy.3. Right adnexal cystic structure incompletely evaluated on CT. Pelvic ultrasou... |
Generate impression based on findings. | 42-year-old male with history of metastatic renal cell carcinoma. Baseline exam status post radiation therapy to the back and neck. CHEST:LUNGS AND PLEURA: Subtle pleural nodularity, particularly at the right base (4 slice 62), and additional scattered nonspecific pulmonary micronodules.MEDIASTINUM AND HILA: Heart size... | 1.Scattered pulmonary micronodules and right lower lung pleural nodularity, which are suspicious for metastatic disease.2.Left upper mediastinum paravertebral soft tissue density, may represent a metastatic lesion/enlarged lymph node.3.L4 vertebral body pathologic fracture as above.4.Retroperitoneal metastatic lymphade... |
Generate impression based on findings. | Frontal sinus: The frontal sinuses are underpneumatized; the frontoethmoidal recesses are clear.Anterior ethmoids: There is mild mucosal thickening of the anterior ethmoid air cells.Maxillary sinuses: There is minimal mucosal thickening of the maxillary sinuses with small polyp/mucosal retention cyst in the left maxil... | Minimal mucosal thickening in the paranasal sinuses. |
Generate impression based on findings. | CLL/SLL, multiply relapsed. There is continued interval decrease in size of the cervical lymph nodes, with residual mildly prominent lower neck and upper mediastinal lymph nodes. For example, a left level 4 lymph node measures up to 17 mm, previously 21 mm. There is an unchanged nodular right thyroid lobe. The salivary... | Continued interval decrease in size of the cervical lymph nodes, with residual mildly prominent lower neck and upper mediastinal lymph nodes. |
Generate impression based on findings. | 60 year-old male with right-sided radiculopathy pain for 3 weeks Severe degenerative disk disease affects L4/5 and L5/S1. Moderate degenerative disk disease affects L3/4. Mild degenerative disk disease affects L1/2. Although oblique views are not provided, there appears to be mild facet joint osteoarthritis affecting t... | Degenerative disk disease and other findings as described above. |
Generate impression based on findings. | Male 33 years old Reason: elevated liver enzymes please assess contour of liver and rule out steatosis History: elevated liver enzymes LIVER: The liver measures 17.1 cm in length. The hepatic parenchyma is mildly hyperechoic suggestive of fatty infiltration. No focal liver lesion is identified. The main portal vein is ... | Echogenic hepatic parenchyma suggestive of fatty infiltration. |
Generate impression based on findings. | Infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects within the uterine cavity. Bilateral tubal patency confirmed with free peritoneal spillage of contrast seen. TOTAL FLUOROSCOPY TIME: 1:03 mi... | Patent bilateral fallopian tubes. |
Generate impression based on findings. | Reason: surveillance imaging after radiation for left lingular lung cancer History: lung cancer CHEST:LUNGS AND PLEURA: Previous identified left lingular nodule has significantly decreased and is obscured by posttherapy changes and not accurately measurable. Residual posttherapy scarring/atelectasis. Surgical clips and... | 1.Significant interval decrease in left lingular nodule obscured by residual scarring/atelectasis and no longer accurately measurable. No new nodules. 2.Right upper lobe ground glass nodule has not significantly changed.3.Additional findings as above. |
Generate impression based on findings. | 44-year-old female status post fall The bones are demineralized, suggesting osteopenia/osteoporosis. There is lateral subluxation of the first metatarsal relative to the first cuneiform. An orthopedic screw affixes the first metatarsal to the first cuneiform. A second orthopedic screw affixes the first cuneiform to the... | Findings compatible with Lisfranc dislocation and orthopedic fixation of the first and second metatarsals as described above. |
Generate impression based on findings. | Reason: evaluate for metastatic disease History: liver mets, hypoxemia, no cough LUNGS AND PLEURA: Multiple small bilateral solid pulmonary nodules, ranging up to 6 mm in diameter, highly suspicious for metastases.Small lung volumes with right pleural effusion and underlying atelectasis in the right lower and middle lo... | 1.Multiple small pulmonary nodules, suspicious for metastases.2. Small right pleural effusion and underlying atelectasis. |
Generate impression based on findings. | 42-year-old male with history of renal cell carcinoma the right kidney, status post nephrectomy. Known metastases. Status-post radiation to back and neck. Increased radiotracer activity in the L4 vertebral body is compatible with bone metastasis. Additional foci at the skull base may represent additional bone metastase... | 1.L4 vertebral body metastasis. 2.Questionable metastases in the skull base; head CT may be considered if clinically indicated for further evaluation. 3.Possible right proximal femur metastasis. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (11/20/14) and images from stereotactic core needle biopsy of left breast with specimen radiograph and post procedural left digital mammographic images (12/16/14) performed at River Forest Breast Care Center. For comparis... | Status post stereotactic biopsy of the left breast. The pathology results included radial scar. Surgical consultation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Contrast was visualized within the thecal sac extending cranially within the cervical region. Contrast in the subarachnoid spaces in the brain verified with CT. | Successful fluoroscopic guided lumbar puncture with intrathecal instillation of contrast for subsequent CT cisternogram. |
Generate impression based on findings. | Metastatic lung carcinoma ABDOMEN:LUNG BASES: Please refer to separate chest CT report for description of extensive intrathoracic abnormalities.LIVER, BILIARY TRACT: Interval increase in size and number of numerous bilobar hepatic metastatic lesions. Reference segment 6 mass best seen on image 60 of series 7 now measur... | Interval increase in size and number of numerous bilobar hepatic metastatic lesions. Interval increase in size of peri-celiac metastatic adenopathy/encasement. |
Generate impression based on findings. | Female 49 years old Reason: concern for cirrhosis History: ALF LIVER: The liver measures 18.4 cm in length and demonstrates echogenic parenchyma suggestive of diffuse fatty infiltration. No biliary dilatation. The main portal vein is patent and demonstrates normal directional flow. Smooth contour to the liver capsule.G... | Diffuse fatty infiltration of the liver without capsular nodularity to suggest cirrhosis. |
Generate impression based on findings. | 66 year old female with anterior knee pain after fall, rule out fracture Moderate osteoarthritis affects the knee. A small to moderate joint effusion is noted. No fracture or malalignment. | Osteoarthritis and joint effusion without fracture evident. |
Generate impression based on findings. | Reason: follow up blastomycosis History: cough LUNGS AND PLEURA: Interval resolution of focal consolidation in the superior segment of the right lower lobe with residual architectural distortion and perihilar scarring.Small scarlike nodular opacity in the left upper lobe (series 5/106) unchanged since 4/17/2014.No pleu... | Interval resolution of right lower lobe consolidation with mild focal residual scarring, and decrease in mediastinal lymphadenopathy, consistent with treated blastomycosis. |
Generate impression based on findings. | Headache, posterior fossa malformation, and occipital encephalocele status post repair. There is an unchanged left transparietal ventricular catheter that terminated in the left lateral ventricle. There is no significant interval change in size of the ventricular system, which is dilated throughout. There is a cavum se... | 1. No significant interval change in the shunted ventricular system, which is dilated.2. Findings suggestive of tectocerebellar dysraphism with what appears to be an accessory cerebellar hemisphere and midline occipital bone defect, status post associated cephalocele repair. A brain MRI with diffusion tensor imaging ma... |
Generate impression based on findings. | Female 53 years old Reason: hx cholelithiasis, eval CBD for stones History: abd pain, N/V LIVER: The liver measures 13.3 cm in length. No focal liver lesion. The main portal vein is patent and demonstrates normal directional flow.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. The common bile duct measures 0.7... | Status post cholecystectomy with expected mild dilatation of the common bile duct. While there is no evidence of choledocholithiasis, consideration should be given to M.R.C.P. if there is high clinical suspicion for same. |
Generate impression based on findings. | 63-year-old male with history of metastatic renal cell cancer. Focus of decreased radiotracer activity in the upper thoracic spine, predominantly on the left, with peripheral increased activity is compatible with soft tissue mass with bony destruction seen on CT. Increased activity in the left aspect of the L4 vertebra... | Upper thoracic vertebral metastasis as seen on CT. No additional definite osseous metastases are identified. |
Generate impression based on findings. | 78 years, Female. Reason: abdominal pain, alteration in mental status, evaluate for perforation, obstruction History: alteration in mental status, abdominal pain Cardiomediastinal silhouette is unremarkable. Atherosclerotic calcification of the aorta is noted. No significant pleural or pulmonary abnormality.Surgical su... | Nonobstructive bowel gas pattern. No evidence of free air. |
Generate impression based on findings. | 59-year-old male with esophageal cancer.RADIOPHARMACEUTICAL: 12.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates mild circumferential distal esophageal thickening, compatible with stated history of primary esophageal cancer. Colonic diverticulosis is also no... | 1.Mild hypermetabolic activity of the distal esophagus likely represents known primary esophageal cancer.2.Hypermetabolic focus of the descending colon may represent additional benign or malignant clonic neoplasm, less likely metastasis. Confirmation up-to-date colonoscopy is recommended, otherwise colonoscopy may be c... |
Generate impression based on findings. | 44-year-old male with chronic loss of balance, loss of vertical gaze concerning for supranuclear palsy. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. There is redemonstration of encephalomalacia within the left middle cerebral artery territory, as well as ex vacuo dilatation of the left late... | 1. Mild parenchymal atrophy and cerebellar atrophy, which is more pronounced than expected for patient's age.2. There is mild disproportional volume loss involving the midbrain, which may be seen with progressive supranuclear palsy in the appropriate clinical setting. 3. Chronic left middle cerebral artery territory in... |
Generate impression based on findings. | Female 35 years old; History: Relapsed Hodgkin Lymphoma S/P 3 cycles of ICE chemotherapy in need of final PET to document CR prior to proceeding with SCT. Please compare to prior.RADIOPHARMACEUTICAL: 14.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 110 mg/dL. Today's CT portion grossly demonstrates a lar... | Interval metabolic response of the tumor activity in the right neck and mediastinum. |
Generate impression based on findings. | 71 years, Male. Reason: Examine for obstruction History: NG tube output Enteric tube tip overlies the gastric body. Nonspecific paucity of bowel gas, which may reflect fluid filled small bowel. No definitive evidence of obstruction otherwise. Pelvis is excluded from the field of view.Patient is status post sternotomy. ... | Enteric tube tip in region of gastric body. Nonspecific paucity of bowel gas, which may reflect fluid filled small bowel. No definitive evidence of bowel obstruction. |
Generate impression based on findings. | Reason: 42F with Hx ARDS \T\ Hx PNA and influenza History: hypoxia s/p trach requiring pressure support ventilation LUNGS AND PLEURA: Tracheostomy tube in place. Low lung volumes. Diffuse dense ground glass opacities. In the lung bases mild traction bronchiectasis. No pneumothorax. No pleural effusions. Findings compat... | 1.Low lung volumes with diffuse ground glass opacity and very mild basilar traction bronchiectasis compatible with ARDS. 2.Likely reactive mediastinal lymphadenopathy. 3.Mildly enlarged main pulmonary artery, raising the question of pulmonary arterial hypertension. |
Generate impression based on findings. | Left shoulder pain Again seen is a minimally displaced fracture of the greater tuberosity of the proximal humerus. This appears similar to that seen on the prior study accounting for slight positional and technical differences. Mild osteoarthritic changes affect the acromioclavicular joint. Glenohumeral joint alignment... | Minimally displaced fracture of the greater tuberosity appearing similar to that seen on the prior study. |
Generate impression based on findings. | 7-year-old female with NJ tubeVIEW: Abdomen AP (one view) 01/28/15 NG tube tip is in the stomach. Gastrostomy tube is present. NJ tube tip is in the distal gastric body. Left femoral line is in place.Solitary loop of gas distended bowel in the right lower quadrant with otherwise relative paucity of bowel gas. No pneumo... | NJ tube tip is in the distal gastric body. |
Generate impression based on findings. | 62 years, Female. Reason: Pt. is a 62 with history of small bowel dilatation and multiple partial SBO, requires evaluation to assess for malrotation. History: nausea and vomiting Surgical clips overly the right upper quadrant and pelvis. Anastomotic suture material also seen. Again seen are dilated loops of small bowel... | Again seen are dilated loops of small bowel in the upper abdomen with some gas in the colon, which may reflect partial small bowel obstruction. Abdominal radiography is insensitive for malrotation, consider dedicated contrast enhanced CT. |
Generate impression based on findings. | Right shoulder pain status post surgery of right shoulder Components of a "reverse" total shoulder arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. The bones appear demineralized, suggesting osteopenia/osteoporosis. Moderate osteoarthritis affects the a... | Reverse total shoulder arthroplasty in near anatomic alignment. |
Generate impression based on findings. | 50 year-old male with history of shoulder pain. Hardware components of a total shoulder arthroplasty are situated in anatomic alignment. Thin lucency at the interface of the glenoid component and the underlying bone appears similar to the prior studies and is of doubtful clinical significance. We see no acute fracture.... | Total shoulder arthroplasty and mild AC joint osteoarthritis without acute fracture. |
Generate impression based on findings. | Left arm weakness. Needs pre-operative clearance. NONCONTRAST CT HEADNo evidence of acute intracranial hemorrhage. No mass effect, midline shift or herniation. Scattered periventricular and subcortical white matter hypoattenuation is nonspecific but compatible with small vessel ischemic changes. The ventricles and sulc... | 1.No evidence of acute intracranial hemorrhage or mass.2.Scattered periventricular and subcortical white matter hypoattenuation is nonspecific but compatible with small chronic vessel ischemic changes. 3.CTA of the brain and neck is limited secondary to the suboptimal phase of contrast. 4.Mild atherosclerosis as descri... |
Generate impression based on findings. | 85-year-old male with history of known AAA, now with lower abdominal pain radiating into groin. CHEST:LUNGS AND PLEURA: Right upper lung nodule in the major fissure (8/35) measures 9 x 7 mm, nonspecific and may represent an intrapulmonary lymph node.MEDIASTINUM AND HILA: Heart size within normal limits, and there is no... | 1.Severe atherosclerosis of the distal abdominal aorta, with persistent left common iliac artery occlusion and unchanged 1.4-cm saccular aneurysm of the infrarenal abdominal aorta.2.Interval occlusion of the left renal artery, with an atrophic left kidney that does not enhance.3.Right upper lung pulmonary nodule, may r... |
Generate impression based on findings. | Reason: 69 yo F with COPD, pulmonary nodule, eval nodule History: pulmonary nodule LUNGS AND PLEURA: Evaluation of fine parenchymal detail is limited in the lung bases due to motion. Severe upper lobe predominant centrilobular emphysema. Previously identified more nodular density in the medial left upper lobe measures ... | 1.Interval decrease in size of likely benign left apical nodular density, compatible with post inflammatory/infectious etiology. No additional follow-up for this findings is recommended.2.Severe emphysema. |
Generate impression based on findings. | Reason: mets lung cancer, ALK+, s/p multiple chemo therapies. Pls c/w previous study and evaluate tx response. History: lung cancer. LUNGS AND PLEURA: Marked interval increase in size and number of multiple small solid pulmonary nodules some of which are clustered and confluent.Previously described right lower lobe ref... | Progression of disease in the lungs. |
Generate impression based on findings. | 63-year-old male with history of wrist fracture. Redemonstrated is a nondisplaced transverse fracture of the distal radial metaphysis in near anatomic alignment appearing similar to the prior studies. | Distal radius fracture in near anatomic alignment. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. Stable postsurgical changes related to left frontotemporal craniotomy and supraclinoid aneurysm clipping. The visuali... | 1. Stable postsurgical changes related to prior left frontotemporal craniotomy and left supraclinoid internal carotid artery aneurysm clipping. Streak artifact limits evaluation, however, no evidence of residual or recurrent aneurysm.2. Stable appearance of 2-mm pre-cavernous, extracranial left internal carotid aneurys... |
Generate impression based on findings. | Fourth finger PIP and DIP pain.VIEWS: Left hand PA lateral and oblique (3 views) 1/28/2015 Irregularity of the metaphysis of the fourth proximal phalanx most likely reflects a Salter-Harris type II fracture. | Probable Salter Harris type II fracture of the proximal fourth phalanx. |
Generate impression based on findings. | Is there any evidence bleed or fracture. Recent fall with hit to head without loss of consciousness. 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 para... | 1. No evidence of acute intracranial hemorrhage.2. No evidence of displaced skull fracture.3. The paranasal sinuses, middle ear cavities, and mastoid air cells are clear. |
Generate impression based on findings. | 87 years, Female. Reason: Confirm placement of Dobbhoff tube. Dobbhoff tube tip in gastric body. Nonobstructive bowel gas pattern. Average stool burden. Spinal degenerative changes. Left retrocardiac opacification and mediastinal clips; please see same day chest radiography for further details. | Dobbhoff tip in gastric body. |
Generate impression based on findings. | Bladder carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of liver without mass or ductal dilatation. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS... | No evidence for regional adenopathy or metastatic focus. Nonobstructing subcentimeter left renal stone. Fatty infiltration of the liver without mass. |
Generate impression based on findings. | Reason: 71yo F with exophytic R renal mass on ultrasound, recommended dedicated CT renal protocol. History: abd discomfort, renal mass ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Nonspecific hypoattenuating splenic foci.PANCREAS: No significant abnor... | 1. Left lower pole renal mass highly suspicious for renal cell carcinoma, with mild nonspecific regional lymphadenopathy. 2. Abnormal attenuation in the right body wall subcutaneous soft tissues partially imaged, likely edema which is positional in etiology. Mild ascites.3. Status post right nephrectomy. 4. Multilevel ... |
Generate impression based on findings. | 18 years, Female. Reason: dht placement Pelvis is excluded from the field-of-view. Enteric tube containing guide wire with tip overlying the gastric antrum. Moderate stool burden in the visualized portions of the colon without definite evidence of obstruction. | Enteric tube tip overlies the gastric antrum. Moderate stool burden in the visualized portions of the colon without definite evidence of obstruction. |
Generate impression based on findings. | This grade 1 degenerative anterolisthesis of L4 on L5. There is disc height loss at L4-L5 and L5-S1 as well as vacuum disc phenomenon at L4-L5. There are multilevel endplate degenerative changes as well as minimal unchanged anterior wedging of the L1 vertebral body. There is atherosclerotic calcification of the abdomi... | Moderate to severe lumbar spine degenerative changes as detailed above that are most severe at the L3-L4 and L4-L5 levels where there is moderate to severe spinal canal stenosis. |
Generate impression based on findings. | 75 year old female s/p Dobbhoff placement. Dobbhoff tip is in the gastric body but appears kinked near distal tip. Nonobstructive bowel gas pattern. Please see same day chest radiography report for further details. | Dobbhoff tip in gastric body, appears kinked near tip, consider repositioning. |
Generate impression based on findings. | 57-year-old female with history of lung cancer. Evaluate for inflammatory arthritis. Left knee: There are no specific radiographic features of inflammatory arthritis in the knee joint. Mild enthesopathic changes are noted at the quadriceps tendon insertion. Scattered arterial calcifications are present. There is single... | There are no specific radiographic features of inflammatory arthritis in the knee joint. There is mild chronic appearing periosteal reaction along the distal femur and proximal tibia which is nonspecific although may represent hypertrophic osteoarthropathy given this patient's history of lung carcinoma. |
Generate impression based on findings. | Male 13 years old; Reason: patient with pulmonary hypertension in setting of congenital heart disease s/p Fontan, working toward heart transplant History: hepatic cirrhosis with ascites requiring frequent paracentesis The comparison chest radiograph performed on 9/18/2014 demonstrates no focal pulmonary opacities or pl... | 1. Low probability scan for pulmonary embolism. 2. Matched ventilation perfusion defect in the left lower lung as quantified above. |
Generate impression based on findings. | Non-dedicated CT with concern for PE. PULMONARY ARTERIES: Main pulmonary artery is enlarged, measuring 3.4-cm in transverse dimension, consistent with pulmonary hypertension. Multiple filling defects involving all lobes from the proximal lobar to subsegmental branches of lungs bilaterally, most pronounced in the right ... | Multiple acute to subacute pulmonary emboli in with high clot burden, signs of pulmonary hypertension and right heart strain. Large heterogeneous thyroid mass with substernal extension causing tracheoesophageal deviation and narrowing; mass is indeterminate by CT and may be further evaluated by nuclear scintigraphy to ... |
Generate impression based on findings. | Male 49 years old; Reason: Rule out stone History: Hematuria with flank pain ABDOMEN:LUNGS 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.K... | 1. Bilateral nephrolithiasis. Right mid ureteral stone causing right-sided hydronephrosis and hydroureter.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 38 years old Reason: acute abd pain with rigid abd r/o appy c/f perf vs diverticulitis/colitis vs obstruction History: acute abd pain with rigid abd ABDOMEN:LUNG BASES: Bibasal atelectasis.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnorma... | Nonspecific bowel wall thickening with ascites and anasarca. There is a broad differential for this appearance. Given the a history of hypertension and ACE inhibitor therapy, this may represent acute angioedema. Bowel ischemia could have a similar appearance although no ancillary findings are identified to suggest this... |
Generate impression based on findings. | Female 22 years old Reason: ovarian cyst? ovarian pathology? appendicitis? History: rlq pain and tenderness ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signi... | Right ovarian cystic mass in the left hydrosalpinx. Differential diagnosis includes tubo-ovarian abscess, ovarian cystic neoplasm. Given the history of acute ipsilateral pain, ovarian torsion cannot be excluded based on CT.Dr. Mo was notified and acknowledged about the above findings at the time of dictation. I persona... |
Generate impression based on findings. | Female 30 years old Reason: eval for stone History: L flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: N... | No specific CT findings to explain patient's acute abdominal pain. Specifically appendix is unremarkable.5 x 4 cm left adnexal cystic lesion likely arising from the left ovary. Follow-up transvaginal ultrasound in 3 months is recommended for further evaluation.Dr. Mo was notified and acknowledged about the above findin... |
Generate impression based on findings. | Male 15 years old; Reason: b/l lower extremities History: klebsiella bacteremia, concern for osteo, paraplegic h/o GSW The angiographic phase images are unremarkable with no significant hyperemia to the pelvis and left proximal thigh. Blood pool images demonstrate markedly decreased activity in the region of the left f... | 1. No evidence for osteomyelitis.2. Decreased activity in the left femoral head on blood pool and delayed osseous phase images is very suspicious for osteonecrosis.Findings were discussed with Dr. Jonathan Twu by telephone on 1/29/2015 at 11:00 AM. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | vertigo No evidence of acute ischemic or hemorrhagic lesion.Non specific small vessel ischemic disease.The ventricular catheter enters via a right high convexity paramedian on, traverses the right frontal lobe and with the tip within the left frontal horn of lateral ventricle similar to prior exam.However, the ventricu... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Non specific small vessel disease.3. Slightly smaller ventricular system size than prior exam. Otherwise no remarkable finding. |
Generate impression based on findings. | Female 48 years old Reason: IV contrast only; evaluate biliary leak History: Abdominal pain ABDOMEN:LUNG BASES: Small left pleural effusion.LIVER, BILIARY TRACT: There are two plastic stents in the common bile duct extending into the right and left hepatic ducts. There is a percutaneous catheter around liver. Small amo... | Multiple biliary stents and a percutaneous perihepatic stent. No evidence of biliary dilatation or abscess. |
Generate impression based on findings. | Male 16 days old Reason: Rule out bowel obstruction/NEC History: Full abdomenVIEW: Abdomen AP (one view) 1/28/15 at 1819 hrs. NG tube proximal side port is at GE junction. Disorganized, slightly distended and nonspecific abdominal gas pattern. No evidence of obstruction, free air, pneumatosis intestinalis or portal ven... | Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | altered mental status No evidence of acute ischemic or hemorrhagic lesion.Mild diffusion brain atrophy with minimal non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage. The skull appears intact. The ventricles and sulci and prominent, particularly in the medial temporal lobes. There is extensive patchy periventricular and subcortical hypoattenuation. There is no midline shift or mass effect. There is no extraaxial fluid collectio... | 1.No acute intracranial hemorrhage or skull fracture.2.Extensive small vessel ischemic disease.3.Cerebral volume loss that is most pronounced in the medial temporal lobes, which is suggestive of Alzheimer's disease.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. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Pain over right lateral malleolus.VIEWS: Ankle right AP lateral and oblique (3 views) right foot AP lateral and oblique (3 views) 1/28/2015 ANKLE: There is a small joint effusion, but no underlying fracture or malalignment is seen.FOOT: No acute fracture or malalignment. | Small joint effusion but no underlying fracture or malalignment. |
Generate impression based on findings. | Male 60 years old Reason: Rule out solid tumor, malignancy History: Encephalitis, positive paraneoplastic panel CHEST:LUNGS AND PLEURA: Right lower lobe subsegmental atelectasis.MEDIASTINUM AND HILA: Mediastinal and hilar adenopathy. Etiology is unknown. An index prevascular node measures 1.9 x 1.1 cm on image number 3... | Nonspecific borderline enlarged mediastinal or hilar lymph nodes. Etiology is unknown. Mild wall thickening of the gallbladder associated with mild. Cholecystic inflammation. This finding may be compatible with acute cholecystitis in the right clinical setting. Correlation with clinical history and presentation and if ... |
Generate impression based on findings. | headache No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkabl... | No evidence of acute ischemic or hemorrhagic lesion.Retention cyst on the left frontal sinus. |
Generate impression based on findings. | There are postsurgical findings related to Chiari decompression. The ventricles and sulci appear unchanged. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. The paranasal sinuses and mastoid air cells, and middle ears are clear. | Postsurgical findings related to Chiari decompression without evidence of acute intracranial hemorrhage or ventriculomegaly.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Re-demonstration of right trigone area likely embolized intra axial mass, known as AVM with surrounding edema and mass effects. The degree of midline shift toward left side appears to be a bit lessen than prior scan.The size of the lesion does not appear to be changed since prior exam.No evidence of acute hemorrhagic ... | No significant interval change of right parietal AVM with surrounding edema and mass effect since prior exam. The degree of midline shift appears to be a bit lessen, however.Rec: Brain MRI for the evaluation of the nature of the lesion as well as surrounding brain parenchyme is recommended. Catheter angiography can be ... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard and pushback views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. There are bilateral retropecto... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 48 years, Female. Reason: repeat abd film w/ gtube position to R side History: verify metallic fragment is external to pt's body Nonobstructive bowel gas pattern. Residual contrast material in the colon. Interval removal of the enteric tube. G-tube balloon projected over gastric body. G-tube tubing seen overlying mid a... | Nonobstructive bowel gas pattern. Interval removal of the enteric tube. G-tube balloon projected over gastric body. G-tube tubing seen overlying mid abdomen. |
Generate impression based on findings. | 4-month-old male with nonaccidental traumaVIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP/frog leg (two view), 01/29/15 , time The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is seen. Vertebr... | Normal chest, cervical spine and pelvis. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 38 days old Reason: ?Fixed dilated loop VIEW: Abdomen AP (one view) 1/29/2015, 07:03 Nasogastric tube tip terminates in the body of the stomach.Persistent gaseous distention of multiple loops of bowel, perhaps slightly improved compared to the prior examination. No portal venous gas, pneumatosis intestinalis or pn... | Nonspecific gaseous distention of multiple loops of bowel, perhaps slightly improved. |
Generate impression based on findings. | Male 24 years old Reason: Dedicated renal protocol, complex R renal cyst needs further evaluation History: see above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly. Cholelithiasis.SPLEEN: .Splenic capsular calcifications and nonspecific hypodense lesion in the spleen measuring 2.... | Hepatomegaly. Cholelithiasis. Bilateral renal cysts. Some of these cysts are too small to accurate characterize. A follow-up MRI in one year may be helpful for further evaluation.Splenic capsular calcifications and nonspecific hypodense lesion in the spleen measuring 2.5-cm in diameter image number 42, series number 10... |
Generate impression based on findings. | 16-year-old male with respiratory failure, evaluate ET tube positionVIEW: Chest AP (one view) 01/29/15, 0138 hour ET tube tip is below thoracic inlet and above the carina. NG tube side-port is above the GE junction with tip in the proximal gastric body. Cardiothymic silhouette is normal. No pleural effusion. Very small... | 1.NG tube side-port is above the GE junction, recommend advancement.2.Very small left pneumothorax. |
Generate impression based on findings. | Right side foot drop. No evidence of acute ischemic or hemorrhagic lesion.Focal encephalomalacia on the bilateral cerebellar hemispheric SCA territories.There is also arachnoid cyst on the posterior aspect of vermis.The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiatio... | No evidence of acute ischemic or hemorrhagic lesion. |
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, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 38 days old Reason: ex preterm male w/ feeding intolerance, abd distension, rule out nec, free air History: abd distensionVIEW: Abdomen AP (one view) 1/29/2015, 00:37 Nasogastric tube tip terminates in the body of the stomach, with the side port below the GE junction.Gaseous distention of multiple loops of bowel i... | Persistent gaseous distention of multiple loops of bowel without evidence of pneumoperitoneum. |
Generate impression based on findings. | Female 62 years old Reason: Malignancy vs pna History: Cough, pain, LUNGS AND PLEURA: Two areas of nonspecific irregular subpleural consolidation in the anterior lingula and posterior left lower lobe with cavitation. These consolidations contain central hypoattenuation with air and peripheral rim enhancement with surro... | Subpleural consolidation with internal necrosis in the lingula and left lower lobe with draining regional lymphadenopathy which likely represent pneumonia with abscess formation. Less likely consideration is a necrotic metastasis in a patient with a history of squamous cell laryngeal cancer. |
Generate impression based on findings. | Female, 26 years old.RFO Mildly prominent loops of bowel compatible with generalized ileus. Epidural catheter seen along the midline. Slight bending of the epidural catheter at its projection over the stomach. Skin staples seen partially at the lower most filled view. Subcutaneous gas seen over the right abdomen, likel... | No unexpected radiopaque foreign body.Findings discussed by telephone with Dr. Ismail, the attending surgeon, on 1/29/2015 00:16. |
Generate impression based on findings. | Female 28 years old; Reason: 28 year female, returning from hernia repair, due to periumbilical pain History: umbilical pain The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:ABDOMEN:LUNG BASES: No signific... | 1.Enteric contrast within the gastric fundus appears to extend beyond the expected mucosal border. This appearance can be seen in setting of a gastric ulcer. |
Generate impression based on findings. | Male 38 days old Reason: ex preterm male w/ abdominal distension, on continuos feeds, rule out NEC History: abdominal distensionVIEW: Abdomen AP (one view) 1/28/2015, 22:51 NG tube tip terminates in the body of the stomach with the side port below the GE junction.There is nonspecific gaseous distention of multiple loop... | Nonspecific gaseous distention multiple loops of bowel, disorganized bowel gas pattern. |
Generate impression based on findings. | 18 years, Female. Reason: stool burden History: constipation / abd pain Nonobstructive bowel gas pattern. Above average stool burden. No free air. | Nonobstructive bowel gas pattern. Above average stool burden. |
Generate impression based on findings. | 17 year-old female with chest tubeVIEW: Chest AP (one view) 01/29/15, 0451 hour Left chest tube is in place. Cardiothymic silhouette is normal. Interval decrease in left-sided pleural effusion with persistent retrocardiac consolidation. Discoid atelectasis in the right lower lung on background haziness. Persistent smal... | Improving pleural effusions with persistent left basilar consolidation. |
Generate impression based on findings. | Two month old female with chylothorax.VIEW: Chest and abdomen AP (two view) 1/29/2015, 0417 Endotracheal tube tip terminates below the thoracic inlet and above the carina. The left chest tube position is unchanged. NG tube tip is in the body of the stomach.Multifocal streaky opacities, overall slightly improved from th... | Improved multifocal atelectasis, with persistent small right pleural effusion and no pneumothorax identified. |
Generate impression based on findings. | 20 year-old female with history of right lower quadrant pain, evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality ... | 1.No evidence of acute appendicitis.2.Pelvic findings likely associated with ruptured hemorrhagic cyst. Additional evaluation with pelvic ultrasound may add diagnostic specificity, and would help exclude torsion (however, patient's pain reportedly on contralateral side). An additional hypoattenuating structure in the a... |
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