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Generate impression based on findings. | Evaluate for penile implant. The bones are demineralized suggesting osteopenia. Hardware components of bilateral total hip arthroplasties are situated in near anatomic alignment without radiographic evidence of hardware complication. Components of a penile implant project over the scrotum and base of penis. Severe dege... | Components of a penile implant project over the scrotum and base of penis. Compatibility with MRI should be correlated with implant model number.1.Cortical irregularity along the right acetabulum for which dedicated right hip radiographs are recommended.2.Other findings as above. |
Generate impression based on findings. | Female 48 years old Reason: eval for pathology History: abd pain, fever 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, URE... | CT findings compatible with sigmoid colon perforation and abscess formation. Fistulous communication between the inflammatory changes/sigmoid and small bowel loops in the pelvis cannot be excluded. Evaluation of the sigmoid colon is suboptimal. Residual/recurrent neoplasm of the sigmoid colon cannot be entirely exclude... |
Generate impression based on findings. | 19 year-old female status post thorascopic resection of chest mass, now status-post chest tube removalVIEW: Chest AP (one view) 01/29/15, 0440 hour Interval removal of right chest tube. Persistent right apical pneumothorax is unchanged. Bilateral surgical sutures, right perihilar staples, and left retained central line... | Persistent right apical pneumothorax status post removal of right chest tube. |
Generate impression based on findings. | Female 0 days old Reason: 26 wk newborn, intubated, eval line and ett placement History: INITIAL XR - increasing respiratory distress; increasing O2 requirement, eval line placementVIEW: Chest and abdomen AP (two view) 1/29/2015, 04:10 The endotracheal tube tip terminates in the right mainstem bronchus. UVC tip is in t... | Right mainstem bronchus intubation, with near complete atelectasis of left lung. |
Generate impression based on findings. | 79 years, Male. Reason: Dobbhoff adjustment. Lower pelvis excluded from field of view. Dobbhoff tube tip in gastric fundus. Nonobstructive bowel gas pattern. Degenerative disease in the lumbosacral spine and mild scoliosis noted. | Dobbhoff tip in gastric fundus. |
Generate impression based on findings. | 42 year old 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 composed of scattered fibroglandular elements, unchanged in pattern and distribution. There is a small circumscribed m... | No mammographic or sonographic 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. | 67-year-old male with history of back pain. Evaluate for rib fracture. Right chest port with tip at cavoatrial junction. There is a side plate with screws entering the vertebral bodies of T11 and L2 with partial vertebral body resection and cage placement. Cholecystectomy clips and other surgical clips are present in t... | No evidence of displaced rib fracture. Other findings as above. |
Generate impression based on findings. | History of lung cancer, sepsis, chest radiograph concerning for post obstructive pneumonia LUNGS AND PLEURA: Right upper lobe mass measures 57 x 48 cm (series 3, image 34) previously measuring approximately 45 x 39 cm. Surrounding airspace abnormality has increased from the prior CT. Increasing small right pleural effu... | 1.Increasing right upper lobe mass with increasing surrounding airspace opacity suggestive of infection, endobronchial spill of necrotic material, or less likely, hemorrhage.2.Increasing small right pleural effusion. |
Generate impression based on findings. | 4-year-old male intubatedVIEW: Chest AP (one view) 01/29/15 ET tube tip is in the right mainstem bronchus. Right upper extremity PICC tip is in the left atrium. G-tube is in place. There is mild leftward curvature of the thoracolumbar spine.Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Left lo... | 1.ET tube tip is in the right mainstem bronchus, recommend retraction.2.Lower lung opacity may represent atelectasis. |
Generate impression based on findings. | Seven hour old female with apnea and bradycardia.VIEW: Chest and abdomen AP (two view) 1/29/2015, 04:28 Streaky perihilar opacities suggest retained fetal fluid. The aortic arch, cardiac apex and stomach are left-sided. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax identified.Disorganized n... | Streaky perihilar opacities suggest retained fetal fluid. |
Generate impression based on findings. | 38 years, Male. Reason: s/p NGT placement History: NA Enteric tube the side port is above the diaphragm. Recommend advancement of the tube. Redemonstration of gas-filled distended loops of bowel seen in the left abdomen compatible with small bowel obstruction. Pelvis is excluded from the field of view. | Enteric tube the side port is above the diaphragm. Recommend advancement of the tube. Findings discussed with Dr. Abdulameer (p7816) by phone on 1/29/2015 8:45AM. |
Generate impression based on findings. | 18 year old female with ARDS.VIEW: Chest AP (one view) 01/29/15 ET tube tip is below thoracic inlet and above the carina. Right upper extremity PICC tip is at the superior cavoatrial junction. Left central venous catheter tip is at the superior cavoatrial junction. Enteric tube tip courses below the field-of-view and i... | Mild improvement of bilateral air space opacities. |
Generate impression based on findings. | 58-year-old male with history of anterior shoulder dislocation. The previously seen anterior shoulder dislocation has been reduced. The humeral head now articulates with the glenoid in anatomic alignment. There is a Hill-Sachs deformity. There is also a minimally displaced fracture of the inferior glenoid compatible wi... | Successful reduction of anterior shoulder dislocation in anatomic alignment with resultant Hill-Sachs deformity and Bankart lesion. If patient care warrants further imaging, an MRI should be obtained. |
Generate impression based on findings. | 58-year-old male with history of immobility after fall. Right shoulder: There is anterior subluxation of the humeral head with respect to the glenoid. There is depression of the posterolateral humeral head compatible with Hill-Sachs deformity.Right wrist: Limited study due to suboptimal evaluation of the scaphoid and r... | 1.Anterior shoulder dislocation.2.Limited study of the wrist due to suboptimal evaluation of the scaphoid and radial styloid. Given this limitation, there is no acute fracture evident, however dedicated scaphoid radiographs are recommended. |
Generate impression based on findings. | Abused sibling.EXAMINATION: Skull AP/lateral, cervical spine AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, chest AP, ribs right oblique/left oblique, pelvis AP, right femur AP, left femur AP, right tibia fibula AP, left tib... | Normal examination. No fracture or malalignment seen. |
Generate impression based on findings. | Headache, ventricular shunt evaluation. No evidence of acute ischemic or hemorrhagic lesion.Ventricular shunt tube inserted through the left frontal lobe and the tip of the ventricular shunt is located on the left lateral ventricle around foramen of Monroe.Comparing to prior scan, the left lateral ventricle size appear... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Left frontal approached ventriculostomy tube.3. Smaller right lateral ventricle but no change of left lateral ventricular size. |
Generate impression based on findings. | Male 57 years old; Reason: 57 yo M with hx etoh cirrhosis s/p OLT x 2 c/b intraabdominal abscesses s/p IR drain, eval for improvement in fluid collection size, also needs routine HCC screening, perform CT liver protocol History: s/p OLT, intraabdominal abscesses ABDOMEN:LUNG BASES: No significant abnormality noted.LIVE... | 1.Persistent small loculated intrahepatic fluid collection, decreased in size compared to prior study.2.There is a significant stenosis of the hepatic artery conduit, proximal to the porta hepatis. 3.There is an arterioportal fistula in the left hepatic lobe as detailed above.4.There is stenosis of the suprahepatic IVC... |
Generate impression based on findings. | 11 year old female intubatedVIEW: Chest AP (one view) 01/29/15 ET tube tip is at the carina. Left upper extremity terminates in the left subclavian vein.Bilateral lower lobe atelectasis is unchanged. Cardiothymic silhouette cannot be evaluated. Persistent severe levoscoliosis of the thoracolumbar spine. | Bibasilar atelectasis unchanged. |
Generate impression based on findings. | Images are slightly limited by patient motion. There is redemonstration of postoperative changes related to multilevel midthoracic laminectomy. There is a similar appearance of long-segment T2/STIR hyperintensity and expansion of the spinal cord extending caudally from T3-T4, with focal areas of cavitation and scatter... | Stable appearance and extent of near diffuse thoracic cord signal abnormality with probable adhesions and associated contour deformity. |
Generate impression based on findings. | 47-year-old male with history of IVC filter clot. Also bilateral lower extremity DVTs. Evaluate clot burden. Please note lack of oral contrast limits evaluation of the GI tract. Also, there is relatively poor opacification of the venous vasculature.ABDOMEN:LUNG BASES: Minimal bibasilar atelectasis.LIVER, BILIARY TRACT:... | 1.There is the suggestion of lobulated IVC clot at and inferior to the level of the IVC filter, however evaluation of the inferior vena cava is limited.2.Slight interval increase in size in the left retroperitoneal hematoma.3.Interval decreased ileus. |
Generate impression based on findings. | Female 65 years old Reason: eval for evidence of ischemia History: abdominal pain ABDOMEN:LUNG BASES: Bilateral dependent atelectasis. Mild cardiomegaly.LIVER, BILIARY TRACT: Cirrhotic liver. No focal lesions in the liver suspicious for hepatocellular carcinoma. Cholelithiasis. Extensive portosystemic collaterals in th... | Cirrhosis and portal hypertension. Nonocclusive thrombus in the main portal vein. Cholelithiasis.Wall thickening involving the cecum and ascending colon, compatible with colitis of unknown etiology. Ischemia cannot be excluded. |
Generate impression based on findings. | Reason: 42F with ARDS \T\ Hx of L MCA stroke at OSH History: R sided paralysis, cognitive impairment The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hypodense region involving gray and white matter located along the left parietal lobe. There is associated gyral pattern of h... | 1.Left parietal lobe lesion in a vascular distribution (territory of the left posterior parietal artery of the middle cerebral artery) is suggestive of subacute infarction associated with some minor bleeding. There is some associated mass effect. |
Generate impression based on findings. | 14-year-old female intubatedVIEW: Chest AP (one view) 01/29/15 ET tube tip is below thoracic inlet and above the carina. Enteric tube course below the field-of-view. Left vagal stimulator overlies the chest with leads in the left neck.Cardiothymic silhouette is normal. Layering right pleural effusion. No pneumothorax. ... | Layering right pleural effusion with adjacent atelectasis. |
Generate impression based on findings. | ETT repositioning. Respiratory distress.VIEW: Chest AP (one view) 1/29/2015, 08:09 The endotracheal tube tip terminates below thoracic inlet and above the carina. UVC catheter tip is in the ductus venosus or hepatic vein. The UAC catheter tip terminates at T6-7.Interval reexpansion of the left lung, with bibasilar resi... | Expansion of left lung with residual streaky subsegmental atelectasis in both bases. |
Generate impression based on findings. | 7-year-old female with elevated CVP, hypoxemia, ARDS appearance on previous studyVIEW: Chest AP (one view) 01/29/15 ET tube is at the thoracic inlet. NG tube side-port is in the proximal gastric body with tip below the field-of-view. Vagal stimulator device overlies the left chest with leads in the left neck. Mild righ... | Slightly worsened bilateral layering pleural effusions with adjacent atelectasis. |
Generate impression based on findings. | 38 years, Male. Reason: eval for free air History: diffuse abdominal pain Multiple dilated small bowel loops with differential air fluid level compatible with small bowel obstruction seen on recent prior CT. No gross intraperitoneal free air. | Findings compatible with small bowel obstruction. No gross intraperitoneal free air. |
Generate impression based on findings. | 80 year-old female with history of pain. The bones are demineralized. There is no evidence of hip fracture. Moderate degenerative disease affects the left hip and SI joints. Severe degenerative disc disease affects the visualized lower lumbar spine at L4-5 and L5-S1. There is a calcified uterine fibroid. There are athe... | Degenerative disease as above without acute fracture. |
Generate impression based on findings. | 6-year-old female with scoliosisVIEWS: Thoracolumbar spine supine AP/lateral and pelvis AP/frog leg (4 views) 01/29/15 Bilateral coxa valga with approximately 40% lateral uncovering of the left femoral head. A cluster of well corticated radiodensities in the right hemipelvis could represent bladder stones or swallowed ... | 1.Scoliosis as described above.2.Bilateral coxa valga with DDH of the left hip. 3.Probable bladder stones or swallowed foreign bodies. |
Generate impression based on findings. | Swelling mass or lump in the head neck. Reason: cervical spine mass The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine.At C2-3 there is no significant compromise to the spinal canal or neural foramina. There is a mass in the right C2-3 neural... | 1.There is a mass present in the right neural foramen at C2-3 which in general has a benign appearance due to associated bony remodeling. If clinically appropriate an MRI of the cervical spine with gadolinium may be helpful to further assess this2.There are degenerative changes present in the cervical spine worst at C5... |
Generate impression based on findings. | Female 23 years old Reason: eval for pathology History: abd pain, crohns 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, UR... | Mild wall thickening of the terminal ileum which may represent mild acute inflammation.CT findings suggestive of bilateral sacroiliitis. |
Generate impression based on findings. | Female 55 years old Reason: right upper quadrant pain with radiation to the back, evaluate for gallstones LIVER: The liver measures 15.2 cm in length and is coarsely echogenic. Well-circumscribed 3.1 x 3.9 cm hypovascular, predominantly hyperechoic lesion in the posterior right hepatic lobe with central hypoechoic foci... | Nonspecific lesions in the posterior right hepatic lobe. Further evaluation with liver protocol MRI is recommended. |
Generate impression based on findings. | 45-year-old with history of left breast cancer status post mastectomy. Prior benign right breast biopsy and status post right breast reduction in 2013. 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 compo... | 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 64 years old Reason: r/o malignancy History: weight loss CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Mild fatty infiltration of the liver.SPLEEN: No significant abnormality no... | Mild fatty infiltration of the liver. |
Generate impression based on findings. | The ventricles and sulci are slightly prominent for the patient's stated age. There is no midline shift or mass effect. There is symmetric hyperdensity in the globus pallidus bilaterally which likely represent mineralization. There is additional asymmetric hyperdensity along the right putamen. There is focal abnormal ... | 1. Ill-defined abnormal low density in the right frontal lobe subcortical and deep white matter with additional bilateral periventricular white matter low density along the frontal horns. Asymmetric hyperdensity along the right putamen which may relate to developing mineralization versus less likely petechial blood pro... |
Generate impression based on findings. | Male 25 years old Reason: evalaute for etiology History: fever,diaphoresis, abdominal pain, persistent n/v ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signif... | Unremarkable CT. No CT findings to explain patient's fever. |
Generate impression based on findings. | Reason: 11 yo Female w/ new diagnosis metastatic neuroblastoma There is widespread MIBG avid lesions throughout the majority of the axial skeleton and proximal appendicular skeleton.There is a large MIBG avid left supraclavicular soft tissue mass. There are several MIBG avid anterior mediastinal lymph nodes. There is a... | 1. Large MIBG avid left retroperitoneal mass anterior to the left kidney consistent with neuroblastoma.2. Retroperitoneal, mediastinal and left supraclavicular MIBG avid metastatic lymph nodes.3. Widespread MIBG avid osseous metastatic disease. |
Generate impression based on findings. | Female 37 years old; Reason: epigastric pain and irregular periods in obese woman ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Status post cholecystectomy. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.... | 1. Nonobstructing intrarenal nephrolithiasis. 2. Underdistended colon, particularly portions of left colon, proximal transverse colon and cecum, making assessment for underlying wall thickening suboptimal, mild cecal wall thickening not entirely excluded, coronal image 80, however no significant paracolic stranding see... |
Generate impression based on findings. | Male 74 years old Reason: 74 yo with cirrhosis, please screen for HCC LIVER: The liver measures 16.3 cm in length and demonstrates diffusely coarsened hyperechoic and heterogeneous echotexture consistent with history cirrhosis. The main portal vein demonstrates decreased velocity of 0.1 m/sec. There is suggestion of a ... | 1. Heterogeneously hyperechoic coarsened hepatic parenchyma consistent with cirrhosis.2. The distal main portal vein demonstrates reduced peak velocity with suggestion of a filling defect raising the possibility of nonocclusive portal vein thrombus. Liver protocol CT/MRI is recommended for further evaluation. Bulbous a... |
Generate impression based on findings. | CLINICAL DATA: Age: 51 years. Sex : Female. Indication: Reason: Evaluate for appendicitis, free fluid History: 51 yo F with hx of ovarian cyst and fibroids p/w lower quadrant abdominal pain. LUNG BASES: Mild centrilobular emphysema. No significant pleural effusion or lower lung consolidation.LIVER, BILIARY TRACT: No si... | 1.Short segment of distal ileum wall thickening, with associated upstream small bowel dilation and partial obstruction. Favor inflammatory/infectious etiologies.2.Moderate right hydronephrosis, to the level of the noted small bowel wall thickening. |
Generate impression based on findings. | positive lumbar puncture, headache. NONCONTRAST CT HEADNo evidence of acute ischemic or hemorrhagic lesion on this scan.No change of 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... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. No CT angiographic evidence of intracranial arterial aneurysm, or arterial luminal narrowing or occlusion. |
Generate impression based on findings. | History of right lumpectomy in 2013 for ADH bordering on DCIS. Patient received radiation therapy. No new breast complaints. Three standard views of both breasts, a laterally exaggerated right CC view and two right spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast par... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic M... |
Generate impression based on findings. | 48 years, Female. Reason: stent evaluation History: stent in throat after sneezing Enteric tube tip overlies the gastric antropyloric. Residual contrast material seen in the colon. Nonobstructive bowel gas pattern. There is linear catheter projecting over the left hemi-abdomen, likely representing G-tube tubing per ED ... | Enteric tube tip overlies the gastric antropyloric. Nonobstructive bowel gas pattern. There is linear catheter projecting over the left hemi-abdomen, likely representing G-tube tubing. G-tube balloon is projected over gastric body. |
Generate impression based on findings. | Male 12 years old; Reason: eval hardware History: s/p leg lengthening Postsurgical changes from epiphysiodesis. Status post lengthening of the femoral component.There is lucency at the distal aspect of the tibial component near the bone prosthetic interface. No acute fracture is evident. | 1.Postsurgical changes as detailed above.2.Stable lucency at the distal aspect of the tibial component. |
Generate impression based on findings. | Peritonsillar drainage 6 weeks ago who presented on 1/28 with 5 days of worsening sore throat & odynophagia, admitted for + rapid strep tonsillitis & peritonsillar cellulitis. There is enlargement of the left palatine tonsil with surrounding stranding. In addition, there is an ill-defined area of low attenuation in the... | Findings compatible with left palatine tonsillitis and what may represent residual peritonsillar phlegmon or residual fluid with moderate oropharyngeal airway narrowing and reactive lymphadenopathy, but no evidence of a well-formed abscess. |
Generate impression based on findings. | Female 64 years old; Reason: r/o grave's vs multinodular goiter. R/o cold nodules History: hyperthyroidism The thyroid images demonstrate heterogeneous activity in a gland of normal size and configuration. There is a small hyperfunctioning nodule in the mid to lower pole of the right thyroid lobe. There are additional ... | Findings consistent with toxic multinodular goiter. |
Generate impression based on findings. | 88-year-old female history of left hip pain. The bones are demineralized.Left hip: There is no evidence of acute fracture or subluxation. Moderate degenerative disease affects the hip and pubic symphysis. There are scattered arterial calcifications.Pelvis: There is no evidence of acute fracture. Moderate osteoarthritis... | Degenerative disease without acute fracture. |
Generate impression based on findings. | Cough, wheezing, evaluate for interstitial lung disease or left lung mass LUNGS AND PLEURA: Small lung volumes with multifocal linear opacities with scattered bilateral subpleural opacities. Bronchial wall thickening. No pleural effusions. No evidence of air trapping, fibrosis, or mass.MEDIASTINUM AND HILA: No lymphade... | 1.Multifocal linear opacities, the morphology of which favors a chronic process and can be seen in postinfectious scarring, organizing pneumonia, or less likely, chronic eosinophilic pneumonia. The differential diagnosis for the subpleural opacities includes pulmonary infarctions from prior PE.2.No evidence of air trap... |
Generate impression based on findings. | Reason: intracranial lesion History: seizure and AMS CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There are calcifications p... | 1.No evidence for cervical spine fracture.2.The patient's nasogastric tube loops in the hypopharynx and has its tip is in the oropharynx .3.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of nonhemorrhagic cerebral infarction.4.There are degenerative changes... |
Generate impression based on findings. | 78 years, Male. Reason: eval for asymptomatic kidney stones, hyperparathyroidism History: hyperparathyroidism Nonobstructive bowel gas pattern. Above average stool burden. Calcification is seen overlying the right kidney, but cannot confirm location on radiograph. | Nonobstructive bowel gas pattern. Above average stool burden. Calcification is seen overlying the right kidney, but cannot confirm location on radiograph. |
Generate impression based on findings. | 79 year old male s/p OG tube placement. Lower pelvis excluded from field of view. Enteric tube tip just past GE junction with sidehole in distal esophagus. Nonobstructive bowel gas pattern. Degenerative disease in the lumbosacral spine and mild scoliosis noted. | Enteric tube tip just past GE junction with sidehole in distal esophagus, recommend advancement. |
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. There is no extraaxial fluid collection. There is mild mucosal thickening in the left maxillary sinus. The remainder of the visualized portions o... | No acute intracranial abnormality. |
Generate impression based on findings. | 76-year-old female with recent craniotomy and meningioma resection, now with headache and clinical concern for postsurgical infection. Status post bicoronal craniotomy and resection of large right frontal meningioma. There has been no significant interval change in the subjacent dural flap and heterogeneous air-filled ... | 1. Evolving postsurgical changes related to recent craniotomy and resection of right frontal meningioma, including hypoattenuation in the bilateral anterior cerebral artery territories, suspicious for evolving ischemia. There is bilateral frontoparietal edema, right greater than left, which is not significantly changed... |
Generate impression based on findings. | 79 years, Male. Reason: OG tube placement. Lower pelvis excluded from field of view. Enteric tube tip just past GE junction with sidehole in distal esophagus. Nonobstructive bowel gas pattern. Degenerative disease in the lumbosacral spine and mild scoliosis noted. | Enteric tube tip just past GE junction with sidehole in distal esophagus, recommend advancement. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts ( total 9 images) were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications o... | 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: NSA - Screening Mammogram. |
Generate impression based on findings. | 79 year old male s/p Dobbhoff placement. Lower pelvis excluded from field of view. Interval removal of OG tube and placement of Dobbhoff tube with tip at the GE junction. Nonobstructive bowel gas pattern. Degenerative disease in the lumbosacral spine and mild scoliosis noted. | Dobbhoff tip at GE junction, recommend advancement. |
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. Retroglandular saline implants... | 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. | History of right lumpectomy for IDC and axillary lymph node dissection with adjuvant radiation and chemotherapy in 2002. Benign MRI guided biopsy of the right breast in 2004. History of left breast reduction and right breast reconstruction in July 2013. Three standard views of both breasts were performed digitally and ... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic M... |
Generate impression based on findings. | There are bilateral predominately iso- to minimally hyperdense chronic subdural fluid collections at the convexities bilaterally with areas of globular and linear high density indicating more recent but likely nonacute component of blood clots/hemorrhage. They each measure approximately 4 mm in greatest thickness. Tra... | 1.Bilateral 4 mm predominately iso- to minimally hyperdense likely late subacute to chronic subdural hematomas with globular and linear higher density components, indicating more recent blood clots/hemorrhage that are likely subacute. 2.Trace layering of blood product along the tentorium extending inferiorly from the f... |
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. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. |
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. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | 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. | 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. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No new suspicious masses, microcalcif... | 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. | Exam is limited due to portable technique and linear artifact. 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. Gray-white differentiation remains maintained at this time. There is no extraaxial... | 1. Slightly limited portable exam. No acute intracranial abnormality.2. Incidental note made of prominent near fluid density in the right greater than left posterior neck musculature, for which correlation with physical exam is recommended. This could represent edema although a forming focal fluid collection or abscess... |
Generate impression based on findings. | 40 year old female with high NGT output. Enteric tube tip just past GE junction with sidehole in distal esophagus. Nonobstructive bowel gas pattern. Bilateral renal stones, right greater than left but decreased in number since the prior radiograph. Unchanged drainage tubing projects over the right hemipelvis. | 1.Enteric tube tip just past GE junction with sidehole in distal esophagus, recommend advancement. 2.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 66 years old Reason: Ascites, jaundice, h/o colorectal cancer metastatic to liver, evaluate for bile duct obstruction, evaluate for patency of portal vein History: ascites, jaundice LIVER: The liver measures 13.2 cm in length. There is marked irregularity of the liver contour which is diffusely heterogeneous consi... | 1. No intra- or extra-hepatic biliary duct dilatation. 2. Diffuse hepatic metastases, better evaluated on recent CT abdomen.3. Diffuse abdominal ascites. |
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. A linear scar marker ... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 59 year old male with esophageal cancer s/p esophageal stent and GT placement, p/w dyspepsia, chest pain, early satiety, bloating, constipation. Nonobstructive bowel gas pattern. Esophageal stent and gastrojejunostomy tube noted. Again seen is a linear needle-like radiopaque foreign body projecting over the right later... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | CHEST:LUNGS AND PLEURA: Interval improved right lower lobe consolidation. Right middle lobe, right lower lobe, and left lower lobe groundglass opacities in the setting of interlobular and intralobular septal thickening. This is most consistent with mild inflammation/infection. No pleural effusion.MEDIASTINUM AND HILA:... | 1.Improved right lower lobe consolidation, however there are new and slightly increased groundglass opacities bilaterally as above.2.Bilateral atrophic kidneys, with right pelvis transplant kidney appearing unremarkable.3.No evidence of disseminated disease. |
Generate impression based on findings. | 40-year-old female with history of knee swelling and pain. Left knee: There is a small joint effusion. There is no evidence of acute fracture or dislocation. Alignment is anatomic.Right knee: There is a moderate joint effusion. There is no evidence of acute fracture or dislocation. Alignment is anatomic. | Bilateral right greater than left joint effusions without acute fracture. |
Generate impression based on findings. | Reason: intracranial lesion History: seizure and AMS CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There are calcifications p... | 1.No evidence for cervical spine fracture.2.The patient's nasogastric tube loops in the hypopharynx and has its tip is in the oropharynx .3.No evidence for acute intracranial hemorrhage mass effect or edema. CT is insensitive for the early detection of nonhemorrhagic cerebral infarction.4.There are degenerative changes... |
Generate impression based on findings. | 56 years, Male. Reason: status of ileus, evaluate for obstructive bowel gas pattern, position of NJ tube tip History: NJ Kangaroo tube in place, nausea with PO intake, duodenal pSBO seen on endoscopy 1/26, pancreatitis. Significantly limited exam due to patient motion. Enteric tube coiled in the stomach with tip in pro... | Enteric tube tip in proximal jejunum. Limited exam due to patient motion precludes accurate assessment of bowel gas pattern. |
Generate impression based on findings. | 19-year-old male with history of fifth proximal phalanx fracture. Overlying splint material limits fine osseous detail. Redemonstrated is an oblique intra-articular fracture at the base of the fifth proximal phalanx in near anatomic alignment. | Fifth proximal phalanx fracture as above. |
Generate impression based on findings. | Female 69 years old Reason: Cirrhosis for HCC screening History: HCV LIVER: The liver measures 14.5 cm in length. Hyperechoic coarsened hepatic parenchyma suggestive of chronic liver disease. There is no focal liver lesion. The portal vein is patent and demonstrates normal directional flow.GALLBLADDER, BILIARY TRACT: U... | Hyperechoic coarsened hepatic parenchyma without focal liver mass. |
Generate impression based on findings. | Male 74 years old; Reason: recurrent UTI, history of pneumaturia Evaluation of organs of abdomen and pelvis suboptimal without IV contrast. ABDOMEN:LUNGS BASES: Moderate to market cardiomegaly. New small left pleural effusion. Bibasilar atelectasis.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No signi... | 1. Again visualized air in bladder and intrarenal collecting system of transplanted kidney in right iliac fossa. Differential considerations again include emphysematous pyelitis or recent instrumentation with reflux into renal collecting system and if there is clinical concern for enterovesicular fistula, further asses... |
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. There is no extraaxial fluid collection. There is a moderate-sized air-fluid level in the right maxillary sinus with additional mucosal thickenin... | 1. No acute intracranial abnormality. Moderate-sized right maxillary sinus air-fluid level, for which clinical correlation is recommended or possible acute sinusitis.2. Incidental note made of a prominent sclerotic partially exophytic lesion off the inner table of the right parietal calvarium, with differential diagnos... |
Generate impression based on findings. | 19 year-old male with history of pain. There is a minimally displaced oblique fracture through the base of the fifth proximal phalanx with intraarticular extension. There is mild soft tissue swelling about the fifth digit. | 5th finger fracture as above. |
Generate impression based on findings. | 43-year-old male with history of right ankle pain. There is mild soft tissue swelling about the ankle. There is no evidence of acute fracture or dislocation. Alignment is anatomic. | Mild soft tissue swelling without acute fracture. |
Generate impression based on findings. | Male 74 years old Reason: questionable biliary obstruction History: diarrhea, abnormal LFTs LIVER: The liver measures 14.5 cm in length and demonstrates mildly micronodular contour and coarsened echotexture, which may be seen in the setting of cirrhosis. There is no focal liver lesion. The main portal vein is patent an... | 1. Cholelithiasis.2. Micronodular contour with coarsened echotexture, which may be seen in the setting of cirrhosis. No focal liver lesion.3. Hypoechoic lesion in the uncinate process, likely corresponds to sidebranch IPMN identified on prior M.R.C.P. |
Generate impression based on findings. | 43-year-old male with history of foot swelling and tenderness. There is a 1 cm ovoid density dorsal to the second MTP joint which may represent a retained foreign body. There are additional punctate densities posterior to the calcaneus which are nonspecific but also may represent foreign material. There is no acute fra... | Dorsal soft tissue swelling and possible retained foreign bodies as above. |
Generate impression based on findings. | 48-year-old female with history of shortness of breath. Evaluate for foreign body. The Dobbhoff tube appears to have migrated caudally with the proximal tip residing within the oropharynx. The remainder of the exam is unremarkable. | Caudal migration of Dobbhoff tube with proximal end residing within the oropharynx |
Generate impression based on findings. | Female 45 years old Reason: renal failure History: aki RENAL TRANSPLANT:LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No perirenal fluid collection is identified.KIDNEY: The transplant kidney measures 9.0 cm. There is no hydronephrosis.COLLECTING SYSTEM/URETER: No hydronephrosis.URINARY BLADDER: The bladder is non... | Unremarkable appearance of the right iliac fossa transplant kidney. |
Generate impression based on findings. | 30-year old female with history of pain. There is no acute fracture or dislocation. Alignment is anatomic. The soft tissues are unremarkable. | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 18-year-old male with history of swelling and pain. There is mild soft tissue swelling about the ankle without underlying fracture or dislocation. The ankle mortise is intact. | Mild soft tissue swelling without acute fracture. |
Generate impression based on findings. | 44-year-old male with history of MVC. Thoracic spine: There is no acute fracture or subluxation. Mild degenerative disc disease affects the upper thoracic spine. Vertebral body heights and intervertebral disk spaces are well-maintained.Lumbar spine: There is no acute fracture or subluxation. Minimal degenerative disc d... | Minimal degenerative disease without acute fracture. |
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. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Two benign circumscribed masses are p... | 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. | Hemorrhagic stroke. Interval left frontal craniotomy and external ventriculostomy catheter placement, with the tip near the left foramen of Monro. The previously described intraparenchymal hematoma centered within the right thalamus appears to extend minimally more caudally, with a more confluent appearance of hyperatt... | 1. Redemonstration of large intraparenchymal hemorrhage centered within the right thalamus with intraventricular extension, which appears mildly increased in the craniocaudal dimension with more confluent blood products.2. Stable appearance of acute hydrocephalus.3. There is mild worsened transependymal edema, as well ... |
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: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 4 years old Reason: Screen for tumors of the kidneys, liver, or adrenal gland History: Beckwith Wiedemann syndrome LIVER: The liver measures 11 cm in length and demonstrates appropriate parenchymal echogenicity. There is no evidence of intrahepatic or extra hepatic biliary ductal dilatation or focal mass lesion ... | Normal examination. |
Generate impression based on findings. | Female 4 years old Reason: Screen for tumors of kidney, liver, or adrenal gland History: MZ twin with Beckwith-Wiedemann, increased risk for tumor development LIVER: The liver measures 10.5 cm in length and demonstrates appropriate parenchymal echogenicity. There is no evidence of intrahepatic biliary ductal dilatation... | Normal examination. |
Generate impression based on findings. | Female 54 years old; Reason: Primary HPT History: Primary HPT There is physiologic distribution of the radiopharmaceutical. There is persistent abnormal focus in the superior mediastinum of medium to large size consistent with ectopic parathyroid adenoma and on CT is located in the left lower paratracheal region. The r... | 1. Medium to large ectopic mediastinal parathyroid adenoma in the left lower paratracheal region.2. Nonspecific right-sided pleural-based focus is incompletely evaluated but be followed up or compared with prior dedicated thoracic CT as clinically warranted. |
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... | Large benign-appearing mass at upper outer quadrant in the left breast. Ultrasound study is recommended to confirm its benignity. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Female 60 years old Reason: 60 yo woman with 1.5 cm firm nodule of the R middle finger, r/o bony abnormalities History: 60 yo woman with 1.5 cm firm nodule of the R middle finger, r/o bony abnormalities Bone mineralization is normal. Alignment is anatomic. There is mild joint space loss compatible with mild osteoarthri... | Soft tissue nodule without underlying bone abnormality as detailed above. |
Generate impression based on findings. | T4aNxMx BOT p16- squamous cell carcinoma status post chemoRT with worsening swelling - post RT inflammation versus infection versus POD. There is an ill-defined lesion involving the right oral tongue and tongue base with extension across the midline and an ulcerating defect that contains air and fluid. The lesion measu... | 1. An ill-defined lesion involving the right oral tongue and tongue base with extension across the midline and an ulcerating defect that contains air and fluid may represent residual or recurrent neoplasm and treatment effects, perhaps with superimposed infection. 2. A right level 2 lymph node appears pathological, but... |
Generate impression based on findings. | Male 54 years old Reason: right knee pain no hx of trauma History: right knee pain Bone mineralization is normal . Alignment is anatomic. There are small tricompartmental osteophytes compatible with osteoarthritis. No joint effusion, fracture or malalignment. | Osteoarthritis. |
Generate impression based on findings. | Female 81 years old Reason: Persistent left knee pain with movement and tender to palpation, no warmth or erythema, history of OA. History: As above Left knee: Bone mineralization is decreased. Alignment is anatomic. The joint spaces are normal. No joint effusion. There are postsurgical changes along the medial aspect ... | Osteopenia/osteoporosis without fracture or malalignment. |
Generate impression based on findings. | Reason: s/p ?ischemic stroke, now w/ AMS History: AMS The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a mild to moderate degree are present. Atherosclerotic calcifications are present along the distal internal carotid arter... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction.3. Periventricular and subcortical white matter changes as well as changes in the pons of a mild to moderate degree are nonspecific. At this age they are most like... |
Generate impression based on findings. | Male 14 years old Reason: evaluate ankle injury History: right ankle injuryVIEWS: Right ankle AP, lateral and oblique 1/29/15 (3 views) Cast material obscures fine bone details. No fracture line or signs of healing are noted. Alignment is anatomic. | Status post casting as described. |
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. The breast parenchyma is composed of scattered fibroglandular elements. A circumscribed mass at upper outer quadrant, likely an intramammary lymph n... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
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. The breast parenchyma is extremely dense, limiting the sensitivity of mammography and increasing the importance of physical examination, unchanged i... | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | 60 year-old female with MGUS SKULL: No discrete myelomatous lesions.CERVICAL SPINE: No discrete myelomatous lesions.THORACIC SPINE: Small anterior osteophytes are noted along the upper thoracic spine. No discrete myelomatous lesions.LUMBAR SPINE: No discrete myelomatous lesions. Grade 1 anterolisthesis of L4 on 5.RIBS:... | No discrete myelomatous lesions. Degenerative arthritic changes as described above. |
Generate impression based on findings. | Female 83 years old Reason: distal femur fx History: same Left knee: Bone mineralization is decreased. There is a comminuted displaced fracture at the distal femoral metaphysis with posterior displacement of the distal fracture fragment a shafts width. Proximal portion projects over the patella. There is an effusion.Th... | Distal femoral fracture as detailed above. |
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