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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 mostly fatty replaced, unchanged in pattern and distribution. Stable benign subcent... | 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: NSA - 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 suspicious masses, microcalcificat... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts (total 8 images) were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. Multiple oil cysts are present in the left breast. No suspi... | 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. | Male 50 years old Reason: s/p R hip FAI repair History: same There are postsurgical changes in the right femoral head neck junction and acetabulum. No acute fracture or dislocation. | No acute fracture or dislocation. |
Generate impression based on findings. | Female 68 years old Reason: evaluate for left knee pain History: left knee pain Status post total right knee arthroplasty. Moderate to severe osteoarthritis affects the left knee with near bone on bone apposition and tricompartmental osteophytes. There is a small joint effusion.No acute fracture or malalignment. As the... | Moderate to severe left knee osteoarthritis |
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. There are two calcified oil cysts in the left breast. 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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 65 years old Reason: evaluate for left knee pain History: left knee pain Bone mineralization is normal. Alignment is anatomic. There is severe medial compartment joint space loss. There are tricompartmental osteophytes. No joint effusion. No acute fracture or malalignment.Contralateral right knee shows moderate to... | Moderate to severe left knee osteoarthritis |
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. Biopsy clips are noted in both breast... | 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. | 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. There are scattered coarse benign cal... | A cluster of calcifications at posterior 12 o'clock position in the right breast. Magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
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 suspicious masses, microcalcificat... | 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. | 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 circumscribed mass ... | A circumscribed mass at lower outer quadrant in the left breast, for which spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 76 years old; Reason: Assess lung perfusion/ventilation - preop eval for possible surgical resection of abscess The comparison chest radiograph performed on 1/27/2015 demonstrate postsurgical changes from right upper lobectomy with marked volume loss and diffuse opacity associated with an air-fluid level in the ri... | There is essentially no demonstrable ventilation or perfusion in the entire right lung as quantified above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, 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. A group of calcifications in the left... | 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. | Female 82 years old; Reason: metastatic colon cancer History: surveillance CHEST:LUNGS AND PLEURA: Stable left apical scarring.MEDIASTINUM AND HILA: Interval decrease in size of reference left supraclavicular lymph node measuring 1.6 x 1 cm, image 3 series 3, previously measured 2.6 x 1.2 cm.CHEST WALL: As seen on prio... | 1. Interval decrease in size of reference left supraclavicular lymph node. |
Generate impression based on findings. | 56-year-old male with left ankle swelling There is marked soft tissue swelling, particularly about the lateral aspect of the ankle. A comminuted fracture with oblique and transverse components extends through the distal fibula to the level of the joint. Moderate joint effusion. | Comminuted distal fibular fracture and additional findings as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | 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. | 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. | 14-year-old male with right clavicle fracture, fall downstairsVIEWS: Right clavicle AP/clavicle (two views) 01/29/15 There is a predominantly transverse fracture through the middle third of the right clavicle with one full shaft width inferior displacement of the distal fracture fragment. There is also foreshortening o... | Clavicle fracture as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, 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. | 61 year-old male with history of kidney mass. 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: Right lower pole hyp... | Right lower pole hypoattenuating lesion without significant enhancement, appearance consistent with benign complex cyst. |
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. No suspicious masses, microcalcifications or areas of architectural distorti... | 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 heterogeneously dense, unchanged in pattern and distribution. Biopsy clip in the left breast is unchanged. Scattered benign... | 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. 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. | 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. | Reason: r/o stricture, dysmotility History: hx of multinodular goiter s/p excision. now with dysphagia. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions. Surgical clips noted in the neck, compatible with prior thyroid resection.Double contrast evaluation o... | 1.Limited double contrast study due to patient not tolerating effervescent agent. Within this limitation, no morphologic abnormalities of the mucosal surfaces or mural contours was identified.2.Normal motility.3.No evidence of reflux or hernia. |
Generate impression based on findings. | 83 year old male s/p Dobbhoff placement. Exam limited by patient motion. Dobbhoff tip in gastric fundus. Nonobstructive bowel gas pattern. Right central venous catheter tip in right atrium. | Dobbhoff tip in gastric fundus. |
Generate impression based on findings. | Male 12 years old Reason: evaluate scoliosis in brace History: scoliosisVIEWS: Thoracolumbar spine in brace AP (one views) 1/29/2015 Dextroscoliosis between T2 and T9 measures 51 degrees, previously 53 degrees. Levoscoliosis between T10 and L3 measures 59 degrees, previously 63 degrees. Stool is present within the rect... | Scoliosis as detail above, slightly improved. |
Generate impression based on findings. | 53 years, Male. Reason: eval NJ position History: asx NJ tube tip overlies jejunum. Retained contrast in the colon. Nonobstructive bowel gas pattern. | NJ tube tip overlies jejunum. |
Generate impression based on findings. | Male 15 years old Reason: evaluate kyphoscoliosis History: kyphoscoliosisVIEWS: Thoracolumbar spine PA and lateral (two views) 1/29/2015 61 degrees kyphosis of the thoracic spine. No significant scoliosis is evident. Stool is present in the rectum. | 61 degrees kyphosis thoracic spine |
Generate impression based on findings. | 5-year-old male with history of Hirschsprung's disease, evaluate stool burdenVIEW: Abdomen AP (one view) 01/29/15 Mild to moderate stool burden. Nonobstructive bowel gas pattern. No pneumoperitoneum. | Mild to moderate stool burden. |
Generate impression based on findings. | 9-year-old male with altered mental status, status post intubation.VIEW: Chest AP (one view) 1/29/2015 The endotracheal tube tip is just below the thoracic inlet. The right upper extremity PICC tip is in the superior SVC. The left central venous catheter tip is at the cavoatrial junction.Left lower lobe opacity with ai... | Left lower lobe consolidation. |
Generate impression based on findings. | History of recent syncope/fall with subdural hematoma, evaluate stability. Again demonstrated is subdural hematoma along the falx, extending around the left cerebral convexity. Stable appearance of foci of intraparenchymal and subarachnoid hemorrhage in the bilateral frontal lobes, left greater than right. A trace amou... | 1. There is a grossly unchanged appearance of a subdural hematoma along the falx, extending around the left cerebral convexity, as well as unchanged minimal rightward midline shift. There is mild interval improvement of the mild left lateral ventricular effacement. 2. Stable multiple foci of intraparenchymal and subara... |
Generate impression based on findings. | Reason: 14 year old female with recurring meal related abdominal pain associated with nausea. Need to evaluate for biliary dyskinesia / gall bladder dysfunction Angiographic images are unremarkable. Prompt clearance of radiotracer from the blood pool and uniform accumulation of the tracer by the liver is present. There... | 1. Normal hepatobiliary imaging. No evidence of acute or chronic cholecystitis.2. Normal gall bladder contractile response to CCK. Note the patient experienced some nausea with CCK administration. |
Generate impression based on findings. | Non-Hodgkin's lymphoma, high risk for lung cancer, history of radiation and current cigarette smoker LUNGS AND PLEURA: Right paramediastinal reticular opacities compatible with history of radiation, unchanged.MEDIASTINUM AND HILA: Reference partially calcified anterior mediastinal lymph node measures 5.4 x 2.5 cm (seri... | 1.Anterior mediastinal enlarged lymph node is unchanged as far back as at least 6/28/2007.2.Right paramediastinal radiation changes without suspicious nodules or masses. |
Generate impression based on findings. | Left-sided testicular pain RIGHT TESTIS: Measures 5.2 x 3.6 x 2.6 cm. Parenchymal vascularity normal.LEFT TESTIS: Avascular, testis measures 4.5 x 3.9 x 3.3 cm.RIGHT EPIDIDYMIS: Unremarkable, vascularity likely within normal limits.LEFT EPIDIDYMIS: Avascular, heterogeneous and asymmetrically enlarged.OTHER: Small left-... | Findings compatible with left-sided testicular and epididymal torsion with small left-sided hydrocele, extratesticular fluid likely reactive. Findings discussed with ED physician Dr. Bukari at 10:35 a.m. on 1/29/15. |
Generate impression based on findings. | 60 year-old with history of left breast cancer with new right breast mass for which ultrasound guided biopsy is requested. Right ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 11 mm at the 6 o’clock position without increased vascularity, 2 cm from the ni... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 62 years old Reason: h/o mediastinal LAD History: lymphadenopathy concerning for lymphoma CHEST:LUNGS AND PLEURA: New left lower air space opacity suspicious for pneumonia. In addition there are other patchy groundglass opacities in the left lower lobe and right upper lobe which may represent infection or drug rea... | Significant interval decrease in in the size of the extensive metastatic adenopathy and splenic lesions.Left lower lobe air space opacity suspicious for pneumonia, new from previous study. |
Generate impression based on findings. | History of left lumpectomy 3/2013 for DCIS with microinvasion. Patient received radiation and is currently on tamoxifen. No new breast complaints. History of breast cancer in sister diagnosed at the age of 35. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts, two right spot compression views... | Stable postsurgical changes of the left breast. Stable right breast cyst. 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: 2 - Benign finding.RE... |
Generate impression based on findings. | 77-year-old male with bilateral hip pain Pelvis and hips: Mild degenerative changes affect the hips. No fracture is evident. A penile prosthesis is noted.Right knee: There are tricompartmental osteophytes and narrowing of the medial joint compartment and medial patellofemoral joint. Left knee: There is medial patellofe... | Osteoarthritis, as described above. |
Generate impression based on findings. | 3-year-old male with pelvic sarcoma NOS CHEST:LUNGS AND PLEURA: No pleural effusion. No focal pulmonary opacities.MEDIASTINUM AND HILA: The heart size is normal. No pericardial effusion. No significant mediastinal or hilar lymphadenopathy.CHEST WALL: No cardiophrenic, retrocrural, or axillary lymphadenopathy.ABDOMEN:LI... | 1.Right pelvic mass appears unchanged in size.2.Slight interval worsening of right hydroureteronephrosis. |
Generate impression based on findings. | Metastatic breast cancer to lung and liver CHEST:LUNGS AND PLEURA: New right fissural nodule along the right oblique fissure measures 6 mm (series 5, image 40). Additional fissural nodules appear similar in appearance to the prior exam.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Mild coronary artery ... | 1.Increasing hepatic metastases.2.Increasing right scapula soft tissue mass.3.New right pulmonary nodule.4.Widespread osseous metastases. |
Generate impression based on findings. | 58-year-old female status post right TKA Hardware components of a total knee arthroplasty device are situated in near anatomic alignment without evidence of complication. Osteoarthritis affects the contralateral knee as seen on the frontal view. | TKA without evidence of complication. |
Generate impression based on findings. | Male 10 years old Reason: evaluate healing of fracture History: right distal tibia fractureVIEWS: Right ankle AP and lateral (two views) 1/29/2015 Again seen is an oblique fracture through the distal tibial diaphysis with lateral displacement of the distal fracture fragment. Periosteal reaction is present consistent wi... | Oblique fracture through the distal tibial diaphysis, which is unchanged in alignment. |
Generate impression based on findings. | 57-year-old male with medial left knee pain Alignment is anatomic. No fracture is evident. The osseous structures are within normal limits for the patient's age. | No fracture or other findings to account for the patient's knee pain. |
Generate impression based on findings. | Nodular lymphocytic predominant Hodgkin lymphoma. There are postoperative findings in the left lower neck. There has been interval decrease in size of the cervical lymphadenopathy. For example, a right level 3 lymph node measures 11 x 12 mm, previously 16 x 25 mm. The thyroid and major salivary glands are unremarkable.... | Interval decrease in size of the lymphadenopathy in the neck. |
Generate impression based on findings. | Axial images are somewhat degraded by motion artifact. There is minimal progression of mild anterolisthesis of L4 on L5 measuring approximately 3 mm, likely degenerative. The vertebral body heights are preserved. There is mild loss of disc height and disc desiccation at L4-L5 and L5-S1. The vertebral bone marrow signa... | 1. Degenerative spondylosis of the lumbar spine, most prominent at L4-L5, with slightly progressed moderate to severe spinal canal stenosis and mild to moderate right and mild left foraminal narrowing. 2. Minimal progression of mild anterolisthesis of L4 on L5, likely degenerative. |
Generate impression based on findings. | Male 24 years old; Reason: hx of testicular cancer, evaluate for metastatic disease History: see above 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 signi... | 1.New postoperative changes in the retroperitoneum with question of new lymphadenopathy versus distorted small bowel. This could be clarified with either MR or excellent bowel opacification of the entire duodenum and proximal jejunum on abdominal CT.2.Small pelvic nodes.3.Discussed with Dr. Scott Eggener. |
Generate impression based on findings. | The liver measures 19.9 cm in length and demonstrates appropriate parenchymal echogenicity without evidence of intrahepatic or extra hepatic biliary ductal dilatation. The right kidney measures 12.1 cm in length and the left kidney measures 11.3 cm in length. There is no evidence of hydronephrosis. The spleen measures... | Enlarged liver without evidence of venoocclusive disease. |
Generate impression based on findings. | Male 83 years old Reason: eval for mets History: prostate cancer, rising PSA 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... | Asymmetric fullness around the surgical clips in the region of the left seminal vesicle. MRI of the pelvis may be helpful for further characterization. |
Generate impression based on findings. | GE junction mass, probable leiomyoma, evaluate change in lesion CHEST:LUNGS AND PLEURA: No suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: No lymphadenopathy. Mild coronary artery calcifications. No pericardial effusion.CHEST WALL: Small left Bochdalek hernia.ABDOMEN: Absence of enteric contras... | Decreasing intraluminal soft tissue mass centered at the GE junction compatible with patient's history of leiomyoma. No evidence of metastases. |
Generate impression based on findings. | Male 78 years old Reason: S/P THERASPHERE ADMINISTRATION, HCC History: S/P THERASPHERE ADMINISTRATION, HCC CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Patient's known mass compatib... | No significant change from previous study. |
Generate impression based on findings. | There is mild ventricular and sulcal prominence likely indicating mild global volume loss. The cisterns remain patent. There is no midline shift or mass effect. There are a two punctate subcortical T2 hyperintensities without enhancement or diffusion restriction. Overall there is no abnormal enhancement or diffusion a... | There are two nonenhancing punctate subcortical white matter T2/FLAIR hyperintensities which are nonspecific. |
Generate impression based on findings. | Female 17 years old Reason: please eval for picc line placement History: as aboveVIEW: Chest AP (one view) 1/29/2015 Left upper extremity PICC terminates has been retracted, with the tip now in the the confluence of the right innominate and superior vena cava. No focal air space opacity is seen. The cardiothymic silhou... | Left upper extremity PICC terminates at the confluence of the right innominate vein and the superior vena cava. |
Generate impression based on findings. | Male 4 months old Reason: Intubated, abdominal distension History: distensionVIEW: Chest and Abdomen AP (two view) 1/29/2015 Endotracheal tube tip terminates just above the carina. The NG tube tip is in the body of the stomach.New right middle and right lower lobe atelectasis with associated mediastinal shift. Lucency ... | 1.Right lower right middle lobe atelectasis with unchanged chronic diffuse course opacities.2.Focus of air between the right 10th and 11th ribs is presumably pulmonary in etiology, although pneumoperitoneum cannot be excluded.These findings were relayed to Dr. Jones via telephone at 13:15 on 1/29/2015. |
Generate impression based on findings. | 55-year-old male with left diabetic foot ulcer Amputations are noted through the first and second proximal phalanges and through the fifth proximal metatarsal. The osteotomy margins appear sharp. There is no bone destruction or other specific radiographic evidence of osteomyelitis. | No specific radiographic features of osteomyelitis. If further evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Male 40 years old Reason: history of allogeneic transplant for MDS with rising EBV viremia-evaluate for PTLD. Also with anorexia History: EBV viremia. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, ... | Mild splenomegaly. Postsurgical changes. Lap band in place, without any definite slippage. |
Generate impression based on findings. | There is avulsion of the right C8 nerve roots at the spinal cord with retraction and heterogeneous, decreased T2 signal just distal to the right C7-T1 foramen. There is a focal T2 hyperintense lesion at the right C7-T1 foramen measuring approximately 5 x 9 mm, representing a pseudomeningocele. The right cervical plexu... | Avulsion with distal retraction of the right C8 nerve root and associated pseudomeningocele at the right C7-T1 foramen. |
Generate impression based on findings. | Reason: Rectal prolapse, possible slow transit History: constipation, rectal prolase Scout radiograph showed a nonobstructive bowel gas pattern. Transit time to the colon was one hour ten minutes. Cecal diverticulum vs prominent sacculation measuring 4.1 x 4.4 cm was noted adjacent to the ileocecal junction (series 11)... | 1.Transit time to the colon was one hour ten minutes.2.Cecal diverticulum vs prominent sacculation adjacent to the ileocecal junction.3.Separation of small bowel loops with irregular mucosa, likely from prior parasitic infection and reactive fibrofatty mesenteric disease.4.Questionable increased folds per length of the... |
Generate impression based on findings. | Dysphagia with multiple ENT scopes. Evaluate for obstructing goiter. There is circumferential narrowing at the level of the supraglottic larynx without apparent extrinsic mass. The airways are otherwise patent. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid gland is mildly pro... | 1. Mild circumferential narrowing at the level of the supraglottic larynx without extrinsic mass.2. Multinodular goiter without associated compression of the adjacent trachea. |
Generate impression based on findings. | 85-year-old female history of right total knee revision. Hardware components of the long stem total right knee arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication. Severe osteoarthritis affects the left knee as seen on the frontal view. | Total knee arthroplasty as above. |
Generate impression based on findings. | History of left breast cancer status post left mastectomy in 2011. Patient received chemotherapy and hormonal therapy. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densit... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | History of metastatic breast cancer presents with shortness of breath, evaluate for pulmonary embolism versus progression of disease PULMONARY ARTERIES: No evidence of acute pulmonary embolism. Flow related artifact is noted in the right main pulmonary artery extending into the lobar branches.LUNGS AND PLEURA: Right pa... | 1.No evidence of acute pulmonary embolism.2.Increasing right pleural effusion. New left pleural effusion.3.Increasing superior mediastinal lymphadenopathy.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | Female 64 years old Reason: patient with recurrent endometrial cancer, now on hormonal therapy, assess for disease status History: none CHEST:LUNGS AND PLEURA: Scattered micronodules unchanged. For example, left apex series 5 image 18.Left lung nodule abutting mediastinum is less well defined and possibly smaller, seri... | Stable lung findings as above.No measurable abdominal or pelvic disease. |
Generate impression based on findings. | 47-year-old female with history of pain and discomfort. There is no acute fracture or subluxation. Intervertebral disc spaces and vertebral body heights are well-maintained. Alignment is anatomic. | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 71 year old with known left breast cancer. The patient presents for research biopsies of the known cancer. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 20 mm at the 11 o’clock position with increased vascularity, 5 cm from the nipple. The lesion wa... | Successful ultrasound-guided core biopsy of the left breast lesion for research purposes. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 67 years old Reason: pt with a hx of prostate cancer; now with biochemical recurrence, needs surveillance CT scans History: urinary incontinence CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: Mild scoliosis.ABDOMEN:LIVER, BILIARY TRACT: No ... | No measurable disease. Postsurgical changes. Small near fluid density in the left distal iliopsoas muscle. |
Generate impression based on findings. | 76-year-old with history of left lumpectomy for DCIS in 2012. No current complaints. Three standard views of both breasts, repeat left CC view and lumpectomy in spot magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular densit... | 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: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 62 years old Reason: 62 year old man with history of T cell NHL s/p allo transplant in suspected CR. Compare to prior scans. History: None CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY... | No significant change from previous study. |
Generate impression based on findings. | Intracranial hemorrhage, evaluate for expansion. There is no significant change in large intraparenchymal hematoma centered within the right thalamus measuring approximately 4.8 x 3.6 x 4.1 cm in the AP, transverse, and craniocaudal dimensions (previously re-measured as 4.5 x 3.9 x 3.9 cm). Mild evolution of surroundin... | 1. No significant change in size of large intraparenchymal hemorrhage centered within the right thalamus with intraventricular extension.2. Interval placement of left transfrontal EVD with tip at the foramen of Monro. Unchanged ventriculomegaly.3. Diffuse sulcal effacement, leftward midline shift, and partial effacemen... |
Generate impression based on findings. | Female 47 years old Reason: breast cancer History: breast cancer CHEST:LUNGS AND PLEURA: Right upper lobe groundglass opacity measuring 3.8 x 4.1 cm short 20, series number 5, likely represents early pneumonia versus less likely drug reaction. There are smaller areas of patchy groundless opacities in the left lower lob... | Extensive bone metastases. Retroperitoneal and pelvic adenopathy.Numerous hypodense lesions in the nodular liver. These likely represent metastatic disease, however, MRI of the liver may be helpful for further characterization of these lesions. Mild splenomegaly. |
Generate impression based on findings. | History of left lumpectomy in 2012 for invasive ductal carcinoma with mucinous features. Patient received radiation and chemotherapy. History of benign right breast biopsy. Patient being followed for right breast calcifications. No new breast complaints. History of ovarian cancer in sister diagnosed at age 69. Three st... | Stable postsurgical changes of the left breast. Stable bilateral calcifications. 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 and her daughter.BIRAD... |
Generate impression based on findings. | Reason: hx of cobramaze right chest approach- eval effusion vs elevated diaphragm History: SOB, cough LUNGS AND PLEURA: Marked elevation of the right hemidiaphragm with overlying air is also nonobstructive subsegmental atelectasis.Minimal pleural fluid or thickening bilaterally.Thickened interlobular septa at the left ... | 1. Markedly elevated right hemidiaphragm, suggestive of phrenic nerve paralysis, with overlying subsegmental atelectasis.2. Minimal bilateral pleural effusions and possible interstitial edema at the left base, suggestive of mild CHF. |
Generate impression based on findings. | Female 34 years old Reason: Breast cancer with bone mets with acute right chest wall pain. Evaluate for rib fracture. History: Acute right low chest wall pain. Left chest wall port terminates at the cavoatrial junction. Postsurgical changes in the breasts. There are sclerotic changes of the sternum compatible with meta... | No evidence of a rib fracture. |
Generate impression based on findings. | Wilms tumor. Altered mental status with thrombocytopenia and anemia. There is mild global parenchymal volume loss. There is no evidence of intracranial hemorrhage, mass, or cerebral edema. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is a tiny mu... | 1. No evidence of intracranial hemorrhage.2. Mild global parenchymal volume loss. |
Generate impression based on findings. | Female 66 years old Reason: unintentional weight loss History: unintentional weight loss CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Enlarged heterogeneous thyroid extending into the mediastinum.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Multiple, subce... | Right adnexal cystic mass, not significantly changed from previous study. Endometrial stripe is dilated. Correlation with pelvic ultrasound and/or histologic sampling is recommended. Paragraph subcentimeter heterogeneous lesion in the right kidney. Follow-up with enhanced renal mass protocol CT or MRI is recommended in... |
Generate impression based on findings. | History of left mastectomy in 2011 for DCIS and invasive ductal carcinoma with tubular features. No new breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patter... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient and her husband.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Short-term follow-up for high probably right breast mass. History of breast reduction in 2005. RIGHT UNILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of sca... | Two high probability benign circumscribed masses in the right breast. If patient's physical examination is unremarkable, bilateral diagnostic mammogram in 6 months is recommended. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Inter... |
Generate impression based on findings. | Female 34 years old Reason: intermittent gross hematuria History: intermittent gross hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnorm... | Punctate right renal stone. Left ovarian cyst. No evidence of hydronephrosis. |
Generate impression based on findings. | Male 51 years old; Reason: 51 yo male with hx of retroperitoneal ganglioneuroma; please evaluate for changes and or abnormalities History: retroperitoneal ganglioneuroma ABDOMEN:LUNGS BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.... | 1.Solitary retroperitoneal mass as described consistent with retroperitoneal ganglioneuroma. |
Generate impression based on findings. | Reason: copd,gerd, lung transplant eval History: shortness of breath LUNGS AND PLEURA: Severe emphysema, centrilobular predominant, not significantly changed since the prior CT study.Lingular scarring and possible surgical clips or calcification unchanged.Borderline lower lung zone bronchiectasis.MEDIASTINUM AND HILA: ... | Unchanged severe centrilobular predominant emphysema. No acute abnormality, however. |
Generate impression based on findings. | Female 62 years old Reason: Renal CT Protocol. Pre-Kidney Transplant Evaluation History: Previous CT scan noting renal lesion see comment section ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abn... | Right renal enhancing mass suspicious for papillary cell carcinoma. |
Generate impression based on findings. | Female 61 years old Reason: right hip pain History: right hip pain; right knee pain Right hip: There are mild degenerative changes of the right hip with small osteophytes. There is mild joint space loss. No acute fracture or malalignment.Single view of the pelvis shows aforementioned right hip degenerative change. Addi... | 1.Mild right hip degenerative change.2.Mild to moderate right knee osteoarthritis. |
Generate impression based on findings. | Pain and thickening in the right upper inner breast. Milky right nipple discharge. Patient stopped lactating 11 months ago. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and two right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast paren... | Nonspecific mixed echogenic mass in the right upper inner breast, at site of thickening and pain. This may represent a galactocele, posttraumatic hematoma, inflammatory process or less likely malignancy. Ultrasound guided core needle biopsy is recommended. Results and recommendations were discussed with the patient.BIR... |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Peripheral ground glass opacities effect both upper and lower lung zones, but reticulation, scarring and traction bronchiectasis is basilar predominant.Status post right-sided wedge resection.Although there is a subtle mosaic pattern, expiration series ... | 1. Groundglass opacities with basilar fibrosis is most consistent with NSIP, chronic hypersensitivity or DIP still in the differential diagnosis.2. Right pleural effusion unknown etiology, but the heart is mildly enlarged and could be the cause of this. |
Generate impression based on findings. | Female 70 years old Reason: 70F w/ perforated diverticulitis now s/p sigmoid colectomy on 1/24 (POD#5), Hartmann's and end colostomy now with ileus and rising leukocytosis History: ileus, leukocytosis. ABDOMEN:LUNG BASES: Nonspecific small soft tissue density in the left lower breast is unchanged.There are new moderate... | Postsurgical ileus and other postsurgical changes. Minimal ascites no evidence of loculation to suggest abscess.New moderate-sized bilateral pleural effusions and bibasilar atelectasis or consolidation. Rule out infection.Cholelithiasis.Stable small left breast nodule. |
Generate impression based on findings. | Male 34 years old Reason: tongue cancer s/p RT with worsening sweling - post RT inflam vs infection vs POD History: tongue pain/swelling CHEST:LUNGS AND PLEURA: Right apical ill-defined nodule measuring up to 10 mm (series 5, image 45) which is suspicious for primary lung malignancy or metastasis. Additional nonspecifi... | 1. Right ill-defined apical nodule suspicious for primary lung cancer or metastasis in patient with known malignancy. 2. Three additional nonspecific nodular opacities which could also represent metastasis. 3. No evidence of venous stenosis. |
Generate impression based on findings. | Male, 48 years old, with sinusitis, URI x 4 weeks, low grade fevers, Mild mucosal thickening is evident in the frontal sinuses, slightly progressed on the left. The frontoethmoidal recesses are narrowed by mucosal thickening.The ethmoid air cells show progressive opacification. The sphenoid sinuses show progressive per... | Progressive paranasal sinus opacification and/or mucosal thickening which likely reflects progressive sinus inflammatory disease. |
Generate impression based on findings. | 4-year-old female with suspected sepsisVIEW: Chest AP (one view) 01/29/15 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. Right pleural effusion. No pneumothorax. Right basilar and upper lobe opacities likely represent infection. | Right upper and lower lobe pneumonia with associated pleural effusion. |
Generate impression based on findings. | 7-month-old male with dysphagiaEXAMINATION: Oropharyngeal motility study 01/29/15 Julia Ecclestone, speech and language therapist, supervised the examination.82 seconds of fluoroscopy was used.Patient was given thin fluids through slow flow nipple. Half-strength nectar thick fluids was also given through slow flow and ... | Laryngeal penetration with half-strength nectar via slow flow nipple and nectar thick via standard nipple from home. Tracheal aspiration with thin liquids.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Status post fall. Evaluate for fracture Three views of the right foot reveal an oblique fracture of the diaphysis of the fifth metatarsal. There is slight lateral displacement of the distal fracture fragment. Note is made of a hallux valgus deformity. | Metatarsal fracture fifth digit |
Generate impression based on findings. | 79 year-old female with fall, L4/5 back pain Lumbar spine: There is compression deformity of the L5 vertebral body. Additional mild compression deformities of the upper lumbar vertebrae are also noted. Severe degenerative disk disease affects the visualized lower thoracic spine. Moderate degenerative disk disease and f... | L5 vertebral body compression fracture which is age indeterminate given the lack of comparison imaging. |
Generate impression based on findings. | History of stem cell transplant admitted for RSV, hypoxemia, rule out infection LUNGS AND PLEURA: Scattered nodular opacities, some clustered, for example in the superior segment of the right lower lobe (series 5, image 37), and the left upper lobe (series 5, image 34). Scattered pulmonary micronodules appear similar t... | 1.Scattered nodular opacities, some clustered suspicious for infection, possibly atypical, including fungal and viral etiologies.2.Hepatic steatosis and splenomegaly. |
Generate impression based on findings. | 57-year-old female with hip pain after fall on ice No hip fracture is visualized. Mild degenerative osteoarthritis affects the right hip. Hardware components of a total left knee arthroplasty device are situated near anatomic alignment without fracture evident. Note is made of periosteal bone formation between the pros... | No fracture evident. Left TKA in near anatomic alignment. |
Generate impression based on findings. | 28 year old male status post ORIF Sideplate with screws including two syndesmotic screws affix the distal fibula in near anatomic alignment. Two additional screws affix the medial malleolus. A fracture fragment along the medial aspect of the distal fibular diaphysis is again noted. | Orthopedic fixation of ankle fractures as described above. |
Generate impression based on findings. | Exam slightly limited due to slice thickness and lack of fat suppressed and thin section postcontrast images.There are postoperative findings related to sinonasal tumor excision including a left sphenoidectomy, partial resection of the nasal septum, resection of the left lamina papyracea and partial ethmoidectomy. The... | 1.No definite evidence of recurrent or residual tumor.2.Increased nonspecific opacification within the left frontal, right anterior ethmoid and right maxillary sinuses.3.Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | Injured ankle 3 weeks ago with lateral tenderness Three views of the left ankle reveal some mild lateral soft tissue swelling. No fractures or dislocations. | No fractures or dislocations |
Generate impression based on findings. | 86-year-old female with pain, evaluate for osteoarthritis Mild to moderate arthritis affects bilateral hips. No fracture is noted. | Osteoarthritis, as above. |
Generate impression based on findings. | 82-year-old male with right hip pain There is mild sharpening of the tibial spines, consistent with mild osteoarthritis, particularly given the patient's age. Alignment is within normal limits. No joint effusion or fracture. | Mild osteoarthritis. |
Generate impression based on findings. | Recurrent endometrial cancer, now on hormonal therapy, assess disease status. There are no significantly enlarged cervical lymph nodes by size criteria. There is a partially-imaged right supraclavicular lipoma. The thyroid and major salivary glands are unremarkable. There are mild atherosclerotic calcifications at the ... | 1. No evidence of metastatic disease in the neck.2. Nonspecific unchanged left apical lung nodule that measures up to 4 mm. Please refer to the separate chest CT report for additional details. |
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