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Generate impression based on findings. | 58-year-old male with right shoulder pain Moderate osteoarthritis affects the right AC joint. A benign bone island is again noted within the humeral head/neck. Minimal degenerative changes affect the glenohumeral joint.Mild osteoarthritis affects the left AC joint. Minimal osteoarthritic changes affect the glenohumeral... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | 45-year-old female with pain There is approximately 5 degrees varus alignment of the knee relative to the neutral mechanical axis. Moderate to severe osteoarthritis affects the knee. | Osteoarthritis and mild varus alignment. |
Generate impression based on findings. | 53-year-old female status post left TKA Hardware components of a total knee arthroplasty device are situated in near-anatomic alignment without evidence of complication. Gas, drain and staples within the soft tissues reflect recent surgery. | TKA, without evidence of complication. |
Generate impression based on findings. | 38-year-old female with knee pain and swelling Sharpening of the tibial spines and small tibiofemoral osteophytes consistent with osteoarthritis. No fracture or malalignment.No evident effusion. | Mild osteoarthritis without fracture or malalignment.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 10-year-old female with newly diagnosed polyarticular juvenile idiopathic arthritis.VIEWS: Right hand AP/lateral, left hand AP/lateral (4 views) 01/29/15 Soft tissue swelling about the PIP joints bilaterally. No specific evidence of arthritis is seen. Alignment is anatomic. No acute fracture or malalignment. | Soft tissue swelling about the PIP joints without additional specific evidence for arthritis. |
Generate impression based on findings. | 38 years, Male. Reason: 38M with ? bowel angioedema, peritonitis; concern for free air History: eval for free air Redemonstration is gas-filled dilated loops of small bowel compatible with small bowel obstruction. Faint lucency along the liver edge is likely fat deposition and is not free air. No gross intraperitoneal ... | 1.No gross intraperitoneal free air is identified. Continue serial imaging as clinically indicated.2.Enteric tube side port is in the esophagus as mentioned in the previous report. Recommend advancing 7 to 10 cm. |
Generate impression based on findings. | 62-year-old male with history of T-cell non-Hodgkin's lymphoma, status post transplant in suspected CR. Compared to CT neck dated 4/9/2012, there is interval development of bilobed mass versus two adjacent ovoid masses involving the superficial lobe of the right parotid gland. This mass measures in total 27 x 15 x 15 m... | 1. Single bilobed mass versus two adjacent ovoid masses involving the right superficial parotid gland. Finding is new since 4/9/2012. Differentials include pathologic intraparotid lymphadenopathy versus primary parotid gland neoplasm. May consider MRI, ultrasound, or tissue sampling as clinically appropriate.2. No othe... |
Generate impression based on findings. | Female, 47 years old, with history of breast cancer and possible supraclavicular adenopathy. Nodular soft tissue is evident within the superior mediastinum measuring 23 x 14 mm (image 67 series 8). This may represent a lymph node, or less likely, fluid within a pericardial recess.Also noted is an ill-defined area of so... | 1. A well-circumscribed nodular soft tissue process within the superior mediastinum is suspected to represent a lymph node. This could also reflect a pericardial recess, though this is felt to be less likely given its relatively high position in the mediastinum.2. Also noted is an ill-defined area of soft tissue thicke... |
Generate impression based on findings. | 66 year old female s/p placement of right femoral triple lumen catheter. Exam limited by patient motion. Right femoral central venous catheter tip at L5/S1 level, likely in the right common iliac vein. Nonobstructive bowel gas pattern. Multiple calcified uterine fibroids as seen on prior CT. Extensive vascular calcific... | Right femoral catheter tip at L5/S1 level, likely in the right common iliac vein. |
Generate impression based on findings. | Male 8 years old Reason: renal clear cell sarcoma; assess for progression of disease LIVER: The liver measures 9.4 cm in length and demonstrates appropriate parenchymal echogenicity without evidence of intrahepatic biliary ductal dilatation or focal mass lesion. The main portal vein is patent demonstrating hepatopetal ... | 1.Persistent infrarenal IVC thrombus.2.No evidence of disease recurrence within the nephrectomy bed. |
Generate impression based on findings. | 54 years, Female. Reason: Please evaluate for constipation, ileus, other cause of nausea, distention, abdominal pain, and hard stools. Moderate stool burden. Nonobstructive bowel gas pattern. Scattered pelvic phleboliths. | Moderate stool burden. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Patient with increased swelling in the face and neck concern for SVC syndrome LUNGS AND PLEURA: Biapical radiation changes. New bilateral pleural effusions. Reference right lower lobe pulmonary nodule measures 7 mm (series 4, image 41), previously 7 mm. Basilar ground-glass opacities with foci of more dense consolidati... | 1.Infiltrative soft tissue in the right neck with markedly attenuated but patent jugular veins centrally. Additionally there is possible occlusion of the right subclavian vein at the thoracic inlet. The SVC is patent. 2.New bilateral pleural effusions. 3.Basilar pulmonary opacities compatible with aspiration. 4.Stable ... |
Generate impression based on findings. | Sinus pain and pressure, which temporarily improves with antibiotic and steroids, occurring repeatedly over the last year. There is moderate mucosal thickening in the alveolar recess of the right maxillary sinus. There scattered opacification of the ethmoid sinuses bilaterally. There is minimal mucosal thickening in th... | Scattered paranasal and nasal cavity opacification in a sporadic pattern that is compatible with rhinosinusitis. |
Generate impression based on findings. | Male 83 years old; Reason: eval for metastases History: prostate cancer, rising PSA No abnormal osseous foci are identified to indicate metastatic disease.Focus of increased activity in the left mandible likely related to periodontal disease. Increased activity throughout the cervical and thoracic spine is likely degen... | No evidence of bone metastases. |
Generate impression based on findings. | 19 year-old female with history of recurrent pelvic abscess seas and terminal ileal inflammation. Drain was removed on 1/19/15, evaluate for abdominal abscess/pelvic abscess and terminal ileal inflammation. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN:... | Significant inflammation involving the TI, distal ileum, pelvic small bowel loops and sigmoid colon causing fistulous communications between these bowel loops and abscesses in the pelvis. Small amount of ascites. Inflammation of the bowel loops as worsened but the collections has decreased in size within the interval.I... |
Generate impression based on findings. | 71-year-old with history of left breast cancer status post mastectomy. No current 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 heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Given the patient's breast density, a screening automated whole breast ultrasound could be considered. Results and recommendation were discussed with the p... |
Generate impression based on findings. | Reason: recurrent squamous cell carcinoma of the head/neck History: squamous cell carcinoma of the head/neck CHEST:LUNGS AND PLEURA: No significant abnormality noted, with no evidence of pulmonary or pleural metastases. MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.A right jugular catheter term... | 1. No evidence of metastases. 2. Status post splenectomy, bilateral nephrectomy and renal transplant.3. Aortoiliac irregular mural thrombus. |
Generate impression based on findings. | Male 67 years old; Reason: eval for mets History: prostate cancer, rising PSA No abnormal osseous foci are identified to indicate metastatic disease.Slight interval increased activity of the left mandibular focus compared to prior bone scan. Increased activity in the bilateral shoulders, knees, ankles and spine is like... | 1. No suspicious osseous foci are identified to indicate metastatic disease.2. Left mandibular focus with slight interval progression is likely related to progression of periodontal disease or conceivably osteonecrosis. Clinical correlation is requested. |
Generate impression based on findings. | History of right mastectomy in 2011 for invasive ductal carcinoma and DCIS. Patient received tamoxifen. History of breast cancer in sister and paternal cousin. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which ... | Stable postsurgical changes of the left breast. Stable left breast mass. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign findi... |
Generate impression based on findings. | Female 38 years old Reason: history of sertoli-leydig tumor in past s/p resection now with elevated testosterone History: constitutional only CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIAR... | New, left adnexal multicystic mass with solid component. Right ovary cannot be well evaluated with the CT. Pelvic ultrasound and/or MRI may be helpful for better characterization of left adnexal mass and right ovary. Small amount of fluid in the pelvis. |
Generate impression based on findings. | Male 2 years old Reason: evaluate healing fracture History: right ankle fractureVIEWS: Right ankle AP lateral and oblique (3 views) 1/29/2015 Overlying cast material obscures fine bone detail. Oblique fracture of the distal tibial diaphysis with persistent lateral displacement of the distal fracture fragment, without s... | Distal tibial fracture as above. |
Generate impression based on findings. | 64 year old female with abdominal bruit and pulsatile mass on exam, evaluate for abdominal aortic aneurysm. LIMITED ABDOMEN:ABDOMINAL AORTA: The abdominal aorta is normal in size and appearance, measuring 2.4 cm in its maximum diameter. There is no evidence of abdominal aortic aneurysm. There are atherosclerotic calcif... | No evidence of abdominal aortic aneurysm.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | History of squamous cell carcinoma with recurrence. There is now a large heterogeneous mass centered in the left submental space, along the edge of the reconstruction flap, measuring greater than 4.5 cm in the craniocaudal dimension. This mass appears to infiltrate the soft tissues of the floor of the mouth. A large, n... | 1. Recurrent tuimor in the left submental space, which insinuates along the reconstruction flap and infiltrates the soft tissues of the floor of the mouth, which is compatible with disease recurrence.2. New conglomerate left level III/IV necrotic lymph nodes, consistent with metastatic disease.3. Diffuse osteopenia and... |
Generate impression based on findings. | 17 year-old male with history of scoliosis and hardware failureVIEWS: Thoracolumbar spine PA/lateral (two views) 01/29/15 Exam is performed in a brace. Redemonstration of marked kyphosis at the thoracolumbar junction measuring approximately 110 degrees, previously 116 degrees. The rib strut in the upper lumbar spine ap... | Unchanged postoperative changes with thoracolumbar kyphosis and levoscoliosis. |
Generate impression based on findings. | Female 7 years old Reason: evaluate healing of fracture History: left supracondylar fracture status post pinningVIEWS: Left elbow AP oblique and lateral (3 views) 1/29/2015 Three K wires affix a supracondylar fracture in near-anatomic alignment. Overlying cast material obscures fine bone detail. | Supracondylar fracture and hardware as above. |
Generate impression based on findings. | Male 57 years old Reason: Evaluate for RUQ pain in pt with previous history of constipation ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormali... | Unremarkable study. |
Generate impression based on findings. | Male 78 years old; Reason: hypercalcemia, likely hyperparathyroidism, eval for abnl parathyroids There is a small focus of subtle persistent activity just inferior to the left thyroid lobe compatible small parathyroid adenoma.The right thyroid lobe appears to measure 4.2 cm and the left lobe 4.4 cm in length. | Small parathyroid adenoma just inferior to the left thyroid lobe. |
Generate impression based on findings. | s/p 14 months R thoracotomy, RLL and intermediate bronchial sleeve for T1aN0 stage IA poorly differentiated adenocarcinoma, 6 mo f/u LUNGS AND PLEURA: Right hemithorax volume loss status post right lower lobectomy. Stable right pleural effusion.MEDIASTINUM AND HILA: No lymphadenopathy. Mild coronary calcifications. No ... | Postoperative changes without evidence of disease recurrence. |
Generate impression based on findings. | 52-year-old male status post lumbar fusion Posterior rods and screws affix the L3 and L4 vertebral bodies. A new left lateral plate with screws affixes L2 and L3. Bone graft is noted within the L2/3 intervertebral disk space. No evidence of hardware complication. There is redemonstration of the bilateral L2 pars defect... | Lumbar fixation as described above without evidence of hardware complication. |
Generate impression based on findings. | Female 45 years old Reason: pelvic absess, patient s/p IR drain at OSH History: gluteal and abdominal pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Presumed hemangioma, best ... | Multiloculated pelvic abscess with internal drainage. Mild dilatation of the proximal small bowel loops is likely due to focal ileus involving the small bowel segments in the pelvis. |
Generate impression based on findings. | Recurrent squamous cell carcinoma of head/neck History: recurrent squamous cell carcinoma of head/neck. Temporal Bones: There are post-treatment findings in the left preauricular region with parotidectomy. There is an infiltrative lesion in the preauricular subcutaneous tissues with extension into the tragus, external ... | 1. Post-treatment findings in the left preauricular region with evidence of an ill-defined tumor recurrence that extends into a portion of the auricle, external auditory canal with possible minimal erosion of the, and temporomandibular joint with erosion of the posterior aspect of the mandibular condyle. 2. Denervation... |
Generate impression based on findings. | Evaluate fracture. Three views of the left foot reveal oblique fractures of the fourth and fifth metatarsals. Fracture lines are indistinct consistent with healing. No change in position from the previous. Note is made of a hallux valgus deformity | Healing fourth and fifth metatarsal fractures |
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 There is a large uninterrupted region of moderately increased activity throughout the right ischium and a portion of the right ilium which correlates with the cortical a... | Large abnormal osteoblastic activity involving the right hemipelvis and left femur. Both bone scan and CT correlation are more suggestive of Paget's disease, although metastatic disease cannot be excluded. Plain films of the left femur may be obtained for further evaluation as the lower extremities were beyond the fiel... |
Generate impression based on findings. | Male 4 months old Reason: evaluate healing fracture left proximal humerus History: left proximal humerus fractureVIEWS: Left humerus AP and lateral (two views) 1/29/2015 Again seen is the transverse fracture through the proximal humeral diaphysis with increasing sclerosis and periosteal reaction consistent healing. The... | Healing proximal humeral fracture. |
Generate impression based on findings. | Female 59 years old; Reason: 59y/o female with right breast IDC; check for metastatic disease No abnormal osseous foci are identified to indicate metastatic disease. | No evidence of bone metastases. |
Generate impression based on findings. | Male 32 years old; Reason: DOE, Lung Transplant Evaluation The comparison chest radiograph performed on 1/10/2015 demonstrates upper lobe airspace opacity. The ventilation images show patchy decreased ventilation bilaterally on single breath images, more notable in the lower lobes with eventual equilibration. There is ... | Heterogeneous bilateral matched ventilation perfusion defects, right slightly worse than left, as quantified above. |
Generate impression based on findings. | Male, 65 years old, with history of metastatic renal cell cancer, baseline exam prior to starting new systemic therapy. No evidence of mass effect, edema or pathologic enhancement is seen to suggest intracranial metastatic disease.Minimal periventricular hypoattenuation is seen compatible with age indeterminate microva... | 1.No evidence to suggest intracranial metastatic disease.2.Age indeterminate microvascular ischemic disease. |
Generate impression based on findings. | Male 65 years old Reason: baseline exams prior to starting systemic therapy; please provide bi-dimensional measurements History: metastatic renal cell cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:... | Metastatic liver lesions and right lower quadrant soft tissue nodule.Nonocclusive thrombus in the infrahepatic IVC. Due to the postsurgical changes involving the IVC and nonopacified small bowel loops in the right nephrectomy bed, evaluation of the nephrectomy bed and IVC is suboptimal. MRI may be helpful for better ev... |
Generate impression based on findings. | Male 20 years old Reason: left hand injury History: left hand injury There is a comminuted fracture of the metaphysis of the third metacarpal. There is mild palmar angulation. No intra-articular extension. There is soft tissue swelling. | Comminuted third metacarpal fracture as detailed above. |
Generate impression based on findings. | 78 year old female with gross ankle dislocation Ankle: There is an oblique fracture of the distal fibula, a transverse fracture of the medial malleolus and oblique posterior malleolus fracture with proximal displacement of the fracture fragment and cortical step off along the joint. Widening of the of the medial tibiot... | Ankle fractures as described above. |
Generate impression based on findings. | Male 66 years old pain Moderate osteoarthritis affects the right shoulder joint with developing osteophytes and joint space loss. No acute fracture or dislocation.Mild osteoarthritis affects the right AC joint. Incidental note is made of a right lower lobe lung opacity. | 1.Right shoulder osteoarthritis.2.Right lung mass. |
Generate impression based on findings. | 57 years, Male. Reason: gj tube position, was pulled out some, had to readvance, feel tension History: none GJ tube tip project over the fundus. Nonobstructive bowel gas pattern. Heavy vascular calcification. | GJ tube tip project over the fundus. |
Generate impression based on findings. | Reason: pulmonary nodule seen 1/2014, need 12-mo f/u. Likely hamartoma History: none LUNGS AND PLEURA: This marginated right upper lobe 6-mm nodule (series 4/32) unchanged over the past 12 months, compatible with a hamartoma or intrapulmonary lymph node. However there is no reliable evidence of calcification or interna... | Stable 6-mm right upper lobe nodule with benign morphology compatible with a hamartoma or intrapulmonary lymph node, and additional stable micronodules compatible with postinfectious granulomas or lymph nodes.No further CT follow-up is recommended for these findings. |
Generate impression based on findings. | Male, 16 years old, with abnormal movements. The cerebral and cerebellar hemispheres and brainstem are normal in attenuation and morphology. No intracranial hemorrhage or abnormal extra-axial fluid is seen. There is no evidence of mass effect or parenchymal edema. The lateral ventricles are normal in size and morpholog... | No acute intracranial abnormality. |
Generate impression based on findings. | Male 85 years old; Reason: history of bladder cancer, please evaluate with interval CT History: history of bladder cancer, please evaluate with interval CT CHEST:LUNGS AND PLEURA: Granuloma right lower lobe. No other lung nodules. Mild pleural thickening is little posterior aspect of the right chest.MEDIASTINUM AND HIL... | Clusters of small mediastinal nodes. Heavy atherosclerotic disease chest abdomen pelvis. Right pleural thickening. Gynecomastia. Bilateral nephroureteral stents. Presumed small bladder diverticulum with air. No definite evidence of metastatic disease. |
Generate impression based on findings. | Female 12 years old Reason: Et tube in place? History: intubatedVIEW: Chest AP (one view) 1/29/2015 The left upper shunt a PICC terminates in the superior vena cava. The endotracheal tube is at the level of the carina. The NG tube tip terminates in the body of the stomach with the side-port at the level of the junction... | Endotracheal tube tip at the level of the the carina. |
Generate impression based on findings. | Female, 36 years old s/p right adrenalectomy. RFO trigger: Multiple surgical teams, counts correct. No unexpected radiopaque foreign body. Right upper quadrant surgical clips and skin staples. Nonobstructive bowel gas pattern. | No unexpected radiopaque foreign body. Findings were discussed with the attending physician, Dr. Angelos, via telephone on 1/29/2015 at 14:15. |
Generate impression based on findings. | 50 year old with palpable left breast mass. Three standard views of both breasts and left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Enlarged obscured mass... | Bilateral cysts. No mammographic evidence of malignancy. The patient will be seeing Dr. Chhablani after this exam for consideration of aspiration. As long as the patient's physical examination remains stable, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patie... |
Generate impression based on findings. | 53-year-old male with history of leg pain status post chronic trauma. Left tibia/fibula: There is intra-medullary rod with multiple screws affixing a healed comminuted fracture of the proximal tibial diaphysis in anatomic alignment. There is no evidence of hardware complication. There are additional healed fractures of... | Postsurgical changes without evidence of hardware complication. |
Generate impression based on findings. | Reason: 38 y.o female with PH of Right breast cancer 2 x2 cm mass, completed chemo TCHPRADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected subcutaneously. Following injection, intraoperative probe localization was performed. No images we... | Successful right breast injection for intraoperative identification of sentinel lymph node. |
Generate impression based on findings. | 72-year-old female with history of knee pain. There are tricompartmental osteophytes as well as severe joint space narrowing especially in the lateral compartment compatible with severe osteoarthritis. There is a small joint effusion as well as a slight genu valgus deformity. Moderate osteoarthritis affects the left kn... | Osteoarthritis as above. |
Generate impression based on findings. | Reason: 41 y.o female with multicentric Right breast cancer, lesion barely palpable, need lymph for SLBX surgery on 1-30-2015 History: Rt breast cancerRADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 1.1 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A ... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Painless scrotal swelling on right side, evaluate for hydrocele or other pathology RIGHT TESTIS: Measures 4.1 x 3.4 x 3 cm. No focal parenchymal lesion. Symmetric parenchymal flow, no evidence of acute orchitis or torsion.LEFT TESTIS: Measures 3.9 by 2.8 x 2.2 cm. No focal parenchymal lesion. Symmetric parenchymal flow... | Right greater than left hydroceles.Left-sided varicocele. |
Generate impression based on findings. | Again seen are postsurgical changes of prior endoscopic sinus surgery including bilateral uncinectomies and bilateral ethmoidectomies. There is trace mucosal thickening involving the left frontal and right maxillary sinuses. The frontal and maxillary sinuses are otherwise clear. The ethmoid cavity and residual ethmoid... | No significant paranasal sinus disease. There is trace mucosal thickening in the right maxillary and left frontal sinuses; paranasal sinuses are otherwise clear. |
Generate impression based on findings. | Male 53 years old; Reason: Please evaluate residual function in both kidneys. History: Plan for nephrectomy prior to renal transplant due to polycystic kidneys. There is no visualized perfusion bilaterally and neither kidney demonstrates visible uptake or excretion. Although there is no demonstrable uptake or excretion... | There is no demonstrable flow or function in either renal parenchyma or upper collecting systems. Note a trace amount of excretory urine activity is visualized in the lower pelvis. |
Generate impression based on findings. | 2-cm palpable mass at the 9 o'clock position of the right breast. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: Three standard views of both breasts and 3 right spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. The r... | Bilateral gynecomastia, right slightly more prominent than left. No mammographic evidence for malignancy. Patient's gynecomastia should be managed clinically. Results and recommendations were discussed with the patient and his wife.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 57 year old with left breast mass and tenderness. Three standard views of both breasts and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution... | Simple cysts at the site of palpable concern. Cyst aspiration for symptomatic relief was discussed with the patient, and that can be an option based on her symptoms. Otherwise, routine mammography should be performed in one year. If there is any question of change of cyst size here or for any other area in her breasts,... |
Generate impression based on findings. | History of fall with loss of consciousness. There is a region of encephalomalacia with surrounding hypoattenuation of the left medial inferior temporal lobe, lateral to the quadrigeminal cistern, which suggests age-indeterminant infarction. There is no evidence of intracranial hemorrhage or mass. Aside from ex vacuo di... | 1. No evidence of intracranial hemorrhage or skull fracture.2. Encephalomalacia and surrounding hypoattenuation in the medial left inferior temporal lobe is suggestive of a chronic left posterior cerebral artery infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this repor... |
Generate impression based on findings. | 32-year-old female with history of finger 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 symptoms. |
Generate impression based on findings. | Female 59 years old Reason: 59y/o female with right breast IDC; check for metastatic disease History: 59y/o female with right breast IDC; check for metastatic disease CHEST:LUNGS AND PLEURA: Nonspecific right posterior lower lobe subpleural nodule likely representing atelectasis (series 4, image 6). Additional nonspeci... | Right breast mass with enlarged, likely necrotic, right axillary lymph nodes consistent with metastatic disease.No specific evidence for lung metastasis. |
Generate impression based on findings. | Lung adenocarcinoma follow-up CHEST:LUNGS AND PLEURA: Postoperative changes of right lower lung wedge resection with residual soft tissue thickening along the suture line. Mixed solid and ground glass nodule in the left upper lobe measures 22 x 18 mm (series 4, image 52), unchanged. Interval resolution of reticular opa... | 1.Mixed solid and ground-glass left upper lobe nodule is unchanged dating back to 2012 but remains suspicious for indolent adenocarcinoma.2.Interval resolution of anterior left upper lobe reticular opacity.3.No evidence of metastatic disease. |
Generate impression based on findings. | 61 year old female with history of pancreas cancer. Evaluate and compare to prior. Status post Whipple on 12/18/2014. CHEST:LUNGS AND PLEURA: Mild apical emphysema and scarring. Minimal bibasilar atelectasis. MEDIASTINUM AND HILA: Heart size within normal limits, and there is no pericardial effusion. No significant med... | 1.Postoperative findings of Whipple procedure have decreased somewhat over the interval, with less mesentery stranding and slightly smaller fluid collection in the surgical bed.2.Pancreatic mass and reference lymph nodes are not significantly changed in size. |
Generate impression based on findings. | Frontal sinus: There is partial opacification of the left frontal ethmoidal recess. The frontal sinus and frontoethmoidal recesses are otherwise clear.Anterior ethmoids: There is mild mucosal thickening in the left anterior ethmoid air cells. The right anterior ethmoid air cells are clear.Maxillary sinuses: The maxill... | 1. No significant sinus inflammatory changes.2. Chronic left lamina papyracea fracture.3. Postoperative changes along the right mandible with scattered dental findings.4. Septal perforation. |
Generate impression based on findings. | 61-year-old female with history of pain and stiffness. There is no acute fracture or dislocation. Alignment is anatomic. | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | Cough, smoking history, COPD LUNGS AND PLEURA: Moderate centrilobular emphysema. Right lower lobe subpleural nodule measures 6 mm (series 5, image 81).MEDIASTINUM AND HILA: No lymphadenopathy. Severe coronary artery and thoracic aorta calcifications. No pericardial effusion.CHEST WALL: Flowing ossification along the ve... | Emphysema and 6-mm right lower lobe nodule. Follow up CT is recommended in 6 months in this high-risk patient. |
Generate impression based on findings. | 31-year-old male with history of ORIF. Hardware components of plate and screw devices are seen affixing a spiral fracture of the distal humeral diaphysis in near-anatomic alignment. We see no evidence of hardware complication. Continued callus formation indicates interval healing. | Orthopedic fixation of a distal humerus fracture as above. |
Generate impression based on findings. | 50 year-old male with history of trauma and difficulty with extension. There are multiple tiny metallic fragments about the knee joint. There is no evidence of acute fracture. Tricompartmental osteophytes and joint space narrowing especially in the lateral compartment with bone-on-bone apposition compatible with severe... | Degenerative arthritic changes as above without acute abnormality. |
Generate impression based on findings. | Reason: history of multiple scca with recurrence dermal under chin and on chest wall History: history of multiple scca with recurrence dermal under chin and on chest wall LUNGS AND PLEURA: Biapical scarring compatible with radiation reaction.Subpleural nodular scar like opacity in the superior segment of the right lowe... | No evidence of metastatic disease. |
Generate impression based on findings. | 54 years, Female. Reason: please comment stool burden History: constipation and abdominal pain Prominent loops of small bowel seen in the upper quadrant, which may represent developing ileus or partial SBO. Moderate to large stool burden similar to prior CT study. | Prominent loops of small bowel seen in the upper quadrant, which may represent developing ileus or partial SBO. Moderate to large stool burden. Continued follow up suggested. |
Generate impression based on findings. | 16-year-old male with left ankle fractureVIEWS: Left ankle AP/lateral (two views) 01/29/15 Overlying cast material obscures fine bone detail. A single screw traversing the distal epiphysis of the left tibia is again seen without hardware complication. A triplane fracture through the tibia and oblique fracture through t... | Healing fractures and orthopedic screw placement without evidence of hardware complication. |
Generate impression based on findings. | Metastatic breast cancer, rheumatoid arthritis on methotrexate LUNGS AND PLEURA: Right upper lobe micronodule measures 3 mm (series 4, image 43). There are additional scattered pulmonary micronodules, some calcified. Subpleural reticulation in the anterior left upper lobe secondary to radiation. Bilateral lower lobe an... | 1.Post radiation changes in the left lung without specific evidence of metastatic disease.2.3 mm right upper lobe pulmonary micronodule likely represents a benign intrapulmonary lymph node. Recommend follow up CT in 3 to 6 months to confirm stability. |
Generate impression based on findings. | Female 64 years old Reason: Metastatic ovarian cancer needs re-evaluation and compare to previous OSH scan. Measurements when applicable. History: Metastatic ovarian cancer needs re-evaluation and compare to previous OSH scan. Measurements when applicable. CHEST:LUNGS AND PLEURA: Scattered, nonspecific micronodules.MED... | New, small hypodense liver lesions near the dome. These cannot be optimally characterized with this single phase CT. However, given that they are new from July 2013, metastatic disease cannot be excluded. MRI of the liver may be helpful for further characterization of these lesions, if clinically indicated. |
Generate impression based on findings. | History of right lumpectomy 4/2014 with reconstruction for invasive ductal carcinoma associated with an encapsulated papillary carcinoma and DCIS. Patient received radiation and is on hormonal therapy. No new breast complaints. Three standard views of both breasts, right laterally exaggerated CC view, two right spot ma... | Expected 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... |
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. Hypodensity in the white matter laterally adjacent to the left basal ganglia is nonspecific. There is no extraaxial fluid collection. Minimal mucosal thickening of the right maxillary and s... | 1.An empty sella and dilatation of the optic nerve sheaths are nonspecific findings but can be seen in the setting of pseudotumor cerebri. Please correlate clinically, and MRI may be obtained as clinically indicated.2.Minimal white matter hypodensity in left external capsule is nonspecific.3.No evidence of stenosis or ... |
Generate impression based on findings. | History of squamous cell carcinoma with recurrence. There is now a large heterogeneous mass centered in the left submental space, along the edge of the reconstruction flap, measuring greater than 4.5 cm in the craniocaudal dimension. This mass appears to infiltrate the soft tissues of the floor of the mouth. A large, n... | 1. Recurrent tumor in the left submental space, which insinuates along the reconstruction flap and infiltrates the soft tissues of the floor of the mouth, which is compatible with disease recurrence.2. New conglomerate left level III/IV necrotic lymph nodes, consistent with metastatic disease.3. Diffuse osteopenia and ... |
Generate impression based on findings. | Male 35 years old Reason: HBV, eval for HCC History: HBV LIVER: Liver measures 14.4 cm. Coarse echotexture of the liver. No focal liver lesions.BILIARY TRACT: Subcentimeter gallbladder polyps unchanged. No evidence of intra-or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLE... | Coarse echotexture of the liver. Subcentimeter gallbladder polyps. |
Generate impression based on findings. | History of benign left breast aspiration. Large keloids present between both breasts. Intermittent left breast pain. History of breast cancer in sister. 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 de... | Bilateral intramammary lymph nodes and left sebaceous cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: N... |
Generate impression based on findings. | 4-month-old male with nonaccidental traumaEXAMINATION: Skull AP/lateral, thoracolumbar spine AP/lateral, right humerus AP, left humerus AP, right forearm AP, left forearm AP, right hand PA, left hand PA, ribs right oblique/left oblique, right femur AP, left femur AP, right tibia fibula AP, left tibia fibula AP, right f... | Normal examination. |
Generate impression based on findings. | History of right breast pain 3 weeks ago which has subsequently subsided. No current breast complaints. History of breast cancer in maternal grandmother and maternal great aunt. 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 sc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended beginning at age 40. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 69 year old status post aspiration and biopsy of the right breast. Interval imaging for clip evaluation and for a residual lesion. 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 i... | Cystic and solid mass at the site of previous aspiration/biopsy. An associated biopsy clip is noted. Findings were discussed with Dr. Chhablani. A palpably guided excision will be discussed with the patient given the pathology results from this institution.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take App... |
Generate impression based on findings. | Reason: history of bladder cancer, please evaluate with interval CT History: history of bladder cancer, please evaluate with interval CT LUNGS AND PLEURA: 4-mm micronodules adjacent to the right major fissure (series 6/47) unchanged, compatible with an intrapulmonary lymph node.Small calcified granulomas in the right l... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | Female 8 years old Reason: r/o pulm process History: chest painVIEWS: Chest PA/lateral (two views) 1/29/2015 Small right middle lobe opacity likely reflects atelectasis. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax is seen. | Small right middle lobe opacity likely reflects atelectasis. |
Generate impression based on findings. | Male 12 years old Reason: R/O TORSION History: Acute pain and tenderness right testis s/p struck on the testis by a ball during a dodgeball game, no bruises, cremasteric reflex ++ RIGHT TESTIS: The right testicle measures 3.1 x 1.9 x 1.6 cm demonstrates homogeneous parenchymal echogenicity, without evidence of edema, f... | Normal examination. |
Generate impression based on findings. | 12-year-old female with joint pain, evaluate for erosion or synovitisVIEWS: Left foot AP/oblique/lateral, left ankle AP/oblique/lateral, right wrist AP/oblique/lateral, cervical spine AP/lateral neutral, extension, flexion, odontoid view (14 views) 01/29/15 No acute fracture or malalignment is evident. No soft tissue s... | Normal examination. |
Generate impression based on findings. | Female 33 years old Reason: evaluate for bony abnormality History: fall on ice, decreased ROM No joint effusion. Alignment is anatomic. No acute fractures evident.There is mild sharpening of the tibial spines suggestive of early osteoarthritis. | No acute fracture or dislocation. |
Generate impression based on findings. | 61-year-old female with history of prior ankle fracture. Assess for new fracture. The bones are demineralized. There is a plate and screw device affixing a distal fibular fracture. Additionally, there are two screws affixing a medial malleolar fracture. Alignment is anatomic. There is no evidence of hardware complicati... | Postsurgical changes and soft tissue swelling without acute fracture. |
Generate impression based on findings. | History of headache. There is no evidence of acute intracranial hemorrhage. The ventricles appear smaller than expected and there is a partially empty sella. There is no mass effect or herniation. There is moderate mucosal thickening of the left sphenoid sinus, left posterior ethmoid air cells, with resultant opacifica... | 1. No evidence of acute intracranial hemorrhage.2. Smaller than expected ventricular system along with a partially empty sella, is suggestive of pseudotumor cerebri. 3. Findings suggestive of acute sinustis.4. Mild septal deviation to the left with a septal bony spur which touches the left inferior turbinate. I persona... |
Generate impression based on findings. | Male 72 years old Reason: Pleural mesothelioma please evaluate for baseline RECIST criteria. History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: Diffuse pleural thickening with associated pleural fluid.-At the level of the aortic arch, there is pleural thickening measuring up to 13 mm (series 3, image 30) at the 10 o... | 1. Left pleural mesothelioma with measurements as above. Pericardial and chest wall involvement, and extension into the costophrenic sulcus without direct peritoneal invasion.2. Several nonspecific right sided pulmonary nodules, some of which are characteristic of granulomas. One nodule has increased in size and could ... |
Generate impression based on findings. | 53 year old with history of left simple mastectomy with palpable areas of concern in the left axilla and near a left breast surgical scar. A targeted left ultrasound was performed for the two clinical areas of concern. At the more inferior area, near the surgical scar, a heterogeneous collection measuring 2.1 x 2.1 cm ... | No suspicious axillary finding. The patient will have follow-up clinically with Dr. Chhablani today.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | There are postsurgical changes of MCA and Acom aneurysm clippings including a right frontal craniotomy defect with underlying pneumocephalus and extra-axial fluid. There is extensive streak artifact resulting aneurysm clippings. There may be a small amount of layering blood adjacent to the craniotomy defect as well as... | 1.Regions of hypoattenuation within the right frontal lobe and right temporal lobe adjacent to the MCA aneurysm clip may represent post-operative edema, although developing ischemia cannot be excluded. 9 mm right to left midline shift with localized mass effect. Continued follow-up is recommended.2.New mild narrowing a... |
Generate impression based on findings. | Female 7 years old Reason: assess for ETT placement, ARDS History: ARDSVIEW: Chest AP (one view) 1/29/2015, 15:58 ET tube is below the thoracic inlet and above the carina. The NG tube tip is in the body of the stomach. The vagal stimulator device overlies the left chest. Mild rightward curvature to the thoracolumbar sp... | ET tube below thoracic inlet and above the carina. Slightly decreased bilateral small pleural effusions. |
Generate impression based on findings. | Female 38 years old Reason: Right 1.9 cm nodule, please FNA this nodule. The left nodule has already been biopsied RIGHT LOBE MEASUREMENTS: 5.8 x 2.7 x 2.2 cmLEFT LOBE MEASUREMENTS: 7.6 x 4.2 x 2.9 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: A 1.8 x 1.7 x 1.2 cm mixed solid and cystic nodule is identified in the right mi... | Multiple thyroid nodules as detailed above with questionable calcifications within the left isthmus nodule. Successful targeted biopsy of the right lower nodule was performed.US FNA W/IMAGE GUIDANCE, US THYROID SOFT TISSUE NECK; 1/29/2015 2:43 PMCLINICAL INFORMATION AND PRE-OPERATIVE DIAGNOSIS: Female 38 years old Reas... |
Generate impression based on findings. | 78 year old female with history of right ankle fracture and left ankle pain. Right ankle: Overlying cast material limits fine osseous detail. Redemonstrated is a transverse fracture of the medial malleolus and an oblique fracture of the distal fibula. Alignment is slightly improved. There is moderate soft tissue swelli... | 1.Moderate soft tissue swelling and a minimally displaced fracture through the tip of the left fibula.2.Interval partial reduction and casting of right ankle fractures as above. |
Generate impression based on findings. | 60 year-old male with history of psoriasis. Left hand: There is mild osteoarthritis affecting the radiocarpal, basilar and interphalangeal joints. There are no radiographic findings of psoriatic arthritis. Small rounded ossicle adjacent to the trapezium may be the sequela of chronic trauma.Right hand: There is mild ost... | Degenerative changes as above without radiographic findings of psoriatic arthritis. |
Generate impression based on findings. | Evaluate for neoplasm, history of encephalitis RIGHT TESTIS: Measures 5 x 3.5 x 2.8 cm. Parenchymal vascularity within normal limits. No evidence of acute orchitis or torsion. No focal parenchymal lesion.LEFT TESTIS: Measures 5 x 3.4 x 2.6 cm.RIGHT EPIDIDYMIS: Unremarkable.LEFT EPIDIDYMIS: Unremarkable. | Unremarkable exam, no focal testicular lesion delineated. |
Generate impression based on findings. | Female 34 years old Reason: 34 y/o woman with metastatic breast cancer with acute right-sided pleuritic chest pain. Evaluate for PE. History: Right sided pleuritic chest pain. PULMONARY ARTERIES: No evidence of acute pulmonary embolism. Pulmonary arteries is normal in caliber without right heart strain.LUNGS AND PLEURA... | 1. No acute pulmonary embolism.2. Multiple subcentimeter pulmonary micronodules suspicious for metastatic disease.3. Multiple hepatic metastases recently characterized on a chest/abdomen/pelvis CT, unchanged.4. Sclerotic bone metastases of the sternum and thoracic spine, unchanged.PULMONARY EMBOLISM: PE: Negative.Chron... |
Generate impression based on findings. | Reason: right chest pain, abnormal chest X-ray History: as above PULMONARY ARTERIES: Technically adequate examination acute segmental pulmonary embolus in the right upper lobe and subsegmental embolus in many posterior basal segment of the right lower lobe.LUNGS AND PLEURA: Subpleural airspace opacities in the right lo... | Acute pulmonary embolism in the right upper and right lower lobes. The findings were discussed with Dr. Brukner at the time of reporting.PULMONARY EMBOLISM: PE: Positive.Chronicity: Acute.Multiplicity: Multiple.Most Proximal: Segmental.RV Strain: Negative. |
Generate impression based on findings. | 44-year-old male with history of chronic fourth digit ulceration. Evaluate for osteomyelitis. Exam is limited due to patient positioning. The fingers are held in flexion. There are no radiographic findings of acute osteomyelitis. There are chronic changes at the fifth MCP joint. There is fusion of the proximal interpha... | Limited exam. There are no radiographic findings of acute osteomyelitis. Other findings as above. |
Generate impression based on findings. | Female, 62 years old, status post fall, struck head. Head:Sequelae of left frontal tumor resection are demonstrated including evidence of craniotomy, with a region of cystic encephalomalacia involving the left frontal lobe containing coarse probably dystrophic calcification. The appearance of these findings has not sig... | 1. Redemonstration of sequelae related to craniotomy and tumor resection, but no evidence of any acute intracranial abnormality.2. Right periorbital soft tissue injury without evidence of fracture.3. No cervical spine fracture or dislocation. |
Generate impression based on findings. | Trauma.VIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), 1/29/2015 , 16:25 The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is seen. Vertebral body heights and disk spaces are normal... | Normal chest, cervical spine and pelvis. |
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