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Generate impression based on findings. | Mild prominence of ventricles and sulci is unchanged may indicate mild degree of volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. Moderate periventricular and subcortical hypoattenuation is nonspecific but unchanged and likely related to age indeterminate small vessel ischemi... | 1.No acute intracranial hemorrhage. Please note that nonenhanced CT is not sensitive for the early detection of acute ischemic stroke and if there is strong clinical concern, an MRI may be considered.2.Moderate age indeterminant small vessel ischemic disease is unchanged. |
Generate impression based on findings. | 49 year old female with history of gastric bypass surgery presents with dysphagia. Evaluate for hernia. Scout radiograph showed a nonobstructive bowel gas pattern.Diagnostic sensitivity is limited due to single contrast technique without gas granules. Evaluation of the esophagus and stomach revealed postsurgical change... | 1.Postsurgical changes s/p gastric bypass surgery with sliding type hiatal hernia as described above.2.No evidence of esophageal obstruction.3.Spontaneous GE reflux to the level of the upper esophagus. |
Generate impression based on findings. | 73 year old female with history of pancreatic cancer. Baseline scan. CHEST:LUNGS AND PLEURA: No pleural effusion or consolidation in the lower lungs. Right apical ground glass nodule (12/18), nonspecific and may be followed on subsequent imaging.MEDIASTINUM AND HILA: 1.3 x 1.5 cm right hilar lymph node, nonspecific.CHE... | 1.Approximately 2 cm mass in the pancreatic head, consistent with the given history of pancreatic cancer.2.Gastroduodenal artery encasement and narrowing as above.3.Portal vein abutment and narrowing as above.4.Right apical ground glass nodule, nonspecific and may be followed on subsequent imaging. |
Generate impression based on findings. | Base of the tongue neoplasm, CRT. CHEST:LUNGS AND PLEURA: No new or suspicious pulmonary nodules. Stable 5-mm micronodule left lower lobe (5/54), presumably benign. No pleural fluid.MEDIASTINUM AND HILA: Unchanged subcentimeter mediastinal lymph nodes. Severe coronary artery calcifications and moderate cardiomegaly, ab... | No signs of metastatic disease. Severe atherosclerotic disease with noncalcified plaque causing focal narrowing of the left common carotid artery. |
Generate impression based on findings. | Colostomy with pelvic abscess status post prior drainage. Please evaluate. 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, ... | Status post trans-gluteal abscess drainage of a presacral fluid collection with minimal residual fluid identified. |
Generate impression based on findings. | There is a focus of diffusion restriction in the right periventricular white matter of the frontal lobe with mild associated increased T2 signal compatible with an acute infarct. There is a more subtle focus of diffusion restriction in the left periventricular posterior frontal lobe, anterior to a large region of ence... | 1.Acute infarct in the right periventricular white matter of the frontal lobe.2.Subacute infarct in the periventricular white matter of the posterior left frontal lobe.3.Large region of encephalomalacia involving the left parieto-occipital region.4.Moderate to severe chronic small vessel ischemic disease with volume lo... |
Generate impression based on findings. | NECK: There are postoperative findings related to partial right maxillectomy and radiation therapy. There is no significant interval change in the small amounts soft tissue along the margins of the right maxillectomy bed, without evidence of gross tumor otherwise. There is no evidence of significant cervical lymphaden... | 1. Post-treatment findings in the region of the right maxillary sinus without significant interval change in size in the appearance of the surgical margins with a small amount of nonspecific soft tissue, but otherwise no evidence of gross tumor recurrence.2. No evidence of intracranial metastases.I personally reviewed ... |
Generate impression based on findings. | Reason: Please evaluate for posterior circulation stenosis or occlusion. History: Sudden onset vertigo. Previous cerebral aneurysm clip 1994, unsure exactly which vessel, in the R anterior circulation. Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and verte... | 1.There is a basilar tip aneurysm present2.the patient is status post ventriculostomy tube placement which is stable compared to the prior exam.3.The patient is status post aneurysm clip placement at the distal right internal carotid artery near the origin of the right posterior communicating artery.4.Some of the intra... |
Generate impression based on findings. | Reason: thymoma. S/p chemo and RT, pls c/w previous study and evaluate dz status. History: thymoma CHEST:LUNGS AND PLEURA: Elevation of the left hemidiaphragm with mild overlying atelectasis.No suspicious nodules and no pleural effusions.MEDIASTINUM AND HILA: Soft tissue mass in the anterior mediastinum with sutures an... | Residual partially calcified anterior mediastinal mass, unchanged from multiple previous scans. No new findings. |
Generate impression based on findings. | Malignant neoplasm of maxillary sinus, radiotherapy and chemotherapy follow up. CHEST:LUNGS AND PLEURA: Unchanged micronodules. No pleural fluid.MEDIASTINUM AND HILA: Cardiomegaly. No pericardial fluid. Postsurgical changes of prior CABG with severe calcification of the native coronary vasculature.CHEST WALL: Sternotom... | No signs of metastatic disease. Possible portal hypertension. |
Generate impression based on findings. | There are unchanged postoperative findings related to prior left neck and left parotid surgery. There is no evidence of mass lesions or significant cervical lymphadenopathy. There is unchanged calcified nodule in the left lobe of the thyroid gland. The salivary glands appear unchanged. The major cervical vessels are p... | 1. Stable post-treatment findings without evidence of locoregional tumor recurrence or significant cervical lymphadenopathy.2. Unchanged calcified nodule in the left lobe of the thyroid gland. |
Generate impression based on findings. | Female 69 years old; Reason: r/o abdominal or pelvic pathology History: persistent, lower, abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No sig... | 1.No acute abdominal or pelvic pathology. |
Generate impression based on findings. | There is no intracranial hemorrhage. There is a large region of encephalomalacia in the left parieto-occipital lobes with associated dystrophic calcifications and ex vacuo dilatation of the left occipital horn. Overall there are prominent ventricles and sulci, indicating volume loss. There is moderate to severe scatte... | 1.No acute hemorrhage.2.Moderate to severe age indeterminate small vessel ischemic disease. Please note that non-enhanced CT is not sensitive for the early detection of acute ischemic stroke and if there is strong clinical concern, an MRI may be considered.3.Large focus of encephalomalacia in the left parieto-occipital... |
Generate impression based on findings. | History carcinoid. Carcinoid syndrome, bronchiectasis, without acute exacerbation. CHEST:LUNGS AND PLEURA: Numerous nodules and micronodules not significantly changed in size or number with the reference lesion in the left upper lobe measuring 7 x 9 mm (5/36), previously reported as 6 x 9mm on the last exam however mea... | No significant change in pulmonary nodules. Probable spinal stenosis at the T8/T9 level. |
Generate impression based on findings. | 57 year old with breast pain. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious mass, suspicious microcalcifications or suspicious areas of a... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 12-year-old female with OG tube placementVIEW: Abdomen AP (one view) 01/30/15 OG tube side port and tip is within the stomach. Nonobstructive bowel gas pattern. No pneumoperitoneum. | OG tip is in the stomach. |
Generate impression based on findings. | Nonenhanced CT head:There is no intracranial hemorrhage. There is a large region of encephalomalacia in the left parieto-occipital lobes with associated dystrophic calcifications and ex vacuo dilatation of the left occipital horn. Overall there are prominent ventricles and sulci, indicating volume loss. There is moder... | 1.Suspected 2-mm aneurysm arising from the midpoint of the basilar artery.2.Occlusion of a left M1/M2 branch of indeterminate age.3.Mild stenosis of the right M1 segment with diffuse mild to moderate narrowing and irregularity of distal branches of the ACAs, MCAs and PCAs.4.Small outpouching along the right para-clinoi... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Keloid over sternum from heart surgery. Two standard digital views of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in p... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of new onset psychosis, evaluate for mass. There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues a... | No evidence of acute intracranial hemorrhage or mass effect. However, non-contrast CT is insensitive for the detection of intracranial mass, postcontrast imaging or MRI may be considered as clinically warranted.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 76 year old female with a history of right benign biopsy and left breast cyst. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution... | Prominent left nipple complex. 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. | History of transient facial numbness and weakness, evaluate for intracranial hemorrhage There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. There is a partially empty sella. The imaged paranasal sinuses and... | No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Incisional hernia without mention of obstruction or gangrene ABDOMEN:LUNG BASES: Subcentimeter micronodule versus scarring (image 8; series 5) at the right lung base.LIVER, BILIARY TRACT: No significant abnormality noted. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnor... | Ventral hernia containing fat. Bilateral, nonobstructive renal calculi. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. A focal asymmetry is present in the posterior depth of the ... | Focal asymmetry in the central aspect of the posterior left breast. Spot compression imaging and possible ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: 56 year-old female with chest pain, heartburn, rare dysphagia. Esophagram to further evaluate Scout radiograph of the chest showed mild cardiomegaly.Single contrast evaluation of the esophagus showed mildly prominent cricopharyngeal impression at the level of C5/6 vertebral body. There was no functional obstruc... | 1.One episode of minimal provoked gastroesophageal reflux.2.Normal motility.3.Mildly prominent cricopharyngeal impression without evidence of functional obstruction. |
Generate impression based on findings. | History of acute mental status change, evaluate for intracranial hemorrhage. There is a new area of hypoattenuation in the right cerebellar hemisphere with patchy high attenuation material and sulcal effacement. There also appears to be a punctate focus of hyperattenuation in the left cerebellar hemisphere, which may r... | 1.Unchanged hypoattenuation in the right cerebral hemisphere with hyperattenuating material is suggestive of a recent infarction with superimposed hemorrhage or calcification. Vascular imaging may be useful for further evaluation.2.Large chronic right middle cerebral artery infarct and scattered gyriform calcifications... |
Generate impression based on findings. | 71-year-old male with history of pancreatic ganglioneuroma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Scattered punctate calcifications, consistent with prior granulomatous infection.SPLEEN: Splenic granulomata.PANCREAS: The pancreas is displaced anteriorly by a low attenuating retroperit... | 1.Large hypoattenuating retroperitoneal mass without significant enhancement, consistent with patient's given history of ganglioneuroma. This likely plays a role in partial gastric outlet obstruction from extrensic compression on the duodenum.2.Occlusion of the infrarenal aorta, with an occluded right anterior subcutan... |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. There are no masses, mass effect or midline shift. The ventricles and sulci are normal in size. There are no extraaxial fluid collections or subdural hematomas. The visualized portions of the paranasal sinuses and mastoid air cells are clear. | 1. No evidence of acute intracranial hemorrhage or mass. |
Generate impression based on findings. | 60 year-old male with history of increased drainage from left great toe. Evaluate for osteomyelitis. The distal phalanx of the great toe is absent, presumably due to amputation. There is soft tissue swelling about the great toe. Mild irregularity of the distal margins of the 1st proximal phalanx may reflect erosions fr... | Mild irregularity along the distal margin of the first distal phalanx appears similar to the prior study. We see no osteolysis to confirm acute osteomyelitis. If patient care warrants further imaging, an MRI may be obtained. |
Generate impression based on findings. | History of self palpated mass in the right breast, found to be a simple cyst on ultrasound in 2013. Known bilateral calcifications. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, uncha... | Benign 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.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and additional bilateral CC views were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable benign... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Unspecified disorder of adrenal gland. Goiter. RIGHT LOBE MEASUREMENTS: 4.7 x 2.0 x 1.6 cmLEFT LOBE MEASUREMENTS: 5.4 x 2.0 x 1.7 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: The background thyroid gland remains homogeneous in echotexture. Subcentimeter cystic and spongiform nodules are stable, the largest of which measur... | Bilateral subcentimeter benign-appearing thyroid nodules are unchanged. |
Generate impression based on findings. | 67 years, Female. Reason: abdominal pain, r/o constipation History: same Multiple surgical clips overlie the upper abdomen and tubal ligation clips overlie the pelvis. Moderate stool burden. Nonobstructive bowel gas pattern. | Moderate stool burden. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 71 years, Male. Reason: Examine for obstruction History: abdominal distension Cardiac device partially seen. Patient is status post sternotomy. Please see same day chest radiograph report for additional details. Brachytherapy seeds noted. Enteric tube tip overlies the gastric body. Right femoral catheter noted. Nonobst... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 57-year-old female history of RA. Evaluate for disease progression. Left hand: There is narrowing of the first, fourth, and fifth MCP joints with chronic erosive deformities at the first metacarpal head and triquetrum, but we see no active erosions or evidence of disease progression. Mild osteoarthritis affects the han... | Findings compatible with rheumatoid arthritis without evidence of disease progression. |
Generate impression based on findings. | Male 79 years old Reason: 79 y/o male with Gastric Ca on chemo. Please compare to prior CT. thanks History: Gastric Ca. CHEST:LUNGS AND PLEURA: Motion artifact. Bilateral pleural effusions and right greater than left basilar atelectasis or consolidation have resolved. Calcified right lower lobe granuloma stable mild in... | Stable nonobstructive right abdominal wall hernia. No substantial interval change in peri-hepatic mass(es). Resolution of pleural effusions. Reference measurements given above. |
Generate impression based on findings. | The gray-white matter differentiation is age appropriate. T1 images demonstrate normal white matter myelination pattern for the patient's stated age. The signal intensity and morphology of the cerebrum, cerebellum and pons are within normal limits. There is no evidence of Chiari malformation, gray matter migrational d... | Normal brain MRI without evidence of Chiari malformation. |
Generate impression based on findings. | 80 year-old female with a proven right breast cancer presents for seed localization procedure. On review of the prior studies, A proven cancer with interna marker clip is identified at upper outer quadrant. The procedure, risks including bleeding and infection, and benefits of I-125 seed localization were discussed wit... | Successful seed localization of the right breast malignancy.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 58 years, Female. Reason: Hx of Whipple with constipation and unable to pass gas, eval for sbo History: constipation and nausea Multiple surgical clips seen overlying the upper abdomen. Nonobstructive bowel gas pattern. Average stool burden. | Nonobstructive bowel gas pattern. Average stool burden. |
Generate impression based on findings. | 40-year-old male with history of pain. Left hand: Hardware components of a volar plate and screw device are seen affixing the middle phalanx in anatomic alignment. We see no evidence of hardware complication. Amorphous density within the volar aspect of the base of the middle phalanx presumably represents hamate autogr... | 1.Left middle finger postoperative changes as described above.2.Mild soft tissue swelling about the right index finger without acute fracture. |
Generate impression based on findings. | Male 61 years old; Reason: prostate cancer History: prostate cancer ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted. Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality n... | 1.No evidence of metastatic disease. Please correlate with same day bone scan. |
Generate impression based on findings. | 49-year-old male with nodular lymphocyte predominant HL. Needs additional assessment please.RADIOPHARMACEUTICAL: 15.1 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 105 mg/dL. Today's CT portion of the neck demonstrates no significant pathology. Please see diagnostic CT reports for details of the chest, abd... | Numerous hypermetabolic bilateral axillary and bilateral pelvic lymph nodes compatible with lymphoma tumor activity.Diagnostic CTs of the chest, abdomen, and pelvis also performed at today's visit will be reported separately. |
Generate impression based on findings. | Male 47 years old Reason: r/o thrombus History: edema LIVER: The liver demonstrates cirrhotic morphology. It measures 13.4 cm in length. No focal liver lesion is identified. The main portal vein is patent and demonstrates normal directional flow.GALLBLADDER, BILIARY TRACT: Unremarkable appearance of the gallbladder wit... | 1. Cirrhotic liver morphology without focal mass. 2. Unremarkable appearance of the main portal vein. 3. Diffuse abdominal ascites. |
Generate impression based on findings. | 69 year-old female with bilateral knee pain Right knee: Severe osteoarthritis affects the knee, particularly at the patellofemoral joint. There is slight lateral translation of the patella relative to the femoral trochlea.Left knee: Severe osteoarthritis affects the knee, particularly at the patellofemoral joint. There... | Severe osteoarthritis. |
Generate impression based on findings. | 37 year old female with history of gastric bypass presents with GERD and dysphagia. Scout radiograph of the chest demonstrated cardiomegaly and bibasilar opacities.Diagnostic sensitivity is limited due to single contrast technique without gas granules. Evaluation of the esophagus and stomach revealed postsurgical chang... | 1.Postsurgical changes s/p gastric bypass surgery with sliding type hiatal hernia as described above.2.Distention of the esophagus up to 3 cm without evidence of obstruction.3.Spontaneous GE reflux to the level of the thoracic inlet. |
Generate impression based on findings. | 15-year-old female with left middle finger pain with decreased movement and right thumb pain and swelling over the base of the thumb with decreased movement after catching a basketball two days agoVIEWS: Left third digit PA/oblique/lateral, right hand PA/oblique/lateral (6 views) 01/30/15 Linear lucency through the vol... | Equivocal linear lucency through the volar aspect of the base of the left third middle phalanx. Clinical correlation is advised.Findings paged to pager 5718 at 1039 on 1/30/15. |
Generate impression based on findings. | 63-year-old female with history of a right breast benign biopsy. Presents for bilateral diagnostic mammogram. Left breast simple cyst seen on prior ultrasound. Family history of breast cancer in paternal aunt. Three standard views of both breasts with right breast spot compression views were performed digitally and rev... | Stable bilateral benign morphology masses. 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 M... |
Generate impression based on findings. | 44 year old female with right breast "density" presents for mammographic workup. Three standard views of both breasts with 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 scattered fibroglandular elements, unchanged i... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 57-year-old female with history of back pain. Thoracic spine: There is slight rightward curvature of the mid and lower thoracic spine. Mild degenerative disc disease affects the upper and middle thoracic spine. There is no evidence of compression fracture or specific findings to account for the patient's pain.Lumbar sp... | Degenerative arthritic changes and other findings as above. |
Generate impression based on findings. | As per prior radiologic report dated 11/7/2014, there are 13 rib bearing thoracic type vertebrae and 5 non-rib bearing lumbar type vertebrae. Redemonstrated is extensive multilevel spondyloarthropathy of the lumbar spine with disc height loss, vacuum disc phenomenon and endplate degenerative changes. There is unchange... | 1. Postsurgical findings related to multilevel decompressive laminectomy from L1-L2 through L5-S1, but no rim-enhancing fluid collection to suggest abscess. However, delineation of the intraspinal contents is limited and MRI may be useful for further evaluation, if there is no contraindication.2. Extensive multilevel s... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of left breast abscess drainage. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Arterial calcifications are p... | Stable benign bilateral masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Female 10 years old Reason: please evaluate for bony deformity History: acute pain in R knee with limpVIEWS: Right knee AP lateral and oblique (3 views) pelvis AP and frog leg lateral (two views) 1/30/2015 KNEE: No acute fracture or malalignment. No significant soft tissue swelling or joint effusion is seen.PELVIS: No ... | Normal examination. |
Generate impression based on findings. | 40 year-old female with history of lumbar pain. Small osteophytes project anteriorly from the vertebral body of L3. There is mild facet joint osteoarthritis of the lower lumbar spine. Surgical clips project over the upper abdomen. | Mild degenerative arthritic changes as above. |
Generate impression based on findings. | 68-year-old female with lumbar pain There is mild levoscoliosis of the thoracolumbar spine. Severe degenerative disk disease affects L5/S1 and L1/L2. Mild to moderate degenerative disk disease affects the remaining lumbar levels. There is multilevel facet joint osteoarthritis. Grade 1 anterolisthesis of L4 on L5 is not... | Degenerative disk disease, facet joint osteoarthritis and other findings as described above. |
Generate impression based on findings. | 51-year-old female with history of swollen knee. We see no fracture. There is a moderate-sized joint effusion. Alignment is anatomic. There are mild enthesopathic changes along the anterior aspect of the patella. The left knee is unremarkable as seen on the frontal views. | Joint effusion without acute fracture. |
Generate impression based on findings. | Female 11 years old Reason: h/o injury of right thumb History: injuryVIEWS: Right hand AP, first digit PA and lateral (two views) 1/30/2015 2-mm linear ossific density which projects off the lateral aspect of the first proximal phalanx epiphysis likely represent a small avulsion fracture. | Avulsion fracture along the lateral aspect of the first proximal phalanx as described above.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 57-year-old female with pain, preoperative evaluation Right knee: Severe osteoarthritis affects the right knee with bone on bone apposition of the medial tibiofemoral joint compartment and tricompartmental osteophytes. Hardware components of a left total knee arthroplasty device are situated near anatomic alignment as ... | Osteoarthritis and varus deformity as described above. |
Generate impression based on findings. | 63-year-old female with history of shoulder pain. We see no acute fracture or dislocation. Mild osteoarthritis affects the acromioclavicular joint. There is slight anterior spurring of the acromion process. Again seen is a 3-mm ossicle within the acromiohumeral interval which may represent a loose body or chronic ossif... | Osteoarthritis without acute fracture. |
Generate impression based on findings. | 41-year-old female with history of motor vehicle accident in 2000 Pelvis: An orthopedic screw transverses the left SI joint. A plate and screw device coursing along the posterior aspect of the sacrum and SI joints is noted. A fractured screw overlies the left SI joint, which we suspect is associated with this plate. A ... | Postoperative changes of pelvic fracture fixation and lower lumbar degenerative arthritic changes as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable focal asymmetry is present at the 9 o'cl... | Stable right focal asymmetry. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 68-year-old female with pain, follow up for fracture Again seen is a plate and screw device affixing a proximal humerus fracture in near anatomic alignment without evidence of hardware complication. The fracture margins appear indistinct, suggesting some interval healing. There has been some interval maturation of hete... | Orthopedic fixation of proximal humerus fracture as described above. |
Generate impression based on findings. | 75-year-old female with knee pain Right knee: Moderate osteoarthritis affects the knee. Extensive chondrocalcinosis particularly affects the lateral meniscus. No joint effusion.Left knee: Moderate osteoarthritis affects the knee. There is chondrocalcinosis of the menisci. No large joint effusion. Small foci of calcific... | Osteoarthritis and chondrocalcinosis affecting each knee. |
Generate impression based on findings. | 18 year-old male with shoulder dislocation No fracture is evident. Glenohumeral alignment is within normal limits. | No fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast cyst aspiration. History of breast cancer in sister diagnosed in her 50s. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibro... | Stable benign masses and calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 41-year-old male with history of fracture. Again seen is a plate and screw device affixing a fracture of the right acetabulum/ilium. The fracture line is indistinct suggesting some healing. There is no evidence of hardware complication. | Orthopedic fixation of healing fracture as above. |
Generate impression based on findings. | 46-year-old male with pain, evaluate for arthritis Mild osteoarthritis affects the hip. Slight prominence of the femoral head-neck junction is consistent with a CAM deformity. | Osteoarthritis and other findings as described above. |
Generate impression based on findings. | Nodular lymphocyte predominant Hodgkin's lymphoma. Needs initial assessment CHEST:LUNGS AND PLEURA: Calcified granuloma at both lung bases.MEDIASTINUM AND HILA: No significant abnormality noted. Mild coronary artery calcifications.CHEST WALL: Right chest port. Left axillary lymphadenopathy. For reference purposes, a le... | Left axillary and bilateral pelvic adenopathy with reference measurements given above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Round marker was placed on a skin lesion overlying the right breast. Scattered benign ... | No mammographic evidence of malignancy. Screening mammography is most sensitive when evaluating for interval changes. If patient submits outside mammogram, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECO... |
Generate impression based on findings. | History of known cerebellar hemorrhage, evaluate for stability. There is unchanged linear hyperattenuation in the high right frontal gyri and parafalcine left parieto-occipital lobe, which may represent calcification and laminar necrosis from prior ischemia. There is also unchanged hypoattenuation in the right cerebell... | 1.Unchanged hypoattenuation in the right cerebral hemisphere with hyperattenuating material is suggestive of a recent infarction with superimposed hemorrhage or calcification. Vascular imaging may be useful for further evaluation.2.Large chronic right middle cerebral artery infarct and scattered gyriform calcifications... |
Generate impression based on findings. | Renal calculi. The following observations are made given the limitations of an unenhanced study.ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnor... | Bilateral nonobstructive renal calculi with measurements given above. Small fluid collection in the left posterior pelvis of unclear etiology and significance; correlate with gynecologic surgical history and exam as clinically indicated. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast cyst aspiration in 2013. Two standard digital views and tomosynthesis of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibr... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 49 years old; Reason: Chronic n/v and abdominal pain, esophagitis. Pt has a h/o TE fistula repair as a infant. Noted annular pancreas and chronic pancreatitis. Need to evaluate gastric transit. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual... | Gastric emptying within normal limits. |
Generate impression based on findings. | 63-year-old male with history of Crohn's disease, ileal disease status post resection in 1982. Right flank pain, musculoskeletal versus nephrolithiasis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREAS: No significant abnorm... | 1.No hydronephrosis or hydroureter, and no renal calculus are seen.2.Mild dilatation of the terminal ileum, with small bowel feces sign which is suggestive of stasis. |
Generate impression based on findings. | 64 year old male with abdominal distention. Nonobstructive bowel gas pattern. No free air on upright view. Residual contrast material has progressed into the colon from recent OPM. Gastrostomy tube in place. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Gastric cancer restaging after chemotherapy. CHEST:LUNGS AND PLEURA: Bilateral tiny pleural effusions appear stable. Since prior examination, there is interval development of bilateral patchy ground glass opacities predominating around the airways (right greater than left--images 27 through 44; series 5). These are con... | 1. New ground glass opacities concerning for incipient fungal pneumonia; finding discussed with Dr. Catenacci. 2. Omental/mesenteric metastases and right abdomen unchanged. 3. Multiple soft tissue anterior abdominal wall enhancing metastatic lesions unchanged. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Bilateral calcificat... | Stable bilateral calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Speech disturbance. Evaluate for CVA. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white matter. There is also a more focal subcentimeter hypoattenuating area in the right basal ganglia. There is no evidence of intracranial hemorrhage or mass. The v... | 1. No evidence of acute intracranial hemorrhage or mass.2. Moderate small vessel ischemic changes and right basal ganglia lacunar infarct of indeterminate age. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and no contraindication, MRI... |
Generate impression based on findings. | 72 years, Female. Reason: Status post Dobbhoff placement. Lower pelvis excluded from field of view. Dobbhoff tube tip in gastric body. Nonobstructive bowel gas pattern. LVAD, multiple mediastinal drains, and left pleural effusion noted; please see same day chest radiograph report for further details. | Dobbhoff tip in gastric body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable lymph node projects over the left axilla... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 65 years old; Reason: Pt is a 65 y/o male with met prostate cancer, evaluate for progression History: met prostate cancer, back pain Again seen is widespread multifocal increased radiotracer uptake involving the right scapula, cervical, thoracic and lumbar spine as well as bilateral ribs, sacrum and pelvis, consis... | Stable widespread osseous metastatic disease. |
Generate impression based on findings. | chronic mouth breathing/OSA VIEWS: Soft tissue neck lateral There is marked enlargement of the adenoids resulting in moderate nasopharyngeal airway obstruction. The subglottic airway is patent. No prevertebral soft tissue swelling. | Marked adenoid enlargement with moderate nasopharyngeal airway obstruction.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Reason: Please assess for recurrence of thymoma History: N/A LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Status post thymectomy with surgical clips but no specific evidence of recurrence.Regarding previously noted mediastinal nodules which were PET negative, the superior most one likely is ... | No evidence of recurrence, or other significant abnormality. |
Generate impression based on findings. | History of right breast lump in 2010 with biopsy results of fat necrosis. History of benign left breast biopsy in 2004. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandular elem... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Hit by bus 4 days ago now with limp, rule out fracture.VIEWS: Left knee AP oblique and lateral (3 views) 1/30/2015 Moderate joint effusion. No acute fracture or malalignment. | Moderate joint effusion without underlying fracture or malalignment. |
Generate impression based on findings. | Dizziness. Evaluate for stroke. There are a few scattered patchy areas of hypoattenuation in the cerebral white matter. There is no evidence of acute intracranial hemorrhage. There is a calcified or ossified extra-axial mass along the left parietal convexity that measures up to 8 mm without significant mass effect upon... | 1. A few scattered patchy areas of hypoattenuation in the cerebral white matter are nonspecific. No evidence of acute intracranial hemorrhage, mass, or cerebral edema. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern and no contraindicat... |
Generate impression based on findings. | Cough and fever for one week, evaluate for pneumonia.VIEWS: Chest AP/lateral (two views) 1/30/2015 Peribronchial thickening evident as well as streaky bibasilar opacities suggestive of atelectasis. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax is seen. | Bronchiolitis/reactive airways disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | History of tonsillar squamous cell carcinoma status post induction chemotherapy. There measurable residual left palatine tonsil mass. There is no evidence of residual significant lymphadenopathy in the neck. For example, the reference left level IIb lymph node now measures 4 mm in short axis, previously 8 mm. There are... | No evidence of measurable residual left palatine tonsil mass or residual significant lymphadenopathy in the neck. |
Generate impression based on findings. | Headache, altered, relative hypotension after hypertensive emergency. There is diminished conspicuity of disproportionately pronounced white matter hypoattenuation in the bilateral occipital and parietal lobes. Otherwise, the background of diffuse hypoattenuation in the cerebral white matter is unchanged. There is unch... | 1. Interval decreased prominence of edema related to posterior reversible encephalopathy syndrome superimposed upon a background of chronic hypertensive encephalopathy. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. A brain MRI may be useful for further characterization, if ... |
Generate impression based on findings. | Neck: There are post-treatment findings related to right neck dissection, right submandibular gland resection and thyroidectomy, without evidence of measurable tumor. However, there is interval increase in size of a left lower level 6 lymph node, which now measures 11 x 16 mm, previously 9 x 12 mm. Other cervical lymp... | 1. No evidence of intracranial metastases.2. No evidence of local tumor recurrence within the resection bed. However, interval increase in size of a left level 6 lymph node is suspicious for metastasis. 3. Subcentimeter nodules in the partially imaged lungs, at least one of which has increased in size in the left apex,... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Focal asymmetry projects over the inferior aspect of the right pectoralis mus... | Focal right breast asymmetry. Spot compression imaging, laterally exaggerated CC view and possible ultrasound of the right breast are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 60 year-old female with reported ill-defined hypoenhancing lesion in the pancreatic head on CT examination from outside hospital. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver. There is fatty sparing noted in segment 4 of the liver as well as along the gallbla... | Outside exam read:1. Focal area of apparent fat deposition at the junction of the head/uncinate process of the pancreas. No focal mass lesion identified. Please refer to outside MRI exam for additional findings.2. Right gonadal vein thrombus. 3. Hepatic steatosis. |
Generate impression based on findings. | Metastatic thyroid cancer on treatment. CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules and micronodules, some appear slightly larger.Reference left upper lobe nodule measures 9 mm, previously 5 mm (5/25).Reference left lower lobe nodule unchanged measuring 9 mm (5/74).Reference right middle lobe nodule measures ... | Some of the index pulmonary metastases measure larger. Nonindex subcarinal lymph node minimally and a left supraclavicular lymph node measure slightly larger, although non-index lymphatic tissue surrounding the larger airways appears similar. Interval LAD coronary stent placement ; adjacent hypoattenuation in the left ... |
Generate impression based on findings. | 17-year-old male with ankle injury, rule out avulsion fracture.VIEWS: Right ankle AP oblique and lateral (3 views) 1/30/2015 Mild soft tissue swelling is noted over the lateral malleolus and there is a small joint effusion, but no underlying fracture or malalignment is evident. | Soft tissue swelling and small joint effusion without underlying fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of ovarian cancer diagnosed at age 42. History of cervical cancer in paternal grandmother. Two standard digital views of both breasts and an additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Mitral valve preoptic examination ABDOMEN:LUNG BASES: No masses or effusions in the visualized portions of the lungs.LIVER, BILIARY TRACT: No significant abnormality noted. Portions of the right lobe are excluded from view.SPLEEN: No significant abnormality noted. Portions of the spleen are excluded from the field of v... | Limited technique CT of the abdomen as described. No significant vascular abnormality identified. Right renal cyst. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of ovarian cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural dist... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 52-year-old male with fever, gangrene There is extensive mottled lucency within the soft tissues of the forefoot along the third, fourth, and fifth metatarsals and extending into the toes, consistent with the stated history of gangrene. Additional foci of soft tissue gas are noted medial to the medial cuneiform and nav... | 1. Extensive soft tissue gas compatible with gangrene as described above with extension from the forefoot to the lower leg.2. Findings highly suspicious for osteomyelitis of the head of the fifth metatarsal and base of the fifth proximal phalanx. |
Generate impression based on findings. | Injury to proximal middle finger swelling at the third MCP.VIEWS: Right hand PA oblique and lateral 1/30/2015 No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. BRCA 2 mutation carrier. History of breast cancer in mother diagnosed at age 44 in maternal grandmother diagnosed at age 63. Two standard digital views of both breasts and an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3.... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: h/o hnc and crt, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: Stable right thyroid nodule.There is no mediastinal or hilar lymphadenopathy.No visible coronary calcifications, the heart and pericardium appear normal.CH... | No evidence of metastases, or other significant abnormality. Stable benign appearing left adrenal nodule. |
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