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Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (11/20/14) and images from stereotactic core needle biopsy of left breast with specimen radiograph and post procedural left digital mammographic images (12/16/14) performed at River Forest Breast Care Center. For comparis... | Status post stereotactic biopsy of the left breast. The pathology results included radial scar. Surgical consultation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Status post chemoradiation for T2 N1 squamous cell cancer of the right tongue base completed in September 2013. There is decreased supraglottic mucosal edema related to treatment. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy. The salivary glands are unchanged. There is an unch... | 1. No evidence of measurable tumor in the right tongue base and no significant lymphadenopathy in the neck.2. Unchanged exophytic right thyroid nodule. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at age 48 and maternal grandmother diagnosed at age 43. 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 heterogeneous... | 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. | Metastatic prostate cancer. Staging. CHEST:LUNGS AND PLEURA: A few micronodules described previously are stable.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes and small calcifications are stable.CHEST WALL: Widespread bone metastases are grossly unchanged.ABDOMEN:LIVER, BILIARY TRACT: No significant abnorm... | No substantial interval change compared to prior. Widespread bony metastases and a few unchanged enlarged lymph nodes in the abdomen and pelvis. |
Generate impression based on findings. | Fever tachypneaVIEW: Chest AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts and an additional right CC view 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. Round markers w... | Stable benign 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: NSB - Screening Mammogram. |
Generate impression based on findings. | 64-year-old male with history of prostate cancer. Evaluate for progression status post 4 cycles of docetaxel CHEST:LUNGS AND PLEURA: Minimal basilar scarring/atelectasis. Mild centrilobular emphysema.MEDIASTINUM AND HILA: Left chest dual lumen Port-A-Cath with tip at the superior cavoatrial junction. Heart size within ... | Increasing osseous metastatic disease. |
Generate impression based on findings. | History of RUL and RML lobectomy for adenoma, follow-up LUL nodule. LUNGS AND PLEURA: Postsurgical volume loss on the right. No pneumothorax.Ground glass density nodules and micronodules bilaterally measuring up to 6-mm (largest lesions in the left upper lobe series 5 image 59, left lower lobe series 5 image 165, right... | No signs of localized recurrence. Numerous subcentimeter ground glass density nodules bilaterally appear similar and may represent foci of atypical adenomatous hyperplasia but should be followed by CT annually for a total of 3 years to exclude a change in size or density. Next follow-up scan may be obtained 1/30/2016. |
Generate impression based on findings. | 16 year old male with hypoxic ischemic injury after cardiac arrest. There is diffuse mild loss of cortical and deep grey-white differentiation as well as sulcal effacement and minimal effacement of the ventricles and quadrigeminal cistern that appears to be progressed compared with the prior exam. There is no evidence ... | 1.Findings suggestive of global hypoxic ischemic injury. MRI is recommended for further characterization. 2.Unchanged partially imaged nonspecific posterior paraspinal musculature fluid collections may represent edema. |
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. Round marker was placed on a skin lesion overly... | 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. | Head trauma on Xarelto. Evaluate for bleed. There is no evidence of acute intracranial hemorrhage or mass. The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white m... | 1. No evidence of acute intracranial hemorrhage or skull fracture.2. Mild small vessel ischemic changes, which are age-indeterminate.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. History of breast cancer in mother diagnosed at age 59. 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 p... | Partially obscured right breast asymmetry. 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. | Male 26 years old Reason: 26 yo with cirrhosis, please screen for HCC History: none LIVER: The liver measures 18.1 cm in length. The liver parenchyma is coarsely echogenic consistent with chronic liver disease. No focal liver lesion is identified. The main portal vein is patent and demonstrates normal directional flow ... | Coarsened hyperechoic liver parenchyma consistent with chronic liver disease. No focal liver lesion is identified. |
Generate impression based on findings. | Reason: head and neck cancer/ post induction scans History: see above CHEST:LUNGS AND PLEURA: No evidence of pulmonary pleural metastases.Unchanged small left peri-fissural intrapulmonary lymph node. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy.Dual chamber pacemaker leads are unchanged.There are no vi... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP and abdomen AP Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Diffuse lung haziness bilaterally. Minimal amount of fluid in the minor fissure. No large pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneu... | Diffuse lung atelectasis bilaterally. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical cancer. 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 fibroglandular density,... | 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 BOT ca, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: No evidence of metastases.Scattered region of lower lung zone mild bronchiectasis and centrilobular opacities may be the result of chronic aspiration. MEDIASTINUM AND HILA: Dual chamber pacemaker leads in appropriat... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 41-year-old male with ileostomy takedown, complicated by wound infection and fistula. Evaluate for intra-abdominal abscess. ABDOMEN:LUNG BASES: Basilar atelectasis regressed. Right inferior pleural calcifications are unchangedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality noted... | Enterocutaneous fistula to open abdominal wound. Small amount of fluid is identified deep to the open wound but the collection is not amenable percutaneous catheter drainage at the current time due to small size and closely opposed bowel loops. |
Generate impression based on findings. | not moving arms or legs. No evidence of acute ischemic or hemorrhagic lesion on this scan.There are multiple radiolucent skull lesions which do not show any significant interval change since prior exam. The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, in... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. No change of multiple radiolucent skull lesions since prior exam. |
Generate impression based on findings. | Male, 28 years old, immunosuppressed with neutropenic fever, headache and sinus tenderness. The paranasal sinuses are clear with the exception of mild thickening along the maxillary sinus floors. The major sinus ostia are unobstructed. The nasal septum is intact with a rightward deviation anteriorly and a leftward proj... | No evidence of sinus inflammation or infection. |
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, unchanged in pattern and distribution. A new subcentimeter mass is present in... | New left breast mass. 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. | Male, 65 years old, history of stroke, now hypernatremic but on heparin for history of atrial fibrillation and DVT with worsening mental status. Hypoattenuation is seen in the left precentral gyrus compatible with known evolving infarct. Elsewhere, patchy periventricular hypoattenuation and more localized basal ganglia... | 1. No evidence of acute intracranial hemorrhage.2. Evolving left posterior frontal lobe infarct.3. Age indeterminate microvascular and lacunar ischemic disease. |
Generate impression based on findings. | Paraneoplastic syndrome with vertical nystagmus and diplopia. Evaluate for occult malignancy. Recent CT negative.RADIOPHARMACEUTICAL: 15.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 83 mg/dL. Today's CT portion grossly demonstrates a mucus retention cyst or polyp in the left maxillary sinus. Multiple sh... | No definitive FDG avid tumor. Focal anorectal activity is more commonly benign although given the history, tumor cannot be entirely excluded. Further evaluation including with digital rectal exam may be performed as clinically warranted. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt. Two standard digital views, 2 additional MLO 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 ... | Left breast mass. Spot compression imaging and ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Spinal stenosis There is mild multilevel degenerative disk disease as well as small osteophytes projecting from the anterior aspects of the lumbar vertebrae. I see no compression fracture and alignment is within normal limits. Surgical clips are noted in the upper abdomen. Surgical suture material is noted in the pelvi... | Mild degenerative disk disease and other findings as above. |
Generate impression based on findings. | Male 27 years old; Reason: hx of testicualr cancer, evaluate for metastatic disease History: see above 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 signif... | 1.No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Female 0 days old Reason: newborn with respiratory distress History: no lines - increasing respiratory distress; increasing O2 requirementVIEW: Chest and abdomen AP (two views) 1/30/15 Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Diffuse lung haziness consistent ... | Diffuse lung haziness consistent with TTN versus RDS with no focal opacities.Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Pain. Follow-up fracture. Again seen is a transverse fracture of the proximal fibular diaphysis with fracture fragments in near-anatomic alignment. This appears similar to the prior study accounting for slight positional differences. There is mild soft tissue swelling of the lower leg and ankle. | Proximal fibular fracture appearing similar to the prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast surgery. History of breast cancer in mother and paternal cousin. Two standard digital views and additional CC views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast ... | Probable low lying left lymph node. Comparison to outside mammograms is recommended to document stability.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OB - OLD FILM FOR COMPARISON |
Generate impression based on findings. | Left foot pain since injury a few weeks (5) ago, rule out fracture There is a transverse fracture through the base of the proximal phalanx of the fifth toe. The fracture remains visible, although a small amount of adjacent callus indicates an attempt at healing. Small ossicles adjacent to the medial malleolus and base ... | 5th toe fracture as described above. This was relayed to Dr. Cotts at the time of dictation. |
Generate impression based on findings. | Status post traumaVIEWS: Left forearm AP and lateral 1/30/15 (two views) There is a buckle fracture of the distal metadiaphyses of the left radius. Alignment is anatomic. | Left radius buckle fracture as described. |
Generate impression based on findings. | Female 52 years old; Reason: please re-evalutate following additional systemic therapy and provide bi-dimensional measurements per RECIST v1.1 thank you History: NSCLC ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Unchanged right hepatic lobe hemangioma.SPLEEN: No significant abnormality no... | 1.No evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on findings. | Follow-up healing fracture. The previously seen distal radius fracture is less distinct on the current study than on the prior study, replaced by a poorly defined sclerotic band indicating some interval healing. Alignment is anatomic. Degenerative arthritic changes affecting the wrist appear similar to those seen on th... | Healing distal radius fracture. |
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 composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable calcifications are pre... | 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Wrist pain for many months. Evaluate for fracture. There is swelling of the soft tissues along the radial aspect of the wrist which is nonspecific but can be seen in patients with DeQuervain tenosynovitis. I see no underlying fracture. Alignment is normal. | Soft tissue swelling along the radial aspect of the wrist without fracture evident. |
Generate impression based on findings. | 51 year old female with persistent memory difficulty after motor vehicle accident. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and... | No evidence of intracranial hemorrhage or skull fracture. |
Generate impression based on findings. | Pain. Follow-up fracture. Again seen is a plate and screw device affixing a comminuted fracture of the distal humeral diaphysis in near-anatomic alignment. I see no hardware complications. The fracture lines remain visible, although there appears to be some new callus along the fracture indicating an attempt at healing... | Orthopedic fixation of distal humerus fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in daughter diagnosed at age 46. 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 composed of scattered fibroglandular density, unchanged ... | Stable left breast mass. 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. | 89-year-old man with right hip pain, limited external rotation on exam. Evaluate for degree of osteoarthritis, rule out fracture. The proximal femur appears slightly demineralized, suggesting osteopenia. Thickening of the cortex and coarsening of the trabeculae of the visualized portions of the right innominate bone su... | Paget disease of the right innominate bone with minimal if any osteoarthritis of the right hip. I see no fracture. |
Generate impression based on findings. | Pain. Evaluate right hand. Deformity of the distal radius indicates a healing/healed fracture. There is also a mildly displaced ununited fracture of the ulnar styloid. There is perhaps slight widening of the scapholunate interval, but this is equivocal. Mild osteoarthritis affects the first carpometacarpal and first me... | Subacute/chronic fractures of the distal radius and ulnar styloid with other findings as described above. |
Generate impression based on findings. | 74 year old male with T3N2b right tonsillar SCC status post induction chemotherapy. HEAD: There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. There is mild maxillary sinus mucosal thickening. The imaged... | 1.Findings compatible with treatment response with a decrease in size of the right tonsillar mass and the cervical lymphadenopathy.2.No evidence for intracranial metastases |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal cousin. 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 fibroglandular ... | 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. | Status post T10 -- L5 posterior spine fusion with instrumentation. There is a posterior stabilization device with screws entering T10, T11, L1, L2, L4, and L5. I see no hardware complications. Amorphous bone graft is noted along the lateral aspects of the lumbar spine. Tubing noted posteriorly presumably represents a s... | Postoperative changes of thoracolumbar spine fusion as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsy. 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 linear marker was ... | High probability benign left intramammary lymph nodes and bilateral calcifications. Comparison to outside mammogram is recommended to document stability. Patient states she will obtain her outside mammogram and submit it for comparison.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OC - OLD F... |
Generate impression based on findings. | Status post surgery 8/10/2014. Implant position, kyphosis. C3 -- C6 laminectomy and laminoplasty. Evaluation of the cervical spine is limited due to inability to optimally position the patient. Again seen are postoperative changes of multilevel laminoplasty appearing similar to the prior study. I see no hardware compli... | Postoperative changes of laminoplasty as described above appearing similar to those seen on the prior study. |
Generate impression based on findings. | Male 36 years old; Reason: Rule out malignancy History: weight loss, neuropathy, smoker CHEST:LUNGS AND PLEURA: Micronodule in the left lower lobe (3:78)MEDIASTINUM AND HILA: A few prominent and slightly enlarged cardiomediastinal lymph nodes measuring up to 1.1 cm in diameter (retrocaval pretracheal node 3:40)CHEST WA... | 1.Few prominent right mediastinal lymph nodes. Pulmonary micronodule in the left lower lobe. Otherwise, unremarkable. |
Generate impression based on findings. | Reason: ILD/polymyositis monitoring History: SOB, ILD LUNGS AND PLEURA: Very mild subpleural reticulonodular opacities in the upper and mid lung zones, not significantly changed. Small subpleural cysts and mild traction bronchiectasis at the right lung base, also unchanged, consistent with fibrosis.Micronodules compati... | Relatively mild interstitial lung disease with basilar and subpleural predominance, consistent with fibrosis in a UIP pattern, likely related to polymyositis. No significant interval change. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at age 38. 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 composed of scattered fibroglandular density, unchanged in... | 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 77 years old Reason: 77 yo with previous history of CT PE presents for subacute chest pressures with elevated d dimer, now off of anticoagulation History: chest pressure PULMONARY ARTERIES: No acute pulmonary embolism. Normal caliber pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Scattered... | No acute pulmonary embolism. Scattered bilateral micronodules which are unchanged.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative. |
Generate impression based on findings. | Right ankle pain Diffuse demineralization limits sensitivity.Right ankle: Mild degenerative changes involving the ankle with narrowing and minimal sclerosis, however no superimposed acute abnormality. Soft tissues unremarkable. Note is made of more severe osteoarthritic changes largely involving the talonavicular artic... | Severe osteoarthritic changes including ankylosis of the bilateral talonavicular articulations greater on the left |
Generate impression based on findings. | 5-year-old male with cough and fever, rule out pneumonia.VIEWS: Chest AP/lateral (two views) 1/30/2015 Peribronchial thickening with mild multifocal atelectasis. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax is seen. | Bronchitis/reactive airways disease pattern without superimposed pneumonia. |
Generate impression based on findings. | Female 15 years old scoliosis.VIEWS: Lumbosacral spine AP (one views) 1/30/2015 Posterior rods that connect the posterior pedicle screws bilaterally. The nasogastric tube tip is in the antrum of the stomach. | Interval placement of fixation rods connecting the previously placed posterior pedicle screws. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsies. Two standard digital views of both breasts, additional bilateral CC views, one additional right MLO view, 2 additional left MLO views and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The b... | Linear morphology left breast calcifications. Spot magnification imaging is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Bilateral hip pain Pelvis: Unchanged left total hip arthroplasty, incompletely visualized the alignment appears preserved. SI joints and remainder of the pelvis unremarkableRight hip: Moderate superimposed secondary osteoarthritis with more pronounced moderate changes involving the right femoral head consistent with AV... | Right hip AVN essentially unchanged. Left total hip arthroplasty stable in appearance |
Generate impression based on findings. | Stage IV (pT4N2b) poorly differentiated cancer of parotid primary, s/p 4TFHx on 7/9/14, now with metastatic disease involving her liver. Currently receiving palliative carbo/taxol. Again seen are postsurgical findings related to left parotidectomy and left neck dissection. No significant change in heterogeneity in the ... | 1. Postoperative changes in the left parotid bed without definite evidence of residual or recurrent tumor.2. No significant cervical lymphadenopathy. 3. No significant change in 1 cm right thyroid lobe nodule.4. Partially imaged cavitation of the left lung presumably related to a prior infectious process. Please refer ... |
Generate impression based on findings. | Reason: probable presence of cancer History: dyspnea LUNGS AND PLEURA: Complete atelectasis and consolidation of the right upper lobe secondary to proximal bronchial obstruction. Many central obstructing mass, which was visible and measurable on the previous scan, is no longer visible due to the absence of intravenous ... | Persistent lobe atelectasis, consistent with a central obstructing mass, likely primary carcinoma with direct hilar and mediastinal invasion. |
Generate impression based on findings. | Lymphoma. Imaging surveillance. CHEST:LUNGS AND PLEURA: Ill-defined micronodular measuring 7 mm in diameter (image 38; series 6) should be followed.MEDIASTINUM AND HILA: Enlarged presumed internal mammary lymph nodes (it is possible that these could represent dilated vascular structures which would be indistinguishable... | Scattered lymph nodes reference measurements given above. Pulmonary micronodule that should be followed. |
Generate impression based on findings. | Left knee pain Four views of the left knee are provided. There appears to be slight narrowing of the medial tibiofemoral compartment as well as tiny osteophytes, suggesting minimal osteoarthritic changes. Similar findings affect the right knee as seen on the frontal view. | Minimal osteoarthritic changes. |
Generate impression based on findings. | Leg length discrepancy and hip pain with gait abnormality. Status of right hip fracture repair? Two views of the right hip show a dynamic hip screw device affixing a healed intertrochanteric fracture in near anatomic alignment. There is a small amount of lucency about the threads of the dynamic screw, but this is not n... | Orthopedic fixation of healed right intratrochanteric fracture and other findings as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | 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. | 59-year-old female with history of gastric cancer, status post chemotherapy. CHEST:LUNGS AND PLEURA: No pleural effusion or consolidation.MEDIASTINUM AND HILA: Heart size within normal limits, and there is no pericardial effusion. No significant mediastinal or hilar lymphadenopathy. Mild coronary artery calcifications.... | 1. No evidence of metastatic disease.2. Left IJ vein thrombosis as above. |
Generate impression based on findings. | Please note that axial FLAIR images and 3-D T1 postcontrast images were inadvertently not obtained.The ventricles and sulci are within normal limits. At the foramina of Monro, there is slight asymmetric prominence of enhancement on the right side with irregular appearance on the 3-D T2 weighted images, although this i... | Unremarkable contrast enhanced MRI brain. |
Generate impression based on findings. | 72 years, Female. Reason: Dobbhoff advancement History: Dobbhoff advancement LVAD, multiple mediastinal drains, and left pleuraleffusion noted; Please see same day chest radiograph report for additional details. Dobbhoff tube tip is obscured by the LVAD component. The tip is presumably in the gastric body. Pelvic vascu... | Dobbhoff tube tip is obscured by the LVAD component. The tip is presumably in the gastric body. |
Generate impression based on findings. | Hip pain. Evaluate for osteoarthritis. Moderate osteoarthritis affects the hip, appearing similar to that seen on the radiographs from 2006. Small densities seen on the frog leg view along the anterior aspect of the femoral neck may represent capsular calcifications or small intra-articular loose bodies. Mild osteoarth... | Osteoarthritis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious ... | 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. | No evidence of acute intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. The ventricles and sulci are within normal limits. There is no midline shift or mass effect. Redemonstration of extensive right frontotemporal encephalomalacia and associated ex vacuo dilatation of the... | 1. A nonenhancing tubular structure centered on the right cerebral peduncle with calcified rim may represent a thrombosed aneurysm, calcified venous drainage structure, or possibly an extra axial mass within the interpeduncular cistern. Further characterization with MRI of the brain with contrast is recommended. 2. Evi... |
Generate impression based on findings. | 27 years, Male. Reason: History of retroperitoneal lymph node dissection on 11/26/14, now with persistent abdominal bloating. Nonspecific bowel gas pattern with paucity of visualized small bowel loops. No free air on upright view. Numerous surgical clips project over the mid abdomen. | Nonspecific bowel gas pattern with paucity of visualized small bowel loops. No free air. |
Generate impression based on findings. | Reason: prostate cancer History: prostate cancer Previously identified increased radiotracer activity in the lower cervical spine is less prominent than priors and may be resolving degenerative changes. Otherwise, no changes or abnormal radiotracer uptake to indicated bone metastases. | No current evidence of osseous metastatic activity. |
Generate impression based on findings. | Male 56 years old; Reason: see above History: appendiceal cancer C1 D 11 clinical trialRADIOPHARMACEUTICAL: 11.9 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 106 mg/dL. Today's CT portion grossly demonstrates a left chest wall port catheter with tip in SVC. There are multiple surgical clips throughout the... | 1. Widespread hypermetabolic abdominopelvic lymph node metastases and carcinomatosis not significantly changed.2. There is no suspicious FDG avid activity above the diaphragm. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of basal cell carcinoma. 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, unchanged in pattern and distributi... | 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. | History of acute onset left-sided numbness. No definite intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with mild age-related volume loss. No ext... | No evidence of 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. |
Generate impression based on findings. | 24-year-old male, hit by car one week ago, assess for injury Artifact is noted from overlying bandages. Glenohumeral alignment is within normal limits. There is no fracture or other osseous abnormality. | No specific findings to account for the patient's limited range of motion. |
Generate impression based on findings. | 19-year-old male with history of exquisite pain over cuboid. Evaluate for cuboid fracture. We see no fracture. Specifically, the cuboid and calcaneus appear normal. | There is no fracture or other specific findings to account for the patient's pain. If clinical concern for stress fracture persists, repeat radiographs may be taken in 10 to 14 days. Alternatively, MRI may be obtained.Findings discussed with Dr. Asbury at 1340 on 1/30/15. |
Generate impression based on findings. | Female 67 years old; Reason: Eval for areas of GIB, patient with Crohns disease requiring 2 U PRBC weekly also with NSCLC metastatic. No overt blood in stools. The angiographic phase images are unremarkable. On sequential imaging, there is an abnormal focus of RBC accumulation identified in the lower midabdomen which i... | Active gastrointestinal hemorrhage most likely originating from the distal small bowel.Findings were discussed with Dr. Andres Yarur by telephone on 1/30/2015 at 2:05 PM. Findings were also discussed with Interventional Radiology, and decision was made to transport patient directly to Interventional Radiology departmen... |
Generate impression based on findings. | 61 year old female with occasional tenderness to the left axilla and lateral left breast presents for routine screening mammography. Personal history of lung cancer. 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 m... | Stable focal asymmetries 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Shoulder pain status post MVA in 2012; demineralization as can be seen in CRPS. I see no frank demineralization. I see no fracture or malalignment. A small ossicle is noted within the soft tissues along the lateral aspect of the acromion process which may reflect old trauma but is of doubtful current clinical significa... | No specific findings to account for the patient's pain. Bone mineralization appears normal. |
Generate impression based on findings. | 55-year-old female with HPT. Please assess for parathyroid adenomas. There is physiologic distribution of the radiopharmaceutical. No abnormal focus of activity consistent with an enlarged parathyroid gland is seen. The right thyroid lobe appears to measure 2.3 cm and the left lobe 2.9 cm in length. | No scintigraphic evidence for parathyroid adenoma. |
Generate impression based on findings. | Metastatic papillary thyroid cancer, compare to previous study. Neck: There are postoperative findings related to total thyroidectomy and neck dissection. There is no interval change in the ill-defined nonspecific soft tissue within the surgical bed. There is an unchanged subcentimeter right level 4 lymph node and part... | 1. Post-treatment findings in the neck without evidence of measurable tumor recurrence within the thyroidectomy bed and no significant change in the right level 4 lymph node.2. Slight interval decrease in size of the presumed intracranial metastases.3. Continued interval decrease in size of the right occipital scalp me... |
Generate impression based on findings. | Reason: please re-evalutate following additional systemic therapy and provide bi-dimensional measurements per RECIST v1.1 thank you History: NSCLC LUNGS AND PLEURA: Right upper and middle lung dense consolidation with fibrosis and architectural distortion consistent with radiation reaction in postsurgical scarring.1. R... | Interval increase in multiple pulmonary nodules. |
Generate impression based on findings. | 52-year-old female with pain and swelling after twisting injury two weeks ago Alignment is anatomic. We see no fracture. Mild osteoarthritis affects the knee. A small likely osteochondroma is noted along the antero-lateral distal femur. No joint effusion is visualized. | Degenerative arthritic changes without fracture or dislocation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of inflammatory breast carcinoma diagnosed in mother at age 66. 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 composed of scattered fibroglandular densi... | 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 26 years old Reason: elevated transaminitis, hx of hep B, pleases assess for possible leukemic infiltration and portal vein thrombosis History: elevated transaminitits LIMITED ABDOMENLIVER: The liver measures 16.5 cm in length and demonstrates mildly hyperechoic hepatic parenchyma. There is no focal liver lesion. ... | 1. Patent hepatic vasculature.2. Hyperechoic hepatic parenchyma. This may represent fatty infiltration however other infiltrative processes can have this appearance. |
Generate impression based on findings. | Bilateral breast cysts. History of benign bilateral breast biopsies. No new 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. There as bee... | 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: NS - Screening Mammogram. |
Generate impression based on findings. | 58 year old female with right knee swelling Moderate joint space narrowing and tricompartmental osteophytes particularly affecting the patellofemoral joint consistent with moderate to severe osteoarthritis, mildly progressed from the prior exam. Chondrocalcinosis is noted. No joint effusion. | Moderate to severe osteoarthritis with findings raising the question of underlying CPPD arthropathy. |
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. No suspicious masses, microcalcifications or areas of architectural distortio... | No mammographic evidence of malignancy. Screening mammography is most sensitive when evaluating for interval change. 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.RECOM... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. 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. The breast parenchyma is composed of scattered fibroglandular density. Benign calcifications are present, including arterial... | 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 bilateral breast FNAs, bilateral surgical excisions, and right breast abscess. Three standard views of both breasts with additional images in all views bilaterally (12 images total) were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular... | Stable benign circumscribed masses and 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 sent to the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of vaginal cancer diagnosed at the age of 47. History of breast cancer in sister. Two standard digital views and tomosynthesis of both breasts and additional bilateral CC views were performed and reviewed with the aid of R2 CAD 9.3. The br... | 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. | 69-year-old male with a history of left groin inguinal hernia. Please evaluate for recurrence. No evidence of recurrent or residual hernia is identified. There is a dilated varix at the site of the patient's pain which cannot be followed; consider correlation with cross-sectional imaging as clinically indicated. Small ... | No evidence of hernia. There is a dilated varix the site of the patient's pain which can be better evaluated with cross-sectional imaging as noted above. |
Generate impression based on findings. | Reason: h/o BOT ca, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Mild paraseptal emphysema and unchanged left basilar scarring and pleural thickening, probably from prior pleuritis or empyema.No evidence of pulmonary or pleural metastases.MEDIASTINUM AND HILA: No mediastinal or h... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 13-year-old female with pain/edemaVIEWS: Right ankle AP/oblique/lateral (3 views) 1/30/15 No acute fracture or malalignment is evident. No significant soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Right hand numbness, evaluate for CVA No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. There is slitlike encephalomalacia involving the left external capsule related to remote hemorrhage seen on prior study from 2003. There is interval development of extensive areas of hypoatte... | 1. 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.2. Moderate chronic small vessel ischemic disease which has significantly progressed since 8/22/2003.3.... |
Generate impression based on findings. | Male 47 years old; Reason: Evaluate vasculature to support kidney transplant History: esrd 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 significant abnorm... | 1.No significant calcific plaque burden in the aorta or pelvic branch vessels |
Generate impression based on findings. | 52 year old with right breast IDC and right axillary lymphadenopathy on neoadjuvant chemotherapy presents for re-assessment. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patt... | Decreased size of the right breast mass and right axillary lymphadenopathy. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. There are no enhancing masses, mass effect or midline shift. No edema is noted. The ventricles and sulci are normal in size. Moderate periventricular and subcortical white matter hypoattenuation is nonspecific but compatible with age-indeterminate small vessel ischemic cha... | 1. No evidence of acute intracranial hemorrhage or mass.2. Moderate age-indeterminate small vessel ischemic disease. |
Generate impression based on findings. | Metastatic head and neck cancer CHEST:LUNGS AND PLEURA: No pleural fluid. Subtle nodularity of the fissures and pleura noted, suspicious for early pleural or perilymphatic metastases, present previously but more pronounced on the current study. Scattered 1-3 mm micronodules, about the same.MEDIASTINUM AND HILA: Bilater... | 1. Subtle nodularity of the visceral pleura bilaterally suspicious for early pleural or perilymphatic metastases.2. Bilateral mediastinal and hilar lymphadenopathy with reference lesion measurements provided in the body of the report.3. Stable appearance of skeletal metastases.4. Overall appearance of hepatic metastati... |
Generate impression based on findings. | 12-year-old female with seizure and apparent right vertebral artery narrowing on MRA The V3 segment questioned on the prior exam is patent without evidence of dissection or aneurysm. There is a dominant left vertebral artery. There is an extracranial origin of the right PICA. The carotid arteries are also without evide... | No evidence of arterial dissection. The previously questioned right V3 segment is patent and irregularity on the prior exam was likely artifactual. |
Generate impression based on findings. | Male 8 years old no history providedVIEW: Abdomen right lateral decubitus (one view) 1/30/2015 There is mild gaseous distention of multiple loops of bowel with air-fluid levels and gas present in the rectum, which is nonspecific. There is no pneumoperitoneum, portal venous gas or pneumatosis intestinalis is evident. A ... | Nonspecific gaseous distention and air-fluid levels with gas in the rectum, which may reflect enteritis or ileus. No pneumoperitoneum. |
Generate impression based on findings. | A 35 years old female with know atrial septal defect and normal coronary arteries referred for CT for evaluation and decision about therapeutic options.CPT Code: 75574 Left Ventricle: The left ventricular end-systolic volume is normal (LV volume 37ml).Right Ventricle: The right ventricular end-systolic volume is increa... | 1. Large secundum type atrial septal defect is noted. 2. Severe right atrial dilation with increased right ventricular end-systolic volume. 3. Mild left atrial dilation with normal left ventricular end-systolic volume. 4. Normal pulmonary venous drainage. 5. There are no significant coronary artery stenoses present. 6... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in mother diagnosed at age 40, maternal aunt diagnosed at age 51 and maternal grandmother diagnosed at age 50. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The... | Subtle calcifications in the right retroareolar region. Spot magnification imaging is recommended. Results and recommendations were discussed with Dr. Jaskowiak.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
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