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Generate impression based on findings. | Distal radius fracture.VIEWS: Left wrist PA/lateral/oblique (3 views) 02/02/15 Cast has been removed. Callus formation is noted laterally and posteriorly around the radial fracture. Demineralization is noted. | Further healing of distal radial fracture. |
Generate impression based on findings. | T1N2bM0 squamous cell carcinoma of the left tonsil, p16+, s/p tonsillectomy in the Fall of 2013, and completed CRT on 1/17/14. Neck: There are post-treatment findings in the neck, including mild diffuse pharyngeal mucosal edema. There is no measurable residual tumor in the left palatine fossa. There is no significant c... | 1. No evidence of measurable locoregional tumor recurrence or significant lymphadenopathy in the neck.2. No evidence of intracranial metastases. |
Generate impression based on findings. | 57-year-old male with history of fever status-post transplant. Evaluate. CHEST:LUNGS AND PLEURA: Left basilar atelectasis. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: Mildly enlarged AP window lymph node measuring 1.6 x 1.3 cm which does not demonstrate FDG avidity on the recent PET exam.CHEST WALL: Righ... | 1.No specific evidence of infection as clinically questioned.2.Gallbladder sludge versus small gallstones without evidence of complication.3.Nonspecific stable mildly enlarged mediastinal lymph node.4.Left basilar pulmonary atelectasis |
Generate impression based on findings. | Postop prosthetic assessment Components of a right total hip arthroplasty device are situated in near anatomic alignment. A fracture through the greater trochanter is again visualized, but appears slightly less distinct on the current study than on the prior study suggesting some interval healing. Degenerative arthriti... | Total hip arthroplasty with healing greater trochanter fracture. |
Generate impression based on findings. | Open reduction and internal fixation.VIEWS: Left elbow AP/lateral/oblique (3 views) 02/02/15 Splint has been removed. Three K wires remain in place in distal humerus. Callus formation has developed in the interval. Alignment of distal humeral fracture is near-anatomic. | Healing distal humeral fracture. |
Generate impression based on findings. | Status post left total knee arthroplasty Components of a left total knee arthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. The previously seen skin staples and drain have been removed. There is swelling of the anterior soft tissues which limits evaluatio... | Total knee arthroplasty as above. |
Generate impression based on findings. | Status post left mastectomy for breast cancer in 2012 for DCIS and right mastopexy, presents today for routine follow up. No current breast complaints. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandula... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Pain. Again seen is a transcondylar fracture of the distal humerus with fracture fragments in near anatomic alignment. The portion of the fracture through the lateral condyle is less distinct on the current study than on the prior study, indicating some interval healing. The portion of the fracture through the medial c... | Healing distal humerus fracture as above. |
Generate impression based on findings. | There is no evidence of mesial temporal sclerosis, cortical dysplasia or gray matter heterotopia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or hern... | No MRI abnormality to explain the patient's epilepsy. |
Generate impression based on findings. | 9-year-old male with abdominal distention, hepatomegaly, ascites, hydronephrosis LIVER: The liver measures 13.9 cm. No focal hepatic lesions. Limited interrogation of main portal vein demonstrates increased blood flow towards the liver measuring 0.5 m/sec. This is of uncertain clinical significance.GALLBLADDER, BILIARY... | 1.No hepatosplenomegaly on the current exam. No hydronephrosis is evident.2.Gallbladder sludge without evidence of acute cholecystitis. |
Generate impression based on findings. | Female 55 years old; Reason: 55 yo with right knee melanoma. Needs Lympho for sentinel node localization History: painRADIOPHARMACEUTICAL: The right knee was prepared in a sterile manner. A total of 0.6 mCi Tc-99m filtered sulfur colloid was injected around the healing excision scar site in four injections. A focus of ... | Sentinel node identified in the right groin. |
Generate impression based on findings. | 10 week old former 29 to 30 week gestational age patient with history of respiratory distress. Oxygen requirement.VIEW: Chest AP (one view) 02/02/15, 0936 Feeding tube tip is in gastric body.Lung volumes are large with hemidiaphragms between 10 and 11 posterior ribs. Coarse bilateral opacities are noted. Subsegmental a... | Changes from chronic lung disease. |
Generate impression based on findings. | 65-year-old female with rectal cancer status post surgery and adjuvant chemotherapy. Follow up exam. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without pericardial effusion.CHEST WALL: No significant abnormality n... | 1.No evidence of recurrent or metastatic disease. 2.Two anterior abdominal bowel containing hernias without evidence of obstruction. |
Generate impression based on findings. | 54-year-old male with first and second knuckle swelling. Three views of the right hand are provided. The bones appear demineralized. There is uniform narrowing of the third metacarpophalangeal joint along with an erosion along the radial aspect of the third metacarpal head and dorsal soft tissue swelling, but the remai... | Third metacarpophalangeal joint narrowing and erosion as described above could represent manifestations of gout, rheumatoid arthritis, or atypical infection. |
Generate impression based on findings. | Ms. Mason is a 73 year old female with a personal history of left breast mastectomy in 2011 for IDC/DCIS treated with radiation, chemotherapy and an aromatase inhibitor. Family history of breast cancer in two maternal cousins. Three standard views of the right breast were performed digitally and reviewed with the aid o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of bilateral breast reduction surgery. 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. There are ex... | Extensive changes which are compatible with reduction surgery. 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. | There is a large region of encephalomalacia involving the right frontal lobe and insular cortex which is similar in appearance the prior exam. There is a nodular and linear hyperattenuation which is more prominent than the prior exam. There is effacement of the frontal horn of the right lateral ventricle, unchanged. P... | 1.Subacute infarct in the right frontal lobe and insular cortex area with more prominent nodular and linear hyperdensities. These may represent either residual subcortical white matter or petechial hemorrhage. Continued follow-up is recommended.2.Mild to moderate age indeterminate small vessel ischemic disease with chr... |
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. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | 55 year old female with nausea and regurgitation x 3 months, weight loss. Scout radiograph of the chest showed no mediastinal widening, abnormal pulmonary opacities, or pleural effusions.Double contrast evaluation of the hypopharynx and neck did not demonstrate a Zenker's diverticulum, definite esophageal web, or crico... | 1.Findings compatible with moderate esophageal motility disorder as described above, with resultant marked delayed emptying of ingested contents from the esophagus into the stomach.2.No anatomic abnormality or evidence of obstruction identified. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Right breast surgical scar, benign biopsy and aspiration. 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 patter... | 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. | Two day old male, 37 week infant of diabetic mother, with line placementVIEW: Chest/abdomen AP (2 view) 02/02/15, 1008 hours Interval retraction of UVC with tip in the left hepatic vein.Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities.Disorganized bowel gas pattern. N... | UVC tip is in the left hepatic vein. |
Generate impression based on findings. | Ms. Bian is a 30-year-old female presenting with a palpable abnormality in the right upper inner breast with associated skin thickening. She recently completed lactating in March 2014. Per patient, she does have a positive history of trauma to that area in Dec 2014. Right breast ultrasound re-identified the target lesi... | Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 51 year-old female with history of fall. Right ankle: There is a minimally displaced oblique fracture through the distal fibular diaphysis in near anatomic alignment with the distal extent of the fracture located approximately 2 cm above the level of the tibiotalar joint. No additional fractures are noted.Right knee: T... | 1.Distal fibular fracture as above.2.Postsurgical and degenerative changes of the knee without acute fracture. |
Generate impression based on findings. | 51 year-old female with history of ankle injury. Evaluate for instability. Redemonstrated is an oblique fracture of the distal fibular diaphysis in near-anatomic alignment. There is no evidence of widening of the distal ankle syndesmosis or the medial aspect of the ankle joint. | Distal fibular fracture as above. |
Generate impression based on findings. | 49-year-old female with history of ulnar osteotomy. There is a plate and screw device affixing a proximal ulnar osteotomy. There is no evidence of hardware complication. The osteotomy margins are slightly indistinct suggesting healing. Minimal osteoarthritis affects the elbow. | Orthopedic fixation of healing osteotomy as above. |
Generate impression based on findings. | Two year-old female with fractureVIEWS: Left femur AP/lateral (two views) 02/02/15 , 1045 hrs Overlying cast material obscures fine bone detail. Again seen is a fracture through the proximal femoral metaphysis in near anatomic alignment. Periosteal reaction and mild callus formation is suggestive of interval healing. | Healing proximal femoral metaphyseal fracture in near anatomic alignment. |
Generate impression based on findings. | 60 year-old female with pain. Three views of the right wrist show resection of the scaphoid and orthopedic screws affixing the capitate-lunate and triquetrum-hamate articulations. The capitate-lunate articulation appears indistinct which may represent some fusion. The triquetrum-hamate articulation remains visible. Oss... | Orthopedic right wrist fusion as described above. |
Generate impression based on findings. | 54 year-old female with history of recurrent metastatic ovarian cancer. Evaluate. CHEST:LUNGS AND PLEURA: Scattered stable micronodules, some of which are calcified, are unchanged. No suspicious nodules or masses. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart ... | 1.No evidence of recurrent or metastatic disease. 2.Subcentimeter nonspecific mesenteric lymph nodes are likely of no clinical significance. However, given that they were not definitely appreciated on the previous examination, attention on follow-up examinations is recommended. |
Generate impression based on findings. | 50 year-old male with history of right total knee arthroplasty. Three views of the right knee show hardware components of a medial compartment arthroplasty in near-anatomic alignment without evidence of complication. Mild osteoarthritis affects the remainder of the knee. There is a moderate joint effusion. Skin staples... | Right knee medial compartment arthroplasty without evidence of complication. |
Generate impression based on findings. | 65-year-old male with clinical meningitis, multiple brain lesions. Evaluate for signs of increased intracranial pressure. Redemonstration of multiple supratentorial and infratentorial foci of hypoattenuation, corresponding to areas of restricted diffusion identified on the recent MRI, which now appear slightly more con... | 1.Interval increase in the degree of conspicuity of numerous supratentorial and infratentorial hypoattenuating foci, now with increasing surrounding edema. These lesions correspond to foci of restricted diffusion identified on the recent MRI, and are suspicious for numerous tiny infarctions. 2.There is slight effacemen... |
Generate impression based on findings. | 69-year-old male with metastatic prostate cancer, evaluation of disease during treatment with investigational therapy. CHEST:LUNGS AND PLEURA: Scarring/atelectasis at left lung base unchanged. No parenchymal lung nodules, masses or airspace disease seen. Changes of emphysema are stable. No pleural disease.MEDIASTINUM A... | 1. Stable focus of sclerosis in the L2 vertebral body. No new suspected foci of disease seen, however nuclear medicine scintigraphy is a more accurate evaluator of skeletal metastatic disease. 2. No other suspicious foci from metastatic disease seen. 3. Remainder of the examination appears stable compared to prior CT e... |
Generate impression based on findings. | History of lung cancer with altered mental status. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage. There is a focus of hypoattenuation in the right cerebellar hemisphere, which may correspond to the presumed metastasis on prior MRI brain. There are scattered punctate foci and conf... | 1. No evidence of intracranial hemorrhage.2. Focus of hypoattenuation in the right cerebellar hemisphere, which likely corresponds to the presumed metastasis demonstrated on prior MRI brain. |
Generate impression based on findings. | 61 year old female status post left lumpectomy in 2009 for IDC, presents today for routine follow up. The patient received radiation and hormonal therapy. No current breast complaints. Family history of breast carcinoma in maternal cousin. Three standard views of both breasts were performed digitally and reviewed with ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Reason: Pleural mesothelioma please compare to prior exam History: Pleural mesothelioma CHEST:LUNGS AND PLEURA: There has been interval resolution of the small right-sided pneumothorax.Mild right pleural thickening and small right pleural effusion redemonstrated.Focal right pleural nodularity (image 26 series 5) measur... | Postsurgical findings in the right hemithorax related to prior pleurectomy. Interval resolution of the previously noted small pneumothorax. Focal pleural nodularity on the right stable to minimally increased in size. Continued observation is recommended. |
Generate impression based on findings. | Ms. Fan is a 59 year old female with a known diagnosis of right breast cancer. She had a recent ultrasound that showed enlarged right axillary lymph nodes. This will be the target for today's biopsy. Right axillary ultrasound re-identified either a single bilobed node or two intimately associated lymph nodes in the rig... | Successful ultrasound guided core biopsy of an abnormal right axillary lymph node. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign left 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 composed of scattered fibroglandular density, unchanged in pattern and distr... | 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. | 61-year-old female with history of prior fracture. The bones are demineralized. Redemonstrated is a minimally displaced fracture of the radial styloid in anatomic alignment. Portions of the fracture line are slightly less distinct suggesting some interval healing. There is moderate soft tissue swelling about the wrist. | Healing distal radius fracture as above. |
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. No suspicious morphology masses, microcalcifications or areas of arc... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms can be submitted, then an addendum to this re... |
Generate impression based on findings. | 27-year-old male with chronic nasal congestion and deviated nasal septum, evaluate sinuses The frontal sinuses are clear. There is bilateral mucosal thickening within the frontal recesses.There is mild mucosal thickening of the anterior ethmoid sinuses.There is minimal mucosal thickening of the sphenoid sinus. There is... | 1.Mild mucosal thickening of the paranasal sinuses with moderate to severe mucosal thickening within the left nasal cavity.2.Rightward deviation of the nasal septum with a left-sided spur. |
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. No suspicious masses, microcalcificati... | 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. | Pain A sclerotic focus with minimal expansion and periost reaction is observed involving the proximal left tibial diaphysis correlating with the MR findings. In addition, comparison with prior knee plain films in 2014 although incomplete demonstrate a similar appearance.No discrete soft tissue components or evidence of... | Plain film focal and an unchanged geographic lesion involving the proximal tibial diaphysis and again most suggestive of an enchondroma, however correlation with a more sensitive MR is recommended. |
Generate impression based on findings. | CT HEAD: There postoperative findings related to right frontoparietal craniotomy for resection of a subjacent cavernous malformation. There is further evolution of encephalomalacia along the surgical tract. There is no evidence of acute intracranial hemorrhage. The ventricles and basal cisterns are unchanged in size a... | 1.Postoperative findings related to resection of a right frontal cavernous malformation with further evolution of encephalomalacia along the surgical tract. 2.No evidence of aneurysm, vascular malformation, or significant steno-occlusive lesion. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat bilateral MLO 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. No suspicious m... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts with repeat 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 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 13 months old Reason: fracture VIEWS: Left tibia-fibula AP and lateral 2/2/15 (two views) Cast material obscures fine bone details. Periosteal reaction is noted on the proximal and distal tibia. Alignment is anatomic. | Healing fracture in anatomic alignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history breast cancer in her sister. 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 distribu... | 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. | Male 62 years old; Reason: HCC, on therapy, evaluate for disease, compare to previous, please assess with triphasic liver/thickness: 2.5 mm or less and provide index lesion measurements for RECIST as per clinical trial CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change, no pleural effusion. Previ... | 1. Stable exam as described. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Prior benign biopsy in 2009. Two standard digital views of both breasts, repeat right MLO view and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pat... | Left breast mass near 6 o'clock for which further evaluation with spot compression and ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 44 year old male status post biliary drainage, pancytopenic, abdominal pain, constipation. Rule-out hematoma, obstruction, cholecystitis. Within the limits of a non-IV contrast-enhanced examination which limits the ability to evaluate solid parenchymal organs and vascular structures, the following observations can be m... | 1. New right pleural effusion and atelectasis since prior CT 1/18/15. 2. Increasing peritoneal fluid with non-loculated fluid seen about liver, gallbladder and in the dependent pelvis. 3. High density fluid fluid level seen in dependent pelvis suggestive of small amount of blood products. 4. No evidence of large, conta... |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Call back from screening mammogram for markedly dilated duct in right retroareolar region. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. Dilated duct is again present in the right retroareolar region without significant changes.Focused u... | 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. | 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 almost entirely fatty. No suspicious masses, microcalcifications or areas of architectural distortion are present.... | 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. | Reason: bladder cancer, resected, now restage History: bladder cancer, resected, now restage LUNGS AND PLEURA: Scattered linear scars, but no sign of pulmonary or pleural metastases. MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.There are no visible coronary calcifications, and the heart and peric... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | There is near complete opacification of the right maxillary sinus with a combination of mucosal swelling and fluid secretions. There is sclerosis and thickening of the right maxillary sinus walls. There are also bubbly secretions in the left maxillary sinus. There is mild scattered opacification of the right anterior ... | Findings indicative of acute upon chronic sinusitis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 46-year-old female with history of appendiceal neoplasm. Please evaluate for abnormalities in recurrence. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No signifi... | 1. Involution of prior noted right adnexal cyst with no residual. 2. No evidence for recurrent or metastatic disease seen. |
Generate impression based on findings. | Male 62 years old; Reason: 61 y/o man with T cell NHL s/p 6 cycles of CHOEP chemotherapy in 11/2013. Compare to prior exams. CHEST:LUNGS AND PLEURA: Small dependent bibasilar atelectasis.MEDIASTINUM AND HILA: Small anterior mediastinal soft tissue/predominately fat attenuation, unchanged in appearance, may reflect fatt... | 1. Stable exam as described. No enlarged lymphadenopathy seen. |
Generate impression based on findings. | Pain following a fall Knee: Moderate to near severe osteoarthritis with a questionable small effusion, details and mildly of secured by batting. Please consider follow up for need imaging if there remains suspicion for an acute process. Detail is limitedPelvis: Moderate bilateral hip osteoarthritis with more mild degen... | Acute comminuted fracture of the proximal right femur |
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. No suspicious masses, microca... | 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. | 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. An obscured mass in ... | Obscured left breast mass may represent a normal lymph node, though this is not certain without further evaluation. Spot compression with possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 76-year-old male with metastatic prostate cancer. CHEST:LUNGS AND PLEURA: Scattered micronodules seen on the MIP images unchanged. No new nodules or masses are seen suspicious for metastatic disease. No pleural disease.MEDIASTINUM AND HILA: Severe coronary artery calcifications again seen and post surgical changes from... | 1. Slight increase in size of one reference perinephric nodule with stability in the remaining multiple nodules. 3. Stable sclerotic foci in the skeletal system described above -- nuclear medicine scintigraphy is a more sensitive and accurate indicator of metastatic disease. 3. Slight increase in size of the prior refe... |
Generate impression based on findings. | Male 45 years old; Reason: restaging scans s/p 9 cycles of investigational immunotherapy History: hx of metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Visualized lung fields without significant change, no suspicious lung nodule or mass seen.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No sig... | 1. Improved left-sided hydronephrosis. 2. Increased prominence of left pelvic soft tissue mass as above with adjacent left acetabular erosive changes again seen. Additional reference lesions stable. |
Generate impression based on findings. | Patient with pain for 3 days following fall Minimal degenerative changes the radiocarpal joint, however no underlying osseous abnormality is observed, specifically no fracture or malalignment. No definite effusion although a small wrist effusion can't be excluded. Specifically the scaphoid is intactHand: No radiographi... | Minimal soft tissue swelling and questionable small wrist effusion without underlying osseous abnormality |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of benign right breast biopsies. 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 patte... | Questionable area of distortion in the left breast for which further evaluation with spot compression and possible ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Check for fracture, pain from falling Severe osteoarthritic changes with marked hallux deformity and bunion of the first digit with associated hammertoe deformities of the remaining toes. Diffuse demineralization is otherwise observed without evidence of associated acute process, specifically no fracture or dislocation... | Minimal scattered degenerative changes with more severe changes involving the first MTP with a large bunion. No superimposed abnormality |
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: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | History of thyroid cancer metastatic to the skull s/p thyroidectomy and resection of the skull lesion. Neck: The thyroidectomy bed appears unchanged. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The salivary glands are unremarkable. The major cervical v... | 1. No evidence of measurable tumor recurrence in the neck.2. No significant interval change in the skull metastases.3. Lung metastases. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Check for fibular fracture. Tenderness laterally Minimal soft tissue swelling without underlying osseous abnormality. Mortise intact. | Minimal soft tissue swelling without additional abnormality |
Generate impression based on findings. | Patient fell. Pain Mild osteoarthritic changes with minimal narrowing and sclerosis. No superimposed acute abnormality, specifically no fractures or dislocation. | Mild osteoarthritic |
Generate impression based on findings. | Check right small finger, pain Interval removal of the extra of fixation of the distal components demonstrating interval fusion and healing of the proximal middle fifth phalanx fracture extending to the volar surface with persistent mild deformity. The small dorsal evulsion fragment remains unchanged in position with n... | Interval removal of the external fixation with partial healing of one fracture yet the absence of the other more dorsal fragment and fracture plane. See detail provided |
Generate impression based on findings. | Male 4 months old Reason: ETT location History: Seizures. Apparent life threatening eventVIEW: Chest AP (one view) 2/2/15 at 1214 hrs. ET tube tip is below the thoracic inlet. NG tube terminates at the stomach. Cardiac silhouette size is normal. Right upper and left lower lobe opacity development, likely atelectases. N... | Multifocal opacity development after ET and NG tube placement. |
Generate impression based on findings. | Male 3 years old Reason: s/p LIJ port History of leukemia.VIEW: Chest AP (one view) 2/2/15 at 1220 hrs. Interval removal of right upper extremity central line and placement of left internal jugular Port-A-Cath, deep is at the RA/IVC junction.Cardiac silhouette size is normal. Ill-defined right upper and lower lobe patc... | Interval right upper extremity PICC removal and placement of left IJ Port-A-Cath as described.Multifocal opacities as described. |
Generate impression based on findings. | Follow up of left basal ganglia and thalamic ICH Re-demonstration of the left thalamic and basal ganglia ICH, IVH and right hemispheric SAH with mass effects.The maximum measured size of the ICH, extent of IVH and SAH do not show any significant interval change since prior exam. The degree of midline shift toward right... | 1. Re demonstration of left basal ganglia and thalamic ICH with mass effects, no significant interval change since prior exam.2. IVH with right lateral ventricle enlagement and right hemispheric SAH extent appear to be stable since prior exam. |
Generate impression based on findings. | 72-year-old female. Rectal carcinoma on chemotherapy. Please compare to prior. CHEST:LUNGS AND PLEURA: Right lower lobe reference nodule (series 5 , image 75) has not significantly changed and measures 1.2 cm compared with 1.3-cm most recently. The other small parenchymal nodules are unchanged. No new nodules are seen.... | 1. Stable appearance to suspected pulmonary metastatic lesions. 2. Substantial increase in diffuse hepatic metastatic disease. 3. Rectal mass with circumferential wall thickening with minimal change. 4. No new sites of suspected metastatic disease seen. |
Generate impression based on findings. | Reason: Metastastic thyroid cancer History: Metastastic thyroid cancer CHEST:LUNGS AND PLEURA: Bilateral pulmonary metastases, no new pulmonary nodules. The reference lesions have shown stability versus marginal interval increase in size measuring 18 mm in the right middle lobe (image 58/90, 17 mm on prior) and 14 mm i... | Stable to marginal interval increase in size of reference pulmonary nodules. No new pulmonary nodules or new sites of disease |
Generate impression based on findings. | left 3rd nerve palsy NONCONTRAST CT HEADRedemonstration of the suprasellar mass lesion, no change since prior scan.Patchy high attenuation lesions within the suprasellar mass may indicate possible intra-tumoral hemorrhages.No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci, and cisterns are symme... | 1. Suprasellar mass lesion with possible intratumoral hemorrhage as described above.2. No evidence of intracranial aneurysm. No intracranial and extracranial arterial luminal stenosis or occlusion. |
Generate impression based on findings. | Postsurgical changes are present including partial left ethmoidectomy and middle turbinectomy with a suggestion of left infundibulectomy.Mucosal thickening is present within both maxillary sinuses (right greater than left), obstructing bilateral sinus outlets.Mucosal thickening is present within the right sphenoid sin... | Mucosal thickening throughout the paranasal sinuses obstructing sinus outlets with a superimposed air-fluid level in the left sphenoid sinus. |
Generate impression based on findings. | TxN2cM0 squamous cell carcinoma status post chemo/RT followed by right neck dissection with right vocal cord paralysis. Neck: There are post-treatment findings in the neck, including prior right neck dissection and persistent marked supraglottic mucosal edema with associated airway narrowing. There are also a few punct... | 1. No definite evidence of measurable residual mass lesions or significant lymphadenopathy in the neck amidst extensive post-treatment effects with persistent markedly edematous tissue in the supraglottic region associated with airway narrowing, as well as a small amount of residual ill-defined soft tissue associated w... |
Generate impression based on findings. | Sickle cell anemia. Swollen ankle and distal tibia-fibula. Assess for osteomyelitis.VIEWS: Left tibia-fibula AP/lateral (two views), left ankle AP/lateral/oblique (3 views) 02/02/15 Tibia and fibula are normal in appearance. No fracture is identified. No bone destruction is seen.Soft tissue swelling is noted over the m... | Soft tissue swelling over medial malleolus. |
Generate impression based on findings. | Left parotitis. Neck: There is marked diffuse enlarged and enhancement of the left parotid gland with associated surrounding inflammatory changes. There are no discernible radioattenuating calculi or significant ductal dilatation. The right parotid and bilateral submandibular glands are unremarkable. There is a mildly ... | 1. Findings compatible with acute left parotitis without evidence of abscess or radioattenuating calculi.2. Diffuse osteopenia with a mild compression fracture of T4 vertebral body. |
Generate impression based on findings. | Reason: head and neck cancer/ per protocol scans History: see above CHEST:LUNGS AND PLEURA: Previously noted new nodular opacity in right upper lobe has significantly decreased and measures 6 x 5 mm on image 35/116. It likely represented an area of aspirate or infection. Additional smaller surrounding nodular opacities... | Interval decrease in right-sided nodular opacities likely resolving aspirate or infection. No new pulmonary nodules. |
Generate impression based on findings. | Ms. McDonald is a 65 year old female with a personal history of right breast lumpectomy in 1993 followed by radiation and tamoxifen therapy. Personal history of bilateral benign breast biopsies. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma ... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | 52-year-old male with history of prostate cancer. Staging examination. This examination was performed per the research protocol after administration of 120 cc's of intravenous Omnipaque 350. | This examination was performed for research purposes only. |
Generate impression based on findings. | Male 76 years old; Reason: metastatic prostate cancer evaluation of disease after 3 cycles of investigational therapy. please complete PCWG2 form Persistent uptake in the Left sacral, right iliac and left 10th rib foci are unchanged. These foci correlate with sclerotic osseous lesions seen on same day CT scan. Left mid... | Stable appearance of multifocal osseous metastatic disease, with no new abnormal foci identified. |
Generate impression based on findings. | Two -year-old male with coarse breath soundsVIEWS: Chest AP/lateral (two views) 02/02/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No peribronchial cuffing suggestive of bronchiolitis/reactive airway disease. No pulmonary opacities. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 3-year-old male with fever, cough, prematurityVIEWS: Chest AP/lateral (two views) 02/02/15 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. Mild peribronchial cuffing suggestive of reactive airway disease/bronchi... | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | 44-year-old male with metastatic renal medullary carcinoma. Assess for ongoing response to therapy. CHEST:LUNGS AND PLEURA: Persistent bilateral basilar ground glass opacities consistent with scarring. Three to 4-mm nodule in the right upper lobe near previously noted region of bronchiectasis is nonspecific (series 5, ... | 1.Continued interval decrease in size of lymphadenopathy. 2.No definite evidence of new sites of disease.3.No significant interval change in appearance of scarring at the lung bases with a new right upper lobe nodule which may be part of the scarring; however, a new nodule cannot be entirely excluded and attention on s... |
Generate impression based on findings. | Male 73 years old; Reason: hx of left temporal scalp melanoma, identify sentinel lymph nodes RADIOPHARMACEUTICAL: The left temporal scalp was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected in four perilesional injections. A focus of increased activity is noted in the preaur... | Sentinel node identified in the left preauricular lymph node. |
Generate impression based on findings. | 13-year-old male with right femur lesion with adjacent stress reaction, evaluate for interval change/healing. Four views of the right femur demonstrate a lucent lesion in the lateral distal femoral metadiaphysis which abuts the lateral cortex and results in mild expansile remodeling. The majority of the lesion has a th... | Benign-appearing lesion of the distal femur most likely represents a large nonossifying fibroma. Alternatively this could represent a focus of fibrous dysplasia, but this is considered less likely. We see no fracture. |
Generate impression based on findings. | Male 27 years old; Reason: gastric emptying for gastroparesis Visually there was persistent abnormal retention of radiotracer in the stomach with delayed emptying.Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 90.3 % of ... | Findings consistent with marked gastroparesis. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage or mass. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is mild mucosal thickening within the maxillary sinuses. The mastoid air cells are clear. Howeve... | 1. No evidence of acute intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct.2. No evidence of significant cerebrovascular steno-occlusive lesions. |
Generate impression based on findings. | Stage III melanoma of the left neck. There are post-surgical findings related to a left neck dissection. There are scattered subcentimeter subcutaneous nodules in the posterior neck, which likely represent occipital lymph nodes. There is no evidence of significant cervical lymphadenopathy. The thyroid and major salivar... | 1. Post-surgical findings related to a left neck dissection. No significant mass lesion or cervical lymphadenopathy.2. Scattered nonspecific pulmonary micronodules. Please refer to the separate chest CT report for additional details.3. Cervical spondyloarthropathy with mild to moderate bilateral foraminal stenoses at C... |
Generate impression based on findings. | 16-year-old male with osteosarcoma treated with allograft reconstruction. Two views of the left tibia/fibula show two plate and screw devices affixing allograft between the native proximal tibial epiphysis and proximal tibial diaphysis in near anatomic alignment. The proximal osteotomy margin is indistinct suggesting h... | 1.Orthopedic fixation of left tibial allograft reconstruction without evidence of complication.2.Leg length discrepancy as described above. |
Generate impression based on findings. | 66 years, Male. Reason: please confirm placement of J-tube (contrast given) History: please confirm placement of J-tube (contrast given) GJ tube tip in the jejunum. Contrast noted within the small bowel and ascending colon. Nonobstructive bowel gas pattern. No free intraperitoneal air. Scattered abdominal surgical clip... | GJ tube tip in the jejunum. |
Generate impression based on findings. | Dobhoff placement Dobhoff tip in the region of the gastric antrum / pylorus. Nonobstructive bowel gas pattern. Retained contrast in the colon. | Dobhoff tip in the region of the gastric antrum / pylorus. |
Generate impression based on findings. | 25-year-old male with history of palpable mass. Right wrist: There is poorly defined soft tissue fullness along the lateral epicondyle of the distal humerus presumably representing the patient's palpable mass. This lesion measures approximately 2 cm in greatest dimensions. There is no evidence of joint effusion or unde... | Soft tissue masses of the wrist and elbow as described above. These can be further evaluated with MRI or ultrasound if clinically warranted. |
Generate impression based on findings. | Dobhoff placement Dobhoff tube tip in the region of the gastric pylorus / duodenum. Nonobstructive bowel gas pattern. Peritoneal calcifications consistent with history of peritoneal dialysis. The bones are demineralized. Vascular calcifications and calcified fibroids. | Dobhoff tip in the pylorus / duodenum. |
Generate impression based on findings. | 58-year-old female with history of metastatic breast cancer on hormonal therapy. Evaluate for treatment response and extent of disease. CHEST:LUNGS AND PLEURA: No suspicious pulmonary nodules or masses. No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Small amount of p... | 1.Stable osseous sclerotic lesions suggestive of metastatic disease. Please refer to concurrent nuclear medicine bone scan for report for more sensitive evaluation of osseous metastatic disease.2.No additional evidence of metastatic disease. |
Generate impression based on findings. | Nasal congestion and post nasal drip. There is minimal mucosal thickening in the alveolar recess of the right maxillary sinus. The other paranasal sinuses are clear. The nasal cavity is clear. The anterior nasal septal is deviated towards the right. The lamina papyracea and ethmoid roofs are intact. The carotid grooves... | Minimal mucosal thickening in the alveolar recess of the right maxillary sinus. The other paranasal sinuses and nasal cavity are otherwise clear. |
Generate impression based on findings. | NJ not functioning please evaluate for position NJ tube in the region of the ligament of Treitz without evidence of kinking or discontinuity. Percutaneous pigtail catheter in the left hemiabdomen. Nonobstructive bowel gas pattern. Left basilar opacity. | NJ tube in the region of the ligament of Treitz without kinking or discontinuity. |
Generate impression based on findings. | 37 year old male with history of giant cell tumor. Redemonstrated are postoperative changes in the right distal femur of giant cell tumor curettage and packing with cement. Bone formation along the lateral aspect of the cement appears similar to prior. There are no specific radiographic findings of tumor recurrence. | Postoperative changes of giant cell tumor curettage and packing without specific radiographic findings of tumor recurrence. |
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