instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | 64 year old female with dysphagia and history of paraesophageal hernia s/p EGD and dilation in April 2014. 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,e... | 1.Large sliding hiatal hernia with paraesophageal component as described above. Volvulus of the intrathoracic stomach was identified without evidence of obstruction.2.Spontaneous GE reflux to the level of the thoracic inlet.3.Small duodenal diverticulum. |
Generate impression based on findings. | 22 years, Female. Reason: identify location of Sitzmarker History: constipation 22 Sitz markers are distributed mostly throughout the colon. Nonobstructive bowel gas pattern. | 22 Sitz markers are distributed mostly throughout the colon. |
Generate impression based on findings. | status post ileocecectomy, evaluate NG tube NG tube in the gastric body. Bowel gas pattern consistent with a postoperative ileus. Midline skin stables. Basilar atelectasis / consolidation. | NG tube in the gastric body. |
Generate impression based on findings. | 48 year old male with history of greater tuberosity fracture. There is flattening of the posterolateral aspect of the humeral head indicating a Hill-Sachs deformity. Anterior to this defect is a comminuted fracture of the aspect the greater tuberosity. The fracture plane measures approximately 3 cm in the oblique coron... | Greater tuberosity fracture and Hill-Sachs deformity as above. |
Generate impression based on findings. | 39-year-old female with history of ORIF. Hardware components of a side plate and screw device are seen affixing an oblique fracture of the middle phalanx in anatomic alignment. There is no evidence of hardware complication. Callus formation indicates early healing. | Orthopedic fixation of healing phalangeal fracture as above. |
Generate impression based on findings. | 38-year-old male with back pain status post fall. Eight views of the cervical spine show no fracture or other specific finding to account for the patient's pain.Three views of the thoracic spine show tiny osteophytes indicating minimal osteoarthritis without fracture or malalignment.Five views of the lumbar spine show ... | No fracture or other specific findings to account for the patient's pain. |
Generate impression based on findings. | 81 year old female with history of hip prothesis. The bones are demineralized suggesting osteopenia. Hardware components of a right hip bipolar hemiarthroplasty device are situated in near anatomic alignment without radiographic evidence of hardware complication. Again seen are fractures involving the proximal femur at... | Right hip hemiarthroplasty and healing proximal femur fractures as above. |
Generate impression based on findings. | 65 year old female with history of low back pain. Lumbar Spine: Severe degenerative disc disease affects L4-5 and L5-S1. Moderate degenerative disc disease affects L2-3. There is moderate facet joint osteoarthritis particularly at the lower lumbar spine. Vertebral body heights are well-maintained. Alignment is anatomic... | Degenerative arthritic changes of the spine without discrete masses. |
Generate impression based on findings. | 59 years, Male. Reason: 59M s/p complete hepatectomy with DHT now advanced. Imaging for DHT placement. History: DHT placement Dobhoff tube coiled within the stomach. Nonobstructive bowel gas pattern. Multiple skin staples. IVC filter. Basilar opacity / effusions. | Dobhoff tube coiled within the stomach. |
Generate impression based on findings. | Reason: evaluate ILD History: cough sob fibrosis LUNGS AND PLEURA: Bilateral basal predominant linear interstitial abnormality with mild traction bronchiectasis and minimal architectural distortion. No evidence of significant nodularity, pleural effusion, ground glass opacity, or honeycombing. No significant air trappi... | Bilateral basal predominant linear interstitial abnormality with mild traction bronchiectasis and minimal architectural distortion. No evidence of significant nodularity, pleural effusion, ground glass opacity, or honeycombing. The findings may be seen with UIP but could also be the sequelae of chronic aspirate or remo... |
Generate impression based on findings. | Infertility Scout AP film of the pelvis was normal. Opacification of the uterine cavity revealed a normally oriented uterine cavity without mucosal irregularity or filling defects in the uterine cavity. Both tubes were freely opacified. There was free spillage from the left fallopian tube and probably from the right fa... | Normal uterine cavity with patent left and probably patent right fallopian tubes. |
Generate impression based on findings. | 53-year-old male with metastatic prostate cancer. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Scattered micronodules, largest of which is in the right middle lobe (series 4 , image 62) measuring 4 mm. most likely these are postinflammatory, however without old examinations for comparison, the significance of these... | 1. Scattered sclerotic foci indicative of metastatic bone disease. Nuclear medicine scintigraphy is a more accurate indicator of extent and activity of skeletal metastatic disease. 2. Mildly prominent iliac lymph nodes bilaterally, but only one lymph node larger than 1 cm diameter as referenced above. 3. Scattered pulm... |
Generate impression based on findings. | Male 67 years old; Reason: 67M with amyloidosis c/b ESRD on HD and intestinal involvement requiring TPN, has nausea at baseline, EGD showing residual food bezoar, ?delayed gastric emptying Visually there was persistent abnormal retention of radiotracer with no significant gastric emptying noted. Using anterior and post... | Findings consistent with marked gastroparesis. |
Generate impression based on findings. | Female 70 years old; Reason: HX of celiac disease with acute abd pain History: PAin ABDOMEN:LUNG BASES: Significant emphysematous changes of the visualized lungs.Coronary valvular calcifications.LIVER, BILIARY TRACT: Subcentimeter hypodensity in the posterior right hepatic lobe is too small to adequately characterize b... | Mild intra-and extrahepatic biliary dilatation likely secondary to prior cholecystectomy, but correlate with surgical history. No obvious radiodense filling defects.No CT evidence of acute abdominal or pelvic pathology.Severe partially visualized emphysematous changes. |
Generate impression based on findings. | Status post fallVIEWS: Left forearm and left and AP and lateral and left wrist AP, lateral and oblique 2/2/15 (7 view/s) There is a greenstick fracture of the distal metaphyses of the left radius. Alignment is anatomic. | Left distal radius fracture as described. |
Generate impression based on findings. | Ms. Phillips is a 45 year old female with a personal history of left breast lumpectomy in 2004 for LCIS. No current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small ma... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 50 year-old female with increased pain and swelling following a fall. Three views of the right hand are provided. Evaluation is limited by inability to optimally position the patient. Given this limitation, we see no fracture. | No fracture evident. |
Generate impression based on findings. | 40 year-old female with history of lupus, shoulder pain. Evaluate for avascular necrosis. Three views of the left shoulder show a 4-mm triangular sclerotic focus along the superomedial humeral head which could conceivably represent a very small area of chronic avascular necrosis, though was also present on CT chest exa... | 1. 4-mm sclerotic focus along the left superomedial humeral head could conceivably represent a very small area of chronic avascular necrosis, though was also present on CT chest examinations dating back to 2002. If further imaging evaluation is clinically warranted, MRI may be considered.2. Normal right shoulder. |
Generate impression based on findings. | Intermittent testicular torsion with scrotal fixation on 01/27. Pain and swelling with bleeding on left. RIGHT TESTIS: Normal in echogenicity. Measures 1.9 x 4.5 x 2.1 cm.LEFT TESTIS: Normal in echogenicity. Measures 2.5 x 4.1 x 3.3 cm.RIGHT EPIDIDYMIS: Normal in appearance.LEFT EPIDIDYMIS: Could not be visualized.OTHE... | Large left hematocele. No evidence of torsion. |
Generate impression based on findings. | 33-year-old female with wrist pain. Three views of the right wrist show a small bony excrescence projecting from the radial styloid which is nonspecific and could represent a small exostosis or old trauma. The rest of the wrist is unremarkable and we see no soft tissue mass.Three views of the left wrist show undulating... | 1. Small bony excrescence projecting from the radial styloid is nonspecific and could represent a small exostosis. 2. Undulating soft tissue opacity along the lateral aspect of the distal radial diaphysis is of uncertain clinical significance. This could represent soft tissue swelling from recent trauma or even an anom... |
Generate impression based on findings. | History of metastatic breast cancer, currently with CSF leak from Ommaya; evaluate for signs of increased intracranial pressure. There are postoperative findings related to right cerebellar hemisphere mass resection. There is no evidence of acute intracranial hemorrhage. There are a few hypoattenuating foci are present... | 1. A few foci of hypoattenuation in the brain that correspond to signal abnormalities on the recent MRI may represent metastases. However, evaluation for intracranial metastases is limited on non-contrast CT.2. A hypoattenuating focus in the right paracentral lobule may represent an evolving subacute infarct with hemor... |
Generate impression based on findings. | Right breast cancer staging..IMAGES: Submitted for interpretation are soft copy FDG PET/CT images from the skull base to the thighs. (The nonenhanced CT images were obtained solely for purposes of completing the PET scan, are not of diagnostic quality and are thus not interpreted or used to diagnose disease independent... | 1.Markedly hypermetabolic right breast mass, compatible with breast cancer.2.Multiple hypermetabolic right axillary lymph nodes metastases.3.No FDG avid metastatic disease identified elsewhere. |
Generate impression based on findings. | 87-year-old male with weight loss, abdominal pain, failure to thrive, abnormal chest x-ray. CHEST:LUNGS AND PLEURA: Extensive underlying emphysematous changes diffusely. Total collapse of the left lower lobe with dilated common mucus filled bronchi seen diffusely. Mucous is seen filling with air patent into the left ma... | 1. Left lower lobe consolidation with volume loss and bronchiectasis consistent with pneumonia. No obstructing mass seen, and most likely relates to aspiration. See above. 2. Bladder wall thickening with extensive air in bladder. Configuration of air extension into the wall in fingerlike projections is of uncertain eti... |
Generate impression based on findings. | History of fracture.VIEWS: Left forearm AP and lateral and left ovaries AP, lateral and oblique 2/2/15 (5 views) Cast material obscures fine bone details. There is a transverse fracture of the distal radius and ulna with mild posterior and medial displacement. | Left, transverse distal radial and ulna fractures as described. |
Generate impression based on findings. | 23-year-old male with neutropenia, evaluate for sinusitis Mild mucosal thickening and frothy lucencies within the frontal sinuses, minimally worse on the left. There is opacification of the frontal recesses bilaterally.Moderate mucosal thickening within the ethmoid sinuses is unchanged.Mild mucosal thickening within th... | Acute pansinusitis, slightly worse than the prior exam. |
Generate impression based on findings. | Male 29 years old; Reason: left testicular pain, evaluate cause History: pain RIGHT TESTIS: The right testis is normal in echogenicity. The testis measures 4.7 x 2.8 x 2.5 cm.LEFT TESTIS: The left testis is normal in echogenicity. The testis measures 4.8 x 2.9 x 2.3 cm.RIGHT EPIDIDYMIS: Right epididymis is normal in ap... | 1.Small left varicocele is present. 2.Small bilateral hydroceles. |
Generate impression based on findings. | 49 year old female with history of Roux-en-Y gastric bypass in 2005, now feels food getting stuck and bloating. Assess anastomosis and transit time. Scout radiograph showed a nonobstructive bowel gas pattern and IVC filter in expected position.Single contrast visualization of the esophagus showed no gross contour abnor... | 1.Postsurgical changes s/p gastric bypass without evidence of anastomotic stricture or leak. 2.Multifocal, nonobstructive adhesions with normal small bowel transit time. 3.No evidence of active small bowel inflammation. |
Generate impression based on findings. | Reason: Tachycardia and chest pain, eval PE History: chest pain PULMONARY ARTERIES: Minimal dependent edema and atelectasis.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Aberrant right subclavian artery, normal anatomic variant.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absen... | 1. No evidence of PE.2. Portal venous gas which is presumably related to known colitis and can be a marker of intestinal ischemia or infarct. Please see separate A/P CT report for full details.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strai... |
Generate impression based on findings. | 15-year-old female with respiratory failureVIEW: Chest AP (one view) 02/02/15, 1445 hrs ET tube tip is below thoracic inlet and above the carina. Right upper extremity PICC tip is at the superior cavoatrial junction. Right internal jugular central venous catheter is in the SVC. Spinal rods and hooks with residual thora... | Improving pulmonary edema pattern and pleural effusions. Persistent left lower lobe atelectasis. |
Generate impression based on findings. | 39-year-old female with history of knee pain. There is mild narrowing of the medial compartment and small osteophytes compatible with mild osteoarthritis. There is a moderate-sized joint effusion. Minimal osteoarthritis affects the left knee as seen on the frontal views. | Moderate-sized joint effusion and mild osteoarthritis as above. |
Generate impression based on findings. | Reason: assess for pna, 3 wk of cough, neutropenic fever History: neutropenic fever with cough LUNGS AND PLEURA: Redemonstration of scattered nodular ground glass and tree in bud opacities slightly increased from the prior exam. No focal areas of consolidation.No pleural effusions.MEDIASTINUM AND HILA: Central venous c... | Scattered tree in bud the and groundglass nodular opacities slightly increased from the prior exam and compatible with bronchiolitis. |
Generate impression based on findings. | Ms. Boykin is a 57 year old female presenting for short term follow up for bilateral high probably benign breast masses. Family history of breast cancer in paternal aunt and two paternal first cousins. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast pare... | Multiple stable benign morphology masses. 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 Mamm... |
Generate impression based on findings. | Initial staging of non-small cell lung cancer. Evaluate for extrathoracic disease. Dyspnea with chest wall pain.RADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 130 mg/dL. Today's CT portion grossly demonstrates a left apical apical mass with smaller left upper lobe pulmonary nodules... | 1.Large hypermetabolic left apical and additional smaller hypermetabolic left upper lobe pulmonary nodules, consistent with the history of lung cancer.2.Multiple large markedly hypermetabolic left hilar and bilateral mediastinal lymph metastases.3.Hypermetabolic pleural based soft tissue density lesions in the left low... |
Generate impression based on findings. | There are a few periventricular hypodensities without associated mass effect. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral or cerebellar cortical infarction. There are no extraaxial fluid collections o... | 1.Small vessel ischemic disease of indeterminate ages.2.Acute left sphenoid sinusitis. |
Generate impression based on findings. | Female 36 years old; Reason: Pulmonary embolism, s/p abdominal surgery History: hypoxia The comparison chest radiograph performed on /2/2015 demonstrates low lung volumes with bibasilar atelectasis. The ventilation images show a small defect in the right lung base consistent with atelectasis and low lung volumes on X-r... | No scintigraphic findings to suggest pulmonary embolism. |
Generate impression based on findings. | 9-week-old male with intermittent coughVIEWS: Chest AP/lateral (two views) 02/02/15 Aortic arch, cardiac apex, and stomach are left-sided. No pleural effusion or pneumothorax. No focal pulmonary opacities. Mild to moderate bronchial wall thickening is suggestive of reactive airway disease/bronchiolitis. | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | Male, 33 years old.evaluate for retained foreign body, case over eight hours Linear opacity measuring 3 cm projecting over the right heart border noted on initial radiographs time stamped through 15:32 hours. Additional radiographs were performed after removing the overlying blue drape time stamped through 15:55 hours.... | No unexpected radiopaque foreign body. Findings verbally communicated to the operating room and the attending surgeon, Dr. Alverdy at 4:05 pm on 2/2/2015. |
Generate impression based on findings. | 11-month-old male, ex 27 weeker, with bronchiolitis, tachypnea, hypoxia, evaluate for underlying evidence of chronic lung diseaseVIEWS: Chest AP/lateral (two views) 02/02/15 Aortic arch, cardiac apex, and stomach are left-sided. No pleural effusion or pneumothorax. Linear atelectasis in the right lung base. Minimal ret... | Bronchiolitis pattern with bilateral atelectasis. |
Generate impression based on findings. | 12-year-old female with elbow painVIEWS: Left elbow lateral extension and flexion (2 views) 02/02/15 No acute fracture or malalignment. No elbow joint effusion. | Normal examination. |
Generate impression based on findings. | Female 58 years old; Reason: breast cancer with bone metastases currently on hormone therapy. Evaluate response to therapy. History: Increase in chest wall pain. There is punctate uptake in the anterior left sixth rib which is new from prior study which correlates with sclerotic focus on comparison CT with a soft tissu... | New left anterior sixth rib activity is consistent with metastatic disease when correlating with CT findings. |
Generate impression based on findings. | 36 year old female with right knee pain, toe pain. Four views of the right knee show perhaps minimal medial tibiofemoral compartment narrowing and otherwise are within normal limits.Postoperative changes of left MCL reconstruction with an orthopedic screw affixing the medial aspect of the left distal femur are seen on ... | 1. Minimal narrowing of the medial tibiofemoral compartment of the right knee. Postoperative changes of MCL and ACL reconstruction of the left knee with slight distal dislodging of the left MCL screw.2. No fracture or malalignment of the right second toe. |
Generate impression based on findings. | 17-year-old male with posterolateral olecranon painVIEWS: Right elbow AP/lateral/oblique (3 views) 02/02/15 No acute fracture or malalignment. No elbow joint effusion. | Normal examination. |
Generate impression based on findings. | Staging of melanoma left neck status post excision and left neck dissection 12/8/14.RADIOPHARMACEUTICAL: 9.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 103 mg/dL. Today's CT portion grossly demonstrates postsurgical changes from a left neck dissection. Scattered atherosclerotic calcifications are noted.... | 1.Multiple small foci of mild to moderate in the left neck considered most likely postsurgical inflammation, although residual tumor activity cannot be entirely excluded.2.Otherwise no suspicious FDG avid lesion. |
Generate impression based on findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. Bilateral breast implants. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. There is no solid or cystic mass identified. Bilateral retropectoral salin... | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Male 73 years old; Reason: hx of GIST CHEST:LUNGS AND PLEURA: Visualized lung fields stable in appearance.MEDIASTINUM AND HILA: Heterogeneous thyroid gland with unchanged hypoattenuating focus in the right thyroid lobe, measuring up to 10 mm, similar to prior study. Unchanged nonspecific soft tissue attenuation in ante... | 1. Stable exam as above. |
Generate impression based on findings. | 41-year-old male with fibrous dysplasia, left humerus fracture. Evaluate healing. Three views of the left humerus again demonstrate findings compatible with fibrous dysplasia affecting the left humerus as well as the proximal radius/ulna, scapula, and ribs. Also again seen is a transverse fracture through the distal hu... | Healing pathologic fracture as described above. |
Generate impression based on findings. | Female 37 years old Reason: Concern for pulmonary embolism in the setting of third trimester pregnant, underlying sickle cell disease with extensive clotting history History: pregnant 31w0d, sickle cell disease, O2 desaturation, tachycardia, LE pain The exam is somewhat limited secondary to suboptimal opacification of ... | No pulmonary embolism to the segmental level. No airspace consolidation to suggest infection or hemorrhage.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 54-year-old female with history of reverse Bennett fracture, pain. Three views of the left hand again demonstrate a fracture of the base of the fifth metacarpal with fracture fragments in near-anatomic alignment. The fracture line appears slightly less distinct compared with the prior study suggesting some interval hea... | Healing fifth metacarpal fracture. |
Generate impression based on findings. | 22 year-old female with history of Crohn's colitis now with abdominal pain, tachycardia, and increasing CRP. Evaluate for free air. ABDOMEN:LUNG BASES: Interval improvement in bilateral small pleural effusions. Mild bilateral basilar atelectasis.LIVER, BILIARY TRACT: Liver measures approximately 28 cm in craniocaudal d... | 1.New nonocclusive extensive splenic vein thrombus with air, focus of air within the spleen and peripheral portal venous gas. Findings are of uncertain significance. Diagnostic consideration includes infarct in spleen causing air necrosis, and thrombophlebitis with infection, although other rare etiologies could cause ... |
Generate impression based on findings. | Restaging metastatic melanoma status post ipilimumab chemotherapy, last 9/21/14.RADIOPHARMACEUTICAL: 12.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 224 mg/dL. Today's CT portion grossly demonstrates right chest Port-A-Cath with tip in the SVC. Multiple subcutaneous soft tissue density nodules and stran... | Complete interval resolution of previous markedly hypermetabolic tumor activity involving the left obturator lymph node without definite FDG avid tumor currently. There are several small new hypermetabolic foci in the subcutaneous fat of the right upper arm and anterior right pelvis which are considered more likely inf... |
Generate impression based on findings. | 70 years, Male. Reason: r/o megacolon History: abd pain Dilated loops of small bowel with collapsed colon and air fluid levels consistent with small bowel obstruction. No pneumoperitoneum.Opacity in the right apex consistent with previously identified radiation fibrosis on CT chest 1/9/2015 examination. Left basilar at... | Findings consistent with small bowel obstruction. |
Generate impression based on findings. | 43-year-old male with history of pain. Mild osteoarthritis affects the acromioclavicular joint. We see no acute fracture or dislocation. | Mild osteoarthritis of the acromioclavicular joint without acute fracture or dislocation. |
Generate impression based on findings. | 18 year-old male with history of lower back pain. Evaluate for sacroiliitis. The margins along the inferior aspect of the SI joints are irregular and indistinct suggesting bilateral sacroiliitis. There is mild prominence along the lateral aspects of the femoral head/neck junctions suggesting mild CAM deformities. | Findings suggestive of bilateral sacroiliitis. A contrast enhanced MRI may be considered for further evaluation. |
Generate impression based on findings. | Ms. Pritchett is a 39 year old female who presented with a palpable mass in the right upper outer breast. On ultrasound performed earlier today, the primary lesion is identified in the right breast 10 o'clock location. Also, 3.5 cm lateral to the primary lesion, an additional questionable satellite lesion is identified... | Successful ultrasound-guided core biopsy of the right breast primary lesion and satellite lesion with clip placements. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Ms. Pritchett is a 39-year-old female with known head and neck cancer. Recent mammogram demonstrated suspicious findings on the right breast (which were biopsied on the same day) and an enlarged left axillary lymph node. Left axillary ultrasound re-identified the target lymph node for biopsy. It was in the inferior. Bi... | Successful ultrasound guided core biopsy of an abnormal left axillary lymph node with clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Reason: intracranial bleed History: HA; change in vision L eye The CSF spaces are appropriate for the patient's stated age with no midline shift. Periventricular and subcortical white matter hypodensities of a moderate degree are present.No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhag... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of nonhemorrhagic cerebral infarction.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. One possibility is that this is vascular related related whereas others includ... |
Generate impression based on findings. | Clinical question: Evaluate for hemorrhage. Signs and symptoms: Knee anticoagulation. Nonenhanced head CT:There is no detectable acute intracranial hemorrhage as is questioned clinically.Examination demonstrate a previously known left MCA territory ischemic stroke without evidence of interval change since prior study.A... | 1.No acute intracranial hemorrhage.2.Stable ischemic strokes in the left MCA territory and right posterior parietal since prior study. |
Generate impression based on findings. | Female 44 years old Reason: r/o stone History: r/o stone. The exam is not sensitive detecting lesions in the bowel due to lack of oral contrast and in the solid organs and vasculature due to the lack of intravenous contrast. Given those limitation, the following observations are made:ABDOMEN:LUNG BASES: No significant ... | No evidence of nephrolithiasis. No findings to explain acute abdominal or epigastric pain. |
Generate impression based on findings. | 77-year-old male with tachycardia and fevers with placement of a biliary stent. Evaluate.Patient with history of pancreatic cancer. CHEST:LUNGS AND PLEURA: Mild emphysema. Scattered pulmonary micronodules are noted. A left lower lobe pulmonary nodule measures 5 mm (series 4, image 69). No pleural effusions or pneumotho... | 1.Findings highly suggestive of acute cholecystitis. Patient is status post emergent cholecystostomy tube placement.2.Mild pericolonic inflammatory changes at the hepatic flexure, likely secondary from the aforementioned acute cholecystitis.3.Persistent pneumobilia. 4.Interval decrease in the hypoattenuating mass invol... |
Generate impression based on findings. | Reason: R/o bleed History: 57 yo M on asa and plavix s/p fall The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.The visualized portions o... | 1.No evidence for acute intracranial hemorrhage, mass effect or edema. |
Generate impression based on findings. | Clinical question: Status post craniotomy. Signs and symptoms: Headache. Nonenhanced head CT:Examination demonstrate expected postoperative changes of a right frontal craniotomy. There is evidence of a right anterior temporal tumor resection. Residual vasogenic edema in the right temporal lobe and is associated mass ef... | 1.Expected postoperative changes of right frontal craniotomy. 2.There is interval increased mass-effect and deviation of midline to the left of approximately 5 mm.3.Residual vasogenic edema in the right temporal lobe.4.Stable size of ventricular system and no evidence of intracranial hemorrhage |
Generate impression based on findings. | Reason: evaluate for mass, ICH History: seizure The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a small amount of subarachnoid hyperdensity present adjacent to the right temporal lobe along its lateral surface.There is redemonstration of hypodense foci in the thalami and basa... | 1.A small amount of subarachnoid blood is present adjacent to the right temporal lobe.2.There is a new hyperdense lesion present in the left superior frontal gyrus which is suspected to represent a hemorrhagic focus. There are smaller lesions present elsewhere. Their locations are suggestive of cerebral amyloid angiopa... |
Generate impression based on findings. | 4-month-old male intubatedVIEW: Chest AP (one view) 02/03/15, 0548 ET tube tip is below the thoracic inlet and above the carina. NG tube terminates in the stomach.Cardiothymic silhouette is normal. Blunting of the left costophrenic sulcus. No pneumothorax. Right upper lobe atelectasis with elevation of the minor fissur... | Improvement in left lung aeration after repositioning of ET tube. |
Generate impression based on findings. | 64 years, Male. Reason: concern for ileus, known pancreatitis History: as above Nasoenteric tube has been repositioned. I suspect it is in the proximal jejunum with the tip now located to the right of the midline.Pigtail catheter in the left midabdomen unchanged.Possibly about this. No evidence of obstruction or ileus. | No evidence of obstruction or ileus. |
Generate impression based on findings. | 7-week-old female with cough, evaluate for pneumoniaVIEWS: Chest AP/lateral (two views) 02/02/15 Aortic arch, cardiac apex and stomach are left-sided. Cardiothymic silhouette is normal. Mild peribronchial cuffing and large lung volumes is suggestive of reactive airway disease/bronchiolitis. No focal pulmonary opacities... | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | 70 years, Male. Reason: eval NG placement History: eval NG placement Right abdomen and pelvis excluded from field of view.Persistent marked dilatation of jejunum and proximal jejunal loops measuring up to 5.1 cm in diameter. This is unchanged or slightly more marked compared to the prior exam.The NG tube should be adva... | NG tube should be advanced further because the sidehole is in the distribution of the EG junction. Persistent marked jejunal dilatation.Dr. Nayna Lodhia pager 3708 informed 8:05am. |
Generate impression based on findings. | 31 day old female with feverVIEWS: Chest AP/lateral (two views) 02/02/15, 1855 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Mild peribronchial cuffing and slightly enlarged lung volumes are suggestive of bronchiolitis/reactive airway dise... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Male 5 years old Reason: ETT and IJ location History: sepsisVIEW: Chest AP (one view) 2/3/15 at 554 hours. NG tube terminates in the stomach. ET tube tip is below the thoracic inlet. Right IJ venous access terminates at the right atrium. Cardiac silhouette size is top normal. Persistent small lung volumes and left lowe... | Interval improvement in right lower lobe atelectasis. |
Generate impression based on findings. | 3-year-old male with hemoglobin S workupVIEWS: Chest AP/lateral (two views) 02/02/15, 1817 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Moderate bronchial wall thickening is suggestive of bronchiolitis/reactive airway disease. No focal pu... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Male 5 years old Reason: eval IJ and ETT History: sepsisVIEW: Chest AP (one view) 2/2/15 at 1727 hrs ET tube tip is below the thoracic inlet. NG tube terminates in the stomach. Right IJ venous access tip is at the right atrium. Cardiac silhouette size is top normal. Small lung volumes and bibasilar opacities likely ate... | Central line, NG tube and ET tube placement as described.Multifocal opacities development. |
Generate impression based on findings. | Male; 53 years old. Reason: For surgical plan History: distal esophageal leak LUNGS AND PLEURA: Moderate right and small left pleural effusions. Moderate right and marked left adjacent basilar atelectasis/consolidation, increased on the left since prior chest CT on 1/28/15. Right pleural pigtail catheter and two left c... | 1. Bilateral pleural effusions. Moderate to marked bibasilar atelectasis/consolidation, increased on the left since prior CT chest. Bilateral chest tubes in place with small left basilar pneumothorax.2. Small amount of free fluid adjacent to the distal esophagus and stomach fundus. Interval resolution of pneumomediasti... |
Generate impression based on findings. | Clinical question: Status post TSH. Signs and symptoms: Status post TSH. Nonenhanced head CT:Examination demonstrate expected postoperative changes of TSH. There is no detectable intracranial hemorrhage or pneumocephalus. Ventricular system remain within normal size with maintained midline. The cerebral cortex, cortica... | 1.Expected post operative changes of TSH as detailed.2.Unremarkable intracranial contents and in particular without evidence of mass effect, pneumocephalus or hemorrhage. |
Generate impression based on findings. | 70 years, Male. Reason: NG tube placement History: NG tube Pelvis and portion of the right abdomen excluded from field of view.Marked diffuse small bowel dilatation. Proximal jejunal loops measuring about 4.2 cm in diameter.NG tube is in the esophagus and should be advanced. Follow-up films are then obtained at the tim... | NG tube in esophagus. Diffuse small bowel dilatation. Obstruction cannot be excluded. |
Generate impression based on findings. | Reason: Evaluate for new RUE and RLE weakness and numbness Neck CTA: There is opacification of the aortic arch, great vessels from the aortic arch and carotid arteries and vertebral arteries. There is no stenosis identified of the great vessels from the aortic arch. On the basis of NASCET criteria there is no significa... | 1.There is 50% stenosis present at the origin of the left middle cerebral artery2.There is a 65% stenosis present at the origin of the right superior cerebellar artery.3.There is mild fusiform dilation of the left middle cerebral artery inferior division to approximately 3 mm disk distal to a 50% stenosis at the proxim... |
Generate impression based on findings. | Female, 53 years old.RFO trigger: Multiple surgical teams Suspected RFO location: possible sharps and sponges Name of suspected RFO: possibly in abdomen and pelvis Attending Surgeon name/pager: dr. Yamada pgr. 6610 Body Mass Index (BMI): 59.18 No unexpected radiopaque foreign body. Nasoenteric tube in the esophagus, co... | No unexpected radiopaque foreign body. Results relayed by telephone by radiology resident on call Dr.Sujay Sheth to surgical attending Dr. Yamada on 2/2/15 at 23:00 hours. |
Generate impression based on findings. | Ms. Miller is a 68 year old female with a personal history of left breast mastectomy in March 2013 for IDC/DCIS followed by chemoradiation therapy and implant based reconstruction. Three full field and three implant displaced views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. Th... | 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. | Clinical question: Pituitary hemorrhage. Signs and symptoms: Left eye blindness. Nonenhanced head CT:The examination redemonstrates a pituitary macroadenoma within the sella with resultant expansion of sella and extension into the basal cistern. The tumor demonstrate no interval change since prior exam in its size and ... | 1.Hemorrhagic pituitary macroadenoma without interval change since prior exam.2.Stable and unremarkable exam otherwise. |
Generate impression based on findings. | 1-year-old female with cough and fever, evaluate for acute chestVIEWS: Chest AP/lateral (two views) 02/02/15, 1937 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Peribronchial cuffing and large lung volumes is suggestive of reactive airway disease/bronchiolitis. No focal pulmonary opacities. | Reactive airway disease/bronchiolitis pattern. |
Generate impression based on findings. | Male, 61 years old.RFO trigger: Multiple surgical teams RFO trigger: R/O RFO Suspected RFO location: abdomen, pelvis Name of suspected RFO: instruments, sponges, needles Attending Surgeon name/pager: Dr Steinberg, Pgr - 7388 Body Mass Index (BMI): 26.48 No unexpected radiopaque foreign body. Multiple drainage catheters... | No unexpected radiopaque foreign body. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormalities. |
Generate impression based on findings. | 82-year-old male with AML with abdominal pain and distention. Evaluate. Lack of IV contrast enhancement limits evaluation of solid organs and bowel.ABDOMEN:LUNG BASES: Mild interval increase in bilateral small pleural effusions with associated atelectasis/consolidation. Moderate emphysema.Severe cardiomegaly.LIVER, BIL... | .1.Ascites with mildly dilated small bowel loops which may represent ileus versus partial small bowel obstruction.2.Mild interval increase in small bilateral pleural effusions with associated consolidation, which is suspicious for pneumonia.3.Moderately distended gallbladder with gallbladder wall thickening which is no... |
Generate impression based on findings. | 6-week-old female with coughVIEWS: Chest AP/lateral (two views) 02/02/15 , 2005 hrs Aortic arch and cardiac apex are left-sided. Cardiothymic silhouette is normal. Minimal bronchial wall cuffing and large lung volumes may represent bronchiolitis/reactive airway disease. No focal pulmonary opacities. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Female 49 years old; Reason: Lemierre's disease, concern for liver emboli History: as above ABDOMEN:LUNG BASES: Enlarged heart. Basilar atelectasis, emphysema at the lung bases.LIVER, BILIARY TRACT: Liver is normal in morphology but slightly enlarged with patent vasculature.SPLEEN: Heterogenous enhancement of the splee... | 1.No liver thrombi as clinically questioned. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no definite areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middl... | 1. Focal irregular complex saccular aneurysm of the medial aspect of the paraclinoid left internal carotid artery which is inferiorly directed, measuring 7 x 8 x 5 mm with 3-mm neck. Prominent peripheral calcification of this aneurysm, with smaller daughter component along the superior medial aspect.2. Diminutive verte... |
Generate impression based on findings. | Male 35 years old Reason: eval lung fields History: sob, cp PULMONARY ARTERIES: No evidence of pulmonary embolism to the subsegmental level. Pulmonary artery is normal in caliber without evidence of right heart strain.LUNGS AND PLEURA: Minimal centrilobular and paraseptal emphysema, not significantly changed. No consol... | No evidence of pulmonary embolism. PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | Clinical question: Evaluate chronic migraines. Signs and symptoms: Migraines. Nonenhanced head CT:There is no detectable acute intracranial process. CT however these insensitive for early detection of acute non-hemorrhagic ischemic stroke.There is mild prominence of cerebral cortical sulci without interval change since... | 1.No detectable acute intracranial process.2.Stable exam since prior study from 2013. |
Generate impression based on findings. | 93 years, Female. Reason: r/o free air History: acute onset R abdominal pain and hypoxia Nonobstructive gas pattern. No intramural air or free air evident. Remainder or strictures unchanged from prior examinations. | No intramural air or free air. No evidence of obstruction. |
Generate impression based on findings. | Respiratory distress.VIEW: Chest AP (one view) 2/3/15 at 312 hours ET tube tip is low thoracic inlet. Central line terminates in the right atrium. Gastrostomy tube noted. Spica cast is present. Cardiac silhouette size is normal. Persistent bibasilar opacities from atelectasis or pneumonia. | Persistent bibasilar opacities. |
Generate impression based on findings. | Male 22 years old; Reason: recent stone with stent in place. now with recurrent abd pain History: recent stone with stent in place. now with recurrent abd pain ABDOMEN:LUNG BASES: Linear pattern of basilar atelectasis bilaterally.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality ... | 1.12 millimeter obstructing left renal calculus. |
Generate impression based on findings. | 70 year-old male with diffuse tenderness to palpation, guarding, diarrhea. Evaluate for small bowel obstruction. ABDOMEN:LUNG BASES: Trace pericardial effusion. Partially visualized moderate coronary artery calcifications.LIVER, BILIARY TRACT: Status post cholecystectomy. No focal hepatic lesions identified.SPLEEN: Sma... | 1.Findings consistent with small bowel obstruction with transition point in the distal ileum.2.Trace pericardial effusion. |
Generate impression based on findings. | Clinical question: Patient being refractory AML, one-day history of acute left-sided facial swelling, no fluctuance on exam, assess for possible bony abnormalities/infection. Signs and symptoms: As above. Nonenhanced maxillofacial CT:Examination demonstrate no convincing evidence of soft tissue swelling of the facial r... | 1.Chronic pansinusitis most noticeable in the right maxillary sinus as detailed. There is mild interval improvement since prior study.2.No detectable swelling/abnormality of the soft tissues of the cheek.3.No detectable bony abnormality of maxillofacial region as is questioned clinically.4.Unremarkable orbits, paranasa... |
Generate impression based on findings. | 33-year-old male with history of fevers. Evaluate for dental infection. This is a lucency within the right first molar which represents a cavity. There is a rounded opacity projecting over the right maxillary sinus which likely represents a mucous retention cyst. | Cavity of the right first maxillary molar. Other findings as above. |
Generate impression based on findings. | 67-year-old male with history of fall. There is an oblique fracture through the distal fibula extending to the level of the tibiotalar joint with approximately 8 mm of posterolateral displacement of the distal fracture fragment. There is also a transverse fracture of the medial malleolus with approximately 1 cm of dist... | Trimalleolar fracture as described above. |
Generate impression based on findings. | 59-year-old female with history of new onset seizures. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. There is no mass effect or herniation. A retention cyst is present in the right posterior ethmoid air cells. The mastoid air cells are clear. Th... | No evidence of intracranial hemorrhage or mass effect. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. |
Generate impression based on findings. | Male 54 years old; Reason: diverticulitis History: LLQ pain; hematochezia ABDOMEN:LUNG BASES: Basilar emphysema bilaterally.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: Subcentimeter cystic lesion in the pancreatic head measuring 9 x 7 mm (image 53 series 3) ... | 1.Etiology for the patient's hematochezia is not evident on the current exam. |
Generate impression based on findings. | Female; 63 years old. Reason: chest and back pain r/o PE -- if able, try to include gallbladder History: chest pain PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Mild bibasilar subsegmental atelectasis and/or scarring. 1.... | 1. No acute pulmonary embolus.2. Nonspecific right diaphragmatic pleural nodule, potentially due to a solitary fibrous tumor and for which 3-6 month follow-up is recommended to ensure stability.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Stra... |
Generate impression based on findings. | 12 year old ex 32 week premie female with cystoperitoneal shunt placed at birth now presenting with worsening headaches and high opening pressure on LP. There is an intact right occipital approach catheter terminating within a large posterior fossa cyst that communicates with the pineal cistern and results in anteroinf... | 1.Large shunted posterior fossa cyst is grossly unchanged in size with associated vermian and occipital lobe hypoplasia. 2.No evidence of ventriculomegaly with interval decrease in size of the 4th ventricle. 3.Unchanged midline lipoma in the pineal cistern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced. 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, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | 70 years, Male. Reason: eval dobhoff History: evsl dobhoff I cannot follow the course of the Dobbhoff tube despite no obvious patient or respiratory motion.I suggest pulling the Dobbhoff tube back several inches and repeating film to make sure that the catheter is intact along its course. Discussed with Dr. Patel pager... | Although Dobbhoff tip is in the distribution of the gastric fundus I cannot follow the course of the catheter and recommend repeat evaluation. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. There is a calcified in the mass anterior quadrant in the left breast, likel... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.