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Generate impression based on findings. | 55-year-old male with remote history of CVA, now with new right lower extremity weakness. The exam is degraded by motion. Evaluation of acute ischemia is limited secondary to extensive encephalomalacia related to prior left middle cerebral artery and right posterior cerebral artery territorial infarctions, which are gr... | 1. No evidence of acute intracranial hemorrhage or mass effect. 2. Evaluation of acute ischemia is limited secondary to multiple bilateral chronic territorial infarctions, which are grossly stable. 3. Recommend MRI if clinical concern for new stroke is high. |
Generate impression based on findings. | 67-year-old male with history of ankle fracture. Overlying cast material limits fine osseous detail. Again seen is the aforementioned trimalleolar fracture appearing similar to prior. | Trimalleolar fracture appearing similar to prior. |
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, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | 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: NSB - Screening Mammogram. |
Generate impression based on findings. | 67-year-old male with history of ankle fractures. Overlying cast material limits fine osseous detail. Redemonstrated is the aforementioned trimalleolar fracture. There has been perhaps slight reduction, but overall this appears similar to the prior studies. | Trimalleolar fracture as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. The biopsy clip in the lower inner right breast is stable in ... | 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. | 66 years, Male. Reason: s.p DHT placement History: eval DHT Mid-lower pelvis excluded from field of view.Dobbhoff tip projects over proximal gastric body just beyond GE junction.Nonobstructive bowel gas pattern.Bone island left iliac crest. | Dobbhoff tube tip projects over proximal gastric body. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | 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. | Mental status change. Intubation.VIEW: Chest AP (one view) 2/3/15 at 433 hours ET tube terminates below thoracic inlet. NG tube is present. Vagal nerve stimulator unchanged. Cardiac silhouette size is normal. Persistent, slightly improved subsegmental atelectasis of both lung bases. | Persistent, slightly improved subsegmental atelectasis of both lung bases. |
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. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | 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: NSB - Screening Mammogram. |
Generate impression based on findings. | 67-year-old male with history of left ankle fracture. Overlying cast material limits fine osseous detail. Redemonstrated is a trimalleolar fracture. There has been interval reduction of the ankle joint and medial malleolar fracture fragment. There is now slight anterior angulation of the distal fibular fracture fragmen... | Trimalleolar fracture as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distributio... | 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: NSB - Screening Mammogram. |
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, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Left lumpectomy and radiation in 2011. Outside imaging in Michigan. Three standard views of both breasts with spot compression view of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. An asymmetry in the lateral rig... | Presumed post-surgical change in the left breast. Mammography is optimally performed when prior studies are available to detect changes. Comparison to the patient's prior mammograms is recommended to assess for interval changes. Findings and recommendation were discussed with the patient.BIRADS: 0 - INCOMPLETE; Need ad... |
Generate impression based on findings. | 22 years, Female. Reason: Eval NGT placement History: NGT placement Surgical staple line right lower quadrant. Single dilated loop of jejunum in the midabdomen measuring 3.9 cm in diameter consistent with a focal ileus. NG tube coiled in the distribution of the gastric fundus. Osseous structures are normal. | NG tube coiled in the distribution of the gastric fundus. |
Generate impression based on findings. | Bilateral knee pain. Evaluate for osteoarthritis. Please note that these images are nonweightbearing.Three views of the right knee reveal marked deformity of the proximal tibia consistent with an old remote fracture. There is some medial joint space narrowing consistent with osteoarthritis.Three views of the left knee ... | Posttraumatic deformity of the right knee with osteoarthritis. Osteoarthritis of the left knee. |
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. | 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. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | 14-year-old female with chest pain and pericardial effusionVIEW: Chest AP (one view) 02/03/15, 0017 Aortic arch, cardiac apex, and stomach are left-sided. Mild to moderate enlargement of the cardiac silhouette with straightening of the left heart border may be secondary to pericardial effusion as provided in the histor... | Pericardial and pleural effusions. Differential considerations include autoimmune, rheumatological, and infectious etiologies. |
Generate impression based on findings. | 65 years, Male. Reason: OG, Dobbhoff placement . Dobbhoff tube coiled in gastric body. NG tube tip in the distribution of proximal gastric body. LVAD and surgical clips. Right common iliac catheter. | Dobbhoff tube is coiled in the proximal gastric body distribution. |
Generate impression based on findings. | Sepsis and bronchiolitis.VIEW: Chest AP (one view) 02/03/15, 0323 Opacities in the right upper and left lower lobes are more confluent. No volume loss is detected. Increased opacity is noted in the right infrahilar region. Cardiothymic silhouette is normal. | Worsening lung opacities may be pneumonia complicating bronchiolitis. |
Generate impression based on findings. | 47-year-old female with history of pain. Left knee: There is a moderate-sized joint effusion. We see no discrete fracture, however there is a poorly defined bandlike lucency overlying the lateral tibial plateau which is only appreciated on the AP view. While this may be of no clinical significance, if there is strong c... | Osteoarthritis and knee joint effusion as described above. If there is strong clinical concern for a tibial plateau fracture, CT is recommended. |
Generate impression based on findings. | Female; 48 years old. Reason: r/o PE - 1st dose pre-tx at 530pm. History: chest pain and SOB PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Multiple pulmonary nodules and masses are unchanged. No new pulmonary nodules or m... | 1. No acute pulmonary embolus.2. New small right pleural effusion.3. No significant interval change in metastatic disease in the chest and partially visualized upper abdomen.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 9-year-old male intubatedVIEW: Chest AP (one view) 02/03/15, 0424 ET tube tip is below thoracic inlet and above carina. Left central venous catheter and right upper extremity PICC tips are at the superior cavoatrial junction.Mild enlargement of the cardiac silhouette. Bilateral pleural effusions. Predominantly bibasila... | Worsening pulmonary edema pattern with retrocardiac atelectasis. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major in... | Normal MRI brain. |
Generate impression based on findings. | Female, 64 years old, with increased ICP s/p EVD placement. Evaluate for subdural hematoma. A large hyper attenuating hematoma is redemonstrated involving the left thalamus, basal ganglia, insula and corona radiata. The size of this hematoma has not substantially changed from the prior examination, nor has the degree o... | 1. Stable size of a large left cerebral hematoma.2. Interval placement of a right frontal approach ventriculostomy catheter with no evidence of complication. Catheter size has diminished and the quantity of intraventricular blood product remains approximately the same.3. Areas of hypoattenuation within the left tempora... |
Generate impression based on findings. | 44-year-old female with history of ankle fracture. Redemonstrated is a comminuted fracture of the distal fibular diaphysis. There are additional fractures of the medial malleolus and "posterior malleolus". There now appears to be slight lateral angulation of the medial malleolar fracture fragment and talus when compare... | Ankle fractures as above with slight lateral angulation of the medial malleolar fracture fragment and talus. |
Generate impression based on findings. | 69-year-old female with history of pain and swelling. There is a 1 cm crescentic density dorsal to the head of the talus which is suspicious for a small avulsion fracture. There is a small tibiotalar joint effusion. Mild osteoarthritis affects the midfoot. | Talar avulsion fracture as described above. This was relayed to and acknowledged by the Emergency Department via the STAT Consult system. |
Generate impression based on findings. | 7-year-old female with swelling of the left upper extremity and fever of unknown etiology, evaluate for osteomyelitis There is significant soft tissue edema overlying the dorsum of the hand with circumferential involvement starting at the level of the radiocarpal joint and extending proximally up to the elbow joint. Sm... | 1.Findings are compatible with cellulitis without evidence of osteomyelitis or abscess as described above.2.Small elbow joint effusion. |
Generate impression based on findings. | Reason: assess for lymphadenopathy, new diagnosis of leukemia (hx of HNSCC, prostate CA, lung CA) History: new leukemia The ostiomeatal complex units are patent bilaterally. Within the nasal cavity no obstructive lesions are appreciated. The nasal septum is deviated towards the right side.The frontal sinuses are clear.... | 1.There is mild mucosal thickening in some of the paranasal sinuses is no evidence for acute sinusitis.2.The nasal septum is deviated towards the right side |
Generate impression based on findings. | There are patchy periventricular and innumerable punctate bilateral subcortical white matter T2 hyperintensities, nonspecific but favored to represent chronic small vessel ischemic disease. There is no pathologic enhancement or diffusion abnormality. The ventricles and sulci are within normal limits. The cisterns rema... | 1. No foci of abnormal enhancement to suggest intracranial metastatic disease. 2. Moderate chronic small vessel ischemic disease. |
Generate impression based on findings. | RSV bronchiolitis. Prior abnormal chest radiograph.VIEW: Chest AP (one view) 02/03/15, 0533 Right upper lobe atelectasis has resolved. Residual hazy opacity is noted in right perihilar region. Left lower lobe linear opacities are seen. Lung volumes are large. Cardiothymic silhouette is normal. | Residual hazy opacity of the right and subsegmental atelectasis in left lower lobe. |
Generate impression based on findings. | 60 year-old with area of thickening and lumpiness in the left breast. Three standard views of both breasts and left spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No do... | Skin lesion compatible with an epidermal cyst at the site of palpable concern. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal and signs and symptoms of this finding are not worsening, bilateral screening mammogram is recommended annually. Results and recommendation ... |
Generate impression based on findings. | 48-year-old female with history of fall. Right ankle: There is mild soft tissue swelling about the lateral aspect of the ankle. There is a tiny ossicle adjacent to the distal fibula which may represent old trauma, but we see no acute fibular fracture. There is a minimally displaced fracture of the "posterior malleolus"... | Fracture of the right "posterior malleolus" of the distal tibia and proximal fibular diaphysis as described above. |
Generate impression based on findings. | Reason: Obtain baseline CTH prior to restart of anticoagulation History: R BG hematoma with extension in ventricles There is redemonstration of intraventricular blood and a hematoma centered in right thalamus associated with some hypodensity adjacent to the right thalamic hematoma. Compared to the prior exam there is n... | 1.Continued evolution of thalamic and intraventricular blood. Examination is otherwise stable. |
Generate impression based on findings. | Ankle pain. Foot pain. Four views of the right foot reveal no acute abnormalities. There are some radiopaque densities seen on the AP view only along the lateral aspect of the third toe. This is most likely artifactual. Incidental note is made of a very small accessory navicular bone.Three views of the right ankle are ... | Unremarkable examination of the right foot and ankle |
Generate impression based on findings. | 73 years, Male. Reason: 73M s/p cystectomy with abdominal pain, distension History: abdominal pain, distension Moderately dilated transverse colon with some air-fluid levels in hepatic flexure, consistent with colonic postsurgical ileus. No evidence of obstruction. No intramural air or free air.Pelvic vertical staple l... | Postop ileus. |
Generate impression based on findings. | Fracture.VIEWS: Left elbow AP/lateral (two views) 02/03/15 Two screws remain in place in the medial humerus. Cast has been removed. The fracture is completely healed. Curvilinear ossification is noted along the lateral aspect of the distal humerus. This is most likely the ossification center for the lateral epicondyle.... | Healed fracture. |
Generate impression based on findings. | Female; 31 years old. Reason: concern for PE History: as above, known SLE PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: N... | No acute pulmonary embolus or other acute cardiopulmonary abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 71-year-old male with malignant glucagonoma to the liver. Evaluate for Therasphere mapping. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are noted. Interval development of right lower lobe airspace and groundglass opacities which are likely infectious or inflammatory in etiology.MEDIASTINUM AND HILA: Mildly... | 1.No significant interval change in arterially enhancing hepatic lesions. Conventional hepatic arterial anatomy from the celiac axis. Patent hepatic veins and portal venous system. 2.Stable pancreatic atrophy and associated pancreatic ductal dilatation.3.Mildly enlarged pretracheal lymph node.4.Right lower lobe air spa... |
Generate impression based on findings. | Fracture.VIEWS: Right humerus AP/lateral (two views) 02/03/15 Callus formation is being incorporated into the cortex at the fracture of the humeral mid diaphysis. Alignment is unchanged with posterior displacement and minimal medial angulation. | Continued healing of mid humeral fracture |
Generate impression based on findings. | Status post surgery for hallux valgus deformity. Four views of the right foot reveal a Lapidus procedure consisting of attempted fusion of the medial cuneiform to the base of the first metatarsal fixed with two screws. There has been a medial osteotomy of the first metatarsal head. The previously seen hallux valgus def... | Status post surgery for previous hallux valgus deformity. Now in anatomic alignment |
Generate impression based on findings. | 57-year-old male with history of fall. Left shoulder: Mild osteoarthritis affects the acromioclavicular joint. We see no fracture or dislocation. Degenerative disc disease affects the visualized spine.Right wrist: Mild soft tissue swelling about the wrist, but we see no acute fracture or malalignment. Mild osteoarthrit... | Osteoarthritis without acute fracture. |
Generate impression based on findings. | Fracture.VIEWS: Left ankle AP/lateral/oblique (3 views) 02/03/15 Cast has been removed. Three K wires in the tibia and two screws in the fibula remain in place.Alignment is anatomic. Fracture lines are not visible. Demineralization is noted. | Healing ankle fractures. |
Generate impression based on findings. | Status post fractureVIEWS: Right ankle AP, lateral and oblique 2/3/15 (3 views) Single screw affixing a healing fracture of the distal epiphyses of the right tibia is again noted. No evidence of hardware complications. Alignment is anatomic. | Healing fracture, in anatomic alignment with no evidence of hardware complications. |
Generate impression based on findings. | Dysphagia The exam was negative for penetration and negative for tracheal aspiration. | The exam was negative for penetration and negative for tracheal aspiration. |
Generate impression based on findings. | 17 year-old male with history of sickle cell disease now with swelling, pain, warmth for assessment of osteomyelitis Scattered areas of bone infarcts are noted throughout the distal tibia, fibula and tarsal bones. Few areas of decreased T1 and increased T2 signal intensity may represent either red marrow or subacute in... | 1.Small amount of peripherally enhancing fluid anterior to the Achilles tendon insertion may represent a tenosynovitis.2.Few areas of decreased T1 and increased T2 signal intensity may represent either red marrow or subacute infarcts.3.No specific evidence of osteomyelitis. |
Generate impression based on findings. | There is unchanged thickening of the right nasolacrimal sac and nasolacrimal duct that extends to the dermis as well as enhancement of the sac. There is mild dilation of the bony duct canal. There is also slightly increased swelling of the right lower lid. There is non-specific air within the duct and no tube is defin... | Unchanged thickening of the right nasolacrimal sac and nasolacrimal duct as well as enhancement of the sac. There is also slightly increased swelling of the right lower lid. The findings are non-specific and of uncertain etiology. |
Generate impression based on findings. | Left MCA stroke NONCONTRAST CT HEADThere is a region of hypoattenuation within the periphery of the left subcortical and cortical frontal lobe and part of the left basal ganglia. This causes mild regional mass effect and sulcal effacement likely representing a subacute ischemic infarct. It measures 2.8 x 4.0 cm. No evi... | 1.No evidence of acute intracranial hemorrhage.2.Findings compatible with a subacute ischemic infarct involving the left frontal lobe and partially involving the left basal ganglia.3.Mild to moderate focal stenosis of the proximal M1 segment and mild focal stenosis of the M2 segment of the left MCA . 4.Paucity of dista... |
Generate impression based on findings. | History of benign right breast biopsy and left mastectomy. Presents with periareolar palpable mass for 1 week. Her family history is positive for breast cancer in a paternal aunt and cousin. Three standard views of the right breast with spot compression images were performed digitally and reviewed with the aid of R2 CA... | Complicated right breast cyst. This was not significantly enhancing on last year's MRI. Short term follow up versus fine needle aspiration will be considered by Dr. Jaskowiak. BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | NONCONTRAST CT HEADThere is a region of hypoattenuation within the periphery of the left subcortical and cortical frontal lobe and part of the left basal ganglia. This causes mild regional mass effect and sulcal effacement likely representing a subacute ischemic infarct. It measures 2.8 x 4.0 cm. No evidence of acute ... | 1.No evidence of acute intracranial hemorrhage.2.Findings compatible with a subacute ischemic infarct involving the left frontal lobe and partially involving the left basal ganglia. |
Generate impression based on findings. | 72 years, Female. Reason: dobhoff placement Dobhoff tube is coiled in the stomach with the tip directed back into the esophagus. Additional hardware and catheters are unchanged. | Dobhoff tube is coiled in the stomach with the tip directed back into the esophagus. |
Generate impression based on findings. | 62-year-old male with history of renal cancer who presents for restaging follow-up. CHEST:LUNGS AND PLEURA: Multiple bilateral parenchymal lung nodules consistent with metastatic disease are again seen.Reference right upper lobe nodule measures 2.4 x 1.4 cm (series 5, image 28), previously measuring 2.3 x 1.5 cm.Refere... | 1.No significant interval change in pulmonary and mediastinal metastatic disease.2.Stable left adrenal gland nodule.3.No evidence of new metastatic disease.4.Punctate nonobstructive left nephrolithiasis. |
Generate impression based on findings. | 83 years, Male. Reason: eval for SBO Dobhoff tube in gastric fundus. Nonspecific mildly distended small bowel loops in the left upper quadrant; favor ileus. Moderate colonic stool burden. Degenerative changes affect the lower lumbar spine. | Nonobstructive bowel gas pattern; favor ileus. |
Generate impression based on findings. | 70 years, Male. Reason: ng tube advanced 1.5" History: above NG tube side port at the GE junction. Multiple dilated loops of small bowel suspicious for a small bowel obstruction. Scattered intraabdominal surgical clips. | NG tube side port at GE junction; recommend advancing. Small bowel obstruction. |
Generate impression based on findings. | Reason: assess for lymphadenopathy, new diagnosis of leukemia (hx of HNSCC, prostate CA, lung CA) History: new diagnosis of leukemia LUNGS AND PLEURA: Evidence of a right thoracotomy with volume loss and scarring presumably related to prior surgery.Scattered areas of scarring/discoid atelectasis in both lungs.Several s... | Postsurgical changes in the right hemithorax. Scattered subpleural nodules may be post inflammatory in origin, however metastatic disease cannot be excluded. Continued surveillance is recommended. |
Generate impression based on findings. | 32 day old male status post left pyeloplasty BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade... | No evidence of postoperative complication with interval decrease in pelvicaliceal dilatation on the left.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices ... |
Generate impression based on findings. | 77-year-old with history of right breast cancer status post lumpectomy in 2004, status post radiation therapy. No new complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pat... | Stable right breast post surgical changes. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic M... |
Generate impression based on findings. | 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. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Multiple circumscribe... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard and pushback views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Bilateral retropectoral saline implants are unchanged ... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 56 years old; Reason: r/o blood clots History: shortness of breath The comparison chest radiograph performed on 2/3/2015 demonstrates no focal pulmonary opacities or pleural fluid. The ventilation images show decreased ventilation to the left apex as well as a small region in the right lower lobe with eventual equ... | 1. High probability for pulmonary embolism, which can be acute and/or chronic. When comparing with outside hospital CT from 8/2014, at least some of the findings likely relate to chronic pulmonary embolism although superimposed acute pulmonary emboli cannot be excluded on the basis of this study.2. There is an addition... |
Generate impression based on findings. | Male 51 years old; Reason: pt with stage III melanoma s/p IFN please eval disease status and compare to previous imaging History: melanoma CHEST:LUNGS AND PLEURA: Stable appearance of previously described lung nodules. Left lower lobe pleural-based nodule measures 0.7 x 0.5 cm (series 4, image 59), previously 0.7 to 0.... | 1.Stable examination.2.No new sites of disease. |
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, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | 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. | 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. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses,... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Ankle pain.VIEWS: Right ankle AP/lateral/oblique (3 views), left ankle AP/lateral/oblique (3 views) 02/03/15 No soft tissue swelling is identified. A joint effusion is not detected. The bones are normal in appearance. Alignment is anatomic. | Normal examinations. |
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, unchanged in pattern and distribution. No suspicious masses, microcalcificat... | 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: NSB - Screening Mammogram. |
Generate impression based on findings. | Bilateral diffuse breast pain. History of ESRD on dialysis. Three standard views of both breasts were performed digitally with additional bilateral MLO views (8 images total) and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Prominent tortuou... | 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
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 heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | 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: NSC - Screening Mammogram. |
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, unchanged in pattern and distribution. A pacemaker pack is again noted overlying the superior left b... | 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. | 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. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense. Scattered benign calcifications are noted in both breasts.No... | 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: NSC - Screening Mammogram. |
Generate impression based on findings. | Clinical question: ICH? Signes and symptoms: Fall, intoxicated. Nonenhanced head CT:There is no detectable posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Examination demonstrates a few small foci of low attenuation in the subcortical white matter and left basal ganglia which are suspicious ... | 1.No acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.2.Small foci of low-attenuation in the left basal ganglia and left frontal subcortical white matter similar to prior exam from 2014 and suggestive of chronic stroke.3.Small lipoma in the right suboccipital soft tissues. |
Generate impression based on findings. | Male; 56 years old. Reason: Metastatic head and neck cancer on chemotherapy. Restaging scan. Please evaluate left posterior (left chest wall) lesion. CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules and left pleural metastases are stable aside from a single left upper lobe nodule which has mildly increased in size an... | 1. Single left upper lobe nodule has mildly increased, but otherwise stable disease in the chest.2. No evidence of metastatic disease in the abdomen. |
Generate impression based on findings. | 51-year-old male with head and neck cancer, oral tongue squamous cell carcinoma, status post glossectomy and left neck dissection on 6/18/2014 with recurrence. Postsurgical changes of left partial glossectomy and selective neck dissection with left submandibular gland resection. Ill-defined midline mass in the oral ton... | 1.Ill-defined sof tissue thickening within the surgical bed is reduced in bulk and is no longer discretely measurable. 2.Significantly improved subcutaneous mass in the left neck overlying the strap muscles.3.Improved cervical lymphadenopathy.4.For findings in the chest, please see dedicated chest CT performed on the s... |
Generate impression based on findings. | Male 67 years old; Reason: metastatic prostate cancer, evaluation of disease after 12 month of investigational therapy History: metastatic prostate cancer CHEST:LUNGS AND PLEURA: Calcified granuloma in the left upper lobe. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion.... | 1.Sclerotic lesion in the L1 vertebral body suspicious for osseous metastatic disease.2.Progressive retrolisthesis of T12 upon L1 causing central canal narrowing. If the patient has neurologic symptoms related to conus compression further evaluation with a dedicated spine study is suggested. |
Generate impression based on findings. | Reason: ? expansion of SDH History: S/P fall, headache, known recent SDH There is redemonstration of subdural collections adjacent to the posterior aspect of the left hemisphere which adjacent to the left occipital and temporal lobes is thinner and less dense on the current exam. It measures proximally 4 mm in greatest... | 1.Since the previous examination the patient's subdural hematoma adjacent to the left hemisphere has regressed in size and evolved. No new hemorrhage is appreciated.2.Periventricular and subcortical white matter changes of a moderate degree are nonspecific. At this age they are most likely vascular related. 3.Arachnoid... |
Generate impression based on findings. | 52-year-old male with history bladder cancer status post radical cystectomy with orthotopic neobladder urinary diversion. Evaluate for metastatic disease. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No focal hepatic lesions. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No sig... | 1.Postoperative changes of cystoprostatectomy with neobladder. 2.No evidence of metastatic disease.3.Mild left hydroureteronephrosis most likely secondary to a distal left ureteral stricture. |
Generate impression based on findings. | 82-year-old male with history of HCC. Evaluate. CHEST:LUNGS AND PLEURA: Moderate emphysema. No suspicious pulmonary nodules or masses. No pleural effusions or pneumothorax. Right middle lobe subsegmental atelectasis is present.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size is normal without p... | 1.Postsurgical findings related to left hepatectomy. 2.Hepatic dome and hepatic segment 5 lesions without evidence of residual viable tumor.3.No significant interval change in arterially enhancing lesion adjacent to the resection cavity as above.4.Stable abdominal aortic aneurysm with postoperative findings of aortobii... |
Generate impression based on findings. | History partial right nephrectomy for renal cell carcinoma with multiple intrinsic high attenuation left renal masses on recent CT. Scheduled for ultrasound-guided biopsy of these lesions if not shown to be cystic LEFT KIDNEY: The previously noted left renal intrinsically high attenuation lesions seen on CT demonstrate... | Previously noted left renal intrinsically high attenuation lesion seen on CT on ultrasound demonstrate characteristics consistent with multiple benign complex cysts.Accordingly, no renal mass biopsy was performed. However, given the prior history of renal cell carcinoma and the complexity of these cystic foci, would re... |
Generate impression based on findings. | 66-year-old male with history of multiple myeloma. 60 days post autologous stem cell transplant. SKULL: Two views of the skull show no discrete myelomatous lesions.CERVICAL SPINE: Two views of the cervical spine show no discrete myelomatous lesions. Postoperative and degenerative changes appear similar to the prior stu... | Multiple myeloma as described above, with findings appearing similar to those seen on the prior study. |
Generate impression based on findings. | History of osteosarcoma. Status post limb salvage.VIEWS: Chest PA/lateral (two views) 2/30/15 at 1020 hrs. Cardiac silhouette size is normal. No focal opacities, effusions or pneumothorax. Visualized osseous structures are intact. | Normal examination. |
Generate impression based on findings. | 13-year-old female with sickle cell disease with left hip and groin pain over the past one month.VIEWS: Pelvis AP/frog leg lateral (two views) 02/03/15 Flattening and sclerosis of the left femoral epiphysis with widening of the joint space is suggestive of avascular necrosis. There is subchondral lucency along the ante... | Left Legg-Calve-Perthes disease as described above. |
Generate impression based on findings. | Female; 69 years old. Reason: history of renal cancer, assess for recurrence History: none LUNGS AND PLEURA: Stable right upper lobe ground glass nodule again measures 5 mm (series 4/22). Stable scattered pulmonary micronodules. Stable biapical scarring. No new pulmonary nodules or masses. No pleural effusions.MEDIASTI... | Stable 5mm right upper lobe groundglass nodule, which remains suspicious for atypical adenomatous hyperplasia (AAH) or adenocarcinoma in situ (AIS) and for which long-term follow-up is recommended. |
Generate impression based on findings. | Renal cell carcinoma status post left partial nephrectomy ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Stable 1.3 x 0.8 cm enhancing focus within segment 3 of the left lobe of liver best seen on image 45 of series 5; favor benign etiology. Stable cholelithiasis without acute inflammation or... | Stable negative examination. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | 65 year old female status post right lumpectomy in 1995 findings for ILC, presents today for routine follow up. The patient also received radiation and chemotherapy. No current breast complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma... | 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. | 5-year-old male with nephrotic syndrome, sepsis, pulmonary edemaVIEW: Chest AP (one view) 02/03/15, 1023 ET tube tip is below thoracic inlet and above carina. NG tube terminates in the stomach. Right internal jugular central venous catheter tip is in the right atrium.Cardiothymic silhouette is normal. Bilateral pleural... | Mild pulmonary edema pattern with right upper and left lower lobe atelectasis not significantly changed. |
Generate impression based on findings. | 15-year-old female with history of ankle injury. Postoperative follow-up. Interval placement of a metallic plate along the lateral aspect of the distal fibula with two transsyndesmotic screws affixing the distal tibia and fibula in near-anatomic alignment. We see no hardware complications. | Orthopedic transsyndesmotic fixation hardware as described above. |
Generate impression based on findings. | 36 year old female with neck pain C7 and the cervicothoracic junction are not well seen on the lateral views due to overlying anatomy. Alignment, vertebral body heights, and intervertebral disk spaces are preserved. Apparent narrowing of the right lower cervical neuroforamina is likely artifactual secondary to suboptim... | No specific findings to account for the patient's pain. |
Generate impression based on findings. | Ms. Basile is a 48 year old female with a personal history left breast mastectomy in 2012. Recent diagnostic mammogram demonstrated a new cluster of calcifications in the right superior breast. An ultrasound examination was performed to evaluate for possible sonographic correlate. If seen, then it will be biopsied unde... | Successful ultrasound-guided core biopsy of the right breast calcifications with clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 40 years old; Reason: STAGE IIIB COLON CANCER S/P RESECTION AND TREATMENT . EVALUATE FOR ANY INTERVAL CHANGE History: STAGE IIIB COLON CANCER CHEST:LUNGS AND PLEURA: Unchanged small air space disease in the medial aspect of right lower lobe, image 88 series 4, may be related to scarring but attention on follow-up ... | Stable exam as above. Diffuse hepatic steatosis, making evaluation for underlying small liver lesion suboptimal. Again seen prominent liver, measuring up to 20 cm in longitudinal dimension. No definite metastatic disease. |
Generate impression based on findings. | 5-year-old female malignant neoplasm of the left femur status post excisionVIEW: Pelvis right lateral decubitus (one view) 02/03/15 The proximal left femur and overlying soft tissue of the hip have been resected. Hardware components of a hemi-arthroplasty device is seated in the left acetabulum. Right femur is within n... | Left proximal femur resection. |
Generate impression based on findings. | 31-year-old male presents after fall. Rule out fracture. Left wrist: There is perhaps mild soft tissue swelling but no evidence of fracture or malalignment.Left elbow: Slight elevation of the anterior and posterior fat pads suggests hemarthrosis, though the radial head fracture is not clearly seen on these forearm view... | Nondisplaced intra-articular fracture of the radial head. |
Generate impression based on findings. | Postsurgical changes of left frontal craniotomy for resection of brain metastases. An extra axial fluid collection deep to the bone flap has resolved. Edema surrounding the resection cavity has decreased. There is decreased local mass effect without midline shift. Susceptibility within the resection cavity likely repr... | 1.Postsurgical changes with improved edema and enhancement surrounding the resection cavity. No new enhancing lesions.2.Mild chronic small vessel ischemic disease.3.Increased fluid within the maxillary sinuses may suggest sinusitis. |
Generate impression based on findings. | Male; 60 years old. Reason: paraesophageal mass History: paraesophageal mass LUNGS AND PLEURA: Stable scattered calcified granulomata. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Stable calcified subcarinal lymph nodes. No mediastinal or hilar lymphadenopathy. Normal heart size... | Stable infracardiac residual calcifications and mild soft tissue thickening in location of a previously seen cystic lesion. |
Generate impression based on findings. | 24 year-old female with history of left arm numbness. 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. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are ... | 1.No evidence of acute intracranial hemorrhage, edema or mass effect. 2.No specific intracranial findings to account for patient's symptoms. 3.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | 43-year-old female with pain. Tiny osteophytes indicate minimal osteoarthritis. No soft tissues swelling or joint effusion is present. No evidence of fracture or malalignment. | Minimal osteoarthritis; otherwise normal exam. |
Generate impression based on findings. | 46 year old male status post lumbar fusion. Posterior stabilization rods are present with screws entering the L3-S1 vertebrae. We see no evidence of hardware complication. Degenerative disk disease affects the lumbar spine, mild to moderate at L1-2 and moderate to severe at L3-4 and L4-5. Note is made of multiple air-f... | Orthopedic hardware and degenerative changes as described above. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Stable left basilar scarring.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy noted.Mild coronary calcifications are identified, the heart and pericardium otherwise... | No evidence of metastases, or other significant abnormality. |
Generate impression based on findings. | 50 year-old female with ankle pain. No significant soft tissue swelling or joint effusion is present. No evidence of fracture or malalignment. | No findings to account for the patient's pain. |
Generate impression based on findings. | Esophageal cancer, cough with eating The exam was positive for penetration and negative for tracheal aspiration. | The exam was positive for penetration and negative for tracheal aspiration. |
Generate impression based on findings. | History of left lumpectomy in 2004 for breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No new dominant mass, suspicious microcalcif... | 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: NS - Screening Mammogram. |
Generate impression based on findings. | 38 year old female with history of tarsometatarsal joint fracture-dislocation. Postoperative follow-up. There is diffuse soft tissue swelling about the foot. There has been interval placement of orthopedic hardware. A screw affixes the first tarsometatarsal joint in near-anatomic alignment. Side plate and screw devices... | Orthopedic fixation of Lisfranc fracture-dislocations, as above. |
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