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Generate impression based on findings. | 55-year-old female with history of lumbar fusion. There are postoperative changes of a posterior stabilization device with screws entering the vertebral bodies of L3-L5. Screw fracture fragments are again noted within L4 and L5. There is no evidence of hardware complication. There is an intervertebral disc spacer devic... | Posterior spinal fusion without evidence of complication. |
Generate impression based on findings. | 22-day-old male with desaturations with feedsEXAMINATION: Oropharyngeal motility study 02/03/15 Beth Harrison, speech and language therapist, supervised the examination.69 seconds of fluoroscopy was used.Thin liquid was administered through slow flow aqua nipple. Half-strength nectar liquid was administered through slo... | Laryngeal penetration and tracheal aspiration as described above. The patient tolerated nectar thick liquids via clear rim standard flow nipple.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | 82-year-old male with history of knee pain. Severe osteoarthritis affects the knee, particularly in the medial compartment, with near bone-on-bone apposition. There are tiny patellar osteophytes. There are extensive arterial calcifications and surgical clips within the medial soft tissues. There is chondrocalcinosis of... | Osteoarthritis as above. |
Generate impression based on findings. | Again seen are postsurgical changes of bilateral ethmoidectomies and uncinectomies. There is moderate opacification of the right frontal sinus, similar to prior. Opacification extends into the right frontal recess which is surgically widened. Minimal opacification seen in the left frontal sinus. There is mild opacific... | 1. Mild to moderate mucosal thickening involving the paranasal sinuses, as described above. Frontal and sphenoid sinus opacification is similar to prior. Mucosal thickening involving the inferior bilateral maxillary sinuses is improved but persistent compared to remote prior study from 9/7/2011. 2. There is nodular opa... |
Generate impression based on findings. | Female 62 years old; Reason: HCC advance rule out bone involvement No abnormal osseous foci are identified to indicate metastatic disease. Urine contamination in the left flank region has resolved on subsequent images. Prolonged renal parenchymal retention bilaterally suggestive of medical renal disease. | 1. No suspicious findings to suggest bone metastases.2. Findings suggestive of medical renal disease. |
Generate impression based on findings. | Polymyositis and history of dysphagia The exam was positive for penetration and negative for aspiration. | The exam was positive for penetration and negative for aspiration. |
Generate impression based on findings. | Ms. Scott is a 74 year old female with a personal history of right breast lumpectomy in 2003 for IDC followed by hormonal therapy. Family history of breast cancer in sister, diagnosed at the age of 53. No current breast related complaints. Three standard views of both breasts with additional left CC view were performed... | Stable postsurgical changes of the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagno... |
Generate impression based on findings. | Head and neck cancer The exam was positive for penetration and aspiration. | The exam was positive for penetration and aspiration. |
Generate impression based on findings. | Reason: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. History: History of metastatic breast cancer on treatment. Compare to prior imaging, evaluate for response and extent of disease. CHEST:LUNGS AND PLEURA: Motion limits sensitivity.No suspicio... | 1.No interval change without new sites of disease identified.2.Stable small mediastinal, hilar, and right axillary lymph nodes.3.Right breast mass unchanged. |
Generate impression based on findings. | Male 73 years old; Reason: bladder ca There is marked abnormal osteoblastic activity throughout L2 to L4 vertebral body levels more pronounced along the posterior elements in a somewhat diffuse pattern. Although the bone scan appearance raises question of Paget's disease, on corresponding CT there is a permeative lytic... | Multiple marked osteoblastic lesions throughout the lumbar spine and pelvis compatible with osseous metastatic disease. |
Generate impression based on findings. | Lung carcinoma ABDOMEN:LUNG BASES: Please see separate chest CT reportLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable bilateral renal cystsRETROPERITONEUM, LYM... | Stable negative examination. No acute, inflammatory, or metastatic intra-abdominal process. |
Generate impression based on findings. | The ventricles and sulci are prominent, including the cerebellar sulci, consistent with moderate age-related volume loss. 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 coll... | 1. No abnormal signal, pathologic enhancement, or structural abnormality is identified. 2. There is moderate diffuse global atrophy, which is greater than expected for patient's age. |
Generate impression based on findings. | Male 31 years old Reason: 31yo M with penetrating ileocolonic Crohn's, entero-enteric fistulas, eval for strictures History: ileitis, colitis The scout film shows a nonobstructive bowel gas pattern with several air-fluid levels. Transit was delayed as the patient had received morphine on the morning of the examination.... | Multifocal areas of stricturing with skip areas involving the distal ileum and terminal ileum with some short segment sinus tracts and possible ileoileal fistula. No ulcers. No evidence of mechanical obstruction. Conical cecum. |
Generate impression based on findings. | Respiratory failure. Internal jugular catheter.VIEW: Chest AP (one view) 02/03/15, 1458 Endotracheal tube tip is at carina. Feeding tube tip is distal to proximal body of stomach and not included on image. Right jugular line tip is at junction of internal jugular and subclavian veins. Left vagal nerve stimulator device... | Decrease in size of right pleural effusion. |
Generate impression based on findings. | Diffuse pulmonary alveolar hemorrhage. New crackles on exam.VIEWS: Chest AP/lateral (two views) 2/3/15 at 1459 hrs. Central and kidneys the RA/SVC junction. NG tube is present. Tip is not visualized. Cardiac silhouette size is normal. Streaky opacity of the left lower lobe. No effusions or pneumothorax. | Left lower lobe streaky opacity unchanged. |
Generate impression based on findings. | 72-year-old female with history of lumbosacral fusion. There are posterior stabilization rods with screws entering the vertebral bodies of L3 through S1. We see no evidence of hardware complication. Intervertebral disc spacer devices are present at L3-4, L4-5, and L5-S1. Severe degenerative disc disease affects L2-3 wi... | Postoperative changes of lumbosacral fusion, degenerative disc disease, and scoliosis as above. |
Generate impression based on findings. | 80 year-old female with fevers and pneumonia. Evaluate. Lack of intravenous contrast enhancement limits evaluation of solid organs and the bowel.CHEST:LUNGS AND PLEURA: Right upper and lower lobe consolidation with associated ground-glass opacity most suspicious for infection. Airspace opacity in the left lower lobe (s... | 1.Findings most suspicious for multifocal pneumonia in the right upper, right lower, and left upper lobes. 2.Small right and trace left pleural effusions. 3.Within limitation of non-enhanced examination, no evidence of infection or drainable fluid collection within the abdomen or pelvis. |
Generate impression based on findings. | Male 23 years old; Reason: evaluate for hydrocele vs cyst vs varicocele History: intermittent left testicular pain RIGHT TESTIS: The right testis is normal in echogenicity without mass or evidence of torsion.LEFT TESTIS: Left testis normal in echogenicity without mass or evidence of torsion.RIGHT EPIDIDYMIS: Small righ... | 1.Small left varicocele. 2.No masses, acute inflammation, or evidence of torsion. |
Generate impression based on findings. | Fracture.VIEWS: Left forearm PA/lateral (two views) 02/03/15 A cast has been applied. Both bones fracture of the distal forearm is again seen. Posterior angulation of distal radial fracture fragment persists. | Both bones fracture of distal forearm in cast. |
Generate impression based on findings. | 15-year-old male with fractureVIEWS: Right ankle AP/oblique/lateral (3 views) 02/03/15 Two screws remain in place in the tibial epiphysis without evidence of hardware complication. Alignment is anatomic. No joint effusion. Persistent periosteal reaction along the lateral aspect of the tibia. | Continued healing of distal tibial fracture. |
Generate impression based on findings. | Female 58 years old; Reason: eval disease (brca) on chemo- compare to prior film History: breast ca CHEST:LUNGS AND PLEURA: Left apical lesion measures 4mm (image 21/series 6), unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Bilateral thyroid nodules. There is a right chest wall Port-A-Cath... | 1.Osseous metastatic disease. |
Generate impression based on findings. | There are multiple new surgical clips, along the left submandibular space bilaterally along the neck along the cervical vessels. Postop changes are seen within the soft tissues along the lower left eighth and upper left neck. There is again a tracheostomy tube in place with tip terminating 15 mm cranial to the carina.... | Redemonstration of tracheal narrowing surrounding the tracheostomy tube consistent with history of tracheomalacia. Slight increased caliber of the distal trachea just above the level of the carina. Persistent diffuse soft tissue swelling of the hypopharyngeal and laryngeal structures with resultant airway effacement, a... |
Generate impression based on findings. | Male, 26 years old.evaluate for RFO, multiple surgical teams, counts are correct Stent in right iliac fossa transplant kidney. Surgical drain in the right hemiabdomen. No unexpected radiopaque foreign body. Nonspecific bowel gas pattern. | No unexpected radiopaque foreign body. Findings communicated to Dr. Thistlethwaite in the OR by telephone at 3:35 pm on 2/3/2015. |
Generate impression based on findings. | 11 year old female postopVIEWS: Left tibia-fibula AP/lateral (two views) 02/03/15 Again seen is an osteotomy through the proximal tibial diaphysis with external fixation device in place. There is widening of the osteotomy space. No significant periosteal reaction or callus formation is seen to suggest bone bridging or ... | Widening of the osteotomy space without evidence of bridging or healing. |
Generate impression based on findings. | 75-year-old female with history of hand injury. We see no acute fracture. There is a mild deformity at the base of the first finger which we suspect represents old trauma. Severe osteoarthritis affects the basilar joint. Osteoarthritis also affects the DIP joints particularly at the fifth finger which is held in slight... | Osteoarthritis without acute fracture. |
Generate impression based on findings. | 60 year-old female with history of shoulder pain. Mild osteoarthritis affects the acromioclavicular and glenohumeral joints. The humeral head is high riding which may be secondary to a chronic rotator cuff tear or atrophy. There is an os acromiale, a normal variant. We see no acute fracture. There is mild dextroscolios... | Osteoarthritis and high riding humeral head which may reflect rotator cuff tear or atrophy. |
Generate impression based on findings. | 63 year old female status post left lumpectomy and sentinel node biopsy for IDC and DCIS background (3/2013), presents today for routine follow up. The patient received radiation therapy (completed in 5/2013). No current breast complaints. Family history of breast carcinoma in her sister. Three standard views of both b... | Post-treatment findings in the left breast and axilla. 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 - ... |
Generate impression based on findings. | Ms. Blanton is a 77 year old female with bacteremia/fungemia. Recent CT scan demonstrated asymmetrical left breast enlargement. Per patient, the left breast has been swollen and tender for the past 3 weeks. Upon physical exam, the left breast is asymmetrically larger than the right breast. There are patchy areas of ery... | Asymmetrically edematous left breast with diffuse skin thickening. No suspicious sonographic findings or discrete drainable fluid collections are identified.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 71 years, Female. Reason: assess for stool burden; hx of constipation History: constipation, abdominal "heaviness" Moderate colonic stool burden without evidence of bowel obstruction. Degenerative arthritic changes affect the lower lumbar spine. | Moderate colonic stool burden without evidence of bowel obstruction. |
Generate impression based on findings. | Female, 35 years old, status post retrosigmoid craniotomy for CPA tumor. Expected findings are seen status post right retrosigmoid craniotomy including scattered intracranial air, and a small amount of extra-axial fluid/blood products subjacent to the craniotomy site.Adequacy of tumor resection is not well assessed on ... | 1. Expected findings status post right retrosigmoid craniotomy for tumor resection from the right CP angle. Adequacy of tumor resection will be better assessed on MRI.2. No significant surgical complications are detected. |
Generate impression based on findings. | Status post left total knee arthroplasty Components of a total knee arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication. Skin staples, a drain, and foci of gas density in the anterior soft tissues reflect recent surgery. | Total knee arthroplasty |
Generate impression based on findings. | Male 62 years old; Reason: abdominal pain, concern for pancreatitis History: abdominal pain` ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No evidence of pancreatitis. No fluid collections. The vessels are p... | 1.3.2 cm left renal mass findings suspicious for renal cell carcinoma.2.No CT findings of acute pancreatitis.3.Complex right renal cyst with a septation and like to represent a Bosniak 2F.4.11 mm right adrenal nodule.5.Findings discussed with Dr. Rao with a suggestion for Urology consultation. |
Generate impression based on findings. | 62-year-old female with history of pain. Left knee: Severe osteoarthritis affects the knee particularly in the medial tibiofemoral compartment with bone on bone apposition. There is exuberant osteophyte formation. There is perhaps a small joint effusion.Right knee: Severe osteoarthritis affects the knee particularly in... | Severe osteoarthritis as above. |
Generate impression based on findings. | There is a lumbar levo-scoliosis and severe multilevel degenerative changes including endplate degenerative change, facet arthropathy, ligamentum flavum thickening, and loss of disc height. There is mild left lateral listhesis of L3 on L4 and minimal left lateral listhesis of L2 on L3. There is borderline distention o... | 1.Scoliosis and severe multilevel degenerative change as detailed above, most significantly affecting the L3-L4 level where there is severe spinal canal stenosis and severe bilateral neural foramen stenosis.2.Nonspecific gallbladder and common bile duct distention that could be further evaluated with ultrasound or dedi... |
Generate impression based on findings. | Female 66 years old Reason: r/o PE History: SOB, tachycardia, hx of CA PULMONARY ARTERIES: No evidence of pulmonary embolism to the segmental level. The pulmonary artery is normal in caliber without evidence of right heart strain.LUNGS AND PLEURA: Nonspecific scattered micronodules which are too small to characterize b... | 1.No evidence of pulmonary embolus to the segmental level. 2.Large right breast mass with extensive metastatic involvement, including the contralateral breast, and diffuse axial and appendicular skeletal involvement. 3.Collapse of the L1 vertebral body with questionable extension into the spinal canal. Recommend MR of ... |
Generate impression based on findings. | Male, 84 years old, with history of metastatic parotid squamous cell carcinoma. Head:No mass effect or edema is seen to suggest the presence of intracranial metastases.Again noted is encephalomalacia involving the left temporal lobe with ex vacuo dilatation of the left temporal horn. Patchy periventricular and basal ga... | 1. Without the benefit of IV contrast, no definite evidence of locally recurrent tumor or pathologic adenopathy is detected in the neck.2. No evidence of intracranial metastases. |
Generate impression based on findings. | Male; 74 years old. Reason: Adenocarcinoma of the lung please compare to prior scan per recist criteria. History: Lung Cancer LUNGS AND PLEURA: Numerous new pulmonary nodules in both lungs, particularly the upper lobes.Reference right upper lobe mass measures 5 x 7 cm, previously 5.6 x 7.0 cm (series 8/37) and is sligh... | 1. Numerous new pulmonary nodules in both lungs, compatible with progression of disease.2. Moderate mediastinal lymphadenopathy is grossly stable. |
Generate impression based on findings. | Female 35 years old; Reason: right hydronephrosis, ? UPJ obstruction The posterior abdominal radionuclide angiogram demonstrates prompt, symmetrical perfusion of the kidneys. The left kidney demonstrates prompt uptake and excretion without collecting system dilatation or obstruction. The right kidney demonstrates uptak... | 1. Significantly dilated right pelvicalyceal system but with rapid washout and no evidence of current obstruction. 2. Mildly diminished right renal parenchymal function. |
Generate impression based on findings. | 54-year-old female with history of cervical cancer, evaluate for progression.RADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 90 mg/dL. Today's CT portion grossly demonstrates enlarged mediastinal or hilar lymph nodes. There is a left lower lumbar paraspinal soft tissue lesion with d... | Significant progression of hypermetabolic pelvic tumor as well as likely progression of tumor in the mediastinum. |
Generate impression based on findings. | 12 -year-old female with increased oxygen requirementVIEWS: Chest AP/lateral (two views) 02/03/15 Vagal nerve stimulator device projects over the chest wall with leads in the left neck.Unchanged levoscoliosis of the thoracolumbar spine. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Increased b... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 12-year-old female for evaluation of fractureVIEWS: Left first digit PA/lateral (two views) 02/03/15 Again seen is minimal buckling of the posterior cortex of the distal phalanx with surrounding periosteal reaction indicative of interval healing. | Healing fracture of the distal phalanx the first digit. |
Generate impression based on findings. | Female 47 years old; Reason: OUTPATIENT ORDER FOR 1 MONTH POST OP TO BE DONE IN FEB-Patient with type b dissection and rupture of 7.5 cm AAA s/p emergent open repair 12/31 with bilateral iliac stents. 1 month follow up. Thanks History: NONE CHEST:LUNGS AND PLEURA: Scattered emphysematous changes. No dominant lung lesio... | 1.Type B dissection extending from distal to the level of the left subclavian artery to the abdomen.2.Postsurgical changes in the infrarenal abdominal aorta with a graft placement. Enhancement within the native sac outside the graft which does not match the aortic contrast enhancement and not seen on the arterial phase... |
Generate impression based on findings. | 67-year-old female with newly diagnosed small cell lung cancer. Initial staging exam.RADIOPHARMACEUTICAL: 8.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 86 mg/dL. Today's CT portion grossly demonstrates partial opacification of the bilateral maxillary sinuses, suggestive of chronic sinusitis. There is a... | 1.Hypermetabolic right upper lobe spiculated mass, compatible with known primary small cell lung cancer.2.Bulky, markedly hypermetabolic right mediastinal lymph node metastases.3.Additional hypermetabolic metastatic disease in right supraclavicular nodes, the vicinity of the pancreatic head, body wall, and possibly the... |
Generate impression based on findings. | 7-week-old female with ALTE, noisy breathing, possible aspirationVIEWS: Chest AP/lateral (two views) 02/03/15 Aortic arch, cardiac apex, and stomach are left-sided. No pleural effusion or pneumothorax. No focal pulmonary opacities. Large lung volumes and minimal bronchial wall thickening suggestive of bronchiolitis/rea... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 66-year-old female with newly diagnosed right lower lobe lung cancer. Evaluate for mediastinal and extrathoracic disease.RADIOPHARMACEUTICAL: 9.4 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates well-defined hypoattenuation in the right posterior parietal/occi... | 1.Large, markedly hypermetabolic right lower lobe mass, consistent with patient's diagnosis of lung cancer.2.Extensive mediastinal and bilateral pulmonary parenchymal metastases.3.Hypermetabolic hepatic and pelvic body wall metastases. 4.Findings suggestive of second synchronous primary low grade lung cancer in the rig... |
Generate impression based on findings. | 58-year-old female with metastatic breast cancer status post 4 cycles Taxotere/Herceptin. Please evaluate disease status.RADIOPHARMACEUTICAL: 10.7 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 130 mg/dL. Today's CT portion of the neck grossly demonstrates bilateral thyroid nodules. Please also refer to con... | 1.Marked interval improvement in right acetabular hypermetabolic metastasis. Mild residual activity may represent healing bone versus mild residual tumor activity. Otherwise no FDG avid disease.2.Hypermetabolic left thyroid focus may represent a benign or malignant nodule.Diagnostic CTs of the chest, abdomen, and pelvi... |
Generate impression based on findings. | Female 47 years old; Reason: status of liver and other metastases History: metastatic breast CA, on chemo. Restaging, response to therapy. Rising tumor marker.RADIOPHARMACEUTICAL: 8.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 87 mg/dL. Today's CT portion grossly demonstrates postsurgical changes in the... | 1.Numerous markedly hypermetabolic hepatic metastases are significantly progressed from prior study.2. Additional subtle punctate hypermetabolic focus at L5 is equivocal but suspicious for new osseous metastasis. |
Generate impression based on findings. | Clinical question: Patient with acute mental status changes. Signs and symptoms: SOB, not protecting the airway Nonenhanced head CT:There is no detectable acute intracranial process. CT however he is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, cortical sulci, v... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: 38-year-old female with no signs of PMH presenting with transient vision changes and weakness. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however these intensity for early detection of acute nonhemorrhagic ischemic stroke. Consider MRI if c... | Unremarkable exam. Consider MRI if clinical concern persists. |
Generate impression based on findings. | Clinical question: Renal hemorrhage status post fall. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. CT already is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral c... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: Intracranial hemorrhage, skull fracture. Signs and symptoms: Status post assault with hard object to head; left frontal hematoma. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial or calvarial findings.Left frontal scalp and subgaleal hematoma measuring approximately 10 mm i... | 1.No acute posttraumatic intracranial findings.2.Left frontal scalp and subgaleal hematoma measuring 10 mm in height.3.Findings highly suggestive of mild age indeterminate small vessel ischemic strokes.4.Chronic blowout fracture of right lamina papyracea.5.Mild chronic sinusitis as detailed. |
Generate impression based on findings. | Clinical question: Intracranial lesion. Signs and symptoms: Ataxia; headache; this ear tinnitus. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes. Unremarkable cerebral cortex, cortical sulci, ventricular system... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | seizures No evidence of acute ischemic or hemorrhagic lesion.Patchy bilateral periventricular white matter and centrum semiovale low attenuations indicate non specific small vessel disease.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Non specific small vessel disease as described above. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Small and laceration. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings. CT is insensitive however for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral cortex, ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | A region of hypoattenuation is noted in the left MCA distribution within the left angular gyrus, left dorsal insular cortex and left superior temporal gyrus. There is mild mass effect but no midline shift or herniation. Additional regions of mild scattered periventricular and subcortical hypoattenuation likely represe... | Acute MCA distribution infarct involving the left parieto-temporal region. There is mild mass effect but no midline shift or herniation. |
Generate impression based on findings. | worst headache of my life No evidence of acute ischemic or hemorrhagic lesion.Previously reported right side subtle hypoattenuation is likely to be an artifactual lesion. The ventricles, sulci, and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass effect, edema, ... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Clinical question: Status left wrist. Signs and symptoms: Status epilepticus. Nonenhanced head CT:Examination demonstrate no detectable acute intracranial process. CT however these in sensitive for early detection of acute nonhemorrhagic ischemic strokes.There is prominence of ventricular system and supratentorial cort... | 1.No acute intracranial process. CT is in sensitive for early detection of acute nonhemorrhagic stroke.2.Age indeterminate small vessel ischemic strokes and resultant parenchymal volume loss without significant change since prior MRI exam.3.Diffuse opacification of all paranasal sinuses and air fluid levels in maxillar... |
Generate impression based on findings. | Clinical question: MISTIE study Follow up for left thalamic hematoma. Signs and symptoms: As above. Nonenhanced head CT:A large irregular and dissecting thalamic and basal ganglia acute hematoma is again identified without convincing evidence of interval change in its size or density since prior exam from approximately... | 1.There is slight interval increased size of right lateral ventricle since prior study.2.Stable position of right frontal approach ventricular catheter with the tip in the anterior third ventricle.3.Stable acute hematoma of the left thalamus/basal ganglia and in associated mass-effect with 12-mm midline shift to the ri... |
Generate impression based on findings. | 28-year-old male with right lower quadrant pain. Evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormalit... | 1.Appendix is normal. 2.No acute findings to account for patient's pain. |
Generate impression based on findings. | Female 45 years old Reason: improvement of fluid collection seen on CT History: abdominal pain UTERUS, ADNEXAE: The uterus is surgically absent.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: A pigtail drainage catheter is again noted in the right hemipelvis with ... | The right pelvic sidewall collection drained by a pigtail catheter has decreased in size. Additional left pelvic sidewall/presacral multiloculated fluid collections are also decreased. |
Generate impression based on findings. | Clinical question: 42 year-old female with polymyositis; dysphasia, respiratory weakness and recent headaches. Signs and symptoms: As above. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.Unremarkable cerebral... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 66 year old female with abdominal pain. Evaluate for mesenteric ischemia. Angiogram: No evidence of aortic dissection. There is aneurysmal dilatation of the distal descending thoracic aorta measuring up to 3.2 cm in dimension (series 9, image 38). There is severe narrowing at the origins of the celiac axis and superior... | 1.No findings to suggest mesenteric ischemia as clinically questioned. Severe narrowing at the origins of the celiac axis and the SMA without evidence of dissection or thrombus.2.Thrombus within the left renal artery resulting in left renal atrophy and diminished nephrogram.3.Severely distended bladder resulting in mil... |
Generate impression based on findings. | Proximal femoral endoprosthetic reconstruction.VIEWS: Left femur AP (one view) pelvis AP (one view) 2/3/2015, 1828, 1835 Interval placement of a longstem left femoral proximal endoprosthesis device, replacing the previously resected femur, in anatomic alignment and without evidence of hardware complication. A surgical ... | Components of a proximal left femoral endoprosthesis in anatomic alignment and without evidence of hardware complication. |
Generate impression based on findings. | 39-year-old female with left-sided cramping abdominal pain. Heme positive urinalysis. Evaluate for stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality identified.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No s... | 1.No obstructing nephrolithiasis or hydroureteronephrosis. 2.Post surgical changes of partial left nephrectomy are stable. |
Generate impression based on findings. | Eight month old male with respiratory distress and feverVIEWS: Chest AP/lateral (two views) 02/03/15, 1936 hrs Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. Large lung volumes and bronchial wall thickening suggestive of bronchiolitis/reactive airway disease. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Female 48 years old; Reason: Evaluate for appendicitis, volvulus History: RLQ pain ABDOMEN:LUNG BASES: Mild bibasal atelectasis.Nonspecific calcified nodule in the right breast is nonspecific on CT but is not significantly changed compared to prior study of 2012.LIVER, BILIARY TRACT: No significant abnormality noted.SP... | 1.No evidence of appendicitis or other specific findings to explain patient's right lower quadrant pain. |
Generate impression based on findings. | new NGT NG tip coiled in the fundus. Mildly prominent small bowel loops suggest ileus pattern. Amorphous calcific densities in the upper abdomen correlate with calcified low attenuation masses on CT, 11/11/2014. Right femoral venous catheter. Scattered surgical clips and midline skin stables. | NG tip coiled in the fundus. |
Generate impression based on findings. | 8-month-old male with history of tracheomalacia, here for cough and shortness of breathVIEW: Chest AP (one view) 02/03/15, 1810 hrs Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. Large lung volumes and minimal ... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | Pericardial effusion status post pericardiocentesis.VIEW: Chest AP (one view) 2/4/2015, 02:51 Interval placement of a pericardial drainage catheter with the tip projecting over the left ventricle. Bilateral pleural effusions persist, unchanged on the right and increased on the left. The cardiac silhouette is unchanged ... | Interval placement of a pericardial drainage catheter, with persistent enlargement of the cardiac silhouette and straightening of the left heart border. Increased left pleural effusion. |
Generate impression based on findings. | 82 year-old female with right rib pain after fall Ribs: Radiopaque markers overlie the right lower chest wall at the site of the patient's pain. No rib fracture is identified. The lungs are clear. Tortuous aorta with distal aortobiiliac stent graft and additional left iliac stent noted.Hips and pelvis: The bones are di... | No fracture or dislocation. |
Generate impression based on findings. | History of elevation of depressed skull fracture; evaluate for acute hemorrhage. High density material scattered along the right aspect falx likely represents birth-related subdural hemorrhage. There is hypoattenuation in the bilateral parietal and occipital lobes, more conspicuous than in anterior brain and slightly a... | 1. Apparent hypoattenuation in the bilateral parietal and occipital lobes, which may in part be due to non-myelinated white matter in a patient of this age, although appearing more conspicuous in low density than front lobe white matter which would be atypical. There may also be some degree of artifactual occipital sha... |
Generate impression based on findings. | 9-year-old male with history of Crohn's disease now with abdominal pain, vomiting, diarrheaVIEWS: Abdomen AP supine and erect (two views) 02/03/15, 1914 hrs Nonobstructive bowel gas pattern. Moderate stool burden. No pneumoperitoneum, pneumatosis intestinalis, or portal venous gas. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male, 53 years old.rule out RFO, surgery length greater than 8 hours NG tube in the distal esophagus. Interval removal of jejunal catheter. Percutaneous gastrostomy. Clip in the left upper quadrant. A drain projects over the right hemiabdomen. Nonobstructive bowel gas pattern. Curvilinear opacity over the pubic symphys... | No unexpected retained foreign body. Findings discussed with Dr. Vigneswaran by telephone at 1710 hours on 2/3/2015 by the radiology resident on call. |
Generate impression based on findings. | 44-year-old male with pain and swelling after assault There is a minimally displaced comminuted fracture of the nasal bone. The frontal and maxillary sinuses are clear. | Comminuted nasal bone fracture. |
Generate impression based on findings. | 71 year-old female who presents for evaluation of pancreatic mass. Patient with history of mass in body of pancreas on EGD/EUS. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No arterially enhancing lesions. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality... | Questionable subcentimeter hypoattenuating focus in pancreatic body posteriorly, which may be a side branch IPMN. If further characterization or confirmation is needed, evaluation with MRCP may be considered. |
Generate impression based on findings. | 37-year-old male with pain, evaluate for great toe fracture Alignment is anatomic. No fracture is evident. There is mild soft tissue swelling about the great toe. | No fracture or malalignment. |
Generate impression based on findings. | 31-year-old female with pain after fall Alignment is anatomic. No fracture is evident. The shoulder appears normal for the patient's age. | No fracture or dislocation. |
Generate impression based on findings. | 14-month-old female with constipation, vomiting, and abdominal painVIEW: Abdomen AP (one view) 02/03/15, 1921 hrs Moderate amount of stool in the rectum and descending colon. No pneumoperitoneum, pneumatosis intestinalis, or portal venous gas. No specific evidence of obstruction. | Moderate stool burden. |
Generate impression based on findings. | 19 year-old male with fall from height Hips: The hips appear normal for the patient's age.Lumbar spine: Vertebral body heights and disk spaces are maintained. No fracture is evident.Cervical spine: Limited exam due to lack of an odontoid view. Vertebral body heights and alignment are maintained. No fracture is evident. | No fracture or dislocation. |
Generate impression based on findings. | Pulmonary edema status post endotracheal tube placement.VIEW: Chest AP (one view) 2/4/2015, 03:01 The endotracheal tube tip is just above the carina. The left central venous catheter and right upper extremity PICC tips are in the superior vena cava.Small bilateral pleural effusions persist, perhaps slightly improved on... | Slightly improved right pleural effusion and pulmonary edema pattern. |
Generate impression based on findings. | Asymmetry in the posterior left breast seen on screening mammography. Family history of breast cancer in mother at 87 years of age. Three standard views of the left breast were performed digitally with spot compression views and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which ... | Asymmetry in the posterior left breast, without sonographic abnormality is highly likely benign. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.R... |
Generate impression based on findings. | 4-year-old male with respiratory distress and tachypneaVIEWS: Chest AP/lateral (two views) 02/03/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. Large lung volumes and bronchial wall thickening is suggestive of bronchiolitis/reactive airway disease. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 60 year-old male status post fall Tibia and fibula: Oblique distal fibular fracture is again visualized. Ankle: There is lateral greater than medial soft tissue swelling. Spiral distal fibular fracture extends to the tibiotalar joint. An additional nondisplaced fracture of the posterior malleolus is noted. The medial m... | Ankle fracture as described above. |
Generate impression based on findings. | Patient with seizures and endotracheal tube placement.VIEW: Chest AP (one view) 2/4/2015, 03:15 Endotracheal tube tip is below thoracic inlet and above carina. A nasogastric tube tip terminates in the body of the stomach. A left chest wall vagal nerve stimulator is again seen, position unchanged.The cardiothymic silhou... | Persistent unchanged bibasilar subsegmental atelectasis. |
Generate impression based on findings. | Female 75 years old; Reason: evaluate for malignancy and ascites History: ascites, anorexia, and occasional epigastric pain The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given these limitations, the following observations were made:CHEST:LUNGS AND PLEURA: Moderate... | 1.Moderate/severe emphysematous changes with bilateral pleural effusions, and with loculation in the left.2.Abdominal and pelvic ascites with diffuse anasarca.3.No obvious neoplastic process noted on this noncontrast exam.4.Asymmetrically prominent breast tissue on the left side would be better evaluated with mammogram... |
Generate impression based on findings. | 27-year-old male with history of fall. We see no fracture. There is mild osteoarthritis of the proximal tibiofibular joint. Linear density overlying the tibiofemoral articulation is likely artifactual. There is no evidence of a joint effusion. The right knee appears normal as seen on the frontal view. | Mild osteoarthritis at the tibiofibular articulation, but we see no fracture. |
Generate impression based on findings. | 5-year-old male with fluid overload and nephrotic syndrome.VIEW: Chest AP (one view) 2/4/2015, 03:25 Endotracheal tube tip is below thoracic inlet and above carina. The NG tube tip terminates out of the field-of-view. The right internal jugular central venous catheter tip is in the superior vena cava.The cardiothymic s... | Improved right upper lobe atelectasis and unchanged mild pulmonary edema pattern. |
Generate impression based on findings. | 36 year-old female with right thigh pain Hip: Alignment is anatomic. No fracture is evident. Vascular calcifications are noted in the soft tissues. Femur: The femur is intact. The knee appears unremarkable for the patient's age. Vascular calcifications are noted in the soft tissues. | No specific findings of the patient's symptoms. |
Generate impression based on findings. | The image quality is significantly degraded by motion artifact. There is no evidence of intracranial hemorrhage. There is pronounced hypoattenuation of the cerebral white matter, particularly in the bilateral parieto-occipital regions. The lateral ventricles are on the smaller end of the normal spectrum. However, the ... | Apparent pronounced hypoattenuation of the cerebral white matter, particularly in the bilateral parieto-occipital regions, may be related to the stage of myelination. However, a superimposed process, such as posterior reversible encephalopathy syndrome or infection cannot be entirely excluded and the study is significa... |
Generate impression based on findings. | Left lateral neck enlarged lymph node not improving despite clindamycin. There is extensive left cervical lymphadenopathy associated with surrounding fat stranding and swelling of the adjacent musculature. Some of the level 5A lymph nodes contain areas of central low attenuation measuring up to 9 mm. There are also mil... | Extensive left cervical lymphadenopathy with evidence of acute suppurative lymphadenitis, sinusitis, and right otomastoiditis. |
Generate impression based on findings. | NG tube location NG tube side port at the GE junction. Visualized bowel gas pattern is nonobstructive. | NG tube side port at the GE junction; recommend advancing. |
Generate impression based on findings. | 83-year-old female with history of pain. The bones are demineralized suggesting osteopenia/osteoporosis.Right knee: Severe osteoarthritis affects the knee with near bone-on-bone apposition of the medial compartment. There are tricompartmental osteophytes. There is chondrocalcinosis of the lateral meniscus.Left knee: Mo... | Osteoarthritis of the right shoulder and knees and other findings as described above. |
Generate impression based on findings. | There is no significant change in size of the low attenuation subdural fluid collection along the left cerebral convexity with extension along the falx cerebri, which now measures up to 15 mm in width and has mild mass effect upon the underlying brain parenchyma. There is also no significant interval change in the sma... | 1. No significant interval change in size of the bilateral subdural hematomas, left larger than right, as well as multiple small foci of intraparenchymal, subarachnoid, and intraventricular hemorrhage. 2. Left anterior frontal lobe contusions are more conspicuous on the recent MRI. 3. Stable postoperative findings rela... |
Generate impression based on findings. | Seizures and subdural hematoma, assess ETT placement.VIEW: Chest AP (one view) 2/4/2015, 03:32 The endotracheal tube tip is below the thoracic inlet and above the carina. The nasogastric tube tip is in the body of the stomach. An obliquely oriented catheter extending inferiorly from the left is present, with its tip ov... | Unchanged left pleural effusion with decreased right upper lobe and increased right lower lobe atelectasis. |
Generate impression based on findings. | 58-year-old male with history of inflammatory polyarthritis. Left foot: Minimal degenerative arthritic changes affect the foot appearing similar to prior. We see no erosions or other specific findings of inflammatory arthritis.Right foot: Mild osteoarthritis affects the foot appearing similar to prior. There is minimal... | Arthritic changes appear predominantly degenerative in etiology. We see no definite erosions or other specific features of inflammatory arthritis. Other findings as described above. |
Generate impression based on findings. | NG tube placement NG tube side port in the distal esophagus. Nonobstructive bowel gas pattern. Biiliac arterial stents. Retained contrast in the bladder. | NG tube side port in the distal esophagus; recommend advancing. |
Generate impression based on findings. | Pain and swelling along lateral and anterior ankle joint. Evaluate for ankle joint DJD. Small tibiotalar joint osteophytes indicate mild osteoarthritis. I see no fracture or malalignment. There are tiny posterior and plantar calcaneal spurs. | Mild osteoarthritis. |
Generate impression based on findings. | Left pleural effusion status post chest tube placement.VIEW: Chest AP (one view) 2/4/2015, 03:39 Left chest tube position unchanged.Left pleural effusion slightly improved, but now with increased lucency within the pleural space consistent with a pneumothorax. Left lower lobe atelectasis/consolidation unchanged. Streak... | Improved left pleural effusion, but now with a new left pneumothorax. |
Generate impression based on findings. | NG tube placement NG tube coiled in the fundus. Nonobstructive bowel gas pattern. Retained barium in the colon. Degenerative arthritic changes affect the lower lumbar spine. | NG tube coiled in the fundus. |
Generate impression based on findings. | Respiratory insufficiency, assess ETT placement.VIEW: Chest AP (one view) 2/4/2015, 03:44 Endotracheal tube tip is at thoracic inlet. A gastrostomy tube is in place, position unchanged.The cardiothymic silhouette is normal. The lung volumes are large. Unchanged small left pleural effusion. The right upper and right low... | Unchanged left pleural effusion and right-sided atelectasis. Previously identified left lower lobe opacity difficult to assess secondary to overlying tubing, but likely persists. |
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