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Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt and ovarian cancer in maternal grandmother. Personal history of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenc... | Stable benign left breast mass. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | NG tube placement Dobbhoff tube in the gastric body. Fractured Dobbhoff tube lateral to the newly placed Dobbhoff. Nonspecific bowel gas pattern. | New Dobbhoff tube in the gastric body. Fractured Dobbhoff tube lateral to the newly placed Dobbhoff. |
Generate impression based on findings. | Female 77 years old Reason: hypoxia, mobile mass noted in the R PA during EBUS History: dyspnea PULMONARY ARTERIES: Large acute pulmonary embolus extending from the right main pulmonary artery at the bifurcation of the right lower and right middle lobar branches into multiple lobar, segmental, and subsegmental branches... | 1.Large acute right-sided pulmonary embolism extending from the lobar level distally in the right middle and lower lobe. 2.Complete collapse of the left lung. Evaluation of a left lung mass is limited, however there is obstruction of the left upper and lower lobar bronchi. 3.Patchy peripheral opacities in the right mid... |
Generate impression based on findings. | Status post VDRO, evaluate new SPICA placement.VIEWS: Pelvis AP (one views) 2/4/2015, 04:29 The femoral heads are well positioned within the acetabula bilaterally. Blade plate and screw devices affix the femoral varus derotational osteotomies. The bilateral acetabula are dysplastic. A rectal catheter and spica are in p... | Femoral heads well directed into the acetabula. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | NGT placement NG side port at the GE junction. Nonobstructive bowel gas pattern. Degenerative arthritic changes affect the lower lumbar spine. | NG side port at the GE junction; recommend advancing. |
Generate impression based on findings. | NGT placement Exam limited by motion artifact. NG tube tip in the distal esophagus. Nonobstructive bowel gas pattern. The pelvis is excluded from the field of view. | NG tube tip in the distal esophagus. Subsequent radiograph has been performed demonstrating interval advancement. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of cervical cancer, diagnosed at age of 30. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Respiratory distress and intubation.VIEW: Chest AP (one view) 2/4/2015, 04:12 Endotracheal tube tip is below thoracic inlet and above carina. The right upper extremity PICC terminates in the right atrium. Gastrostomy tube tip position is unchanged.The cardiothymic silhouette is normal. New streaky left upper lobe opaci... | Unchanged bibasilar opacities, with new streaky left upper lobe opacity suggestive of atelectasis. |
Generate impression based on findings. | 71 years, Male. Reason: s/p lvad, leukemia, assess for ischemia or obstruction History: diarrhea, pain LVAD and other hardware is unchanged. Nonobstructive bowel gas pattern. Sutures in the left hemiabdomen. Left basilar scarring. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt, diagnosed at the age of 70. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obs... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 62-year-old male with history of Hodgkin lymphoma status post stem cell transplant in 2011. Evaluate disease status. CHEST:LUNGS AND PLEURA: No change in the right apical scarring, likely related to prior radiation therapy. Postsurgical changes in the right upper lobe again noted. No suspicious pulmonary nodules or mas... | Stable reference lymph nodes without evidence of new lymphadenopathy. |
Generate impression based on findings. | Respiratory failure and endotracheal tube placement.VIEW: Chest AP (one view) 2/4/2015, 03:55 Endotracheal tube tip is below thoracic inlet and above carina. Right upper extremity PICC tip is obscured by the spinal instrumentation, but can be traced as far centrally as the SVC. Right internal jugular central venous cat... | New right upper and right lower lobe opacities, which may reflect residual pulmonary edema, although infection or atelectasis are possibilities. Unchanged left basilar opacity and small bilateral pleural effusions. |
Generate impression based on findings. | History of left mastectomy in 2007 for IDC followed by chemotherapy and tamoxifen. Status post right breast lift and implant placement. History of breast carcinoma in maternal aunt diagnosed at the age of 40. No new right breast complaints. Palpable lump at left mastectomy site. Two standard views of the right breast w... | Clustered cysts superior to the left mastectomy scar, likely representing fat necrosis and oil cyst formation. Given this high probability benign finding, short term imaging follow-up or surgical removal during planned breast reconstruction were discussed with the patient. She will discuss management options with her p... |
Generate impression based on findings. | 68 years, Male. Reason: Patient is bed bound, has J tube, is having some abdominal pain. evaluate for ileus, air, obstruction History: abdominal pain Catheter projects over the left hemiabdomen, likely representing the patient's J tube. Nonobstructive bowel gas pattern. Geometric opacity projects over the pelvis, possi... | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 69-year-old male with history of hip pain. Mild to moderate osteoarthritis affects the hip. We see no acute fracture. | Osteoarthritis without acute fracture. |
Generate impression based on findings. | 72-year-old male with history of ankle pain. There is mild soft tissue swelling about the ankle, but we see no acute fracture. Alignment is anatomic. Mild osteoarthritis affects the tibiotalar joint. There is a small tibiotalar joint effusion. | Mild ankle joint osteoarthritis and small joint effusion without acute fracture. |
Generate impression based on findings. | 11 year old female with respiratory distress.VIEW: Chest AP (one view) 2/4/2015, 06:07 The endotracheal tube tip is below the thoracic inlet and above the carina. Leftward curvature of the thoracolumbar spine greater than 150 degrees persists. Postoperative changes related to right varus derotational osteotomy again se... | Right middle and possible right lower lobe atelectasis unchanged. |
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.Dedicated thin section imaging through the hypoglo... | 1. Unremarkable contrast-enhanced MRI of the brain. No definite hypoglossal abnormality.2. Mild nonspecific left mastoid air cell fluid opacification. |
Generate impression based on findings. | Hodgkin lymphoma status post autologous transplant. The lack of intravenous contrast administration limits the sensitivity for detecting mass lesions. Within this limitation. there is no evidence of significant cervical lymphadenopathy or mass lesions. The Waldeyer ring structures are not significantly enlarged. The th... | No evidence of recurrent lymphomas in the neck. although the exam is limited by lack of intravenous contrast administration. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or ar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Linear markers are placed on sca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of archi... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Evaluate bleeding at therapeutic PTT. There is interval slight decrease in size of the hematoma centered in the right thalamus with surrounding edema and extension into the intraventricular system. The ventricles and subdural spaces are unchanged in size and configuration. There is no midline shift or herniation. The i... | Expected evolution of the hematoma centered in the right thalamus with surrounding edema and extension into the intraventricular system. |
Generate impression based on findings. | Right-sided abdominal pain. ABDOMEN:LUNG BASES: 9 mm left lower lobe partially solid, partially ground glass nodule (image 16, series 4), likely of no clinical significance.LIVER, BILIARY TRACT: Mild intrahepatic biliary ductal dilatation is present. The gallbladder is mildly distended without evidence of wall thickeni... | 1.Equivocal findings of appendicitis.2.Probable bilateral ovarian cysts, measuring up to 3 cm on the right. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of right cyst aspiration. Family history of breast cancer in paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscur... | Faint cluster of calcifications in the left lower inner breast. Additional imaging, including spot magnification views, are recommended for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Patient is status-post extraction of the bilateral third mandibular and right third maxillary molars. There is heterogeneous, primarily low density attenuation, foci of air, and mild adjacent inflammatory changes in the extraction socket of the right mandibular third molar, which may represent edema versus developing ... | 1. There has been extraction of the bilateral third mandibular and right third maxillary molars. 2. While there is no definitive evidence of inflammation in the right mandibular molar extraction socket, a developing phlegmon or abscess cannot be completely excluded. Please correlate clinically and with physical exam.3.... |
Generate impression based on findings. | 68-year-old male with history of total hip revision. Right hip: The previously seen right hip arthroplasty has been removed and replaced with a long stem total hip arthroplasty in anatomic alignment. Three cerclage wires affix a proximal femoral osteotomy in anatomic alignment. Surgical drains and foci of gas within th... | Right total hip arthroplasty and other findings as above. |
Generate impression based on findings. | 62-year-old female whose recent right breast biopsy revealed ADH presents for needle localization. On review of the prior studies, a marker clip is present far posterior 6 o'clock position. The procedure, risks including bleeding and infection, and benefits of needle-wire localization were discussed with the patient. Q... | Successful needle localization of the right breast clip.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt and cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspic... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Large B-cell lymphoma CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Stable bilobar attenuation foci. Stable cholelithiasis.SPLEEN: Stable low-attenuation splenic focus.PANCREAS: No s... | Stable examination. No new adenopathy. |
Generate impression based on findings. | Female 44 years old Reason: PE? History: tachycardia PULMONARY ARTERIES: No evidence of pulmonary embolism. The pulmonary artery is normal in caliber without evidence of right heart strain.LUNGS AND PLEURA: Scattered calcified and noncalcified micronodules which are nonspecific. Left pleural calcification noted. No ple... | No evidence of pulmonary embolus. No 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are pre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Bilateral benign morphology masses are... | Stable bilateral benign masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Shortness of breath. PULMONARY ARTERIES: Diagnostic quality study, no PE.LUNGS AND PLEURA: Calcified pleural plaque on the right. Right apical scarring unchanged. Mild emphysema. Left basal scarring unchanged.MEDIASTINUM AND HILA: Moderate cardiomegaly with severe left ventricular enlargement. Left subclavian ICD tip i... | 1. No evidence of acute pulmonary embolus. 2. Dense liver parenchyma has a wide differential diagnosis including but not limited to amiodarone toxicity. 3. Severe enlargement of the left ventricle which compresses the right ventricular cavity.4. Asymmetric scarring at the right apex appears unchanged compared to 8/2014... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas o... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | PHARYNX/LARYNX: There is extensive calcification along the palatine tonsils bilaterally which appear diminutive in size, likely relating to tonsilliths. The nasopharynx, oropharynx, hypopharynx, and larynx are otherwise unremarkable. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue ma... | 1. Extensive vascular calcification as detailed above. Probable at least moderate narrowing of the proximal internal carotid arteries bilaterally. Carotid doppler or CTA of the neck may be obtained for further evaluation as clinically indicated.2. Prominent cervical spondylotic changes with up to moderate-severe right ... |
Generate impression based on findings. | Female; 68 years old. Reason: SOB, tachycardia History: SOB, tachycardia PULMONARY ARTERIES: Central filling defects in a right lower lobe distal segmental artery extending (series 8/199) and a left upper lobe subsegmental artery, most compatible with acute pulmonary emboli. Additional filling defects in a right upper ... | 1. Acute and additional age-indeterminant pulmonary emboli as detailed above.2. Patchy groundglass opacities in both upper lobes most likely due to hemorrhage.3. Small pleural effusions with basilar atelectasis.4. Gallbladder sludge and/or stones. Gallbladder wall thickening cannot be excluded. Ultrasound can be obtain... |
Generate impression based on findings. | 72-year-old male with history of knee prosthesis. Hardware components of a right total knee arthroplasty are situated in anatomic alignment. Lucency beneath the tibial tray and heterotopic bone along the patella appear similar to the prior study. There is a small joint effusion. Moderate osteoarthritis affects the left... | Total knee arthroplasty as above. |
Generate impression based on findings. | 61-year-old male, assess prosthesis Hardware components of a left total hip arthroplasty device are situated in near anatomic alignment without evidence of complication. Osteoarthritis affects the contralateral hip as seen on the frontal view. | THA without evidence of complication. |
Generate impression based on findings. | 76-year-old male with left knee pain There is marked medial joint space narrowing and tricompartmental osteophytes consistent with severe osteoarthritis. Mild varus deformity about the knee. Calcifications within the distal femurs bilaterally likely represent bone infarcts. Vascular calcifications are present in the so... | Severe osteoarthritis. |
Generate impression based on findings. | 51 year-old female status post right tibia ORIF Sideplate and screws affix the distal tibia fracture in near anatomic alignment without evidence of complication. The fracture line is indistinct, compatible interval with healing. | Distal tibia fracture fixation without evidence of complication. |
Generate impression based on findings. | 85-year-old female status post TKA revision for infection Knee and femur: Hardware components of a total knee arthroplasty device with long femoral and tibial stems are situated in near-anatomic alignment without evidence of complication. No new osseous destruction to indicate recurrence. The proximal femur is intact. | TKA without evidence of complication. |
Generate impression based on findings. | 53-year-old male with edema and warmth in right ankle, history amputations and alteration Right foot: Status-post fifth metatarsal osteotomy. There is soft tissue swelling about the great toe with underlying fragmentation of the proximal phalanx and disruption of the articular surface of the IP joint concerning for ost... | Fragmentation of the proximal phalanx of the great toe with overlying soft tissue swelling concerning for osteomyelitis. |
Generate impression based on findings. | There are multiple subcentimeter supratentorial and infratentorial enhancing lesions. The largest lesions include those in the left perirolandic region, which measures up to 8 mm, and in the left cerebellar hemisphere, which measures up to 7 mm. There is no evidence of mass-effect or significant midline shift. There i... | Multiple subcentimeter supratentorial and infratentorial enhancing lesions are consistent with metastases.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 86-year-old female status with right index finger lesion Interval increase in size of expansile lucent lesion involving the majority of the proximal phalanx of the second finger. There is overlying soft tissue swelling. Moderate degenerative changes affect the remaining hand. | Interval increase in size of expansile lesion of the proximal phalanx of the second finger, the differential for which includes giant cell reparative granuloma and less likely ABC or malignant transformation of an enchondroma. |
Generate impression based on findings. | Postop prosthetic assessment Three views of the right knee show components of a total knee arthroplasty device situated in near-anatomic alignment without radiographic evidence of hardware complication. The patellar tendon is not well defined, but I see no patella alta deformity.Mild to moderate osteoarthritis affects ... | Total knee arthroplasty as above. |
Generate impression based on findings. | Subdural hematoma status post evacuation. There are postoperative findings related to right subdural hematoma evacuation with interval decrease in size and overall attenuation of the right cerebral convexity collection with diminished mass effect upon the brain parenchyma. There is also decreased midline shift, now min... | Postoperative findings related to right cerebral convexity subdural hematoma evacuation with interval decrease in size of the hematoma. |
Generate impression based on findings. | Reason: head and neck cancer for tumor assessment History: as above CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Mild upper lobe centrilobular emphysema and basilar atelectasis and scarring is unchanged.Small pleural effusions or pleural thickening, left greater than right, is unchanged.MEDIAS... | 1. No evidence of metastatic disease.2. Esophageal dysmotility along with lung base abnormalities could indicate an etiologies such as scleroderma.3. Severe cardiomegaly. |
Generate impression based on findings. | History of left mastectomy for invasive ductal carcinoma and associated DCIS in 2007. Patient received radiation and chemotherapy. History of benign right breast biopsy. Personal history of ovarian cancer. No new breast complaints. History of breast cancer in mother diagnosed at the age of 69 and maternal grandmother d... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 34-year-old female with pain Alignment is anatomic. No elbow joint effusion or fracture is noted. The forearm is intact. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Male 75 years old Reason: evaluate kidneys for hydronephrosis, include right pelvic kidney please History: hx of right pelvic transplant kidney RENAL TRANSPLANT:LOCATION: Right lower quadrantPERITRANSPLANT TISSUES: No peri transplant fluid collectionKIDNEY: No significant abnormality noted.COLLECTING SYSTEM/URETER: Min... | No parenchymal abnormality or peritransplant fluid collection. Minimal prominence of the collecting system. |
Generate impression based on findings. | Postop prosthetic assessment Three views of the right knee show components of a total knee arthroplasty device situated in near anatomic alignment. However, there has been an increase in lucency underlying the tibial component, as well as an increase in varus alignment of the tibia relative to the femur, indicating loo... | Bilateral total knee arthroplasty devices as described above, with findings indicating loosening of the right tibial component. |
Generate impression based on findings. | 22-year-old female with history of metacarpal fracture Interval removal of K wire. There is mild residual deformity of the metatarsal of the thumb consistent with healed fracture. | Healed first metatarsal fracture. |
Generate impression based on findings. | Female; 52 years old. Reason: eval for PE History: pleuritic chest pain left sided, cough, elevated d dimer PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Small right pleural effusion, decreased since prior study. Small le... | 1. No acute pulmonary embolus.2. Findings suggestive of mild to moderate CHF with cardiomegaly, pleural and pericardial effusions, pulmonary edema, and body wall anasarca.3. Right jugular central venous catheter tip in inferior right atrium.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not a... |
Generate impression based on findings. | 38-year-old male with history of obstructive hydrocephalus, status post VPS placement. There has been interval placement of a right posterior occipital approach ventriculostomy catheter, with the tip causing mild tenting of the septum pellucidum; the tip terminates approximately 5 mm to the left of midline. Given diffe... | 1. Interval placement of a right posterior occipital approach ventriculostomy catheter, which causes mild leftward tenting of the septum pellucidum. 2. There is minimal decrease in the degree of hydrocephalus when compared to most recent MRI brain, given differences in technique.3. Hyperattenuating left infratentorial ... |
Generate impression based on findings. | 56 year-old female with history of benign percutaneous biopsy of the left breast for a fibroadenoma. 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 heterogeneously dense, unchanged in pattern and distribution. A questio... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 2 year old female with fever and coughVIEWS: Chest AP/lateral (two views) 02/04/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. Mild peribronchial cuffing is suggestive of bronchiolitis/reactive airway disease. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 5-year-old male with cough, fever, wheezingVIEW: Chest AP (one view) 02/04/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. Minimal peribronchial cuffing suggestive of bronchiolitis/reactive airway disease. | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | evaluate Dobbhoff placement Dobbhoff tip in the gastric fundus. The NG tube has been removed. Retained contrast in the barium. Nonobstructive bowel gas pattern. The pelvis is excluded from the field of view. | Dobbhoff tip in the gastric fundus and interval removal of NG tube. |
Generate impression based on findings. | Female 70 years old Reason: Patient with prior right fem-popliteal artery bypass and various endarterectomies in past. Please eval flow. Bypass now occluded and patient with worsening claudication. History: worsening claudication. Right foot skin discoloration ANGIOGRAPHY: The abdominal aorta has moderate to severe ath... | Significant global atherosclerosis sclerosis as described above. With regard to the right foot, mild common iliac stenosis, the profunda femoris artery is severely diseased, SFA and bypass grafts/stents in the thigh are occluded and dominant runoff is a reconstituted peroneal artery.I personally reviewed the Images and... |
Generate impression based on findings. | Left breast bloody discharge for 5 months. History of melanoma, renal cancer, and prostate cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. A focal asymmetry is noted in the lateral retroareolar left breast. No... | Suspicious subcentimeter retroareolar mass in the left breast. Ultrasound guided biopsy is recommended. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Status post evacuation of subdural hemorrhage. There are two right-sided and one left-sided burr holes status post subdural hemorrhage evacuation. There is interval resolution of the bilateral subdural collections. There is no evidence of new intracranial hemorrhage. There are persistent scattered punctate and confluen... | Interval resolution of bilateral subdural collections without evidence of acute intracranial hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female; 35 years old. Reason: eval for infection, MAI, cavitation History: CF exacerbation, history of positive sputum MAC LUNGS AND PLEURA: Severe bronchiectasis with upper lobe zone predominance and scattered associated mucous plugging, consistent with history of cystic fibrosis. Overall, the findings are slightly pr... | Pulmonary findings consistent with cystic fibrosis mildly progressed since prior study. Diffuse endobronchial debris with worsening of cystic bronchiectasis and the development of pneumatoceles may be indicative of active infection. |
Generate impression based on findings. | Right shoulder pain The bones appear slightly demineralized. Mild osteoarthritis affects the acromioclavicular joint. A 1 cm globular density along the anterior aspect of the proximal humeral diaphysis likely represents calcium hydroxyapatite in the biceps tendon sheath. Glenohumeral joint alignment is within normal li... | Mild AC joint osteoarthritis, and findings compatible with calcium hydroxyapatite deposition in the biceps tendon sheath. |
Generate impression based on findings. | 49-year-old male 60 days status post stem cell transplant SKULL: No discrete lytic lesions.CERVICAL SPINE: No discrete lytic lesions. Small anterior osteophytes are noted at C5/6.THORACIC SPINE: No discrete lytic lesion.LUMBAR SPINE: No discrete lytic lesions. Compression fracture of the L1 vertebral body is new from t... | 1. Unchanged small lucencies within the proximal humeri. No new lytic lesions.2. Age indeterminate L1 vertebral body compression fracture. |
Generate impression based on findings. | 15 year-old female with Hodgkin's disease. ABDOMEN:LUNG BASES: Multiple bilateral pulmonary nodules are seen in the lung bases, the largest measuring 7 mm in the left lower lobe (series 4, image 4) and 5 mm in the right lower lobe (series 4, image 5). No pleural effusions.LIVER, BILIARY TRACT: No focal hepatic lesions.... | Multiple bilateral pulmonary nodules are seen in the lung bases, the large measuring 7 mm in the left lower lobe. Differential considerations may include infection (fugal or mycobacterial) or malignancy. |
Generate impression based on findings. | 64 year old with history of lumpectomy for low-grade DCIS in the left breast in 2/22/08. 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 is composed of scattered fibroglandular elements, unchanged in pattern and ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 30 year-old male with history of Hodgkin lymphoma status post allogenic stem cell transplant. Evaluate for disease status. CHEST:LUNGS AND PLEURA: Scattered pulmonary micronodules are stable. No new suspicious nodules or masses.No pleural effusions or pneumothorax.MEDIASTINUM AND HILA: Stable confluent mediastinal lymp... | 1.Stable pulmonary micronodules/nodules in right upper lobe and reference lymph nodes. 2.No new sites of disease. |
Generate impression based on findings. | Female; 50 years old. Reason: 50 yo F with multifactorial COPD exacerbation, w/ mass shown on previous CT History: shortness of breath, wheezing CHEST:LUNGS AND PLEURA: Stable cavitary lesion in the right upper lobe with unchanged solid component measuring 1.5 x 1.7 cm (7/34). No new suspicious pulmonary nodules or mas... | 1. Stable cavitary lesion in the right upper lobe with unchanged solid component, which remains nonspecific in etiology and for which serial long-term follow-up is needed to ensure stability.2. New patchy groundglass and mild tree-in-bud opacities in both lower lobes, most suspicious for aspiration though cannot exclud... |
Generate impression based on findings. | History of right lumpectomy in 1993 for carcinoma. Patient received radiation and chemotherapy. Patient indicates she has had a pea-sized lump in her lumpectomy scar for over 5 years. History of breast cancer in sister. Three standard views of both breasts were performed digitally with a lateral exaggerated right CC vi... | 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. | 10-year-old female for evaluation of left wrist fractureVIEWS: Left wrist AP/oblique/lateral (3 views) 02/03/15 No acute fracture or malalignment is evident. No displacement of the pronator quadratus fat pad. | Normal examination. |
Generate impression based on findings. | The study is significantly degraded by motion.There is transcortical diffusion restriction in the left anterolateral frontal lobe extending into the left insular cortex, with corresponding T2/FLAIR hyperintensity, consistent with an acute to subacute middle cerebral artery territory infarction. A focal area of suscept... | 1. Acute to subacute infarct in the left middle cerebral artery territory with small focus of superimposed intraparenchymal petechial blood products.2. Mild underlying chronic small vessel ischemic changes.3. Irregularity of left M1 and M2 segments, which is better delineated on recent CTA. 4. An expansile T1 hyperinte... |
Generate impression based on findings. | 53-year-old female with history of microscopic hematuria. Evaluate upper tracts. Patient with history of allergy to iodinated contrast which was not listed on the requisition. Per conversation of the technologist with Dr. Smith, clinical service requested a noncontrast renal stone protocol instead.ABDOMEN: Lack of intr... | No nephrolithiasis, ureteral calculus, or hydroureteronephrosis. If there is clinical concern for a renal mass, further evaluation with dedicated kidney protocol imaging is recommended. |
Generate impression based on findings. | Pain Three views of the left knee are provided. Mild osteoarthritis affects the knee. Alignment is within normal limits. I see no joint effusion.Mild osteoarthritis also affects the right knee as seen on the frontal view. | Mild osteoarthritis. |
Generate impression based on findings. | Male 63 years old; Reason: 62 year old man with mantle cell NHL s/p autologous stem cell transplant in 2011. Evaluate for disease relapse. Compare to prior scans. History: none CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Reference mediastinal lymph node measures 0.5 x 0.4 cm (series 3,... | 1.Stable examination without significant lymphadenopathy. |
Generate impression based on findings. | Hip total arthroplasty primary uncemented, right. Osteoarthrosis. The upper pelvis is not included on the field-of-view the study. Preliminary components of a right total hip arthroplasty device are situated in near anatomic alignment. Severe osteoarthritis affects the left hip. | Preliminary components of right total hip arthroplasty in near-anatomic alignment. |
Generate impression based on findings. | 41 year old female who was recalled from screening mammogram for a partially obscured mass in the right upper outer quadrant. Three standard views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pat... | Multiple subcentimeter benign-appearing circumscribed masses in the right breast. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION... |
Generate impression based on findings. | 4-year-old female for evaluation of pneumoniaVIEWS: Chest AP (one views) 02/03/15 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Small medial retrocardiac opacity may represent atelectasis. Minimal bronchial wall thickening suggestive of br... | Bronchiolitis/reactive airway disease pattern. |
Generate impression based on findings. | 15 year old female with neck pain for one week.VIEWS: Cervical spine AP, lateral, odontoid (3 views) 2/4/2015 Straightening of the cervical lordosis without underlying fracture or malalignment seen. The vertebral body heights and intervertebral disc spaces are preserved. The prevertebral soft soft tissues are normal. | Straightening of cervical lordosis may reflect muscular spasm or other abnormality, but no underlying fracture or malalignment is evident. |
Generate impression based on findings. | 11-year-old male with autism with limpVIEWS: Pelvis AP, left femur AP/lateral (3 views) 02/04/15 The femoral heads are well seated in the acetabula. No joint effusion at the knee. No acute fracture or malalignment is evident. | Normal examination. |
Generate impression based on findings. | Intertrochanteric fracture. Postop. An intramedullary rod and screw device affixes an intratrochanteric fracture of the proximal femur in near anatomic alignment. Callus formation about the fracture indicates some interval healing. Overall, the bones appear demineralized, suggesting osteopenia/osteoporosis. Arterial ca... | Orthopedic fixation of healing intertrochanteric fracture. |
Generate impression based on findings. | Female 36 years old Reason: stump cholecystitis History: RUQ pain; pt s/p choley LIVER: The liver measures 14.9 cm. There is no focal liver lesion. The main portal vein is patent and demonstrates normal directional flow.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No significant abnormality in the cholecyst... | No significant abnormality in the cholecystectomy bed. No intra-or extrahepatic biliary duct dilatation. |
Generate impression based on findings. | Maxillary sinusitis. Possible dental abscess. Several teeth are absent, and there are multiple dental fillings. Poorly defined lucency in the left mandibular body likely represents the site of prior tooth extraction; however I see no focal lucencies to confirm an abscess of the maxilla or mandible. | No specific radiographic features of bony abscess. If further evaluation is clinically warranted, dedicated dental radiographs may be considered. |
Generate impression based on findings. | 59-year-old female with history of pain after fall. We see no acute fracture, malalignment, or other radiographic findings to account for the patient's pain. | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 62 year old female with history of pain. Left knee: There is a nondisplaced/nondepressed medial tibial plateau fracture. The fracture lines appear slightly less distinct indicating some interval healing. We see no patellar fracture. There is a small joint effusion. Moderate osteoarthritis affects the knee.Left wrist: T... | Healing fractures as above. |
Generate impression based on findings. | Female; 86 years old. Reason: Pleur-x with tip attached to PleurVac overnight, interval changes in pleural effusion History: as above LUNGS AND PLEURA: Stable appearance of right Pleurx catheter with tip at the apex and slightly outside of the pleural fluid collection. Interval decreased right pleural effusion, but the... | Interval decreased right pleural effusion with increased loculated air within the right pleural space. Stable positioning of right Pleurx catheter. |
Generate impression based on findings. | 50 years, Female. Reason: assess placement of esophageal stent History: pt with h/o sarcomatoid renal cancer and h/o esophageal ulcer s/p stent placement here with worsening epigastric pain. Esophageal stent has migrated distally into the stomach and now projects over the left upper quadrant. Nonobstructive bowel gas p... | Migration of esophageal stent distally into the stomach. |
Generate impression based on findings. | Female, 22 years old. RFO trigger: Removal of lap sponges used for splenic packing. No unexpected radiopaque foreign body. Nonobstructive bowel gas pattern. Free/interstitial air likely postoperative in etiology. Scattered surgical clips. | No unexpected radiopaque foreign body. Findings were discussed with the attending physician, Dr. Hurst, via telephone on 2/4/2015 at 11:00. |
Generate impression based on findings. | There is extensive susceptibility from scattered foci of pneumocephalus relating to the recent surgery, with mild mass effect on the anterior right left frontal lobes. There is prominent right parietal subgaleal and bilateral occipital scalp fluid and edema. There is minimal nonenhancing FLAIR hyperintense extra-axial... | Expected postoperative changes following gross total resection of previously seen enhancing right cerebellopontine angle mass, with no definite residual enhancing tissue seen. Continued postoperative imaging follow-up is recommended once the immediate postoperative changes resolve. |
Generate impression based on findings. | Left distal femur pathologic fracture through giant cell tumor of bone. Evaluate for metastasis. Again seen is a plate and screw device fixing methacrylate within the distal femur, appearing similar to the prior study. Bone formation along the distal femur has perhaps matured slightly when compared with the prior study... | Postoperative changes of giant cell tumor curettage/packing and distal femur fixation as above. |
Generate impression based on findings. | Thumb injury and pain. Concern for fracture. Mild to moderate osteoarthritis affects the metacarpophalangeal joint and interphalangeal joint of the thumb. I see no discrete fracture line. There is mild flattening of the articular surface of the first metacarpal head which I suspect is arthritic in etiology. A 2-mm dens... | Mild soft tissue swelling and arthritic changes as described above, without definite fracture. If there if strong clinical concern for fracture, repeat radiographs may be obtained in 10 to 14 days. |
Generate impression based on findings. | Pleural mesothelioma. CHEST:LUNGS AND PLEURA: Left hemithorax visceral and parietal pleural thickening, volume loss and coarse nodular septal thickening compatible with tumor. No conclusive signs of contralateral disease in the pleural. Reference measurements on the left as follows:1. Top of the aortic arch level (3/28... | 1. Left hemithorax visceral and parietal pleural thickening, ipsilateral nodular pleural thickening consistent with lymphangitic tumor and bilateral low cervical and mediastinal lymphadenopathy. Ipsilateral hilar lymphadenopathy with narrowing and intermittent obstruction of the lingular and left lower lobe airways.2. ... |
Generate impression based on findings. | 89-year-old female with history of right total hip arthroplasty. Right hip: Hardware components of a right total hip arthroplasty are situated in near-anatomic alignment without radiographic evidence of hardware complication.Pelvis: Again seen are the aforementioned postoperative changes at the right hip. Moderate oste... | Right total hip arthroplasty and osteoarthritis as above. |
Generate impression based on findings. | 85-year-old female with history of pain. The bones are demineralized suggesting osteopenia/osteoporosis.Left shoulder: Moderate osteoarthritis affects the glenohumeral joint which has progressed when compared to prior. There is slight lateral downsloping of the acromion process.Right shoulder: Mild to moderate osteoart... | Osteoarthritis as above. |
Generate impression based on findings. | Postop prosthetic assessment Three views of the left knee show components of a total knee arthroplasty device situated in near anatomic alignment without radiographic evidence of complication.Moderate osteoarthritis affects the right knee as seen on the frontal view. | Total knee arthroplasty as above. |
Generate impression based on findings. | 20 year-old male with history of fracture. There is an orthopedic pin traversing the bases of the third, fourth, and fifth metacarpals with its tip projecting over the base of the second metacarpal affixing a fracture of the base of the fifth metacarpal in anatomic alignment. | Orthopedic fixation of fifth metacarpal fracture as above. |
Generate impression based on findings. | 16-year-old male with history of ankle fracture. The bones are demineralized secondary to disuse. The previously seen medial malleolar fracture is no longer visible indicating healing. | Healing medial malleolar fracture as above. |
Generate impression based on findings. | 43 year old female with strong family history of breast cancer presents for annual mammogram. No current breast complaints. 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 distribu... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. In light of her strong family history, consultation at the cancer risk clinic is recommended. Breast MRI might be suitable for annual screening along with annual m... |
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