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Generate impression based on findings. | 59-year-old female with history of partial wrist fusion. There has been resection of the distal ulna and placement of a distal radioulnar joint prosthesis consisting of a plate and screw device along the distal radius and an intramedullary rod through the distal ulna which is incompletely imaged on this study. Two orth... | Postoperative changes of Madelung correction as described above. |
Generate impression based on findings. | 43 year old with history of left breast biopsy at 2 o'clock position with results including FEA, presents for needle localization. On review of the prior studies, a wing clip is present at posterior two o'clock position. This is the target of this procedure.The procedure, risks including bleeding and infection, and ben... | Successful needle localization of the left breast clip.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 37 years old; Reason: 37 male with acute leukemia, prolonged neutropenia. now with severe crampy abdominal pain, r/o typhlitis/colitis. aware study suboptimal without IV contrast History: abdominal pain The absence of intravenous and oral contrast limits evaluation of the solid organs and of the bowels. Given thes... | 1.Mild nonspecific pericolonic inflammatory changes about the ascending colon without bowel wall thickening to suggest typhlitis/colitis. |
Generate impression based on findings. | Female; 62 years old. Reason: 62F with NSCLC and cocnern for liver mets. History: liver lesion CHEST:LUNGS AND PLEURA: Lingular mass abutting the left cardiac border measures approximately 2.7 x 3 cm, previously 2.8 cm x 3.1 cm and not significant changed (series 3/53). New mild hazy opacity in the anterior lingula, wh... | 1.Stable left lingular mass. No new suspicious pulmonary nodules or masses.2.Suspicion of progression of hepatic metastases.3.New faint sclerotic foci in the spine, suspicious for metastases. |
Generate impression based on findings. | 55 year-old female with fall and decreased range of motion A subtle cortical step off along the distal radius is highly suggestive of a a nondisplaced fracture. The carpus is intact. | Findings suggestive of a subtle nondisplaced distal radius fracture. Follow up radiographs may be considered for confirmation. |
Generate impression based on findings. | Prostate cancer, evaluate baseline. CHEST:LUNGS AND PLEURA: Emphysematous changes throughout the lungs, predominating at the lung apices. Numerous pleural-based nodules bilaterally. For reference purposes, 1.0 x 0.8 cm pleural-based nodule in the lingula (image 199; series 4) should be followed.MEDIASTINUM AND HILA: No... | Innumerable bony metastases; correlate with today's bone scan. Multiple pleural-based nodules which should be followed. |
Generate impression based on findings. | 0-day-old male with increasing respiratory distress and O2 requirementVIEW: Chest/abdomen AP (two view) 02/04/15 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities.Nonobstructive bowel gas pattern. No pneumatosis in... | Normal examination. |
Generate impression based on findings. | 18 year-old male with catheter placement through the gastrostomy siteVIEWS: Abdomen AP (one views) 02/04/15 Limited examination due to large amount of residual contrast within the small and large bowel. Amorphous stool is noted throughout the colon with large amount of stool within the rectum.Enteric tube tip terminate... | Large stool burden with fecaloma. Multiple metallic radiodensities may represent ingested material. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (12/13/14, 1/14/15), ultrasound images of right breast (1/14/15), images from stereotactic biopsy of right breast and post-procedural right digital mammographic images (1/27/15) performed at Mercy Hospital. For comparison... | Biopsy proven DCIS in the right breast. Pleomorphic calcifications distributes segmentally in the lateral aspect, predominantly lower portion of the breast. Ultrasound images suggest a presence of invasive components. Breast MRI may be useful to evaluate an extent of the disease.BIRADS: 6 - Known cancer.RECOMMENDATION:... |
Generate impression based on findings. | 57 years, Male. Reason: r/o ileus, free air. recent stem cel transplant History: diarrhea, abd pain, fevers, hypotension Nonobstructive bowel gas pattern. No free intraperitoneal air. Surgical clips in the upper abdomen. | Nonobstructive bowel gas pattern without free intraperitoneal air. |
Generate impression based on findings. | 62-year-old male with history of pain. Severe osteoarthritis affects the glenohumeral joint, with large osteophytes. Additional ossification along the superior aspect of the humeral head may represent an osteophyte or loose body. The acromiohumeral interval appears relatively well maintained. | Severe osteoarthritis. |
Generate impression based on findings. | 62-year-old female with history of hand fractures. There is an oblique fracture through the distal second metacarpal diaphysis in anatomic alignment. Fracture line is slightly less distinct indicating some healing. Additionally, there is a transverse fracture through the neck of the fifth metacarpal with approximately ... | Healing fractures as above. |
Generate impression based on findings. | Mantle cell NHL status post autologous stem cell transplant in 2011. Evaluate for disease relapse. There is no evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is mild ... | No evidence of recurrent lymphoma in the neck. |
Generate impression based on findings. | 6-year-old male with arthralgias, Soft tissue swelling around the ankleVIEWS: Right ankle AP/oblique/lateral (3 views) 02/04/15 Minimal soft tissue swelling over the medial malleolus. No acute fracture or malalignment is evident. No joint effusion. | Minimal soft tissue swelling over the medial malleolus without evidence of acute fracture or malalignment. |
Generate impression based on findings. | Cervical radiculopathy and osteopenia. Please evaluate for evidence of compression fracture. Evaluation of the lower cervical spine is limited on the lateral view due to overlying anatomy. Given this limitation, I see no fracture. The bones are demineralized compatible with the stated diagnosis of osteopenia. Mild dege... | Demineralized bones and mild degenerative arthritic changes without fracture evident. If there is strong clinical concern for fracture, CT may be considered. |
Generate impression based on findings. | Left neck cyst and pain. There is apparent paucity of opacification and surrounding fat stranding of a segment of the left external jugular vein. There is skin thickening and mild subcutaneous stranding in the left cheek, as well as skin thickening in the right cheek. There is no evidence of measurable mass lesions or ... | 1. Apparent paucity of opacification and surrounding fat stranding of a segment of the left external jugular vein may represent thrombophlebitis, although phase of contrast enhancement can be a confounding factor. Otherwise, no evidence of head and neck mass lesions or abscess. Nevertheless, follow up with MRI may be u... |
Generate impression based on findings. | Male 42 years old; Reason: What's the liver lesion look like? History: liver lesion on US ABDOMEN:LUNG BASES: Nonspecific 5-mm pleural-based nodule in the right middle lobe. Left basilar atelectasis. Cardiomegaly. Cardiac conduction device in situ.LIVER, BILIARY TRACT: There is a 0.7-cm hypo-enhancing lesion in the rig... | 1.Subcentimeter hypodense lesion in the right hepatic lobe is too small characterize but does not demonstrate any suspicious features. In the absence of known primary malignancy or chronic liver disease, favor benign etiology. If needed a 12 month follow up exam can be obtained.2.1.5 cm left adrenal nodule with attenua... |
Generate impression based on findings. | Left shoulder pain. Rule out fracture, tear. I see no fracture or malalignment. The acromiohumeral interval is within normal limits, although this does not exclude the possibility of a rotator cuff tear. I see no specific findings to account for the patient's pain. | No fracture or other specific findings to account for the patient's pain. If there is strong clinical concern for rotator cuff tear, MRI may be considered for further evaluation. |
Generate impression based on findings. | Status post right total hip arthroplasty The AP view of the right hip reveals components of a total hip arthroplasty device situated in near-anatomic alignment. Skin staples, a drain, and foci of gas density in the soft tissues reflect recent surgery.The AP view of the pelvis reveals the aforementioned postoperative ch... | Postoperative changes of total hip arthroplasty as above. |
Generate impression based on findings. | Diffuse large B cell lymphoma in CR after 6 cycles of R-CHOP completed in 7/2014. There is no significant interval change in the irregular soft tissue lesion in the left supraclavicular fossa, which measures approximately 12 x 16 mm. There is no evidence of significant cervical lymphadenopathy elsewhere in the neck. Th... | Persistent left supraclavicular lesion compatible with treated lymphoma, without evidence of disease progression. |
Generate impression based on findings. | Lung cancer on Tarceva. CHEST:LUNGS AND PLEURA: Large right pleural effusion not significantly changed in volume. Post therapeutic changes on the right with continued decrease in size of necrotic hypoperfused mass in the right middle lobe with surrounding collapsed lung. Residual 2.5 x 1.9 cm nodular masslike hypoatten... | 1. Although the overall area of consolidation in the right middle lobe is smaller, one of the subsegmental airways is now obstructed proximal to a mass-occupying focus of presumed residual tumor.2. Improvement in parenchymal lung metastases.3. Skeletal metastases similar in number.4. Hypoattenuating hepatic lesions inc... |
Generate impression based on findings. | Second metatarsal pain. Stress fracture? I see no findings to suggest a stress fracture on this study. There is a small accessory navicular bone as well as an os peroneum, both normal variants. | No stress fracture evident. If further imaging evaluation is clinically warranted, repeat radiographs may be obtained in 10-14 days; alternatively, MRI may be considered. |
Generate impression based on findings. | Left wrist pain. Assess fracture. Evaluation of fine detail is limited by overlying cast material. Again seen is a comminuted fracture of the distal radius with fracture fragments in gross anatomic alignment, appearing similar to the prior study accounting for slight positional differences. | Distal radius fracture as above. |
Generate impression based on findings. | History of breast cancer status post right lumpectomy in 2003. 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 distribution. Stable posts... | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Pain Four views of the right knee reveal severe osteoarthritis of the medial compartment with bone-on-bone apposition on the skiers view. There is also mild depression of the articular surface of the medial femoral condyle with mild underlying sclerosis suggesting the possibility of avascular necrosis. There are tricom... | Osteoarthritis and other findings as above. |
Generate impression based on findings. | 71 year old female with proven metastatic left supraclavicular lymph node and left axillary lymph node, currently on chemotherapy, presents for ultrasound study for assessment. Personal history of left breast cancer status post partial mastectomy, radiation and tamoxifen (for 5 years) in 1999. There are two abnormal hy... | Decrease in size of metastatic lymph nodes in left axilla and left supraclavicular region BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Right arm pain. History of bony metastases in setting of worsening pain. Evaluate for fracture. Again seen is a destructive lytic lesion of the distal ulnar diaphysis. Subjectively, the lesion appears slightly more lucent on the current study than on the prior study, suggesting progression of osteolysis. Furthermore, t... | Nondisplaced pathologic fracture of the distal ulna and other findings as described above. |
Generate impression based on findings. | History direct injury, pain and swelling, bony abnormality. Evaluate for second toe fracture or dislocation. There is an oblique fracture through the distal aspect of the proximal phalanx of the second toe with slight dorsal angulation of the distal fracture fragment. There is mild deformity of the base of the second p... | Second toe fracture as described above. This was text paged to Joan Bigane at the time of dictation. |
Generate impression based on findings. | Male, 62 years old, right-sided weakness. No evidence of parenchymal edema or mass effect is seen. Gray-white differentiation is preserved.Vague periventricular hypoattenuation is evident particularly at the frontal horns. The ventricles and sulci are slightly prominent with the ventricular system somewhat out of propo... | 1. No CT evidence of acute territorial ischemia or any other definite acute intracranial abnormality.2. The ventricles and sulci are mildly prominent with the ventricles somewhat out of proportion to the sulci. This could reflect a pattern of predominantly central volume loss, though a mild communicating or normal pres... |
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 hardware complication. There is mild soft tissue swelling anteriorly which limits evaluation of the extensor mechanism.Mild osteoarthritis af... | Total knee arthroplasty as above. |
Generate impression based on findings. | Spondylolisthesis status post fusion. Postop. For sake of consistency with prior studies, I will designate 5 lumbar vertebrae with hypoplastic ribs at L1. Again seen are posterior rods with screws entering the L4 through S1 vertebrae, with additional screws entering both iliac wings. I see no hardware complications. Al... | Postoperative changes of lumbosacral fusion as described above |
Generate impression based on findings. | Female 57 years old Reason: Cryptogenic cirrhosis, decompensated, please assess doppler flow for transplant evaluation History: As above LIMITED ABDOMENLIVER: The liver measures 15.7 cm in length and demonstrates morphology. There is no focal liver lesion.BILIARY TRACT: Status post cholecystectomy. No intra-or extrahep... | 1. Cirrhotic liver morphology with splenomegaly and diffuse abdominal ascites.2. Reversal of flow in the main portal vein. |
Generate impression based on findings. | Male, 53 years old, dizziness and nausea/vomiting. Gray-white differentiation is grossly preserved in both the anterior and posterior circulation, but please note that assessment in the posterior fossa, including the brainstem and cerebellum, is slightly compromised by artifact.No definite evidence of parenchymal edema... | 1. No CT evidence of acute ischemia. Please note, however, that assessment in this regard is somewhat compromised in the posterior fossa due to artifact related to the skull base.2. A 1 cm hyperattenuating lesion is identified within the right centrum semi-ovale. The etiology of this finding cannot be determined on CT,... |
Generate impression based on findings. | Female 52 years old; Reason: 51 y/o female with diffuse large B cell lymphoma in CR after 6 cycles of R-CHOP completed in 7/2014. Compare to prior study. History: None CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No mediastinal or hilar lymph... | 1.Stable exam. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: On heparin. Nonenhanced head CT:Examination demonstrate no evidence of any acute or new finding since prior study.Subacute ischemic stroke in the left MCA territory and with involvement of the left frontal and right basal ganglia remains similar to prior study... | 1.No evidence of an acute or new finding since prior study.2.Ischemic strokes in the left MCA territory of the frontal and basal ganglia and right posterior parietal remain stable since prior study. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. 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 distributio... | Bilateral benign morphology masses. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 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. Personal history of carcinoid of the colon and liver. Family history of breast cancer in mother, diagnosed at the age of 43. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is compose... | 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. | Female, 52 years old, with right intraparenchymal hemorrhage, assess for interval change. A large parenchymal hematoma centered in the right thalamus is again seen without significant interval change in size. Degree of hyperattenuation has perhaps decreased slightly from the prior examination. Edema surrounding this le... | 1. Stable size of a large parenchymal hematoma centered in the right thalamus.2. Stable surrounding edema and associated mass effect.3. Stable quantity of intraventricular blood product. However, the caliber of the left lateral ventricle has increased from the prior exam. |
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. No suspicious masses, microcalcifications or areas of architectural distortio... | 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. | Mesothelioma, follow-up CHEST:LUNGS AND PLEURA: Stable appearance with numerous nodular pleural foci with extension largely within fissures throughout the right hemithorax. Postsurgical diaphragmatic Nash and changes related to the pleurectomy are again seen. Reference measurement are as follows:1. inferior right major... | Stable exam. Scattered recurrent changes throughout the right hemithorax largely within the fissures unchanged appearance since prior study. Reference measurements provided |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal great grandmother and maternal grandmother. Two standard digital views (total of 12 images) of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, ... | 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. | Lung cancer diagnosed in 2008 status post resection. CHEST:LUNGS AND PLEURA: Postsurgical changes right upper lobe posterior segmentectomy. Left upper lobectomy. No signs of localized recurrence at the resection sites. Focal scarring adjacent to a right lower lobe osteophyte.Chronic branching lesion in the right middle... | No new findings to suggest recurrent or metastatic disease. Anterior mediastinal mass suggestive of thymoma measures minimally smaller. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Two focal asymmetries are identified in the right superior breast. N... | Focal asymmetries in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation. If the patient's prior mammograms can be obtained, that would be helpful for comparison purposes.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMEN... |
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. No suspicious masses, microcalcifications or areas of architectural distortio... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually. Scattered benign calcifications are seen in both breasts. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female, 71 years old, with headache and sense of right frontal heaviness. Assess for subdural. Had right frontal contusion twice in the last 4 weeks. No evidence of intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. Gray-white differentiation is preserved. There may be minimal peri-ventricula... | 1. No acute intracranial abnormality.2. Specifically, no evidence of any subdural collections or significant traumatic sequelae in the brain. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal great aunt and sister. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. Focal asym... | Focal asymmetry in the right breast best seen on the CC view. An attempt to obtain the patient's prior mammograms should be made first and if findings cannot be proven stable then further evaluation with diagnostic mammography and ultrasound will be necessary. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationR... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. There is a focal asy... | Asymmetry in the central left breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 59 years old; Reason: pt with hx of metastatic RCC with liver lesions; needs surveillance scans History: none CHEST:LUNGS AND PLEURA: Reference left upper lobe pulmonary nodule measures 1.2 x 1.0 cm (image 35/series 4) previously, 1.1 x 0.9 cm.MEDIASTINUM AND HILA: Reference mediastinal lymph node measures 1.9 x 1... | .1.No significant size change of the reference left upper lobe nodule or mediastinal lymph node.2.Gas within the urinary bladder of unclear etiology. |
Generate impression based on findings. | Pain and swelling. Possible fracture. Three views of the left ankle reveal a nondisplaced spiral fracture of the distal fibula that extends down to the joint line. No other fractures are identified. | Distal fibular fracture in anatomic alignment |
Generate impression based on findings. | Jammed in door and nailbed injury. Finger fracture? I see no fracture or malalignment. | No fracture evident. |
Generate impression based on findings. | Male 57 years old; Reason: re-staging scans s/p 9 infusions of investigational immunotherapy; please compare to scans dated 6/19/14 (baseline) History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Right middle lobe subsegmental atelectasis. Scattered pulmonary micronodules are unchanged.MEDIASTINUM AND HILA:... | 1.Stable right hilar lymphadenopathy.2.Hepatic metastasis demonstrates slight interval decrease in size compared to prior study.3.Multiloculated lesion at the penile base has further increased in size.4.Periureteral stranding and ureteric mural enhancement, not unexpected in the setting of ileal conduit, likely seconda... |
Generate impression based on findings. | Status post TSA Components of a reverse total shoulder arthroplasty are situated in near anatomic alignment. A cerclage wire also surrounds the proximal humerus. Bullet fragments overlying the shoulder appear similar to those seen on the prior study. There is an approximately 2-cm collection of gas density situated ant... | Total shoulder arthroplasty as above. A collection of gas density in the soft tissues anterolateral to the coracoid is of uncertain etiology, and while it may reflect recent intervention, I cannot exclude the possibility of an abscess. This was relayed in person to Dr. Bennett of the Orthopedic Surgery service at the t... |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, mic... | 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. | Breast cancer, patient with supraclavicular node please assess effect of therapy LUNGS AND PLEURA: No interval change or new suspicious masses or nodules. No effusions with minimal dependent appearing changes in both bases presumably chronic and scarring. Persistent small lung volumesMEDIASTINUM AND HILA: No lymphadeno... | 1. Minimal pulmonary scarring without evidence of suspicious interval intrapulmonary metastatic disease.2. Changes within the left breast compatible with patient's history and primary site of malignancy |
Generate impression based on findings. | Head and neck cancer prior chemo radiation, surveillance. Mild dyspnea. LUNGS AND PLEURA: Scarring in the left lower lobe at site of prior pneumonia. Postradiation fibrosis in the lung apices. Emphysema, moderate, not significantly changed. No new nodules. Subpleural lymph node at the cranial margin of the left major f... | No signs of metastatic disease. Severe coronary artery calcifications. |
Generate impression based on findings. | Abdominal swelling. Mass or lump. Left groin swelling intermittent. Possibly large lymph node; evaluate for abdominal and pelvic adenopathy. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormal... | Nonobstructive right upper pole renal calculus. Presumed uterine fibroids. No adenopathy. |
Generate impression based on findings. | Prostate carcinoma with rising PSA CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Stable aneurysmal dilatation of the ascending aorta. Maximal AP diameter of the ascending aorta 4.3 cm.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality not... | Stable negative examination. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural ... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then an addendum to this repor... |
Generate impression based on findings. | Reason: 15 year old female with Hodgkin's disease, signs of disease outside of mediastinal and supraclavicular lymph nodes? RADIOPHARMACEUTICAL: 6.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 92 mg/dL. Today's CT portion grossly demonstrates multiple enlarged lymph nodes in the anterior superior mediast... | Increased activity involving multiple lymph nodes in the anterior superior mediastinum, supraclavicular region and left upper quadrant are suspicious for tumor activity. Bilateral FDG avid pulmonary nodules are also suspicious for additional tumor activity. |
Generate impression based on findings. | Male, 79 years old, with history of head and neck squamous cell carcinoma, status post chemoradiotherapy in 2010, with recurrence in late 2013 in the parotid space, status post surgical resection and extensive reconstruction. Evidence of extensive prior surgery and therapy is again seen including left parotidectomy, ne... | Stable post surgical and treatment related findings with no evidence of tumor recurrence. |
Generate impression based on findings. | Assess fracture Examination of the images reveal a fracture of the coronoid process that appears comminuted and minimally displaced. There is a joint effusion. No change in position from the previous CT examination | Coronoid process fracture |
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.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. | Left pleural effusion. LUNGS AND PLEURA: Marked interval improvement with improved aeration of the lungs, specifically the left lung. The moderate layered left pleural effusion with fluid tracking into the major fissure is again observed and similar, however the underlying atelectasis and/or intrapulmonary changes at e... | 1. Marked interval improvement without new intrapulmonary abnormalities. Persistent nonspecific moderate to large left pleural effusion with minimal underlying atelectasis. This interval change is not confirm prior underlying cause any continued imaging may again be prudent until clearance.2. Minimal residual reactive ... |
Generate impression based on findings. | Lung cancer. Aspergillosis. CHEST:LUNGS AND PLEURA: Severe emphysema. Interval clearance of left lower lobe consolidation seen on recent PET CT; the subpleural nodule in the left lower lobe has decreased in size, measuring 5 x 8 mm, previously 7 x 13 mm, favoring a postinflammatory process (4/69).Left apical nodular de... | Interval resolution of left lower lobe pneumonia. Stable masslike consolidation in the periphery of the right upper lobe. No new findings. |
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. There is a focal asymmetry in the right upper outer breast. There are no susp... | Focal asymmetry in the right upper outer breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Neck pain post cervical fusion There is a posterior stabilization device with screws entering the C3 through T2 vertebrae. The left T1 screw overlies the superior endplate of the vertebral body, with its tip projecting anterior to the C7/T1 disk space, but I see no findings to suggest acute hardware complication. Moder... | Postoperative changes of cervical fusion and degenerative disk disease as described above. |
Generate impression based on findings. | Assess fracture Three views of the right ankle reveal disuse osteoporosis. there is a single sideplate along the lateral distal fibula with two syndesmotic screws. The previous fibular fracture has healed. There appears to be fusion at the syndesmosis. No change in position from previous exam | Sideplate and syndesmotic screws in the fibula in anatomic alignment. |
Generate impression based on findings. | Female; 87 years old. Reason: history of endometrial cancer with prior lung nodule for comparison History: surveillance LUNGS AND PLEURA: Pleural-based nodule in the medial left upper lobe measures 16 x 8 mm, unchanged (series 4/24). No additional pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: ... | Stable nonspecific pleural based nodule in the left upper lobe, for which additional 6 month follow-up is recommended to ensure stability. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of left cyst aspiration in 1998 and Non-Hodgkins lymphoma in 2006. Family history of breast cancer in maternal grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast paren... | 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. | 7-month-old female with hypoxia/tachypneaVIEWS: Chest AP/lateral (two views) 02/04/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Increased lung volumes and peribronchial cuffing is suggestive of reactive airway disease/bronchiolitis pattern. Bibasilar and lingular opacities. | Worsening bronchiolitis pattern with increased bilateral opacities and lung volumes. |
Generate impression based on findings. | Chronic sinusitis. The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septal is deviated slightly towards the left. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial s... | 1. No evidence of sinusitis or nasal polyposis.2. Mild bilateral temporomandibular joint degenerative changes. |
Generate impression based on findings. | 49 year old female with a fungating mass in the left breast, and palpable mass in the right breast, presents for imaging assessment. 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 elements. A large... | Bilateral breast masses; both are highly likely malignant. Probable metastatic lymph nodes in the left axilla, and possible metastatic deposit in one of the lymph nodes in the right axilla.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 77-year-old male with hip pain Pelvis and hips: Mild to moderate osteoarthritis affects each hip. The pelvis appears otherwise unremarkable.Right knee: Hardware components of a total knee arthroplasty device are situated in near-anatomic alignment without evidence of complication.Left knee: Marked medial joint space na... | Postoperative and degenerative arthritic changes as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. 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 distributio... | 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 almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural di... | 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. | 58-year-old male with pain, evaluate for fracture Glenohumeral alignment is within normal limits. There is a curvilinear fracture fragment situated inferior, medial and slightly anterior to the glenoid, consistent with an osseous Bankart fracture. An additional small fracture fragment is situated just inferior to the g... | Osseous Bankart fracture and nondisplaced greater tuberosity fracture as described above. |
Generate impression based on findings. | Toe pain, acute onset. Pain at base of right great toe. Rule out fracture. I see no fracture. There is a mild hallux valgus deformity as well as mild osteoarthritis of the first metatarsophalangeal joint. I see no discrete tophus or erosion. Mild osteoarthritis also affects the interphalangeal joints as well as the thi... | Osteoarthritic changes without fracture evident. |
Generate impression based on findings. | Surveillance imaging for sarcoma CHEST:LUNGS AND PLEURA: Interval enlarging and now moderate to large bilateral pleural effusions greater on the right. Underlying atelectasis without additional superimposed focal suspicious nodules or masses. Minimal subpleural scarring is again observed. Radiation changes observed lar... | Mildly increasing bilateral pleural effusions without underlying specific cause. No specific findings to suggest metastatic disease |
Generate impression based on findings. | Rib pain. Breast cancer. Evaluate for metastatic disease or fracture Three views of the ribs reveal a deformity of the right sixth rib which is suspicious for an old fracture. I do not see any acute abnormalities. I do not see metastatic disease | Possible old fracture of the right sixth rib |
Generate impression based on findings. | Intermittent tinnitus which has been pulsatile in the past. She sometimes describes this as either a high pitched ringing or as a "static" sounds. Along with this tinnitus, the patient also admits to having sensitivity to loud noises and sometimes has to put "tissue in her ears" for relief. Lastly, the patient does not... | Apparent right superior semicircular canal dehiscence posteriorly. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views with additional bilateral MLO 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... | 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. | Asymptomatic female presents for routine screening mammography. Two standard digital views with additional bilateral CC 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. Foc... | Focal asymmetry in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 63-year-old female with pain particularly at the basilar joints, history of SLE Right hand: Alignment is within normal limits. Mild osteoarthritis affects the basilar joint. No discrete erosions or evidence of inflammatory arthritis.Left hand: Mild to moderate triscaphe joint and basilar joint osteoarthritis. No erosio... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | There is redemonstration of a homogeneously enhancing dural based extra-axial mass along the planum sphenoidale which currently measures 1.9-cm transverse by 2.3-cm AP by 1.0-cm CC. This previously measured 1.7-cm transverse by 2.1-cm AP by 0.9 cm CC on the most recent comparison, and is therefore slightly increased i... | 1. Redemonstration of dural based enhancing extra axial mass along the planum sphenoidale, most suggestive of a meningioma. This is slightly increased in size since the most recent comparison exam and more conspicuously increased in size especially in the AP dimension since the more remote baseline exam. Persistent mil... |
Generate impression based on findings. | "Pain to hardware head". Again seen is a presumed postoperative defect of the occipital bone with two underlying vascular clips that appear similar to the prior study. A previously seen plate and screw device along the occipital bone is no longer seen. An approximately catheter fragment measuring approximately 4cm in l... | Postoperative changes as described above. |
Generate impression based on findings. | Through colostomy > on CT colocutaneous fistula The scout film reveals a left lower quadrant colostomy and nonobstructive bowel gas pattern. There is a 2 cm calcified nodular focus in the left upper quadrant, which has been stable since 2013. On the skin surface there is a cutaneous tract arising in the 12 o'clock posi... | 1.Colocutaneous fistula, 4 cm in length, arising from the 12 o'clock position just superior to the colostomy, and communicating with the subjacent colon. 2.Left upper quadrant calcified focus, stable since 2013. If clinically warranted, dedicated rib radiographs may be helpful. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microca... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Mesothelioma CHEST:LUNGS AND PLEURA: Right lung and pleura are unremarkable.Left hemithorax volume loss with circumferential pleural thickening including nodular thickening of the fissure, consistent with provided history of mesothelioma. No pleural fluid. Reference measurements on the left as follows:Level of the left... | 1. Left hemithorax nodular pleural thickening and volume loss consistent with history of mesothelioma. Nodular thickening of the fissures is consistent with visceral pleural involvement. Tumor extends into but not through the extrapleural fat plane on the left. 2. Ipsilateral enlarged cardiophrenic lymph node. Small ip... |
Generate impression based on findings. | Stepped on staple. Evaluate for metallic foreign body Three views of the left foot show an osteotomy of the first metatarsal head fixed with a single screw. There is also an osteotomy of first proximal phalanx, all consistent with bunionectomies | Postsurgical changes. No radiographic foreign bodies |
Generate impression based on findings. | 13-year-old female with knee painVIEWS: Knees standing AP/notch, right knee lateral, left knee lateral, knees merchant (right knee 4 views, left knee 4 views ) 02/04/15 No joint effusion is present. No acute fracture or malalignment is evident. The extensor mechanism appears intact. The articular surfaces are smooth. N... | Normal examination. |
Generate impression based on findings. | Point tenderness at T8. Rule out fracture. I see no compression fracture. There is mild multilevel degenerative disk disease particularly affecting the upper thoracic spine. Alignment is within normal limits. | Mild degenerative disk disease. No fracture evident. |
Generate impression based on findings. | 23-year-old female with AML status post HSCT with 3 months neutropenia, and continued fevers, and continued headache CHEST:LUNGS AND PLEURA: No pleural effusions. Improvement of right pleural effusion and overlying atelectasis now with minimal bibasilar scarring/atelectasis. No suspicious nodules or masses are identifi... | 1.No specific evidence of infection is seen in the chest, abdomen or pelvis.2.Resolution of right pleural effusion and atelectasis. Minimal dependent, bibasilar atelectasis/scarring persist.3.Coils in the right hemiabdomen likely reflect postsurgical changes of ovarian pexy although no soft tissue density to represent ... |
Generate impression based on findings. | 47-year-old male, follow-up fracture An external fixation device with screws entering the tibial diaphysis, calcaneus, and first metatarsal is visualized without evidence of hardware complication. Serpentine calcifications within the proximal and distal tibia and distal femur, consistent with bone infarctions appear si... | External fixation of comminuted pilon fractures without evidence of hardware complication. |
Generate impression based on findings. | Flank pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis without acute inflammationSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Interval increase in size of nonobstructing le... | Nonobstructing left renal calculus as described. Nonobstructing punctate right renal calculus as described. No evidence for acute inflammation or renal obstruction. |
Generate impression based on findings. | 58 year-old female with history of pain. Redemonstrated is a nondisplaced vertical fracture through the medial aspect of the patella. Fracture lines are slightly less distinct indicating some interval healing. Mild osteoarthritis affects the knee. Mild osteoarthritis also affects the left knee as seen on the frontal vi... | Healing patellar fracture as above. |
Generate impression based on findings. | Head trauma on anticoagulation; evaluate for intracranial hemorrhage. No acute intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. There is unchanged left cerebellar hemisphere encephalomalacia. There are scattered areas of hypoattenuation in the... | 1.Small posterior parietal subgaleal hematoma without underlying skull fracture or acute intracranial hemorrhage.2.Chronic left cerebellar hemisphere infarction.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 50 year-old male with history of pain. There is a side plate and screw device affixing a comminuted intra-articular distal radius fracture in anatomic alignment. There is no evidence of hardware complication. Amorphous density volar to the distal radius presumably represents bone graft material. Again seen is an ulnar ... | Orthopedic fixation of distal radius fracture as above. |
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