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Generate impression based on findings. | Respiratory distress. Concern for aspiration. 12 month-old male.EXAMINATION: Chest AP (one view) 1/4/15 1133 Tracheostomy tube in place. G-tube partially visualized.Normal cardiothymic silhouette.Large lung volumes with diffuse coarse opacities. Persistent right upper lobe atelectasis. Otherwise, no new focal pulmonary... | Unchanged diffuse coarse pulmonary opacities and right upper lobe atelectasis. |
Generate impression based on findings. | Female 72 years old; Reason: evaluating for etiology of LLQ pain History: llq pain, intermittent x 2 yrs, now becoming more frequent rating 9/10 at worst ABDOMEN:LUNG BASES: Tree in bud opacities at the right lung base with ground glass nodularity suggestive of pneumonitis.LIVER, BILIARY TRACT: No significant abnormali... | 1.No acute CT findings to suggest source of left lower quadrant pain within limitations of a noncontrast CT scan.2.Pelvic floor laxity with a cystocele and rectocele, further described above, may account for symptoms, but correlate with history.3.Tree in bud opacities at the right lung base, suggestive of pneumonitis. |
Generate impression based on findings. | ContractureEXAMINATION: Pelvis AP (one view) 1/5/15 1308 The femoral heads are well directed into normal appearing acetabula. Femoral head contours are smooth and round. No fracture or malalignment is present. | Normal examination. |
Generate impression based on findings. | Female 42 years old; Reason: Hx fibroids, evaluate for neoplasm RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Enlarged heterogeneous uterus, measuring approximately 14.5 cm in AP dimension by 9.6 cm in transverse dimension by 15 ... | 1. Enlarged fibroid uterus suggested with dominant structure in central/left uterine body, may be a dominant intramural degenerating fibroid with possible internal hemorrhage but malignant degeneration into a uterine leiomyosarcoma not entirely excluded. Noncontrast imaging unavailable for comparison, thus unable to ev... |
Generate impression based on findings. | 27-year-old male presents with testicular pain since Saturday. RIGHT TESTIS: The right testicle is normal in morphology, echogenicity and size, measuring 2.8 x 3.0 x 5.0 cm. Spectral Doppler demonstrates normal arterial and venous blood flow.LEFT TESTIS: The left testicle is normal in morphology, echogenicity and size,... | Normal testicular ultrasound. |
Generate impression based on findings. | 61-year-old female status post radial fracture 10 days ago The bones are slightly demineralized. There is a step off along the cortex of Lister's tubercle dorsally and along the radial styloid indicating a minimally displaced fracture which probably extends to the articular surface. Chondrocalcinosis is noted affecting... | Minimally displaced distal radius fracture as described above. |
Generate impression based on findings. | 12-year-old male status post curettage of left proximal fibula aneurysmal bone cyst, evaluate for recurrence There is mild deformity of the proximal fibula diaphysis compatible with the history of curettage of solid variant aneurysmal bone cyst. The surgical margins are less distinct, indicating interval healing. There... | Postoperative changes of proximal fibular solid variant ABC curettage, without evidence of recurrence. |
Generate impression based on findings. | 18 year-old male status post intramedullary rod placement of left tibia fracture, evaluate for healing An intramedullary rod affixes a transverse fracture of the distal tibia in near-anatomic alignment without evidence of hardware complication. The fracture line remains visible, but bridging callus formation indicate s... | Healing distal tibia and fibula fractures as described above. |
Generate impression based on findings. | 20 year-old female with left fifth metatarsal base fracture, evaluate for healing Again seen is a transverse fracture through the base of the fifth metatarsal. On the oblique view the inferolateral aspect of the fracture line remains visible, but the superomedial aspect of the fracture line is less distinct, indicating... | Fifth metatarsal fracture at described above with findings suggestive of some interval healing. |
Generate impression based on findings. | 74-year-old female with history of tender mass in right shin We see no mass. Mild osteoarthritis affects the knee, but the tibia and fibula appear otherwise normal. Mild soft tissue swelling affects the lower leg. | Soft tissue swelling and osteoarthritis with no radiographic evidence of mass. If further evaluation is clinically warranted, MRI may be considered. |
Generate impression based on findings. | Female 58 years old Reason: evaluate AAA repair and R iliac artery repair History: AAA ANGIOGRAM: Again seen is an aortobiiliac endograft and embolization coil within the region of the right internal iliac artery.The aortic aneurysm is unchanged, with a maximal diameter of 3.1 cm (image 46, series 80933), previously 3.... | 1.Aortobiiliac stent graft without evidence of endoleak.2.Stable aneurysmal dilatation of the aorta and left internal iliac artery. 3.Slight interval decrease in size of the right internal iliac artery aneurysm.4.Fluid and gas within the endocervical canal, correlation with menstrual history or sonogram may be consider... |
Generate impression based on findings. | Male 57 years old; Reason: Distal gastric adenocarcinoma please assess prior to the start of neoadjuvant chemo History: As above CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedOTHER: ABDOMEN:LIVER, BILIARY TRACT: ... | 1.New perihepatic/hepatic lesion suspicious for metastatic disease. |
Generate impression based on findings. | Female 73 years old; Reason: pancreatic cancer, surveillance mid-cycle History: pancreatic cancer, mid-cycle surveillance CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Heart size is enlarged. Trace pericardial effusion. Multiple small mediastinal lymph nodes, unchanged in size from prio... | 1.Stable exam without significant change in the primary pancreatic neoplasm.2.No definite new sites of disease.3.Decrease in the size of the IVC thrombus. |
Generate impression based on findings. | History of breast cancer and shortness of breath. There is hyperattenuation of the vascular structures due to residual contrast material from an earlier exam. There is no evidence of intracranial mass. The grey-white matter differentiation appears to be intact. There is patchy hyperattenuation in the bilateral basal ga... | No evidence of intracranial mass. |
Generate impression based on findings. | 46 years Female. Reason: s/p NGT placement; eval position History: s/p NGT placement Nasogastric tube coiled in the stomach with tip oriented superiorly at the region of the GE junction. Distal side-port is below the level of GE junction. Nonobstructive bowel gas pattern. Enteric contrast within the colon from recent p... | NG tube coiled in the stomach with tip oriented superiorly at the region of the GE junction. |
Generate impression based on findings. | 60 years Female. Reason: obstruction History: hx of abdominal hernia s/p appendectomy Exam is somewhat limited due to patient's body habitus. Nonobstructive bowel gas pattern. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | 57 years Male. Reason: Abdominal distention, concern for ileus History: abdominal distention Nonobstructive bowel gas pattern. Mildly prominent loops of colon, with moderate stool burden. | No specific evidence of bowel obstruction. Mildly prominent loops of colon. |
Generate impression based on findings. | Male 58 years old Reason: 58 cirrhotic male with recurrent obscure occult GI bleeds. History of small bowel AVMs, triple phase CT enterography to evaluate History: Symptomatic anemia ABDOMEN:LUNG BASES: Trace bibasilar dependent atelectasis.LIVER, BILIARY TRACT: Cirrhotic morphology the liver. Patent hepatic vasculatur... | 1.Two foci of hyperattenuation seen only on the arterial phase in the mid to distal ileum, may be artifactual in etiology, although possible may reflect patient's reported AVMs.2.Cirrhotic morphology the liver with sequelae of portal hypertension including splenomegaly, esophageal varices and recanalization of the umbi... |
Generate impression based on findings. | 42 years old, Female, Reason: R ureteral stent obstruction; pyelo History: R flank pain ABDOMEN:LUNG BASES: Mild dependent bibasilar atelectasis.LIVER, BILIARY TRACT: Patient status post cholecystectomy. Hepatic steatosis is present.SPLEEN: Splenic calcified granulomata present.PANCREAS: No significant abnormality note... | 1.Stable hydronephrosis with unchanged position of the ureteral stent. Mildly increased periureteral fat stranding at level of UPJ without evidence of significant perinephric stranding or striated nephrogram. Findings nonspecific and equivocal for pyelonephritis, correlation with patient's clinical history/physical exa... |
Generate impression based on findings. | 54 years Male. Reason: replaced Dobbhoff History: replaced dubhoff, confirm placement Interval adjustment of the Dobbhoff tube, tip now overlying the distal gastric body.Nonobstructive bowel gas pattern. Unchanged appearance of the partially visualized lung bases. | Dobbhoff tube tip overlying the distal gastric body. |
Generate impression based on findings. | 29-year-old male with abdominal distention. History of ESRD and constipation. Nonobstructive bowel gas pattern. Centralization of the bowel which suggest ascites. Surgical clips are noted in the medial left upper abdomen and left pelvis. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Reason: S/P LVAD. eval for stroke History: AMS The CSF spaces are appropriate for the patient's stated age with no midline shift. There is hypodensity present along the right centrum semiovale and adjacent right frontal lobe subcortical white matter.Periventricular and subcortical white matter hypodensities of a modera... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Exam is stable since yesterday's exam. 3.There is redemonstration of a focus of encephalomalacia centered in the right centrum semiovale. Presumably this is related to a prior vascular insult. |
Generate impression based on findings. | 66 or old male ALS pt going for diaphragmatic pacer. Nonobstructive bowel gas pattern. Average amount of stool. Degenerative changes are noted in the lumbosacral spine. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 5 years old Reason: evaluation of left femoral catheter History: catheter not drawing, evaluation of line for kinksVIEWS: Left femur AP 1/5/15 (one views) Left lower extremity Port-A-Cath catheter show no kinking or discontinuities. Tip of the catheter is not visualized. No fracture or malalignment. No soft tissue... | No kinking or discontinuities in the visualized portion of the femoral venous access. |
Generate impression based on findings. | Female, 37 years old. Reason: h/o cdiff eval for free air History: c diff, colitis Enteric contrast within the colon from recent prior study. Nonobstructive bowel gas pattern. No gross free air seen on upright imaging. Severe rotatory scoliosis and hip dysplastic changes. Bilateral pleural effusions. | Nonobstructive bowel gas pattern. No gross free air. |
Generate impression based on findings. | Male 8 years old Reason: rule out fracture History: pain and decreased ambulationVIEWS: Right ankle AP, lateral and oblique 1/5/15 (3 views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. | Normal examination. |
Generate impression based on findings. | Male 8 years old Reason: rule out SCFE, fracture History: pain and difficulty ambulatingVIEWS: Pelvis AP and frog leg 1/5/15 (two views) Both round, smooth and normally formed femoral heads are well directed to a normally developed acetabulum. No evidence of SCFE or AVN. | Normal examination. |
Generate impression based on findings. | 96-year-old female with Dobbhoff tube placement. Also with right upper lobe pneumonia, flu and malnutrition. Note that the pelvis was not included in the exam. The feeding tube terminates over the body of the stomach. Nonobstructive bowel gas pattern. Right pulmonary opacity and probable moderate to large pleural effus... | Dobbhoff tube tip within the body of the stomach. |
Generate impression based on findings. | Male, 72 years old. Reason: s/p DHT adjustment History: as above Dobbhoff tube again seen curled within the intrathoracic portion of the stomach, with the tip oriented superiorly.Nonobstructive bowel gas pattern. Surgical clips in right upper quadrant. | Dobbhoff tube again seen curled within the intrathoracic portion of the stomach, with the tip oriented superiorly. Additional adjustment recommended. |
Generate impression based on findings. | Female 73 years old Reason: Patient with concern for small cell lung cancer, neck mass, L axillary lymphadenopathy abdominal and retroperitoneal lymphadenopathy, on OSH scans, now with abdominal pain; please evaluate for lung mass, other abdominal mass to explain pt's pain ABDOMEN:LUNG BASES: Please see chest CT report... | 1.Large retroperitoneal mass as detailed above which appears to be a conglomerate of necrotic retroperitoneal lymph nodes. The necrotic appearance is more suggestive of metastases rather than lymphoma, although lymphoma is not excluded, necrotic adenopathy may be seen in the setting of treated lymphoma, correlation wit... |
Generate impression based on findings. | Male 14 years old Reason: L1 fracture History: blunt trauma with focal painVIEWS: Lumbar spine AP lateral and both obliques. Sacrum lateral view 1/5/15 (5 views) There is a wedge compression fracture of L1, a small triangular impacted fragment of the superior plate is noted as well. Remaining vascular body heights and ... | Wedge compression fracture of L1 as described. |
Generate impression based on findings. | Reason: Patient with metastatic pancreatic cancer s/p fall now with worsening memory problems and R sided weakness, please evaluate for bleed History: As above There multiple hyperdense foci scattered in both hemispheres of the brain as well as in the posterior fossa. When the left cerebellar hemisphere measures approx... | 1.There are multiple lesions scattered in both hemispheres of the brain is also posterior fossa. These are suspicious for hemorrhagic metastases. MRI of the brain would be helpful to further evaluate.2.A mass in the suprasellar cistern may represent a large aneurysm. MRA may be helpful to differentiate.3.Findings were ... |
Generate impression based on findings. | 67-year-old male status-post nasogastric tube placement. Nonobstructive bowel gas pattern with contrast retained in the colon. The nasogastric tube loops in the fundus of the stomach with the tip in the fundus. Right-sided Port-A-Cath terminates at the Superior cavo-atrial junction. Right basilar atelectasis. | Nasogastric tube tip in the fundus of the stomach with the sidehole beyond the gastroesophageal junction. |
Generate impression based on findings. | 67 years old, Female, Reason: acute on chronic diarrhea at osh, then ngt placed at osh due to worsening n/v, now w no bm or gas, free pelvic fluid on osh ct History: hyperbilirubinemia, conjugated, evaluate for sbo, toxic megacolon, liver and gallbladder pathology Lack of IV contrast limits evaluation of abdominal pare... | 1.Small amount of pneumoperitoneum which is increased since prior exam. Thickening of the bowel in the left upper abdomen with adjacent mesenteric induration and fat stranding suggestive of possible perforation in this area as the source of pneumoperitoneum. 2.Moderate amount of ascites.3.Persistent nephrogram suggests... |
Generate impression based on findings. | Follow-up from surgery Again seen are two screws affixing the first tarsometatarsal joint in near-anatomic alignment. Portions of the articulation are indistinct suggesting fusion. A round defect in the navicular tuberosity likely represents a site of tendon transfer. Two screws affix a calcaneal osteotomy in near anat... | Postoperative changes of calcaneal osteotomy fixation and other findings as above. |
Generate impression based on findings. | Female 8 years old Reason: trauma, pain with wrist flexion History: trauma, pain with wrist flexionVIEWS: Right wrist, elbow and forearm AP and lateral 1/6/15 (6 views) There is no evidence of fracture, malalignment or soft tissue swelling. Previously described bone fragment or foreign body is the pisiform bone. | Normal examination. |
Generate impression based on findings. | 6-year-old female with pain and tenderness, rule out fracture Markers were placed over the left lower chest wall. No underlying rib fracture is visualized. Surgical clips are noted in the right upper quadrant. | No fracture or other specific findings to account for the patient's symptoms. |
Generate impression based on findings. | concern for undifferentiated malignancy of lung, staging work up. Prominent left supra-ophthalmic vein with enhancement comparing to that of the right side. Differential diagnosis include dural arteriovenous fistula or normal variation.No evidence of hemorrhagic or ischemic lesion on this scan. No evidence of abnormal ... | 1. Enlarged left supra-ophthalmic vein as described above, differential diagnosis include dural arteriovenous fistula involving cavernous sinus or normal variation. Clinical correlation is recommended and diagnostic angiography can be considered for further evaluation.2. No evidence of acute ischemic or hemorrhagic les... |
Generate impression based on findings. | 31-year-old female with tailbone pain after fall, evaluate for fracture The SI joints appear within normal limits. No sacral or coccygeal fracture is visualized. Vacuum phenomena is noted at L5/S1. | No fracture visualized. |
Generate impression based on findings. | Bony nodule on the forehead There is a small nodular lesion in the right forehead scalp soft tissues measuring 1 cm in diameter and 2 mm in thickness with central attenuation compatible with fat (axial image 10/32). Lesion was present on prior CT from 11/11/2010. Underlying calvarium is intact.No intracranial mass or e... | Small lesion in the right forehead scalp, presumably corresponding to the palpable abnormality, is compatible with a small lipoma. This lesion was present on prior CT from 1/11/2010. |
Generate impression based on findings. | Female 8 years old Reason: eval for pelvic fracture History: MVC with roll-overVIEWS: Pelvis AP and chest AP 1/6/15 (two views) Both round, smooth and normally formed femoral heads are well directed to a normally developed acetabulum. Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in... | Normal examination. |
Generate impression based on findings. | Lower lumbar pain Vertebral body heights and intervertebral disk spaces appear normal. Alignment is within normal limits. Tiny osteophytes project from the anterior aspects of the lumbar vertebrae. | Tiny vertebral body osteophytes, but no otherwise no specific findings to account for the patient's pain. |
Generate impression based on findings. | Male 41 days old Reason: r/o pna History: feverVIEW: Chest AP (one view) 1/6/15 Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Right upper lobe ill-defined opacity, likely pneumonia or atelectasis.. No effusions or pneumothorax. | Right upper lobe ill-defined opacity as described. |
Generate impression based on findings. | Headache. Question of mass. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is scattered partial opacification of the ethmoid sinuses. The mastoid air ce... | No evidence of intracranial hemorrhage, mass, or cerebral edema. |
Generate impression based on findings. | Pain. Fracture? There is perhaps mild narrowing of the L5/S1 intervertebral disk, but I see no fracture or malalignment. Note is made of small hypoplastic ribs at what I presume to be T12. | No fracture evident. There is perhaps mild narrowing of the L5/S1 intervertebral disk space. |
Generate impression based on findings. | Male; 47 years old. Reason: r/o fx History: sig swelling around knee, NWB Four views of the right knee demonstrate an acute vertical fracture of the medial aspect of the right patella in near-anatomic alignment. Large knee joint effusion. Mild medial compartment osteoarthritis. | Acute patellar fracture. |
Generate impression based on findings. | Reason: evidence of PE History: increased O2 needs, A-a gradient in Cancer patient with persistent fevers PULMONARY ARTERIES: Technically adequate study, without evidence of pulmonary embolism. Prominence of the main pulmonary artery suggest pulmonary arterial hypertension.LUNGS AND PLEURA: Multifocal ground glass opac... | 1. No evidence of pulmonary embolism.2. Multifocal ground glass opacities, small bilateral pleural effusions with associated consolidation/atelectasis, is compatible with edema, although superimposed infection, including atypical etiology, cannot be excluded. 3. Apparent interval improvement of distal esophageal mural ... |
Generate impression based on findings. | 8-year-old female with persistent fevers x 5 days, pyuria, abdominal pain/back pain. ABDOMEN:LUNG BASES: No focal consolidation or pleural effusion.LIVER, BILIARY TRACT: Liver enhances homogeneously without focal lesion.SPLEEN: No focal splenic lesion.PANCREAS: No focal pancreatic lesion or peripancreatic stranding.ADR... | No CT evidence of pyelonephritis. |
Generate impression based on findings. | Reason: trauma with LOC History: frontal laceration CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.CT maxillofacial bones:Ther... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No evidence for maxillofacial bone fractures are3.findings suggest chronic sinusitis involving the right maxillary sinus there is paranasal sinus no outlet obstruction is appreciated.4.There is soft tissue swelling present adjacent to the frontal bo... |
Generate impression based on findings. | 64 year old female with history of shortness of breath. Evaluate for PE. PULMONARY ARTERIES: No pulmonary embolus.LUNGS AND PLEURA: Severe centrilobular emphysema, unchanged. Scarring at the bases, with focal lingula and subsegmental right middle/lower lobe atelectasis. Minimal lower lobe bronchial wall thickening and ... | No pulmonary embolus, but multiple areas of bibasilar atelectasis and bronchiectasis which suggests recurrent episodes of aspiration and/or infection.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 14-year-old male with history of L1 compression fracture. Reason: L5 compression fracture, evaluate for retropulsion into spinal canal History: L5 compression fracture, evaluate for retropulsion into spinal canal There is an anterior wedge deformity of L1 with a small bony fracture fragment situated at the anterior-sup... | 1.Flexion-distraction fracture of L1 as above (Three column injury suggests this is unstable).2.Tiny displaced fracture of the T12 spinous process.3.No evidence of L5 compression fracture. |
Generate impression based on findings. | No evidence of acute intracranial hemorrhage. Postoperative changes of right frontal craniotomy for hematoma evacuation are redemonstrated. Hypoattenuation in right frontal lobe from the evolving hematoma and progression of encephalomalacia are again seen. There is no evidence of new hemorrhage. Mild mass effect on th... | 1.No evidence of acute intracranial hemorrhage.2.Expected changes from evolution of right frontal intracranial hemorrhage and craniotomy.3.Chronic lacunar infarcts in left cerebellum, unchanged. |
Generate impression based on findings. | Male; 66 years old. Reason: Fx? History: ankle pain s/p fall Three views of the right ankle demonstrate soft tissue swelling about the ankle with possible tibiotalar joint effusion. Osteoarthritis affects the tibiotalar joint of the ankle. Arterial calcifications are seen in the soft tissues. No acute fracture or malal... | Soft tissue swelling with possible ankle joint effusion, but we see no acute fracture. |
Generate impression based on findings. | Altered mental status. Question of ICH. There is no evidence of acute intracranial hemorrhage. There is extensive periventricular and subcortical white matter hypoattenuation along with foci of hypoattenuation in the pons which is nonspecific but may represent small vessel ischemic disease. The ventricles and cortical ... | 1. No evidence of acute intracranial hemorrhage.2. Extensive age-indeterminate small vessel ischemic disease. CT is insensitive for the detection of non-hemorrhagic, acute ischemic infarcts. If clinical concern for ischemia persists, MRI may be obtained for further evaluation. |
Generate impression based on findings. | Male 18 days old Reason: evaluate for interval change History: history of Hirschsprung's, s/p resectionVIEW: Abdomen and chest AP (two views) 1/6/15 at 607 hours. Central line tip is at the right atrium. NG tube tip is at the antral pyloric region. Abdominal surgical sutures noted. Interval E. T. tube and urinary bladd... | Interval removal of ET tube and urinary bladder catheter and repositioning of NG tube. |
Generate impression based on findings. | 50 year-old female status post fall onto right elbow with residual pain Alignment is anatomic. No fracture or joint effusion. | No fracture or malalignment. |
Generate impression based on findings. | Female 57 years old Reason: Abdominal pain post G-tube insertion. Please assess for tube placement, hematoma, or abscess that could explain symptoms History: abdominal pain ABDOMEN:LUNG BASES: New small bilateral pleural effusions, right greater than left with associated compressive atelectasis. Unchanged micronodules ... | 1. Interval placement of a gastrostomy tube, without evidence complication.2. New small bilateral pleural effusions with associated compressive atelectasis.3. Slightly improved common duct dilatation and stable pancreatic duct dilatation.4. Unchanged hypoattenuating lesions in the uncinate process and pancreatic head, ... |
Generate impression based on findings. | 87 years old, Female, Reason: evaluate for primary tumor History: enhancing brain lesion suspicious of metastasis CHEST:LUNGS AND PLEURA: Scarring in the right lower lobe versus postsurgical changes. No suspicious pulmonary nodule or mass.MEDIASTINUM AND HILA: Marked circumferential thickening of the distal esophagus (... | 1. Marked circumferential thickening of the distal esophagus with dilatation more proximally suggesting an obstructive element, suspicious for esophageal cancer and correlation with patient's clinical history and direct visualization/endoscopy recommended.2. Multiple hepatic hypodensities which are too small to charact... |
Generate impression based on findings. | There are subtle asymmetric soft tissue phlegmonous changes in the preseptal space near the left medial canthus, which extends close to the globe. There is no discrete fluid collection or adjacent osseous erosion. There is mild asymmetric prominence of the left nasolacrimal duct, which is opacified. The intraconal fat... | Subtle phlegmonous changes near the left medial canthus confined to preseptal structures, reflecting known dacryocystitis. No discrete fluid collection or radiopaque foreign body is appreciated. |
Generate impression based on findings. | 66-year-old female status post reverse total shoulder arthroplasty Hardware components of a reverse total shoulder arthroplasty are situated near anatomic alignment without evidence of complication. Drains and gas in the soft tissues reflect recent surgery. | Status post reverse total shoulder arthroplasty in near-anatomic alignment. |
Generate impression based on findings. | Female 4 years old Reason: 4 yo F HIE, CP/DD, mult aspiration events, on BIPAP with copious secretions. Evaluate for opacities. History: hypoxiaVIEW: Chest AP (one view) 1/6/15 at 256 hours. Central line deep is at the RA/SVC junction. Upper abdominal surgical clips unchanged. Cardiac silhouette size is normal. Bibasil... | Bibasilar opacities with possible small underlying per effusions. |
Generate impression based on findings. | 37-year-old female, liver transplant workup Several dental fillings are noted. No evidence of bone erosion or fracture. | Several dental fillings, without evidence of osteolysis. |
Generate impression based on findings. | Female 33 years old; Reason: metastatic breast cancer - evaluate response to treatment with comparison to 12/8 exam per recist 1.1. Target lesion is anterior lesion in right hepatic lobe History: known mets to liver, lung, bone CHEST:LUNGS AND PLEURA: Multiple pulmonary micronodules again seen, stable to slightly more ... | 1. Stable to mild interval increase in size of hepatic metastases, see reference lesions.2. Multiple pulmonary micronodules again seen, stable to slightly more pronounced than on prior study. 3. Diffuse osseous metastatic disease subjectively similar to earlier exam. However, please note nuclear medicine bone scintigra... |
Generate impression based on findings. | 56-year-old male, evaluate for osteomyelitis A screw affixes the first interphalangeal joint without evidence of complication. Mild osteoarthritis affects the first MTP joint. There is no erosion or other specific evidence of osteomyelitis. | No specific radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Female 12 years old Reason: evaluate interval changes in lung fields History: intubated pulmonary hemorrhageVIEW: Chest AP (one view) 1/6/15 at 541 hours. Cardiac silhouette size is enlarged but stable. Persistent diffuse pulmonary opacities concerning for either pulmonary hemorrhage, ARDS or drug reaction. No effusion... | No change in diffuse pulmonary opacities. |
Generate impression based on findings. | Male; 67 years old. Reason: pain to dorsal wrist History: no trauma Three views of the left wrist demonstrate chondrocalcinosis of the wrist including the TFCC. Widening of the scapholunate interval, suggestive of ligamentous laxity or disruption. Volar rotary subluxation of the scaphoid and degenerative arthritic chan... | Soft tissue swelling along the dorsum of the wrist and arthritic changes as described above, including chondrocalcinosis which raises the question of pseudogout. No acute fracture is evident. |
Generate impression based on findings. | There is mild mucosal thickening involving the frontal sinuses, left relatively worse than right, extending to the frontal recesses. There is moderate patchy opacification involving the bilateral anterior ethmoid air cells and to a lesser degree the posterior ethmoid air cells. Mild mucosal thickening is also seen in ... | Mild pansinus disease as described above. There are frothy secretions in the left frontal and right maxillary sinuses which can be seen with acute sinusitis. Findings are progressed since MR 10/4/2014. |
Generate impression based on findings. | Ms. Hanyzewski is a 51 year old female presenting with a recent history of left breast mastectomy in January 2014 for IDC . She has no current breast related complaints. 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 scatte... | 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. | 64-year-old male presents for restaging of colon cancer. CHEST:LUNGS AND PLEURA: Scattered right lower lobe pulmonary micronodules are again noted. At least two of them are increased in size. For future reference the largest measures 5 mm (series 5/77). No new suspicious pulmonary nodule or mass is identified. Scattere... | 1. Interval progression of disease including increased size of the pulmonary micronodules, liver metastases, prevascular mediastinal and retroperitoneal lymphadenopathy. New paravertebral lymphadenopathy and liver lesion.2. Increased right hydroureteronephrosis to the level of the ureterovesical junction.3. Enlarged pr... |
Generate impression based on findings. | Female 7 years old Reason: intubated, eval pulmonary consolidation VIEW: Chest AP (one view) 1/6/15 at 558 hours. Tracheostomy tube again noted. Cardiac silhouette size is normal. Worsening in right upper and middle lobe opacities with no change in left lower lobe pneumonia or atelectasis. No effusions or pneumothorax. | Worsening in multifocal opacities as described. |
Generate impression based on findings. | Reason: evalaute abnormal chest XRAY History: sob, cough LUNGS AND PLEURA: Motion limits evaluation.Perihilar and basilar predominant nodular and patchy groundglass opacities are compatible with edema.Atypical infection including PCP cannot be excluded .Small right pleural effusion.MEDIASTINUM AND HILA: Right central v... | 1.Diffuse groundglass opacities are compatible with edema. However atypical infection including PCP cannot be excluded.2.Severe cardiac enlargement with right pleural effusion and evidence of anemia.3.Mediastinal and axillary lymphadenopathy |
Generate impression based on findings. | Altered mental status. Question of ICH. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. Mild periventricular white matter hypoattenuation is non-specific but likely represents small vessel ischemic disease. The ventricles are normal in size and configur... | 1. No evidence of acute intracranial hemorrhage.2. Mild age-indeterminate small vessel ischemic disease. 3. Sclerotic left maxillary sinus walls suggests evidence of chronic sinusitis. |
Generate impression based on findings. | Male 7 months old Reason: is threr improvement in aeration? History: atelectasis on previous film.VIEW: Chest and abdomen AP (two views) 1/6/15 at 622 hours. Chest tube tip is below the thoracic inlet. NG tube terminates in the lower thoracic esophagus.Cardiac silhouette size is top normal or mildly enlarged. Multifoca... | Misplaced NG tube.Multifocal streaky air space opacities, likely subsegmental atelectases.Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Reason: trauma with LOC History: frontal laceration CT head:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.CT maxillofacial bones:Ther... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.No evidence for maxillofacial bone fractures are3.findings suggest chronic sinusitis involving the right maxillary sinus there is paranasal sinus no outlet obstruction is appreciated.4.There is soft tissue swelling present adjacent to the frontal bo... |
Generate impression based on findings. | Female 52 years old Reason: intraabdominal abscess History: abdominal pain Within the limits of a non IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the following observations can be made: ABDOMEN: LUNG BASES: Right lower lobe pulmonary micronodules. ... | 1.No specific findings seen to account for the patient's abdominal pain.2.Atrophic midline and left lower quadrant transplant kidneys, appearing unchanged.3.Sites of soft tissue in the left hemipelvis/posterior left retroperitoneum presumably postoperative in etiology, and also unchanged.4.Atrophic transplanted pancrea... |
Generate impression based on findings. | Female; 56 years old. Reason: injury History: pain Three views of the left ankle demonstrate soft tissue swelling about the ankle. The bones are demineralized, suggestive of osteopenia/osteoporosis. There is a small, well-corticated ossification at the anterior and dorsal margin of the talus, most likely due to old tra... | Soft tissue swelling and findings suggestive of old trauma as above. We see no definite acute fracture. |
Generate impression based on findings. | Male 30 days old Reason: abdominal process History: feeding intoleranceVIEW: Abdomen and chest AP (two views) 1/6/15 at 613 hours NG tube terminates in the stomach. Cardiac silhouette size is normal. No focal opacities, effusions or pneumothorax.Disorganized, slightly distended and nonspecific abdominal gas pattern. No... | Disorganized, slightly distended and nonspecific abdominal gas pattern. |
Generate impression based on findings. | Female 7 years old Reason: PICC placement History: PICC placementVIEW: Chest AP (one view) 1/5/15 at 1730 hrs Skeletal deformities, gastrostomy and tracheostomy tubes unchanged. NG tube terminates in the lower thoracic esophagus. Left upper extremity PICC tip is in the right atrium.Cardiac silhouette is no sizable due ... | Interval central line and NG tube placement as described. |
Generate impression based on findings. | Male 9 months old Reason: intubated, head trauma VIEW: Chest AP (one view) 1/6/15 at 306 hours. Left subclavian central line tip is at the confluence of both innominate veins. NG tube tip is in the antropyloric region. ET tube terminates at the carina. Cardiac silhouette size is normal. Improvement in left lower lobe a... | ET tube tip is at the carina.Improvement in left upper lobe atelectasis. |
Generate impression based on findings. | Female 10 years old Reason: intubated History: Status epilepticus.VIEW: Chest AP (one view) 1/6/15 at 313 hours. Central line tip is in the SVC. ET tube tip is below the thoracic inlet. Feeding tube terminates at the antropyloric region.Cardiac silhouette size is normal. Interval improvement in bibasilar atelectasis. | Interval improvement in bibasilar airspace opacities. |
Generate impression based on findings. | No evidence of acute intra-cranial hemorrhage. A small region of hypoattenuation is now seen along the left middle frontal gyrus compatible with the known ischemic lesion seen on recent MRI. There is no evidence of hemorrhagic conversion. Hypoattenuation within the left basal ganglia compatible with chronic lacunar in... | 1.No acute intracranial hemorrhage.2.Hypoattenuation in the left middle frontal gyrus compatible with the known ischemic lesion seen on recent MRI. No evidence of hemorrhagic conversion.3.No significant change in findings of microvascular ischemic disease. |
Generate impression based on findings. | The inner ears appear within normal limits without masses within the cerebellopontine angle, cisterns bilaterally or within the internal auditory canals. Bilateral 7th and 8th cranial nerves are symmetric in size. No findings to suggest enlarged endolymphatic sac. Mastoid air cells are clear. The ventricles and sulci ... | High-resolution noncontrast MRI of the internal auditory canals demonstrates no masses at the cerebellopontine angles or internal auditory canals. Postgadolinium study may be helpful if there is persistent clinical suspicion of a structural abnormality. |
Generate impression based on findings. | Cough and fever.VIEWS: Chest AP and lateral 1/5/15 at 2003 hrs. (2 view/s) Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Peribronchial thickening and right lower lobe, ill-defined opacity likely atelectasis or pneumonia. . No effusions or pneumothorax. | Peribronchial thickening and right lower lobe , ill-defined opacity, likely atelectasis or pneumonia. |
Generate impression based on findings. | Female 34 years old Reason: evaluate for stone or other RUQ/R flank etiology for pain History: R flank/abdominal pain, N/V, hx lumbar pain, cholecystectomy ABDOMEN: Within the limits of a non IV contrast enhanced examination which limits ability to evaluate solid parenchymal organs and vascular structures, the followin... | Findings consistent with uncomplicated diverticulitis affecting the descending colon, in the same region as seen previously affected by diverticulitis. |
Generate impression based on findings. | Seven month old patient with osteopenia and rising alkaline phosphatase. Rule out long bone fractures. Known rickets.VIEWS: Right humerus AP, left humerus AP, right forearm AP, left forearm AP, right femur AP, left femur AP, right tibia/fibula AP, left tibia/fibula AP (8 views), 1/5/2014, 1533 hrs. Continued healing of... | Metaphyseal corner fracture of the left proximal tibia. Healing fractures of the right humerus, radius, and ulna, as well as left humerus. Stigmata of rickets. |
Generate impression based on findings. | 73-year-old female with history of possible small cell lung cancer, left neck mass and left axillary lymphadenopathy. Additionally, retroperitoneal and abdominal lymphadenopathy were noted on outside hospital scans. Currently with abdominal pain. LUNGS AND PLEURA: No significant pleural effusion or consolidation. Minim... | Left neck base, left axillary and abdominal/retroperitoneal lymphadenopathy, most consistent with malignancy such as lymphoma. |
Generate impression based on findings. | 67-year-old male with newly diagnosed gastric cancer. Evaluate extent of disease. CHEST:LUNGS AND PLEURA: No significant pulmonary parenchymal or pleural abnormality. Minimal basilar atelectasis.MEDIASTINUM AND HILA: There is an 1.1 x 0.9 cm para-esophageal lymph node. No additional suspicious mediastinal or hilar lymp... | 1. Focal thickening and ulcerative appearance of the gastric antrum presumably represents the patient's known primary malignancy. Very small adjacent perigastric lymph nodes are suspicious for local metastatic lymphadenopathy.2. Left paraesophageal 1.1 cm lymph node may represent more distant metastatic lymphadenopathy... |
Generate impression based on findings. | There is mild ex vacuo dilatation of the left frontal horn along the medial aspect, due to an area of focal encephalomalacia is hyperintense marginal gliosis in the centrum semiovale extending to the ventricular margin. The ventricles and sulci are otherwise within normal limits. The basal cisterns remain patent. Ther... | 1. No MR evidence of Chiari malformation. Normal CSF flow.2. Incidental note made of encephalomalacia in the left centrum semiovale extending to the left lateral ventricular margin, with mild ex vacuo dilatation. |
Generate impression based on findings. | 57 years old, Female, Reason: infected pleural fluid, questionable free air History: sob, abdominal pain Lack of IV contrast limits evaluation of abdominal parenchyma. Within these limitations, the following observations are made:CHEST:LUNGS AND PLEURA: Right greater than left effusions which appear increased with asso... | 1. Mildly increased pleural effusions and associated atelectasis.2. Questionable bowel wall thickening in the anorectal region as well as mild wall thickening versus underdistention in the ascending and transverse colon which is nonspecific in the setting of ascites.3. Moderate ascites and anasarca.4. Severe atheroscle... |
Generate impression based on findings. | concern for undifferentiated malignancy of lung, staging work up. Prominent left supra-ophthalmic vein with enhancement comparing to that of the right side. Differential diagnosis include dural arteriovenous fistula or normal variation.No evidence of hemorrhagic or ischemic lesion on this scan. No evidence of abnormal ... | 1. Enlarged left supra-ophthalmic vein as described above, differential diagnosis include dural arteriovenous fistula involving cavernous sinus or normal variation. Clinical correlation is recommended and diagnostic angiography can be considered for further evaluation.2. No evidence of acute ischemic or hemorrhagic les... |
Generate impression based on findings. | 78-year-old male with history of cough and shortness of breath. Evaluate for interstitial lung disease. Fibrosis noted on outside exam. LUNGS AND PLEURA: Subpleural reticulation with mild bronchiectasis and minimal architectural distortion, particularly in the subpleural lower lungs. No definite honeycombing, no signif... | Predominantly lower lung, subpleural mild fibrosis in a pattern of possible UIP/IPF, less likely hypersensitivity pneumonitis. |
Generate impression based on findings. | 86 years old, Female, Reason: abdominal pain Lack of IV contrast limits evaluation of abdominal parenchyma. ABDOMEN:LUNG BASES: Increasing bilateral pleural effusions and associated atelectasis. Cardiomegaly is present with a small pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No si... | 1.Pancolitis, appearance may be seen in setting of pseudomembranous colitis and correlation with patient's clinical history recommended.2.Increasing bilateral pleural effusions and associated atelectasis.3.Anasarca and small amount of ascites. |
Generate impression based on findings. | Reason: Evaluate for progression of metastatic disease; compare to previous scan History: None CHEST:LUNGS AND PLEURA: No significant change of bilateral perihilar scarring, architectural distortion, and bronchiectasis.Redemonstration of postsurgical changes in the left lower lobe.No new nodule/mass.MEDIASTINUM AND HIL... | Stable perihilar scarring and architectural distortion, as well as postsurgical changes in the left lower lobe. No new nodule/mass. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 6-week-old female with pleural effusion status post chest tube and octreotide. Evaluate pleural effusions.VIEW: Chest AP (one view) 1/6/2015, 0900 hrs. ET tube tip between the thoracic inlet and carina. Enteric tube tip beyond the field of view. Left upper extremity PICC tip at the confluence of the brachiocephalic vei... | Increased left pleural effusion. Persistent multifocal pulmonary opacities. |
Generate impression based on findings. | Ms. Choco is a 59 year old female who presents for routine imaging. No new breast complaints. No family history of breast cancer. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pat... | Stable benign calcifications in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screeni... |
Generate impression based on findings. | Female 81 years old Reason: evaluate for perirectal abscess History: large sacral decubitus ulcer, infection UTERUS, ADNEXA: The patient status post hysterectomy.BLADDER: There is a Foley catheter in place.LYMPH NODES: There is no evidence of pelvic lymphadenopathy on the basis of size criteria.BOWEL, MESENTERY: There ... | Sacral decubitus ulceration with associated cellulitis and a gaseous tract extending from the left gluteal cleft to the coccyx, with erosive changes of the coccyx concerning for osteomyelitis, medial right gluteal gaseous foci also seen. No drainable fluid collection is evident. |
Generate impression based on findings. | Female, 69 years old, history of adenoid cystic carcinoma of the right submandibular gland, status post CRT. Evidence of right neck dissection is redemonstrated with absence of the submandibular gland, volume loss and scarring along the fascial planes. Ill-defined soft tissue thickening persists within the right subman... | No evidence of locally recurrent tumor or nodal metastasis. |
Generate impression based on findings. | 61-year-old with history of calcified intraductal mass noted on prior mammogram and ultrasound. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a mixed echogenicity mass measuring 11 x 3 mm in the retroareolar region with increased vascularity, The lesion was readily visible.PRO... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Female 60 years old Reason: bowel obstruction History: hx of ventral incision site hernia after prior appendectomy. Now presenting with pain over hernia site, 3 days of black tarry stool, black emesis episodes. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffuse hepatic hypoattenuation con... | 1.Fluid collection with thickened wall and adjacent fat stranding anterior to the ventral hernia repair concerning for an abscess, although this could also represent a postoperative seroma. Correlation with patient's clinical history and physical exam recommended.2.Hepatic steatosis. |
Generate impression based on findings. | 72-year-old male with testicular swelling and pain since last night. The examination was suboptimal and limited due to the patient's discomfort during the examination.RIGHT TESTIS: The right testicle is normal in morphology, echogenicity and size, measuring 3.5 x 2.3 x 4.3 cm. Spectral Doppler evaluation demonstrates n... | Limited examination as described above with findings favoring left epididymoorchitis. No evidence of testicular torsion. |
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