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Generate impression based on findings. | 74-year-old female with history of pain. Right knee: Moderate osteoarthritis affects the knee. There is chondrocalcinosis of the menisci.Left elbow: There are enthesopathic type changes at the medial epicondyle. There is a small olecranon spur. There is no acute fracture or dislocation. | Degenerative changes as above. |
Generate impression based on findings. | Ms. Wilson is a 87 year old female with a personal history of right breast mastectomy 1983 along with a left breast reduction. Family history of breast cancer in two maternal nieces. No current breast related complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. There is no new mass, suspicious microcalcifications or areas of architectural distortion identified in the left breast. Scattered benign calcifications are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left 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. | 57-year-old with history of right mastectomy for malignant phyllodes tumor, presents for annual mammogam. No current breast complaints. Three standard views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in left breast. | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral 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. | Female 42 years old Reason: left ankle inversion injury, pain History: left ankle pain Bone mineralization is normal. Alignment is anatomic. The joint spaces are normal.No acute fracture is evident. There is mild soft tissue swelling and a possible joint effusion in the ankle. | No acute fracture is evident. |
Generate impression based on findings. | Chronic sinusitis with nasal congestion and discharge. There are postoperative findings related to endoscopic sinus surgery, including left middle meatus antrostomy, left middle turbinectomy, and partial left ethmoidectomy. At least a portion of the left uncinate process appears to be intact, however. There is opacification of a posterior left ethmoid air cell. The paranasal sinuses are clear. The nasal cavity is clear. The nasal septal is deviated towards the right. 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 structures appear to be unremarkable. | Apparent postoperative findings related to endoscopic sinus surgery with opacification of a posterior left ethmoid air cell. The other paranasal sinuses and nasal cavity are clear. |
Generate impression based on findings. | 95 years, Male. Reason: Evaluate obstruction/ileus History: Awaiting return of bowel function, altered mental status. There has been some interval improvement in small bowel distention, compatible with resolving obstruction. No free air on decubitus view. Orthopedic hardware in right femur, atherosclerotic calcifications, and right abdominal surgical clip unchanged. Residual contrast material from recent CT scan is also noted. Bilateral pleural effusions and left basilar consolidation. Spinal L2 compression fracture and significant degenerative changes; please see recent CT report for further details. | Interval improvement in small bowel obstruction pattern. No free air. |
Generate impression based on findings. | Stage IIb (T3, N0, M0, B0) mycosis fungoides staging. There is diffuse skin thickening up to 5 mm in width in the left lower neck. There are a few posterior neck prominent but subcentimeter subcutaneous lymph nodes. Otherwise, there is no evidence of significant cervical lymphadenopathy based on size criteria. There are several nodules within the thyroid, including a heterogeneous left thyroid lobe nodule that measures up to 30 mm. The salivary glands are unremarkable. There is mild plaque at the bilateral carotid bifurcations. The osseous structures are unremarkable. The airways are patent. The imaged intracranial structures are unremarkable. There is a small left maxillary sinus retention cyst. The imaged portions of the lungs are clear. | 1. Diffuse skin thickening up to 5 mm in width in the left lower neck may correspond to mycosis fungoides.2. A few posterior neck prominent but subcentimeter subcutaneous lymph nodes are nonspecific. No significant lymphadenopathy in the neck.3. A dominant left thyroid nodule measures up to 30 mm. Thyroid ultrasound and FNA may be useful for further evaluation. |
Generate impression based on findings. | fractureVIEWS: Left humerus AP/lateral Comminuted mid diaphyseal fracture of the humerus is redemonstrated, with fracture lines less distinct and increased callus formation, compatible with continued healing. Alignment is near-anatomic. | Continued healing of left humerus fracture. |
Generate impression based on findings. | preoperative intracranial vascular evaluation. seizure. NONCONTRAST CT HEADRight mesial temporal lobe lesion was re-demonstrated.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEADThere is normal contrast opacification through anterior circulation (bilateral petrous/cavernous/supraclinoid internal carotid arteries, anterior and middle cerebral arteries), posterior circulation (vertebral-basilar, posterior-inferior cerebellar, anterior-inferior cerebellar, superior cerebellar, and posterior cerebral arteries), and distal intracranial vasculature. There is normal contrast opacification through a complete circle-of-Willis with a patent anterior communicating artery and bilateral posterior communicating arteries. Bilateral PCA and basilar artery show slightly caudal fusion variation thus with robust size of bilateral PCA P1 segments, therefore, bilateral PCAs are not fetal origin.No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation is noted.There is normal superficial and deep intracranial venous drainage. | 1. Re demonstration of right parahippocampal gyrus lesion.2. Normal head CTA. |
Generate impression based on findings. | 59 old female with history of C3 sclerotic lesion. Evaluate for metastases. CHEST:LUNGS AND PLEURA: Exam performed without full inspiration, otherwise no significant abnormality is noted. No pleural effusion or consolidation. No suspicious nodules or masses.MEDIASTINUM AND HILA: Heart size within normal limits, and there is no pericardial effusion. No significant mediastinal or hilar lymphadenopathy. No significant coronary artery calcifications.CHEST WALL: Mild degenerative changes affect the visualized spine.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydronephrosis or hydroureter. No suspicious nodules or masses.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No small bowel obstruction or free air. Appendix is within normal limits.BONES, SOFT TISSUES: No significant abnormality noted, and no additional skeletal lesions. Mild degenerative disease affects the lower lumbar spine.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Mild degenerative changes affect the lower lumbar spine.OTHER: No significant abnormality noted. | No significant abnormality, and no evidence of metastatic disease. |
Generate impression based on findings. | Reason: s/p gastric resection following gastric band erosion, evaluate size of remaining stomach History: reflux, weight gain Scout image demonstrated right upper and left upper quadrant sutures. No gastric band. Nonobstructive visualized bowel gas pattern.Limited single contrast evaluation of the stomach demonstrated an enlarged gastric pouch with two components measuring 51 x 41 mm proximally (TR x CC) and 60 x 46 mm (TR x CC) distally. Contrast readily passed into the duodenum.Fluoro time: 1:23 minutes | Enlarged gastric pouch with measurements as above. |
Generate impression based on findings. | 73-year-old male with right leg pain Intramedullary rod and screw affix the proximal femoral fracture in near-anatomic alignment with two distal fixation screws. A small fracture fragment is noted medial to the femoral neck. Surgical clips and gas in the soft tissues reflect recent surgery. | Orthopedic fixation of proximal femur fracture without evidence of complication. |
Generate impression based on findings. | The procedure, indications, benefits, risks/complications and alternatives were described to the patient and informed consent was obtained. The patient was placed in the [prone] position and the inferior back was prepped with Betadine, draped and anesthetized with 1% lidocaine subcutaneously into the deeper soft tissues. Using fluoroscopic guidance, a 22 gauge x 3-1/2 inch spinal needle was localized into the thecal sac at the [ ]. Approximately 5 cc clear CSF was obtained and separated into 2 vials. The primary service team member instilled the chemotherapeutic agent intrathecally, the stylus was replaced and the needle withdrawn. The sample was given to the primary team for further analysis. The patient tolerated the procedure well with no immediate complications.TOTAL FLUOROSCOPY TIME: 1.2 Min | Successful fluoroscopic guided lumbar puncture and intrathecal administration of chemotherapeutic agent. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. A few small stable masses are seen in both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 73 years old; Reason: 73M s/p cystectomy, now with distention leukocytosis, and abdominal pain; please assess for intraabdominal pathology History: Status post radical cystectomy, prostatectomy, bilateral pelvic lymph node dissection and ileal conduit urinary diversion. ABDOMEN:LUNG BASES: Trace bilateral pleural effusions with left basal atelectasis. Moderate coronary artery disease.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Multiple hypoattenuating renal lesions, many of which are too small characterize. The largest on the left side is exophytic off the midpole and measures 5.0 cm.RETROPERITONEUM, LYMPH NODES: Moderate abdominal aorta and branch vessel arteriosclerosis.BOWEL, MESENTERY: There is significant dilatation of the stomach and proximal and mid small bowel loops measuring up to 5.7 cm. The distal small bowel loops and the colon are decompressed. There is a triradiate pattern of closely related small bowel loops, in the region of the anastomosis, best seen on coronal images (series 80284, image 93), raising the possibility of early adhesions.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Right lower quadrant ileal conduit with small catheters draining the bilateral ureters. Peristomal fluid is likely postsurgical. Tiny left paracentral ventral paraumbilical hernia (series 3, image 108). PELVIS:PROSTATE/SEMINAL VESICLES: Status post cystoprostatectomy.BLADDER: Status post cystectomy.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is significant dilatation of the stomach and proximal and mid small bowel loops measuring up to 5.7 cm. The distal small bowel loops and the colon are decompressed. There is a triradiate pattern of closely related small bowel loops, in the region of the anastomosis, best seen on coronal images (series 80284, image 93), raising the possibility of early adhesions.A ventral left pelvic wall access surgical drain is in situ with tip in the right hemipelvis. Loculated fluid with air in the cystoprostatectomy bed likely relates to postsurgical changes however superimposed infection is not excluded.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Findings consistent with incomplete bowel obstruction, concerning for adhesions.Findings discussed by Dr. Dachman with Dr Riedinger 02/05/15 at 12:19 p.m. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Scattered benign calcifications are unchanged in both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 89 years old Reason: eval fx, gross deformity at wrist on exam, s/p fall 8 weeks ago, splint placed at OSH, was loose History: same There is a transverse fracture through the distal radius with both radial and dorsal angulation of the fracture fragment. There is some callus formation indicating the fracture is subacute. There is also a displaced ulnar styloid fracture.Bones are severely demineralized. | Distal radius fracture as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Several circumscribed masses unchanged in both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Sudden right arm and leg weakness with subjective dullness for 1 day. NONCONTRAST CT HEADRe-demonstration of the left internal capsule posterior limb low attenuation indicating acute ischemic stroke without evidence of hemorrhagic conversion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute hemorrhage. The osseous structures are unremarkable. The paranasal sinuses and mastoid air cells are clear. CTA HEAD AND NECKThere is normal aortic arch origin of the right brachiocephalic, left common carotid, and left subclavian arteries. The bilateral vertebral artery origins are normal.There is normal contrast opacification through the bilateral common carotid arteries, carotid bifurcations, cervical internal/external carotid, and vertebral arteries. There is normal contrast opacification through anterior circulation (bilateral petrous/cavernous/supraclinoid internal carotid arteries, anterior and middle cerebral arteries), posterior circulation (vertebral-basilar, posterior-inferior cerebellar, anterior-inferior cerebellar, superior cerebellar, and posterior cerebral arteries), and distal intracranial vasculature. Acom artery is patent but bilateral Pcom arteries are not seen.No evidence of aneurysm, significant stenosis, occlusive thrombus, dissection, or vascular malformation is noted.There is normal superficial and deep intracranial venous drainage. | 1. Re-demonstration of the left internal capsule posterior limb acute ischemic infarction without hemorrhagic conversion.2. Normal head and neck CTA |
Generate impression based on findings. | 65 year old with history of lumpectomy in 1997 for right breast cancer status post radiation and chemotherapy. Benign biopsy of calcifications in the left breast in 1997. 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 postoperative volume loss and distortion in the right breast. Lobulated asymmetry in the posterior depth of the left breast on CC view is unchanged. A few scattered benign calcifications are again noted. No dominant mass, suspicious microcalcifications or areas of architectural distortion in either breast. | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Male 53 years old Reason: evaluate for liver lesion, vascular patency, ascites History: ascites, cirrhosis LIVER: The liver demonstrates heterogeneous, coarsened echotexture making assessment for small lesions difficult. It measures 14.7 cm in length and has a nodular contour consistent with cirrhosis. Multiple hypoechoic lesions are consistent with cysts. The main portal vein is patent and demonstrates normal directional flow with peak velocity 0.4 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is contracted. There is no biliary dilatation.PANCREAS: Unremarkable where visualized.KIDNEYS: The left kidney measures 10.0 cm. The right kidney measures 10.6 cm. There is no hydronephrosis.OTHER: Splenomegaly at 16.9 cm in length. Diffuse abdominal ascites. | Cirrhotic liver morphology without definite focal liver lesion. There is splenomegaly and ascites. |
Generate impression based on findings. | Clinical question: Rule out bleed. Signs and symptoms: Recent stroke, present AMS. Nonenhanced head CT:There is no evidence of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are patchy foci of low-attenuation in the periventricular white matter concerning for age indeterminant small vessel ischemic strokes. There is a large focus of low-attenuation in the left basal ganglia and a small similar density lesion in the right caudate head suggestive of chronic lacunar infarct.If clinical concern for acute stroke persist comment follow-up with an MRI examination.Unremarkable cerebral cortex, cortical sulci, ventricular system and CSF spaces.Unremarkable calvarium, soft tissues of the scalp, paranasal sinuses, mastoid air cells and orbits. | 1.No acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.2.Changes suggestive of age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 34-year-old female with fall leg pain The tibia and fibula are intact. No ankle fracture is identified. | No fracture or malalignment. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. Physical examination is of increased importance for patients with dense breasts. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. There is an oval mass at posterior 6 o'clock position in the left breast. No suspicious microcalcifications or areas of architectural distortion are present. | Oval mass at posterior 6 o'clock position in the left breast, for which spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 11-year-old male with fracture left humerusVIEWS: Left humerus AP/lateral (two views) 02/05/15 Again seen is mild apex lateral angulation of the mid humeral diaphysis. The fracture line is not clearly seen indicating of interval healing. Periosteal reaction and callus formation is seen suggestive suggest interval healing. | Healing mid diaphyseal humeral 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, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. There are new calcifications at the central aspect of the right breast. No suspicious masses or areas of architectural distortion are present. | New calcifications at the central aspect of the right breast, for which spot magnification views are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 83-year-old male with history of metastatic prostate cancer and pelvic pain. Assess for extent of disease. CHEST:LUNGS AND PLEURA: Mild upper lung predominant emphysema. New left upper lobe anterior groundglass/tree in bud opacities may represent focal infection, aspiration or bronchial impaction otherwise. Scattered micronodules are again seen, unchanged.MEDIASTINUM AND HILA: New left superior mediastinal AP window lymph node (4/39) measures 2.8 x 4.7 cm. Additional mediastinal and hilar enlarged lymph nodes are noted. Coronary artery and aorta atherosclerotic calcifications are seen.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: Several new hypoattenuating hepatic lesions are seen, with a reference right lobe lesion near the hilum (4/97) measuring 2.6 x 2.4 cm. No biliary dilatation or findings of biliary obstruction.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right kidney percutaneous nephrostomy tube is again noted. No significant right hydronephrosis. Left mild hydronephrosis is new, upstream from a retroperitoneal lymph node conglomerate (coronal image number 67).RETROPERITONEUM, LYMPH NODES: New/increased retroperitoneal adenopathy with associated left hydronephrosis. Left retroperitoneal lymph mass (4/140) measuring approximately 2.1 x 1.8 cmBOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Interval increased sclerosis of the T6 vertebral body (sagittal image number 64), suggestive of metastatic involvement.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: The patient's known prostate mass (4/177) has increased in size to approximately 9.8 x 7.9 cm, from previous 7.7 x 4.4 cm. There is associated mass-effect on the pelvic organs, displacing the bladder anteriorly and attenuating the right gluteal the vasculature.BLADDER: The bladder is displaced anteriorly due to pelvic mass.LYMPH NODES: Multiple enlarged pelvic lymph nodes adjacent to the known prostate mass. BOWEL, MESENTERY: Right iliac bone sclerotic lesion is unchanged.BONES, SOFT TISSUES: No significant abnormality notedOTHER: The right gluteal vasculature is attenuated by this mass, and additionally the right common femoral vein has internal low attenuation which may represent thrombus or slow flow from compression. | 1.Marked interval increase in size of prostate mass, with new lymphadenopathy and other findings as above.2.New left mild hydronephrosis upstream from retroperitoneal lymph node mass.3.Increased T6 vertebral body sclerosis, likely representing metastatic involvement.4.New liver metastases, as above.D/w Dr. Stadler at the time of interpretation. |
Generate impression based on findings. | Status post left mastectomy for breast cancer in 2013, presents today for routine follow up. No current breast 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 scattered fibroglandular elements, unchanged in pattern and distribution. A small mass at posterior 3 o'clock position is unchanged from immediate prior mammogram, and significantly smaller when compared to a study in January 2014. A benign intramammary lymph node in the upper outer breast is unchanged.No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in right breast. | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 32-year-old female with pain, evaluate fracture A fracture through the base of the fifth metatarsal extending to the articular surface is again identified. The fracture line is indistinct, consistent with interval healing. | Healing base of the fifth metatarsal fracture as described above. |
Generate impression based on findings. | 18 year-old male, evaluate ASIS avulsion healing A displaced fragment adjacent to the right ASIS appears similar to the prior exam, with indistinct margins suggesting an attempt at healing. The pelvic apophyses remain unfused. | Right ASIS avulsion fracture appearing similar to the prior exam. |
Generate impression based on findings. | Reason: Please evaluate for foreign body in esophagus. History: Dysphagia Limited single contrast evaluation of the esophagus revealed no mucosal or mural abnormalities. Redemonstration of post surgical changes of a fundoplication with a large type II herniation of the fundoplication. Additional small sliding hiatal hernia was also identified. No filling defects were identified to suggest an esophageal foreign body.There was severe dysmotility throughout the exam.No gastroesophageal reflux was identified.Fluoro Time: 1:23 minutes | No evidence of esophageal foreign body. Additional findings as above. |
Generate impression based on findings. | 15-year-old male with fever and increased sputum production.VIEWS: Chest AP/lateral (two views) 2/5/2015, 1113 hrs. No focal pulmonary opacity, pleural effusion, or pneumothorax.Normal cardiothymic silhouette.Ballistic fragment again projects at the T12-L1 level. | No evidence of pneumonia. |
Generate impression based on findings. | Reason: metastatic lung CA to adrenal, and separate kidney mass. on chemo. Followup scan History: none CHEST:LUNGS AND PLEURA: Left lower lobe spiculated nodule (image 65 series 4 measures 14 mm x 13 mm previously measuring 15 mm x 14 mm.Additional adjacent subpleural nodule (image 64 series 4) as well as additional scattered micronodules are unchanged.Mild upper lobe predominant centrilobular emphysema.No pleural effusions.MEDIASTINUM AND HILA: Prominent right hilar lymph node (image 45 series 3) now measuring 14 mm x 17 mm unchanged from the prior exam.No mediastinal lymphadenopathy.cardiac size is normal without evidence of a pericardial effusion. CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: Right adrenal nodule (image 92 series 3) measuring 13 mm by 27 mm previously measuring 13 mm x 27 mm.KIDNEYS, URETERS: Exophytic right renal mass (image 95 series 3) measures 3.6 cm x 3.9 cm previously measuring 3.6 cm x 3.9 cm.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: Marked degenerative changes and degenerative disk disease at the L4-5 level.OTHER: No significant abnormality noted. | 1.Left lower lobe spiculated nodule and scattered subpleural micronodules in the left lung are stable. No new suspicious dominant masses identified.2.Right adrenal nodule unchanged.3.Stable right renal exophytic mass with internal fat suggesting an angiomyolipoma. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | 20 year-old female status post small bowel resection and adhesion lysis on 1/29/2015. Evaluate for bowel obstruction versus leak versus abscess. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Postoperative changes of cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is a fluid collection in the anterior abdomen immediately underneath the incision site measuring approximately 6.0 x 2.4 cm (series 3, image 62) with rim enhancement highly concerning for an abscess.Mildly dilated loops of small bowel most consistent with low-grade postoperative ileus.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: There is solid and cystic region in the pelvis measuring 6.9 x 9.4 cm (series 3, image 121) which is likely tumor burden as well as multiple abscesses.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | 1.Findings suspicious for an abscess in the upper abdomen immediately underneath of the incision site.2.Large cystic and solid lesion in the pelvis is likely residual tumor burden as well as superimposed abscesses.3.Findings consistent with low grade ileus. Findings relayed to Dr. Fantus over the phone at approximately 11:55 am. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Clinical question: Rule out hemorrhage. Signs and symptoms: Fall and AMS. Nonenhanced head CT:There is no detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation.Unremarkable calvarium, soft tissues of the scalp, orbits, paranasal sinuses and visualized maxillofacial bony structures.Nonenhanced CT of the cervical spine:Examination is severely limited due to patient's body habitus and in particular evaluation of the bony structures are cervical spine from C4 inferiorly is limited due to extensive streak artifact.Between the indication there is no definitive evidence of any bony fracture.The alignment of vertebral column is anatomical however there is mild reversal of the cervical lordosis which could be positional.There is evidence of a prior anterior surgical approach for fusion of C6 and C7 disk space and with replacement of anterior metallic plate and fixating screws. | 1.Unremarkable nonenhanced head CT.2.CT of cervical spine is severely limited however without convincing evidence of fracture or malalignment. Prior anterior fusion of C6 and C7 disk space as detailed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. A new oil cyst is seen at lower outer quadrant in the left breast. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Five year-old female with concern for increasing calcinosisVIEWS: Left femur AP/lateral, left tibia-fibula AP/lateral (4 views) 02/05/15 Multiple platelike calcifications are seen within the subcutaneous tissue along the posterior medial aspect of the tibia-fibula and femur. The calcifications appear decreased compared to the prior exam. | Interval decrease in multiple subcutaneous calcifications from dermatomyositis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Scattered benign calcifications are stable.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is mostly fatty replaced, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 76-year-old with history of left lumpectomy for IDC in 2012 presents for annual mammogram 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. No significant change in left upper outer breast postoperative distortion and density. Surgical clips are seen in the left axillary region. No suspicious mass, suspicious microcalcifications or suspicious areas of architectural distortion are noted in either breast. | No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 33 years, Male. Reason: eval for obstruction History: h/o abdominal abscess w abd pain and constipation Nonobstructive bowel gas pattern. No intramural air or free air. Greater than average stool to the consistent with constipation.Cholecystectomy clips. Lung bases clear. Pacer wire. | Greater than average stool burden. No evidence of obstruction intramural air or free air. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements. Scattered benign calcifications are present in both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 62 years old Reason: history metastatic prostate cancer, assess for progressive disease History: none CHEST:LUNGS AND PLEURA: In the right upper lobe now measures 1.3 x 1 .2 cm on image number 43, series number 5, minimally decreased in size compared to previous study. However, there are some small new nodules compared to previous study. Most of the lung nodules that were present on the previous study have undergone central cavitation. Some of the nodules have increased in size within the interval. An index nodule which has increased in size in the right lower lobe now measures 8 mm on image number 66, series number 5. This nodule is previous measuring 5-mm in diameter image number 70, series number 4.MEDIASTINUM AND HILA: Interval increase in the size of the mediastinal lymph nodes. Index pretracheal node now measures 1.9 x 1.5 cm on image number 29, series number 4. One by 0.7-cm on image number 31, series number 3 on the previous study.CHEST WALL: Bone metastases to the ribs are unchanged.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Minimally complex right upper pole renal cyst is unchanged.RETROPERITONEUM, LYMPH NODES: Index left aortic node now measures 5-mm in diameter image number 120, series number 4, not significantly changed from previous study.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: Left paraspinal hypodense mass now measures 3.2 x 2.6 cm in image number 96, series number 4, slightly smaller compared to previous study. The etiology of this lesion is unknown. Extension of this lesion into the spinal canal is again noted. An abscess cannot be excluded. Multiple sclerotic metastases are again noted.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Enlarged prostate.BLADDER: Diffuse wall thickening of the bladder.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Extensive bone metastases are again noted.Pathologic fractures involving the iliac bones are also again noted.OTHER: No significant abnormality noted | Mixed response of the lung nodules as described above. Interval increase in the size of the mediastinal adenopathy.Diffuse wall metastases are grossly stable. Left paraspinal hypodense lesion of uncertain etiology is slightly smaller compared to previous study. |
Generate impression based on findings. | Metastatic prostate cancer with rising PSA. No abnormal osseous foci are identified to indicate metastatic disease.Again present are multilevel degenerative changes throughout the thoracic and lumbar spine, confirmed on CT. There are new contiguous foci of activity involving the left fourth through seventh lateral ribs. On questioning, the patient describes a significant fall in 2013 resulting in fractures and lumbar vertebroplasty. Healing left rib fracture is confirmed on CT.There is also new mild to moderate increased activity at L2 which corresponds to a compression deformity and vertebroplasty material on CT. | 1.No evidence of bone metastatic disease.2.Interval healing left rib fractures and compression fracture seen at L2. |
Generate impression based on findings. | Reason: h/o hnc and crt, compare to previous measurement History: none CHEST:LUNGS AND PLEURA: Multiple bilateral pulmonary nodules with interval placement brachytherapy seeds in some of the larger nodules.Right upper lobe nodule (series 5/103) now 9 mm, increased from 7 mm.Reference right upper lobe nodule with brachytherapy seeds (series 5 slice 117) now 11 x 20 mm, slightly decreased from previous when using comparable measurements.Right middle lobe nodule with brachytherapy seeds (series 5 slice 137), with no measurable soft tissue component, though there is considerable streak artifact from a brachii therapy seeds which may obscure any residual tumor.Left lower lobe reference nodule with brachytherapy seeds (series 5 slice 162) now 24 x 20 mm, increased from 12 x 13 mm, though the change may be due to inflammatory reaction. There is also increased peripheral subpleural opacity suggestive of focal atelectasis.Adjacent subpleural nodule (series 5/22) now 7 x 7 mm, not significantly changed.Left lower lobe nodule with interval placement of a brachii therapy seeds (series 5/219) measuring 11 x 17 mm, increased from 8 x 9 mm previously, likely due to inflammatory radiation reaction.Left lower lobe nodule and may costophrenic angle with interval placement of a brachii therapy seeds (series 5/238) now 8 x 10 mm, slightly increased from 5 x 9 mm previously.No pleural effusions.MEDIASTINUM AND HILA: No significant hilar or mediastinal lymphadenopathy.No visible coronary artery calcification.No pericardial effusion.Surgical clips in the thyroid bed.CHEST WALL: Obstruction of the right subclavian vein at the thoracic inlet with multiple collaterals in the chest wall, unchanged.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Interval placement of a brachii therapy seeds in multiple pulmonary nodules which creates considerable artifact, in comparing current measurement. However in some nodules the soft tissue component has increased which may represent an inflammatory radiation reaction. Other nodules have slightly decreased. 2. Interval increase in size all other untreated pulmonary nodules. |
Generate impression based on findings. | Headache, nausea, recent lumbar puncture. Evaluate for bleed. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage. |
Generate impression based on findings. | There is no evidence of fracture. There is slight rightward convexity of the mid cervical spine. There straightening of the cervical lordosis, likely related to cervical collar. The vertebral column alignment is otherwise within normal limits. The vertebral body and disc space heights are preserved. There are mild multilevel degenerative changes without significant spinal canal or foraminal stenosis. The paravertebral soft tissues are unremarkable. | No acute fracture or subluxation of the cervical spine. |
Generate impression based on findings. | Headache. Signs of increased intracranial pressure or mass. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | No evidence of intracranial hemorrhage or mass. |
Generate impression based on findings. | Female 68 years old Reason: persistent epigastric and RLQ pain for 6 weeks; sitophobia History: as above ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: Atrophic or surgically absent.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Scattered colonic diverticulosis. No evidence of diverticulitis. The appendix is normal. Terminal ileum is normal. No bowel wall thickening or dilatation. No fat stranding or fluid suggest inflammatory process in the right quadrant.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | No findings to explain right lower quadrant pain. |
Generate impression based on findings. | Male 42 years old Reason: Please assess enterocutaneous fistula and fluid collection below - has it enlarged? Any abscess/ History: h/o recurrent enterocutaneous fistula This study is limited due to lack of intravenous contrast.ABDOMEN:LUNG BASES: Trace bilateral pleural effusions.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Right kidney is not visualized. Left kidney is atrophic and contains multiple parenchymal calcifications. Right iliac fossa transplant kidney.RETROPERITONEUM, LYMPH NODES: Atherosclerotic calcifications in the aorta and its branches. Tortuosity of the abdominal aorta.BOWEL, MESENTERY: Midline large tissue defect with possible enterocutaneous fistula, best seen on image number 96, series number 3. No definite intra-abdominal collections are noted. Previously described fluid collection in the pelvis has resolved within the interval.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: Please see discussion aboveBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | Limited study due to lack of intravenous contrast. Midline large tissue defect with possible enteric fistula. |
Generate impression based on findings. | Male 51 years old Reason: pT3b N1 prostate cancer now on ADT with PSA of 0.19. Evaluate for any metastatic or nodal disease. History: prostate cancer. CHEST:LUNGS AND PLEURA: Granuloma left upper lobe. No soft tissue nodules or effusions.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: Granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No pathologic size nodes. Mild to moderate atherosclerotic calcifications, no evidence of aneurysm.BOWEL, MESENTERY: Small mesenteric nodes. Bowel is normal.BONES, SOFT TISSUES: Presumed injection sites anterior abdominal wall.OTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Surgically absent.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No sclerotic or lytic lesions.OTHER: Mild atherosclerotic disease. Evidence of aneurysm. | No measurable metastatic disease. Small mesenteric nodes not pathologic in size. Granulomatous disease chest, spleen. |
Generate impression based on findings. | Memory loss, change in speech, slight facial droop and right-sided headaches, bilateral abducens nerve palsy. Evaluate for intracranial lesion in patient with mediastinal mass. Mild motion artifact somewhat limits evaluation. There is no evidence of intracranial hemorrhage within the limitations of post-contrast technique. There is no enhancing mass within limitations of CT technique. The ventricles and sulci are prominent, consistent with parenchymal volume loss. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with moderate age-indeterminate small vessel ischemic changes. There is no midline shift or herniation. The scattered opacification of the anterior ethmoid air cells. There is mild mucosal thickening of the right maxillary sinus. The other imaged paranasal sinuses and mastoid air cells are clear. The skull and extracranial soft tissues are unremarkable. | 1. No evidence of enhancing intracranial mass. MR would be more sensitive.2. Moderate age-indeterminate small vessel ischemic changes. |
Generate impression based on findings. | Male 70 years old Reason: NHL, re-eval and compare to previous History: NHL CHEST:LUNGS AND PLEURA: Left lower lobe micronodular is unchanged from previous study.MEDIASTINUM AND HILA: Smaller the spinal lymph nodes are unchanged.CHEST WALL: Index right axillary lymph node measures 3 mm in diameter image number 33, series number 3.ABDOMEN:LIVER, BILIARY TRACT: Bilobar hepatic cysts are unchanged.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: Index portacaval node now measures 1.4 by 1.2 cm on image number 108, series number 3, slightly smaller compared to previous study.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: Index left external iliac lymph node is now smaller measuring 8 by 7 mm image number 190, series number 3, smaller compared to previous study.BOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: Right hip prosthesis.OTHER: No significant abnormality noted | Interval decrease in the size of most of the index lymph nodes as described above. |
Generate impression based on findings. | Male 60 years old Reason: episode of left flank pain, hematuria, N/V last week History: episode of left flank pain, hematuria, N/V last week ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. No biliary dilatation.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted | No evidence of nephrolithiasis. Cholelithiasis. |
Generate impression based on findings. | Female 66 years old Reason: pt with a history of urothelial cancer, status post chemotherapy. please assess for disease progression History: urothelial cancer This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypodense lesion in the left lobe of the liver is unchanged.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy.BLADDER: Status post cystectomy.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Right lower quadrant ileostomy.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted. | Limited study due to lack of intravenous contrast. No definite evidence of metastatic or recurrent disease. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in father. 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 extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Please note that the patient's breast density reduces the sensitivity of mammography and increases the importance of physical examination for the detection of breast abnormalities. Given her family history of breast cancer in a male relative (father), consultation with cancer risk clinic should be considered.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Bilateral keloids. Two standard digital views (total of 7 images) 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 areas of architectural distortion are present. Scattered benign calcifications, including dermal calcifications, are present bilaterally. | 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 benign right breast biopsy. Family history of breast cancer in mother (diagnosed at the age of 67) and grandmother (diagnosed at the age of 75). 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. Biopsy marker clip is identified in the right lower inner breast, at site of prior biopsy-proven fibroadenoma. Additional similar morphology mass with faint calcifications is present in the right upper outer breast, likely representing an additional fibroadenoma, not significantly changed, but more visible this year with tomosynthesis. Scattered benign calcifications are present bilaterally. No suspicious masses, microcalcifications or areas of architectural distortion are present. Benign right intramammary lymph node. | Benign morphology masses in the right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of benign left breast biopsy. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Biopsy marker clip is identified in the left superior breast, at site of prior benign breast biopsy. There are multiple circumscribed masses in both breasts, most of which are stable or slightly smaller when compared to prior exams. These have been seen to be simple cysts on prior ultrasound exams. No suspicious masses, microcalcifications or areas of architectural distortion are present. Benign lymph nodes project over the axilla. | Multiple benign morphology masses of varying sizes. 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 with additional bilateral MLO views 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, microcalcifications or areas of architectural distortion are present. | 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. | Fall. Evaluate for fracture AP view of the pelvis reveals no evidence of any fractures or dislocations. There are mild degenerative changes at both hips. There is a focus of heterotopic bone formation seen inferior to the left ischium. This heterotopic bone is seen on the previous exam of 2013.Two additional views of the left hip reveal no evidence of any fractures or dislocations. | No fractures or dislocations. Mild degenerative changes in both hips. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother and maternal cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | 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: NSD - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, diagnosed at the age of 67. 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 areas of architectural distortion are present. Scattered benign calcifications are present bilaterally. | 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 36 years old Reason: Concern for placentation given history of C/S and myomectomy with multiple fibroids, unclear dilenation of placenta on 2/4 ultrasound, concern for possible accreta, please include assessment of entire uterus History: 24w5d pregnancy s/p mifepristone, fetus incompatible w/ life, proceeding w/ D\T\E today, please assess placentation given surgical history listed above PELVIS:UTERUS, ADNEXA: Single intrauterine pregnancy. There is very little amniotic fluid. The fetus is in vertex position. The fetal lungs appear hypoplastic. Numerous fibroids are noted throughout the uterus largest measuring 5.3 by 3-cm within the anterior myometrium.Uteroplacental line is intact throughout the placenta. No evidence of placenta increta or percreta.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Trace amount of fluid in the pelvis. | Multiple uterine fibroids. Oligohydramnios. Hypoplastic fetal lungs. |
Generate impression based on findings. | Female 55 years old; Reason: h/o relapsed Follicular Lymphoma s/p 6 cycles of Bendamustine/Rituxan in need of end of treatment staging. History: Lymphoma CHEST:LUNGS AND PLEURA: Upper lobe predominant emphysema. Improved aeration when compared to prior study, e.g., right upper lobe groundglass opacity on earlier study essentially resolved. Mild persistent bronchial wall thickening. Stable right middle lobe 4 mm lung nodule, image 53 series 5, nonspecific and may be postinflammatory/postinfectious in etiology. No pleural effusion.MEDIASTINUM AND HILA: Atherosclerotic thoracic aorta. Central venous catheter seen with tip near cavoatrial junction. Right axillary surgical clips.CHEST WALL: Stable right lateral breast nodularity, nonspecific. Stable 1.2 cm right subscapularis muscle hypoattenuating lesion without significant change, image 56 series 2.ABDOMEN:LIVER, BILIARY TRACT: Scattered subcentimeter hypoattenuating liver lesions, too small to characterize but stable. SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Symmetric renal parenchymal enhancement. Left renal subcentimeter hypoattenuating lesions, too small to characterize but most likely cysts. RETROPERITONEUM, LYMPH NODES: Aortobiiliac atherosclerotic disease. Subcentimeter lymph nodes.BOWEL, MESENTERY: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Fibroid uterus.BLADDER: No significant abnormality noted.LYMPH NODES: Previously reference left external iliac lymph node decreased in size, measuring 3 mm in maximum short axis dimension, image 173 series 3, previously measured 5 mm.BONES, SOFT TISSUES: Visualized osseous structures stable in appearance. Multilevel degenerative disease and thoracic scoliosis. Unchanged left iliac osseous heterogeneity. | 1. No enlarged adenopathy.2. Improved aeration. 3. Remainder of exam without significant change as above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, diagnosed at the age of 75. 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. Scattered benign calcifications, predominantly in the right breast, have progressed in a benign fashion. No suspicious masses, microcalcifications or areas of architectural distortion are present. | Bilateral benign calcifications. 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. | Male 18 years old Reason: Injury of knee History: Injury of knee Bone mineralization is normal. Alignment is anatomic. There is an osteochondral defect involving the medial femoral condyle measuring 3.0 x 2.1 x 0.9 cm. (ap x w x d)There is a lucency between the fragment and the remainder of the femoral condyle which suggests loosening of the fragment. There is also some fragmentation of the fragment.There is a small joint osteophyte involving the medial tibial plateau. There is an osteophyte from the lower pole of the patella. The joint spaces are normal. Small joint effusion. | Osteochondral defect of the femoral condyle as detailed above. Further evaluation with MRI can be performed to evaluate if the fragment is loose. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Scattered benign calcifications are unchanged in both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There is no evidence of fracture or subluxation. There is mild reversal of the usual cervical lordosis. The vertebral body heights are preserved. There is moderate loss of disc height at C3-4, C4-5, C5-6 and C6-7. There is no significant spinal canal stenosis. The paravertebral soft tissues are unremarkable.C2-C3: Moderate right facet arthropathy. No significant disc bulge, spinal canal or foraminal stenosis.C3-C4: Disc osteophyte complex with bilateral uncovertebral spurs, contributing to moderate right greater than left bilateral foraminal stenosis and moderate spinal canal stenosis.C4-C5: Disc osteophyte complex with bilateral uncovertebral spurs, contributing to mild right and moderate left foraminal stenosis and mild to moderate spinal canal stenosis.C5-C6: Disc osteophyte complex with bilateral uncovertebral spurs, contributing to mild to moderate right and mild left foraminal stenosis as well as moderate spinal canal stenosis.C6-C7: Disc osteophyte complex with bilateral uncovertebral spurs, contributing to mild right and mild to moderate left foraminal stenosis. No significant spinal canal stenosis.C7-T1: No significant disc bulge, spinal canal or foraminal stenosis. | 1. No acute fracture or subluxation of the cervical spine. 2. Multilevel cervical spondylosis, most prominent at C3-4, with moderate spinal canal stenosis and multilevel foraminal stenosis. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. There are two new masses in the right breast; one at upper outer quadrant and the other at upper inner quadrant. No suspicious microcalcifications or areas of architectural distortion are present. | Two new masses in the right breast; one at upper outer quadrant and the other at upper inner quadrant, for which spot compression views and possible ultrasound study are recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 64 years old Reason: s/p total knee explant History: s/p total knee explant Status post removal of hardware and placement of cement spacer.There is a fracture/osteotomy of the anterior cortex of the proximal tibia affixed by two cerclage wires.Redemonstrated is the deformity of the inferior pole of the patella which may represent a healing /healed fracture.Skin staples are in place. There is a joint effusion. | Postoperative changes from right knee hardware removal as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is mostly fatty replaced. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSA - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 54 years old Reason: pain History: pain Bone mineralization is normal. Alignment is anatomic. There is mild to moderate medial compartment joint space loss and small tricompartmental osteophytes. There is a moderate joint effusion. No acute fracture or malalignment. | Moderate left knee osteoarthritis. |
Generate impression based on findings. | Ms. Lawrence is a 76 year old female with a personal history of bilateral cyst aspiration. Family history of breast cancer in mother. 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 pattern and distribution. There are multiple waxing and waning partially obscured masses seen in both breasts, several of which have been previously characterized as simple cysts on prior ultrasound exams. Scattered benign calcifications are present bilaterally. There is no new mass, suspicious microcalcifications or areas of architectural distortion identified in either breast. | Bilateral benign morphology masses of varying sizes. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Female 67 years old Reason: pre-op History: pain Severe osteoarthritis affects the right knee with bone on bone apposition in the medial compartment causing a genu varus. Axis is 15 degrees varus.Partially imaged is osteoarthritis involving the ankle joint. | Osteoarthritis and genu varus as detailed above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Male 67 years old; Reason: cholangiocarcinoma s/p SBRT 12/2014. evaluate for treatment response. CHEST:LUNGS AND PLEURA: Central airways patent. Focal scarring suggested in anterior left upper lobe. No suspicious lung nodule, no pleural effusion.MEDIASTINUM AND HILA: Moderate calcified coronary artery disease.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Hepatic segment 4 lesion no longer demonstrates discernible enhancement (rim enhancing seen on prior imaging not seen) and is decreased in size, measuring approximately 3 x 2.7 cm, image 18 series 8, previously measured 4.4 x 2.8 cm. Patent portal veins and hepatic arteries. Patent TIPS shunt. Unchanged presumed subcapsular cyst in right lobe, image 82 series 11. Possible dystrophic calcification seen in periphery of posterior right lobe, image 100 series 11, may reflect sequela of prior granulomatous disease. Stable surgical clip near Morison's pouch. Status post cholecystectomy. SPLEEN: Stable splenomegaly. PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Scattered diverticulosis without evidence of acute diverticulitis. Mild right sided colonic wall thickening at level of hepatic flexure, may reflect component of portal colopathy. Submucosal fat deposition seen at level of rectum, may reflect sequela of prior inflammation.PELVIS:PROSTATE, SEMINAL VESICLES: 2.8 cm fat containing left inguinal hernia. Possible small incompletely imaged right hydrocele. Prostate measures up to 5.2 cmBLADDER: No significant abnormality noted.BONES, SOFT TISSUES: Visualized osseous structures without significant change. Multilevel degenerative changes of spine. Moderate to severe right-sided glenohumeral joint osteoarthritis. | 1. Interval improvement in size and enhancement of hepatic segment 4 lesion.2. Hepatic cirrhosis with splenomegaly and patent TIPS shunt. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Status post resection of stage I8 non-small cell lung cancer April 2013. Now with increased mediastinal adenopathy. Restaging exam.RADIOPHARMACEUTICAL: 12.0 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates postsurgical change from partial resection of the right upper lobe. Enlarged right paratracheal lymph nodes are noted.Today's PET examination demonstrates numerous new small but markedly hypermetabolic thoracic lymph nodes extending from the right supraclavicular region to involve right paratracheal, right prevascular and subcarinal lymph nodes, consistent with metastatic tumor. The most metabolically active is seen at the subcarinal region (SUV max = 13.7).A small but markedly hypermetabolic lymph node in the contralateral left lower paraesophageal/para-aortic location in the posterior mediastinum indicates additional metastatic disease.No suspicious FDG avid lesion is seen within the abdomen, pelvis, or visualized skeleton. | Multiple new small but markedly hypermetabolic thoracic lymph nodes, consistent with metastatic progression. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Ms. Taylor is a 36 year old female with a family history of breast cancer in two maternal aunts. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. There is no new mass, suspicious microcalcifications or areas of architectural distortion identified in either breast. Scattered benign calcifications are present bilaterally. Benign lymph nodes project over the axillae. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. Tomosynthesis images are also obtained. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Female 66 years old Reason: Rule out arthritic joint/ infectious History: Shoulder pain, Mild subluxation of the humerus, possibly positional. There appears to be a large joint effusion / distention of the subacromial subdeltoid bursa or mass with possible debris within it. The cortex of the posterior margin of the glenoid is irregular.Mild to moderate osteoarthritis affects the AC joint. | Probable joint effusion or distended subacromial subdeltoid bursa. Consider cross-sectional exam for further elevation. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild to moderate age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with mild to moderate age-indeterminate small vessel ischemic changes. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial hemorrhage. Mild-moderate age-indeterminate small vessel ischemic changes. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended. |
Generate impression based on findings. | PainVIEWS: Right forearm AP and lateral, right elbow AP, oblique and lateral There is a minimally displaced fracture involving the lateral and medial epicondyles with associated moderate elbow joint effusion. There is associated soft tissue swelling about the elbow joint. The distal fracture fragment is dorsally angulated. | Acute fractures of the epicondyles as described above. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense. Coarse benign calcifications are seen in both breasts.No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Non-Hodgkins lymphoma. Compare to prior study. There is no significant cervical lymphadenopathy or mass lesions in the neck. The Waldeyer ring structures are not significantly enlarged. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There is mild multilevel degenerative spondylosis. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear. | No evidence of recurrent lymphoma in the neck. |
Generate impression based on findings. | PICC placementVIEW: Chest AP 2/5/15 Tracheostomy tube and NG tube again noted. Left upper extremity PICC with tip in the left axillary vein. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally not significantly changed. No pleural effusion or pneumothorax. | Left PICC with tip in the left axillary vein. |
Generate impression based on findings. | 58 year-old female with right lower quadrant and right flank pain. Evaluate for appendicitis or other abnormality. CHEST:LUNGS AND PLEURA: Mild right middle lobe and left basilar subsegmental atelectasis/scarring. Bilateral apical paraseptal emphysema/blebs. No suspicious pulmonary nodule. No pleural effusion or pneumothorax.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. No mediastinal or hilar lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No hydroureteronephrosis.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The descending colon is underdistended and fluid filled, which is nonspecific. Appendix is not definitely identified; however, no secondary signs of appendicitis. PELVIS:UTERUS, ADNEXA: Hysterectomy.BLADDER: No significant abnormality noted.BOWEL, MESENTERY: As above.BONES, SOFT TISSUES: No significant abnormality noted. | 1.Appendix is not discretely identified; however, no secondary signs of appendicitis. 2.No other findings to account for patient's pain. |
Generate impression based on findings. | Reason: Evaluate for PE History: pleuritic chest pain PULMONARY ARTERIES: No evidence of pulmonary embolism. The main pulmonary artery diameter is normal, and there is no evidence of right heart strain.LUNGS AND PLEURA: Small lung volumes, with subsegmental atelectasis in the left lung base, otherwise unremarkable.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.No coronary calcifications are visible, the heart and pericardium appear normal.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post bariatric surgery, with surgical sutures associated with the stomach and GE junction region. | No evidence of pulmonary embolism, or other acute abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
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