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Generate impression based on findings. | Female; 80 years old. Reason: Hx lung CA, status post chemo. Pls compare to previous and measurements. History: none CHEST:LUNGS AND PLEURA: Necrotic tumor in the right upper lobe appears mildly increased since prior study with increased extension into the right superior mediastinum and increased attenuation of the rig... | Interval increased right upper lobe necrotic mass and mediastinal lymphadenopathy, as well as increased nodular opacities at the right lung base. |
Generate impression based on findings. | 35-year-old male with history of metacarpal fracture There is an oblique fracture of the distal diaphysis of the fifth metacarpal with marked volar angulation of the distal fracture fragment. | Boxer's fracture with marked volar angulation of the distal fracture fragment. |
Generate impression based on findings. | 65-year-old male with history of pancreatic cancer, status post Whipple, chemo and recent disease progression. CHEST:LUNGS AND PLEURA: Mild apical fibrosis. No suspicious pulmonary masses. No pleural effusions.MEDIASTINUM AND HILA: Small mediastinal lymph nodes, none of which are pathologic in size. No significant peri... | 1.Postoperative findings of distal pancreatectomy with interval resolution of surgical bed fluid collection. No measurable mass to suggest recurrence.2.Soft tissue density about the hepatic artery and trifurcation, nonspecific and may be postoperative in nature, however cannot exclude tumor encasement without compariso... |
Generate impression based on findings. | 14-year-old male with chest pain with inspiration shortness of breath x 5 daysVIEWS: Chest PA/lateral (two views) 02/05/15 Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Streaky opacity in the right lung base best seen on lateral view likely represents atelectasis. No pneumonia. | No pneumonia. Findings were text paged to pager 5718, Dr. Shi, on 2/5/15 at 1628. |
Generate impression based on findings. | Reason: 46 y/o female with DCIS breast cancer; 2/6/15-right axillary SNBx with bilateral simple mastectomy; possible complete axillary dissection RADIOPHARMACEUTICAL: The right breast was prepared in a sterile manner. A total of 1.1 mCi Tc-99m filtered sulfur colloid was injected in four periareolar injections. A focus... | Sentinel node identified in the right axilla. |
Generate impression based on findings. | Female 75 years old; Reason: new pleural effusion, assess for extent of metastatic disease. Per chart, recent malignant pleural effusion. Increased uptake at T9/T10 correlates with benign degenerative changes or conceivably diskitis on comparison CT. There is degenerative activity noted at T5/T6 and T6/T7. There is mil... | 1. Right 9th rib lesion is very suspicious for tumor involvement.2. Right femur lesion is more likely benign, although additional metastatic disease cannot be entirely excluded.3. Consider FDG PET for further evaluation for bone and soft tissue tumor activity. |
Generate impression based on findings. | 14-year-old female with pan serositis, evaluate for lymphadenopathy/mass CHEST:LUNGS AND PLEURA: Moderate bilateral pleural effusions, left greater than right, with adjacent atelectasis. No focal nodules or masses.MEDIASTINUM AND HILA: Heart size is normal. Moderate pericardial effusion is present. Pericardial drain is... | 1.Moderate pleural effusions, left greater than right, with adjacent atelectasis.2.Moderate pericardial effusion with drain in place.3.Anterior mediastinal mass as described above is felt to represent lymphadenopathy due to mass effect from the left brachiocephalic vein. |
Generate impression based on findings. | Evaluate feeding tubeVIEW: Abdomen AP Feeding tube tip at the pylorus of the stomach. Disorganized nonobstructive bowel gas pattern. Minimal patchy atelectasis at the right lower lobe and left lower lobe. | Feeding tube tip at the pylorus of the stomach. |
Generate impression based on findings. | Feeding tube placementVIEW: Abdomen AP Feeding tube tip at the body of the stomach. Disorganized nonobstructive bowel gas pattern. Minimal patchy atelectasis right lower lobe. | Feeding tube tip at the body of the stomach. |
Generate impression based on findings. | 24-year-old male with history of pain. Subtle lucency through the first distal phalanx only appreciated on the lateral view may represent a healing nondisplaced fracture. | Subtle lucency along the distal phalanx may represent a healing nondisplaced fracture. |
Generate impression based on findings. | 37-year-old male with history of left acetabular fracture. There is a comminuted fracture along the posterior aspect of the acetabulum extending into the superior acetabulum with multiple displaced fracture fragments. Additionally, there is a 1 cm triangular interarticular fracture fragment noted within the medial aspe... | Comminuted fracture of the left posterior acetabulum with intra-articular fracture fragment and small adjacent hematoma as above. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with moderate age-related volume loss. There is mild ex vacuo dilatation of the left occipital horn. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are numerous areas of chronic encephalomalacia again seen. There is no extraaxial ... | No acute intracranial abnormality. Redemonstration of multiple areas of encephalomalacia likely related to chronic infarcts. |
Generate impression based on findings. | 62-year-old male with history of metastatic prostate cancer, rising PSA. Assess for progressive disease. There has been significant interval progression of widespread osseous metastases in the spine, ribs, pelvis, bilateral humeri, and bilateral proximal femora, which have markedly increased in size and number. | Significant interval progression of widespread osseous metastases. |
Generate impression based on findings. | Female 74 years old Reason: compression fracture? kidney stone? History: back pain Vertebral body heights are anatomic. There is disk space narrowing predominantly at L2-L3, L4-L5. There are anterior osteophytes at multiple levels. There is lower lumbar facet degenerative changes.Postsurgical changes with multiple clip... | Lumbar spine degenerative change without compression fracture.Non specific rounded radiodensities in the upper abdomen . |
Generate impression based on findings. | 50 year-old female with multiple myeloma and right hip pain. RADIOPHARMACEUTICAL: 12.3 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 105 mg/dL. Today's CT portion grossly demonstrates right hip joint effusion, vasectomy clips, orthopedic hardware in the thoracic spine, and lytic lesions in the bilateral sc... | 1.No suspicious FDG avid lesion to suggest current tumor activity.2.Hypermetabolic soft tissue activity associated with a significant right hip joint effusion consistent with infection or inflammation, new from previous, and likely the cause of the patient's symptoms. |
Generate impression based on findings. | 66-year-old female with breast cancer. Innumerable foci of mottled increased radiotracer uptake in the axial and proximal appendicular skeleton, including the skull, ribs, spine, pelvis, and proximal bilateral humeri and femora. | Widespread osseous metastases. |
Generate impression based on findings. | 2 year old male with neuroblastoma. Re-staging of disease day +30 s/p autologous stem cell transplant. Postprocessing motion correction was performed for SPECT portion of the exam, which remains slightly degraded by motion artifact. Normal physiologic radiotracer distribution is seen in the salivary glands, myocardium,... | No convincing evidence of MIBG active tumor currently. Previous weak MIBG tumor activity is no longer visualized. |
Generate impression based on findings. | Severe arm pain. Evaluate for fracture. Three views of the right wrist are provided. I see no fracture. Moderate osteoarthritis affects the first carpometacarpal joint. Additionally, there is chondrocalcinosis of the triangular fibrocartilage and articular cartilage of the wrist; the possibility of pseudogout may be co... | 1.Chondrocalcinosis and mild osteoarthritis of the wrist as described above. I see no fracture.2.Mild osteoarthritis and elevation of the distal humeral fat pads indicating synovitis/joint effusion. While I see no fracture, the possibility of a hemarthrosis due to an occult fracture, typically of the radial head, may b... |
Generate impression based on findings. | Knee pain. Rule out fracture. I see no fracture, malalignment, or joint effusion. I see no specific findings to account for the patient's pain. | No fracture or other specific findings to account for the patient's pain are evident. If there is clinical concern for internal derangement, MRI may be considered. |
Generate impression based on findings. | Leg pain. Fracture, osteoarthritis? Four views of the right knee are provided. I see no fracture. There is severe osteoarthritis of the medial tibiofemoral compartment with near bone-on-bone apposition as well as prominent osteophyte and subchondral cyst formation. Additional small osteophytes are noted affecting the p... | Osteoarthritis of the hips and knees as described above. |
Generate impression based on findings. | Evaluate revision of reverse total shoulder arthroplasty Evaluation of fine detail is limited by overlying splint material. Components of a reverse total shoulder arthroplasty device are situated in near-anatomic alignment. An overlying drain and skin staples reflect recent surgery. Heterotopic ossification is again no... | Postoperative changes of reverse total shoulder arthroplasty revision as described above. |
Generate impression based on findings. | History of osteomyelitis of the distal phalanx of the left great toe. Evaluate for resolution. The bones are demineralized. Again seen is irregularity of the margin of the tuft of the distal phalanx of the great toe compatible with osteomyelitis. This appears similar to that seen on the prior study and I am not convinc... | Overall, the findings are similar to those seen on the prior study. Although irregularity of the margin of the tuft of the distal phalanx of the great toe is compatible with osteomyelitis, I see no findings to suggest disease progression. If further imaging evaluation is clinically warranted, MRI is recommended. |
Generate impression based on findings. | Knee pain. Osteoarthritis? Fracture? History of fall. Four views of the left knee are provided. Again seen are orthopedic screws and pins affixing what I presume to be a healed tibial plateau fracture in near-anatomic alignment. This appears similar to the prior study. I see no acute fracture. Mild deformity of the pro... | Osteoarthritis an old posttraumatic deformities as described above. I see no acute fracture. |
Generate impression based on findings. | Alignment is anatomic. There is a stable mild chronic L5 compression fracture dating back to 6/21/2014 with small Schmorl node involving the superior endplate. No osseous retropulsion. Interval development of mild (approximately 40 percent) loss of height of the T12 vertebral body, new since prior CT from 12/12/14. Th... | 1.Multilevel degenerative changes with moderate spinal canal stenosis at L4-5. There is moderate to severe left L5-S1 neural foraminal narrowing which may be impinging on the left L5 nerve root. 2.Compared to CT 12/12/2014, interval development of compression fractures involving the T12, L1, and L3 vertebral bodies wit... |
Generate impression based on findings. | 61 year old female with history of abdominal pain. Evaluate for partial small bowel obstruction. Lack of intravenous contrast limits evaluation of solid organ pathology.ABDOMEN:LUNG BASES: Minimal bibasilar subsegmental atelectasis. Calcified right lung base anterior granuloma. No significant pericardial effusion. At l... | 1.Partial small bowel obstruction, slightly improved but similar to prior.2.Persistent small foci of gas in the presacral surgical bed with associated soft tissue thickening, likely blind ending sinus tract possibly representing chronic sacral osteomyelitis. |
Generate impression based on findings. | Reason: eval for evidence of elevated ICP prior to LP History: AMS There is redemonstration of a calcific lesion adjacent to the temporal horn of the right lateral ventricle anterior aspect of the right temporal lobe. This currently measures 18 x 13 mm axial dimensions and previously measured 14 x 12 mm axial dimension... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Since the previous exams a partially calcified mass in the right temporal lobe has continued to slowly increase in size. One possibility is that this represents a primary brain neoplasm such as oligodendroglioma in a periventricular region.3.Periven... |
Generate impression based on findings. | Male 52 years old; Reason: r/o hydronephrosis/bladder mass History: abd pain and lt flank pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Subcentimeter hypodensities are too small to characterize.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL ... | 1.No focal lesion within the collecting system. No hydronephrosis. No specific cause for patient's abdominal/flank pain is identified. |
Generate impression based on findings. | altered mental status Left skull base sphenoid wing calcified meningioma and right middle cranial fossa meningioma with surrounding encephalomalacia, no change since prior exam.Left fronto-temporal craniotomy was seen, no change since prior exam.Slightly enlarged ventricular system, no change since prior exam.There is ... | No evidence of acute ischemic or hemorrhagic lesion.Bilateral meningiomas with associated encephalomalacia, no change since prior exam. |
Generate impression based on findings. | MCA aneurysm clipping follow up Evidence of right pteryonal craniotomy with surgical clip on the right side sylvian fissure indicating post right MCA aneurysm clipping.Associated pneumocephalus and subtle low attenuations on the right inferior frontal lobe area are representing post operative changes.No evidence of sig... | Post right MCA aneurysm clipping status, no unusual finding.No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Female 46 years old; Reason: bowel obstruction History: vomiting, abdominal pain CHEST:LUNGS AND PLEURA: Scattered micronodules are nonspecific but stable.MEDIASTINUM AND HILA: Reference prevascular/para-aortic lymph node is unchanged. It measures 0.9 x 0.8 cm (3, image 20), previously 0.9 x 0.8 mm. New prevascular lym... | 1.Evidence of disease progression with enlarging right adnexal lesion and increase mesenteric soft tissue nodularity throughout the abdomen and pelvis.2. New obstruction of the right kidney secondary to distal ureteric compression and/or invasion from described right adnexal mass.3. Suspicion for sclerotic bone metasta... |
Generate impression based on findings. | 2-year-old male with neuroblastoma status post transplant CHEST:LUNGS AND PLEURA: Increased diffuse bilateral patchy airspace opacities. There is relative sparing of the apical segment of the left upper lobe. No pleural effusion.MEDIASTINUM AND HILA: Moderate cardiomegaly. Minimal pericardial fluid. Foci of gas within ... | 1.Left adrenal mass is slightly decreased in size since the prior exam. 2.Increased diffuse bilateral patchy airspace opacities may represent infection. A component of overlying pulmonary edema is probable. Moderate cardiomegaly with small pericardial effusion. |
Generate impression based on findings. | 59-year-old male with history of stroke, presenting with head trauma, possible loss of consciousness. No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. There are scattered areas of hypoattenuation in the periventricular and subcortical white... | 1. No evidence of acute intracranial hemorrhage or mass effect. Please note CT is insensitive for the detection of acute non-hemorrhagic infarcts, and MRI should be considered if there is continued clinical suspicion.2. 1.5 cm lytic lesion in the left parietal calvarium is nonspecific. Comparison with prior studies is ... |
Generate impression based on findings. | Elbow pain Again seen is a slightly impacted but essentially nondisplaced fracture of the radial neck. There is elevation of the distal humeral fat pads, likely reflecting residual hemarthrosis. | Radial neck fracture. |
Generate impression based on findings. | Male 4 years old Reason: concern for abscess LLQ abnormality History: abdominal distention, ab pain ABDOMEN:LUNG BASES: Lung basesLIVER, BILIARY TRACT: There is no evidence of biliary ductal dilatation or focal mass lesion within the hepatic parenchyma.SPLEEN: No significant abnormality notedPANCREAS: No significant ab... | 1.Findings compatible with perforated appendicitis without evidence of periappendiceal abscess formation.2.Dilated loops of fluid-filled bowel most consistent with ileus, presumably related to the perforated appendicitis. |
Generate impression based on findings. | 78 year-old male with history of pleural effusion and possible paraneoplastic transverse myelitis. Evaluate for malignancy. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions with associated atelectasis. Several calcified pulmonary nodules are noted. Adherent debris in the lower trachea just superior to the cari... | 1.Small bilateral pleural effusions, and likely small amount of adherent debris in the inferior trachea as above.2.Right lower thoracic lateral subcutaneous edema and skin thickening, correlate with physical exam to exclude cellulitis.3.Mild L3 vertebrae compression deformity.4.No evidence of metastatic disease. |
Generate impression based on findings. | 7 year old female with trauma.VIEWS: Cervical spine lateral (one views) 2/5/2015 18:06 Evaluation limited to C1 through C6 secondary to overlying soft tissues obscuring C7 and below. No acute fracture or malalignment is evident. The prevertebral soft tissues are normal. | Normal examination. Evaluation limited to C1 through C6 secondary to overlying soft tissue. |
Generate impression based on findings. | Alignment of the thoracic and lumbar spine is anatomic. There are no fractures or subluxations. There are mild degenerative changes most notable at the L4-5 level with loss of disc height but no evidence of significant spinal canal stenosis. Mild scattered areas of lucencies are seen in the spine which may be related ... | 1.No evidence of an acute fracture or subluxation in the thoracic or lumbar spine.2.Mild degenerative changes without high grade spinal canal or neural foraminal stenosis.3.Enlarged left adnexal cystic structure is only partially visualized. Consider ultrasound follow-up for further evaluation.4.Mild scattered areas of... |
Generate impression based on findings. | 15-year-old male status post left hip I&D with increasing fevers and inflammatory markers PELVIS:Foley catheter is present. Scoliosis of the visualized lower lumbar spine. Large amount of stool in the colon. The remainder of the intrapelvic contents are within normal limits.No osseous erosions to suggest osteomyelitis.... | 1.Interval decrease in size of soft tissue density along the left medial femoral compartment.2.New hypodensity within the left gluteal muscles represent fluid collections that extend inferiorly along the fascial lines of the anterior femoral compartment. MR may be considered for further evaluation. |
Generate impression based on findings. | Trauma.VIEWS: Chest AP (one view), cervical spine AP and lateral (two views), pelvis AP (one view), date, time The aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal. No focal lung opacity, pleural effusion or pneumothorax is seen. Surgical staples are present in the right lung base. Ver... | Evaluation of the cervical spine limited to C1 through C6 secondary to overlying tissues. No acute fracture or malalignment evident. |
Generate impression based on findings. | Left internal jugular central venous catheter placement.VIEW: Chest AP (one view) 2/5/2015, 17:13 The left chest Port-A-Cath tip terminates at the cavoatrial junction.No focal airspace opacity is present. The aortic arch, cardiac apex and stomach are left-sided. The cardiothymic silhouette is normal. No pneumothorax or... | Left chest wall Port-A-Cath with the tip terminating in the cavoatrial junction. |
Generate impression based on findings. | Obtunded, question head injury No intracranial hemorrhage is identified. No intracranial mass or evidence of mass-effect. No midline shift or uncal herniation. Gray-white differentiation is maintained. No extra-axial collections. Ventricles are within normal limits without evidence of hydrocephalus. There is mild globa... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Female 14 years old Reason: monitor pleural effusions History: tachypneaVIEW: Chest AP (one view) 2/5/2015, 18:34 The pericardiocentesis catheter tip projects over the left atrium, unchanged in position.Persistent bilateral pleural effusions, unchanged when accounting for differences in technique. Associated basilar op... | Persistent bilateral pleural effusions and associated opacities likely reflecting compressive atelectasis, unchanged. |
Generate impression based on findings. | Exam is limited secondary to lack of intravenous contrast, habitus, and streak artifact from left chest wall pacemaker. There is partial effacement of the left piriform sinus. The upper trachea and esophagus are unremarkable. There is no abnormal soft tissue mass. The submandibular, sublingual, and parotid glands have... | 1. No evidence of discrete fluid collection, abscess, or mass.2. Enlarged bilateral level II cervical lymph nodes which are nonspecific, and may very well be reactive. However, the possibility of neoplastic process cannot be excluded. Please correlate with clinical history, symptoms and exam findings.3. Degenerative di... |
Generate impression based on findings. | Male 66 years old Reason: Worsening hypoxia, cough. Persistent influenza in 66 yo male s/p stem cell transplant. History: hypoxia, cough LUNGS AND PLEURA: Interval development of diffuse bronchial wall thickening and bronchiolitis with tree in bud opacities, right greater than left.Mild focal bronchiectasis of the lowe... | 1.Diffuse bronchiolitis likely infectious; if patient is currently immunocompromised opportunistic agents may be considered.2.Severe coronary artery calcifications again seen. |
Generate impression based on findings. | Reason: oropharyngeal CA History: oropharyngeal CA CT neck:Within the suprahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated. Within the infrahyoid neck on the basis of size criteria for lymphadenopathy no lymphadenopathy is appreciated.Within the retropharyngeal space there... | 1.No evidence for local recurrence or neck lymphadenopathy on the basis of CT size criteria for lymphadenopathy2.No evidence for brain metastases. |
Generate impression based on findings. | Tenderness after fall, rule out fracture.VIEWS: Pelvis AP and frog leg lateral (two views) 2/5/2015 The femoral heads are well seated within the acetabula. No acute fracture or malalignment is evident. | Normal examination. |
Generate impression based on findings. | Female 44 years old Reason: 44yo F with history gastric bypass, biliary leak, abdominal pain evaluate for bleed. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis. No pleural effusions.LIVER, BILIARY TRACT: Complex fluid collection in gallbladder fossa/segment 5 of the liver is again seen and measures 2.0 x 1 .9 cm, p... | Continued interval decrease in size of the reference intra- and perihepatic collections with measurements provided above. No evidence of intraabdominal hemorrhage, as clinically questioned. |
Generate impression based on findings. | 55-year-old with right breast mass seen on screening mammography. An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. An obscured mass... | Right breast cysts. 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 - 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. An oval asymmetry is ... | Oval asymmetry at lower left breast on MLO view, for which spot compression view and possible ultrasound study is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Respiratory insufficiency.VIEW: Chest AP (one view) 2/6/2015, 04:15 Persistent unchanged right upper and right middle lobe atelectasis with mediastinal shift to the right. The enteric feeding tube has been removed. Diffuse pulmonary haziness persists. The cardiothymic silhouette is normal. | Persistent right upper and right middle lobe atelectasis. |
Generate impression based on findings. | Female 50 years old; Reason: h/o colon ca, question liver mets History: RUQ pain, possible abnormal lesion on bedside ultrasound ABDOMEN:LUNG BASES: Subcentimeter left lower lobe pulmonary nodule (image 13/Series 4) measures 3-mm. LIVER, BILIARY TRACT: Liver is normal in morphology. Within segment two there is a hypode... | 1.Findings of a right colonic mass with metastatic disease to the mesentery, liver, right ovary, retroperitoneum and peritoneum.2.Mild right hydronephrosis due to partial occlusion of the right ureter from retroperitoneal lymphadenopathy.3.Nonspecific subcentimeter pulmonary nodule. |
Generate impression based on findings. | 36-year-old male with history of nail pulled out of finger. There are small bone fragments seen along the volar/radial aspect of the head of the middle phalanx and possibly along the volar aspect at the base of the distal phalanx compatible with minimally displaced chip fractures. We see no retained foreign body. | Small chip fractures as above. |
Generate impression based on findings. | Male 21 years old; Reason: rule out appendicitis History: abd pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URE... | 1.No CT findings of acute appendicitis as clinically questioned. |
Generate impression based on findings. | Female 31 years old; Reason: rule out dissection History: chest pain, uncontrolled HTN CHEST:LUNGS AND PLEURA: Subcentimeter nodular opacity in the left upper lobe (image 44/series 9) is nonspecific.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.Thoracic aorta is nor... | 1.No CT findings of aneurysm or dissection of the aorta.2.5.6-cm right adnexal cystic mass for which sonographic evaluation is suggested.3.Severe fatty infiltration of the liver. Follow up with hepatology is suggested. |
Generate impression based on findings. | 19-year-old male with history of pain. We see no fracture or other radiographic findings to account for the patient's pain. There is no joint effusion. | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 75-year-old female with history of fall. We see no fracture or malalignment. There is trabecular and cortical thickening involving the left innominate bone indicating Paget's disease. Mild to moderate osteoarthritis affects the hips and SI joints. There are scattered arterial calcifications. | Paget's disease and osteoarthritis as above, but no fracture is evident. |
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, microcalcificat... | 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; 45 years old. Reason: hx of oropharyngeal CA History: hx of oropharyngeal CA LUNGS AND PLEURA: Interval resolution of ground glass opacities in the left lower lobe. Very mild centrilobular emphysema. No suspicious pulmonary nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Right chest Port-A-Cath wi... | 1. No evidence of metastatic disease. 2. Interval resolution of aspiration pneumonitis in the left lower lobe. |
Generate impression based on findings. | Nasojejunostomy tube repositioning.VIEW: Abdomen AP (one view) 2/5/2015, 22:58 The Dobbhoff tube has been advanced, now coiled upon itself multiple times within the stomach. The guidewire is still in place.The bowel gas pattern is nonobstructive and no pneumoperitoneum, portal venous gas or pneumatosis intestinalis is ... | Dobbhoff tube coiled upon itself multiple times within the stomach. |
Generate impression based on findings. | Reason: head injury, assess for fracture, bleed History: AMS, emesis , frontal hematoma 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... | No evidence for acute intracranial hemorrhage mass effect or edema. |
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. Clusters of benign punctate calcifica... | 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. | Epilepsy status-post intubation.VIEW: Chest AP (one view) 2/6/2015, 04:07 Endotracheal tube tip is below the thoracic inlet and above the carina. The nasogastric tube tip projects out of the field of view inferiorly. The right internal jugular central venous catheter tip is in the SVC. A gastrostomy tube is in place.Pa... | Slightly improved patchy diffuse airspace opacities, perhaps reflecting improving atelectasis. |
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. Unchanged multiple focal asymmetries ... | 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. | Limited sequences of the brain are performed and examination is motion degraded. There is encephalomalacia in the right parietal lobe and in the left basal ganglia extending into the left insula and superior temporal gyrus consistent with chronic infarcts. There is associated ex vacuo dilatation of the left lateral ve... | 1.Chronic infarct in the left basal ganglia extending into the left insula and superior temporal lobe with area of acute infarct more superiorly in the left frontal corona radiata.2.Chronic right parietal infarct.3.No intracranial mass effect.4.Susceptibility effect in the left basal ganglia likely related to mineraliz... |
Generate impression based on findings. | Hypoxia status post intubation.VIEW: Chest AP (one view) 2/5/2015, 23:04 Endotracheal tube tip is below the thoracic inlet and above the carina. The nasogastric tube tip projects out of the field of view inferiorly. The right internal jugular central venous catheter tip is in the SVC. Patchy diffuse airspace opacities ... | Slightly improved patchy diffuse airspace opacities, perhaps reflecting improving atelectasis. |
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. 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. | Crackles in right lung base.VIEWS: Chest PA/lateral (two views) 2/6/2015 Peribronchial thickening and pulmonary hyperexpansion is present. The aortic arch, cardiac apex and stomach are left-sided. The cardiothymic silhouette is normal. Streaky retrocardiac opacities suggest subsegmental atelectasis. No pleural effusion... | Bronchiolitis/reactive airways disease pattern without evidence of superimposed pneumonia. |
Generate impression based on findings. | ICH follow up, increasing EVD setting Re-demonstration of right thalamic ICH, IVH with mass effects, no change in size and the degree of midline shift toward left side since prior exam.Ventricle size and the degree of dilatation also appear to be stable.Left frontal approach ventriculostomy tube position is stable with... | No interval change of right thalamic ICH, IVH with mass effect since prior study.Stable left frontal approach ventriculostomy tube. |
Generate impression based on findings. | Female 25 years old; Reason: intra-abdominal abscess; pancreas abnml History: Epigastric pain; persistent N/V ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Cholelithiasis without CT evidence of acute cholecystitis.SPLEEN: No significant abnormality noted.PANCREAS: Unremarkable appearance of... | 1.No evidence of pancreatic abnormality or intra-abdominal abscess. 2.Mild wall thickening of the rectosigmoid and descending colon suggestive of a mild colitis. |
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. Percutaneously placed clip in the lower outer quadrant of the... | 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. | 34-year-old female with left upper quadrant pain. ABDOMEN:LUNG BASES: Bibasilar scarring/atelectasis. LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant a... | Nonspecific thickening of the pylorus which may be related to incomplete distention/peristalsis and clinical correlation is indicated. |
Generate impression based on findings. | Patient with intracranial hemorrhage, right temporal and left frontal. Encephalopathy and left-sided weakness. Redemonstrated is a focus of hemorrhage in the left superior frontal gyrus, subarachnoid hemorrhage along the lateral surface of the right temporal lobe, and smaller foci of hyperattenuation in the left tempor... | 1. Stable small subarachnoid hemorrhage along the right temporal lobe.2. Stable hemorrhagic focus in the left superior frontal gyrus and smaller hemorrhagic foci elsewhere, in a pattern suggestive of amyloid angiopathy.3. Slight interval increase in size of the small bilateral subdural effusions.4. Multiple lacunar inf... |
Generate impression based on findings. | 76-year-old female with history of pain. Lumbar spine: The bones are demineralized. Mild degenerative disc disease and facet joint osteoarthritis affects the lower lumbar spine. There is a grade 1 anterolisthesis of L4. Vertebral body heights are preserved. There are calcifications of the distal abdominal aorta and its... | Osteoarthritis and degenerative disc disease as described above without fracture evident |
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. No suspicious masses,... | 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. | 49 year old female with right wrist pain and swelling Left wrist: We see no erosions or other specific radiographic features of rheumatoid arthritis. Mild osteoarthritis affects the basilar joint.Left hand: We see no erosions or other specific radiographic features of rheumatoid arthritis. Tiny osteophytes along the DI... | Mild osteoarthritis as described above without specific radiographic features of rheumatoid arthritis. |
Generate impression based on findings. | There is evidence of prior transphenoidal pituitary surgery. Residual pituitary gland is small particularly on the left. No evidence of micro- or macroadenoma is appreciated. There is downward tenting of the optic chiasm on the left consistent with prior surgery. There is preservation of T1 hyperintensity involving th... | Evidence of prior transphenoidal surgery with small residual pituitary tissue in the sella unchanged since 7/18/2014. No evidence of micro- or macroadenoma. |
Generate impression based on findings. | 71 years, Male. Reason: Dobbhoff placement, evaluate for change Replaced enteric tube tip extends into region of gastric fundus. Right femoral venous catheter. LVAD again noted. Nonobstructive bowel gas pattern. | Enteric tube tip in region of gastric fundus. |
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,... | 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. | 66 years, Female. Reason: contrast retention Right-sided chest tube is noted. Interval enteric tube removal. Retained contrast material is seen in region of gastric pullup as well as in the colon. Nonobstructive bowel gas pattern. Please refer to dedicated chest radiographic exam from same day for additional findings. | Retained contrast as above. |
Generate impression based on findings. | 77-year-old male with pain There is a chronic healed fracture through the surgical neck of the humerus with impaction of the humeral head, which is subluxed inferiorly and rotated relative to the glenoid. The bones are demineralized. Atrophy of the rotator cuff - particularly of the supraspinous muscle - is noted altho... | Chronic impacted proximal humerus fracture 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, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of archite... | 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. | 57-year-old male with left hip pain Findings compatible with severe osteoarthritis affecting the left hip have progressed compared with the prior exam. Sclerosis and lucency within the superior aspect of the femoral head may represent progression of degenerative arthritic changes but we cannot exclude avascular necrosi... | Progression of severe osteoarthritis affecting the left hip as described above. |
Generate impression based on findings. | 22-year-old male with history of pain. Evaluate for avascular necrosis. Dense bones are noted compatible with sickle cell disease. Right hip: We see no frank avascular necrosis of the femoral head.Left hip: Minimal patchy sclerosis within the left femoral head may represent minimal avascular necrosis, but this is equiv... | Questionable minimal avascular necrosis of the left femoral head and dense bones compatible with sickle cell disease. If patient care warrants further imaging, MRI may be obtained. |
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. No suspicious masses, microcalcifica... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Mammogram works best when searching for changes. Submission of prior mammogram is, therefore, recommended for future reference. If the patient submits her old mamm... |
Generate impression based on findings. | 59-year-old female with pain and limited range of motion Deformity of the distal tibial diaphysis is compatible with old healed fracture. Round defect within the calcaneus from prior external fixation is again noted. Moderate to severe osteoarthritis affects the talonavicular joint. Prominent plantar calcaneal spur. | Talonavicular joint osteoarthritis and old post traumatic deformity of the distal tibia. |
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, microcalcificat... | 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. | Increased oxygen requirementVIEW: Chest AP 2/5/15 Tracheostomy tube in place. G-tube in place. Cardiothymic silhouette normal. Patchy atelectasis in the perihilar region and left lower lobe. No pleural effusion or pneumothorax. | Patchy atelectasis in the perihilar region and left lower lobe. |
Generate impression based on findings. | 25 years, Female. Reason: ngt position Suboptimal exam due to overlying leads. Enteric tube tip in the gastric body. Multiple surgical drains. Cholecystectomy clips. Nonobstructive bowel gas pattern. Retained enteric contrast material. Lower lobe consolidation/atelectasis. | Enteric tube tip in the gastric body. |
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. Scattered benign calcifications are noted in both breasts.No suspicious masses, microcalcifications ... | 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. | IntubatedVIEW: Chest AP 2/6/15 ET tube tip below thoracic inlet and above the carina. Right upper extremity PICC in the right atrium. Cardiothymic silhouette normal. G-tube in place. Patchy atelectasis in the right lower lobe and left lower lobe not significantly changed. No pleural effusion or pneumothorax. | Patchy atelectasis bilaterally not significantly changed. |
Generate impression based on findings. | 10 month old female status post trauma, rule-out fracture. VIEWS: Cervical spine AP and lateral (two views) 2/6/2015 No acute fracture or malalignment is evident. The prevertebral soft tissues are normal. | Normal examination. |
Generate impression based on findings. | Chronic sinusitis with sinus pain and drainage since 12/14. Currently sinus pain bilaterally and green color drainage. There are postoperative findings related to endoscopic sinus surgery, including bilateral uncinectomy and partially ethmoidectomy. There is moderate mucosal thickening in the left maxillary sinus with ... | Postoperative findings related to endoscopic sinus surgery, with evidence of cute upon chronic rhinosinusitis. |
Generate impression based on findings. | 54-year-old female status post L5 to S1 fusion Posterior rods with screws entering the L5-S1 vertebral bodies along with an intravertebral disk spacer device are are again seen without evidence of hardware complication. Moderate to severe degenerative disk disease affects L4/5 and moderate degenerative disk disease aff... | Postoperative changes of lumbosacral fusion and degenerative disk disease as described above, appearing similar to the prior exam. |
Generate impression based on findings. | Seven year old female with pneumonia and pleural effusions.VIEW: Chest AP (one view) 2/6/2015 The endotracheal tube has been removed. The right internal jugular central venous catheter tip is in the right internal jugular vein. The enteric feeding tube tip projects out of the field of view inferiorly. The nasogastric t... | Improved left lower lobe opacity and aeration in the right lung. |
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 distributio... | 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. | IntubatedVIEW: Chest AP 2/6/15 ET tube tip at the level of the thoracic inlet. NG tube tip in the stomach. Cardiothymic silhouette normal. Right upper lobe atelectasis has increased. Interval improvement in the atelectasis at the left lower lobe. No pleural effusion or pneumothorax. | Right upper lobe atelectasis has increased in the interval. |
Generate impression based on findings. | Multifocal bifrontal and left parietal ischemic infarctions. NONCONTRAST CT HEADRe demonstration of subtle low attenuations on bilateral frontal lobes indicating acute ischemic infarctions. There is no evidence of hemorrhagic transformation.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no... | 1. Posterior wall irregularity of the left extracranial ICA just above the left carotid bifurcation bulb indicating plaque ulceration without significant luminal stenosis.2. Otherwise unremarkable.Rec: for further evaluation of vulnerable/acutely ruptured plaque, focused plaque imaging using dedicated MR sequence using... |
Generate impression based on findings. | There is redemonstration postoperative changes related to right frontal craniotomy and resection, including right frontal encephalomalacia. There are several focal subependymal calcifications in the bilateral ventricles, as well as focal calcification in the right parietal lobe and left frontal lobe, compatible with t... | 1. Findings compatible with tuberous sclerosis are not significantly changed when compared to prior exam, including: cortical and subcortical hamartomas as well as subependymal and right parietal calcifications. 2. Stable appearance of right frontal encephalomalacia. |
Generate impression based on findings. | 50 year-old female assess for lesions of fourth and fifth fingers, numbness Elbow: There is a tiny enthesophyte at the triceps insertion along the posterior olecranon. The elbow otherwise appears normal.Hand: Mild osteoarthritis affects the basilar joint. The hand otherwise appears normal. | Minimal degenerative arthritic changes as described above without specific findings to account for the patient's numbness. |
Generate impression based on findings. | Chest tube placementVIEW: Chest AP 2/6/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left chest tube in place. Cardiothymic silhouette normal. Diffuse atelectasis bilaterally in a background of chronic lung disease. No pleural effusion or pneumothorax. | Diffuse patchy atelectasis bilaterally in a background of chronic lung disease. |
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