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Generate impression based on findings. | IntubatedVIEW: Chest AP 2/6/15 ET tube tip below thoracic inlet and above the carina. G-tube in place. Cardiothymic silhouette normal. Patchy atelectasis left lower lobe not significantly changed. No pleural effusion or pneumothorax. | Minimal patchy atelectasis left lower lobe not significantly changed. |
Generate impression based on findings. | Post right MCA clipping follow up NONCONTRAST CT HEADRe demonstration of postoperative status of right MCA aneurysm clipping including right pteryonal craniotomy and pneumocephalus. There are also relatively well defined low attenuation areas on the right inferior frontal lobe and right temporal lobe anterior aspect wh... | 1. Post right MCA aneurysm clipping and basilar tip aneurysm post coiling status, no unusual finding.2. Minimal extra axial fluid collection under the craniotomy site is a new finding comparing to prior scan but can also be a part of usual postoperative finding. |
Generate impression based on findings. | Male 13 months old with increased work of breathingVIEW: Chest AP (one view) 2/5/2015 peribronchiolar thickening is evident. Streaky retrocardiac opacity suggests subsegmental atelectasis. The aortic arch, cardiac apex and stomach are left-sided. No pleural effusion or pneumothorax is evident. | Bronchiolitis/reactive airways disease pattern without superimposed pneumonia. |
Generate impression based on findings. | IntubatedVIEW: Chest AP 2/6/15 ET tube tip is below the thoracic inlet and above the carina. Right internal jugular central venous catheter tip is obscured by the spinal instrumentation. Right upper extremity PICC tip is in the left atrium. Spinal rods and hooks are again seen, unchanged in position. Tubing projecting ... | Bilateral pleural effusions not significantly changed. |
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. Arterial calcifications are noted in both breasts.No suspicious masses, micr... | 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 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. BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Clavicular fracture, evaluate healing.VIEWS: Left clavicle AP and axial (two views) 2/6/2015 Proximal clavicular fracture with increased periosteal reaction and sclerosis compatible with healing, in near-anatomic alignment. | Healing proximal clavicular 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. 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. | 72-year-old male with history of prostate cancer with metastases. CHEST:LUNGS AND PLEURA: Persistent small left greater than right pleural effusions with associated atelectasis. Persistent pulmonary micronodules. A right lower lung pleural-based nodule (5/72) appears larger than previously seen however this may be due ... | 1.Interval progression of metastatic disease.2.Mild increased sclerosis and subtle loss of height of the L3 vertebral body, with additional stable compression fractures as above.3.Increased peritoneal carcinomatosis with slightly increased abdominal/pelvic ascites. |
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 extremely dense, limiting the sensitivity of mammography and increasing the importa... | A round asymmetry in the right posterior medial breast on CC view, for which spot compression view and possible ultrasound study is recommended. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: ED - Additional Mammo/Ultrasound Workup Required. |
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 distorti... | 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. | 67 year old female s/p Dobbhoff placement. Pelvis excluded from field of view. Dobbhoff tube has been pulled back with tip in gastric body. IVC filter unchanged. Nonobstructive bowel gas pattern. Osteopenia, levoscoliosis and chronic appearing right lower rib deformities are again noted. | Dobbhoff tip in gastric body. |
Generate impression based on findings. | 66 years, Female. Reason: 66F check NG tube placement History: ng tube Enteric tube tip in the gastric fundus with side hole proximal to the gastroesophageal junction; advancement by approximately 12 cm is recommended. A midline pelvic JP drain and skin staples reflect recent surgery. Catheter in the right flank likely... | Enteric tube side hole proximal to gastroesophageal junction, recommend advancement by approximately 12 cm. |
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. | Ms. Lopez is a 17-year-old female presenting with a one-week history of right breast erythema, edema, and pain. Per mother, patient also has a thrombus recently identified in the right forearm. No history of recent trauma or pus drainage. Family history of breast cancer in maternal grandmother and maternal great aunt. ... | Sonographic findings compatible with mastitis without discrete abscess collection. Patient should continue to follow up with her clinical team as warranted.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
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. Scattered benign coarse calcifications and marked arterial calcifications ar... | 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. | 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 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: 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, 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. | 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. | 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. Arterial calcifications have progress... | 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. | 54 years, Male. Reason: Abdominal pain. Nonobstructive bowel gas pattern. No free air on upright views. Moderate stool burden. Median sternotomy hardware. Right hip prosthesis with adjacent heterotopic ossification. | Nonobstructive bowel gas pattern. Moderate stool burden. |
Generate impression based on findings. | Male; 81 years old. Reason: follow up for prostate cancer History: hx of prostate cancer CHEST:LUNGS AND PLEURA: Minimal interstitial scarring. No masses.MEDIASTINUM AND HILA: Subcentimeter mediastinal lymph nodes. Mild coronary artery calcifications.CHEST WALL: No significant abnormality noted. Gynecomastia. ABDOMEN:L... | Stable exam with reference measurements given above. |
Generate impression based on findings. | There is been interval resolution of previously described FLAIR hyperintensity. There are scattered bilateral micro-hemorrhages, non-specific. The volume in the bilateral hippocampi appears somewhat smaller than expected. The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no ... | 1. Interval resolution of previously described abnormal hippocampal FLAIR hyperintensity.2. Although the bilateral hippocampi appear somewhat smaller than expected, however, there is no convincing evidence of mesial temporal sclerosis. |
Generate impression based on findings. | 68 years, Male. Reason: Repositioned Dobbhoff tube. Pelvis excluded from field of view. Dobbhoff tip in gastric fundus. Nonobstructive bowel gas pattern. | Dobbhoff tip in gastric fundus. |
Generate impression based on findings. | 70 year old female s/p radical cystectomy and ileal conduit creation. RFO trigger: Surgery length greater than 8 hours, multiple surgical teams. No unexpected radiopaque foreign body. Nonobstructive bowel gas pattern. Enteric tube sidehole in gastric body. Cholecystectomy clips. Multiple pelvic drains and numerous pelv... | 1.No unexpected radiopaque foreign body. This result was communicated to the attending physician, Dr. Gottlieb, via telephone on 2/5/2015 at 22:37 by the radiology resident on call. 2.Two catheters terminating in the right hemiabdomen which may traverse the ileal conduit. The more left sided of these catheters may be i... |
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. | T4aN2b supraglottic laryngeal squamous cell carcinoma status post treatment. There are post-treatment findings in the neck, including persistent pharyngeal edema, but no discernible tumor. However, there is mucosal ulceration in the right right piriform sinus with irregularity of the right right thyroid cartilage and s... | 1. Persistent post-treatment findings in the supraglottic region without evidence of measurable locoregional tumor recurrence and stable treated right neck lymphadenopathy. However, a left level 5B lymph node has continued to slightly increase in size, but remains nonspecific. 2. Irregularity of the right thyroid carti... |
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. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her mother (diagnosed at age 48), aunt (diagnosed at age 60), and two cousins. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD, version 9.3. The breast parenchyma is hetero... | 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: 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. 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. | 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. | 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. | Male 79 years old; Reason: assess resolution of abscess History: as above ABDOMEN:LUNG BASES: Small right pleural effusion with atelectasis. Postsurgical changes adjacent to the right hemidiaphragm.LIVER, BILIARY TRACT: Post surgical changes from resection of the right hepatic lobe mass. A drain is in place adjacent to... | 1.Near complete resolution of the perihepatic abscess.2.Abnormal findings in the lesser curvature of the stomach has improved from prior with differential considerations including gastric ulcer or emphysematous gastritis as detailed above. Further evaluation with endoscopy can be performed. |
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... | Enlarged left axillary lymph node. Ultrasound study is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Male 67 years old; Reason: restaging scans s/p 6 cycles of chemo therapy; please provide bi-dimensional measurements History: hx of metastatic bladder cancer CHEST:LUNGS AND PLEURA: Reference left upper lobe nodule is stable in size and measures 1.4 x 1.0 cm (series 4, image 36), previously 1.4 x 0.9 cm. No new pulmona... | 1.Numerous hepatic metastases. Decrease in size of the reference lesion with additional metastatic lesions demonstrating interval stability/mild decrease in size.2.Stable left upper lobe pulmonary nodule. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Family history of breast carcinoma in her sister (diagnosed at age 36), two aunts (diagnosed at age 40), and a cousin. Family history of ovarian cancer diagnosed in two aunts. Two standard digital views of both breasts were performed and reviewed with 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: NSB - Screening Mammogram. |
Generate impression based on findings. | TXN2B recurrent oropharynx squamous cell carcinoma treated via surgery and chemoradiation. There are post-treatment findings in the neck. There is no evidence of measurable oropharyngeal mass lesion in the or significant cervical lymphadenopathy based on size criteria. For example, a right level 1B lymph node measures ... | 1. Post-treatment findings in the neck without evidence of measurable oropharyngeal mass lesion or significant cervical lymphadenopathy based on size criteria. 2. Unchanged nonspecific subcentimeter right thyroid nodule.3. Unchanged 3 mm right apical lung nodule. Please refer to the separate chest CT report for additio... |
Generate impression based on findings. | 64 year old male with history of pain. Right shoulder: Moderate osteoarthritis affects the glenohumeral and acromioclavicular joints. Rounded densities along the anterior aspect of the proximal humerus likely represent loose bodies within the biceps tendon sheath. Tiny focus of mineralization adjacent to the greater tu... | Degenerative disc disease of the cervical spine and osteoarthritis at the shoulders and other findings as above. |
Generate impression based on findings. | Male; 61 years old. Reason: Compare to last CT scans, HPV-positive locoregionally advanced T2N2B right tonsillar cancer, s/p CRT on 9/26/14 History: HPV-positive locoregionally advanced T2N2B right tonsillar cancer, s/p CRT on 9/26/14 CHEST:LUNGS AND PLEURA: Stable scattered pulmonary micronodules. No suspicious pulmon... | No evidence of metastases or significant interval change. |
Generate impression based on findings. | 82 year-old female with history of pain. The bones are demineralized suggesting osteopenia/osteoporosis.Right wrist: We see no acute fracture. There is chondrocalcinosis noted about the wrist raising the possibility of pseudogout in the correct clinical context.Left shoulder: There is chondrocalcinosis of the articular... | Arthritic changes with chondrocalcinosis of the wrist and shoulder as described above. |
Generate impression based on findings. | 59-year-old female with history of pain. Right hip: Mild osteoarthritis affects the hip. We see no fracture.Right knee: Mild osteoarthritis affects the knee. There is a small to moderate-sized joint effusion. We see no fracture. Mild osteoarthritis affects the left knee as seen on the frontal view. | Mild osteoarthritis at the hip and knees with no fracture evident. |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Small subpleural scar like opacities and several micronodules, unchanged, compatible with intrapulmonary lymph nodes or previous infection.No suspicious nodules and no pleural effusions.MEDIASTINUM AND HILA: No mediastinal o... | No evidence of metastatic disease. |
Generate impression based on findings. | 68 year old male s/p Dobbhoff tube advancement. Lower pelvis excluded from field of view. Dobbhoff tube coiled in stomach with tip near the gastric cardia. Nonobstructive bowel gas pattern. | Dobbhoff tube coiled in stomach with tip near the gastric cardia. |
Generate impression based on findings. | 30 year-old male with right knee pain An orthopedic screw within the lateral femoral condyle reflects prior fixation of an osteochondral fragment. There is flattening and slight depression of the lateral femoral condyle that appears similar to the prior exam. The osteochondral fragment itself is indistinct, suggesting ... | Postoperative changes of osteochondral fragment fixation with progression of osteoarthritis as described above. |
Generate impression based on findings. | T4aN2b supraglottic laryngeal squamous cell carcinoma status post treatment. There are post-treatment findings in the neck with extensive pharyngeal edema. There is mucosal ulceration in the right right piriform sinus with irregularity of the right right thyroid cartilage and surrounding low attenuation areas laterally... | 1. Persistent post-treatment findings in the supraglottic region with irregularity of the right thyroid cartilage that apparently corresponds to tumor recurrence based on biopsy. 2. A left level 5B lymph node has continued to slightly increase in size, but remains nonspecific. |
Generate impression based on findings. | Evaluate liver morphology. Evaluate for fatty liver. Evaluate for cirrhosis. LIVER: Liver measures 15.6 cm in length. Echogenic and coarse in echotexture compatible with fatty infiltration. There no masses or evidence of intrahepatic biliary ductal dilatation. The portal vein is patent with flow towards the liver and c... | Echogenic liver suggesting fatty infiltration. Status post cholecystectomy. |
Generate impression based on findings. | 57 year old female with history of fall. There is mild anterior soft tissue swelling, however we see no acute fracture. | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | Male; 43 years old. Reason: evaluation of nodules History: evaluation of pulmonary nodules LUNGS AND PLEURA: Stable scattered calcified granulomata. Additional scattered pulmonary micronodules and intrapulmonary lymph nodes are stable. No suspicious pulmonary nodules or masses.MEDIASTINUM AND HILA: Normal heart size wi... | Stable calcified granulomata and scattered pulmonary micronodules. No suspicious pulmonary nodules or masses. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There is no diffusion abnormality. No extra-axial fluid collection is identified. There are scattered punctate foci and confluent areas of abnormal T2/FLAIR hyperintensity within the periventr... | 1. No evidence of intracranial hemorrhage or mass. 2. Mild chronic small vessel ischemic changes. |
Generate impression based on findings. | Female 64 years old; Reason: Enlarged lymph nodes on previous CT, h/o Crohn's disease, h/o lymphoma History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Stable right hepatic lobe cyst. Subcentimeter hyperattenuating left hepatic lobe is too small to characterize.SPLEEN: No ... | 1.Four skip lesions of acute on chronic colitis extending from the distal ileum to the sigmoid colon.2.Persistent inflammatory changes at the anorectal junction consistent with proctitis.3.Mesenteric node enlargement, not significantly changed compared to prior study. |
Generate impression based on findings. | 22 month old male status-post injury, evaluate for bony injury.VIEWS: Right hand PA lateral and oblique (3 views) 2/6/2015 There is a soft tissue defect overlying the medial aspect of the distal fourth phalanx. There is a fracture of the distal tuft of the fourth distal phalanx with adjacent ossific density foci consis... | Soft tissue defect of the lateral aspect of the distal fourth digit, with a fracture of the underlying distal tuft and associated osseous fragments. |
Generate impression based on findings. | Female; 57 years old. Reason: outside report with RUL "consolidation" and lingular nodule. h/o telangiectasias. evaluate for AVM History: dyspnea PULMONARY ARTERIES: No evidence of pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain. Small scattered AVMs seen in the lingula... | 1. Right upper lobe mass with right hilar lymphadenopathy, suspicious for primary lung cancer with nodal metastasis.2. Scattered small AVMs in both lungs.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Not applicable. |
Generate impression based on findings. | 70-year-old female with rectocele and vaginal prolapse. Assess pelvic floor function. There is prompt opacification of the rectum of normal static morphology.A 1.7 cm anterior rectocele is identified. A second smaller posterolateral right sided rectocele is also present. Moderate to severe rectal prolapse is seen. FLUO... | Moderate to severe rectal prolapse.Anterior and right lateral rectoceles, as above. |
Generate impression based on findings. | 43 year old female status post Roux-en-Y gastric bypass in May 2014 with history of gastro-gastric fistula in August 2014. Please assess for persistent fistula. Scout radiograph showed moderate fecal burden with a nonobstructive bowel gas pattern. Single contrast visualization of the esophagus showed no gross morpholog... | Postsurgical changes s/p gastric bypass with persistent 6 mm gastro-gastric fistula as described above. |
Generate impression based on findings. | Chronic nasal congestion. The paranasal sinuses are clear. The nasal cavity is also clear. There is mild S-shaped nasal septum deviation. 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 str... | 1. No evidence of sinusitis.2. Mild S-shaped nasal septum deviation. |
Generate impression based on findings. | Frontal sinus: There is moderate mucosal thickening in the bilateral frontal sinuses, right greater than left. Anterior ethmoids: Moderate to severe mucosal thickening of the anterior ethmoid air cells.Maxillary sinuses: There is complete opacification of the right maxillary sinus, and near complete opacification of t... | 1. Severe pan-sinus disease, with near-complete opacification of the majority of the paranasal sinuses, in a nonspecific pattern of obstruction.2. Opacification of the bilateral mastoid air cells, and fluid within the right middle ear cavity. |
Generate impression based on findings. | Patient with osteosarcoma, evaluate for metastases. LUNGS AND PLEURA: Bilateral multifocal surgical changes related to wedge resections are again seen. 5-mm perifissural left upper lobe nodule (image 44, series 4) unchanged. Previously identified left lower lobe nodule also unchanged (image 54, series 4). Unchanged rig... | 1.Bilateral pulmonary nodules, measuring up to 5-mm unchanged from the previous examination. 2.Pleural thickening unchanged.3.Interval removal of the left chest wall Port-A-Cath. |
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. | 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 opacific... | 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. | 9-year-old female with distended abdomen with active bowel sounds, rectal exam negative for thecal retentionVIEW: Abdomen AP (one view) 02/05/15 Desiccated stool within the rectum and descending colon. Large amount of amorphous stool throughout the transverse and ascending colon. Nonobstructive bowel gas pattern. No pn... | Above average stool burden. |
Generate impression based on findings. | Chronic sinusitis. The paranasal sinuses are clear. The nasal cavity is also clear. The nasal septum is deviated slightly towards the left. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial s... | 1. No evidence of sinusitis or nasal polyposis.2. Mild bilateral temporomandibular joint degenerative changes. |
Generate impression based on findings. | 10-week-old female with increased desaturationsVIEW: Chest AP (one view) 02/06/15 ET tube is not seen and may have been removed. NG tube terminates in the stomach. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Right upper and middle lobe opacities with improvement of left basilar opacities.Gas... | Right upper and middle lobe atelectasis. Disorganized bowel gas pattern. |
Generate impression based on findings. | There are multiple T2 hyperintense lesions throughout the cervical cord . These include the left paracentral and central dorsal cord at C2, right greater than left lateral aspect of the cord at C3, ventral C4, left C5 to C6, right C7, and right C7-T1. There is abnormal enhancement involving the lesions at C2, right gr... | Multiple T2 hyperintense lesions throughout the cervical cord, and to a lesser degree thoracic cord, consistent with known demyelinating disease. Some of these lesions demonstrate enhancement, as detailed above, compatible with active demyelination. |
Generate impression based on findings. | Chronic sinusitis. There is mild diffuse mucosal thickening in the maxillary, ethmoid sinuses, and sphenoid sinuses. There is also suggestion of an air-fluid level in the right maxillary sinuses. The frontal sinuses are not pneumatized. The nasal cavity is clear. The nasal septum is essentially midline, but contains a ... | Mild diffuse paranasal sinus mucosal thickening with suggestion of acute right maxillary sinusitis. |
Generate impression based on findings. | 66 year old female with history of left ureteral stent. Now has symptoms in the same distribution. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant ab... | No hydronephrosis or hydroureter, and no other findings to explain the patient's pain. |
Generate impression based on findings. | Stage IVA T3N2bM0 left tonsillar squamous cancer, status post induction chemotherapy with carbo/taxol and currently undergoing chemoradiation. There is no significant interval change in size of a necrotic left level 2 lymph node, which measures 9 mm in short axis, previously 9 mm. There is no evidence of measurable mas... | 1. No significant interval change in the treated left suprahyoid lymphadenopathy and no measurable tumor in the left tonsillar fossa.2. Carious tooth # 2 with periodontal disease and corresponding hypermetabolism on PET due to associated inflammation.3. The hypermetabolic lesion in the left pituitary gland is not readi... |
Generate impression based on findings. | Preterm infant with left lower lobe pneumonia.EXAMINATION: Oropharyngeal motility study 2/6/2015 Julie Eccelsonte, speech and language therapist, supervised the examination.39 seconds of fluoroscopy was used.PRESENTATIONS: The patient was presented with thin liquids via a slow flow nipple as well as half-strength necta... | Penetration and trace aspiration as detailed above.Please see the speech and language therapist's report for feeding recommendations. |
Generate impression based on findings. | Ms. Bingmonhill is a 66 years year old female with a personal history of left breast lumpectomy in 2006 for DCIS followed by radiation therapy. She also has a benign left breast biopsy in 2013 for fat necrosis. Family history of breast cancer in mother. No current breast related complaints. Three standard views of both... | Presumed developing fat necrosis anterior to the main lumpectomy site in the left breast. A left unilateral diagnostic mammogram is recommended in 6 months to ensure stability of these findings. All results and recommendations were relayed to the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup... |
Generate impression based on findings. | 40 year-old female with patella instability There is flattening and slight convexity of the femoral trochlea superiorly, indicating dysplasia. The TT-TG distance measures 2 cm, which is abnormal. The Insall-Salvati ratio measures approximately 1.5, which is abnormal and indicative of patella alta. There slight lateral ... | Findings compatible with patellar instability including trochlear dysplasia, increased TT-TG distance and patella alta. |
Generate impression based on findings. | 58 year old female with history of metastatic breast cancer. Evaluate response to treatment and compare with previous scans. Measurements per recist criteria. Hepatic metastases. CHEST:LUNGS AND PLEURA: Left upper lung calcified granuloma. No pleural effusion or significant abnormality otherwise.MEDIASTINUM AND HILA: H... | 1.Multiple hypoattenuating liver lesions as above, with reference lesion having increased in size from prior.2.No extrahepatic metastatic lesions. |
Generate impression based on findings. | First metacarpal fracture, evaluate healing.VIEWS: Right hand PA oblique and lateral (3 views) 2/6/2015 Interval removal of the K wire fixation devices. There is increasing indistinctness of the proximal first metacarpal fracture line with associated periosteal reaction and sclerosis compatible with healing. | Healing proximal first metacarpal fracture as above. |
Generate impression based on findings. | 66-year-old female with bilateral knee pain, fell on knees Right knee: There is marked medial joint space narrowing with subchondral sclerosis and tricompartmental osteophytes. No discrete fracture or dislocation. No effusionLeft knee: Marked medial joint space narrowing with subchondral sclerosis and tricompartmental ... | Bilateral near-severe osteoarthritis. There is subtle questionable vertical disruption of the trabecular pattern along the medial tibial plateau of the left knee, which prevents exclusion of a nondisplaced tibial plateau fracture in the appropriate clinical setting. Consider CT imaging if the patient's symptoms warrant... |
Generate impression based on findings. | Evaluate right upper lobe atelectasis.VIEW: Chest AP (one view) 2/6/2015, 10:17 The endotracheal tube tip is below the thoracic inlet and above the carina. The nasogastric tube tip is in the body of the stomach.Improved but persistent right upper lobe opacity compatible with atelectasis. Persistent left lower lobe atel... | Improved but persistent right upper lobe atelectasis. |
Generate impression based on findings. | 57-year-old male strained upper thigh while stuck in snow pile with clicking in hip There is marked joint space narrowing with subchondral sclerosis, subchondral cysts and osteophyte formation involving the hip. Given mild flattening and sclerosis of the femoral head early AVN cannot be excluded. Minimal osteoarthritic... | Severe osteoarthritis and of the hip. |
Generate impression based on findings. | 9 year old male status post osteotomy, evaluate healing.VIEWS: Left forearm AP and lateral (two views) 2/6/2015 Again seen is an osteotomy of the mid-radial diaphysis affixed by an orthopedic side plate and screw device in near-anatomic alignment. No evidence of hardware complication is seen. Increasing indistinctness ... | Healing radial osteotomy as above. |
Generate impression based on findings. | 58-year-old male with right leg and chest numbness for past 24 hours, causing multiple falls and. There are moderate scattered areas of hypoattenuation in the periventricular and subcortical white matter, which are nonspecific, but favored to represent age-indeterminant small vessel ischemic changes, and more than expe... | 1. Focal hypoattenuation in the posterior limb of the left internal capsule is concerning for age indeterminant lacunar infarction. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. 2. No evidence of intracranial hemorrhage or mass effect. |
Generate impression based on findings. | 14-year-old female with pleural and pericardial effusions.VIEW: Chest AP (one view) 2/6/2015, 10:26 The pericardiocentesis catheter tip projects over the left atrium, unchanged in position. Interval placement of a right upper extremity PICC with the tip terminating in the right atrium.Persistent bilateral pleural effus... | Increased left pleural effusion and associated compressive atelectasis. Right upper extremity PICC with tip in right atrium. |
Generate impression based on findings. | 53 year-old female shoulder pain Joint space narrowing with small glenohumeral osteophytes and subchondral cysts within the glenoid, consistent with osteoarthritis. No fracture or dislocation. | Moderate to severe glenohumeral joint osteoarthritis. |
Generate impression based on findings. | 53-year-old female with elbow pain since 12/14, concern for lateral epicondylitis Small osteophytes along the proximal ulna indicate mild osteoarthritis. No fracture or dislocation. No joint effusion. | Mild osteoarthritis. |
Generate impression based on findings. | 75-year-old female with pain, follow-up fracture Again seen is a comminuted fracture through the surgical neck and greater tuberosity. There is mild inferior subluxation of the humeral head suggesting hemarthrosis. Callus formation along the fracture line suggests an attempt at healing. | Healing surgical neck and greater tuberosity fracture as described above. |
Generate impression based on findings. | 76-year-old female with left hip pain Lumbar spine: Moderate degenerative disk disease at L5-S1 and mild to moderate degenerative disk disease at L4-L5. There is grade 1 anterolisthesis of L4 onL5 and L5 on S1. Moderate facet joint osteoarthritis affects the lower lumbar spine.Left hip: Mild osteoarthritis affects the ... | Osteoarthritis and degenerative disk disease as described above. |
Generate impression based on findings. | 55 year old male with a new onset occipital head ache with chest pain, evaluate for for vascular cause or dissection. The patient is a weight lifter and brick layer. CT HEAD: There is no evidence of acute intracranial hemorrhage. There is no mass effect, midline shift or herniation. Scattered periventricular and subcor... | 1. The CTA is limited due to technical factors. Within this limitation, there appears to be a short-segment filling defect in the proximal right vertebral artery with suggestion of mild luminal distention, which may represent a dissection. 2. No evidence of acute intracranial hemorrhage or mass.Discussed with Dr. Buerk... |
Generate impression based on findings. | 59-year-old female with pain There is subtle lucency and disruption of the trabecula extending beneath the greater trochanter suggesting a nondisplaced fracture. Small osteophytes indicate mild osteoarthritis affecting the hip. Arterial calcifications. | Findings suggestive of a nondisplaced fracture through the greater trochanter, correlate clinically. Findings discussed with Dr. Dirschl at the time of dictation. |
Generate impression based on findings. | 71-year-old female with hand pain at the base Right hand: The bones are slightly demineralized. Mild to moderate osteoarthritis affects the right basilar joint. Mild narrowing of scattered metacarpophalangeal and interphalangeal joints, predominantly involving first two digits.Left hand: Mild osteoarthritis affects the... | Mild to moderate osteoarthritis, appearing similar to the prior exam. |
Generate impression based on findings. | 31-year-old female with tenderness over fifth MTP Alignment is anatomic. The osseous structures are within normal limits for the patient's age. | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Evaluate feeding tube placement.VIEW: Abdomen AP (one view) 2/6/2015 There is an enteric feeding tube in place, with the tip terminating in the second part of the duodenum. Interval removal of the nasogastric tube. Gastrostomy tube in place.The bowel gas pattern is disorganized and nonobstructive. No pneumoperitoneum, ... | Enteric feeding tube with tip in the second part of the duodenum. |
Generate impression based on findings. | 53-year-old female with pain, evaluate for fracture There is a transverse fracture of the mid humeral diaphysis with approximately 1 shaft width medial displacement of the distal fracture fragment and small associated osseous fragments. Glenohumeral alignment is within normal limits. Mild osteoarthritis affects the gle... | Mid humeral diaphyseal fracture as described above. |
Generate impression based on findings. | 24 year-old female with history of pain. There is a small plantar calcaneal spur of questionable clinical significance. We see no fracture or specific radiographic findings to account for the patient's pain. | Small plantar calcaneal spur of questionable clinical significance, otherwise we see no specific radiographic findings to account for the patient's pain. |
Generate impression based on findings. | Male; 66 years old. Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: Calcified right lung granulomas are unchanged. No suspicious pulmonary nodule or mass. No pleural effusion.MEDIASTINUM AND HILA: Interval removal of Port-A-Cath. No mediastinal or hilar lymphadenopathy. N... | No evidence of metastatic disease. |
Generate impression based on findings. | Male 36 years old; Reason: metastatic testes cancer needs follow up exam History: metastatic germ cell tumor CHEST:LUNGS AND PLEURA: Parenchymal scarring most marked in the left upper lobe is not a change compared to prior study. There is a new 1.2 x 1.0 cm the nodule in the right lower lobe (series 5 and image 73) whi... | 1.New right pulmonary nodule, suspicious for a metastatic deposit.2.Persistent large multiloculated fluid collections and solid masses of the abdomen and pelvis with interval increase compared to prior study.Findings are concerning for disease progression. |
Generate impression based on findings. | 22-year-old male with history of fracture. Again seen is a fracture through the neck of the fifth metacarpal. There is approximately 40 to 50 degrees of volar angulation of the distal fracture fragment which subjectively appears to have increased when compared to prior. | Fifth metacarpal fracture as described above. |
Generate impression based on findings. | Female 68 years old Reason: evaluation of lung nodules History: evaluation of lung nodules CHEST:LUNGS AND PLEURA: Focal lower lobe bronchiectasis, right greater the left. Interval development of a part solid nodule in the right upper lobe with adjacent ground glass opacity (series 7, image 33). New part solid nodule i... | 1. Multiple new part solid nodules with adjacent ground glass opacity in the right lung which are suspicious for malignancy and should have close interval follow-up. Recommend repeat thoracic CT imaging in 3 months or alternatively a PET study.2. Asymmetric thickening of the distal esophagus which has increased since p... |
Generate impression based on findings. | 34-year-old male with history of pain. There are two orthopedic screws affixing bone material, presumably from the coracoid, to the anterior/inferior glenoid. There is no evidence of hardware complication. Margins of the graft are slightly less distinct suggesting some interval healing. | Postoperative changes of Latarjet procedure as above. |
Generate impression based on findings. | 70-year-old female with history of left ankle pain. Again seen is an oblique fracture through the distal fibular diaphysis in near anatomic alignment. Callus formation indicates interval healing. | Healing distal fibular fracture as above. |
Generate impression based on findings. | 60-year-old male with history of patella fracture. Again seen are tension wires affixing a transverse fracture of the patella in near anatomic alignment. The fracture line remains visible and perhaps slightly wider on the lateral view, but we suspect that this may be artifactual due to positioning. Mild osteoarthritis ... | Orthopedic fixation of patellar fracture as above. |
Generate impression based on findings. | Polydactyly.VIEWS: Right hand PA lateral and oblique (3 views) left hand PA lateral and oblique (3 views) 2/6/2015 Right Hand: Findings consistent with post-axial polydactyly. Normal formation of the first 5 metacarpals and digits. There is an additional digit arising medially near the PIP joint of the little finger wh... | Bilateral postaxial polydactyly with normal formation of the metacarpals and first 5 digits. No significant interval change. |
Generate impression based on findings. | 87 year old female with history of pain. The bones are demineralized suggesting osteopenia/osteoporosis. Moderate osteoarthritis affects the glenohumeral and acromioclavicular joints. There is an os acromiale, a normal variant. | Osteoarthritis and other findings as above. |
Generate impression based on findings. | Female; 75 years old. Reason: assess ground glass opacities on CT in November History: Abnormal cT scan in 11/2014 LUNGS AND PLEURA: Previously seen ground glass nodule in the right middle lobe and groundglass density in the left lower lobe have both resolved, most compatible with post inflammatory etiology.Stable foca... | Interval resolution of ground glass nodule in the right middle lobe and groundglass density in the left lower lobe, most compatible with post inflammatory etiology. Otherwise, no interval change or evidence of metastatic disease in the chest. |
Generate impression based on findings. | Female 78 years old; Reason: compare to prior History: metastatic lung cancer, malignant pleural effusion, PET after thoracentesisRADIOPHARMACEUTICAL: 11.8 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 101 mg/dL. Today's CT portion grossly demonstrates large right-sided pleural effusion which has increased... | Findings suspicious for nodal metastatic disease in the right paratracheal, subcarinal and right perihilar regions. |
Generate impression based on findings. | left side numbness NONCONTRAST CT HEADNo change of right internal capsule and left centrum semiovale since prior exam.No evidence of acute hemorrhagic lesion.The ventricles, sulci, and cisterns are symmetric and unremarkable. There is no mass effect, edema, midline shift, intra- or extra-axial fluid collection/acute he... | 1. Extracranial arterial wall calcifications with tortuosity indicating atherosclerotic changes.2. Identified calcified carotid atheromatous plaques on bilateral carotid bulbs with about 40% of luminal stenosis on the left and less than 10% luminal stenosis on the right.3. Normal intracranial arterial system without ev... |
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