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Generate impression based on findings. | Cough and shortness of breath. History of asthma with abnormal low res CT question ABPA. LUNGS AND PLEURA: Distal endobronchial debris/tree in bud opacities similar in distribution but appear slightly improved the posterolateral left upper lobe and right lower lobe but similar in appearance elsewhere. No pleural fluid ... | 1. Slight improvement in pulmonary opacities in a pattern consistent with indolent endobronchial infection such as ABPA or atypical mycobacteria, the latter is included in the differential diagnosis given absence of bronchiectasis and large mucoid plugs.2. 4-mm right lower lobe nodule may be followed by CT in 1 year if... |
Generate impression based on findings. | Ms. Salter is a 43 year old female recalled from screening mammogram for calcifications in the left breast. An ML view and five spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | Benign round, punctate calcifications in the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS ... |
Generate impression based on findings. | Female, 42 years old, postoperative RFO evaluation. Suboptimal exam secondary to technique. Enteric tube seen with tip extending into gastric antrum. No definite unexpected radioopaque foreign body seen. Incompletely imaged left basilar consolidation/atelectasis. Symphysis pubis sclerotic changes. | No unexpected radioopaque foreign body, discussed with surgeon Dr. Roggin at 11:27 a.m. on 2/6/15. |
Generate impression based on findings. | Female 73 years old; Reason: METASTATIC COLON CANCER EVALUATE FOR INTERVAL CHANGE History: METASTATIC COLON CANCER CHEST:LUNGS AND PLEURA: Upper lobe scar like opacity is unchanged (series 5, image 31) measuring 5 mm.MEDIASTINUM AND HILA: Left chest wall Port-A-Cath with tip in the cavoatrial junction. Reference medias... | 1.Stable examination without significant change in size of reference lesions.2.Stable appearance of soft tissue thickening about the gastric antrum/pylorus. |
Generate impression based on findings. | Reason: 55 yo with HCC please screen for mets History: none LUNGS AND PLEURA: Micronodules at the right apex and a few small subpleural scars, compatible with previous infection.No suspicious nodules and no pleural effusions.MEDIASTINUM AND HILA: No significant lymphadenopathy.Small right tracheal diverticulum in the h... | No evidence of metastatic disease in the chest. |
Generate impression based on findings. | 9-year-old male with abnormal lung examVIEWS: Chest PA/lateral (two views) 02/06/15 Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal. No pleural effusion or pneumothorax. No focal pulmonary opacities. The osseous structures are within normal limits. | Normal examination. |
Generate impression based on findings. | 14-year-old male status post ORIFVIEWS: Left knee AP/oblique/lateral (3 views) 02/06/15 Cast material obscures fine bone detail. Two orthopedic screws affix a tibial tuberosity fracture in near anatomic alignment without evidence of hardware complication. No joint effusion. | Fixation of proximal tibial fracture in near anatomic alignment. |
Generate impression based on findings. | 33-year-old male with history of atraumatic pain. We see no acute fracture or dislocation. Alignment is anatomic. The soft tissues are unremarkable. | No radiographic findings to account for the patient's pain. |
Generate impression based on findings. | 40 year old with a small mass in the left breast at 3 o'clock position detected by recent ultrasound study (1/30/15), presents for ultrasound guided biopsy. Left ultrasound re-identified the target lesion for biopsy. The lesion to be targeted is a hypoechoic mass measuring 9 x 7 mm at the 3 o’clock position with mildly... | Successful ultrasound-guided core biopsy of the left breast lesion and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male 74 years old; Reason: renal mass seen on US History: hematuria ABDOMEN:LUNG BASES: Cardiac conduction device in situ.LIVER, BILIARY TRACT: Hypoattenuating lesion in the right hepatic lobe is suggestive of a hepatic cyst.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLA... | 1.No focal renal mass. Punctate non obstructing right renal calculus . |
Generate impression based on findings. | Tuberous sclerosis. Evaluate angiomyolipomas. ABDOMEN:LUNG BASES: Stable fat densities within the myocardium of the left ventricle and right right ventricle. The inferior most aspect of vagal nerve stimulator is noted within the paramedian soft tissues of the back.LIVER, BILIARY TRACT: Scattered subcentimeter fat atten... | 1.Renal lesions consistent with angiomyolipomas without significant interval change.2.Scattered fat attenuating liver lesions unchanged.3.Cardiac lipomas unchanged. |
Generate impression based on findings. | Male; 82 years old. Reason: eval encapsulated thymoma History: eval interval change LUNGS AND PLEURA: Moderately severe centrilobular emphysema in the upper lobes.Large bulla occupying the anteroinferior portion of the right hemithorax with adjacent compressive atelectasis of the right middle lobe not significantly cha... | 1. Increased nodular consolidation in the right lower lobe, indeterminate. This could represent organizing pneumonia or less likely indolent atypical mycobacterial infection, but primary lung neoplasm cannot be excluded. PET-CT evaluation can be obtained for further characterization.2. Stable anterior mediastinal mass,... |
Generate impression based on findings. | 66 years, Female. Reason: re-evaluate NG tube placement after adjustment. NG tube sidehole in gastric fundus. Pelvic drain and skin staples again noted. Catheter in right flank likely represents the patient's reported IP port. Nonobstructive bowel gas pattern. Basilar atelectasis. | NG tube sidehole in gastric fundus; suggest further advancement. |
Generate impression based on findings. | Ms. Kolkmeier is a 70 year old female with a personal history of right breast lumpectomy in 2002 for cancer followed by radiation therapy. She is also status post bilateral breast prosthesis removal. Family history of breast cancer in mother. She has no current breast related complaints. Three standard views of both br... | Stable postsurgical changes of the right breast and stable benign breast masses of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIR... |
Generate impression based on findings. | Patient was struck by industrial equipment at proximal first metacarpal on palmar side. Pain in first metacarpal and wrist. An orthopedic screw affixes a fracture of the scaphoid waist in near anatomic alignment. The fracture line remains visible. I see no additional fracture. Moderate osteoarthritis affects the distal... | Orthopedic fixation of scaphoid fracture; I see no additional fracture. Osteoarthritis as described above. |
Generate impression based on findings. | Reason: r/o mass, herniation risk History: needs LP to r/o meningitits The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hypodense focus present in the subcortical white matter of the right frontal lobe.A small hyperdense focus is present in the right basal gangliaThe visuali... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.Any subcortical white matter the lesion identified in the right frontal lobe is nonspecific it could be vascular related.3.A small lesion in the right basal ganglia is nonspecific. It could represent a lacunar infarct of indeterminate age.4.If deeme... |
Generate impression based on findings. | Evaluate healing osteotomyVIEWS: Left forearm AP and lateral Again noted compression plates and screws affixing the osteotomies of the mid radius and ulna without hardware complication. These osteotomy sites are indistinct with periosteal reaction reflecting interval healing. Disuse osteopenia and soft tissue swelling ... | Healing osteotomies as described above. |
Generate impression based on findings. | Hemoptysis rule out mass or pneumonia. LUNGS AND PLEURA: No pleural fluid or pneumothorax. No focal air space opacities, nodules or masses. Diffuse faint ground glass opacities with a peribronchovascular distribution bilaterally with very mild bronchial wall thickening. Relative sparing of the lung apices and costophre... | Faint diffuse groundglass opacities with mild bronchial wall thickening most suggestive of viral bronchitis with early pneumonitis. The radiographic appearance is not typical of pulmonary hemorrhage though if the patient is at high risk short-term reduced dose CT follow-up may be obtained to exclude evolution of findin... |
Generate impression based on findings. | Knee pain status post remote history of tibial plateau fracture status post ORIF. Four views of the left knee are provided. Orthopedic screws affix the proximal tibia. I see no hardware complications. Mild deformity of the proximal tibia represents the known healed tibial plateau fracture. I see no acute fracture. Seve... | Postoperative/posttraumatic changes of the left knee with osteoarthritis as described above. |
Generate impression based on findings. | Heart transplant workup. LIVER: The liver measures 15.3 cm in length. No intrahepatic ductal dilatation or dominant liver lesions. Portal vein is patent with flow towards the liver on color Doppler imaging.GALLBLADDER, BILIARY TRACT: No significant abnormality noted. Common duct measures 3 mm which is within normal lim... | Bilateral small pleural effusions. Right renal cyst. |
Generate impression based on findings. | Medullary thyroid cancer. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Thyroid bed is incompletely visualized. At the origins of the left common carotid and right innominate arteries, there is eccentric mural thrombus. The origin of the left common carotid artery lumen measures 3-4 mm,... | No significant change in size of hepatic mass. No pulmonary metastases. Stenosis of the left common carotid artery origin. |
Generate impression based on findings. | Male 19 years old; Reason: reassess retroperitoneal lymphadenopathy History: see above CHEST:LUNGS AND PLEURA: No focal pulmonary lesion. The pleural spaces are clear. The central airways are patent.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. There are few scattered small mediastinal lymph node... | 1.Stable exam with small lymph nodes in the axilla, mediastinum and retroperitoneum. |
Generate impression based on findings. | Pain Interval recent surgery with new osteotomy and shaving of distal bony excrescence and possible heterotopic bone extending from the fourth and fifth metatarsal bases the first through third remaining digits are otherwise unchanged. Proximal aspects are also similar. Mild soft tissue swelling | Recent postsurgical excision and revision of amputated first through fifth metatarsal bases |
Generate impression based on findings. | Pain. Evaluate for psoriatic arthritis. Three views of the left hand are provided. There is narrowing of the radiocarpal and midcarpal articulations with erosions along the distal radius and ulnar styloid. There may be additional small carpal bone erosions as well. Severe osteoarthritis affects the first carpometacarpa... | Bone and joint abnormalities as described above representing a combination of osteoarthritis and inflammatory arthritis such as rheumatoid arthritis or psoriatic arthritis. |
Generate impression based on findings. | Male, 19 years old, with tuberous sclerosis, assess for SEGA, cortical tubers. Multiple areas of cortical/subcortical hypoattenuation are again seen compatible with tuberous lesions. Within the sensitivity limits of CT, no significant interval change in size or number of these lesions is detected.A prominent calcified ... | Multiple stigmata of tuberous sclerosis without significant interval change. |
Generate impression based on findings. | Metastatic breast cancer receiving chemotherapy. Malignant pleural effusion, right-sided Pleurx catheter. CHEST:LUNGS AND PLEURA: Innumerable pulmonary nodules compatible with metastases, not present on the 2013 examination. Moderate loculated right pleural fluid collection. Right pleural thickening new from 2013 and i... | 1. Innumerable pulmonary metastases with increase in size of index right lower lobe mass. 2. Loculated right pleural effusion with slight increase in pleural thickening since the previous study presumably metastatic.3. No mediastinal lymphadenopathy or skeletal metastases are appreciated. 4. Indeterminate hypoattenuati... |
Generate impression based on findings. | Ankle fixation Medial malleoli are and distal fibular fixation appears unchanged without evidence of hardware complication. Interval partial healing of the comminuted distal fibular fracture. Medial malleoli or fracture plane is also less distinct compatible with partial healing. Decreased soft tissue swelling and pers... | Interval healing |
Generate impression based on findings. | Neck pain No radiographic abnormality, specifically no findings to suggest instability. Soft tissues unremarkable | Normal |
Generate impression based on findings. | Left shoulder pain Small punctate calcific density projected over the humeral head suggesting a benign bone island. The shoulder otherwise demonstrate minimal degenerative changes largely involving the glenoid. No superimposed additional acute abnormality. Alignment preserved. | Minimal degenerative changes without additional abnormality |
Generate impression based on findings. | Left leg pain Age consistent growth plates and osseous structures, without additional superimposed focal acute abnormality. Specifically no periosteal reaction or soft tissue abnormalities. | Normal |
Generate impression based on findings. | Male 56 years old; Reason: mets lung cancer, ALK+, has been on Crizotinib x 3 yrs. Increased pleural based lesion on recent CT. Pls c/w previous study and evaluate dx status. History: lung ca ABDOMEN:LUNG BASES: Refer to chest section for a dictated report.LIVER, BILIARY TRACT: Nonspecific hypodense foci in the liver. ... | Stable abdomen and pelvis CT exam with no definite measurable disease. |
Generate impression based on findings. | Rule out acute fracture after fall on concrete. Status post meniscal repair in October 2014. Pain. Inability to ambulate or flex knee Four views of the right knee are provided. I see no fracture or malalignment. I see no large joint effusion.The left knee likewise appears normal as seen on the frontal view. | No fracture or other specific findings to account for patient's pain are evident. |
Generate impression based on findings. | 63 years old Male. Reason: New Metastatic melanoma of posterior chest wall. Needs staging PET Scan. History: New metastatic melanoma on posterior chest wall. Needs PET Scan for staging. RADIOPHARMACEUTICAL: 15.2 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 198 mg/dL. Today's CT portion grossly demonstrate... | 1.Soft tissue metastases in the back of the chest.2.Nodal metastases in the right supraclavicular region, and the bilateral axillary regions.3.Multiple renal cysts.4.Bilateral knee joint effusion and arthritis.5.Cholelithiasis seen gallbladder. |
Generate impression based on findings. | Reason: r/o ICH History: seizures, persistent, AMS 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.The visualized portions of the paran... | No evidence for acute intracranial hemorrhage mass effect or edema. |
Generate impression based on findings. | Dog bite. Evaluate for fracture. I see no fracture, malalignment, or foreign body. | No fracture evident. |
Generate impression based on findings. | Reason: AMS, tremulous activity History: AMS, tremulous activity 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.The visualized portion... | 1.No evidence for acute intracranial hemorrhage mass effect or edema.2.CT is insensitive for the early detection of acute nonhemorrhagic cerebral infarction. |
Generate impression based on findings. | Right lower leg pain I see no specific findings to account for the patient's pain. Apparent sclerosis of the medial aspect of the body of the talus may simply represent summation artifact. | No specific findings to account for the patient's pain. If there is clinical concern for stress fracture, repeat radiographs may be obtained in 10 to 14 days; alternatively, MRI may be considered. |
Generate impression based on findings. | CT CHEST W 2/6/2015 12:51 PM LUNGS AND PLEURA: Small focus of pulmonary interstitial emphysema along the posterior aspect of the left mediastinal border adjacent to the descending pulmonary artery minimally larger, but no pneumothorax (5/49).Left pleural tumor not significantly changed. Loculated moderate left pleural ... | No significant change in left hemithorax disease and no new sites of tumor involvement. |
Generate impression based on findings. | Pain. Preop. Three views of the left knee are provided. Moderate osteoarthritis affects the knee with medial compartment narrowing and tricompartmental osteophytes. Components of a right total knee arthroplasty device are situated in near-anatomic alignment as seen on the frontal view.Mechanical axis radiograph of the ... | Osteoarthritis and mild varus deformity of the left knee as described above. |
Generate impression based on findings. | Reason: h/o chronic SDH; no neurosurgical intervention History: surveillance Since the prior exam a left-sided subdural collection is slightly less dense than the thinner. It currently measures 9 mm in thickness whereas it previously measured 15 mm in thicknessThere is redemonstration of hypodense foci in the basal gan... | 1.Continued evolution of a left sided subdural hematoma which is now smaller on the current exam compared to the prior. |
Generate impression based on findings. | 46 years old Female. Reason: elevated metanephrines and calcitonin, adrenal hyperplasia, lung micronodules, and enlarged mediastinal and retroperitoneal lymph nodes. History: concern for pheochromocytoma or other neuroendocrine tumor. RADIOPHARMACEUTICAL: 13.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): ... | 1.No definite evidence of FDG avid tumor. No abnormal FDG uptake in the bilateral adrenal glands.2.Multiple normal-sized lymph nodes with mild FDG uptake in the bilateral axillary regions, mediastinum, retroperitoneal cavity, pelvis, and the left inguinal regions are nonspecific. 3.Diffuse FDG uptake in the aorta is mo... |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. Vertebral body heights are maintained. There are postsurgical changes of anterior interbody fusion at L5-S1 with evidence of solid osseous fusion. Anterior plate and bilateral screws are intact and well positioned without evidence of complication... | 1. Postsurgical changes of anterior lumbar interbody fusion at L5-S1 with solid osseous fusion.2. There is minimal contact of the exiting right L5 nerve root at the L5-S1 neural foramen with osteophyte related to facet arthropathy. Otherwise there is no significant spinal canal or neural foramina stenosis at any level.... |
Generate impression based on findings. | Reason: h/o HNC and CRT, compare to previous measurements History: none CHEST:LUNGS AND PLEURA: No evidence of pulmonary or pleural metastases.Mild upper lobe centrilobular emphysema and left basilar linear scarring are stable.MEDIASTINUM AND HILA: There is no mediastinal or hilar lymphadenopathy.There are no visible c... | No sign of metastases, or other significant abnormality. Stable hypoattenuating pancreatic lesions, possibly IPMNs. |
Generate impression based on findings. | 87 year-old patient with shoulder osteoarthritis, pain in mid-humerus at night. Two views of the right humerus are provided. Severe osteoarthritis affects the glenohumeral joint. Mild osteoarthritis affects the acromioclavicular and elbow joints. The bones appear slightly demineralized suggesting osteopenia. I otherwis... | Osteoarthritis as described above, most severely affecting the glenohumeral joints bilaterally. If there is clinical concern for rotator cuff pathology, MRI may be considered. |
Generate impression based on findings. | MVC with back pain. Three views of the thoracic spine are provided. I see no fracture or malalignment. I see no specific findings to account for the patient's back pain.Five views of the lumbar spine are provided. I see no fracture or malalignment. I see no specific findings to account for the patient's back pain. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | IntubatedVIEW: Chest AP ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Bilateral perihilar and left lower lobe atelectasis increased in the interval. No pleural effusion or pneumothorax. | Bilateral atelectasis increased in the interval. |
Generate impression based on findings. | Medial midfoot pain. Foot fracture? I see no acute fracture or malalignment. Tiny osteophytes at the tibiotalar joint indicate minimal osteoarthritis. Tiny densities along the anterior aspect of the tibial plafond may represent capsular calcifications or less likely small loose bodies. There is a normal variant os trig... | Mild ankle joint osteoarthritis, but no fracture evident. |
Generate impression based on findings. | Female 78 years old; Reason: follow up for bladder cancer recurrence s/p surgery History: hx of bladder cancer s/p cystectomy. The study is somewhat limited by motion artifact.CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Mild coronary artery calcifications.CHEST WALL: No significant ab... | 1.New enlarged necrotic pelvic lymph nodes suspicious for metastatic nodal disease. |
Generate impression based on findings. | Chronic sinusitis and nasal obstruction. The right frontal sinus has not pneumatized. The paranasal sinuses are clear. The nasal cavity is also clear. There is moderate rightward deviation of the nasal septum. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. T... | 1. No evidence of sinusitis.2. Moderate rightward deviation of the nasal septum. |
Generate impression based on findings. | IntubatedVIEW: Chest AP 2/6/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right internal jugular central line with tip at the cavoatrial junction. Cardiothymic silhouette at the upper limits of normal. Left lower lobe opacities minimally improved. Probable small left pleural effu... | Left lower lobe opacities minimally improved. |
Generate impression based on findings. | Left buccal swelling/osteomyelitis status post facial reconstruction. There are postoperative findings related to partial left maxillectomy and left hemimandibulectomy with iliac bone and myocutaneous flap reconstruction, as well as total dental extraction, related to debulking of a left buccal region mass with lymph n... | 1. Extensive postoperative findings in the maxillofacial region with interval development of osteolysis in the remaining body of the mandible may represent osteomyelitis, although tumor involvement is a differential consideration. Streak artifact from the mandible hardware and the lack of intravenous contrast administr... |
Generate impression based on findings. | DesaturationVIEW: Chest AP 2/6/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Left chest tube removed in the interval. Minimal atelectasis left lower lobe in a background of chronic lung disease. There is a small left-sided pleural effusion. No evid... | Patchy atelectasis with small left-sided pleural effusion. |
Generate impression based on findings. | Female, 60 years old, with frequent sinusitis treated with antibiotics without resolution. History of sinus surgery. The frontal sinuses and frontoethmoidal recesses are clear. The sphenoid sinuses and sphenoethmoidal recesses are clear. The ethmoid air cell complex ease, anterior and posterior, are clear.The maxillary... | No evidence of significant or active paranasal sinus inflammatory disease. |
Generate impression based on findings. | T4N2M0 nasopharyngeal carcinoma treated with radiation and chemotherapy. There are post-treatment effects in the nasopharyngeal region with diffusely edematous tissues. There is residual heterogeneity of the central skull base, but no evidence of measurable residual nasopharyngeal tumor. There is no significant residua... | 1. Post-treatment findings in the nasopharyngeal region without evidence of measurable residual tumor or significant lymphadenopathy. However, MRI with contrast may be more sensitive for neoplasm.2. Findings suggestive of acute sinusitis and bilateral otomastoiditis.3. Secretions in the trachea indicate aspiration. |
Generate impression based on findings. | There is no restricted diffusion to indicate an acute infarct. No susceptibility weighted abnormalities to indicate hemorrhage. Mild periventricular and subcortical T2/Flair hyperintensities are nonspecific but compatible with small vessel ischemic changes. No mass, mass effect, midline shift or herniation. No evidenc... | 1.No evidence of mass effect, mass or edema to indicate an inflammatory process.2.Mild small vessel ischemic changes. |
Generate impression based on findings. | Ms. Asbury is a 74 year old female presenting for a short-term follow-up for calcifications in the right breast. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivity of mammography, unchanged in patt... | Bilateral benign calcifications. 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. | 58 yo female with recurrent clinical stage I uterine leiomyosarcoma with lung metastatasis, s/p wedge resection, recently completed 6 cycles of adjuvant chemotherapy History: increasing hilar lymph node on imaging, f/u exam CHEST:LUNGS AND PLEURA: Right perifissural nodule unchanged (image 62, series 4). Postsurgical s... | Regression of left hilar lymph node. Stable or slight interval regression of pulmonary micronodules. |
Generate impression based on findings. | Male; 66 years old. Reason: h/o lung ca, s/p CRT, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Right upper lobe mass is decreased and measures up to 2.9 x 1.7 cm (series 5/20), previously 3.9 x 2.2 cm on 9/27/14 and 3.3 x 2.1 cm on 6/25/14.Scattered nodules and micronodules are not signif... | Decreased right upper lobe mass and mediastinal lymphadenopathy, aside from a nonindex paraesophageal lymph node as detailed above. |
Generate impression based on findings. | Male, 49 years old, status-post esophageal dilatation, now with odynophagia and concern for possible perforation, also with history of laryngeal cancer. No clear evidence of esophageal perforation is seen along the portion of the esophagus which is imaged on this study. No evidence of extraluminal air or any definite p... | 1. No definite findings to suggest esophageal perforation. An area of mural thickening and irregularity is suspected at the right aspect of the upper cervical esophagus which may reflect a normal finding post dilatation, or perhaps some degree of inflammation. If concern for perforation remains high, an esophagram woul... |
Generate impression based on findings. | Male 75 years old; Reason: 75 y/o male with met prostate cancer, evaluate for progression, IV contrast only. NO PO contrast History: met prostate cancer CHEST:LUNGS AND PLEURA: There are a few scattered micronodules. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size no no pericardial effusion. Left chest wa... | 1.Increase in the size of the reference liver lesions. |
Generate impression based on findings. | Male 66 years old; Reason: metastatic prostate cancer, enlarged LN in pelvis, rising psa, restaging History: none ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific subcentimeter hypoattenuating lesion in the right hepatic lobe is too small to characterize.SPLEEN: No significant abno... | 1.The prostate gland is enlarged and heterogeneous. 2.Soft tissue adjacent to the right iliac vein does not the morphology of a lymph node and is considered nonspecific. |
Generate impression based on findings. | Female 20 years old Reason: mets lung cancer. s/p chemo and RT. pls c/w previous study and evaluate tx response. History: lung ca CHEST:LUNGS AND PLEURA: Status post right pneumonectomy and pleurectomy with unchanged peripheral pleural thickening. Reference nonspecific paramediastinal soft tissue thickening measures 4 ... | No specific evidence of residual or recurrent disease. |
Generate impression based on findings. | metastatic medullary thyroid carcinoma status post thyroidectomy in 2009 and progression in 3/2010, currently on cabozantinib since 2/2014. There are postoperative findings related to total thyroidectomy without evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. The majo... | Postoperative findings related to total thyroidectomy without evidence of measurable mass lesions or significant cervical lymphadenopathy based on size criteria. |
Generate impression based on findings. | Male 42 years old; Reason: PE? History: SOB, +acute DVT The comparison chest radiograph performed on 2/6/2015 demonstrates cardiomegaly with interstitial edema.The ventilation images show decreased ventilation in the left lower lung with abnormal retention of Xe-133 gas in the left lung base. The perfusion images show ... | Low probability for pulmonary embolism.Findings were discussed with Dr. Andrew Hantel by phone on 2/6/2015 at 2:00 PM. |
Generate impression based on findings. | ABDOMEN:LUNG BASES: Minimal subsegmental atelectasis. No consolidation or pleural effusions are seen at the bases.LIVER, BILIARY TRACT: Multiple hypoattenuating foci within the liver parenchyma, none of which show enhancement. Nonspecific but most likely benign cysts. No biliary dilatation or significant abnormality o... | Small bilateral renal sinus cysts, without hydronephrosis or other significant abnormality. |
Generate impression based on findings. | Metastatic lung cancer status post chemo and radiation therapy. Please compare with prior study and evaluate disease status. There are partially imaged postsurgical findings from right pneumonectomy and supraclavicular lymph node dissection. There are unchanged borderline prominent level 2 cervical lymph nodes. For exa... | 1. Unchanged borderline prominent level 2 cervical lymph nodes which are nonspecific. Otherwise, no significant cervical lymphadenopathy.2. Status post right pneumonectomy and left pleural based lung micronodule. Please refer to dedicated chest CT performed the same day for further evaluation. |
Generate impression based on findings. | Male 39 years old; Reason: 39M with history of colorectal cancer History: colon cancer CHEST:LUNGS AND PLEURA: 6-mm nodule in the right middle lobe lobe (series 5, image 47 ) is indeterminate. Additional micronodules are also nonspecific, for example series 5, image 42.MEDIASTINUM AND HILA: No significant abnormality n... | 1.Bowel wall thickening at the surgical anastomosis with peritoneal nodularity suspicious for locoregional recurrence. |
Generate impression based on findings. | Head: There are small vague areas of subcortical hypoattenuation most prominent in the left superior frontal gyrus which seem to have been present as far back as 2011 and appear to be unchanged.No evidence of acute intracranial hemorrhage. The gray-white differentiation is normal. There is no mass effect or midline sh... | 1.There are small vague areas of subcortical hypoattenuation most prominent in the left superior frontal gyrus which seem to have been present as far back as 2011 and appear to be unchanged. The etiology is uncertain and could represent normal variation. However, this would probably best be evaluated with MRI.2.Mucosal... |
Generate impression based on findings. | Esophageal dilatation now with odynophagia, concern for possible perforation. LUNGS AND PLEURA: Bilateral apical scarring consistent with radiation fibrosis. Multifocal groundglass opacities and mixed density nodules measuring up to 14-mm (4/39) are new since the previous study. Endobronchial debris within the left low... | 1. No CT signs of esophageal perforation. Specifically, no pneumomediastinum or mediastinal fluid collections. 2. Mediastinal lymphadenopathy is unchanged and in retrospect has been present since 1/13/2014. The distribution is atypical for the pattern seen in head and neck cancer metastases and likely has to do with th... |
Generate impression based on findings. | Headache, warfarin therapy, status post fall. Remote history of subarachnoid hemorrhage. 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 lim... | No evidence of acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | 57 year-old female with facial pain and swelling status post fall. No intracranial hemorrhage is identified. No intracranial mass, evidence of mass-effect or significant midline shift is present. The gray-white differentiation is maintained. The ventricles and sulci are prominent, consistent with mild age-related volum... | 1. No evidence of intracranial hemorrhage, extra axial collection or mass effect. 2. There is a small hematoma superior to the right orbit, without underlying fracture. 3. Air-fluid levels and frothy secretions in the bilateral maxillary and left sphenoid sinuses which may represent retained secretions or acute sinusit... |
Generate impression based on findings. | Male 44 years old with Type II DM, abdominal pain, nausea, and vomiting. Evaluate for gastroparesis. Visually there was significant and progressive gastric emptying. Using anterior and posterior geometric means, residual gastric activity at the following postprandial intervals was calculated as follows:30 mins: 26.3 % ... | Gastric emptying within normal limits. |
Generate impression based on findings. | 67 years, Female. Reason: NGT placement Dobbhoff tube tip now projects in the gastric antrum. IVC filter noted in the expected location. Pelvic JP drain and skin staples reflect recent surgery. Severe levoscoliosis. Nonobstructive bowel gas pattern. | Dobbhoff tube tip in the gastric antrum. |
Generate impression based on findings. | 41-year-old female with hip pain Alignment is anatomic. There is no fracture or other specific findings to account for the patient's pain. The contralateral hip and pelvis appear normal for the patient's age. | No specific findings to account for the patient's pain. |
Generate impression based on findings. | Male 52 years old; Reason: lymphoma staging History: hx of CLL with left cervical LAD and bx suspicious for richter transformationRADIOPHARMACEUTICAL: 11.5 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 95 mg/dL. Today's CT portion grossly demonstrates collection in the maxillary sinuses. There is soft tiss... | Intense lymphadenopathy in the neck, chest abdomen and pelvis with increased activity consistent with patient's known diagnosis of CLL. |
Generate impression based on findings. | 46 years old, Male, Reason: r/o adenopathy, recurrence History: h/o thyroid cancer. S/P surgery. No RAI MEASUREMENTS: Patient status post thyroidectomy.RIGHT LOBE AREA: Patient status post thyroidectomy with no suspicious nodules or masses.LEFT LOBE AREA: Patient status post thyroidectomy with no suspicious nodules or ... | No evidence of local recurrence or lymphadenopathy. |
Generate impression based on findings. | Ms. Finkelstein is a 40 year old female with bilateral silicone implants placed in 5/2013. Family history of breast cancer in mother (diagnosed at the age of 38) and maternal great aunt (diagnosed in her 90s). Two full field views and two implant-displaced views of both breasts were performed digitally and reviewed wit... | Bilateral silicone implants. 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. | CHEST:LUNGS AND PLEURA: Mild apical predominant emphysema. Minimal right dependent subsegmental atelectasis/scarring.MEDIASTINUM AND HILA: Heart size within normal limits, and there is no pericardial effusion. No significant hilar lymphadenopathy. Right cardiophrenic nodule (17/97) measures 1.2 x 1.6 cm, previously 2 ... | No substantial interval change compared to prior.1.Multiple hepatic enhancing lesions consistent with history of metastatic tumor with measurements as above.2.Partial small bowel obstruction appears similar to prior. |
Generate impression based on findings. | Altered mental status, evaluate for acute intracranial process 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 hy... | No evidence of acute intracranial hemorrhage or mass effect. If there is continued suspicion for an intracranial process, MRI can be considered. |
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 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. | 45 years, Female. Reason: Assess for passage of patency capsule through small bowel History: abdominal pain, mild narrowing seen on imaging in mid small bowel. Rectangular radiodensity projecting over the left lower quadrant is compatible with patency capsule within the distal descending colon. Average fecal burden wit... | Patency capsule in the distal descending colon. Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of reduction surgery for both breasts in 2014. 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. Breast volume is sign... | 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. | 63 years old male with a history of lymphoma. This study was performed for staging of plasmablastic lymphoma. RADIOPHARMACEUTICAL: 12.6 mCi F-18 fluorodeoxyglucose (FDG).BLOOD GLUCOSE (FASTING): 102 mg/dL. Today's CT portion grossly demonstrates multiple normal-sized lymph nodes in the bilateral axillary regions. Soft ... | 1.Hypermetabolic soft tissue density in the posterior left pelvis, lateral to the left seminal vesicle, which can be due to tumor or inflammatory change.2.Several foci of increased activity in the costochondral junctions of right lower ribs, which are most likely due to trauma.3.Nonspecific normal sized lymph nodes wit... |
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 81 years old; Reason: prostate cancer, PSA recurrence, evaluate for mets History: biochemical recurrence Increased uptake in the right maxillary bone may be due to sinusitis. Persistent increased uptake in the left shoulder, knees, left foot, cervical spine, and wrists likely reflect degenerative changes. | Increased uptake in the right maxillary bone may be due to sinusitis. Suggest correlation with x-ray. |
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. | Male; 87 years old. Reason: h/o met thyroid ca, compare to previous, measurements pls History: none CHEST:LUNGS AND PLEURA: Overall no significant interval change in the innumerable pulmonary metastatic nodules.Reference left upper lobe nodule measures 8 mm (series 4/38), unchanged.Reference lingular nodule measures 12... | Overall, no significant change in innumerable metastatic pulmonary nodules. |
Generate impression based on findings. | 4-year-old female with mouth breathing and mild OSA.VIEWS: Soft tissue neck lateral (one views) 02/06/15 Mild adenoidal tissue hypertrophy without obstruction of the nasopharyngeal airway. No prevertebral soft tissue swelling | Mild adenoid hypertrophy without obstruction of the nasopharyngeal airway. |
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. | Female 55 years old; Reason: hyperparathyroid localization History: hyperparathyroid biochemically There is physiologic distribution of the radiopharmaceutical. There is a discrete focus of persistent activity on delayed images posterior to the inferior pole of the right thyroid lobe.The right thyroid lobe appears to m... | Findings compatible with parathyroid adenoma posterior to the inferior pole of the right thyroid lobe. |
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. No suspicious masses, microcalcifications or areas of archit... | 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. History of reduction surgery at age 22. 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 elemen... | 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 75 years old; Reason: metastatic prostate cancer on treatment. needs disease reeval Persistent increased uptake at L2 and L5 vertebral body are unchanged. No new foci of abnormal osseous uptake are noted. Mild activity from T10 through L1 is stable and corresponds with degenerative and compression deformities. The... | No significant interval change. |
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. 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. | Right mesial temporal mass. Surgical guidance. This exam is limited by technique and artifact from a halo. Pre-and postbiopsy scans were performed with a post-biopsy scan revealing a small right frontal burr hole and pneumocephalus. There is no midline shift. | Intraoperative CT with expected post-surgical findings related to biopsy of a right mesial temporal lobe mass, within the limits of streak artifact. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 61 year old male s/p gastric banding in 2001 who now presents with postprandial pain and vomiting. Assess band position. Scout radiograph of the chest was unremarkable. Single contrast visualization of the esophagus showed no gross structural abnormality. Fluoroscopic evaluation of esophageal peristalsis demonstrated a... | 1.Gastric band normally positioned without evidence of obstruction. 2.Contrast containing outpouching adjacent to the gastric fundus which corresponds to a bowel loop or portion of partially excluded gastric fundus seen near the lesser curvature of the stomach on prior outside CT. Please correlate with patient's surgic... |
Generate impression based on findings. | 17 year-old female with left chest tube removalVIEWS: Chest PA/lateral (two views) 02/06/15, 1323 hrs Interval removal of left chest tube now with a small hydropneumothorax. Left lower lobe consolidation. Streaky opacities in the right lung likely represents atelectasis. Small right pleural effusion. Cardiothymic silho... | Small left hydropneumothorax status post chest tube removal. Left lower lobe consolidation. |
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. |
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