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Generate impression based on findings. | Increased work of breathing and crackles on exam.VIEWS: Chest PA/lateral (two views) 2/6/2015 Peribronchial thickening and large lung volumes are evident. Streaky retrocardiac opacity most likely reflects atelectasis. The cardiothymic silhouette is normal. Small left pleural effusion. | Bronchiolitis/reactive airways disease pattern and small left pleural effusion. |
Generate impression based on findings. | Female; 80 years old. Reason: r/o PE History: CT chest concerning for acute infarct PULMONARY ARTERIES: Multiple nonocclusive, central filling defects predominantly in the right middle and lower lobe segmental and subsegmental arteries, compatible with acute pulmonary emboli. The most proximal embolus is seen in the di... | 1. Acute pulmonary emboli in the right middle and lower lobes.2. Increasing consolidations in the right middle and lower lobes, suspicious for infarct/hemorrhage. Additional scattered subpleural consolidations in the right upper and left upper lobes, suspicious for the same.3. Findings suggestive of CHF with cardiomega... |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial hemorrhage or depressed calvarial fracture. |
Generate impression based on findings. | Postreduction radiograph.VIEWS: Left wrist PA lateral and oblique (3 views) 2/7/2015 Interval reduction of the distal radial metaphyseal fracture now in improved anatomic alignment. Overlying cast material obscures fine bone detail. Ulnar styloid fracture not well seen on this examination. | Reduction and casting of the distal radial fracture in improved anatomic alignment. |
Generate impression based on findings. | 12 year old female status-post fall with swelling and deformity.VIEWS: Left wrist PA lateral and oblique (3 views) 2/7/2015 There is a comminuted fracture of the distal radial metaphysis, which extends to the physis, with posterior angulation of the distal fracture fragment. There is an additional minimally displaced t... | Comminuted Salter-Harris type II fracture of the distal radius. Minimally displaced fracture the ulnar styloid. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low attenuation in the periventricular and subcortical white matter, consistent with advanced... | 1. No acute intracranial hemorrhage. 2. Advanced age indeterminate chronic small vessel ischemic changes. Please note that CT is insensitive for the detection of acute nonhemorrhagic ischemic event. If there is continued clinical concern, MRI of the brain is recommended.3. Slight increased prominence of the bilateral s... |
Generate impression based on findings. | Mild periventricular and subcortical white matter hypoattenuation is nonspecific, however likely represents mild age indeterminate small vessel ischemic disease. The ventricles and sulci are within normal limits for the patient's age. There is no effacement of the basal cisterns. There is no evidence for intracranial ... | No acute intracranial abnormality. |
Generate impression based on findings. | Newborn male with respiratory distress.VIEW: Chest and abdomen AP (two view) 2/7/2015, 04:53 Mild bibasilar subsegmental atelectasis. The aortic arch, cardiac apex and stomach are left-sided. The cardiothymic silhouette is normal. No pleural effusion or pneumothorax is identified.The bowel gas pattern is nonobstructive... | Mild bibasilar subsegmental atelectasis. |
Generate impression based on findings. | Hypoxic 4-month-old.VIEW: Chest AP (one view) 2/7/2015, 06:20 The endotracheal tube has been removed. The nasogastric tube tip is in the body of the stomach.Persistent unchanged right upper lobe opacity compatible with atelectasis. Persistent left lower lobe atelectasis. No pleural effusion or pneumothorax. The cardiot... | Unchanged right upper lobe atelectasis. |
Generate impression based on findings. | A heterogeneously enhancing mass is now seen in the lower right neck likely representing an enlarged right level 4 lymph node. This measures 2.1 x 2.3 cm (image 199, series 3). No other enlarged lymph nodes are seen.Stable posttreatment findings are seen in the neck with diffuse supraglottic edema and airway stenosis ... | 1.Enlarged right level 4 lymph node, likely metastatic given the patient's history. No other enlarged lymph nodes identified. 2.Stable post-treatment changes around the larynx without definite evidence of measurable tumor in this area.3.Please see dedicated CT chest report for further details. |
Generate impression based on findings. | 5-month-old female with right upper lobe atelectasis.VIEW: Chest AP (one view) 2/7/2015, 02:53 Persistent unchanged right upper and right middle lobe atelectasis with mediastinal shift to the right. Diffuse pulmonary haziness persists. The cardiothymic silhouette is normal. | Persistent right upper and right middle lobe atelectasis. |
Generate impression based on findings. | Assess endotracheal tube position.VIEW: Chest AP (one view) 2/7/2015, 03:12 ET tube tip is below thoracic inlet and above the carina. Left central venous catheter tip and right upper extremity PICC tips are in the superior vena cava.Persistent bilateral pleural effusions and retrocardiac atelectasis. Cardiac silhouette... | Slightly improved pulmonary edema pattern. |
Generate impression based on findings. | 17 year-old female with left pleural effusion.VIEW: Chest AP (one view) 2/7/2015, 04:09 Persistent small left-sided hydropneumothorax, likely unchanged and for differences in technique. Left basilar atelectasis and right basilar subsegmental atelectasis similar to prior. Cardiothymic silhouette is normal. | Persistent small left hydropneumothorax. |
Generate impression based on findings. | Signs and symptoms: Altered mental status, INR 11, with left ventricular assist device. Clinical question: Evaluate for intracranial bleed. Nonenhanced head CT:There is no evidence of acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Subtle periventricular and subcortical low attenuation... | 1. No evidence of acute intracranial hemorrhage.2. Mild age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | 34 with history of HIV presenting with shortness of breath. LUNGS AND PLEURA: Marked diffuse miliary pattern with innumerable micronodules in a predominantly centrilobular pattern. No pleural effusions.MEDIASTINUM AND HILA: Mild right hilar lymphadenopathy. Normal heart size. No pericardial effusion. No visible coronar... | 1. Diffuse miliary pattern with differential including disseminated mycobacterial infection, histoplasmosis, or pneumocystis pneumonia.2. Mild right hilar lymphadenopathy, likely reactive. |
Generate impression based on findings. | 19-month-old male with ARDS.VIEW: Chest AP (one view) 2/7/2015, 04:34 Endotracheal tube tip is below the thoracic inlet and above the carina. The nasogastric tube tip projects out of the field of view inferiorly. The right internal jugular central venous catheter tip is in the SVC. Patchy diffuse airspace opacities unc... | Persistent patchy diffuse airspace opacities and bilateral pleural effusions unchanged. |
Generate impression based on findings. | 15 year old female with flaccid paralysis. Assess right upper lobe opacity.VIEW: Chest AP (one view) 2/7/2015, therefore: 45 ET tube tip is below the thoracic inlet and above the carina. Right internal jugular central venous catheter tip is in the SVC. Right upper extremity PICC tip is in the right atrium. Spinal rods ... | Resolved right upper lobe atelectasis and right apical pneumothorax. Bilateral pleural effusions and left lower lobe opacity persist. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation or pathological enhancement. There is no extraaxial fluid collection. There is absence of the nasal septum and turbinates. The visualized portions... | 1. Hypoplastic right V4 and right A1 segments. No evidence of intracranial stenosis or aneurysm. 2. No evidence of flow limiting stenosis of the bilateral internal carotid arteries.3. Subcentimeter nodules are noted in the left thyroid gland. Thyroid ultrasound may be considered as clinically warranted.4. Absent nasal ... |
Generate impression based on findings. | Pericardial and pleural effusions.VIEW: Chest AP (one view) 2/7/2015, 06:19 Right upper extremity PICC tip is at the cavoatrial junction. Pericardial drain is in place. Left-sided pleural catheter position unchanged. Cardiothymic silhouette remains enlarged. Layering left pleural effusion perhaps slightly improved. Per... | Layering left pleural effusion perhaps slightly improved from the prior examination. |
Generate impression based on findings. | The ventricles and sulci are prominent for the patient's age, likely related to volume loss and unchanged from the prior study. Diffuse subcortical and periventricular hypoattenuation of the white matter is also unchanged and compatible with moderate to advanced age indeterminate small vessel ischemic disease. There i... | 1.No acute intracranial hemorrhage.2.No change in age indeterminate small vessel ischemic disease and resultant volume loss.3.Diffuse opacification of the paranasal sinuses with air-fluid level in the left maxillary sinus is likely iatrogenic, however sinusitis cannot be entirely excluded. |
Generate impression based on findings. | Preterm infant with hypoxemia.VIEW: Chest AP (one view) 2/7/2015, 08:03 The nasogastric tube terminates in the body of the stomach. The UVC catheter has been removed. Bibasilar opacities suggests atelectasis, not significantly changed. No pleural effusion or pneumothorax. The cardiothymic silhouette is normal. | Bibasilar atelectasis not significantly changed. |
Generate impression based on findings. | Female 13 years old with hand pain for one month.VIEWS: Left wrist AP and oblique (two views), left hand PA oblique and lateral (3 views) 2/6/2015 No acute fracture or malalignment identified. Apparent cortical thickening along the anterior aspect of the distal radial diaphysis may reflect a healed fracture. No signifi... | No acute fracture or malalignment. Suggestion of a healed distal radial diaphyseal fracture as above. |
Generate impression based on findings. | Redemonstrated are postoperative changes from a right parietal temporal craniotomy and a left frontal craniectomy. There is extensive streak artifact from scattered aneurysm clips. There are also additional smaller surgical clips in the right temporal occipital region relating to previous AVM resection, with underlyin... | 1. Interval decrease in size of hypodense left frontotemporal extracranial fluid collection.2. Interval decrease in size of left frontoparietal convexity hypodense subdural fluid collection. 3. Mild interval increase in size of the ventricular system. |
Generate impression based on findings. | Male; 75 years old. Reason: 75 yo M hx of gastroesophageal cancer presenting with weakness, eval for progression History: weakness and weight loss LUNGS AND PLEURA: Scattered nonspecific pulmonary micronodules. No suspicious pulmonary nodules or masses. Minimal linear scarring or subsegmental atelectasis in the left lo... | Mild nonspecific retrocrural lymphadenopathy, but otherwise no evidence of malignancy in the chest. See report from CT abdomen and pelvis performed concomitantly. |
Generate impression based on findings. | Desaturations.VIEWS: Chest AP (one views) 2/6/2015 Tracheostomy cannula in place, position unchanged.The cardiothymic silhouette is normal. No pleural effusion or pneumothorax. Diffuse chronic coarse lung opacities unchanged. Right middle and left lower lobe atelectasis is present. | Right middle and left lower lobe atelectasis on a background chronic lung disease. |
Generate impression based on findings. | 27 year old female with history of abdominal pain, assess for hernia versus infection versus perforation in a transgender anatomic male. Diffuse pain in lower abdomen/pelvis with diaphoresis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant... | Lymphadenopathy in the pelvis as above, without significant abnormality otherwise. Follow up is suggested. |
Generate impression based on findings. | Redemonstrated is a densely calcified tentorial based lesion in the right posterior fossa, that exerts slight mass effect on the adjacent cerebellum, representing a meningioma. The meningioma abuts the right distal transverse and sigmoid sinus. There is slight asymmetry in the size of the temporal horns with greater v... | 1. No acute intracranial hemorrhage. 2. Stable right tentorial based meningioma abutting the right distal transverse and sigmoid sinus. Nonemergent MR can be considered for further evaluation, if there is no contraindication.3. Mild interval increase in size of the ventricular system, likely parenchymal volume loss. |
Generate impression based on findings. | Status post foot injury. Three views of the right foot show an oblique fracture of the distal fifth metatarsal with slight medial displacement. No previous exams | Fracture fifth metatarsal |
Generate impression based on findings. | The ventricles and sulci are normal for the patient's age. Periventricular hypoattenuation is nonspecific, however likely due to mild age indeterminate small vessel ischemic disease. There is no effacement of the basal cisterns. There is no evidence for intracranial hemorrhage, masses, or midline shift. The gray-white... | No acute intracranial hemorrhage or mass effect. |
Generate impression based on findings. | Neck pain Six views of the cervical spine reveal no evidence of any fractures or dislocations. The bones are in anatomic alignment. The collar has been removed. | Negative cervical spine examination |
Generate impression based on findings. | Female; 62 years old. Reason: 62 yo F with chronic aspiration with fevers and worsening hypoxia. Eval for worsening of pneumonia History: hypoxia, fevers LUNGS AND PLEURA: Mild to moderate subpleural consolidation in the lingula persists and is slightly increased posteriorly, though with resolution of small central cav... | Findings compatible with new aspiration bronchiolitis. Subpleural consolidations in the left lung are most likely due to aspiration pneumonia and are overall stable to slightly improved. |
Generate impression based on findings. | T2/FLAIR hyperintense lesions are again seen in the bilateral basal ganglia, centrum semiovale, thalami extending into the left cerebral peduncle, and pons. Restricted diffusion is again seen along the right corpus callosum with small foci in the right centrum semi-ovale, unchanged from the prior study. The left basal... | 1.T2/FLAIR hyperintense lesions, some with diffusion restriction, are unchanged and thought to represent subacute/chronic lacunar infarcts.2.Scattered foci of susceptibility weighted artifact are again compatible with microhemorrhage secondary to hypertension. |
Generate impression based on findings. | Radiation-induced osteonecrosis Single Panorex view of the mandible reveals no gross bone destruction. | No gross bone destruction |
Generate impression based on findings. | The ventricles and sulci are within normal limits. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are no areas of abnormal attenuation. There is no extraaxial fluid collection. The visualized portions of the paranasal sinuses and mastoids/middle ears are grossly clear. | No acute intracranial abnormality. |
Generate impression based on findings. | Male; 58 years old. Reason: eval possible malignancy - repeat CT scan for comparison to CT PE from 2013 showing nodule History: hx of lung CA, pt unaware of possible recurrence of lung CA LUNGS AND PLEURA: Stable 11-mm nodule in the right lower lobe (series 7/38). Additional scattered pulmonary micronodules, some of wh... | 1. No significant interval change. Stable right lower lobe pulmonary nodule, for which continued follow-up is recommended. No new suspicious pulmonary or masses. 2. Stable small nonspecific right adrenal nodule and cystic lesion in the tail of the pancreas. |
Generate impression based on findings. | BRAIN: The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the m... | Unremarkable MRI of the brain and cervical spine. |
Generate impression based on findings. | Right thalamic intraparenchymal hemorrhage is again seen appearing similar in size when compared with the prior study. There is no change in mass effect and there is again approximately 12 mm of midline shift to the left. Intraventricular extension of hemorrhage and dilation of the ventricles is again present with sli... | 1.No significant change in right thalamic intracranial hemorrhage with ventricular extension and left midline shift. 2.Minimal increase in size of left lateral ventricle. |
Generate impression based on findings. | Male 57 years old; Reason: 57M s/p OLT Dec with acute right sided abd pain, OSH CT ?partial SBO History: abdominal pain, ?pSBO Dilated loops of small bowel measuring up to 3.8 cm with air-fluid levels. There is gas within the colon and some gas within the rectum.Multiple lines tubes and catheters are projected over the... | 1.Findings most suggestive of an ileus. |
Generate impression based on findings. | Straightening of the normal lumbar lordosis is again seen. Grade 1 retrolisthesis of L5 on S1 is unchanged. Bone marrow edema is again seen in the bilateral L3 and L4 pedicles, left greater than right, extending into the L3 and L4 spinous processes. There is surrounding expected enhancement from degenerative changes. ... | 1.New L3-L4 right lateral and far lateral disk protrusion extending into the right neural foramen causing severe stenosis.2.Stable multilevel degenerative changes including moderate canal stenosis at L3-L4 and bilateral neural foraminal stenoses L4-L5 and L5-S1. |
Generate impression based on findings. | Status post fall. Two views of the right hip reveal a femoral neck fracture that is slightly impacted. No other radiographic abnormalities.Two views of the right femur again reveal the femoral neck fracture. Otherwise negative.Single AP view of the pelvis again reveals a femoral neck fracture. Otherwise unremarkable. | Impacted femoral neck fracture |
Generate impression based on findings. | Female; 35 years old. Reason: 35 y/o f with scleroderma and L pneumothorax s/p valve placement with new increased work of breathing, please eval. History: see above PULMONARY ARTERIES: No acute pulmonary embolus. Normal caliber of the main pulmonary artery. No evidence of right heart strain.LUNGS AND PLEURA: Small righ... | 1. No acute pulmonary embolus.2. Small left pneumothorax and complete atelectasis of the left upper lobe.3. Stable chronic interstitial lung disease.4. Increased mediastinal and hilar lymphadenopathy, likely reactive.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal:... |
Generate impression based on findings. | In motor vehicle accident this a.m. Five views of the lumbar spine reveal anatomic alignment. The disk spaces are preserved. No fractures or dislocations. | Negative lumbar spine examination |
Generate impression based on findings. | 45-year-old male with history of chest pain. Evaluate for dissection. VASCULATURE:Extensive type A dissection with aneurysmal dilation of the distal aortic arch. Previously seen mural thrombus (image 60 coronal series) is unchanged in size, measuring 4.4 cm in maximum diameter. Aneurysmal dilatation of the descending t... | Aneurysmal thoracic aorta with dissection as above. Aneurysmal dilatation is grossly stable in size from prior. |
Generate impression based on findings. | Status post fall 3 days ago Three views of the left shoulder reveal no evidence of any fractures or dislocations.Two views of the thoracic spine reveal disk space narrowing in the midthoracic spine with mild anterior osteophyte formation. No fractures or dislocations.Four views of the right knee are negative. | No fractures or dislocations. No acute abnormalities |
Generate impression based on findings. | Male 49 years old; Reason: stent placement History: urinary retention, dysuria, R flank pain Right nephroureteral stent. Vascular stent projects over the left sacrum. Surgical sutures are noted in the upper abdomen.Dilatation of the large bowel and stomach without definite signs of obstruction. Average amount of coloni... | 1.No specific evidence of bowel obstruction. |
Generate impression based on findings. | Dyspnea, clinical concern for pneumonia or pulmonary edema.VIEWS: Chest AP/lateral (two views) 2/7/2015 Streaky right upper lobe opacity may reflect atelectasis or scarring, and the left lower lobe opacity is suggestive of atelectasis. Patchy airspace suggestive of pulmonary edema. The heart is enlarged. The aortic arc... | Pulmonary edema pattern and cardiomegaly. |
Generate impression based on findings. | Female 31 years old; Reason: 31F with history of episodes of abd pain, no clear etiology History: epigastric pain, n/v Above average colonic fecal matter. No bowel obstruction is evident.No free air is evident. No organomegaly. | 1.Radiographic findings most suggestive of constipation. |
Generate impression based on findings. | 22-month-old male with pain, rule out fracture.VIEWS: Left tibia/fibula AP and lateral (two views) 2/7/2015 No acute fracture or malalignment evident. | Normal examination. |
Generate impression based on findings. | Status post fall CT examination of the left knee was performed without contrast. There is marked osteoarthritis with medial lateral osteophyte are also osteophytes at the patellofemoral joint. There is a large joint effusion at a popliteal cyst. No fractures or dislocations.Four views of the right knee demonstrate mark... | Large joint effusion and osteoarthritis at the left knee. No acute abnormalities |
Generate impression based on findings. | Desaturations and chylothorax. Evaluate pleural effusion.VIEW: Chest AP (one view) 2/7/2015, 08:53 Endotracheal tube tip is below the thoracic inlet and above the carina. The NG tube tip projects out of the field of view inferiorly. The cardiothymic silhouette is normal. Increased right upper lobe opacity suggest atele... | Multifocal atelectasis and small left-sided pleural effusion. |
Generate impression based on findings. | Female 66 years old; Reason: 66 yo F hx of locally advanced pancreatic cancer with N/V, eval for SBO History: N/V A biliary stent is in place. There intrahepatic pneumobilia.Partially imaged is a vascular catheter projecting adjacent to the right heart border.Nonobstructive bowel gas pattern. | 1.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Female; 18 years old. Reason: r/o acute abnormalities History: CXR completed on 2/6/2015 concerning for necrotizing pneumonia LUNGS AND PLEURA: Marked consolidation in the left lower lobe with central cavitation, most compatible with necrotizing pneumonia. No suspicious pulmonary nodules or masses in the remainder of t... | Marked left lower lobe necrotizing pneumonia. |
Generate impression based on findings. | Female; 72 years old. Reason: evaluate for pneumonia History: 72yo F with neutropenic fever LUNGS AND PLEURA: New moderate consolidation with air bronchograms and mild surrounding hazy ground glass opacity in the medial left upper lobe, most compatible with pneumonia. New mild patchy consolidation in the right middle l... | New multifocal airspace consolidations with the greatest opacity in the medial left upper lobe, most compatible with multifocal pneumonia. |
Generate impression based on findings. | Female 37 years old; Reason: 37yoF w/ sickle cell s/p C section, downtrending hemoglobin, spiking fevers, plz eval for hemorrhage vs abscess History: downtrending hemoglobin, fevers ABDOMEN:LUNG BASES: Trace left pleural effusion.LIVER, BILIARY TRACT: Liver is enlarged. Hepatic veins are dilated. There is mild periport... | 1.Postsurgical changes in the lower pelvis and uterus as detailed above. |
Generate impression based on findings. | 30 year-old male with history of flank pain. Evaluate for stone. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: M... | Bilateral nonobstructing renal stones as above. |
Generate impression based on findings. | Male 33 years old; Reason: Diverticulitis; Crohn's flare History: lower abd pain; possible Crohn's ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significan... | 1.Slight hyperemia of a portion of colon in the pelvis. Further evaluation with MR enterography is suggested for evaluation of Crohn's disease.2.Appendix is suboptimally evaluated. |
Generate impression based on findings. | T1N2bM0 right BOT, +p16, status post tonsillectomy, neck dissection and chemoradiation therapy. The patient has a history of therapy for lymphoma 1981 and SCCA occurred in radiated field. In addition, the patient had a papillary thyroid microcarcinoma (single focus of papillary thyroid microcarcinoma measuring 0.3 cm i... | 1. Partially imaged is subtle hypoattenuation of the left posterior temporo-occipital junction, which may represent ischemia. Recommend further evaluation with CT head. Finding discussed with Dr. Chawla on 2/7/2015 at 10:45 am.2. No evidence of recurrent tumor in the right thyroidectomy bed. Heterogeneous appearance of... |
Generate impression based on findings. | Pericardial and pleural effusionVIEW: Chest AP 2/7/15 Right upper extremity PICC tip is at the cavoatrial junction. Pericardial drain is in place. Left-sided pleural catheter position unchanged. Cardiothymic silhouette remains enlarged. Layering left pleural effusion improved. Persistent left basilar opacity suggests c... | Left pleural effusion improved. |
Generate impression based on findings. | Clinical question: Chronic sinusitis, sarcoidosis. Signs and symptoms: Chronic cough, chronic sinusitis, sarcoid Unenhanced maxillofacial CT:The examination demonstrates interval decreased size of adenoid tissues since prior exam.Paranasal sinuses remain well pneumatized. There is a small retention cyst in the dependen... | 1.Interval significant decreased size of previously noted prominent adenoid tissue.2.Small retention cyst in the left maxillary sinus and minimal mucosal thickening with interval improvement since prior exam and no evidence of sinusitis otherwise.3.Stable mild rightward deviation of nasal septum.4.Bilateral mastoid air... |
Generate impression based on findings. | Female 65 years old; Reason: cholangiitis; abscess History: AKI; AMS; hepatic encephalopathy, NASH ABDOMEN:LUNG BASES: Trace bilateral pleural effusions and bibasilar atelectasis/consolidation.LIVER, BILIARY TRACT: Diffuse severe fatty infiltration of the liver which is enlarged. Status post cholecystectomy. A common b... | 1.Hepatic steatosis with hepatomegaly. |
Generate impression based on findings. | Six lumbar type vertebral bodies are again seen. Air within the spinal canal at the L3-L4 level and subcutaneous gas are likely postoperative. Grade 1 anterolisthesis of L4 on L5 and of L5 on L6 appear similar to the prior study. The spinal canal is diffusely narrowed, likely congenital. Atherosclerotic disease is see... | 1.Evaluation of the spinal canal contents is limited on CT and postoperative complications such as epidural hemorrhage would be better assessed with MRI.2.Status post left L3 and L4 laminectomies and medial facetectomies. High-density material is seen within the left L3-L4 neural foramen with loss of normal epidural fa... |
Generate impression based on findings. | Male 53 years old; Reason: NG tube placement History: same Bilateral drains are in place. Enteric tube terminates about the gastroesophageal junction. There are postsurgical changes in the chest. The heart is enlarged.There is gaseous distention of the stomach. There is gas within the transverse colon. | 1.Enteric tube terminates about the gastroesophageal junction. |
Generate impression based on findings. | Evaluate for metastatic lesions. Examination of the lumbar spine reveals vague sclerosis within the L3 vertebral body and within the superior aspect of S1. These findings correspond to the images on the CT scan from February 5 and may represent sclerotic metastases. | Possible sclerotic metastasis |
Generate impression based on findings. | Mass over scapula. History renal cell carcinoma. Evaluate for metastatic disease Two views of the right scapula are unremarkable. Cross-sectional imaging such as CT would better evaluate the scapula | Two views of the scapula are unremarkable. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:Examination demonstrate a focus of low-attenuation in the right occipital lobe (at least 37 x 33-mm) containing a focus of high density measuring at 8 times 14 mm size. Finding is suggestive of acute hemorrhagic ischemic stroke. There is mild expansio... | 1.Acute ischemic stroke in the right occipital lobe with a focus of hemorrhage measuring at 8 x 14-mm as detailed. Follow-up with an MRI exam is recommended.2.Minimal age indeterminate small vessel ischemic strokes.3.No significant mass-effect, midline shift or hydrocephalus. |
Generate impression based on findings. | Male 83 years old; Reason: evaluate for ileus History: abd distension Catheter type device projects over the left hemiabdomen. No significant small bowel dilatation. Moderate stool burden.Degenerative changes affects the lumbar spine and hips. | 1.No specific evidence of ileus or obstruction.2.Moderate stool burden. |
Generate impression based on findings. | Female 56 years old; Reason: Metastatic breast cancer receiving chemotherapy. Evaluate for treatment response and extent of disease. History: Pelvic and bone mets. CHEST:LUNGS AND PLEURA: Postradiation changes in the left upper lobe. Trace bilateral pleural effusions.MEDIASTINUM AND HILA: Heart size is normal. Trace pe... | 1.No significant change in the size of the reference right pelvic lesion.2.Extensive omental, peritoneal and osseous disease. |
Generate impression based on findings. | Male 57 years old; Reason: left sided abdominal pain, hernia. Evidence of obstruction? compare to prior. History: left sided abdominal and flank pain Pacer leads project over an enlarged heart. Right chest wall/body wall catheter. IVC filter, postsurgical staples project over the mid abdomen.Mild gaseous distention of ... | 1.Nonobstructive bowel gas pattern.2.Moderate large amount of colonic fecal matter. |
Generate impression based on findings. | Male 57 years old Reason: 57M s/p OLT with elevated AST/ALT, RUQ abd pain History: abd pain, transaminitis LIVER: The liver has a smooth contour. Liver measures 18 cm in length. The parenchyma is mildly echogenic. No focal hepatic lesions. No significant intrahepatic biliary ductal dilatation.BILIARY TRACT: The gallbla... | 1.Patent hepatic artery with low resistive indices and mild tardus parvus waveform from the known hepatic artery stenosis.2.Other hepatic vasculature are patent. |
Generate impression based on findings. | Female 40 years old; Reason: eval for pelvic mass History: sudden BLE edema, no cardiac or renal origin ABDOMEN:LUNG BASES: Left lower lobe calcified granuloma.LIVER, BILIARY TRACT: Nonspecific 10-mm hypodense focus in segment 6 of the liver (image 61/series 3). The lesion cannot be further characterized without intrav... | 1.No pelvic mass to account for the patient's bilateral lower extremity edema. Other findings are detailed above. |
Generate impression based on findings. | Female 28 years old; Reason: RLQ pain, RLQ mass on exam History: RLQ pain, RLQ mass, normal pelvic ultrasound ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No... | 1.Findings of a cystic mesenteric mass. Given the patient's age findings are most likely represents a lymphangioma. Other benign entities include duplication cyst, non-pancreatic pseudocyst, and mesothelial cyst. Follow up is suggested2.No definite pelvic mass as clinically questioned. If symptoms persist in the pelvis... |
Generate impression based on findings. | There are diffuse osseous metastases involving the T9, T11, L1, L5 vertebral bodies and S1 segment. At the T9 level, there is metastatic involvement of the body, bilateral pedicles and facets. There is circumferential epidural tumor spread at the level of the mid body, contributing to moderate to severe spinal canal s... | 1. Diffuse osseous metastases of the lower thoracic spine, lumbar spine, upper sacrum and left hemipelvis with epidural tumor spread at the T9/10 and T10/T11 levels causing cord compression and cord edema, most severe at the T10 level, with tumor spread into the left T10/11 neural foramen.2. Pathologic compression frac... |
Generate impression based on findings. | Clinical question: Evaluate for right posterior ischemic stroke. Signs and symptoms: Left days deviation, left-sided weakness acute on chronic worsening. Pre-and post enhanced neck CTA:The visualized aortic arch and the origins of major vessels are unremarkable.Brachial cephalic branch and bilateral subclavian arteries... | 1.Unremarkable pre-and post enhanced neck CTA.2.Unremarkable pre-and post enhanced head CTA. Mild vascular lumen compromise and irregularity of the right parietal occipital branch of posterior cerebral artery is noted. |
Generate impression based on findings. | Brain: The ventricles and sulci are normal for the patient's age. There is no effacement of the basal cisterns. There is no evidence for intracranial hemorrhage, masses, or midline shift. Periventricular hypoattenuation is nonspecific, but likely due to minimal age indeterminate small vessel ischemic disease. The gray... | 1. Scalp hematoma over the parietal calvarium without acute intracranial abnormality.2. No acute fracture or subluxation of the cervical spine. |
Generate impression based on findings. | Male 74 years old; Reason: h/o renal transplant c/b CKD, now with Acute on CKD; r/o hydronephrosis History: AKI RENAL TRANSPLANT: Right iliac fossa renal allograft measures 10.1 cm in length. The parenchymal echotexture is echogenic.LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedCOLL... | 1.Echogenic renal cortex compatible with medical renal disease.2.Borderline elevated resistive indices and slight abnormal intrarenal waveforms. Further investigation for renal artery stenosis is suggested. |
Generate impression based on findings. | Clinical question: Evaluate for right posterior ischemic stroke. Signs and symptoms: Left days deviation, left-sided weakness acute on chronic worsening. Pre-and post enhanced neck CTA:The visualized aortic arch and the origins of major vessels are unremarkable.Brachial cephalic branch and bilateral subclavian arteries... | 1.Unremarkable pre-and post enhanced neck CTA.2.Unremarkable pre-and post enhanced head CTA. Mild vascular lumen compromise and irregularity of the right parietal occipital branch of posterior cerebral artery is noted. |
Generate impression based on findings. | WheezingVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP 2/7/15 Cardiothymic silhouette normal. G-tube in place. Bronchiectasis and left lower lobe atelectasis not significantly changed. Right upper lobe opacity minimally increased in the interval. No pleural effusion or pneumothorax. Right upper extremity anomalies unchanged. | Right upper lobe opacity minimally increased in the interval and may represent infection. |
Generate impression based on findings. | PainVIEWS: Right hand AP, right index finger oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Increased oxygen requirementVIEW: Chest AP 2/8/15 Tracheostomy tube in place. Marked dextroscoliosis of the thoracic spine. G-tube in place. Cardiothymic silhouette normal. Left lower lobe opacity likely atelectasis. No pleural effusion or pneumothorax. | Left lower lobe atelectasis without pleural effusion. |
Generate impression based on findings. | RSV tachypneaVIEW: Chest AP 2/8/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the right lower lobe and left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | IntubatedVIEW: Chest AP 2/8/15 ET tube tip below thoracic inlet and above the carina. There are two NG tubes in place. There is a new right internal jugular central line with tip in the caval atrial junction. Cardiothymic silhouette at the upper limits of normal. Left lower lobe and perihilar atelectasis not significan... | Left lower lobe atelectasis not significantly changed. |
Generate impression based on findings. | Omphalocele CDHVIEW: Chest AP and abdomen AP 2/7/15 NG tube tip in the stomach at the left upper quadrant. Cardiothymic silhouette at the upper limits of normal. Cardiac apex and stomach left-sided. Large opacity present at the right hemithorax likely representing the diaphragmatic hernia. Mildly dilated bowel loops in... | Large opacity at the right hemithorax likely representing the diaphragmatic hernia. |
Generate impression based on findings. | GastroschisisVIEW: Chest AP and abdomen AP 2/7/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the GE junction. Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. Large gastroschisis in the abdomen. There... | Large gastroschisis as described above. |
Generate impression based on findings. | IntubatedVIEW: Chest AP 2/8/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Right central line, epicardial pacer leads and multiple surgical clips in the left superior mediastinum are unchanged. Cardiothymic silhouette at the upper limits of normal. Patchy atelectasis left lower lo... | Patchy atelectasis left lower lobe without pleural effusion or pneumothorax. |
Generate impression based on findings. | ET placementVIEW: Chest AP 2/8/15 ET tube tip below thoracic inlet and above the carina. Right internal jugular central line and right PICC again noted. The posterior spinal rods are unchanged. Cardiothymic silhouette normal. Bilateral atelectasis improved in the interval. Bilateral small pleural effusions unchanged. L... | Bilateral atelectasis improved in the interval. |
Generate impression based on findings. | ET placementVIEW: Chest AP 2/8/15 ET tube tip below thoracic inlet and above the carina. Cardiothymic silhouette normal. Minimal patchy atelectasis left lower lobe. No pleural effusion or pneumothorax. | Minimal patchy atelectasis left lower lobe. |
Generate impression based on findings. | Evaluate pleural effusionVIEW: Chest AP 2/8/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Bilateral patchy atelectasis on a background of chronic lung disease increased in the interval. There is a small left-sided pleural effusion increased in the ... | Bilateral atelectasis and small left pleural effusion increased in the interval. |
Generate impression based on findings. | 27-year-old female with right lower quadrant pain and tenderness. Evaluate for appendicitis ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No intra-or extrahepatic biliary ductal dilatation. No focal hepatic lesions.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality ... | 1.Extensive inflammatory changes affect the terminal ileum and the cecum which are most likely inflammatory in etiology such as Crohn's disease. There is an associated pericecal phlegmon measuring up to 3.7 cm, possibly secondary to fistulous connection from the bowel.2.Further evaluation with MR enterography is sugges... |
Generate impression based on findings. | PainVIEWS: Left hand AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | PainVIEWS: Left forearm AP and lateral No acute fracture or dislocation. Diffuse soft tissue swelling about the forearm. | No acute fracture or dislocation. |
Generate impression based on findings. | TachypneaVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | HypoxiaVIEW: Chest AP 2/7/15 Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Minimal peribronchial wall thickening with subsegmental atelectasis right middle lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | CoughVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Peribronchial wall thickening with subsegmental atelectasis left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Abdominal distentionVIEW: Chest AP and lateral and abdomen AP Cardiothymic silhouette normal. NG tube removed in the interval. No focal lung opacity. No pleural effusion or pneumothorax. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | PainVIEWS: Left wrist AP, oblique and lateral There is a buckle fracture involving the metaphysis of the distal radius. There is minimal volar angulation. The distal ulna is normal. | Buckle fracture distal radius as described above. |
Generate impression based on findings. | TachycardiaVIEW: Chest AP 2/8/15 Feeding tube tip in the stomach. The stomach is distended. There is mediastinal shift from left to right unchanged. Cardiothymic silhouette normal. Right upper lobe and right lower lobe atelectasis not significantly changed. | Right lung atelectasis not significantly changed. |
Generate impression based on findings. | 82 year-old female with back pain radiating to chest and syncope. Evaluate for dissection. CHEST:CT ANGIOGRAM: Mild to moderate atherosclerotic calcifications at the origins of the brachiocephalic, left common carotid, and left subclavian arteries, which are all patent without evidence of dissection or thrombus. Modera... | 1.No evidence of thoracic or visualized abdominal aortic dissection.2.Severe centrilobular emphysema without evidence of infection.3.Cardiomegaly.4.Mild distal esophageal thickening may be inflammatory in etiology. Underlying neoplasm cannot be excluded. Further evaluation with endoscopy may be considered if clinically... |
Generate impression based on findings. | Feeding tube placementVIEW: Abdomen AP 2/7/15 Feeding tube tip in the duodenal bulb. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. Right lower lobe atelectasis again noted. | Feeding tube tip in the duodenal bulb. |
Generate impression based on findings. | PainVIEWS: Left elbow AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
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