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Generate impression based on findings. | PainVIEWS: Left forearm AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | Evaluate ET tubeVIEW: Chest AP 2/8/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Perihilar and left lower lobe atelectasis not significantly changed. No pleural effusion or pneumothorax. | Bilateral atelectasis not significantly changed. |
Generate impression based on findings. | 24 year-old female with diffuse abdominal pain, mild guarding, mostly in the right lower quadrant. Evaluate for ruptured ovarian cyst versus appendicitis. ABDOMEN:LUNG BASES: Mild bilateral basilar atelectasis.LIVER, BILIARY TRACT: Slight subhepatic ascites.SPLEEN: No significant abnormality notedPANCREAS: No significa... | 1.Bilateral complex adnexal fluid collections as above. Differential considerations include tubo-ovarian abscesses vs. pyosalpinx. Further evaluation with pelvic sonography may be considered if clinically indicated.2.Appendix is not visualized on this exam; however, no secondary signs of appendicitis. |
Generate impression based on findings. | InjuryVIEWS: Left ankle AP, oblique and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | InjuryVIEWS: Left tibia and fibula AP and lateral No acute fracture or dislocation. | Normal examination. |
Generate impression based on findings. | 75-year-old female with hematuria. Evaluate for biliary obstruction. ABDOMEN:LUNG BASES: Moderate right pleural effusion with overlying atelectasis. Partially visualized tree in bud opacities in the right middle lobe may be aspiration.LIVER, BILIARY TRACT: Multiple hypoattenuating foci throughout both lobes of the live... | 1.Findings concerning for primary pancreatic adenocarcinoma with thrombosis of splenic and superior mesenteric vein and with metastatic disease to the liver and peritoneum.2.Left adrenal thickening is nonspecific but raises suspicion for metastatic disease.3.Indeterminate left renal lesion.4.Small to moderate pelvic as... |
Generate impression based on findings. | VomitingVIEW: Abdomen AP The stomach is distended. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumoperitoneum. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Cough feverVIEWS: Chest AP and lateral Cardiothymic silhouette normal. Cardiac apex and stomach left-sided. Peribronchial wall thickening with subsegmental atelectasis in the left lower lobe. No pleural effusion or pneumothorax. | Bronchiolitis or reactive airway disease. |
Generate impression based on findings. | Desaturation evaluate foreign bodyVIEW: Chest AP 2/7/15 Cardiothymic silhouette normal. Minimal peribronchial wall thickening with subsegmental atelectasis right lower lobe. No pleural effusion or pneumothorax. No radiopaque foreign body. The stomach is distended. | No radiopaque foreign body. |
Generate impression based on findings. | Reason: Eval stridor, has subglottic stenosis and R VC paralysis History: As above LUNGS AND PLEURA: Calcified granuloma left lower lobe.MEDIASTINUM AND HILA: Mild coronary artery calcification.calcified nodes consistent with healed granulomatous disease.There is a short segment subglottic stenosis causing narrowing of... | Subglottic stenosis seen secondary to soft tissue thickening along the posterior and left lateral aspects of the airway. Is relatively fixed on dynamic phases. Please see dedicated neck CT report for further details regarding the upper airway. The lower trachea is normal.I personally reviewed the Images and/or procedur... |
Generate impression based on findings. | 5-month-old female patient with nasogastric tube.VIEW: Chest AP (one view) 2/7/2015, 15:20 hours. Enteric feeding tube with tip at the gastroesophageal junction. No focal airspace opacity or evidence of pneumonia. Left-sided cardiac apex, aortic arch and stomach. | Enteric feeding tube with tip at the gastroesophageal junction. |
Generate impression based on findings. | IntubatedVIEW: Chest AP 2/7/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Cardiothymic silhouette normal. Perihilar and left lower lobe atelectasis minimally improved. No pleural effusion or pneumothorax. | Left lower lobe atelectasis minimally improved in the interval. |
Generate impression based on findings. | Clinical question: Patient epilepsy presenting with seizures. Nonenhanced head CT:No detectable acute intracranial, calvarial or scalp findings.Mildly prominent cortical sulci and ventricular system, consistent with parenchymal volume loss, which is greater than expected for age. Mild atrophic changes of the right occi... | 1. No evidence of acute intracranial findings.2. Global parenchymal volume loss, which is greater than expected for age. Correlate with history. |
Generate impression based on findings. | Gastroschisis line placementVIEW: Chest AP and abdomen AP 2/7/15 ET tube tip below thoracic inlet and above the carina. NG tube tip in the stomach. Left upper extremity PICC with tip in the left internal jugular vein. There is a urinary catheter in place. Cardiothymic silhouette normal. Patchy atelectasis in the right ... | Left upper extremity PICC with tip in the left internal jugular vein. |
Generate impression based on findings. | Clinical question: Right-sided weakness. Signs and symptoms: Right-sided weakness. Nonenhanced head CT:There is no detectable acute intracranial process, CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are periventricular and to a lesser degree subcortical patchy foci of low... | 1.No acute intracranial process.2.Eight indeterminate small vessel ischemic strokes of mild degree. |
Generate impression based on findings. | Clinical question: Rule out intracranial hemorrhage. Signs and symptoms:? Seizure, hitting tree Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp findings.Unremarkable cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differ... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | 14-year-old female patient with panserositis and pleural effusion.VIEW: Chest AP (one view) 2/8/2015, 07:27 hours. Right upper extremity PICC tip is at the cavoatrial junction. Pericardial drain and left sided pleural catheter are unchanged in position. Left basilar opacity, compatible with pleural effusion, is not sig... | No significant interval change in left pleural effusion. |
Generate impression based on findings. | Clinical question: Six hour intervals scan, evaluate etiology of intracranial hemorrhage. Signs and symptoms: Slurred speech and right-sided weakness. Head CTA:Examination demonstrates patent bilateral internal carotid arteries across the skull base and supraclinoid segments.On the right there is a wide neck aneurysm a... | 1.No evidence of significant intracranial vascular lumen compromise or stenosis.2.Bilateral supraclinoid wide neck aneurysms (7.4 x 11 with 5.6-mm neck on the right and 4.8 times 6-mm weighted 5-mm wide necked on the left) as detailed/measured above. The aneurysms project directly superiorly and demonstrate wide neck a... |
Generate impression based on findings. | Line placementVIEW: Chest AP 2/7/15 ET tube tip at the level of the carina. NG tube tip in the stomach. Left upper extremity PICC with tip in the left internal jugular vein. Cardiothymic silhouette normal. Right upper lobe atelectasis new from prior study. No pleural effusion or pneumothorax. | Malpositioned ET tube and PICC with atelectasis in the right upper lobe. |
Generate impression based on findings. | Clinical question: Follow-up previous CT head. Signs and symptoms: Right-sided weakness and dysarthria improving at this point. Nonenhanced head CT:Examination demonstrate a well demarcated acute hematoma in the left thalamus measuring at 10 x 17-mm in transaxial dimensions. The finding demonstrates very minimal surrou... | Left thalamic acute hematoma measuring at 10 x 17-mm and with minimal surrounding edema and regional mass-effect. |
Generate impression based on findings. | Altered mental status. There are bilateral chronic appearing subdural hematomas measuring up to 11 mm on the right and 10 mm on the left. A small amount of acute hemorrhage is noted along the right frontal convexity. A small focus of subarachnoid hemorrhage is noted along the left superior frontal gyrus. There is mild ... | 1. Bilateral chronic subdural hematomas with superimposed acute hemorrhage along the right frontal convexity. Small subarachnoid hemorrhage along the left superior frontal gyrus.2. Diffuse paranasal sinus disease.Urgent findings discussed with neuro ICU fellow by radiology resident on call on 2/8/2015 at 3:40 am. |
Generate impression based on findings. | Clinical question: Follow-up previous CT head. Signs and symptoms: Right-sided weakness and dysarthria improving at this time. Nonenhanced head CT:Examination demonstrates an acute well-demarcated hematoma in the left thalamus measuring at 18 times 11-mm which is minutely larger than prior study. There is surrounding v... | Stable to possibly minute interval increased size of a left thalamic acute hematoma. |
Generate impression based on findings. | Clinical question: Frontal CT head 6 hours after presentation. Signs and symptoms: Left knee preference, left upper extremity and lower extremity weakness. Nonenhanced head CT:No evidence of acute or new finding since prior exam. There is a focus of low attenuation in the right occipital lobe with subtle regional mass-... | 1.No evidence of new finding since prior exam.2.Stable focus of low attenuation in the right occipital lobe containing an internal focus of the demarcated high density. The finding could represent a hemorrhagic stroke. Possibility of finding representing a mass with calcification however cannot be entirely excluded and... |
Generate impression based on findings. | Acute shortness of breath. Female; 82 years old with a history of NSCLC. Evaluate for pulmonary embolism PULMONARY ARTERIES: No acute pulmonary embolism. As seen on the prior CT the left subclavian artery, left main pulmonary artery, and left upper lobe pulmonary artery are encased by the patient's known pulmonary mass... | 1.No acute pulmonary embolism.2.Encasement of the left main pulmonary artery and left upper lobe branch of the pulmonary artery. Chronic left subclavian vein obstruction with multiple chest wall collaterals.3.No significant change in size or appearance of left upper lobe and right middle lobe masses or lymphadenopathy.... |
Generate impression based on findings. | Clinical question: ICH. Signs and symptoms: Fall on Coumadin. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.There are extensive periventricular and subcortical patchy foci of low attenuation suggestive of age... | 1.No acute intracranial process.2.Extensive age indeterminate small vessel ischemic strokes. |
Generate impression based on findings. | The ventricles and sulci are mildly prominent, consistent with 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 stable... | 1. No acute intracranial abnormality. 2. Stable moderate 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. |
Generate impression based on findings. | Feeding tube placementVIEW: Chest AP and abdomen AP Feeding tube tip at the duodenal bulb. Cardiothymic silhouette normal. There is mediastinal shift from left to right. Right upper lobe and right lower lobe atelectasis not significantly changed. Disorganized nonobstructive bowel gas pattern. No pneumatosis or pneumope... | Feeding tube tip in the duodenal bulb. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: CVA. Nonenhanced head CT:There is no detectable acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulci, ventricular system, CSF spaces and gray -- white matter differentiation is w... | Unremarkable nonenhanced head CT. |
Generate impression based on findings. | Clinical question: CVA; hemorrhage. Signs and symptoms going CVA. Nonenhanced head CT:Examination demonstrate bilateral hemispheric large mixed density subdurals with significant mass-effect on the adjacent brain parenchyma and rightward midline shift of approximately 4 mm. The mixed density left sided subdural measure... | 1.Mixed density large bilateral hemispheric subdural hematomas which are most prominent in bilateral frontal region. Hematomas at the left frontal measures measures 21-mm and at the right frontal 15-mm thickness. Findings results in mass effect on the lateral ventricle and 4-mm rightward midline shift.2.Acute hematoma ... |
Generate impression based on findings. | CoughVIEWS: Soft tissue neck AP and lateral The patient is inconsolable during the examination. The lateral projection of the neck was obtained in the expiratory phase. There is apparent prevertebral soft tissue swelling. No radiopaque foreign body. Minimal narrowing at the subglottic region. | Within the limitation described above no radiopaque foreign body. The apparent prevertebral soft tissue swelling could be secondary to artifact or retropharyngeal abscess and repeat radiograph or CT could be obtained for further evaluation. This was communicated to the clinical referring service by the radiology reside... |
Generate impression based on findings. | Redmonstrated is hypoattenuation in the MCA distribution involving the left frontal, parietal and occipital lobes. There is encephalomalacia of the left parieto-occipital lobe with adjacent ex vacuo dilatation of the left occipital horn. An additional focus of hypoattenuation involves the pericallosal right parietal l... | 1. Redemonstration of a large area of hypoattenuation in a left MCA distribution with areas of encephalomalacia in the left parieto-occipital lobes, which is likely chronic; however, a superimposed subacute or acute component cannot be entirely excluded. 2. Focal hypoattenuation in the right parietal lobe, likely repre... |
Generate impression based on findings. | 14-year-old female patient with pleural effusion. LUNGS AND PLEURA: There is interval decrease in bilateral pleural effusions with a left pleural catheter in place. There is persistent dependent atelectasis and small bilateral pleural effusions.MEDIASTINUM AND HILA: A pericardial drain is noted a small pericardial effu... | 1.No large hematoma in the chest.2.Filling defect in the left internal jugular vein can be further characterized with ultrasound. |
Generate impression based on findings. | Female 44 years old; Reason: Please evaluate for active bleed, s/p pre-peritoneal incisional hernia repair with Mesh, now with dropping hgb History: decreasing hgb ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. Subcentimeter hypodense segment 6 is nonspecific a... | 1.Findings of a left pelvic hematoma without active extravasation.2.Postsurgical changes in the left abdominal wall.3.Left inferior epigastric artery is patent however, the accompanying veins are not identified which may have been sacrificed at surgery or possibly may be the source of bleed.4.Pelvic hematoma may be fol... |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with age-related volume loss. There is no midline shift or mass effect. There is no intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with extensive age ind... | 1. No acute intracranial hemorrhage. 2. Extensive age-indeterminate 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. |
Generate impression based on findings. | 82 year-old female with constipation for one month, no flatus in two weeks. Evaluate for bowel obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hyperdense material within the gallbladder, likely sludge. No intra-or extrahepatic biliary ductal dilatation.SPLEEN: Splenic granulomata.... | 1.Findings highly suspicious for osseous metastatic disease, of unknown primary but statistically likely breast versus lung carcinoma.2.No findings to suggest small bowel obstruction as clinically questioned. 3.Nonspecific distal sigmoid narrowing without evidence of a mass. Further evaluation with colonoscopy may be c... |
Generate impression based on findings. | History of left maxillary nasofrontal carcinoma status post resection and chemoradiation with tenderness tracking from neck to face. Evaluate for abscess. Redemonstrated are extensive post-surgical changes related to left maxillary antrectomy and partial maxilla resection with free flap placement. There is interval pla... | 1. Redemonstration of post-surgical changes related to left maxilla resection, maxillary antrectomy, and selective neck dissection.2. Soft tissue swelling and subcutaneous fat stranding along the left cheek, compatible with cellulitis. No abscess. 3. Unchanged size of level I and II lymph nodes. |
Generate impression based on findings. | 15-year-old female patient with right lower quadrant pain. ABDOMEN:LUNG BASES: No focal air space opacity.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No signi... | Findings compatible with pancolitis.Findings discussed via telephone with Dr. Bagrodia at 18:30 hours by Dr. Vasnani. |
Generate impression based on findings. | Female 49 years old; Reason: Met Colon Cancer: Restaging History: None CHEST:LUNGS AND PLEURA: Mild emphysematous changes. No focal pulmonary nodules. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. Mild pericardial thickening.Reference mediastinal lymph node measures 2... | 1.Slight increase in the size of the liver lesions. |
Generate impression based on findings. | Male 41 years old; Reason: Assess Crohn's activity. Assess for SBO History: Recent admission elsewhere for vomiting. Has known Crohn's ileocolitis ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant... | 1.Chronic inflammation involving the descending colon, and rectosigmoid region with mild acute inflammation.2.No significant inflammation near the ileocecal valve. |
Generate impression based on findings. | Female; 52 years old. Reason: Evaluate for fracture. History: point tenderness to the posterior aspect of left hand radiating into the thumb. There is tingling in the fingertips. No acute fracture malalignment. No radiographic evidence to explain the patient's hand pain. | No acute fracture or malalignment. |
Generate impression based on findings. | Male; 29 years old. Reason: evaluate for retained glass History: punched glass; R hand lacerations along the index finger. There is soft tissue swelling and laceration along the thenar eminence. There is no retained radiopaque foreign body. No acute fracture or malalignment. | No retained radiopaque foreign body. |
Generate impression based on findings. | Fall. Evaluate for fracture. Vertebral body heights are maintained. No fracture is evident. There is grade 2 anterolisthesis of L4 on L5. Moderate to severe facet joint arthropathy affect the lower lumbar spine. | No acute fracture. Degenerative changes as above. |
Generate impression based on findings. | Pain and difficulty ambulating. Evaluate for effusion. There is a small joint effusion as well as anterior soft tissue swelling which have decreased when compared to the films from April 2014. Hardware components of a total knee arthroplasty device are situated in near-anatomic alignment without radiographic evidence o... | Small joint effusion has decreased compared to the prior study. |
Generate impression based on findings. | 75-year-old female with weight loss, persistent nausea and vomiting, inability to tolerate p.o. Evaluate for malignancy versus obstruction. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Nonspecific hypoattenuating foci in segments 7 and 8 (series 3, images 15 and 17).SPLEEN: Heterogeneous at... | 1.Findings most suspicious for a pericecal abscess measuring up to 3 cm, which may be secondary to perforated cecum versus perforated appendix.2.Findings consistent with chronic colitis affecting the ascending colon.3.Severe stenosis at the origin of the celiac axis with heterogeneous spleen, likely secondary to poor p... |
Generate impression based on findings. | Clinical question: Hemorrhage. Signs and symptoms: As above. Nonenhanced head CT:Images through posterior fossa demonstrates interval increase in hemorrhage in the vermis. On the current exam it measures approximately at 37 x 26 mm compared to prior study measurement of 28 x 29.There is resulting disorder increased mas... | 1.Interval increased hemorrhage in the posterior fossa, increased mass effect in the posterior fossa,extension of hemorrhage into the ventricular system and supratentorial hydrocephalus as detailed.2.Large mixed density bilateral subdurals without evidence of any new hemorrhage however they demonstrates subtle decrease... |
Generate impression based on findings. | Left knee pain after fall two days ago. No acute fracture or malalignment. No joint effusion. Sharpening of the tibial spines and mild medial joint space narrowing indicate mild osteoarthritis with minimal progression since 2009. | No acute fracture or malalignment. Mild osteoarthritis. |
Generate impression based on findings. | Pain to the top of the foot radiating medially after a fall today. Evaluate for fracture. There is soft tissue swelling about the ankle, more prominent along the medial aspect. No underlying fracture or malalignment is evident. | Soft tissue swelling without acute fracture. |
Generate impression based on findings. | Finger crushed under heavy object today, pain at the lateral aspect of the finger tip. Evaluate for fracture. There is a nondisplaced tuft fracture of the right fifth finger. There is a soft tissue defect at the lateral aspect of the tip of the fifth finger with punctate radiopaque densities in the soft tissues which l... | Nondisplaced tuft fracture of the fifth finger. |
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. The visualized portions of the paranasal sinuses and mastoids/middle ears ar... | 1. No acute intracranial hemorrhage. 2. No evidence of flow-limiting stenosis or aneurysm. |
Generate impression based on findings. | Clinical question: Cerebellar lesion, ICH posterior circulation. Signs and symptoms: Vertigo, history of aneurysm. Nonenhanced head CT:Examination demonstrates post operative changes of a suboccipital craniotomy with underlying large focus of encephalomalacia of the right cerebellum and to a lesser degree of the vermis... | 1.Nonenhanced head CT demonstrates no acute intracranial process. Postoperative changes of suboccipital craniectomy and right cerebellar encephalomalacia is noted. Suspected a small focus of chronic left cerebellar stroke.2.Neck CTA is unremarkable.3.Head CTA is unremarkable. |
Generate impression based on findings. | Status post reduction of third metacarpal fracture. Interval placement of splint limits evaluation of fine bone detail. The comminuted fracture of the mid diaphysis of the third metacarpal demonstrates persistent posterior displacement, foreshortening, and volar angulation of the distal fracture fragment. This is not s... | Interval splint placement. Redemonstration of comminuted fracture of the third metacarpal. |
Generate impression based on findings. | Hand smashed between door today, evaluate for fracture. There is a comminuted fracture of the mid diaphysis of the third metacarpal with foreshortening, posterior displacement, and volar angulation of the distal fracture fragment. There is deformity of the fifth metacarpal head from prior fracture. | Fracture of the third metacarpal as above. |
Generate impression based on findings. | Pain of the distal third digit off and on after bumping hand on the table 1 week ago. No acute fracture or malalignment. No radiographic evidence to explain the patient's pain. | No acute fracture or malalignment. |
Generate impression based on findings. | Fall today, unable to ambulate. Pelvis: No acute fracture or malalignment.Right hip: No acute fracture or malalignment.Right knee: No acute fracture or malalignment. No joint effusion. Growth arrest lines are seen in the distal femur and proximal tibia, likely of no current clinical significance.Left ankle: No acute fr... | No acute fracture or malalignment in the pelvis, right hip, right knee, and left ankle. |
Generate impression based on findings. | Fall today, generalized back pain. Minimal anterior wedging of the T8 vertebral body. This is on uncertain chronicity. No additional fracture or malalignment is identified. | Minimal anterior wedging of T8 vertebral body of uncertain chronicity. |
Generate impression based on findings. | Pain, swelling and numbness of the left hand. Mild soft tissue swelling at the fifth metacarpophalangeal joint but no underlying acute fracture or malalignment. | Soft tissue swelling but no acute fracture or malalignment. |
Generate impression based on findings. | Lower mid back pain after car accident today, evaluate for fracture. No acute fracture or malalignment. Vertebral heights and intravertebral disk spaces are maintained. | No acute fracture or malalignment. |
Generate impression based on findings. | Male; 19 years old. Reason: Evaluate for osteomyelitis History: L foot pain No erosion or periosteal reaction to suggest osteomyelitis. No acute fracture or malalignment. | No radiographic evidence of osteomyelitis. |
Generate impression based on findings. | Generalized pain in the lateral, medial scapular area for two days after punching a wall. Evaluate for fracture. No acute fracture or dislocation. No radiographic evidence to explain the patient's right shoulder pain. | No acute fracture or dislocation. |
Generate impression based on findings. | Generalized right hand and forearm pain. Evaluate for fracture. Right forearm: No acute fracture or malalignment.Right hand: No acute fracture or malalignment. | No acute fracture or malalignment. |
Generate impression based on findings. | Back and left knee pain after motor vehicle collision. Evaluate for fracture. Lumbar spine: Vertebral body heights and intervertebral disk spaces are maintained. No acute fracture or malalignment.Left knee: No acute fracture or dislocation. There is a small joint effusion. | No acute fracture, dislocation, or malalignment. |
Generate impression based on findings. | Female 83 years old; Reason: left adnexal mass or renal stone History: pressure left abdomen ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Nonspecific hypodense foci in the liver which cannot be further without intravenous contrast.Status post cholecystectomy.SPLEEN: No significant abnormal... | 1.Bilateral adnexal lesions. Overall size is similar.2.Cystic pancreatic neck mass has increased in size ; further evaluation an M.R.C.P. is suggested. |
Generate impression based on findings. | Female 50 years old; Reason: 50y/o with cytopenias and night sweats. R/o adenopathy or other lesions History: cytopenias and night sweats CHEST:LUNGS AND PLEURA: Soft tissue attenuation 6-mm pulmonary nodule is located in the superior segment of the right lower lobe (image 39/series 4). Additional scattered subcentimet... | 1.Nonspecific small axillary retroperitoneal and pelvic lymph nodes. Given the symptoms, a low grade lymphoproliferative disorder is not excluded. 2.Right 6 mm pulmonary nodule, follow-up recommended.3.Thyroid nodules. |
Generate impression based on findings. | 48-year-old male with left flank pain. Evaluate. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No nephrolithiasi... | 1.No obstructing nephrolithiasis or ureteral calculus. 2.Moderate degenerative disease affects L5/S1. |
Generate impression based on findings. | 68-year-old female status post EVAR with known endoleak. Evaluate ANGIOGRAM: No significant interval change in the diffuse aneurysmal dilatation of the thoracic aorta beginning at the level of the proximal arch measuring approximately 4 cm in maximal diameter, extending inferiorly to the mid descending thoracic aorta. ... | 1.Multiple aortic aneurysms without significant interval change in size as above. 2.No evidence of an endoleak as clinically questioned.3.Previously noted Type 1A endoleak is no longer demonstrated. |
Generate impression based on findings. | Male 47 years old; Reason: pt with a history of testicular cancer, please assess for disease progression History: testicular cancer CHEST:LUNGS AND PLEURA: No suspicious pulmonary lesions. The pleural spaces are clear.MEDIASTINUM AND HILA: Heart size is normal. No pericardial effusion. No mediastinal lymphadenopathy.CH... | 1.Stable exam without new sites of disease. |
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. If there is clinical concern for metastases and no contraindications, MRI of the brain with contrast may be considered. |
Generate impression based on findings. | Status post transoral robotic-assisted left base-of-tongue resection, left pharyngectomy and suture pharyngoplasty for T1 N1 squamous cell carcinoma at the junction of the left tonsil remnant and base-of-tongue on 1/22/2015. Post-surgical baseline study. Artifact from dental amalgam somewhat limits evaluation. There ar... | 1. Surgical defect at the left base of tongue with some peripheral enhancement. Findings likely related to surgery. However, there is mucosal irregularity and an infiltrative pattern of enhancement extending inferiorly into the left lateral pharyngeal wall, vallecula, and hypopharynx with thickening of the left aryepig... |
Generate impression based on findings. | Female 61 years old; Reason: history of stage 4 cervical cancer now with worsening pain, evaluate for disease progression History: worsening pain CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Thyroid is enlarged.ABDOMEN:LIVER, BILIARY TRACT: ... | 1.Decrease in the size of the pelvic lymph nodes.2.Extensive thickening of the vaginal mucosa which now has fluid in the lumen and may represent infection or persistent fistulization to the bladder. |
Generate impression based on findings. | Female 55 years old; Reason: weight loss nausea History: as above ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Liver is normal in morphology. No focal hepatic lesion. Hepatic and portal veins are patent. Gallbladder sludge layers within a nondistended gallbladder.SPLEEN: No significant abn... | 1.Etiology of the patient's nausea/ vomiting is not evident on the current exam.2.Colonic diverticulosis. |
Generate impression based on findings. | Male 58 years old; Reason: 58 year old man with large B cell lymphoma post chemotherapy. COmpare to prior scans. History: none CHEST:LUNGS AND PLEURA: Reference soft tissue mass in the right upper lobe near the suture line has resolved. The right lower lobe pulmonary masses have also resolved. There is a new left lower... | 1.Resolution of the right upper lobe and right lower lobe pulmonary nodules.2.New left lower lobe pulmonary nodule.3.No new lymphadenopathy. |
Generate impression based on findings. | Redemonstrated are multiple enhancing lesions in the bilateral cerebral hemispheres with associated T1 shortening and susceptibility artifact, consistent with hemorrhagic metastases. There is surrounding vasogenic edema of some of the lesions, left greater than right. There is regional mass effect. No midline shiftThe... | 1. Multiple hemorrhagic intracranial metastatic lesions primarily in the supratentorial space as detailed above with regional mass effect. No midline shift or hydrocephalus. 2. At least two dural based metastases of the posterior frontal and posterior parietal falx. |
Generate impression based on findings. | Female 70 years old; Reason: 70F h/o cecal pneumatosis s/p ileocolectomy w/ EI and transverse colon mucous fistula, p/w elevated WBC, abdominal pain, tachycardia, cough History: abdominal pain, cough/congestion CHEST:LUNGS AND PLEURA: Pulmonary nodule adjacent to the left major fissure measures 1.0 x 0.5 cm (image 41/s... | 1.Postsurgical changes in the abdomen with mild dilatation of the left upper abdominal jejunal loops possibly representing an ileus.2.Thickening and mucosal hyperenhancement of the ileal loops in the right abdomen may be a sequela of recent surgery or possibly ischemia.3.Severe calcific arteriosclerotic disease of aort... |
Generate impression based on findings. | CT HEAD: There is mild right posterior parietal scalp swelling. There is no intracranial hemorrhage. The ventricles and sulci are prominent, consistent with mild age-related volume loss. There is no midline shift or mass effect. There are minimal scattered areas of abnormal low attenuation in the periventricular and s... | 1. Mild right posterior parietal scalp swelling. No acute intracranial hemorrhage or depressed calvarial fracture. 2. Minimal age-indeterminate small vessel ischemic changes.3. No acute fracture or subluxation of the cervical spine. 4. Mild cervical spondylosis without significant spinal canal or foraminal stenosis. |
Generate impression based on findings. | Female 61 years old; Reason: obstruction History: abd pain There is gas and stool within nondistended colon. On the upright view, there are a few scattered air-fluid levels. No free air is evident.Degenerative changes affect the lumbar spine and hips. | 1.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified.Normal flow-voids are demonstrated in the major intracranial vascular st... | 1. No acute intracranial abnormality.2. Minimal spondylosis without significant spinal canal or foraminal stenosis. 3. Tiny round immediate left paramedian disc extrusion at T7-8 contributes to minimal flattening of the spinal cord. Additional tiny spurs at T6-7 and T8-9 contribute to minimal flattening of the spinal c... |
Generate impression based on findings. | Male; 19 years old. Reason: infection History: L foot infection, evaluate for osteomyelitis. There is infiltration of the subcutaneous fat along the lateral aspect of the fifth metatarsophalangeal joint. No evidence of involvement of the joint. There is no evidence of bony erosion or periosteal reaction in this area. T... | Cellulitis at the lateral aspect of the fifth metatarsophalangeal joint. No CT evidence of osteomyelitis. To exclude bone marrow changes MRI would be necessary. |
Generate impression based on findings. | History of vocal cord cancer and chemoradiation treatment. Compare to prior study. There is interval decrease in aryepiglottic fold thickening and enhancement. Mild distortion of the glottis and supraglottic tissues is similar to the prior examination. Erosive change of the anteromedial thyroid cartilage is stable. The... | 1. Interval decrease in thickening of the aryepiglottic folds. Distortion of the glottic and supraglottic space is unchanged.2. No evidence of pathologic adenopathy in the neck. |
Generate impression based on findings. | Male 68 years old; Reason: assess for intraabdominal free air History: assess for intraabdominal free air Persistent dilated loops of small bowel in the midabdomen measuring up to 4 cm. this likely due to an ongoing bowel obstruction. It appears similar to the CT dated 7/26/2014.Enteric tube terminates in the region of... | 1.Persistent dilated loops of small bowel likely related to a chronic bowel obstruction. |
Generate impression based on findings. | Female, 29 years old.Surgical Case Information | Procedure(s): Procedure(s) with comments: | KIDNEY-PANCREAS TRANSPLANT - Procedure: Kidney pancreas transplant | Operating Room: CDOR 15 CENTRAL | Surgeon(s) and Role: | * Yolanda Tai Becker, M.D. - Primary | * J Richard Thistlethwaite, M.D. - Assisting | Surgical drain ... | No unexpected radiopaque foreign body.These findings were discussed by telephone with Dr. Becker, the attending surgeon, on 2/7/2015 at 1815 by Raj Vasnani. |
Generate impression based on findings. | Male, 51 years old. Surgical Case Information | Procedure(s): Procedure(s): | ADULT LIVER TRANSPLANT | Operating Room: CDOR 17 CENTRAL | Surgeon(s) and Role: | * John F. Renz, M.D. - Primary | * Baddr Ahed Shakhsheer, M.D. - Resident - Assisting | * Piotr Witkowski, M.D. - Assisting | Multiple surgical clips, surgical ... | No unexpected radiopaque foreign body.These findings were discussed by telephone with Dr. Renz, the attending surgeon, on 2/8/2015 at 3 a.m.. By Dr. Raj Vasnani |
Generate impression based on findings. | Male 79 years old; Reason: s/p ileostomy, liquid stool, eval stool burden History: see above Mild gaseous distention of small bowel loops in the right upper abdomen measuring up to 4.4 cm. there is scattered amounts of gas within the rectum and descending colon. Less than average stool burden.No definite free intraperi... | 1.Dilated small bowel loops in the right upper abdomen. |
Generate impression based on findings. | Large B-cell lymphoma status post chemotherapy. Compare to prior study. There is mild asymmetry of the tonsils without evidence of a mucosal-based enhancing mass. The left level 2a cystic lymph node is decreased in size measuring 26 x 18 mm, previously 30 x 23 mm. No other pathologic lymph nodes by size criteria are id... | 1. Prominent cystic left level 2a lymph node, which is decreased in size compared to the prior examination. No new cervical lymphadenopathy.2. Interval decrease in size of the right upper lobe nodule. Please refer to the separate chest CT report for additional details. |
Generate impression based on findings. | Male 61 years old; Reason: NGT placement History: NGT Improvement in the small bowel distention. There is scattered gas within the colon.Postsurgical changes with catheter type devices projecting over the abdomen and pelvis. Postsurgical staples in the pelvis.Enteric tube terminates in the region of the proximal gastri... | 1.Improving ileus or obstruction. |
Generate impression based on findings. | Female 27 years old; Reason: eval for infection History: headache w precious vpleural shunt, fever, abd pain Bowel gas pattern is nonobstructive with scattered gas in the colon.Postsurgical clips are noted in the right upper abdomen. IVC filter projects over the L2-3 vertebral body. | 1.Nonobstructive bowel gas pattern |
Generate impression based on findings. | Female 48 years old; Reason: Evaluate for ileus History: No flatus, abdominal pain Bowel gas pattern is nonobstructive. IVC filter projects over the upper abdomen. Electronic device projects over the upper abdomen. Surgical clips in the pelvis. | 1.Nonobstructive bowel gas pattern |
Generate impression based on findings. | Recent dental extractions with concern for right buccal mass. There is evidence of bilateral mandibular and maxillary third molar extractions with soft tissue thickening partly filling the extraction sites, a non-specific finding. There is no discrete fluid collection. There is no evidence of any mass lesion or signifi... | 1. Soft thickening partly filling the bilateral mandibular and maxillary third molar extraction sites, which is non-specific, but likely represents inflammation and/or granulation tissue. 2. No evidence of mass or abscess. |
Generate impression based on findings. | Male 59 years old; Reason: Assess gastric bubble s/p decompression History: none Postsurgical changes of median sternotomy with multiple drains, lines and tubes projecting over the upper abdomen and chest. There is likely free air within the abdomen as the left hemidiaphragm is outlined.Enteric Dobbhoff tube terminates... | 1.No evidence of gastric distention.2.Postsurgical changes as detailed above with likely intraperitoneal free air. |
Generate impression based on findings. | Clinical question: None ICH, lesion. Signs and symptoms: And 8 and one bilateral upper extremities, exam limited by effort. Nonenhanced head CT:There is no evidence of an acute intracranial process. CT however is insensitive for early detection of acute nonhemorrhagic ischemic strokes.The cerebral cortex, cortical sulc... | 1.Unremarkable nonenhanced head CT.2.Left otitis media. Recommend further evaluation. There is extensive opacification of right mastoid air cells however with pneumatized right middle ear cavity. |
Generate impression based on findings. | Male 59 years old; Reason: Dobbhoff placement History: none Postsurgical changes from median sternotomy with multiple lines, drains and catheters projecting over the chest and upper abdomen.Dobbhoff tube terminates in the region of the gastric body.Nasogastric tube terminates in the region of the distal gastric body.Th... | 1.Enteric tube terminates in the region of the gastric body. |
Generate impression based on findings. | Male 68 years old; Reason: g tube not flushing, assess placement History: as above Postsurgical changes in the midline abdomen with multiple skin suture staples. Postsurgical changes in the upper abdomen with multiple bowel suture lines. There is some gas within the colon.Percutaneous catheter terminates in the lower a... | 1.Nonobstructive bowel gas pattern. If clinical concern for obstruction exists consider CT scan. |
Generate impression based on findings. | Male 65 years old; Reason: Dobbhoff placement History: above Cardiomegaly, postsurgical changes from median sternotomy and an LVAD device.The bowel gas pattern is nonobstructive. The Dobbhoff feeding tube terminates in the antropyloric region. | 1.Dobbhoff feeding tube terminates in the antropyloric region. |
Generate impression based on findings. | Female 63 years old; Reason: r/o free air History: abdominal pain Enteric tube terminates in the region of the gastric body. Bowel gas pattern is nonobstructive.Supine portable view is inadequate to evaluate for free air. | 1.Enteric tube tip is in the region of the gastric body |
Generate impression based on findings. | Female 86 years old; Reason: Dobbhoff History: Dobbhoff The bowel gas pattern is nonobstructive. Dobbhoff tube tip terminates in the region of the gastric body.Heart size is enlarged.Degenerative changes affect the lower lumbar spine and sacroiliac joints. | 1.Dobbhoff tube terminates in the gastric body. |
Generate impression based on findings. | Male 65 years old; Reason: OGT placement History: OGT placement Enteric tube terminates in the region of the gastric body. Catheters and lines project over the left upper abdomen and chest. | 1.Enteric tube terminates in the region of the gastric body |
Generate impression based on findings. | Male 55 years old; Reason: dry heaves History: dry heaves Catheter type device projects over the left lower pelvis. IVC filter projects over the L2-3 vertebral body.Extensive subcutaneous emphysema is noted in the right chest wall and body wall.There is a displaced right rib fracture.The bowel gas pattern is not obstru... | 1.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 31 years old; Reason: eval ileus vs obstruction History: abdominal pain, postop hernia repair, absence of flatus Gaseous distention of the small bowel and colon without a discrete transition point. There is gas within the rectum. The overall imaging findings are most suggestive of an ileus. No definite free intrap... | 1.Findings suggestive of ileus. |
Generate impression based on findings. | Male 83 years old; Reason: s/p G tube placement, now with abdominal pain after starting tube feeds History: same Catheter device projects over the left hemiabdomen.No significant small bowel dilatation. There is moderate stool burden.Degenerative changes affect the lumbar spine. | 1.No specific evidence of obstruction or ileus.2.Moderate stool burden. |
Generate impression based on findings. | Female 59 years old; Reason: abdominal pain History: as above Bowel gas pattern is nonobstructive with scattered gas and fecal matter within the colon up to the rectum.Postsurgical changes in the left hip. Degenerative changes affect the lumbar spine. | 1.Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Male 59 years old; Reason: is there signs of obstruction? History: nausea constipation Postsurgical changes in the chest with median sternotomy, pacer leads, pacer device and LVAD device.Bowel gas pattern is nonobstructive. Moderate amount of colonic fecal matter. | 1.Nonobstructive bowel gas pattern.2.Moderate colonic fecal burden.. |
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