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Generate impression based on findings. | Reason: Concern for AVN on recent Xray History: Has been on steroids for radiation pneumonitis Bone marrow signal intensity of the imaged proximal right femur is within normal limits. Similarly, bone marrow signal intensity of the imaged left proximal femur is within normal limits. Bone marrow of the bony pelvis is als... | No evidence of avascular necrosis. |
Generate impression based on findings. | 32 year old woman with coarctation of the aorta s/p bypass graft referred for repeat cardiac MRI for evaluation of her aorta. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 69%, the LV end diastolic volume index is 75 ml/m2 (normal range: 65+/-11), the LVED... | 1. There is evidence of a severe aortic coarctation with nearly complete occlusion of the descending aorta just distal to the left subclavian artery. The coarctation is bypassed by a graft originating at the level immediately distal to the left subclavian artery origin. The graft is widely patent.2. Normal LV size and ... |
Generate impression based on findings. | History of DM, HTN, and ESRD admitted for kidney transplant yesterday. The patient had an episode of lost of consciousness, hypoxia, hypotension, and no urine output for about 15 minutes and has central sleep apnea. MRI: There is band-like high T2 signal in the pons and bilateral middle cerebellar peduncles. The brain ... | 1. Band-like signal abnormality in the pons and bilateral middle cerebellar peduncles along the expected course of the pontocerebellar fibers may represent an atypical form of posterior reversible encephalopathy syndrome, an unusual form of osmotic demyelination, drug-induced effects, or other toxic metabolic effect.2.... |
Generate impression based on findings. | right side face and arm weakness, worse overnight. known pancreatic cancer. There are multifocal bihemispheric as well as bilateral cerebellar hemispheric restricted diffusion lesions indicating acute ischemic infarction. The most prominent restricted diffusion lesions are on the left side fronto-parietal white matter ... | 1. Bihemispheric and cerebellar hemispheric multifocal scattered acute ischemic infarctions without evidence of hemorrhagic conversion as described above.2. Occlusion of the left MCA proximal M2 segment with frontal branch and left angular artery patency. |
Generate impression based on findings. | Multiple sclerosis [G35], Reason for Study: ^Reason: headache h/o MS History: headache h/o MS Brain MRIMultifocal FLAIR/T2 high signal intensity lesions on bihemispheric white matter consistent with demyelinating disease.No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are symmetri... | 1. Multifocal bihemispheric white matter lesions consistent with demyelinating disease.2. Normal brain MRV. |
Generate impression based on findings. | Female, 80 years old, with weakness. Evaluate for cord compression. Cervical spine MRI:A longitudinal collection of T2 hyperintense, mildly T1 hyperintense material with rim susceptibility is seen intradurally occupying the right ventral and lateral thecal sac beginning at C1 and continuing down to C4-5. This material,... | 1.An intradural hematoma is evident in the cervical region occupying the right ventral aspect of the thecal sac beginning at C1 and continuing down to the C4-5 level. This collection exerts some mass effect upon the spinal cord. While this hematoma is clearly intradural, it may be either subdural or subarachnoid in loc... |
Generate impression based on findings. | 24 years Female (DOB:12/23/1991)Reason: hx hydrocephalus. VPS removed. Eval for vent sizes History: headachesPROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM There is asymmetry in the size of the lateral ventricles with the left being slightly larger than the right but unchanged compared to prior exam. The septum p... | 1.The patient is status post previous ventriculostomy tube placement. There is no ventriculomegaly at this time.2.Low-lying cerebellar tonsils.3.Tortuous intracranial vasculature is a nonspecific finding. |
Generate impression based on findings. | 41-year-old man with history of hepatitis B and lesion noted in the right hepatic lobe on outside imaging. ABDOMEN:LIVER, BILIARY TRACT: There is an 11 x 8 mm T2 hyperintense focus in segment IVb (series 1001, image 23), a 10 x 9 mm the 2 hyperintense focus in segment 5 (series 1101, image 20), and an 11 x 6 mm T2 hype... | Multiple small liver hemangiomata. |
Generate impression based on findings. | Ms. Robbins is a 27-year-old female who presents for initial screening MRI. Family history of breast cancer (mother 36, maternal aunt 50s, paternal grandmother 70s). No current breast complaints. There is extreme amount of fibroglandular tissue in both breasts. Moderate to marked background parenchymal enhancement is n... | High probability benign fibroadenomas in both breasts as described above. A short term 6 month follow-up MRI is recommended to document stability of these findings.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 65 year old man who is s/p heart transplant and referred for evaluation of transplant arteriopathy. First Pass PerfusionDuring hyperemia, there is a non-transmural perfusion defect which involves the mid and apical septum, apical inferior, and apical lateral wall. The overall ischemia score is 4 out of 32 and 12% of th... | 1. There is mild ischemia in the usual distribution of the distal left anterior descending artery territory.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 57%). There is a very small amount of atypical late gadolinium enhancement in the basal inferior wa... |
Generate impression based on findings. | 74 years Male (DOB:1/21/1942)Reason: Dr. Christoforidis acute stroke protocol to evaluate if candidate for IR intervention with MR perfusion History: rt sided weaknessPROVIDER/ATTENDING NAME: DAVID A HARTER DAVID G. BEISER MRI of the brainThere are multiple foci of diffusion restriction present. One in the right cerebe... | 1.There are multiple foci of cerebral infarction manifested there is diffusion restriction in the posterior circulation involving left medial temporal lobe, left occipital lobe and the cerebellar hemispheres.2.There is occlusion of left posterior cerebral artery at the proximal P2 segment.3.50% focal stenosis at the mi... |
Generate impression based on findings. | Reason: Meniscus tear History: Catching and locking. MENISCI: Globular intrasubstance signal within the lateral meniscus compatible with degeneration.Undersurface fraying and degenerative tearing of the anterior horn of the medial meniscus. The posterior horn of the medial meniscus is small with medial extrusion compat... | Degenerative changes as described above. |
Generate impression based on findings. | Female, 21 years old, with brainstem lesion. Patchy but symmetric FLAIR hyperintensity is redemonstrated affecting the central pons in the vicinity of the transverse pontine fibers. Just posterior to this, there are thin linear foci of hyperintensity bilaterally which may correspond to the medial lemnisci. No significa... | Signal abnormality in the pons is redemonstrated showing no significant change from the recent prior examinations. This abnormality first became detectable in late 2013 and has progressed from that point.Spectroscopic assessment of the lesional tissue demonstrates a pattern consistent with chronic tissue injury. No lac... |
Generate impression based on findings. | Clinical question: Evaluate for change in mass. Signs and symptoms: Near syncope. Nonenhanced head CT:In comparison with prior examination there is further interval increase in the size of the right temporal horn and trigone of right lateral ventricle.There is interval improvement of postoperative changes and including... | 1.Interval increase in the size of right temporal horn believed to represent entrapped right temporal horn.2.Interval improvement in postop changes.3.Overall there is less mass-effect on the current exam than prior study however 6.4-mm midline shift to the left at the level of septum pellucidum is still present.4.Diffu... |
Generate impression based on findings. | Left knee pain and mechanical change Note that the exam is slightly limited by the presence of metallic artifact relating to prior ACL repair.MENISCI: Medial meniscus: There is diffuse attenuation of the medial meniscus likely relating to a combination of changes from prior partial meniscectomy and chronic attritional ... | 1. Severe osteoarthritis with multiple loose bodies as described above. There is a defect of the posterior capsule of the knee that contains a cyst like collection of fluid measuring approximately 1.5 cm. Additionally, an elongated structure situated between the proximal tibia and the popliteus muscle likely represents... |
Generate impression based on findings. | 53 years Female (DOB:12/20/1963)Reason: questioning back pain History: back pain PROVIDER/ATTENDING NAME: SHARON MANGUM SERVICES ANCILLARY The thoracic vertebral bodies are appropriate in the overall alignment and height. The thoracic spinal cord has normal signal characteristics and overall morphology. There is no com... | There are some mild degenerative changes present in the thoracic spine without significant compromise to the spinal canal or exiting nerve roots. |
Generate impression based on findings. | 74 years Female (DOB:7/29/1942)Reason: Pt w/ CLL \T\ AML reporting 1-2 weeks of LE weakness :: Desire to r/o Cord / Nerve / Spinal pathology History: Hip weakness b/lPROVIDER/ATTENDING NAME: MICHAEL R BISHOP MICHAEL R BISHOP Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall a... | 1.There appears to be a mass present within the lumbar spinal canal and sacral spinal canal extending from L5 down to S2-3. It appears infiltrate into the neural foramina and encroachment on the nerve roots within the spinal canal and neural foramina. It is not well imaged on this exam. Perhaps a contrast-enhanced MRI ... |
Generate impression based on findings. | History of left breast cancer, status post surgery and radiation. Complains of headaches. Rule out metastases. CT of brain without and with infusion:A well demarcated low-density in the left basal ganglia remains stable since prior study. Prior MRI examination from 10 -- 3 -- 2006 is also reviewed which demonstrates th... | Normal pre-and post infusion CT examination of brain and calvarium. |
Generate impression based on findings. | 58 years, Male, dysarthria, left frontal tumor. History of bladder cancer. There is a 3.4 x 3.7 x 3.6 cm enhancing mass in the left frontal lobe which demonstrates central necrosis. Minimal foci of susceptibility effect are also noted compatible with minimal associated blood products within the lesion. There is extensi... | 1. Enhancing left frontal lobe mass as well as a smaller left temporal lesion are most consistent with metastatic disease.2. Vasogenic edema and mass effect, particularly associated with the left frontal lesion, results in rightward subfalcine herniation. There is also downward mass effect without uncal herniation.3. A... |
Generate impression based on findings. | Epilepsy, depth electrode planning. There is possible focal volume loss and T2 hyperintensity in the medial right temporal lobe. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The orbits, skull, and scalp soft... | Preoperative planning MRI demonstrates probable right medial temporal sclerosis. |
Generate impression based on findings. | Alignment is anatomic. No loss of vertebral body height. The osseous structures are unremarkable. The marrow signal is benign. The cervical cord signal is normal. The imaged paraspinal contents are unremarkable without evidence of soft tissue injury. No evidence of neuroforamina or central canal stenosis. | No evidence of osseous or soft tissue injury. |
Generate impression based on findings. | Male 35 years old Reason: staging evaluation for high rectal cancer. History: hematochezia Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted. LYMPH NODES: Lymph nodes in the perirectal space, within the mesorectal fascia: Two pro... | High rectal tumor as detailed above with pelvic lymphadenopathy. Please note that the field of view does not include the aortic bifurcation. |
Generate impression based on findings. | Female, 50 years old, with history of multiple sclerosis on Rebif. Follow-up examination. Brain:Multiple scattered T2 hyperintense lesions are demonstrated within the periventricular and subcortical white matter, the corpus callosum, and minimally in the cerebellum. The number and size of these lesions have not signifi... | 1.White matter lesions are identified in the brain compatible with multiple sclerosis. The size and number of these lesions have not significantly changed.2.At least one, but possibly several small lesions are seen within the visualized spinal cord. No significant interval change is suspected.3.A right paracentral disc... |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful fluoroscopic guided left hip arthrogram. |
Generate impression based on findings. | Alignment is normal. The marrow signal is benign. Redemonstrated is an elongated peglike configuration of cerebellar tonsils with abnormal craniocaudal extent of about 2.5 cm below the level of the foramen magnum to the C2/3 intervertebral level. CSF flow analysis demonstrates diminished, yet persistent flow posterior... | 1.Redemonstrated is an elongated peglike configuration of cerebellar tonsils with abnormal craniocaudal extent of about 2.5 cm below the level of the foramen magnum to the C2/3 intervertebral level consistent with Chiari I information.2.Just inferior to the level of the tonsillar ectopia, T2 signal is noted within the ... |
Generate impression based on findings. | 74 year old man with paroxysmal AF, referred for MRI prior to AF ablation. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57%, the LV end diastolic volume index is 73 ml/m2 (normal range: 74+/-15), the LVEDV is 161 ml (normal range 142+/-34), the LV... | 1. The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57%.2. There is focal small area of delayed enhancement in the mid level lateral wall mid-myocardium of unclear significance. It does not have the appearance of myocardial infarct.3. The right ventricle is normal ... |
Generate impression based on findings. | Back pain for 3 months: tingling in finger tips. There is a partially imaged mass in the posterior fossa with marked compression of the brainstem. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There is n... | 1. Partially imaged mass in the posterior fossa with marked compression of the brainstem. Dedicated brain MRI with contrast is recommended for further evaluation.2. No evidence of cervical spine lesions. |
Generate impression based on findings. | 46-year-old female with mass, seizure, preoperative evaluation Redemonstrated is an extra-axial mass in the lateral right middle cranial fossa which is mildly T2-hypointense, intensely and heterogeneously enhancing, with a wide base over the medial squamosal and anterior petrous portions of the right temporal bone as w... | Redemonstrated is an extra-axial mass in the lateral right middle cranial fossa most likely represents a meningioma. There is associated moderate degree of vasogenic edema with mild leftward midline shift and minimal right uncal herniation, unchanged. |
Generate impression based on findings. | Pain in right knee status post PCL rupture. MENISCI: The medial and lateral menisci appear intact.ARTICULAR CARTILAGE AND BONE: There is a full-thickness defect of the articular cartilage of the anterior medial condyle of the femur with mild progression. There is a small amount of internal signal of the lateral facet o... | Interval resolution of PCL disruption and articular cartilage degeneration of the medial condyle of the femur with chondromalacia of the patella. |
Generate impression based on findings. | 74 years Female (DOB:4/14/1942)Reason: eval for abnormality/ disc hern. History: c/o ataxia, LBP and right hip pain. LE weaknessPROVIDER/ATTENDING NAME: EDWIN RAMOS EDWIN RAMOS Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal charac... | 1.There are multilevel degenerative changes present in the cervical spine with severe spinal stenosis at C4-5 and moderate to severe spinal stenosis at C5-6 as well as encroachment of the left hemicord. There is encroachment of exiting nerve roots bilaterally at C4-5 and C5-6 and on the left side at C6-7. Endplate reac... |
Generate impression based on findings. | Reason: Evaluate for lesions, assess hepatic vessel patency History: s/p combined liver/kidney transplant 2005, recurrent cirrhosis ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant. The central portion of the liver demonstrates a somewhat reticular enhancement pattern suggestive of fibrosis. The liver intensi... | 1.Status post liver transplant without suspicious focal lesions. Hepatic fibrosis. Patent hepatic vasculature.2.Recanalization of previously seen SMV thrombus. |
Generate impression based on findings. | 12-year-old male with visual changes and headaches. No evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus is detected. Cortical sulci, ventricular system and all CSF cisterns are within normal limits. Paucity of cortical sulci and small ventricular system although normal for patient's stated age... | Stable examination since prior studies. The common follow-up with an MRI examination. Please see above comments. |
Generate impression based on findings. | 37-day-old female. Meningitis, GBS. Premature birth with gestational age of 31 weeks. Triplet gestation. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There appears to be paucity of myelination in the perirolandic region. The brain parenchyma, brainstem, and cerebellum otherwise appear unrema... | 1. No evidence of intracranial abscess or infarct. 2. Apparently delayed myelination, even accounting for prematurity. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Female, 78 years old, with cognitive decline. Assess for structural lesions. No evidence of restricted diffusion, parenchymal edema or mass effect is seen. Fairly extensive patchy periventricular and subcortical T2 hyperintense lesions are noted in both cerebral hemispheres and to a lesser degree in the brainstem. No e... | 1.No acute intracranial abnormality.2.No evidence of any significant structural lesion.3.Fairly extensive patchy white matter signal abnormality likely represents chronic microvascular ischemic disease. |
Generate impression based on findings. | Brain MRI:The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted a... | 1.Mucosal thickening is present within the left maxillary sinus and right sphenoid sinus, otherwise negative noncontrast brain MRI.2.C4/5: Mild left neural foraminal stenosis. |
Generate impression based on findings. | 75-year-old male with lower back pain that is followed by increased stool frequency, evaluate for active small bowel inflammation from Crohn's disease. ABDOMEN:LIVER, BILIARY TRACT: The liver is cirrhotic in morphology. There is once again mild irregularity of the central intrahepatic biliary ducts appearing similar to... | 1.Postsurgical changes of prior ileal resection.2.Non-flow limiting chronic stricturing of approximately 10 cm segment of presumed neoterminal ileum without evidence of active inflammation.3.Grossly stable appearance of the biliary tree compatible with history of sclerosing cholangitis. Cirrhotic liver. Splenomegaly.4.... |
Generate impression based on findings. | Reason: right knee instability History: right knee instability MENISCI: The patient has undergone partial meniscectomy of a previous discoid meniscus. We see no tear of the meniscus currently. The medial meniscus appears normal. ARTICULAR CARTILAGE AND BONE: A tiny focus of low signal intensity within the articular car... | Surgical changes of partial lateral meniscectomy. We see no meniscal tear or findings to account for the patient’s knee instability. Other findings as above. |
Generate impression based on findings. | Cogan's syndrome, vasculitis: sudden onset hearing loss. Internal Auditory Canals: The bilateral cranial nerve 7 and 8 complexes are intact. There is no evidence of mass lesions. The inner ear structures, including the cochlea, vestibule, endolymphatic duct, and semicircular canals, appear unremarkable. The bilateral m... | 1. No evidence of retrocochlear or inner ear lesions.2. No evidence of cerebral infarction. |
Generate impression based on findings. | Reason: R hip pain History: R hip pain ACETABULAR LABRUM: Small linear focus of contrast is seen within the anterior superior labrum, which is consistent with a small residual or recurrent tear. Additional degenerative and postoperative changes are also seen in the labrum.ARTICULAR CARTILAGE AND BONE: Abnormal signal i... | Residual or recurrent tear of the anterior superior labrum and additional findings as above. |
Generate impression based on findings. | Ex-25 5/6 week preemie, subglottic stenosis status post dilatation x 2, concern for vocal cord dysfunction. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. However, there appears to be delayed myelination, with the paucity of the expected degree of T1 hyperintensity in the anterior limbs... | 1. Relative paucity of cerebral myelination likely related to prematurity, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Unremarkable cervical spine.3. The larynx was not imaged in this exam. Therefore, dedicated neck imaging may be useful for further evaluation. |
Generate impression based on findings. | Clinical question: Evaluate for new stroke or mass lesion. Signs and symptoms: Transient episodes of vomiting and confusion with right hand tremor. Nonenhanced brain MRI:Diffusion weighted images demonstrate no evidence of an acute ischemic stroke.Examination demonstrate mild degree of chronic small vessel ischemic str... | 1.No acute intracranial process.2.Findings of mild chronic nonhemorrhagic small vessel ischemic strokes without convincing evidence of change since prior exam from 2014.3.Small extra axial left anterior middle cranial fossa likely representing a meningioma without change since prior studies. |
Generate impression based on findings. | 22-year-old male 2 years of medial knee pain with a sense of instability and occasional catching. MENISCI: The medial meniscus appears intact. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: The articular cartilage appears intact without evidence of near full-thickness or full-thickness articular cart... | Small amount of fluid within the joint but no large effusion or other findings to account for the patient's knee pain, instability, or catching. |
Generate impression based on findings. | 36-year-old male with pain and locking of the left knee. Evaluate for meniscus tear. MENISCI: We see no meniscal tear.ARTICULAR CARTILAGE AND BONE: There is degeneration of the articular cartilage of the weightbearing portion of the medial femoral condyle measuring just over 1cm in diameter, with heterogeneous signal i... | Degeneration of the articular cartilage along the medial femoral condyle and patella and other findings as described above. We see no meniscal tear. |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful fluoroscopic left hip arthrogram injection. |
Generate impression based on findings. | 16-year-old girl with history of posterior reversible encephalopathy syndrome and altered mental status. Cortical and subcortical areas of T2 hyperintensity from examination on 11/11/2016 have resolved. There are a few, residual foci of T2/FLAIR hyperintensity in the periventricular white matter, stable from 11/18/2016... | Stable examination with small areas of residual signal abnormality but no evidence of recurrent PRES. |
Generate impression based on findings. | Altered gait and weakness, although diffuse. The vertebral column alignment is within normal limits. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. A slight disc bulge and bilateral facet hypertrophy, as well as ligamentum flavum thickening at L4-5 result in m... | A slight disc bulge and bilateral facet hypertrophy, as well as ligamentum flavum thickening at L4-5 result in minimal to mild neural foraminal stenosis and perhaps slight spinal canal stenosis. |
Generate impression based on findings. | Diagnosis: Unspecified symptoms and signs involving the nervous systemClinical question: evaluate for cerebellar degeneration / atrophySigns and Symptoms: ataxia (trunk only), word finding difficulty, fatigue The CSF spaces are appropriate for the patient's stated age with no midline shift. Artifact somewhat obscures v... | There is no evidence for cerebellar atrophy on this exam. |
Generate impression based on findings. | 17 years, Female, with bilateral lower extremity pain and systemic symptoms concerning for rheumatologic process. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Borderline low-lying ce... | MRI brain is within normal limits. Specifically, no evidence of inflammatory/rheumatologic process. |
Generate impression based on findings. | Re-evaluate disease status following completion of immunotherapy: Stage IV melanoma. The right sinonasal mass has further decreased in size, measuring up to 2 mm in thickness, previously 4 mm, and displays less enhancement. There is minimal scattered paranasal sinus mucosal thickening. The lesion in the left lateral re... | 1. The right sinonasal metastasis has further decreased in size2. No measurable residual left lateral rectus muscle metastasis. |
Generate impression based on findings. | Right knee pain MENISCI: The lateral meniscus is intact and unremarkable. The medial meniscus however demonstrates irregularity and abnormal signal along the apical aspect with marked fraying and mild globular signal within the central body. No discernible discrete focal tear extends discretely into the body or either ... | Medial meniscal fraying with associated mild degeneration of the medial meniscal body as described. Small to moderate effusion and associated mild scattered degenerative changes |
Generate impression based on findings. | Female, 28 years old. Left knee pain. Evaluate for patellar tendonitis. MENISCI: The medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: There is increased signal within the articular cartilage of the lateral facet of the patella indicating patellar cartilage edema and softening. There is no full-thickn... | Findings compatible with trochlear dysplasia. |
Generate impression based on findings. | 65 years Female (DOB:6/8/1951)Reason: CSF leak with ventriculomegaly from pneumocephalus History: AMS, CSF leak, pneumocephalusPROVIDER/ATTENDING NAME: AGNIESZKA ANNA ARDELT AGNIESZKA ANNA ARDELT MRI of the brainThere is intracranial air present within the lateral ventricles as well as just anterior to the right tempor... | 1.There is a defect present along the lateral wall of the right sphenoid sinus which appears to represent a source for potential CSF leak. There is associated intracranial air (pneumocephalus) present.2.There is redemonstration of a small extra-axial lesion adjacent to the left cerebellar hemisphere which is stable sin... |
Generate impression based on findings. | Male, 40 years old, with left-sided numbness. Evaluate for cord compression at C5-6. No evidence of cord compression is seen. Spinal alignment is anatomic. Vertebral body height and morphology are within normal. No evidence of marrow replacement or marrow edema is seen. No significant compromise of the spinal canal or ... | No evidence of cord compression. |
Generate impression based on findings. | Male 59 years old Reason: evaluate for gluteus medius tear History: lateral hip pain. Evaluation of the bone and soft tissues of the hips is limited by metallic susceptibility artifact from bilateral total hip arthroplasties. There is also metallic susceptibility artifact anteriorly within the pelvis, perhaps due to co... | 1.Limited evaluation due to susceptibility metallic artifact from prostheses. Given this limitation, we see no muscle tears; specifically, the gluteus medius appears intact.2.Degenerative arthritic changes of the lower lumbar spine could be better assessed with dedicated lumbar spine MRI if clinically warranted.3.Atrop... |
Generate impression based on findings. | 63-year-old male with history of IPMN ABDOMEN:LIVER, BILIARY TRACT: Diffuse decreased signal throughout the liver parenchyma. No suspicious liver lesions.SPLEEN: Diffuse decreased signal throughout the splenic parenchyma.PANCREAS: Markedly atrophic pancreas without main pancreatic ductal dilatation. MRCP images demonst... | 1. Stable appearing side branch IPMNs.2. Diffuse decreased signal in the liver and spleen consistent with iron deposition disease. |
Generate impression based on findings. | There is no acute infarct, mass effect, or cerebral edema. There are minimal foci of T2 hyperintensity in the cerebral white matter, which likely represent perivascular spaces. There is small area of encephalomalacia in the right superior frontal gyrus. The ventricles and basal cisterns are normal in size and configur... | No evidence of acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Clinical question: Chronic low back pain, L4-L5 degenerative disc disease on x-ray. Signs and symptoms: Low back pain. Nonenhanced lumbar MRI:Examination demonstrates uniformly smaller than expected caliber of the lowest visualized thoracic and lumbosacral spine which is believed to represent anatomical variation of co... | 1.There is generalized smaller than expected caliber of the lower most visualized thoracic and thoracolumbar spine believed to represent a congenital anatomical variation.2.Mild to moderate degenerative changes at T10-T11 with resultant central spinal stenosis as detailed.3.Degenerative changes at L3-L4 and including a... |
Generate impression based on findings. | 83-year-old man with right frontal contusion and left frontal epidural hematoma. Question extension of hematoma. There are bilateral, fluid-density subdural CSF collections. These appear slightly enlarged from previous studies, although the previous exam is suboptimal. The crescent shaped lesion in the left pterion reg... | 1. Bilateral subdural CSF collections with slight increase in size from previous study.2. Left pterion lesion consistent with meningioma.3. No CT evidence of epidural hematoma as questioned on requisition. |
Generate impression based on findings. | Ms. Finlay is a 62 year old female with a personal history of right breast biopsy in 2007 for LCIS and left breast biopsy in 2007 for ALH. She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.No abnormal e... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Male 20 years old; Reason: eval for labral tear, +obrien + jerk, possible posterior instability History: Shoulder pain ROTATOR CUFF: There is minimally increased signal in the distal supraspinatus tendon, without thickening, possibly representing minimal tendinosis. The remainder of the rotator cuff appears normal.SUPR... | 1. Minimally increased signal in the distal supraspinatus tendon, without thickening, possibly representing minimal tendinosis. 2. Deep cleft at the anterior-superior labrum, without definite evidence of an acute/subacute abnormality. Correlation with physical examination findings may be helpful. 3. Normal appearance o... |
Generate impression based on findings. | Lumbar radiculopathy, with now increasing left leg pain with numbness. History of recent right-sided L3-4 foraminotomy and microdiskectomy for lumbar radiculopathy, as well as minimally invasive left L5-S1 hemilaminotomy and diskectomy and bilateral laminectomy at L4-L5 in 2005. There are interval postoperative finding... | 1. Interval postoperative findings related to right L3 foraminotomy and microdiskectomy, with enhancement in the paraspinal tissues along the surgical approach and improved patency of the right aspect of the spinal canal at this level. However, there is persistent mild disc bulge, left ligamentum flavum thickening, and... |
Generate impression based on findings. | Right upper quadrant and epigastric pain. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size morphology and signal intensity. A few punctate probable benign hepatic cysts are noted. No focal suspicious lesion biliary ductal dilatation or vascular abnormality.SPLEEN: Normal in size without a focal abnormality.PAN... | Normal MRCP without findings to account for the patient's right upper quadrant and epigastric pain. |
Generate impression based on findings. | T8 -- T9 level mass. Possible vascular period recommended CTA for further evaluation. Examination demonstrates a dural based high density mass measuring approximately 22 mm in cranial cephalad access in 5-mm in AP access immediately anterior to the superior facet of T8 on the left. There is no evidence of increased vas... | Dural based intradural extra medullary high density (likely calcification and less likely enhancement) may represent an intracanalicular meningioma. No definitive evidence of increased vascularity to suggest vascular malformation and no evidence of edema of the cord on prior MRI examination from 4 -- 9 -- 2009 was note... |
Generate impression based on findings. | Female; 29 years old. Reason: Paraganglioma off therapy; assess for recurrence of disease ABDOMEN: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 significant a... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 62-year-old male with left adrenal gland abnormality on recent CT. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions. Small, peripheral portal hepatic venous shunt is noted in the right hepatic lobe.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Multilobula... | Partially cystic, partially solid left adrenal mass is incompletely characterized due to suboptimal in-and-out of phase images. The patient will return for repeat sequences at no additional charge. |
Generate impression based on findings. | Tongue cancer 20 years ago and new dysarthria: evaluate for recurrence. Dental artifact obscures the anterior oral cavity. Otherwise, no measurable mass is apparent in the posterior tongue. The rest of the upper aerodigestive tract is unremarkable. There is also no significant lymphadenopathy in the neck based on size ... | 1. Dental artifact obscures the anterior oral cavity. Otherwise, no measurable mass is apparent in the posterior tongue. 2. No significant lymphadenopathy in the neck based on size criteria or abnormal signal characteristics.3. Extensive volume loss in the imaged portions of the brain. 4. Secretions in the left sphenoi... |
Generate impression based on findings. | There appears to be an area blurring at grey-white matter interface in the left middle frontal gyrus. The hippocampi are unremarkable and there is no evidence of grey matter heterotopia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricl... | An apparent area of blurring at grey-white matter interface in the left middle frontal gyrus may represent focal cortical dysplasia. |
Generate impression based on findings. | 19 year old female patient with elevated LFT, bilirubin, conjugated and unconjugated. ABDOMEN:LIVER, BILIARY TRACT: There is no intra- or extrahepatic biliary ductal dilatation. A short segment narrowing in the proximal common bile duct on the thick slab images appears to communicate on rotation of imaging. Furthermore... | 1.Mild splenomegaly without acute abnormality otherwise to account for the patient's symptoms.2.Trace bilateral pleural effusions. |
Generate impression based on findings. | Male, 38 years old, with history of thalamic pilocytic astrocytoma, grade 1, follow-up examination. Redemonstrated is a heterogeneous, partially calcified mass arising in the right posterior thalamus. As before, the lesion is exophytic and projects posteriorly into the right lateral ventricular atrium. The overall size... | There has been no significant interval change in size or imaging characteristics of a heterogeneous, exophytic right thalamic tumor. |
Generate impression based on findings. | Ms. O'Hara is a 52 year old female with known left breast cancer. She presents for MRI evaluation as part of the I-SPY2 protocol. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.In the left upper inner breast, there is revisualization of the biopsy proven mali... | (1) Interval decrease in size of index malignancy of the left breast. (2) No MRI evidence for malignancy in the right breast. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. The pituitary gland is normal in size. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormaliti... | Minimal inflammatory T2 hyperintensity is noted in left mastoid air cells. Otherwise negative MRI of the brain and internal auditory canals including gadolinium enhancement. |
Generate impression based on findings. | 11-year-old female status post fall with effusion, TTP medial knee. MENISCI: The medial and lateral meniscus are normal.ARTICULAR CARTILAGE AND BONE: The articular cartilage is normal with no evidence of thinning or degeneration. Bone marrow signal intensity is normal.LIGAMENTS: The anterior cruciate and posterior cruc... | Normal examination. |
Generate impression based on findings. | Clinical question: Evaluate for radicular problems. History of endometrial cancer. History of focal RT. Signs and symptoms: Right lower extremity pain? Radicular. Pre-and post-enhanced lumbar MRI:There is normal anatomical alignment the vertebral column.There is uniform marrow signal changes at all entire visualized th... | 1.No evidence of malignancy and this exam.2.Mild degenerative disk disease and mild to moderate hypertrophic changes of posterior elements without evidence of central spinal stenosis at any level.3.Tiny far left lateral annular fissure at L5 -- S1 on the left as detailed. Mild to moderate bilateral neural foraminal com... |
Generate impression based on findings. | Clinical question: Evaluate for spinal stenosis. Signs and symptoms:Poor balance, history of cervical spine surgery. Nonenhanced cervical MRI:Examination demonstrates extensive degenerative disk disease at C4 -- C5 through C7 -- T1 levels and to a lesser degree at other levels. There is resultant mild S-shaped deformit... | 1.Nonenhanced MRI of cervical spine demonstrate advanced degenerative changes of disks and the posterior elements and asymmetric (right greater than left) fashion likely secondary to scoliosis as detailed.2.Changes results in central spinal stenosis of varying degree at C4 -- C5, C5 -- C6, C6 -- C7 and C7 -- T1 levels.... |
Generate impression based on findings. | Pancreatic lesion, history of chronic pancreatitis per electronic medical record ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion. The hepatic and portal veins are patent. Status post cholecystectomy. Prominent common bile duct with a focal stenosis at the ampulla, likely benign.SPLEEN: No significant abnormality ... | 1.Prominent common bile duct with a focal stenosis at the ampulla, likely benign.2.No evidence of pancreatic lesion. |
Generate impression based on findings. | Female, 11 years old, status post head injury, craniectomy. Brain:Right frontal scalp swelling is seen along with evidence of the recent craniectomy. The known right frontal bone fracture is not specifically visualized on MRI. Sequelae of prior left frontal ICP monitor are also seen.The right frontal parenchyma subjace... | 1.Sequelae of right skull fracture and craniectomy are demonstrated.2.The frontal lobe parenchyma subjacent to the area of fracturing demonstrates edema with perhaps a minor component of cytotoxic edema. There is also evidence of subtle microhemorrhage. 3.Restricted diffusion is also seen in the splenium of corpus call... |
Generate impression based on findings. | Male, 2 years old, with sensorineural hearing loss. The periventricular white matter in the cerebral hemispheres appears to be thinned relative to the typical normal appearance for this age group. Similar findings are seen on the prior outside MRI. A single small focus of FLAIR hyperintensity is noted within the right ... | 1.Findings suggestive of mild periventricular white matter thinning, not significantly changed from the prior outside examination. No acute intracranial abnormalities are detected.2.On dedicated IAC imaging, no specific abnormalities are detected. The cochlear nerves are present bilaterally. |
Generate impression based on findings. | Pain after injury There is a tear of the midportion of the tendon of the medial head of the gastrocnemius which extends slightly superiorly however further distally, the tendon appears intact. There is a small associated hematoma and edema within the subcutaneous musculature. The remaining muscles and tendons are intac... | Tear of the midportion tendon of the medial head of the gastrocnemius although further distally, the tendon is intact. There is a small associated hematoma and subcutaneous edema. Remaining evaluation is otherwise unremarkable. |
Generate impression based on findings. | Metastatic renal cell cancer status post thoracolumbar surgery for tumor decompression and fusion. Evaluate for change to residual or recurrent tumor. Thoracic: Again seen are postsurgical changes of spinal fusion with thoracic hardware extending from T7 to T12 with bilateral paraspinous rods and bilateral pedicle scre... | 1. Compared to 9/23/2015 there has been progression of metastatic disease, particularly at the T3 level where there is increased vertebral involvement and increased epidural tumor effacing the left lateral aspect of the thecal sac with mild associated deformity of the cord. No evidence of frank cord compression or cord... |
Generate impression based on findings. | Clinical question: Has disc herniation changed. Signs and symptoms: Left lower extremity progressive, preop, symptoms changed. Nonenhanced lumbar MRI:The alignment of the vertebral column remains anatomical and stable since prior study.Examination at T 11-T12 through L2-L3 levels is unremarkable.L3-L4 demonstrate mild ... | 1.Interval increased size of a central L4-L5 disc protrusion with increased mass effect and moderate central spinal stenosis without neural foraminal compromise.2.No spinal stenosis or neural foraminal compromise at any other level.3.More conspicuous right paramedian annular fissure at L3-L4 since prior study. |
Generate impression based on findings. | Left leg pain and weakness and anosmia with history of stroke. Brain: There is cavitary encephalomalacia centered in the straight gyri bilaterally, right larger than left, as well as volume loss of the bilateral olfactory bulbs and tracks. There is also susceptibility effect along the margins of the encephalomalacic ca... | 1. Encephalomalacia and hemosiderin deposition involving in the bilateral straight gyri, as well as the olfactory bulbs and tracks, right larger than left, which may represent the sequela of prior hemorrhagic contusions. 2. Extensive chronic small vessel ischemic disease and chronic lacunar infarcts, but no evidence of... |
Generate impression based on findings. | History of liver transplant. GI bleed. Evaluate for pseudoaneurysm. ABDOMEN:LIVER, BILIARY TRACT: The patient is status post liver transplant. The liver is normal in morphology and size measuring 17 cm in craniocaudal dimension. Mild decrease in signal intensity on in phase imaging suggesting iron deposition. No intrah... | 1.No pseudoaneurysm is identified. A more sensitive evaluation would be a CT angiogram. Alternatively if the patient continues to have symptoms of GI bleeding a CT angiogram or nuclear medicine tagged RBC scan should be considered. 2.Dilatation of the celiac artery just distal to the ostium is unchanged. |
Generate impression based on findings. | Hemangioma of intracranial structures [D18.02] / Headache [R51] / Cerebral aneurysm, nonruptured [I67.1], Reason for Study: ^Reason: yearly surveillance of ccm/aneurysm History: headaches Brain MRINo evidence of acute ischemic or hemorrhagic lesion.Multifocal various sized susceptibility lesions throughout the brain in... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. No change of multiple susceptibility lesions in the brain.3. No change of 2mm sized right ACA A2 segment aneurysm since prior scan. |
Generate impression based on findings. | Female 59 years old Reason: several weeks of left knee pain, Baker's cyst History: several weeks of left knee pain, Baker's cyst; minimal improvement with PT MENISCI: There is a complex tear of the medial meniscus at the junction of the posterior horn and body including a radial component which may be complete. The ant... | 1.Osteoarthritis and Baker's cyst as described above.2.Tears of the medial and lateral meniscus and other findings as described above. |
Generate impression based on findings. | 59-year-old male with dysarthria and imbalance. Evaluate for stroke. No evidence of intracranial hemorrhage, mass, or acute infarct. There is encephalomalacia seen in the right frontal lobe. There are postsurgical changes within the right parietal region with abnormal FLAIR signal and evidence of old blood products inv... | 1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.Post-surgical changes of a prior right parietal craniotomy with focus of right parietal lobe encephalomalacia with chronic blood products. 3.Right frontal lobe encephalomalacia and evidence of an additional probable small infarct involving the left occ... |
Generate impression based on findings. | 57-year-old male. Right shoulder pain. Follow up from x-ray. ROTATOR CUFF: Full-thickness rotator cuff tear of the supraspinatus at the musculotendinous junction with associated marked fatty atrophy of the muscle belly. There is proximal retraction measuring approximately 13 mm and the tear involves almost the complete... | Full thickness supraspinatus tear at the musculotendinous junction with associated retraction and marked muscle fatty atrophy. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage. There has been an interval increase in size of the confluent patchy regions of T2 hyperintensity and T1 hypointensity throughout the supratentorial white matter. In addition, there are more prominent and confluent regions of decreased diffusion throughout the supratento... | Finding most compatible with severe hypoxic ischemic injury with interval evolution since the prior exam. |
Generate impression based on findings. | 10-year-old female patient with autoimmune thyroiditis.EXAMINATION: Sonogram thyroid 12/14/2016 RIGHT LOBE MEASUREMENTS: 1.8 x 5.2 x 1.4 cm.LEFT LOBE MEASUREMENTS: 2.0 x 5.5 x 1.2 cm.ISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Diffusely enlarged, heterogeneous, hypervascular without focal nodule.LEFT LOBE: Diffusely enlarg... | 1.Enlarged and heterogeneous thyroid gland without focal nodule is suggestive of thyroiditis, similar to prior examination.2.Enlarged benign appearing lymph nodes bilaterally. |
Generate impression based on findings. | Presents with right upper quadrant pain. History of liver transplant and biliary stricture. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from a liver transplant. The gallbladder is absent.Subcentimeter segment II and V very hyperintense T2-weighted foci compatible with cysts.No suspicious liver lesion. Mild intra... | 1.Interval increase in intra and extra-hepatic biliary ductal dilatation with a focal T2-band near the level of the anastomosis suspicious for a focal stricture. 2.No significant interval change in the multiple subcentimeter pancreatic cystic foci most consistent with sidebranch IPMNs. |
Generate impression based on findings. | 70 years, Male, lung adenocarcinoma. Staging. Multiple sequences are motion degraded which may limit detection of small metastatic foci. There is an 8 x 8 mm peripherally enhancing lesion in the left medial temporal lobe with mild surrounding edema suspicious for a small metastasis, axial post gadolinium reformatted im... | 8 x 8 mm peripherally enhancing lesion in the left medial temporal lobe highly suspicious for metastasis. No additional lesions are appreciated within the limits of a motion degraded study. |
Generate impression based on findings. | right sided numbness, vertigo No evidence of acute ischemic or hemorrhagic lesion on this scan.Scattered high signal intensity lesions on FLAIR images on bilateral white matter indicate non specific small vessel disease. No change since prior exam.The ventricles, sulci and cisterns are symmetric and unremarkable. There... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Minimal non specific small vessel disease as described above. |
Generate impression based on findings. | Diffuse osseous metastases involving the cervical, thoracic and lumbar spine, as well as the sacrum are again noted. There is no evidence of acute cord compression. Mild loss of height of the T12 and T7 vertebral bodies again noted.Moderate degenerative disease affects the lower cervical spine with disk osteophyte com... | This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. Diffuse osseous metastasis is again seen with no evidence of acute cord compression. Mild epidural extension of sacral metastasis is again seen.Due to the screening n... |
Generate impression based on findings. | Trouble swallowing and neck pain. There is no evidence of mass lesions or significant cervical lymphadenopathy. The thyroid and major salivary glands are unremarkable. There is minimal anterolisthesis of C4 upon C5. The vertebral and carotid artery flow voids appear to be intact. The imaged intracranial structures are ... | No evidence of mass lesions in the neck. |
Generate impression based on findings. | Clinical question: Evaluate for progression of spinal stenosis, worsened pain after fall one year ago. Signs and symptoms: Back pain radiating down lateral right thigh. Nonenhanced lumbar MRI:Lower most visualized thoracic spine and thoracic cord from T10 inferiorly is unremarkable and stable since prior exam.T12-L1 is... | 1.Extensive degenerative changes at L2-L3 with resultant moderate to severe central spinal stenosis without significant change. There is a new right-sided disc protrusion with further compromise of right neural foramina and mass effect on the right L2 nerve root.2.Extensive degenerative changes at L3-L4 with resultant ... |
Generate impression based on findings. | Male 81 years old Reason: stenosis? History: Right lower extremity radiculopathy The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. Probable T11 hemangioma is incidentally noted. Mild degenerative endplate signal change at L5-S1. Otherwise no focal ma... | Multilevel degenerative spondylosis, with central protrusion at L4-5 with severe central spinal stenosis, and other findings as above. |
Generate impression based on findings. | Male 38 years old Reason: hx of urethral cancer eval for mets History: hx of urethral cancer eval for mets ABDOMEN: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:... | 1.Status post cystoprostatectomy for urethral cancer. No evidence of tumor recurrence within the abdomen or pelvis. |
Generate impression based on findings. | The study is severely limited due to artifact.Focal kyphosis is noted at T10-T11, new from the prior MRI dated 10/9/2014, however likely unchanged from the recent MRI dated 6/5/2015. Disc protrusion at this level again indents on the ventral spinal cord, however no cord signal abnormality is identified. Severe loss of... | 1.Severely limited study due to artifact.2.Focal kyphosis at T10-11 is again seen with severe loss of disc height and compression fractures. This area is incompletely imaged, however given the paraspinal edema at this level, the possibility for an underlying osteomyelitis/discitis must be raised. These findings can be ... |
Generate impression based on findings. | 40-year-old male with pain and history of previous meniscal repair. MENISCI: There is branching linear increased signal abnormality within the posterior horn of the medial meniscus which extends to the tibial and femoral articular surfaces, consistent with a complex tear with both a horizontal and longitudinal componen... | 1. Branching linear increased signal abnormality within the medial meniscus which extends to the tibial and femoral articular surfaces, consistent with a complex tear. It is uncertain if these findings represent a re-tear or prior tearing/postsurgical changes without the availability of prior examinations for compariso... |
Generate impression based on findings. | Worsening right leg sciatica and pain with new numbness/tingling in the bilateral feet. There is degenerative spondylosis in the lower lumbar spine. In particular, there is 5 mm of anterolisthesis of L4 on L5, a disc bulge with loss of disc space height and fluid content, as well as endplate degenerative signal alterat... | Degenerative spondylosis in the lower lumbar spine. In particular, there is 5 mm of anterolisthesis of L4 on L5, a disc bulge with loss of disc space height and fluid content, as well as endplate degenerative signal alterations, bilateral ligamentum flavum hypertrophy, and facet hypertrophy, which result in severe spin... |
Generate impression based on findings. | Clinical question: Rule out cord compression. Signs and symptoms: T7 lesion, back pain. Complete spine MRI:Examination is performed utilizing cord compression protocol which is a limited exam.Within this limitation examination demonstrates postoperative changes of posterior fusion and placement of transpedicular screws... | 1.There are postoperative changes of posterior fusion with multilevel transpedicular screws placement from T4 through T8 and with highly suspected mass of T6 and T7 with extraosseous spread of tumor.2.Within the limitation of metallic hardware artifact there is no definitive detectable mass effect on the cord however t... |
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