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Generate impression based on findings. | Reason: cognitive impairment - h/o breast CA History: cognitive decline, behavioral changes The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 i... | 1.Periventricular and subcortical white matter changes of a moderate degree and a small lesion in the brainstem are nonspecific. At this age they are most likely vascular related. 2.No abnormal enhancing lesions are identified intracranially to suggest brain metastases |
Generate impression based on findings. | 57-year-old male, evaluate right total rotator cuff ROTATOR CUFF: There is a full-thickness tear of the distal supraspinatus tendon with approximately 1 cm retraction. Extensive increased T2 signal in the distal supraspinous infraspinous tendons indicate associated tendinosis. The teres minor and subscapularis are inta... | 1. Full thickness rotator cuff tear with retraction as described above.2. Acromioclavicular and glenohumeral degenerative changes as described above. |
Generate impression based on findings. | Lumbar spine CT for planning pedicle screw fusion at L4-L5. There is grade 1 anterolisthesis of L4. Vertebral body heights are maintained. Multilevel anterior osteophytes are consistent with osteoarthritis. The caliber of the lumbar spinal canal appears small.At L1/L2, L2/L3, and L3/L4, there is mild diffuse disk bulge... | Degenerative changes most prominent at L4-L5 consisting of a diffuse disk bulge, hypertrophic facet and ligamentum flavum changes, and mild anterolisthesis causing central spinal stenosis, encroachment of bilateral lateral recesses, right greater than left, and neural foramina narrowing on the right. The patient had a ... |
Generate impression based on findings. | 59-year-old male with history of right renal mass. ABDOMEN:LIVER, BILIARY TRACT: Multiple enhancing liver lesions likely representing metastatic disease. For reference, a segment 7 lesion measures 1.7 x 1.1 cm (image 7 of series 10).SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADR... | 1. Large left inferior pole renal mass compatible with RCC. Persistent filling defect extending from the right renal vein to the infrahepatic IVC compatible with bland thrombus.2. Multiple enhancing hepatic lesions, nonspecific, but likely compatible with metastatic disease.3. Partially imaged pulmonary nodules compati... |
Generate impression based on findings. | End-stage renal disease on hemodialysis with left toe stump infection. Evaluate for osteomyelitis. TENDONS: No significant abnormality noted.LIGAMENTS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: Patient is status post amputation of the first toe through the base of the proximal phalanx. There is no b... | Lobulated collection about the distal first metatarsal stump, may represent an abscess. No bone marrow abnormality to suggest osteomyelitis. |
Generate impression based on findings. | The cerebellar tonsils are in appropriate position, without ectopia, demonstrating a normal rounded morphology. Sagittal CSF flow demonstrates biphasic flow anteriorly and posteriorly at the level of the foramen magnum and cerebellar tonsils.Brain MRI:The ventricles and sulci are normal in size. There are no masses, m... | 1.The cerebellar tonsils are in appropriate position, without ectopia, demonstrating a normal rounded morphology.2.Negative noncontrast MRI of the brain and complete spine. |
Generate impression based on findings. | Male, 79 years old, with left lower back pain. Evaluate for lumbar spine/sacroiliac disease. A moderate compression deformity of the T12 vertebral body with evidence of prior kyphoplasty is redemonstrated without significant interval change. The remaining vertebral bodies demonstrate preservation of height. Straighteni... | Disc and posterior element degeneration has progressed at multiple levels. At L3-4, this results in moderate generalized spinal canal stenosis and moderate left foraminal narrowing. At L4-5, this results in a moderate to severe spinal canal stenosis, severe left and moderate to severe right foraminal narrowing. |
Generate impression based on findings. | 47-year-old male with right knee pain. Evaluate for meniscal tear. MENISCI: There is globular increased signal intensity within the anterior horn of the lateral meniscus that appears to extend to the tibial articular surface suggestive of a degenerative undersurface tear. There is edema type signal abnormality within t... | 1. Findings suggestive of a degenerative tear of the anterior horn of the lateral meniscus.2. Edema and fluid tracking along the medial aspect of the gastrocnemius may represent a ruptured Baker's cyst.3. Other findings as described above. |
Generate impression based on findings. | 56 year old female with history of myocardial bridging, pericardial cyst and aortic regurgitation presenting for evaluation of chest painMEDICATIONS: aspirin First Pass PerfusionDuring hyperemia, no perfusion defects were present. There is dark rim artifact seen. Viability/ Myocardial ScarThere was no late gadolinium e... | 1. No perfusion defects/ "ischemia" present during hyperemia.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 55%).4. Normal RV size and systolic function (RVEF 54%).I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with ... |
Generate impression based on findings. | 86-year-old female with altered mental status and history of transient ischemic attack x 2. Rule out ischemia. There is no evidence of intracranial hemorrhage, mass or edema. Small lacunae in the right basal ganglia. Few diffuse hypodensities consistent with minimal small vessel disease, age indeterminate, essentially ... | Minimal small vessel disease, age indeterminate. If there is clinical concern for acute ischemia an MRI may be considered. |
Generate impression based on findings. | Lateral knee pain. Evaluate meniscus. MENISCI: There is a radial tear of the body of the lateral meniscus with a horizontal component. There is an adjacent increased T2 signal collection compatible with parameniscal cyst formation. The medial meniscus is intact. ARTICULAR CARTILAGE AND BONE: Bone marrow signal is withi... | Complex tear of the body of the lateral meniscus with radial and horizontal components. |
Generate impression based on findings. | 50 years Male (DOB:8/19/1966)Reason: lumbar DDD History: back painPROVIDER/ATTENDING NAME: TARIQ MUSLIM MALIK SERVICES ANCILLARY Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. There is accumu... | 1.Epidural lipomatosis is associated with stenosis in the lower lumbar spine especially the sacral spinal canal.2.There are degenerative changes present in the lumbar spine worse at L5-S1 there is marked facet hypertrophy in the chronic treatment of exiting nerve roots within the left neural foramen. |
Generate impression based on findings. | Clinical question: Assess for epidural hematoma after epidural steroid injection last week. Signs and symptoms: Subjective right leg weakness and increased urinary frequency. Pre- and post enhanced lumbar MRI:Examination demonstrates a posterior epidural collection with mixed T2 and T1 signal intensity along the dorsal... | 1.At L4-L5 there is a small posterior epidural hemorrhage which in combination with a large central disc protrusion results in significant central spinal stenosis.2.At L3-L4 extensive degenerative changes also results in significant central spinal stenosis. No change since prior outside institute exam.3.At L5-S1 degene... |
Generate impression based on findings. | Female, 72 years old, with adenocarcinoma of the lung and brain metastases, on chemotherapy. Image quality is somewhat reduced relative to the prior examination which reduces sensitivity for lesional changes.Linear enhancement without edema in the right superior parietal lobule may be slightly smaller than on the prior... | 1.No definite evidence of any progression in the numerous previously described enhancing lesions.2.No convincing evidence of any new intracranial lesion is seen. However, the image quality on this examination is somewhat less than on the prior exam, which reduces the accuracy of comparison and the sensitivity for new l... |
Generate impression based on findings. | 16 year old male with history of recent myocarditis and clinical VT, with recurrent arrhythmias now referred for repeat cardiac MR to evaluate scar burden and function. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 61%, the LV end diastolic volume ... | 1. Normal size left ventricle with normal systolic function (EF 61%), which is improved when compared to the prior study. LV diastolic volumes are similar to the previous study.2. There is persistence of epicardial late gadolinium enhancement in the basal anterolateral and small segment of the mid inferolateral walls, ... |
Generate impression based on findings. | Female, 66 years old, with, and parkinsonism, question of central tremor versus Parkinson's disease or both. Moderately extensive patchy foci of white matter T2 hyperintensity are seen in the bilateral cerebral hemispheres and the pons. No evidence of restricted diffusion is seen. No parenchymal edema or significant ge... | Moderately extensive patchy white matter lesions are seen, predominantly in the cerebral hemispheres. The differential for this finding is broad and would include chronic microvascular ischemic disease, sequelae of demyelination, as well as sequelae of other inflammatory processes and/or vasculitis. No other specific f... |
Generate impression based on findings. | Many shunt revisions, hydrocephalus, headache, stroke, yearly follow up: evaluate for changes. There are postoperative findings related to right hemispherectomy with an unchanged heterogeneous fluid collection in the right extradural space deep to the craniectomy flap that measures up to approximately 15 mm in thicknes... | 1. Chronic postoperative findings related to right hemispherectomy with no significant change in the deformed ventricular system and gliotic portions of the left cerebral hemisphere, although cyst compartments in the left cerebral hemisphere that seem to be associated with the ventricular system appear to have fluctuat... |
Generate impression based on findings. | 58 years Female (DOB:3/5/1958)Reason: primary CNS lymphoma s/p treatment History: please compare with previous MRI in the systemPROVIDER/ATTENDING NAME: CHADI NABHAN CHADI NABHAN The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post burr hole placement along the l... | 1.Since the prior exam, white matter changes associated with a left parietal lesion have extended further. It is conceivable that this white matter change is related to posttreatment change.2.No enhancing mass lesion is appreciated intracranially to suggest recurrence of the lymphoma.3.Periventricular and subcortical w... |
Generate impression based on findings. | Male 63 years old with elevated PSA of 30 and two negative biopsies. Evaluate for prostate masses. PELVIS:PROSTATE:Prostate Size: 5.1 x 4.2 x 4.8 cmPeripheral Zone: No suspicious lesion.Central Gland: Benign nodules.Seminal Vesicles: No significant abnormality noted.Extracapsular Extension: None.BLADDER: No significant... | 1.Benign prostatic hypertrophy.2.No suspicious prostatic lesion. |
Generate impression based on findings. | Female 64 years old with right knee pain. Evaluate for right knee meniscal tear. MENISCI: The menisci are intact.ARTICULAR CARTILAGE AND BONE: There is thinning of the articular cartilage in the medial and lateral compartments without evidence of full-thickness defect. The patellar cartilage is thinned and irregular wi... | 1.No evidence of meniscal tear.2.2 loose bodies within the joint.3.Osteoarthritis as described above. |
Generate impression based on findings. | 49-year-old woman with history of metastatic breast cancer, now with lower back pain radiating down the legs bilaterally. There is a nodular enhancing mass involving the conus medullaris and cauda equina roots. The largest of these lesions appears intramedullary and measures 10 x 9 mm in axial dimension and 22 mm in cr... | Multiple tumors involving the conus medullaris, cauda equina, and sacral spinal canal are compatible with metastatic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Migraine without aura, intractable, without status migrainosus [G43.019] / Obesity, unspecified [E66.9], Reason for Study: ^Reason: 46 y.o,. with worsening headaches c/w migraine but hx of cancer - tumor, other mass lesion? History: worsening headache, Brain MRINo evidence of acute ischemic or hemorrhagic lesion.Right ... | 1. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.2. Normal brain MRA. |
Generate impression based on findings. | 50 years Female (DOB:9/24/1966)Reason: Chronic LBP without sciatica, + radiculopathy RLE; worsening History: PROVIDER/ATTENDING NAME: SERVICES ANCILLARY SERVICES ANCILLARY Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal... | No compromise to lumbar spinal canal or neural foramina. |
Generate impression based on findings. | Diagnosis: Radiculopathy, lumbar regionClinical question: please do Dr Javed MS protocol and compare to priorSigns and Symptoms: vertigo, headache MRI brain:There is redemonstration of a 4 mm x 5 mm focus of enhancement in the right pons which is hypointense on T1 and was previously hyperintense on FLAIR imaging. On th... | 1.There is a punctate enhancing lesion in the pons. It was also present on the prior exams from 2010 and 2009 and has not changed substantially. It is possible this represents capillary telangiectasia 2.There is a mild degree of periventricular and subcortical white matter lesions present which are nonspecific. Althoug... |
Generate impression based on findings. | Right-sided weakness. Acute CVA. Non-enhanced CT of brain:There is evidence of a nonhemorrhagic acute left MCA cortical stroke in the left frontal lobe. There is subtle associated mass effect and effacement of adjacent cortical sulci. No evidence of midline shift.Patchy periventricular foci of low-attenuation is concer... | 1.Acute left MCA frontal lobe nonhemorrhagic cortical stroke.2.Small vessel disease of indeterminate age. |
Generate impression based on findings. | Long-standing knee pain. Status post soccer injury MENISCI: The medial meniscus is normal. Examination of the lateral meniscus reveals a complex tear of the posterior horn with both a vertical and a horizontal component.ARTICULAR CARTILAGE AND BONE: There is a bone contusion in the lateral posterior proximal tibiaLIGAM... | Complex tear of the posterior horn of the lateral meniscus. At least a partial tear of the anterior cruciate ligament. |
Generate impression based on findings. | Images are slightly limited by patient motion. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is no pathological enhancement. The distal spinal cord and conus are within normal li... | 1. No evidence for metastatic disease to the lumbar spine. 2. No significant interval change in multilevel spondylotic changes. Moderate spinal canal stenosis at L2-L3 predominantly on the basis of developmental narrowing with superimposed disc and facet/ligamentous hypertrophic degenerative disease causing mild to mod... |
Generate impression based on findings. | Female, 57 years old, status post resection for cavernoma. Follow-up exam. Findings are seen compatible with left frontal craniotomy and resection of a portion of the left frontal lobe. The resection margin demonstrates a thin rim of diffusion restriction which likely reflects postoperative cytotoxic edema. The surgica... | Expected post operative findings are seen compatible with resection of a left frontal cavernous malformation. |
Generate impression based on findings. | Clinical question: Evaluate for stenosis. Signs and symptoms: Pain. Nonenhanced cervical MRI:There is normal anatomical alignment of vertebral column. There is mild straightening of cervical lordosis likely secondary to degenerative disease.Foramen magnum is unremarkable.C2-C3 is unremarkable.C3-C4 is unremarkable.C4-C... | 1.At C6-C7 degenerative changes and including a disc-osteophyte complex results in significant bilateral (right greater than left) neural foraminal compromise and no central spinal stenosis.2.At C5-C6 degenerative changes results in moderate bilateral neural foraminal compromise (left greater than right) and no central... |
Generate impression based on findings. | Pain. Cuff tear? Mild osteoarthritis affects the glenohumeral and acromioclavicular joints. Scattered calcific densities along the greater tuberosity and within the acromiohumeral interval likely reflect calcific tendinosis. The acromiohumeral interval is preserved, but please note that the previous MRI exam showed a f... | Osteoarthritis and other findings as described above. |
Generate impression based on findings. | Male 64 years old with prostate cancer. Biopsy showed Gleason 3+4 =7 in 4 of 6 cores. The positive finding was on the left mid, left apex, right base and right mid lobes. Evaluation is limited due to artifact from metallic hardware.PELVIS:PROSTATE:Prostate Size: 4.0 x 3.2 cmPeripheral Zone: There are left mid and left ... | 1.Limited evaluation due to artifact from metallic hardware.2.Left mid and left apex lesions are compatible with prostate carcinoma. No lesion is seen on the right. 3.No extracapsular extension or pelvic lymphadenopathy. |
Generate impression based on findings. | 22-year-old male with pain. Evaluate patellofemoral osteochondral defect. MENISCI: The medial meniscus appears intact. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There is a focus of intermediate to high signal intensity within the articular cartilage of the patella, centrally, indicating focal de... | Central osteochondral defect of the patella and other findings as described above. |
Generate impression based on findings. | History of left temporal lobe from meningioma resection, auditory and visual hallucinations, suspicious for encephalitis. No evidence of acute ischemic or hemorrhagic lesion.There is about 4mm sized intensely enhancing area (series 901, image 113/300) on the right basal ganglia, likely globus pallidus on enhancement. H... | 1. No evidence of acute ischemic or hemorrhagic lesion. 2. Focal intensely enhancing area on the right basal ganglia which likely represent vascular structure such as dilated venous structure. 3. Post resection status of the left temporal area meningioma with post operative changes, no interval change since prior exam.... |
Generate impression based on findings. | Diagnosis: Transient alteration of awarenessClinical question: evaluate for brain metsSigns and Symptoms: altered mental status The CSF spaces are appropriate for the patient's stated age with no midline shift. No focus of diffusion restriction is identified in the brain parenchyma.There is a mild to moderate degree of... | 1.Periventricular and subcortical white matter changes of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. To a lesser degree there are similar appearing brainstem lesions present also most likely vascular related.2.No intracranial mass lesion is identified. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are no areas of abnormal parenchymal signal. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are intact. The skull, paranasal sinuses, and scalp ... | Unremarkable brain MRI. |
Generate impression based on findings. | History of left renal lesion seen on ultrasound. ABDOMEN:LIVER, BILIARY TRACT: The liver dome was not included in the axial images. The liver is otherwise normal in morphology signal intensity and enhancement without a suspicious lesion. No biliary ductal dilatation. Normally distended gallbladder.SPLEEN: No significan... | The left renal lesion seen on ultrasound corresponds to a minimally complex benign proteinaceous/hemorrhagic cyst without suspicious postcontrast enhancement. |
Generate impression based on findings. | New onset headache and dizziness. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is confluent periventricular white matter T2 hyperintensity and a few scattered deep white matter T2 hyperintensity foci. There is no abnormal intracranial enhancement. There is perhaps mild diffuse cerebral... | Perhaps mild diffuse cerebral volume loss and nonspecific areas of cerebral white matter signal abnormality may represent chronic small vessel ischemic disease, for example. Otherwise, no evidence of intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | Clinical question: Structural lesion causing headache. Signs and symptoms: Diffuse sharp headache with left sharp trigeminal distribution pain. Pre-and enhanced brain MRI:Negative diffusion weighted images.Examination demonstrates a few punctate foci of nonspecific flair hyperintensity in the subcortical and periventri... | 1.Negative diffusion weighted images.2.Few nonspecific punctate foci of flair hyperintensity the the subcortical and periventricular white matter which in proper clinical setting clips are present minimal chronic small vessel ischemic strokes.3.Unremarkable pre-and post enhanced brain MRI otherwise.4.Unremarkable image... |
Generate impression based on findings. | 52 years Female (DOB:12/11/1963)Reason: eval for primary CNS lymphoma, PML, toxoplasma encephalitis, or other CNS malignancy or infection History: HIV, gait instability, cognitive impairment, recently started HART, hx "brain cancer"PROVIDER/ATTENDING NAME: GEORGE W WEYER GEORGE W WEYER There is redemonstration of abnor... | 1.There is a right cerebellar white matter lesion present. Differential considerations may include demyelinating focus including PML. Other lack of contrast enhancement makes lymphoma and toxoplasmosis less likely these diagnosis cannot be entirely excluded.2.Periventricular and subcortical white matter signal changes ... |
Generate impression based on findings. | Right foot ulcer There is subcutaneous ulceration overlying the head of the fifth metatarsal. There is abnormal low T1 marrow signal and increased T2 marrow signal within the head of the fifth metatarsal consistent with osteomyelitis. There is overlying subcutaneous edema throughout the foot. There is no discrete focal... | Findings consistent with osteomyelitis of the head of the fifth metatarsal. |
Generate impression based on findings. | Evaluate for lateral meniscal tear. Knee pain with sports injury one month ago, with stiffness. MENISCI: No significant abnormality noted.ARTICULAR CARTILAGE AND BONE: We see no articular cartilage deformity or bone marrow edema.LIGAMENTS: There is abnormal thickening and increased signal intensity of the anterior cruc... | Abnormal thickening and increased signal intensity of the anterior cruciate ligament is suggestive of at least a partial thickness tear despite absence of bone contusions and joint effusion. We see no meniscal tear. |
Generate impression based on findings. | Clinical question: Stroke. Signs and symptoms: Right-sided weakness. Nonenhanced CT of brain:Subacute nonhemorrhagic right cerebellar and right medullary region in the distribution of right pica stroke is again identified. There is only subtle mass effect with effacement of sulci and no evidence of mass effect on the f... | 1.Revisualization of multiple small vessel strokes, lacunar strokes and a right cerebellar -- medullary stroke in the distribution of right pica branch. No evidence of hemorrhagic transformation.2.Atherosclerotic plaque with minimal calcification however no hemodynamically significant stenosis at the origin of right in... |
Generate impression based on findings. | 72-year-old female with decreased vision. Evaluate for etiology of retinal edema. MRI brain:There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild progression of the periventricular and subcortical T2/FLAIR hyperintensities which is nonspecific but likely related to small vessel ischemic... | 1.Findings suspicious for bilateral retinal detachment. Please correlate with an ophthalmoscopic exam.2.No evidence of intracranial hemorrhage, mass, or acute infarct. 3.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. This has pro... |
Generate impression based on findings. | Clinical question: DBS planning. Signs and symptoms: DBS planning Pre and post enhanced brain MRI:Examination is limited and performed utilizing surgical planning protocol and is not a true diagnostic exam.There are also no prior exams for comparison.Examination demonstrates uniform prominence of cortical sulci and sup... | Pre- and post enhanced surgical planning MRI study as detailed. |
Generate impression based on findings. | Central sleep apnea with dropped breaths, hypotonia, developmental delay. Evaluate for atrophy vs mass vs other processes explaining clinical condition. There is increased crowding of the foramen magnum compared to the previous exam with pointing of the tonsils. The tonsils descend to the level of the posterior arch of... | 1.Findings compatible with Chiari Type I malformation.2.Symmetrically increased ventricular size and sulci/subarachnoid spaces suspicious for global parenchymal volume loss.3.Normal myelination pattern for age. |
Generate impression based on findings. | Clinical question: Evaluate interval enlargement of possible frontal meningioma. Signs and symptoms: CTH with enlarged possible meningioma. Nonenhanced brain MRI:No acute intracranial process and negative diffusion weighted series.Examination demonstrates a dural based extra-axial mass in the anterior left middle crani... | 1.Dural based extra-axial mass in the left anterior middle cranial fossa presumed a meningioma is again noted. Subtle mass effect on the left anterior temporal tip without vasogenic edema or midline shift.2.Negative diffusion weighted images and findings suggestive of mild to moderate chronic nonhemorrhagic small vesse... |
Generate impression based on findings. | 57-year-old female with history of sarcoma. Please evaluate for recurrence and extent of disease. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No pancreatic ductal dilatation. Punctate T2 hyperintense focus of the inferior pancreatic body (coronal ser... | 1.New 5.4 x 4.9 cm lesion adjacent to the ileocolonic anastomosis and a new 1.7 x 2.7 cm lesion of the posterior right diaphragmatic crus. These lesions demonstrate fat signal intensity and peripheral enhancement on the delayed series. These findings are concerning for liposarcoma recurrence.2.Stable right retroperiton... |
Generate impression based on findings. | 68-year-old male with history of right renal cyst. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cholelithiasis. Scattered T2 hyperintense non-enhancing lesions compatible with benign cysts.SPLEEN: Small splenule. PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnor... | Benign cyst in the right lower pole, stable in size from 2013, probably containing proteinaceous or mineral debris. Other scattered subcentimeter lesions also have a benign appearance. |
Generate impression based on findings. | Male 57 years old Reason: hx of portal vein thrombosis, cirrhosis, and HCC History: eval for portal vein thrombosis LIMITED ABDOMENLIVER: Heterogeneous liver. Coarse echotexture of the liver. There is partial main portal vein thrombus. Right portal vein is not well visualized. Ill-defined masses in the right and left l... | Cirrhotic liver. Infiltrative, ill-defined bilateral lobar liver masses detected on the previous CT were not well seen on today's study. These lesions were suspicious for hepatocellular carcinoma. Further evaluation with liver MRI is recommended.Partial thrombosis of the main portal vein.Splenomegaly. |
Generate impression based on findings. | 58 years Female (DOB:5/20/1957)Reason: lung mets to brain s/p SRS To L temporal and R frontal met and most recently whole brain radiation History: eval for extent of diseasePROVIDER/ATTENDING NAME: STEVEN J CHMURA STEVEN J CHMURA Since the prior exam multiple brain parenchymal lesions have increased in size. One in the... | 1.Since the prior exam patient's metastatic lesions have increased in size . In addition there are a couple new brain metastatic lesions.2.There is more mass effect in the posterior fossa the current exam relative to the prior exam which is related to vasogenic edema from a metastatic lesion. |
Generate impression based on findings. | Left ear tinnitus and sensorineural hearing loss. . There is apparent deficiency of bone overlying the left superior semicircular canal. The rest of the inner ear structures otherwise appear unremarkable. The bilateral cranial nerve 7 and 8 complexes are intact. There is no evidence of mass lesions. The bilateral masto... | 1. Apparent left superior semicircular canal dehiscence, which can be confirmed via a temporal bone CT, if clinically warranted. Otherwise, no evidence of vestibular schwannoma.2. A subcentimeter focus of high T1 signal along the midline of the anterior cranial fossa may represent prominent fatty marrow within the cris... |
Generate impression based on findings. | There is mild exaggeration of the lumbar lordosis without sagittal spondylolisthesis. There is mild loss of height of the T12, L1, L2, and L4 vertebral bodies overall worse compared to the 12/31/2011 MRI, but appearing similar to the more recent 11/24/2014 CT. There are additional mild endplate deformity/Schmorl's nod... | 1.Multiple chronic mild vertebral body compression deformities without bone marrow edema to suggest acute fracture.2.Mild spondylosis as described above including mild central canal stenosis at L4-L5.3.Mild facet arthropathy, relatively worse at L4-L5 which may be contributing to patient's low back pain. |
Generate impression based on findings. | Reason: eval mass History: R proximal humerus mass Within the superficial soft tissues overlying the right deltoid and biceps brachii muscle, there is a homogeneous 7 x 3 x 2 cm mass with well-defined margins and with signal characteristics identical to subcutaneous fat on all sequences. A thin capsule and a few thin i... | Superficial lipoma within the lateral aspect of the right shoulder. |
Generate impression based on findings. | 79-year-old female with hypertension now with progressive lower extremity weakness x 1 day. Generalized weakness x 2 weeks. No objective neuro findings on exam. Question acute ischemia. Question subdural hematoma. Patient has very poor gait. Patchy areas of deep subcortical and periventricular white matter hypodensity ... | Small vessel ischemic disease, age indeterminate. If there is concern for an acute stroke, an MRI is recommended for further evaluation. |
Generate impression based on findings. | Left lower extremity weakness, bowel and bladder incontinence. History of metastatic breast cancer. There is extensive T2 hyperintensity involving the thoracic cord extending from the C7 to the T4 levels with mild cord expansion. There is a T2 hypointense intramedullary lesion at the T1 level measuring approximately 5 ... | 1. Intramedullary lesion at the T1 level highly suspicious for cord metastasis is decreased in size, currently measuring 5 mm, previously 28 mm in the craniocaudal dimension on prior study from 12/8/2014. Surrounding edema is also decreased in the interval.2. Disc extrusion at the T6-T7 level appears less prominent tha... |
Generate impression based on findings. | 58 year old female with non small cell lung cancer with new mass seen on the atrial septum on TTE. She also has shortness of breath and chest pain. MRI evaluation for atrial septal mass. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 56%. The LVEDV ... | 1.Normal sized left ventricle with normal systolic function.2.Normal sized right ventricle with normal systolic function.3.Large right sided pleural effusion. 4.Large loculated fluid collection at the left lung base. 5.No intracardiac mass to explain PET uptake at the aortic root / interatrial septum6.Posterior extraca... |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: Headaches and hypertension Nonenhanced CT of brain:There is no definitive evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Cortical sulci, ventricular system, CSF cisterns and gray -- white matter differentiation is within normal. Follo... | No definitive evidence of abnormality. Follow-up with an MRI is recommended if clinical concern for stroke persists. |
Generate impression based on findings. | 47 year old with known cardiac sarcoid and history of premature ventricular contraction and nonsustained ventricular tachycardia presenting with palpitations. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 63%, the LV end diastolic volume index is 78 ml/m2 ... | 1. Normal LV size and systolic function (LVEF 63%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration.2. Normal RV size and systolic function (RVEF 56%).3. See extra-cardiac findings. |
Generate impression based on findings. | memory impairment No evidence of acute ischemic or hemorrhagic lesion on this scan.Minimal patchy high signal intensities on bilateral periventricular white matters indicate minimal non specific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differ... | Minimal nonspecific small vessel ischemic disease.No evidence of acute ischemic or hemorrhagic lesion on this scan. |
Generate impression based on findings. | Lung cancer. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are small areas of encephalomalacia in the right cerebellar hemisphere. There are also mild scattered periventricular and subcortical white matter T2 hyperintensities, which are nonspecific, but compatible with chronic microvasc... | 1. No evidence of metastatic disease.2. Chronic right cerebellar infarcts. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 44-year-old male with new onset seizure. Evaluate for stroke, edema. There is an area of hypodensity in the right frontal subcortical region that may represent edema or encephalomalacia. This could be related to old ischemic change. However, an MRI is recommended for further evaluation. The ventricles and sulci are mil... | Right frontal subcortical hypodensity may represent edema or encephalomalacia. This could be related to old ischemic change. However, an MRI is recommended for further evaluation. |
Generate impression based on findings. | 44-year-old male with shoulder pain. Evaluate for rotator cuff tendinopathy versus partial tear. ROTATOR CUFF: There is perhaps mild thickening and slight increased signal intensity of the insertional fibers of the supraspinatus tendon suggesting mild tendinosis, but we see no fluid-filled tear. The supraspinatus muscl... | Possible mild supraspinatus tendinosis at its insertion and minimal osteoarthritis of the acromioclavicular joint. We see no rotator cuff tear. |
Generate impression based on findings. | Right shoulder pain ROTATOR CUFF: The rotator cuff is normal.SUPRASPINATUS OUTLET: The acromioclavicular joint is normal and there is no fluid within the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND GLENOID LABRUM: The labrum is normal. There are no loose bodies within the joint. The articular cartilage is prese... | Normal appearance of the labrum with no specific findings to account for the patient's shoulder pain. |
Generate impression based on findings. | 34 year old man with non-ischemic cardiomyopathy and palpitations and wide-complex tachycardia. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function. The overall LV ejection fraction is 50%, the LV end diastolic volume index is 103 ml/m2 (normal range: 74+/-15), the LVEDV is 223 ml (... | 1. Normal LV size with mildly reduced systolic function (LVEF 50%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration.2 Normal RV size and systolic function (RVEF 52%).3. Mild left atrial dilation. |
Generate impression based on findings. | Male, 53 years old, with history of spastic astrocytoma status post resection in 2012 with increasing headache. Evidence of prior tumor resection from the cerebellum is again seen. The resection cavity is stable in size and morphology. No new signal abnormality is seen. No pathologic enhancement is detected within or a... | Stable appearance of the cerebellar resection cavity with no evidence to suggest recurrent tumor. |
Generate impression based on findings. | 51-year-old female with right foot pain status post trauma. Assess for anterior process of calcaneus fracture.IMAGE ACQUISITIONS: CT examination of the right foot was performed without IV contrast. Transverse, coronal, and sagittal reformations were performed. Soft tissue and bone windows were reviewed. There is no evi... | Mild lateral soft tissue swelling without evidence of fracture. |
Generate impression based on findings. | Male 26 years old Reason: r/o torn meniscus History: swelling pain MENISCI: There is an obliquely orientated focus of increased signal intensity extending through the peripheral fibers of the posterior horn of the lateral meniscus to the femoral articular surface, indicating a tear that is continuous with the interface... | Findings consistent with at least a partial-thickness anterior cruciate ligament tear as well as a tear of the posterior horn of the lateral meniscus. |
Generate impression based on findings. | Female 17 years old Reason: eval for djd; stiff s/p surgery pre-peroneal tendon repair History: ankle pain and stiffness for years TENDONS: No significant abnormality noted.LIGAMENTS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: There is no evidence of DJD or bone compromise. T2 fluid signal on the ant... | Incidental finding of posterior tibiotalar ganglion and minimal joint narrowing of the posterior tibiotalar joint, otherwise normal examination. |
Generate impression based on findings. | Adrenal mass seen on CT at outside hospital. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No significant biliary ductal dilatation. No focal liver lesion. The vessels are patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: 2.0 x 1.4 cm right adrenal l... | The right adrenal lesion measures 2.0 cm, decreased from size reported. In the absence of a known primary the imaging characteristics are most suggestive of adrenal hemorrhage. |
Generate impression based on findings. | Posterior tibial tendinitis TENDONS: There is a mild amount of fluid surrounding the posterior tibialis, flexor digitorum longus and flexor hallucis longus tendons however the tendons themselves appear normal in caliber and signal. The peroneal tendons and extensor tendons also appear normal.LIGAMENTS: No significant a... | Perhaps minimal tenosynovitis of the posterior tibialis, flexor digitorum longus, and flexor hallucis longus tendons although the tendons themselves are normal. |
Generate impression based on findings. | Sarcoidosis, systemic lupus erythematosus, low back pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign with T1 hyperintense foci scattered within the vertebral bodies compatible with focal fa... | Mild degenerative changes in the lumbar spine without significant spinal canal stenosis or neural foraminal stenosis at any level. There is facet arthropathy at L5-S1 bilaterally and to a lesser degree at L4-L5, which may be contributing to patient's low back pain. |
Generate impression based on findings. | 64-year-old male with confusion on Coumadin found down at bedside with no neurologic findings. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse hypodense region within the subcortical and periventricular white matter consistent with small vessel disease, age indeterminate. Well defined hypodense ... | Small vessel ischemic disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. |
Generate impression based on findings. | Other specified health status [Z78.9], Reason for Study: ^Reason: eval for acute cerebral infarction History: acute on chronic aphasia concerning for stroke There are multifocal restricted diffusion lesions on the left MCA territory including left frontal lobe middle and inferior frontal gyri and left posterior parieta... | 1. Left MCA territorial acute/subacute ischemic infarctions as described above.2. Multifocal bihemispheric chronic ischemic infarctions with encephalomalacia. |
Generate impression based on findings. | Elevated PSA. PELVIS:PROSTATE:Prostate Size: 5.9 x 6.8 x 8.0 cm.Peripheral Zone: No discrete suspicious focus.Central Gland: Extensive changes of BPH.0.9 x 1.0 cm mid gland medial focus is very low signal intensity on T2-weighted imaging with restricted diffusion (series 1201/19).1.3 x 1.1 cm apex medial focus with low... | 1.Three foci in the transition zone demonstrating low signal intensity in T2-weighted imaging and restricted diffusion may reflect sites of prostatic carcinoma. Alternatively, these may reflect BPH nodules.2.After discussing the findings with the patient the patient agreed to undergo an MR guided biopsy of these lesion... |
Generate impression based on findings. | 83 year-old female history of IPMN. ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. No focal hepatic lesions. Mild extra hepatic biliary ductal dilatation with the common bile duct measuring up to 11 mm. No filling defects or masses are present.SPLEEN: No significant abnormality noted.PANCREAS: Unchanged uncinate process... | Stable pancreatic cystic lesions as above. |
Generate impression based on findings. | Six rule female with history of intracranial METs, now with right-sided headache. There is no evidence of intracranial hemorrhage, mass or edema. Multiple areas of diffuse periventricular and subcortical white matter hypodensity consistent with small vessel ischemic disease, age indeterminate. If there is clinical conc... | No acute change. |
Generate impression based on findings. | Headache, difficulty with potty training and constipation, family history of epilepsy and other diseases of the nervous system, evaluate for syrinx. MRI brain: There is no Chiari malformation. The CSF flow study is technically inadequate. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brai... | 1. Unremarkable MRI brain. No evidence of Chiari malformation.2. Unremarkable MRI spine. No evidence of syringohydromyelia. |
Generate impression based on findings. | Asymptomatic 60 year old woman presents for routine screening mammography. Personal history of benign right breast biopsy in December 2011. Family history of breast cancer in mother, two sisters, maternal cousin, and four paternal cousins. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhanc... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Female 20 years old History: seizure. Some sequences are partially degraded by artifact. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no asymmetry of the hippocampi or evidence of volume loss. There is a nonspecific partially empty sella. T... | No specific findings to account for the patient's symptoms. No evidence of intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | Clinical question: CVA, TIA, hemorrhage. Signs and symptoms: Aphasia. Nonenhanced head CT:Examination again demonstrates as was noted on prior brain MRI of 24 hours earlier multiple foci of vasogenic edema consistent with multiple intracranial complement the study lesions. The lesion in the basal cistern demonstrate hi... | 1.Multiple foci of vasogenic edema consistent with patient's known intracranial metastatic lesions not significantly changed since prior exam from 24 hours earlier.2.Several of the lesions demonstrate slight increased density consistent with hemorrhage within the metastatic lesions as was noted on prior MRI. |
Generate impression based on findings. | 75-year-old man status post adrenalectomy for a right adrenal neoplasm. ABDOMEN:LIVER, BILIARY TRACT: Right hepatic lobe calcifications. The liver is otherwise normal in signal and morphology. The patient is status post cholecystectomy. There is no significant intra or extrahepatic duct dilatation.SPLEEN: The spleen is... | Enlarging lesion in the right adrenalectomy bed suspicious for residual/recurrent tumor. |
Generate impression based on findings. | 43-year-old female with multiple sclerosis. F/u progression. Again seen are new numerous T2/FLAIR hyperintense lesions predominantly within the supratentorial white matter and including the periaqueductal gray, which appear similar to the previous exam allowing for differences in technique. These lesions are T1 hypoint... | Allowing for differences in technique, the numerous white matter lesions in the brain compatible with multiple sclerosis are not significantly changed. |
Generate impression based on findings. | Oligodendroglioma, WHO grade II, pre-treatment planning. There a postoperative findings related to left transfrontal biopsy of an infiltrative T2 hyperintense left insular mass, which measures up to approximately 3 cm. The ventricles and other cerebrospinal fluid spaces are unchanged in size and configuration, includin... | Pre-treatment planning MRI for a left insular oligodendroglioma, with skin fiducial markers present. |
Generate impression based on findings. | 42 years, Male, right hemibody numbness. Evaluate for thalamic stroke. 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. Minimal scattered foci of T2/FLAIR hyperintensity are seen in the ... | Brain parenchyma appears within normal limits for age. Specifically, no evidence of thalamic infarct. |
Generate impression based on findings. | Male, 24 years old, multiple sclerosis. Recently diagnosed with MS, on October 2016 and has follow up with Dr Ciprianni at U of C. He was recently started on Tecfidera about 2 weeks ago. Over the last week he reports to be feeling progressive numbness on L hand and L toes. He was referred for admission for MS flare and... | 1. Interval progression of demyelinating disease in the cervical cord with a new lesion extending from the C4-C5 to C5-C6 levels involving the left and dorsal aspects of the cervical spinal cord. There is associated enhancement consistent with active demyelination.2. No abnormal signal identified in the thoracic spinal... |
Generate impression based on findings. | Status post liver transplant. Known seroma with inflammation in the region of the left brachial plexus.Additional clinical history from electronic medical records: 63-year-old female with left upper extremity numbness, tingling and weakness. History of orthostatic liver transplant status on 10/5/2015 for hepatitis C/Et... | 1.There is scarring related to the previous left upper chest incision, involving the underlying muscles. There is suggestion of underlying focal stenosis/tethering of the left subclavian vein just adjacent to a surgical clip. Patency of the vein is probably better assessed by Doppler ultrasound, if clinically warranted... |
Generate impression based on findings. | Metastatic melanoma on Temodar. The intrinsically T1 hyperintense lesions in the bilateral cerebral hemispheres are stable to slightly decreased in size. For example, a lesion in the left occipital lobe measures 4 mm in diameter, previously also 4 mm, while a lesion in the right anterior cingulate gyrus measures 3 mm i... | Stable to slight interval decrease in size of the brain metastases. |
Generate impression based on findings. | 48-year-old male with history of lumbar cracking and popping with movement Anterior vertebral body osteophytes along the lower lumbar spine with mild L4-L5 and L5-S1 disk space narrowing. Vertebral body heights are maintained. Alignment is within normal limits on flexion and extension views. | Degenerative disk disease as described above. |
Generate impression based on findings. | 51-year-old male with acute psychosis, history of pituitary adenoma There is redemonstration of a large sellar lesion measuring 4.1 x 3.3 x 2.2 cm in sagittal and coronal planes (sagittal image 28, coronal image 32). While the size of the sellar lesion is similar to 2004, the mass appears heterogeneously hypodense on C... | 1.No acute intracranial abnormality. Specifically no acute intracranial hemorrhage or generalized mass effect.2.Redemonstration of remodeled sella consistent with previously seen pituitary adenoma. The contents of the sella are now predominately hypodense which raises possibility of interval treatment. MRI would be req... |
Generate impression based on findings. | 59 year old with breast pain. Breast parenchyma is almost entirely fat in both breasts.Minimal parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region. | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Female 44 years old with right knee pain. MENISCI: The medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: There is thinning of the cartilage along the medial facet and median ridge of the patella and trochlea. There is a 3 mm full thickness cartilage defect along the median ridge of the patella with an... | Mild chondromalacia patella. |
Generate impression based on findings. | Female, 90 years old, with left gluteal and leg pain, worse at the posterior coccyx. A mild levocurvature of lumbar spine may be positional. Sagittal alignment is unremarkable. Vertebral body heights are preserved. Mild endplate edema is seen along the superior L2 endplate. Fatty degenerative endplate signal change is ... | Multilevel disc degeneration is seen. Most notably, at L3-4 there is a moderate generalized spinal canal stenosis and severe right foraminal narrowing; and at L5-S1, there is significant narrowing of the left lateral recess and severe left foraminal narrowing. |
Generate impression based on findings. | Metastatic renal cell carcinoma with growing destructive lesion at L1. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. There is anenhancing T1 hypointense 2.5 x 1.4 cm mass centered within the left L1-L2 neural foramen and... | Enhancing mass centered within the left L1-2 foramen, with disruption of the vertebral body cortex and extension into the epidural space, probable renal metastasis. |
Generate impression based on findings. | 13-year-old female with pain and mechanical symptoms in the left knee. MENISCI: The medial and lateral menisci are normal.ARTICULAR CARTILAGE AND BONE: Generalized thinning of the patellar cartilage is noted without focal defects. The articular cartilage within the lateral and medial tibiofemoral compartments is unrema... | 1.Generalized thinning of the patellar cartilage without focal defects. Findings may represent chondromalacia patella.2.No evidence of meniscal or ligamentous injury. |
Generate impression based on findings. | Ms. Faith is a 50 year old female with recently diagnosed right breast malignancy. She presents for MRI for further evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts. Marked background parenchymal enhancement is noted bilaterally, which limits the sensitivity of this examination.In the ... | (1) Unifocal malignancy of the right breast, measuring up to 2.2 cm. Clip is in appropriate position. If breast conservation therapy is desired, the clip can be used as targeting for preoperative surgical guidance. (2) No MRI evidence for malignancy in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Le... |
Generate impression based on findings. | Diagnosis: Other malaise and fatigueClinical question: Please evaluate for focal abnormality particularly thalamusSigns and Symptoms: Episode of transient left face, arm, and leg weakness with painComments: Please obtain without sedation if possible | The CSF spaces are appropriate for the patient's stated age with no ... | MRI of the brain is within normal limits |
Generate impression based on findings. | History of Crohn's disease. Evaluate for evidence of active inflammation. 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 abnormality noted... | No significant active inflammation of the small bowel. Moderate active inflammation of a featureless distal colon from the splenic flexure extending distally with short skip areas near the rectosigmoid and distal rectum. The inflammation is most severe of the sigmoid colon. No flow-limiting stricture or evidence of sin... |
Generate impression based on findings. | Evaluate progress of left subdural hemorrhage, assess left quadrigeminal cistern plate lipoma, calcifications: left subdural hemorrhage, lipoma, calcifications. There is a low T2 and high T1 signal subdural hematoma along the left posterior falx cerebri that measures up to 5 mm in thickness, which is not significantly ... | 1. Unchanged small subdural hematoma along the left posterior falx cerebri and perhaps trace subdural hemorrhage along the right falx cerebri.2. Unchanged bilateral cephalohematomas, right larger than left, and superimposed caput succedaneum. 3. Small left quadrigeminal plate cistern lipoma.4. No discernible brain pare... |
Generate impression based on findings. | Pain in right hip [M25.551], Reason for Study: ^Reason: sciatica type pain - pt previously on long term steroids History: see above For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. There is normal lumbar lordosis. The spine alignment is anatomic. The vertebral body he... | 1. Broad-based focal disc bulging toward left side neural foramen of L4-5.2. Minimal spinal canal stenosis at the level of L23. |
Generate impression based on findings. | There is a hypoenhancing lesion in the right aspect of the pituitary gland that again measures up to 7 x 7 x 5 mm (AP x TV x CC). No evidence of macroadenoma. Infundibulum is midline. There is no suprasellar extension, mass effect upon the optic apparatus, or abnormality involving the cavernous sinuses. The carotid ar... | Unchanged 7 mm pituitary microadenoma. |
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