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Generate impression based on findings. | Female 75 years old Reason: doubling of bilirubin overnight, severe abdominal pain, bladder cancer, with G tube, ileal conduit, s/p ileocolic bypass History: please evaluate for micrometastasis ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No intrahepatic biliary ductal dilatation.Gallbladder contains sl... | 1.Cholelithiasis without biliary ductal dilatation. Given the small size of the stones the elevated bilirubin may be due to a recently passed stone. Please see additional discussion above. |
Generate impression based on findings. | Clinical question: Evaluate for progression of GBM in the left temporal lobe. Prior history of surgery and RT. Signs and symptoms: Left temporal lobe GBM. Pre and post-enhanced brain MRI:Examination demonstrates post operative changes of a left anterior temporal and frontal craniotomy for removal of temporal lobe tumor... | 1.No evidence of acute or new finding since prior exam.2.Stable post surgical/therapy changes of the left anterior temporal lobe tumor without evidence of recurrence of disease. |
Generate impression based on findings. | 47-year-old man with syncope. Evaluate for hemorrhage. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration. There are prominent calcifications of the choroid plexus in the posterior horn of the right lateral ventricle and the body of the... | Normal brain CT with no findings of intracranial hemorrhage. |
Generate impression based on findings. | 32-year-old female with pain at the forefoot. Evaluate for stress injury. A marker was placed along the medial aspect of the midfoot corresponding to the patient's site of pain. Bone marrow signal is within normal limits. The cortical margins are preserved with no discontinuity or erosions. No acute fracture or malalig... | Unremarkable MRI of the left foot. No evidence of stress reaction or fracture as clinically questioned. |
Generate impression based on findings. | 54-year-old female with chronic diarrhea, abdominal pain. History of vaginal fistula. Exclude small bowel Crohn's disease. Oral contrast using Volumen was also administered. Motion artifact mildly limits exam quality.ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesion.SPLEEN: Spleen is unremarkable.PANCREAS: No focal... | 1.Exam mildly limited by motion artifact. 2.Questionable focal enhancement of the terminal ileum adjacent to the ileocecal valve. No other findings of acute or chronic inflammation in this location or elsewhere. While this enhancement may be artifactual from decompressed terminal ileal mucosal folds, superimposed acute... |
Generate impression based on findings. | There are multiple foci of T2/FLAIR hyperintensity throughout the white matter which are nonspecific but compatible with mild chronic small vessel ischemic disease in this age group. Cystic changes are seen in the bilateral medial thalami with mild peripheral FLAIR hyperintensity which may represent prominent perivasc... | 1. No intracranial mass or mass effect. Nonspecific T2/FLAIR hyperintense foci are seen which are nonspecific but compatible with mild chronic small vessel ischemic disease. Cystic changes are seen in the bilateral medial thalami with mild peripheral FLAIR hyperintensity which may represent prominent perivascular space... |
Generate impression based on findings. | Oral ulcers. Evaluate for small bowel disease. 11/13/2015: Colonoscopy biopsies demonstrated focal nonspecific chronic enteritis of the terminal ileum. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No si... | No findings to suggest active small bowel inflammation, fibrostenotic or fistulous disease. |
Generate impression based on findings. | 33-year-old male status post osteotomy as a child for Blount's disease. Evaluate left knee for ligament integrity and meniscal pathology. MENISCI: Note is made of linear increased signal abnormality traversing the posterior horn of the medial meniscus which extends to the femoral and tibial articular surfaces consisten... | Vertical tear of the posterior horn of the medial meniscus with parameniscal cyst formation as described above. |
Generate impression based on findings. | 8 year-old female with posterior neck mass There is a lobulated heterogeneous well-circumscribed hypervascular mass measuring up to 3 cm in long axis present within the subcutaneous tissues of the posterior midline upper neck. The vascular waveforms are predominantly venous, although at least one arterial wave form is ... | Hypervascular mass in the subcutaneous soft tissues of the posterior midline neck most consistent with a hemangioma. |
Generate impression based on findings. | Radiculopathy, cervical region [M54.12], Reason for Study: ^Reason: eval for radiculopathy, myelopathy History: neck pain and left sided radicular pain There is straightening of cervical spine. The cranial-cervical junction is normal. There is minimal fluid collections on the atlanto axial joint indicating inflammatory... | 1. Multi-level various degree disc degenerations as described above.2. Disc herniations at the level of C45 and C67 as described above. Disc bulging at the level of C56. |
Generate impression based on findings. | Multiple sclerosis. Worsening gait. Evaluate for progression. Numerous juxtacortical and periventricular T2 hyperintense lesions are seen in both cerebral hemispheres becoming nearly confluent in the periatrial regions and along the temporal horns. Lesions are also evident within the pons, along the margins of the four... | A substantial burden of supratentorial and infratentorial white matter lesions is again demonstrated compatible with the history of multiple sclerosis. Although the immediate prior examination was obtained with different imaging technique which complicates precise comparison, no definite or significant interval changes... |
Generate impression based on findings. | Clinical question: Please evaluate for. Signs and symptoms: Headaches, lethargy and on anticoagulant Nonenhanced CT of brain: Examination demonstrates a large area of low-attenuation primarily in the subcortical white matter of right posterior frontal -- parietal with atrophic changes of overlapping cortex. This findin... | 1.Area of low-attenuation in the subcortical white matter of right posterior frontal could represent an old stroke however to exclude possibility of an underlying malignancy MRI examination is recommended.2.There is no evidence of intracranial hemorrhage midline shift or hydrocephalus. |
Generate impression based on findings. | 41 year old female with right shoulder pain. Evaluate for labral tear. Evaluation is slightly limited due to the inability to properly position the patient.ROTATOR CUFF: There is mild increased signal intensity of the supraspinatus and infraspinatus tendons, suggesting mild tendinosis. Additionally, gadolinium appears ... | 1. SLAP tear as described above with additional tearing/fraying of the anterior glenoid labrum.2. Moderate osteoarthritis affects the glenohumeral joint.3. Probable stripping of the undersurface fibers of the supraspinatus and infraspinatus tendons from the greater tuberosity but no full-thickness rotator cuff tear is ... |
Generate impression based on findings. | 66-year-old man status post heart transplant with right upper and left lower extremity neuropathic pain. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Loss of the normal cervical lordosis may be in part positional. Bone marrow signal is normal. The cervi... | 1.Multilevel degenerative disease with spinal canal and neural foraminal stenoses. Overall this is worst at C5/C6, right greater than left. Please see additional details above.2.Please note that this examination only evaluates the cervical spine. If there is concern for brachial plexus abnormality, a dedicated brachial... |
Generate impression based on findings. | Reason: is there any abnormality? History: term infant with hx perinatal depression and subarachnoid bleed, now s/p therapeutic hypothermia. There is a large, extra-periosteal fluid collection underlying the posterior scalp compatible with caput succedaneum with minimal hemorrhage, overall increased in size from 8/12/2... | 1.Scattered extra-axial hemorrhage without associated significant mass effect.2.Patchy signal abnormality in the bilateral basal ganglia concerning for sequela of hypoxic ischemic encephalopathy. Due to the timing of this examination at approximately 1 week postnatally, these imaging findings may underestimate the true... |
Generate impression based on findings. | Evaluate filling defect within the proximal descending thoracic aorta as seen on recent CTA. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Demonstrated again is a peripheral filling defect within the proximal descending thoracic aorta which is pedunculated in appearance distally and adh... | The peripheral filling defect within the proximal descending thoracic aorta demonstrates T1-weighted hyperintensity, no contrast enhancement and short interval decrease in size favoring adherent bland thrombus. |
Generate impression based on findings. | Ms. Skoog is a 54 year old female with recent MRI performed on 5/2016 demonstrating a diffuse area of abnormal enhancement in the left upper outer breast. Subsequent ultrasound-guided biopsy demonstrated periductal inflammation with histocytes and rare poorly-formed granulomas on 5/2016. She presents today for short te... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Reason: Evaluate left knee for medial meniscus tear History: Medial joint line pain x 4 weeks. MENISCI: There is mild intrasubstance signal within the body and posterior horn of the medial meniscus suggesting intrasubstance degeneration, but we see no discrete tear. Linear signal intensity within the anterior horn of t... | 1. Small focus of bone marrow edema in the medial femoral condyle is of uncertain etiology but could be degenerative or perhaps represent a peculiar contusion.2. Mild degeneration of the articular cartilage of the patella.3. No medial meniscus tear. Possible small tear of the anterior horn of the lateral meniscus, whic... |
Generate impression based on findings. | 69 years, Male, history of metastatic RCC to brain, status post SRS and WBRT. There is no significant change in size of treated, hemorrhagic lesion adjacent to the trigone of the left lateral ventricle measuring approximately 19 x 25 mm in the axial plane. There is mild peripheral enhancement which is not significantly... | 1. Compared to 2/9/2016, there is no evidence of progression of metastatic disease in the brain. Multiple treated lesions are again seen, including a relatively larger left peritrigonal lesion.2. Enlarging soft tissue metastasis in the left masticator space. |
Generate impression based on findings. | 84 year old female with mental status changes status post fall. Rule out subdural hematoma. There is no evidence of intracranial hemorrhage, mass or edema. Low-attenuation in the periventricular white matter is consistent with small vessel ischemic disease of indeterminant age. The ventricles and basal cisterns are nor... | 1. No evidence of acute intracranial abnormality.2. Moderate small vessel ischemic disease of indeterminant age, unchanged.3. Unchanged tortuous basilar artery partially obscuring the brainstem. If there is a clinical suspicion of stroke, MRI may be considered. |
Generate impression based on findings. | Follow-up of her left-sided trigeminal schwannoma that has been debulked twice: once in 2010 and the second time in 2012. She has undergone fractionated radiotherapy and is here for a 1-year follow-up of that. There are postoperative findings related to left pterional craniotomy. There is no significant change in the s... | 1. No significant change in the enhancing foci within the left prepontine cistern and Meckel's cave surgical bed and the appearance of the surrounding brain parenchyma.2. Unchanged appearance of the shunted ventricular system. |
Generate impression based on findings. | Reason: R/O progressive white matter abnormality History: Turner syndrome, intellectual disability, ADHD and behavior disorder Please note that gradient echo sequences are limited due to significant susceptibility artifact.There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are several scatte... | 1.Several scattered punctate subcortical T2 hyperintensities are nonspecific. 2.Incidentally noted prominent pineal gland which is probably benign and of no clinical significance. |
Generate impression based on findings. | Metastatic tonsil cancer with brain lesion on CT. MRI necessary for radiosurgery treatment planning. Brain: There is a heterogeneously enhancing mass in the left inferior temporal gyrus that measures up to 12 mm with surrounding vasogenic edema. There is no evidence of intracranial hemorrhage or acute infarct. The vent... | 1. A mass in the left inferior temporal gyrus that measures up to 12 mm likely represents metastatic disease.2. Post-treatment findings in the neck without evidence of measurable mass lesions or significant cervical lymphadenopathy.3. Multilevel degenerative spondylosis with moderate spinal canal stenosis at C3 through... |
Generate impression based on findings. | 38 years Female (DOB: 6/14/1978)Reason: assess for demyelinating disease History: intermittent paresthesiasPROVIDER NAME: KOUROSH REZANIA KOUROSH REZANIA MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No int... | 1.No convincing evidence for demyelinating disease involving the brain or cervical spine on this exam.2.There is some minor degenerative changes present in the cervical spine. |
Generate impression based on findings. | 66-year-old female with pancreatic cystic lesions with high CEA, abdominal pain, weight loss. ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesions. Common bile duct is normal in caliber. Common bile duct has a bulbous appearance at the level of the ampulla which may represent a small choledochocele.SPLEEN: Splenule.PAN... | 1.Large multiseptated, lobular, elongated cystic mass in the head of the pancreas. Differential includes a side branch type IPMN, serous cystadenoma, or possibly a mucinous cystadenoma.2.Cystic lesion in the body of the pancreas is felt to represent a sidebranch type IPMN. Additional small cystic lesions are also felt ... |
Generate impression based on findings. | Metastatic breast cancer: Headaches. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or ... | No evidence of intracranial metastases. |
Generate impression based on findings. | Reason: cuff tear History: pain ROTATOR CUFF: There is a near complete tear of the supraspinatus at its insertion measuring approximately 2.3 cm in AP direction with 2.2 cm of retraction. This also involves the anterior fibers of the infraspinatus where there are regions of full thickness and partial thickness tearing.... | Near complete tear of the supraspinatus tendon involving the anterior portions of the infraspinatus. Partial thickness tear of the subscapularis tendon. Resultant atrophy of the infraspinatus, supraspinatus and subscapularis. |
Generate impression based on findings. | Other myelitis [G04.89], Reason for Study: ^Reason: ?MS History: R arm pain Brain MRI:No evidence of acute ischemic or hemorrhagic lesion on the scan.No evidence of abnormal enhancement.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, ... | 1. Normal brain MRI2. Subtle patchy high signal intensity on T2 weighted image at the level of C2 could represent either an artifact or subtle demyelination lesion. Follow up scan can be considered if clinically indicated.3. Diffuse disc bulging at the level of C56 as described above.4. No evidence of neuroforaminal na... |
Generate impression based on findings. | 54 years, Male, anaplastic astrocytoma, on Avastin. This will be second MRI on Avastin. There is interval increase in masslike T2/FLAIR hyperintensity and enhancement involving the posterior body of the corpus callosum on the right and crossing to the left. There is also interval increase in masslike T2/FLAIR hyperinte... | Findings suspicious for tumor progression in the setting of Avastin therapy with increased areas of masslike T2/FLAIR hyperintensity with enhancement including the right posterior body of the corpus callosum and crossing the midline, right lateral thalamus, as well as along the right temporal horn. |
Generate impression based on findings. | Massive retroperitoneal sarcoma resection 12/2012. 12/1/2015 MR demonstrate increased enhancement in the right retroperitoneum recess adjacent to the right diaphragmatic crus. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality not... | Relatively stable enhancing right retroperitoneal soft tissue adjacent to the right diaphragmatic crus, remains suspicious for recurrent disease and continued surveillance imaging is recommended. The previously seen nodule lateral to this lesion adjacent to the liver is no longer visualized. |
Generate impression based on findings. | 57-year-old male with altered mental status, history of stroke, assess for acute stroke There is no restricted diffusion to suggest the presence of acute ischemia. A tiny foci posteriorly in a left paramedian location demonstrating apparent DWI hyperintensity (image 200, series 306) lies outside the brain parenchyma is... | 1.There is no restricted diffusion to suggest the presence of acute ischemia.2.No change of multifocal susceptibility artifacts as well as extensive non specific white matter lesions.3.Fluid is noted within a few right mastoid air cells. |
Generate impression based on findings. | 43-year-old female with a history of a right mastectomy for IDC/DCIS in 2011. She has a family history of breast cancer in her paternal grandmother diagnosed in her 80s and paternal aunt diagnosed in her 60s. Status post right mastectomy and reconstruction.There is scattered fibroglandular tissue in the left breast.Mil... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Clinical question: Evaluate spinal anatomy for possible fusion. Signs and symptoms: Pain and weakness. Non-enhanced CT of lumbar spine:Examination redemonstrates destructive changes of the L1 vertebral body with collapse of more than 50% of one. There is fragmentation of the body of L1 vertebrae with expansion into the... | 1.Lytic/destructive changes of L1 vertebrae with retropulsion of fracture body of L1 into the spinal canal and resultant central spinal stenosis. There is also lytic changes involving the anterior aspect of L1 pedicles bilaterally which is also result the patient's osteomyelitis.2.Extensive degenerative changes of lumb... |
Generate impression based on findings. | Left shoulder pain ROTATOR CUFF: There is marked tendinopathy of the supraspinatus and infraspinatus tendons at the insertion upon the greater tuberosity. There is a small focus of full-thickness tearing involving the distalmost fibers of the supraspinatus tendon. The supraspinatus and infraspinatus muscles are preserv... | 1. Rotator cuff tears involving the supraspinatus and infraspinatus tendons as described above.2. Severe osteoarthritis of the acromioclavicular joint. |
Generate impression based on findings. | Female, 51 years old, with synovial sarcoma metastatic to the spinal cord status post resection, three-month surveillance examination for recurrence. Brain:A few scattered foci of parenchymal T2 hyperintensity are demonstrated, a finding which is stable and nonspecific. No evidence of edema or mass effect is seen. No p... | 1.Resolving postoperative findings are seen compatible with resection of a tumor from the thoracic spinal cord.2.At the site of tumor resection, there is a small cavity and mild edema in the surrounding cord, but no pathologic enhancement to suggest residual or recurrent tumor.3.New enhancing soft tissue masses are see... |
Generate impression based on findings. | Female, 43 years old, with new left sided headaches and eye pressure. A number of scattered punctate FLAIR hyperintense foci are seen in the cerebral white matter. The cerebral and cerebellar hemispheres and brainstem otherwise show normal signal intensity and morphology. No restricted diffusion is seen.No evidence of ... | Scattered punctate foci of FLAIR hyperintensity may represent sequelae of migraine headache, vasculitis, small vessel disease or gliosis from prior inflammation among other etiologies. No definite acute findings are seen. |
Generate impression based on findings. | Clinical question: Cerebellar lesion. Signs and symptoms: same. Nonenhanced head CT:A high density mass or a hematoma is noted in the right cerebellum measuring 17 x 27 mm in its trans-axial dimensions.There is subtle surrounding vasogenic edema and mass effect on the fourth ventricle. The fourth ventricle however rema... | 1.Right cerebellar mass or a hematoma measuring 17 x 27 -mm in size with several surrounding edema and mass effect.2.Unremarkable exam otherwise. |
Generate impression based on findings. | 58 year old female with left hip pain, assess for left hip arthritis Lumbar spine: 5 views of the lumbar spine show mild degenerative disc disease predominantly affecting L3/L4 and L4/L5. Mild to moderate facet joint osteoarthritis particularly affects the lower lumbar spine. Alignment is within normal limits.Left hip:... | Degenerative arthritic changes as described above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are:Ultrasound of the right breast dated 9/2/2016, ultrasound-guided core biopsy of the right breast dated 9/7/2016, performed at AMita health care institute. Bilateral breast MRI dated 9/19/2016 performed at Loyola hospital.For comparison,none are avai... | 1. Multicentric right breast cancer, with maximum extent measuring up to 11.6 cm on MRI. 2 sites biopsied at outside hospital with results consistent with DCIS. The palpable mass in the right breast 11:00 position is highly worrisome for invasive cancer and multiple additional masses also appear very some for invasive ... |
Generate impression based on findings. | 76-year-old male status post head injury; evaluate for ICH There is no evidence of acute intracranial hemorrhage, mass or edema. Extensive areas of nonspecific patchy and confluent hypoattenuation are seen in the periventricular and subcortical white matter, likely representing small vessel ischemic disease of indeterm... | 1. No acute intracranial hemorrhage. Extensive small vessel ischemic disease of indeterminate age. 2. Left frontal soft tissue swelling without underlying fracture. 3. Soft tissue density in the interhemispheric fissure as described above suspicious for ACOM aneurysm. Recommend MRI/MRA for further evaluation.These find... |
Generate impression based on findings. | 68 year old female status post fall 2 weeks ago, headache Low-attenuation in the right frontal and parietal region consistent with prior infarct. Additional subcortical and periventricular areas of patchy low attenuation consistent with small vessel ischemic disease of indeterminant age. There is no evidence of bleed o... | Findings consistent with prior infarct in the right frontoparietal region. No evidence of acute ischemic process or hemorrhage. If evaluation for acute ischemia is clinically indicated, MRI is recommended. |
Generate impression based on findings. | relapsed Multiple myeloma Exam is severely limited by motion and artifact. Study was incompletely acquired as patient did not want repeat images.Within this limitation, there is widespread osseous lesions consistent with history of myeloma. There are multiple bilateral pelvic myelomatous deposits including lesion in th... | Severely limited study. Widespread osseous lesions as above. |
Generate impression based on findings. | 71-year-old female with non-small cell lung cancer. Status post several cycles of treatment. New T5 lesion. Back pain and urinary incontinence. Restaging. LUNGS AND PLEURA: Slight interval decrease in right-sided pleural effusion. New atelectasis in the anterior right lung. Multiple pleural based nodules are grossly si... | 1. Pleural-based nodules and right pleural effusion.2. Increased atelectasis anteriorly in the right lung.3. New 7-mm right upper lobe nodules. Lytic lesion in left T5 pedicle. |
Generate impression based on findings. | Migraine with aura new onset. No evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusio... | Normal brain MRI. |
Generate impression based on findings. | 51-year-old female with anorectal pain. Concern for rectovaginal fistula. PELVIS:UTERUS, ADNEXA: The uterus is normal in size. The endometrial stripe measures 5.4 mm. A metallic artifact of the left lower uterine segment is noted, and there is no metallic density of the pelvis identified on the 3/7/2013 CT exam.There i... | 1.No evidence for rectovaginal fistula.2.Findings suggestive of a chronic/fibrotic perianal enterocutaneous fistulous tract. No correlation T2 hyperintense signal is identified to suggest that this is an active tract.3.Metallic artifacts of the left lower uterine segment of unknown etiology. No metallic density was pre... |
Generate impression based on findings. | Clinical question: Rule out bleed, hydrocephalus or mass effect. Clinical question: Progressive dizziness, gait disturbance, urinary symptoms. Non-enhanced CT of brain:There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. The cortical sulci and ventricular system appear sl... | Essentially unremarkable non-enhanced CT of brain. |
Generate impression based on findings. | Hemangioma of intracranial structures [228.02], Reason for Study: ^Reason: possible pontine infarct History: pt not waking up Brain MRIInterval near total excision of the left tegmentum cavernous malformation. While the area of susceptibility effect at the resection bed is slightly larger than the original resected cav... | 1.Blood products at the resected cavernous malformation in the mid brain tegmentum is likely to be residual blood products of the cavernous malformation. 2.New edema has developed around the resection bed along with small focus of diffusion restriction which may represent tiny midbrain infarct.3.Hemorrhagic tract is pr... |
Generate impression based on findings. | 37 years, Male, multiple sclerosis, evaluate disease burden. Paresthesias. Brain: There are approximately 20 T2/FLAIR hyperintense lesions in the supra and infratentorial white matter with morphology and distribution consistent with known demyelinating disease. Several lesions involving the juxtacortical white matter i... | There is moderate burden of chronic appearing demyelinating lesions in the brain and cervical cord as detailed above. Comparison with prior studies can be made if made available. |
Generate impression based on findings. | 36 years Male (DOB:1/12/1980)Reason: MS, follow up progression History: leg weaknessPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED Cervical spine:There are several T2 hyperintense lesions within the cervical spinal cord. One is present along the left hemicord at the C2-3 disc space level another one is present in the l... | 1.There are multiple lesions scattered throughout the cervical and thoracic spinal cords which are compatible with demyelination. No prior studies are available for comparison. |
Generate impression based on findings. | Lumbar radiculopathy, left-sided Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is grade 1 anterolisthesis of L4 on L5 as well as minimal retrolisthesis of L5 on S1. There is moderate to severe disc height loss from the L2-L3 to the L5-S1 levels, par... | 1. Moderate multilevel degenerative changes throughout the lumbar spine with significant disc height loss from the L2-L3 to the L5-S1 levels, worst at the L5-S1 level.2. There is grade 1 anterolisthesis at L4 on L5 with moderate degree of facet arthropathy at this level and moderate degree of spinal canal stenosis. 3. ... |
Generate impression based on findings. | 61-year-old woman with aphasia. Please evaluate progression of hematoma. The left temporoparietal junction parenchymal hemorrhage now measures 3.7 x 3.3 cm in the axial plane (series 2 image 13). Accounting for differences in patient positioning, this appears increased in size compared to previous scan on which it meas... | Interval enlargement of left parietal parenchymal hemorrhage as detailed above. |
Generate impression based on findings. | 2 years, Male, nocturnal complex partial seizures. Right occipital discharges on EEG. There is very mild T2/FLAIR hyperintensity in the parieto-occipital white matter which is nonspecific and at least in part related to perivascular spaces and normal terminal zones of myelination. There is no significant parenchymal si... | No structural abnormalities to suggest a seizure focus, including in the right occipital region, are appreciated. No significant parenchymal signal abnormalities. |
Generate impression based on findings. | 8 year-old female status post cervical fusion. Examination again shows postsurgical changes of an occipital-cervical fusion, with an occipital plate, screw fixation device, cerclage wire and bone fusion material. There is redemonstration two of the occipital screws protruding deep to the inner table of the occipital bo... | 1. Stable postsurgical changes of occipital-cervical fusion, with an occipital plate, screw fixation device, cerclage wire and bone fusion material. 2. Interval adjustment and new placement of Halo device fixation pins, including the one protruding deep to the right frontal bone inner table, as above. 3. Intracranial c... |
Generate impression based on findings. | Stage IV T1N3bMx nasopharyngeal carcinoma treated with induction chemotherapy with carboplatin/taxol followed by 7/7 cycles of TFHX with daily RT completed on 5/27/16. There are post-treatment findings in the upper aerodigestive tract, but no evidence of measurable nasopharyngeal tumor. There is no evidence of signific... | 1. No evidence of measurable nasopharyngeal tumor or significant lymphadenopathy in the neck.2. Fluid within the bilateral mastoid air cells, right more than left, which may be related to Eustachian tube dysfunction. |
Generate impression based on findings. | Female 49 years old Reason: eval pubic symphysis osteomyelitis versus sepsis History: TTP over symphysis w/ severe pain w/ bilateral hip ROM Bilateral hip joint effusions. No changes to suggest avascular necrosis or osteomyelitis. T2 hyperintense edema signal in the left obturator externus muscle. Mild bone marrow edem... | 1.No evidence of osteomyelitis or AVN.2.Bilateral hip joint effusions, and left hip joint synovitis.3.Mild bone edema in the inferior medial aspect of the left femoral head.4.Inflammation in the left obturator externus muscle. |
Generate impression based on findings. | Sensorineural hearing loss. Internal Auditory Canals: The bilateral cranial nerve 7 and 8 complexes are intact. There is no evidence of mass lesions. There appears to be thinning and possible dehiscence of the left superior semicircular canal. The inner ear structures, including the cochlea, vestibule, endolymphatic du... | 1. Apparent thinning and possible dehiscence of the left superior semicircular canal. A temporal bone CT may be useful for further evaluation. No evidence of retrocochlear or inner ear lesions.2. Scattered foci of nonspecific T2 hyperintensity in the cerebral white matter may represent chronic small vessel ischemic dis... |
Generate impression based on findings. | 38 year-old male with hypertension and headache. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse hypodensities within the subcortical white matter and periventricular distribution consistent with small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may... | Small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. |
Generate impression based on findings. | Clinical question: CVA. Signs and symptoms: Blindness. CTA of intracranial circulation:65 cc of Omnipaque 350 is administered for this study.Source images as well as 2-D reformatted images and 3-D reformatted images were utilized for interpretation of this exam.Vertebral -- basilar system:Vertebrobasilar system demonst... | 1.CTA of intracranial circulation demonstrates very minute atherosclerotic irregularity at the origin of bilateral internal carotid arteries and the otherwise negative CTA of vasculature of the neck.2.CTA of intracranial circulation demonstrates an infundibulum at the expected origin of the right posterior communicatin... |
Generate impression based on findings. | 19 year-old male with right lower quadrant pain. Rule out appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatomegaly. The liver measures more than 22 cm craniocaudally. No focal hepatic parenchymal lesions. Gallbladder is normal.SPLEEN: No significant abnormality notedPANCREAS:... | Subcapsular hematoma in the right renal midpole, probably due to angiomyolipoma. This could be confirmed with noncontrast scan of the kidneys and/or kidney MRI examination. No definite evidence of appendicitis. Hepatomegaly. Transitional L5 vertebral segment, sacralized on the left. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (9/22/2016), ultrasound images of left breast (9/22/2016), images from ultrasound guided biopsy of left breast (9/28/2016), images from stereotactic biopsy of left breast with specimen radiograph and postprocedural left m... | 1. Biopsy proven left breast cancer at three sites. MRI demonstrates extensive lesion in the left breast.2. No mammographic or MRI evidence of malignancy in the right breast3. No suspicious lymph nodes in either axilla on MRIBIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Parkinsonism. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The bilateral nigrosome 1 regions are possibly abnormal. There are a few scattered nonspecific punctate foci of cerebral white matter T2 hyperintensity. The ventricles and basal cisterns are normal in size and configuration. There is... | No evidence of acute intracranial hemorrhage, mass, or acute infarct. The bilateral nigrosome 1 regions are possibly abnormal, which can be a manifestation of Parkinson disease. |
Generate impression based on findings. | Female, 45 years old, with refractory epilepsy, imaging for guidance during laser ablation. Limited imaging sequences were obtained for guidance during the laser ablation procedure. The laser probe tip has been placed in the anterior medial left temporal lobe via a left occipital approach. Postcontrast images demonstra... | Expected findings are seen compatible with laser ablation of the anterior medial left temporal lobe. |
Generate impression based on findings. | Secondary malignant neoplasm of brain [C79.31], Reason for Study: ^Reason: brain mets (breast primary) History: radiation planning Numerous various sized intra axial enhancing lesions on bilateral cerebral and cerebellar hemispheres as well as basal ganglia and deep white matter indicating multiple metastatic nodules. ... | 1. Multiple various sized metastatic nodules found on supra and infratentorially.2. Interval increase in size of enhancing lesions especially lesions at the left temporal lobe and the right basal ganglia since prior scan. |
Generate impression based on findings. | Bilateral lumbar radicular symptoms, evaluate for change since prior MRI Five lumbar type vertebral bodies are presumed to be present. There is minimal depression involving the superior endplate of the L1 vertebral body similar to prior with a small Schmorl's node at this level also noted. Vertebral body heights are ot... | 1. Multilevel degenerative changes, worst at the L4-L5 level where there is grade 1 anterolisthesis, advanced facet arthropathy, and moderate spinal canal stenosis which is stable to minimally worse since 3/13/2015. There is mild bilateral neural foraminal stenosis at this level similar to prior. 2. Multilevel facet ar... |
Generate impression based on findings. | Progressive metastatic melanoma after Ipilimumab. The clivus appears heterogeneous and there is an enhancing lesion within in the partially imaged right aspect of C1. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnorm... | 1. No evidence of intracranial metastases or hypophysitis.2. Findings suggestive of bone metastases involving the upper cervical spine and perhaps the skull base. Dedicated cervical spine imaging may be useful for further evaluation. |
Generate impression based on findings. | Hemorrhagic hereditary telangiectasia. MRI: There is an unchanged cavity with marginal hemosiderin staining in the left pons and middle cerebellar peduncle. There is a prior catheter tract with hemosiderin staining in the right frontal lobe. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There... | 1. Unchanged cavity with marginal hemosiderin staining in the left pons and middle cerebellar peduncle.2. No evidence of gross arteriovenous malformation, significant steno-occlusive lesions, or aneurysms. |
Generate impression based on findings. | Male, 57 years old, with lung cancer and metastasis to the brain, evaluate for progression. A 3 mm enhancing focus within the right frontal lobe (image 81 series 1201) shows no significant interval change from the prior examination. No significant associated edema is seen.No other areas of pathologic enhancement, focal... | There has been no significant interval change. A very small focus of residual enhancement is unchanged in the right frontal lobe. No new intracranial lesions are suspected. Progression of ill-defined periventricular signal abnormality likely represents a treatment related effect. |
Generate impression based on findings. | 56-year-old female status post ventriculoscopy for colloid cyst resection. There has been interval colloid cyst resection with no significant measurable residual mass noted. There is new T2 hyperintensity involving the adjacent corpus callosum as well as just inferolateral to the right frontal horn with restricted diff... | There has been interval colloid cyst resection with no significant measurable residual mass noted. There is new T2 hyperintensity involving the adjacent corpus callosum as well as just inferolateral to the right frontal horn with restricted diffusion and ADC hypointensity suggestive of ischemia. Susceptibility hypointe... |
Generate impression based on findings. | Male, 20 years old, with back pain. Assess for stenosis. The lumbar lordosis is straightened but spinal alignment is otherwise unremarkable. Vertebral body height and morphology are normal. No concerning marrow replacement or marrow edema is seen. The visualized distal spinal cord, conus and cauda equina are unremarkab... | 1.No significant change in the size or morphology of a right paracentral disc protrusion at L5-S1 which effaces the right lateral recess and potentially impinges the transiting right S1 nerve root.2.No significant change in the size or morphology of a small central disc protrusion at L3-4 which causes no significant ge... |
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 right hip arthrogram. |
Generate impression based on findings. | Hepatocellular carcinoma with metastases, re-staging Again seen is an intramuscular mass in the right biceps femoris at the level of the mid femur. This has significantly decreased in size from the prior exam now measuring 2.6 x 2.2 x 5.3 cm in the greatest transaxial and craniocaudal dimensions as compared to 5.6 x 5.... | Significant interval decrease in size of right thigh soft tissue metastasis. |
Generate impression based on findings. | History of right breast cancer status post lumpectomy in 2012 presents for screening MRI. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. Stable post operative change in the right outer breast. No ... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Reason: radiculopathy on EMG History: pain Mild straightening of the lumbar spine, otherwise alignment is anatomic. Vertebral body heights are maintained. Multilevel disc desiccation with moderate disc space loss at L4-L5. No abnormal signal within the cord or conus which ends at L1-L2. Endplate degenerative marrow sig... | Multilevel degenerative changes as detailed above with severe spinal canal stenosis at L4-L5 and moderate L3-L4 spinal canal stenosis. Mild L3-L4 and L4-L5 neural foraminal stenosis.There is low T2 signal filling the spinal canal at the L4-L5 level which is suspected to represent extruded disc material; component of fl... |
Generate impression based on findings. | Stabbing right-sided headache, worse in life. Assess for vascular dissection or subarachnoid hemorrhage. The study is limited by patient motion. Also, immediately following gadolinium injection, the patient reported warm sensation in her chest and significant nausea. The examination was halted. Symptoms resolved within... | 1.The examination is limited as described above because of inability to complete the examination following the contrast injection as well as patient motion throughout the remainder of the examination.2.There is no definitive intracranial abnormality.3.There is no definite cervical or intracranial artery stenosis accoun... |
Generate impression based on findings. | Reason: prior ACL injury, r/o tear History: pain MENISCI: There is abnormal intermediate signal intensity within the periphery of the posterior horn of the medial meniscus which extends to the tibial articular surface, seen on multiple sequential sagittal images, indicating a longitudinal tear. The extent of the signal... | 1. Chronic rupture of the proximal fibers of the ACL.2. Tear of the posterior horn of the medial meniscus as described above. Other findings as described above. |
Generate impression based on findings. | Yearly surveillance of AVM and meningioma, right side finger and toe numbness, occasional vision "unsteadiness" lasting 1-2seconds. MRI: There is an unchanged extra-axial left parafalcine enhancing mass measuring up to 28 mm, with mass effect upon the superior sagittal sinus and underlying brain parenchyma, but no asso... | 1. Unchanged left parafalcine meningioma.2. No significant interval change in the right central sulcus arteriovenous malformation. |
Generate impression based on findings. | 87-year-old female with basal ganglia lesion seen on recent head CT. Please further evaluate. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are subcentimeter areas of high T2 signal in the bilateral basal ganglia and right thalamus distinct from accompanying prominent perivascular space... | 1. FIndings suggestive of chronic infarcts in the bilateral basal ganglia and right thalamus superimposed upon mild probable chronic small vessel ischemic white matter disease. 2. No evidence of acute intracranial hemorrhage, mass, or acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fel... |
Generate impression based on findings. | There are stable postsurgical findings related right parietal craniotomy with underlying encephalomalacia along the surgical approach extending to the ventricle and bifrontal ventricular catheter tracks. The glomus of the right lateral ventricle choroid plexus is surgically absent and there is no abnormal enhancement ... | 1.Stable postsurgical findings related to right lateral ventricle choroid plexus tumor removal without evidence of residual or recurrent tumor.2.Unchanged 5 mm wide cystic encephalomalacia versus prominent perivesicular space in the left peritrigonal region. Right basal ganglia cystic encephalomalacia is also unchanged... |
Generate impression based on findings. | 14-year-old male with posterior thigh mass in the pain. There is a large mass centered within the popliteal fossa of the knee, surrounding the popliteal artery and vein as well as the tibial nerve. The mass extends approximately 10 cm above the knee joint superiorly, abutting the posterior cortex of the distal femur, t... | Large lobulated mass centered in the popliteal fossa of the knee as described above. Based on its morphology and signal characteristics, the mass may represent a lymphatic malformation. Given its intimate association with the popliteal vessels, extremely extensive cystic adventitial disease is considered a possibility,... |
Generate impression based on findings. | 24 year-old female with swelling and pain, evaluate for injury TENDONS: The extensor and flexor tendons are intact. The Achilles tendon appears within normal limits.LIGAMENTS: The lateral collateral ligaments, including the ATFL and PTFL are intact. The medial collateral ligaments appear within normal limits.ARTICULAR ... | 1. Moderate tibiotalar joint effusion2. Mild soft tissue edema adjacent to the base of the fifth metatarsal without underlying osseous abnormality. |
Generate impression based on findings. | Clinical question: R/O R cervical radiculopathy. Signs and Symptoms: Intermittent numbness in the RUE mostly in a R C6 distribution Nonenhanced cervical MRI:There is mild uniform generalized smaller than expected size of the spinal canal which is believed to represent a congenital anatomical variation.Foramen magnum is... | 1.At C6-C7 degenerative changes including uncovertebral hypertrophic changes and a broad-based disc protrusion results in central spinal stenosis and significant (right greater than left) neural foraminal compromise. Subtle T2 hyperintensity of the cord at this level is concerning for myelopathy.2.Uniform generalized s... |
Generate impression based on findings. | New persistent headache. Abnormality of gait. There is no acute infarct or intracranial hemorrhage. There is no mass, mass-effect, midline shift or herniation. There are few punctate T2-hyperintense foci in the cerebral white-matter, which are nonspecific. Examination is otherwise unremarkable. The ventricles and the o... | Noncontrast MRI is essentially within normal limits for age. Few punctate T2-hyperintense cerebral white-matter foci are nonspecific. |
Generate impression based on findings. | Ms. Holmes is a 53 year old female with a personal history of right breast lumpectomy in 2009 for IDC with treated metastases to the lumbar vertebrae. Patient currently complains of subacute diffuse and focal pain to the right breast and axillary region. Recent diagnostic workup and PET was negative. There is heterogen... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Clinical question: please do dr Javed MS protocol and compare to prior MRI on 3 T. Signs and Symptoms: fatigue and headaches. Pre and post enhanced brain MRI:Mild to moderate supratentorial and minute infratentorial findings of chronic demyelinating disease are again identified and without convincing evidence of any ap... | 1.Stable chronic findings of demyelinating disease primarily in the supratentorial white matter and corpus callosum and minutely in the posterior fossa.2.Stable mild prominence of cerebral cortical sulci for patient's stated age. |
Generate impression based on findings. | There is mild nonspecific prominence of the ventricles, right greater than left. The cortical sulci appear appropriate for patient age. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or pathological enhancement. There is no diffusion abnormality. No extra-ax... | Unremarkable MRI of the brain with and without contrast. |
Generate impression based on findings. | 11-year-old boy with history of lupus and 6 weeks of shoulder pain. ROTATOR CUFF: The rotator cuff tendons are intact. There is inflammatory change surrounding the muscle bellies of the infraspinatus and teres minor. The supraspinatus and subscapularis appear normal.SUPRASPINATUS OUTLET: There is a minimal amount of fl... | Inflammation of the infraspinatus and teres minor muscles without rotator cuff tear. These findings are most suggestive of myositis and, given the patient's history, likely due to lupus. Other, less likely differential considerations include dermatomyositis, polymyositis, trauma, or infection. |
Generate impression based on findings. | Reason: rule out MCP radial collateral ligament tear of the thumb-would like to locate level of tear History: pain Patient motion artifact limits multiple sequences.LIGAMENTS: There is disruption of the distal fibers of the ulnar collateral ligament of the first MCP joint. The proximal fibers of the ulnar collateral li... | Findings indicating disruption of the ulnar collateral ligament. Portions of the ulnar collateral ligament appear retracted and external to the adductor aponeurosis indicating a Stener lesion. Other findings as described above. |
Generate impression based on findings. | Ataxia, stroke, diabetes type II. 44-year-old female The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a hyperdense focus along the lower aspect of the right postcentral gyrus representing a focus of infarction identified and a recent MRI of the brain it measures approximately ... | 1.The patient has a focus of infarction in the right postcentral gyrus. 2.There are small foci of encephalomalacia along the left cingulate gyrus extending towards the left paracentral lobule and along the left inferior parietal lobule. 3.No evidence for acute intracranial hemorrhage. |
Generate impression based on findings. | Unspecified epilepsy without mention of intractable epilepsy [345.90], Reason for Study: ^Reason: focal lesion History: right abd pain Brain MRINo evidence of acute ischemic or hemorrhagic lesion.There is about 7 mm sized focal patchy enhancing lesion on the right cerebellar hemisphere (series 3801, image 27/80). Possi... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Right cerebellar hemisphere patchy enhancing lesion diagnostic possibilities include capillary telangiectasia, developmental venous anomaly or an artifact.3. Normal cervical and thoracic MRI.4. Multiple variable sized thyroid nodules as described above, further ... |
Generate impression based on findings. | Assess for osteochondroma. Again seen is the small bony excrescence from the posterior margin of the proximal humerus that has decreased in size in comparison from study obtained 2/4/2014. We see no associated soft tissue mass and suspect that this represents spontaneous resolution of the osteochondroma, however if the... | Osteochondroma as described above. |
Generate impression based on findings. | The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. There is a prominent Schmorl's node along the superior endplate of T12. No worrisome focal marrow signal abnormality is appreciated. There is disc desiccation at L3-L4. There is linear T2 hy... | 1. Mild degenerative disc disease mostly at L3-L4 resulting in mild to moderate right and mild left neural foraminal narrowing. No spinal canal stenosis at any level. 2. Linear T2 signal in the conus at L1 level consistent with previously questioned small syrinx.3. Postsurgical changes of cord untethering. Prone imagin... |
Generate impression based on findings. | History of epidural abscess, back pain No evidence of epidural abscess is appreciated. Previously demonstrated peripheral enhancing soft tissue in the left ventral epidural space at L1 level extending into the left L1-L2 neural foramen is significantly decreased in size and compatible with evolution of postsurgical cha... | 1. No evidence of epidural abscess or active infection. Previously demonstrated peripheral enhancing soft tissue in the left ventral epidural space at L1 level extending into the left L1-L2 neural foramen is significantly decreased in size and most compatible with evolution of postsurgical change and/or resorption of m... |
Generate impression based on findings. | Reason: evaluate medial compartment- evaluate for chondral injury vs meniscus tear History: left knee pain MENISCI: There is deformity of the medial meniscus. The posterior horn of the medial meniscus appears unusually small with a radial tear noted just medial to its root. The contour of the anterior horn is abnormal ... | Severe osteoarthritis predominantly affecting the medial tibiofemoral compartment with deformity of the medial meniscus likely representing a complex tear with displaced meniscal fragment. Other findings as above. |
Generate impression based on findings. | History of low back pain. Evaluate for nerve impingement, vertebral compression. Examination is limited due to motion degradation. There is grade 1 anterolisthesis of L5 on S1. Vertebral body heights and disc heights are grossly maintained. There is nonspecific heterogeneous bone marrow signal. Conus medullaris is norm... | 1.Grade 1 anterolisthesis of L5 on S1 with advanced facet arthropathy at L4-5 and L5-S1.2.Moderate to severe right and moderate left neural foraminal narrowing at L5-S1, where there may be impingement of the exiting L5 nerve roots. |
Generate impression based on findings. | Lung cancer with bone metastases and fracture: pain, surveillance. There are postoperative findings related to upper thoracic laminectomy. There is a persistent pathological fracture of the T1 vertebral body with near complete loss of height and retropulsion of bone and tumor posterior into the spinal canal measuring 7... | 1. Pathological fracture of the T1 vertebral body with near complete loss of height and retropulsion of bone and tumor posterior into the spinal canal with mild indentation upon the spinal cord, as well as persistent 9 mm of anterior subluxation of the cervical vertebral column. Soft tissue tumor arising from the left ... |
Generate impression based on findings. | 45-year-old female with multiple sclerosis. Performed Dr. Javed MS protocol version 1.1, no DTI. Redemonstrated are numerous foci of T2 hyperintensity in the white matter which appear unchanged. There are no new lesions. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles are stable ... | Stable demyelinating lesions. |
Generate impression based on findings. | 53 year old female with pain at the 1-3 metatarsals. Evaluate for stress fracture, bursitis or sesamoiditis. The bone marrow signal intensity is within normal limits without evidence of stress fracture. The sesamoid bones appear normal. There is a subcentimeter collection of near-fluid-signal intensity between the firs... | Tiny focus of fluid signal intensity between the first and second metatarsal heads could conceivably represent a very mild bursitis, but we otherwise see no findings to account for the patient's pain. |
Generate impression based on findings. | Male 62 years old with malignant melanoma s/p 6 cycles of immunotherapy. Please evaluate disease status and provide measurements for all lesions. ABDOMEN:LIVER, BILIARY TRACT: There are multiple subcentimeter T2 hyperintense, circumscribed nonenhancing hepatic lesions are consistent with simple cysts. The referenced ri... | 1.Multiple subcentimeter hepatic cysts and stable hepatic venous shunt. No suspicious liver lesion.2.Stable reference celiac bifurcation lymph node.3.No new sites of disease. |
Generate impression based on findings. | Right upper quadrant pain. History of mucinous neoplasm of the pancreas. ABDOMEN: Several of the imaging sequences are degraded by respiratory motion and wrap around artifact.LIVER, BILIARY TRACT: Diffuse hepatic steatosis. Significant hepatomegaly measuring 29 cm in craniocaudal dimension. Otherwise the liver is norma... | Hepatomegaly with diffuse steatosis. No focal lesion or other specific findings to account for the patient's abdominal pain. |
Generate impression based on findings. | Pseudotumor, on Cytoxan, follow up. Compared to 11/13/2014, subcentimeter thick dural-based enhancing lesion measuring 6 to 8 mm in the coronal plane underlying the left parietal craniotomy flap has not significantly changed in size. There is unchanged encephalomalacia involving the left paracentral lobule. No new mass... | 1. No significant change in dural thickening along the left parietal convexity compatible with known pseudotumor. Unchanged encephalomalacia involving the left frontoparietal lobes. No new mass or mass-effect.2. Unchanged postoperative appearance of the right mastoid cavity. |
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