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Generate impression based on findings. | Female, 45 years old. Fall, now with medial knee pain and instability MENISCI: The posterior horn of the medial meniscus shows intrasubstance intermediate signal compatible with degeneration, without discrete meniscal tear identified. The anterior horn of the medial meniscus is intact. The lateral meniscus is intact.AR... | Degeneration of the posterior horn of the medial meniscus without discrete meniscal tear identified. |
Generate impression based on findings. | 33-year-old male with ulcerative colitis and primary sclerosing cholangitis. Assess for stricturing or suspicious lesions. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and contour. Subcentimeter T2 hyperintense focus in hepatic segment one that begins to fill in on delayed postcontrast images compatible wi... | 1.Stable mild intrahepatic and common bile duct dilation with suggestion of stricture near the level of the ampulla.2.Areas of intrahepatic biliary beading the configuration of which is not significantly changed. |
Generate impression based on findings. | Compared to 12/10/2015, interval evolution of postoperative changes at the C1 and C2 levels related to tumor resection are seen. Postoperative epidural blood products and fluid collection have resolved with reexpansion of the thecal sac. Minimal residual intradural enhancement is seen without mass effect. Residual ext... | 1. Compared to 12/10/2015, there has been evolution of postsurgical changes related to intradural and extradural tumor resection at C1 and C2. There has been resolution of the previously seen postoperative fluid and blood products which were previously effacing the thecal sac. There is no residual mass effect on the th... |
Generate impression based on findings. | Clinical question: Evaluate for low grade disseminated glial tumor. Signs and symptoms: Brain tumor. Pre-and post-enhanced brain MRI:Examination demonstrates extensive bilateral frontal white matter flair hyperintensity and with resultant ex vacuo dilatation of ventricles without evidence of appreciable interval change... | 1.No evidence of an acute or new finding since prior study.2.Diffuse bilateral anterior frontal encephalomalacia, ex vacuo dilatation of the ventricles and a thin uniform enhancement along the ependymal lining of the left frontal horn remains similar to prior exam. |
Generate impression based on findings. | Multiple sclerosis: paresthesias. There is no significant interval change in the multiple white matter lesions that are predominantly in a periventricular distribution. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, ... | No significant interval change in the intracranial demyelinating lesions. |
Generate impression based on findings. | MRI Brain: There is no diffusion abnormality. No intracranial mass or mass effect. There is scattered mild T2/Flair signal abnormality in the periventricular and subcortical regions which is nonspecific but likely from small vessel ischemic changes. The ventricles and sulci are within normal limits for age. No extra-a... | 1.No evidence of acute intracranial hemorrhage, mass, or acute infarct.2.Mild chronic small vessel ischemic changes.3.MRA of the brain within normal limits. |
Generate impression based on findings. | Bilateral upper extremity weakness and hyperreflexia, status post MVA Cervical: Craniovertebral junction appears within normal limits. There is evidence of osseous fusion involving the C5-C7 vertebral bodies which is postsurgical. The cervical vertebral bodies are appropriate in height. Alignment is grossly maintained ... | 1. Evidence of remote anterior cervical fusion involving the C5 to C7 vertebral bodies. There is no evidence of high-grade spinal canal stenosis at any level in the cervical spine or evidence of cervical cord signal abnormality.2. Adjacent segment disease with degenerative changes at C4-C5, where there is moderate left... |
Generate impression based on findings. | Male, 70 years old, with elevated protein in CSF, nuchal rigidity, status post OHT. Cervical:Within the limitations of a motion degraded exam, the following observations are made. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or edema is seen. The... | 1.A fluid-fluid level is evident layering dependently within the sacral thecal sac along with clumping and disorganization of the nerve roots and intermixed T1 hyperintense strands. This is favored to represent blood degradation product with scattered blood clots. The possibility of infection is not excluded, and infec... |
Generate impression based on findings. | MRI CARDIAC W/FLOW W/STRESS WWO, 11/16/2016 8:15 AM First Pass PerfusionDuring hyperemia, no perfusion defects were present. Mild dark rim artifact is present. Viability/ Myocardial ScarThere is mid-myocardial late gadolinium enhancement of the septum from the mid wall to the base which represents an infiltrative proce... | 1. No perfusion defects/ "ischemia" present during hyperemia; however, the diagnostic sensitivity of any vasodilator stress test is likely reduced in the face of severe LV dilation and dysfunction. 2. The left ventricle is severely dilated with severely reduced systolic function (LVEF 17%). There is evidence of myocard... |
Generate impression based on findings. | 75 year old female with a history of hepatic mass. ABDOMEN:LIVER, BILIARY TRACT: Normal liver morphology without evidence of cirrhosis. There is a 4.8 x 4.2 cm lobulated mass in segment 2/3 of the liver with associated central scar, slight increased T2 signal abnormality and homogeneous enhancement on postcontrast sequ... | 1.4.8-cm mass in the left lobe of the liver with imaging characteristics most consistent with an benign FNH, as detailed above.2.Choledocholithiasis with slight dilation of the common bile duct.3.Innumerable gallstones without evidence of acute cholecystitis. |
Generate impression based on findings. | 71-year-old female with history of COPD, hundred pack year smoker infiltrate on CXR. Assess for infiltrate versus oncologic process. Limited examination due to lack of contrast. MRI may be considered for further evaluation.BRAIN: Limited intracranial images demonstrate no evidence of intracranial hemorrhage, mass or ed... | Stable examination without evidence of an oncologic process as clinically questioned. |
Generate impression based on findings. | 60-year-old female with popping, locking and catching. Mild osteoarthritis on recent radiographs. Evaluate medial meniscus. MENISCI: Note is made of increased branching linear signal abnormality within the posterior of the medial meniscus which extends to the tibial and femoral articular surface consistent with a compl... | 1. Tearing of the medial meniscus as described above.2. Partial-thickness articular cartilage fissure along the patella and bone contusions as described above. 3. Small joint effusion. Other findings as described above. |
Generate impression based on findings. | Known cavernoma: surveillance. There is a mass with circumferential susceptibility effect and internal high T1 and T2 signal components that measures 15 mm in diameter in the right inferior frontal lobe, adjacent to the basal ganglia. There are a few scattered nonspecific foci of T2 hyperintensity in the cerebral white... | A right inferior frontal lobe cavernous malformation measures 15 mm. |
Generate impression based on findings. | Clinical question: Arnold-Chiari evaluate for syrinx. Signs and symptoms: dysphagia. Unenhanced cervical spine MRI:There is herniation of cerebellar tonsils to the foramen magnum of approximately 8.5 mm and with subtle flattening deformity of the tonsil. Findings consistent with Chiari malformation.There is normal sign... | 1.MRI of the cervical spine demonstrate 8.5-mm herniation of cerebellar tonsils through the foramen magnum with mild flattening deformity. Unremarkable MRI of cervical spine otherwise in particular without evidence of syrinx.2.Nonenhanced MRI of thoracic spine is unremarkable.3.Nonenhanced MRI of the lumber spine demon... |
Generate impression based on findings. | Limited sagittal images of the entire spine do not demonstrate any evidence of acute cord compression. Vertebral body heights are grossly preserved. There is nonspecific, patchy increased STIR signal within the T3 vertebral body with corresponding decreased T1 signal. There is no associated apparent destruction of the... | 1.No evidence of acute cord compression. 2.Bone marrow signal abnormality within the T3 vertebral body is nonspecific and could be related to both benign or malignant etiologies. CT can be considered for further evaluation to assess bony integrity. Discussed with SANTOS DE LIMA, FABIANE. |
Generate impression based on findings. | Reason: Patient w/ R. Hip and groin pain X 1 wk, please evaluate for dislocation/ fracture History: As above On the AP view, there is a step-off of the cortex along the medial aspect of the femoral head/neck junction. The underlying trabeculae do not appear disrupted and this is not clearly evident on the frog-leg late... | Step-off of the cortex along the medial aspect of the femoral head/neck junction. While we suspect this represents a peculiar osteophyte, if there is strong clinical concern for an acute fracture, MRI could be considered. These findings were discussed with Dr. Soundarrajan by phone at 12:30 PM on 3/30/2016. |
Generate impression based on findings. | Radicular left leg pain and urinary retention 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. Focus of T1 hyperintensity within the L5 vertebral body is compatible with small hemangioma or foc... | 1. Degenerative changes in the lumbar spine at the L4-L5 and L5-S1 levels. There is moderate bilateral neural foraminal stenosis at the L5-S1 levels where there may be impingement of the exiting L5 nerve roots. 2. Mild central spinal canal stenosis at the L4-L5 level. No high-grade spinal canal stenosis at any level. P... |
Generate impression based on findings. | Reason: 64 YO male with hx of pancreas mass; please evaluate for changes and or abnormalities History: pancreas mass. ABDOMEN:LIVER, BILIARY TRACT: Hepatic steatosis. No focal hepatic lesion.SPLEEN: No significant abnormality noted.PANCREAS: Complex multiloculated cystic lesion with enhancing septations in the pancreat... | Slight interval increase in size of multiloculated cystic lesion in the pancreatic head that communicates with the mildly dilated pancreatic duct, these characteristics suggestive of a mixed main duct and side branch IPMN. Gastric lipoma. |
Generate impression based on findings. | 55-year-old female with ESRD, diabetes, severe peripheral vascular disease, and hypertension with gangrenous toes of the right foot and sacrum decubitus ulcerIMAGE ACQUISITIONS: Pelvis CT after intravenous administration of 120 mL Omnipaque 350 There is soft tissue ulceration adjacent to the sacrum. Anteroverted coccyx... | 1. Sacral soft tissue ulceration2. Anteroverted coccyx which is demineralized. Infection cannot be excluded. |
Generate impression based on findings. | Unspecified convulsions [R56.9], Reason for Study: ^Reason: r/o stroke vs mas lesion History: 1st onset seizure Motion artifacts degraded exam quality.No evidence of acute ischemic or hemorrhagic lesion on the scan.On FLAIR images especially coronal scan, there are relatively diffuse high signal intensities on bilatera... | 1. Diffuse bilateral hippocampal high signal intensity on FLAIR coronal images which may indicate acute post ictal status or artifact. Follow up scan can be considered for further imaging evaluation.2. No evidence of acute ischemic or hemorrhagic lesion. No mass lesion identified. |
Generate impression based on findings. | 28-year-old male with right lower extremity cellulitis involving the knee down, with concern for underlying osteomyelitis. Diffuse soft tissue edema about the lower extremity, with a prominent collection along the medial tibial plateau with foci of low signal intensity, likely gas, extending to the bone surface of the ... | Diffuse soft tissue swelling with a more pronounced collection adjacent to the medial proximal tibia with soft tissue gas extending to the bone surface of the medial tibial plateau where there is a depressed fracture better evaluated on subsequent CT study. There is low T1, low T2 signal intensity of the bone marrow of... |
Generate impression based on findings. | Status post prostatectomy in 2007. PSA now 0.8. Possible nodule on digital rectal exam. PELVIS:PROSTATE:Prostate Size: Status post prostatectomy, with surgical clips noted. A 4 mm T2-hypointense diffusion-restricting enhancing nodule in the posterior surgical bed at midline (series 801, image 7) (series 604, image 144)... | 4 mm nodule in the posterior midline surgical bed suspicious for recurrent/residual carcinoma. |
Generate impression based on findings. | Peritoneal mesothelioma status post CRS/HIPEC. Evaluate extent of disease. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Few subcentimeter hepatic cysts. No suspicious hepatic lesion is identified.SPLEEN: No significant abnormality noted.PANCREAS: Tiny T2 hyperintense posterior pancreatic head lesion, may ... | 1.Multiple sites suspicious for recurrent abdominal peritoneal disease.2.Nonspecific oval nodularity between the rectum and seminal vesicles, stable since 3/18/2015. Attention on subsequent imaging. |
Generate impression based on findings. | 51 years Male (DOB: 5/20/1965)Reason: fall down flight of stairs following syncopal event, now with severe mid back pain (interscapularly) and low back pain with left leg numbness and pain, eval for fracture eval disk herniation History: severe mid back pain (interscapularly) and low back pain, left leg numbness, weakn... | 1.There are mild degenerative changes present in the thoracic and lumbar spine without significant compromise to the spinal canal or exiting nerve roots.2.Findings raise the question of some ligamentous injury at the T2 -T3 interspinous ligament |
Generate impression based on findings. | 48 years Female (DOB:10/9/1967)Reason: assess for stroke History: right sided weakness and numbnessPROVIDER/ATTENDING NAME: DAVID HOWES RAYMOND ROOS MRA brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. Since the prior exam periventricular white matter signal hyperintensity on FLA... | 1.There is no evidence for acute ischemic cerebral infarction.2.Some ill-defined periventricular white matter lesions are less conspicuous on the current exam compared to the prior. They're nonspecific.3.A subtle lesion in the right parietal lobe is suggested to be a developmental venous anomaly. The appearance has not... |
Generate impression based on findings. | Redemonstrated are cystic structures within the right parietal white matter demonstrating CSF isointensity on all sequences without enhancement or adjacent parenchymal abnormality. When compared to the recent CT, there are more of these foci within this small cluster given the better soft tissue discrimination of MRI.... | Redemonstrated are cystic structures within the right parietal white matter demonstrating CSF isointensity on all sequences without enhancement or adjacent parenchymal abnormality. This constellation of features is consistent with dilated perivascular spaces which have no clinical significance. |
Generate impression based on findings. | Reason: eval for progression of HCC History: mildly enlarging liver lesion. Limited exam without the use of intravenous contrast.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology. Stable ablation cavity in the right hepatic lobe with internal debris/hemorrhage. Enhancement cannot be assessed.Previously seen mildly T2 ... | 1.Previously seen subcentimeter T2 hyperintense arterial enhancing lesion is not identified on the T2 sequences, possibly due to slice selection. If continued follow up is required, recommend pre and post contrast MRI when patient's acute renal failure has resolved. 2.Stable right hepatic lobe ablation cavity. Recurren... |
Generate impression based on findings. | Female, 15 years old. Reason: Evaluate for TFCC tear History: ulnar sided pain LIGAMENTS: Scapholunate and lunate triquetral ligament appear intact.TRIANGULAR FIBROCARTILAGE COMPLEX: Triangular fibrocartilage complex is grossly intact.TENDONS: No significant abnormality noted. BONES: Focus of decreased T1 signal in the... | Triangular fibrocartilage complex is grossly intact. This can be better visualized with MRI arthrogram if clinically warranted. |
Generate impression based on findings. | Benign neoplasm of cerebral meninges: left vision loss. There is an unchanged enhancing dural based lesion that measures 7 mm in width along the right inferior frontal gyrus. There is no evidence of intracranial hemorrhage or acute infarct. There are unchanged scattered areas of high T2 signal in the cerebral white mat... | 1. Unchanged subcentimeter right frontal convexity probable meningioma.2. Unchanged scattered areas of high T2 signal in the cerebral white matter, which are nonspecific, but likely represent chronic small vessel ischemic disease. 3. Left maxillary sinusitis. |
Generate impression based on findings. | 70 year-old male presenting with transient alteration of awareness and ataxia, with likely TIA. Evaluate for bleed or other cause. There is no evidence of intracranial hemorrhage, mass or edema. Soft tissue mass extending from the sella is identified, incompletely evaluated without contrast administration, resulting in... | 1. Subcutaneous hematoma overlying the postero-superior left parietal bone, with no underlying fractures or intracranial hemorrhage. 2. Sellar mass as described above. Differential considerations include pituitary macroadenoma, among others. Further evaluation with MRI is recommended. 3. Sinus disease as described abov... |
Generate impression based on findings. | History of prostate cancer status post prostatectomy. 4+3 disease. Extraprostatic extension and lymphovascular invasion was present. Positive margins and left seminal vesicle invasion. Negative lymph nodes. PELVIS:PROSTATE: Status post prostatectomy. No evidence of recurrent or residual tumor at the cystourethral anast... | No specific findings of residual or recurrent tumor. |
Generate impression based on findings. | Female, 23 years old, with headache and pseudotumor cerebri, question of left frontal encephalocele seen on outside sinus CT. The left frontal bone lesion in question correlates to a small CSF filled defect within the inner table of the frontal bone. A venous structure enters into this defect, but no involvement of the... | 1.The lesion in question within the left frontal bone most likely represents a small pacchionian granulation or some other small developmental osseous anomaly. No evidence of encephalocele is seen.2.The pituitary gland is slightly small for a patient of this age. Findings may reflect normal anatomic variation but they ... |
Generate impression based on findings. | Evaluate for vascular formation of orbit, glaucoma: Sturge Weber with right sided eye pain/headache. Brain: There is diffuse leptomeningeal enhancement in the right parietal and occipital lobes, as well as a small portions of the posterior right temporal lobe. The brain parenchyma otherwise appears to be unremarkable. ... | 1. Stigmata of Sturge Weber syndrome involving the posterior right cerebral hemisphere.2. No gross orbital lesions.3. Apparent thinning of the right temporal scalp may also be related to Sturge Weber syndrome or an injury. |
Generate impression based on findings. | 21-year-old male. Pain along the lateral joint line and anterior. MENISCI: Medial and lateral menisci are intact without evidence of a tear.ARTICULAR CARTILAGE AND BONE: Small bone contusion of the anterior medial femoral condyle (series 501, image 13). Tibiofemoral and patellofemoral compartment cartilage is normal in... | 1. Fluid signal intensity collection mostly in the superficial lateral aspect of the knee consistent with a Morel-Lavelle lesion. 2. Small bone contusion of the medial femoral condyle. |
Generate impression based on findings. | 2-month-old male with a reported history of an enlarging perianal mass.EXAMINATION: MRI Pelvis without and with IV contrast 6/30/2016 8:39 Focus of high T2 signal (series 801, image 22) with an arrowhead configuration and several branching curvilinear tendrils arising from the 6:00 position of the anal verge. The focus... | Enhancing abnormal signal adjacent to the anal verge is favored to represent a vascular lesion. A sonogram is recommended for further characterization. |
Generate impression based on findings. | No evidence of acute infarct, intracranial mass or mass effect. There are mild patchy T2 hyperintense foci in the subcortical, periventricular and deep white matter which are nonspecific but compatible with mild chronic small vessel ischemic disease. No hydrocephalus or extra-axial collections. Small mild cystic chang... | 1. No evidence of acute infarct. No intracranial mass or mass effect.2. Mild chronic small vessel ischemic disease. |
Generate impression based on findings. | A 74 year old female with personal history of systemic hypertension, deep vein thrombosis, GERD, pancreatitis, gallstones and systemic sarcoidosis (skin and lung). Recently had a syncope, the ECG showed sinus rhythm RBBB, the echocardiography showed normal left and right ventricular function. Referred to cardiac MRI fo... | 1. The left ventricle is normal in size and systolic function, the LVEF is 55%. There are no regional wall motion abnormalities present. 2. There is a focal high signal at the mid-myocardium at the insertion point of the right ventricle into the interventricular septum. This finding has been described in the setting of... |
Generate impression based on findings. | 42 year old with CHEK 2 mutation positive and strong family history of breast cancer There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.Simple cysts in left breast.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are iden... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 35 years, Female, Reason: 35 yo female with hx of desmoid tumor; please evaluate for recurrence and/or abnormalities History: desmoid tumor. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: Visualized liver without significant change.Lobulated lesion in the left hepatic lobe with high T2 signa... | 1.No evidence of local desmoid recurrence.2.Hemangiomas within the liver are unchanged. |
Generate impression based on findings. | Clinical question: History of cervical discectomy complains of neck pain. Findings and symptoms: Snoring snoring, neck pain, history of discectomy. Nonenhanced cervical MRI:Examination demonstrates expected chronic post operative changes of anterior approach spinal fusion at C5, C6 and C7 levels. There is an anterior m... | 1.No evidence of an acute or convincing evidence of a new finding since prior MRI exam from February 2015.2.Stable postoperative changes of an anterior spinal fusion at C5-C7 as detailed.3.No evidence of central spinal stenosis at any level.4.Multiple levels of neural foraminal compromise of varying degree secondary to... |
Generate impression based on findings. | Male, 61 years old, history of stage IV lung adenocarcinoma, in need of brain MRI to complete staging. Fairly extensive patchy periventricular T2 hyperintensity seen. Notable T2 hyperintensity is also evident within the pons.Diffusion weighted images are normal. No evidence of parenchymal edema or mass effect is detect... | 1.Extensive periventricular white matter signal abnormality, with scattered corresponding foci of susceptibility, likely reflect sequelae of chronic microvascular ischemic disease.2.No definite evidence of intracranial metastatic disease is seen. A punctate submillimeter focus of enhancement within the right parietal w... |
Generate impression based on findings. | There is extensive encephalomalacia within the bilateral anterior frontal lobes and to a lesser degree the bilateral anterior temporal lobes. There is a background of scattered patchy high T2 signal within the subcortical and periventricular white matter. There are scattered areas of susceptibility effect scattered al... | 1.Bilateral anterior frontal and temporal lobe encephalomalacia is compatible with remote traumatic brain injury.2.Scattered areas of hemosiderosis and a punctate focus of susceptibility effect in the left occipital horn of the left lateral ventricle indicate chronic hemorrhage.3.Scattered cerebral white matter T2 hype... |
Generate impression based on findings. | 61 years, Female, right face weakness, central. Rule out stroke, metastasis.. 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 ... | MRI of the brain is essentially unremarkable for patient's age. There are minimal chronic small vessel ischemic changes. No evidence of acute infarct or metastatic disease, as questioned. |
Generate impression based on findings. | Right knee pain. Check for meniscal tear MENISCI: The left meniscus is intact and unremarkable. The medial meniscus however demonstrates diffuse globular signal in the body with a complex stellate appearance posteriorly, however a more horizontal component extends and intersects the superior articular surface.ARTICULAR... | Extensive complex medial meniscal tear with more moderate to pronounced cartilaginous changes in the medial and patellofemoral compartments |
Generate impression based on findings. | Moderately extensive periventricular and subcortical white matter FLAIR lesions compatible with demyelinating disease. Prominence of the ventricles and sulci likely due to volume loss. There are no enhancing lesions or other findings to suggest acute demyelination. The cisterns remain patent. There is no midline shift... | Evidence of demyelinating disease with no enhancing lesions to suggest active demyelination. |
Generate impression based on findings. | There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute cerebral, brainstem or cerebellar infarction. No diffusion-weighted abnormalities are identified. There are no extraaxial fluid collections or subdural hematomas. The ventricles and sulci are normal in size. Th... | 1.No intracranial abnormality as clinically questioned. No specific findings to suggest PRES. 2.Moderate mastoid air cell opacification bilaterally may be related to intubation. |
Generate impression based on findings. | Medically intractable epilepsy and headaches, presurgical evaluation. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is asymmetric T2 hyperintensity involving the right hippocampus with blurring of the internal architecture, but no appreciable swelling or volume loss. There is no abnorma... | Right hippocampal abnormality likely represents early medial temporal sclerosis. |
Generate impression based on findings. | 64-year-old female with history of cirrhosis who presents for HCC screening and monitoring of IPMN. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. In the medial left hepatic lobe, there is arterial enhancement without definite washout peripheral to T1 and T2 hypointense, nonenhancing tubular focus. The porta... | 1.In the medial left hepatic lobe, there is arterial enhancement without definite washout peripheral to a T1 and T2 hypointense, nonenhancing tubular focus. Findings may represent a thrombosed vessel with associated perfusion defect versus a central occult lesion with focal biliary dilatation. Short-term follow-up in a... |
Generate impression based on findings. | Ms. Calomese is a 74 year old female presenting with newly diagnosed left breast DCIS. She presents for MRI staging evaluation. There is scattered fibroglandular tissue in both breasts. Moderate to marked background parenchymal enhancement is noted bilaterally, which limits the sensitivity of this examination.In the le... | (1) Unifocal malignancy of the left breast. A mammographically-guided bracketed wire localization can be performed for preoperative surgical guidance. (2) No MRI evidence of malignancy in the right breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Clinical question: Rule out lacunar infarct, posterior circulation stroke. Signs and symptoms: Dysarthria, bilateral upper extremity weakness. Nonenhanced brain MRI:Examination is limited due to extensive motion artifact.No detectable acute intracranial process and in particular no evidence of acute ischemic or lacunar... | 1.Limited suboptimal exam due to extensive motion artifact.2.No acute intracranial findings.3.Minimal chronic small vessel ischemic stroke is suspected as detailed above. |
Generate impression based on findings. | Metastatic renal cell carcinoma to bilateral femurs, status post ORIF of left femur. Evaluate for progression. Right femur: Lytic lesions noted in the distal diaphysis of femur also seen on prior MRI. Endosteal scalloping concerning for impending fracture.Left femur: Trochanteric femoral rod extending into distal diaph... | Lytic lesions in distal diaphysis of right femur with cortical thinning concerning for pending fracture. Trochanteric femoral rod in left femur with lesion in distal diaphysis that has been curettaged, packed with cement, and fixed with sideplate with multiple screws. |
Generate impression based on findings. | 82 years Female (DOB:12/25/1933)Reason: eval brain tumor and other causes of syncope History: syncopePROVIDER/ATTENDING NAME: KRISTINA K GALLOW EDWIN RAMOS There is a 42 x 39 mm axial dimension mass located in the trigone of the right lateral ventricle which has heterogeneous enhancement with any it is near signal void... | 1.There is a mass present within the trigone of the right lateral ventricle which appears to arise from the choroid plexus. It is associated with the adjacent periventricular edema. Based on its signal characteristics and intraventricular meningioma is suspected. Other differential considerations could potentially incl... |
Generate impression based on findings. | There is a T2 hyperintense focus involving the right pedicle and immediately adjacent osseous structures of C6. This demonstrates minimal T1 hyperintensity, persistent T2 hyperintensity with STIR technique, and enhancement. This is not associated with medullary expansion or MRI evident cortical erosion. There is no ad... | 1.There is a T2 hyperintense focus involving the right pedicle and immediately adjacent osseous structures of C6. This demonstrates minimal T1 hyperintensity, persistent T2 hyperintensity with STIR technique, and enhancement. This is not associated with medullary expansion or MRI evident cortical erosion. There is no a... |
Generate impression based on findings. | Male, 66 years old, with dizziness. Evaluate for stroke. No restricted diffusion is seen. Scattered small foci of FLAIR hyperintensity are seen within the cerebral hemispheres, a nonspecific finding. No intracranial hemorrhage or any abnormal extra-axial fluid collection is seen. The ventricles are normal in size and m... | 1.No evidence of acute ischemia is seen.2.Findings are noted which may reflect mild chronic microvascular ischemic disease. |
Generate impression based on findings. | The ventricles and sulci are normal in size. There are no masses, mass effect, midline shift, or abnormal enhancement to suggest metastatic disease. Partially empty sella is noted. There is no evidence for intracranial hemorrhage or acute infarction. There are no extraaxial fluid collections or subdural hematomas. Min... | MRI of the brain is within normal limits for age. No evidence of intracranial metastatic disease. |
Generate impression based on findings. | Reason: knee pain, s/p patellar dislocation History: knee pain MENISCI: No significant abnormality noted.ARTICULAR CARTILAGE AND BONE: No full-thickness cartilaginous defect is identified. There may be partial thickness tearing of the articular cartilage along the inferior-most aspect of the lateral facet of the patell... | 1.Mild edema of the superolateral aspect of Hoffa's fat pad, which can be associated with patellofemoral instability, but we see no specific imaging findings of prior patellar dislocation.2.Equivocal partial thickness tearing of the articular cartilage along the inferior aspect of the lateral facet of the patella. Othe... |
Generate impression based on findings. | Reserved for concepts with insufficient information to code with codable children [IMO0002], Reason for Study: ^Reason: evaluate for Right sided lumbar spine radiculopathy, History: Right LE pain and N/T into L4-S1 area For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1.... | Central to slightly left lateral minimal bulging of L5S1 disc.Otherwise unremarkable. |
Generate impression based on findings. | Altered mental status: recently diagnosed lung adenocarcinoma with brain mets s/p radiation and steroids. MRI: There are new areas of restricted diffusion and high T2 signal in the left insula, perirolandic region, parietal lobe, and medial occipital lobe superimposed upon pre-existing areas of restricted diffusion in ... | 1. Acute upon subacute infarcts in the left middle and posterior cerebral artery territories associated with areas of microhemorrhage and enhancement. However, a portion of the enhancing lesions in the bilateral cerebral hemispheres likely represent underlying metastases.2. Abrupt cut-off of left M2 and P2 branches may... |
Generate impression based on findings. | 82-year-old male with ischemic cardiac disease, hypertension, diabetes mellitus, history of colon cancer status post urosepsis and extubation with persistent tachycardia today. Evaluate for PE. Findings are limited by patient motion artifact.PULMONARY ARTERIES: No evidence of pulmonary embolus as clinically questioned.... | 1. No evidence of pulmonary embolus as clinically questioned.2. Persistent bilateral pleural effusions with adjacent compressive atelectasis.3. Left ventricular aneurysmal dilatation may be further evaluated with echocardiogram or cardiac MRI as clinically indicated. |
Generate impression based on findings. | Thoracic spine:Compared to the MRI performed 10 hours prior, there is new T2 hyperintensity in the left lateral aspect of the cord at the T5 level compatible with edema. In comparison with same day CT, the previously noted epidural abnormality corresponds at least predominantly to a bone fragment with minimal associat... | 1. Compared to the MRI performed 10 hours prior, there is new T2 hyperintensity in the left lateral aspect of the cord at the T5 level compatible with edema. In comparison with same day CT, the previously noted epidural abnormality corresponds at least predominantly to a bone fragment in the left dorsal epidural space ... |
Generate impression based on findings. | 15 year old female with a history of repaired Tetralogy of Fallot and a history of pulmonic regurgitation and mild pulmonic stenosis by echocardiography referred from cardiac MRI. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 66%, the LV end diastolic volu... | 1. Tetralogy of Fallot morphology s/p repair2. Normal left ventricular size and systolic function (LVEF 66%).3. Mild right ventricular dilation with normal systolic function (RVEF 55%) with evidence of RVOT patch repair.4. Small, residual, membranous ventricular septal defect.5. Mild right atrial dilation.6. At least m... |
Generate impression based on findings. | Male, 66 years old, with history of grade 2 astrocytoma status post RT + TMZ. Off of all treatment since a few years. Patchy, non-masslike T2/FLAIR hyperintensity is again seen within the pons and medulla showing no significant interval change in morphology or geographic extent. No associated enhancement is seen.A focu... | Compared to multiple recent examinations since 2/12/2015, there is no evidence of tumor recurrence or progression. Of note, signal abnormality in the brainstem is markedly improved since remote MRI from 8/2/2011. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images (10/25/16, 11/9/2016), ultrasound images of left breast (11/9/2016), images from ultrasound guided biopsy of left breast with postprocedural left mammographic images (11/16/2016), breast MRI (12/7/2016) performed at outsi... | 1. Biopsy-proven invasive and in situ carcinoma in the left breast at 3:00 position. Breast MRI showed linear non-mass enhancement posteriorly from the marker clip for 17-mm. If lumpectomy is planned, posterior generous excision should be considered.2. A focal asymmetry in the left central breast, showing an enhancemen... |
Generate impression based on findings. | Male, 8 years old, with neurologic deterioration. Assess for cerebellar degeneration or cerebral atrophy. Diagnosis of hereditary ataxia, unspecified. Patchy areas of white matter T2 hyperintensity seen on prior examinations have essentially resolved. Perivascular spaces are noted within the periatrial regions but this... | 1.Mild interval progression in loss of cerebellar volume is seen.2.Questionable progressive prominence of the cerebral sulci could also indicate some very mild loss of cerebral volume, though this finding is equivocal.3.No acute intracranial abnormality. |
Generate impression based on findings. | Motion limits fine detail of some sequences. There is a small linear focus of nonspecific T2 hyperintensity in the right precentral gyrus (series 801, image 17), which does not enhance. There is questionable ill-defined enhancement in the distal fundus of the left internal auditory canal, as well as asymmetric enhance... | 1. Questionable ill-defined enhancement in the distal fundus of the left internal auditory canal and in the expected location of the left geniculate ganglion. Patient will be recalled for dedicated internal auditory canal sequences.2. Nonspecific T2 hyperintensity in the right precentral gyrus which does not enhance.3.... |
Generate impression based on findings. | 79 years, Female, chronic dysarthria, memory loss. Stroke? No restricted diffusion to suggest acute ischemia. No evidence of acute intracranial hemorrhage. No intracranial mass or mass-effect. There is global parenchymal volume loss which is appropriate for age. Multiple foci of T2/FLAIR hyperintensity are seen in the ... | 1. No evidence of acute infarct.2. Mild to moderate chronic small vessel ischemic disease. No findings to suggest a chronic large vascular distribution infarct.3. Global parenchymal loss, which appears appropriate for patient's advanced age. |
Generate impression based on findings. | 8-year-old male with neurofibromatosis type I. Assess for change of known brainstem tumor or optic glioma. BRAIN:The ill-defined foci of T2-hyperintensity involving the globus pallidi and thalami are unchanged. Similar lesions involving the middle cerebellar peduncles, cerebellar deep gray nuclei/white-matter and pons ... | 1.The infiltrative mass at the cervicomedullary junction is slightly smaller, with reduced left posterolateral component. The interval decreased size is more conspicuous when compared to more remote prior exams.2.The hypothalamic mass is unchanged in size since the previous examination.3.FASI in the brain's deep gray n... |
Generate impression based on findings. | 9-year-old female with previous absent seizures. Off AEDs x 2 years now with convulsive seizures not responding to meds. No intracranial mass or mass effect. No appreciable evidence of cortical dysplasia, gray matter heterotopia, or other findings to suggest possible seizure focus. Bilateral hippocampi are symmetric in... | 1. No findings to suggest seizure focus. 2. Moderate mucosal thickening involving the maxillary sinuses and to a lesser degree the bilateral ethmoid air cells. |
Generate impression based on findings. | Male, 37 years old, with pituitary tumor. On this limited evaluation for surgical planning purposes, a large heterogeneously T2 hyperintense lesion is evident involving the sella and suprasellar cistern. The lesion appears to invade both the sphenoid bone and the cavernous sinuses. The lesion projects superiorly indent... | A large mass is evident involving the sella and suprasellar cistern with encroachment into the sphenoid bone, cavernous sinuses, and the undersurface of the brain. The lesion demonstrates thin peripheral enhancement with a small nodule of enhancement at its superior most margin. |
Generate impression based on findings. | Female, 49 years old, with radiculopathy in the lumbar region. Evaluate for herniated disc. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is seen. The visualized distal spinal cord, conus and nerve roots of the cauda equina are wi... | Facet arthropathy is evident at lower lumbar levels. Otherwise, no significant degenerative findings are seen. Specifically, there is no evidence of any disc herniation or significant compromise of the spinal canal or neural foramina. |
Generate impression based on findings. | Female 73 years old Reason: r/o CVA History: hx of CVA , A.fib - a/w syncope. Multiple sequences are degraded by motion. There is however no evidence of acute infarct. There is periventricular white matter T2/FLAIR hyperintensity which is nonspecific but likely related to mild chronic small vessel ischemic disease. Ext... | 1.No evidence of acute intracranial hemorrhage, mass, or acute infarct.2.Evidence of multiple chronic supra- and infratentorial infarcts as described above.3.Mild chronic small vessel ischemic disease. |
Generate impression based on findings. | Tinnitus left ear and headaches. Internal Auditory Canals: The bilateral cranial nerve 7 and 8 complexes are intact. There is no evidence of mass lesions. The inner ear structures, including the cochlea, vestibule, endolymphatic duct, and semicircular canals, appear unremarkable. The bilateral mastoid air cells and mid... | 1. No evidence of retrocochlear or inner ear lesions. A head CTA and temporal bone CT may be useful for further evaluation.2. Unchanged cerebral white matter lesions, which may represent multiple sclerosis. |
Generate impression based on findings. | Clinical question: Stiff leg. Signs and symptoms: Lower extremity stiffness. Nonenhanced cervical MRI:Foramen magnum is unremarkable.C2-- C3 demonstrate mild degenerative changes and unremarkable otherwise.C3 -- C4 demonstrate mild degenerative changes and unremarkable otherwise.C4 -- C5 demonstrate mild degenerative c... | 1.Stable mild to moderate degenerative changes of cervical spine.2.No evidence of central spinal stenosis at any level.3.Interval decreased size of a left lateral disk protrusion at C6 -- C7 since prior exam.4.Multiple levels of mild to moderate neural foraminal compromise without significant change since prior exam as... |
Generate impression based on findings. | 22-year-old female with right upper quadrant ache, elevated LFTs, and dx of PSC. Assess for any stricturing/suspicious lesions. ABDOMEN:LIVER, BILIARY TRACT: Irregularity of the intra and extrahepatic biliary ducts are compatible with history of primary sclerosing cholangitis. These findings are stable in appearance. T... | 1.Stable biliary ductal irregularity and dilatation compatible with history of PSC. No dominant new stricture or suspicious hepatic lesion.2.No pancreatic ductal dilatation or pancreatic mass. |
Generate impression based on findings. | Alignment of the lumbar spine is anatomic. For numbering purposes, there are 5 lumbar-type vertebral bodies. The vertebral body heights are preserved. The bone marrow signal is within normal limits. Mild degenerative spondylosis affects the lumbar spine, most notably at L4-5 and L5-S1 where there is disc desiccation. ... | 1. No evidence of metastatic disease to the lumbar spine.2. Mild degenerative changes as detailed above without spinal canal stenosis at any level in the lumbar spine. |
Generate impression based on findings. | evaluate osteochondritis dessicans lesion MENISCI: There is minimal fraying of the inner edge of the lateral meniscus without additional abnormality.ARTICULAR CARTILAGE AND BONE: The patient is status post osteochondral repair with bilateral screws in the medial femoral condyle of the right knee. There is surrounding e... | Status post osteochondral repair with signs of healing. |
Generate impression based on findings. | New diagnosis of lung cancer. Initial staging. There is no contrast enhancing or space-occupying brain lesion. There is no midline shift. There is no intracranial hemorrhage. The ventricles and sulci are mildly enlarged, compatible with volume loss. The dural venous sinuses and major intracranial arteries appear to be ... | No evidence of intracranial metastasis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Clinical question: 65 year-old female with left tonsillar squamous cell carcinoma. Now presenting with seizure episode. Rule out hemorrhagic CVA, etc. Signs and symptoms: Seizures Non-infused CT of brain:A new area of low-attenuation involving the cortex and subcortical white matter of the left frontal lobe (axial imag... | 1.New foci of low-attenuation in the left frontal lobe as detailed. Finding is concerning for ischemic stroke and considering patient's history possibility of a metastatic lesion cannot be entirely ruled out. Follow-up study would be effusion is recommended.2.No evidence of hemorrhage a standard but is questioned or an... |
Generate impression based on findings. | Cellulitis. Rule out "osteo" versus necrotizing cellulitis. The subcutaneous fat of the ankle is replaced with intermediate density compatible with edema that propagates through the subcutaneous fat along the dorsum of the foot. There is associated skin thickening, as well as blistering along the lateral aspect of the ... | Soft tissue infection of the foot as described above. |
Generate impression based on findings. | Cervical spine:There is slight reversal normal upper cervical curvature. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Redemonstrated is opacification of the rightSinus ... | 1.Originally a complete MRI of the spine with and without contrast was ordered. Unfortunately, due to the patient's back pain, she was unable to tolerate the exam. Multiple sequences were repeated due to motion. Per nursing, no meds were available and the service was paged. The patient requested to complete the rest of... |
Generate impression based on findings. | 27-year-old female with head injury No evidence of hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Cortical sulci, ventricular system and all CSF cisterns remain within normal limits.Images at the level of common magnum demonstrates crowding of brain parenchyma at the level of the foramina magnum with e... | 1.No evidence of acute post traumatic findings.2.Findings consistent with Chiari malformation which requires further evaluation with an MRI. |
Generate impression based on findings. | 71-year-old male with history of lung cancer, status post chemo, new left scapular mass, evaluate disease status CHEST:LUNGS AND PLEURA: Multiple pulmonary nodules are again identified. Reference left lower lobe nodule (image 66, series 4) measures 13 mm x 10 mm.Reference right middle lobe nodule (image number 52, seri... | 1.Multiple pulmonary nodules without significant interval change.2.Partial collapse of the T7 vertebrae. No definite evidence of metastatic involvement. |
Generate impression based on findings. | Images are motion degraded. Given this caveat:There is slight reversal of normal upper cervical curvature.. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal posit... | 1.C4/5: Moderate left neural foraminal stenosis.2.C5/6: Mild central and severe bilateral neural foraminal stenosis.3.C6/7: Moderate to severe bilateral neural foraminal stenosis. |
Generate impression based on findings. | Left insular oligodendroglioma, WHO grade II. Status post resection on April 28, 2016. There are changes related to the recent trans sulcal microsurgical resection of the left insular/subinsular mass. Fluid/air in addition to overlying scalp soft tissue thickening and underlying dural thickening in relation to the left... | 1.Interval resection of at least the superficial portion of the infiltrative left subinsular oligodendroglioma with similar contour of the remainder of the mass.2.Minimal hemorrhage in the resection bed with associated reactive meningeal thickening and other expected postoperative findings are described above. |
Generate impression based on findings. | There is atlantooccipital assimilation primarily involving the bilateral lateral masses and the occipital condyles. There is crowding of the CSF spaces at the foramen magnum with mildly elongated appearance of the cerebellar tonsils. Measuring from the inferior aspect of the occipital bone, cerebellar tonsillar ectopi... | 1. Atlantooccipital assimilation with mildly elongated cerebellar tonsils extending to the C1 level. There is crowding of the CSF spaces at the foramen magnum with diminished CSF flow.2. Syrinx in the cervical cord extending from the C2 mid dens to the lower C4 level. There is also trace prominence of the central canal... |
Generate impression based on findings. | 64-year-old female with history of forgetfulness. There are no areas of restricted diffusion to suggest an acute infarction. There are mild scattered foci of increased T2/flair signal abnormality within the periventricular white matter, which is nonspecific. The mesial temporal lobes are unremarkable and appear symmetr... | Nonspecific scattered foci of increased T2/signal abnormality within the periventricular white matter likely compatible with mild chronic ischemic small vessel disease. Otherwise, no specific findings to account for the patient's symptoms. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are images from MRI guided biopsy of the right breast (10/27/2016) performed at outside institution. For comparison, outside breast MRI (10/24/2016) are available. MRI guided biopsy was performed for focal non-mass enhancement in the right breast at pos... | Status post benign MRI guided biopsy of the focal non-mass enhancement in the right breast at posterior 10:00 position. Pathology result was concordant with the imaging findings.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Right shoulder pain Note that the examination is limited by motion artifact.ROTATOR CUFF: There is fluid signal intensity within the undersurface of the supraspinatus tendon near its attachment upon the greater tuberosity however there is no discrete full-thickness extension appreciated. There is interstitial tear is s... | 1. Tearing of the supraspinatus tendon just proximal to its insertion on the greater tuberosity. Although there is no discrete full-thickness defect appreciated, the presence of fluid in the subacromial subdeltoid bursa suggests the presence of a full-thickness component.2. Severe osteoarthritis of the acromioclavicula... |
Generate impression based on findings. | Male, 65 years old, with history of metastatic lumbar spine tumor burden with radiculopathy. Thoracic:Numerous foci of T1/T2 hypointensity are seen throughout the thoracic spine. Many of these lesions are surrounded by a rim of STIR hyperintensity. Vertebral body heights are generally well preserved with only slight an... | 1.Numerous sclerotic metastases are evident throughout the thoracic and lumbar spine. Lesions have increased in size and number when comparison is made to multiple prior CT examinations dating back to 2014.2.No significant epidural tumor is seen in the thoracic region. However, epidural tumor is present at the L5 level... |
Generate impression based on findings. | 32-year-old male with left heel infection. Evaluate for abscess versus bone infection. TENDONS: The flexor and extensor tendons appear intact. The peroneal tendons appear intact. The Achilles tendon appears intact.LIGAMENTS: Limited evaluation secondary to patient motion artifact. The anterior talofibular ligament is n... | Nonspecific subcutaneous edema most pronounced along the medial aspect of the ankle with a 3.4 cm superficial fluid collection which does not enhance on postcontrast sequences and may represent a seroma or hematoma. No evidence to suggest osteomyelitis. |
Generate impression based on findings. | History of breast cancer in mother diagnosed at the age of 49 and maternal cousin diagnosed at the age of 43. History of benign left breast biopsy. Interval placement of bilateral silicone implants which appear intact, retropectoral in right and retroglandular in left. There is extreme amount of fibroglandular tissue i... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Radicular pain in the L4 distribution on the right side. Evaluate for lumbar spinal stenosis or herniated disc. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is mild straightening of the lumbar spine and minimal retrolisthesis of L2 on L3 and L5 on ... | Multilevel degenerative changes in the lumbar spine as detailed above including a large disc extrusion at the right L4-L5 level with superior migration to the upper/mid L4 level. There is likely associated impingement of the right L4 nerve root in the lateral recess and neural foramen. There may also be impingement of ... |
Generate impression based on findings. | Weight loss and dysphagia status post gastric bypass in 2014, rule out obstruction versus malrotation ABDOMEN: LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signif... | Postsurgical changes status post gastric bypass without evidence of obstruction or malrotation. |
Generate impression based on findings. | Female 62 years old Reason: r/o obstruction History: conjugated hyperbilirubinemia ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. There are 2 cystic-appearing lesions involving the left hepatic lobe. The more lateral lesion has layering hemorrhage or debris within it and measures 3.9 x 3.1 cm. No definite... | 1.No evidence of biliary ductal dilatation.2.Mild gallbladder distention with sludge.3.Lesion in the left hepatic lobe with layering debris or hemorrhage. Differential considerations include complex cyst, biliary cystadenoma, biliary hamartoma.4.Focal areas of nonenhancement in the kidneys differential considerations i... |
Generate impression based on findings. | Ms. Slay is a 77 year old female with recently diagnosed IDC/DCIS of the left breast. She presents today for MRI evaluation for staging purposes. Of note, there is motion artifact seen in this exam which limits the proper evaluation of the subtraction images. Therefore, all saved images are from the non-subtracted dyna... | (1) Biopsy-proven malignancy in the left superior breast, measuring up to 4 cm in total span. MR detected enhancement corresponds in distribution and span span to the mammographically detected calcifications.(2) 7.5 cm span of clumped nonmass enhancement in the left inferior breast, which likely corresponds to the mamm... |
Generate impression based on findings. | Right Bell's Palsy. The bilateral cranial nerve 7 and 8 complexes are intact. There is no evidence of mass lesions. The inner ear structures, including the cochlea, vestibule, endolymphatic duct, and semicircular canals, appear unremarkable. The bilateral mastoid air cells and middle ears also appear unremarkable. Ther... | No evidence of right facial nerve inflammation, tumor, or acute brainstem or cerebral infarction. |
Generate impression based on findings. | 40 years Female (DOB:3/4/1976)Reason: r/o posterior circulation cva, thin cuts through auditory canal History: ataxia, dizzinessPROVIDER/ATTENDING NAME: EMILY S MURRAY The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracran... | 1.There is no evidence for cerebral infarction or intracranial mass.2.Diffuse calvarial thickening is a nonspecific finding.3.There is no evidence for internal auditory canal mass. |
Generate impression based on findings. | 72 year old with severe tricuspid regurgitation presenting for evaluation of right heart enlargement. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 62%, the LV end diastolic volume index is 57 ml/m2 (normal range: 65+/-11), the LVEDV is 97 ml (normal range... | 1. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 35 years, Female, increase in headache intensity and frequency. History of Chiari decompression in 2013. Again seen are postsurgical changes of Chiari decompression including suboccipital craniectomy and resection of the C1 posterior arch. CSF spaces at the foramen magnum are grossly preserved ventrally and dorsally wi... | 1. Postoperative changes of Chiari I decompression are again seen. Biphasic CSF flow at the foramen magnum is preserved.2. Remainder of the brain appears within normal limits. |
Generate impression based on findings. | seizure. There is no acute ischemic or hemorrhagic lesion.There is,however, localized encephalomalacia on the right temporal lobe middle temporal gyrus posterior aspect which extends posteriorly following left side parallel sulcus reaching to posterior inferior aspect of the left angular gyrus.Encephalomalacia of corte... | No evidence of acute ischemic or hemorrhagic lesion.Multifocal encephalomalacia on the right frontal lobe and temporal lobe as described above. |
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