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Generate impression based on findings. | Ms. Lee is a 47-year-old female who is BRCA1 positive. Family history of breast cancer in maternal grandmother, maternal great grandmother, maternal aunt and several maternal cousins. Personal history of benign left breast MRI guided biopsy in 2012. There is scattered fibroglandular tissue in both breasts. Minimal pare... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 56 year old male with atrial fibrillation PULMONARY VEINS: The right inferior and middle pulmonary vein have a common ostium. The right superior pulmonary vein is normal in appearance.The left superior and inferior pulmonary veins are normal in appearance. No evidence of left atrial thrombus.Right superior pulmonary ve... | 1. Three pulmonary veins on the right, a normal anatomic variant. Two pulmonary veins on the left.2. 4-mm micronodule in the right upper lobe. If the patient has no risk factors for lung cancer, such as smoking, no further follow up is recommended. If patient has history of smoking, 6 to 12 month follow up with CT is r... |
Generate impression based on findings. | Male; 70 years old. Reason: pancreas cancer with a subcentimeter liver lesion please assess and further characterize if this is a hemangioma versus metastasis History: As above ABDOMEN:LIVER, BILIARY TRACT: No focal, suspicious hepatic lesion is seen to correlate with the subcentimeter hypoattenuating focus in the left... | 1. Distal intrahepatic biliary ductal dilation with poor visualization of the central intrahepatic biliary ducts proximal to the common duct (series 3/26), which may be due to pancreatic tumor infiltration.2. Otherwise, no definite focal, suspicious hepatic mass.3. Pancreatic mass and additional findings as stable sinc... |
Generate impression based on findings. | 72 year-old female, twisted knee with pain MENISCI: There is extensive degeneration and loss of substance/degenerative tearing of the anterior horn, body, and posterior horn of the lateral meniscus. There is intrasubstance signal within the medial meniscus likely representing mucoid degeneration without extension to an... | 1. Extensive degeneration and degenerative tearing of the lateral meniscus, as described above.2. Tricompartmental articular cartilage loss, as detailed above. 3. Moderate joint effusion.4. Baker's cyst. |
Generate impression based on findings. | Diagnosis: Malignant neoplasm of brain, unspecifiedClinical question: Eval GBM. Pt is on a trial of HSPPC96 vaccine.Signs and Symptoms: GBM. There is redemonstration of a left temporal lobe mass is T2 signal abnormality measures 68 x 43 mm in axial dimensions and appears to have extended a little more posteriorly on th... | 1.Since prior exam the patient's left temporal lobe mass has enlarged and appears to have infiltrated further back posteriorly. It is associated with increased cerebral blood volume suggesting increased microvascular within the tumor. |
Generate impression based on findings. | Right upper quadrant abdominal pain with elevated lipase ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without wall thickening. Non-cirrhotic liver. No focal hepatic lesion. No intrahepatic or extrahepatic ductal dilatation. Hepatic vessels patent.SPLEEN: Absent or atrophicPANCREAS: No significant abnormality noted. Spe... | 1.No evidence for significant complication from patient's known pancreatitis. Specifically, no evidence for pancreatic ductal dilatation, significant necrosis, or significant peripancreatic loculated fluid collection.2.Cholelithiasis without acute inflammation or ductal dilatation.3.Trace ascites. |
Generate impression based on findings. | Medial left knee pain MENISCI: There is a complex tear of the posterior horn of the medial meniscus consisting of a partial-thickness radial component as well as a horizontal component which extends into the body and to the tibial articular surface. There is low signal intensity adjacent to the root of the posterior ho... | Complex tear of the medial meniscus and tricompartmental osteoarthritis of the knee (most severely affecting the patellofemoral compartment) with other findings described above. |
Generate impression based on findings. | History of left scalp squamous cell carcinoma metastatic to LN s/p CRT (2015), now with left neck recurrence s/p resection and 2 cycles of induction chemotherapy with carboplatin/taxol followed by 5/5 cycles of TFHX completed on 8/5/16. The images are degraded by patient motion and the lack of contrast limits the asses... | Post-treatment findings in the left neck without discernible residual significant lymphadenopathy in the neck, although assessment is limited by the lack of contrast. |
Generate impression based on findings. | 54 years, Female, pain in lower extremities, rule out multiple sclerosis. Brain parenchyma appears within normal limits for age. There is no significant parenchymal signal abnormality to suggest the demyelinating disease. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mas... | Brain parenchyma appears within normal limits for age. There is no evidence of demyelinating disease. |
Generate impression based on findings. | History of urothelial cancer status post neoadjuvant chemotherapy with cystoprostatectomy and bilateral pelvic lymph node dissection, who was initially seen in May of 2016 for a 1.1 cm pancreatic body cyst indecently discovered on surveillance CT for his urothelial cancer, most likely representing a branch duct IPMN. A... | Two cystic structures in the pancreatic body which are compatible with side branch IPMNs the largest of which measures up to 11mm, not significantly changed. |
Generate impression based on findings. | First metatarsal foot pain Tendons and ligaments: The visualized extensor tendons are intact. The visualized flexor tendons are intact. The Lisfranc ligament is intact. There is no subluxation or dislocation in the tarsometatarsal articulations.Bones: There is a trace amount of fluid within the first MTP joint which is... | Unremarkable MRI of the right forefoot. |
Generate impression based on findings. | Male; 70 years old. Reason: Assess hepatic vessel patency, panc head mass followup, biliary strictures History: cirrhosis, s/p OLT 8/95 ABDOMEN:LIVER, BILIARY TRACT: Status post liver transplant. No focal hepatic mass. Cavernous transformation of the main portal vein, similar to prior exam. Hepatic veins are patent. He... | 1.Status post liver transplant with no focal hepatic lesions.2.Stable cavernous transformation of the main portal vein.3.Mild right intrahepatic biliary ductal dilation with a stricture seen of the right main hepatic duct. Patent choledochojejunostomy.4.Multiple sidebranch IPMNs of the pancreatic head with one of the l... |
Generate impression based on findings. | Female, 72 years old, status post lumbar surgery with right greater trochanter pain. Assess for stenosis. A grade 2 anterolisthesis of L4 relative to L5 has mildly progressed from prior. Otherwise spinal alignment is anatomic. No worrisome marrow replacement, edema or enhancement is seen.The visualized spinal cord, con... | 1.Slight progression of spondylolisthesis at L4-5. Moderate to severe generalized spinal canal stenosis at this level, along with severe right and moderate left foraminal narrowing, not significantly changed.2.Mild degenerative findings at the remaining levels are not significantly changed. |
Generate impression based on findings. | Reason: r/o osteomyelitis History: fever, back pain MRI thoracic spine:At T10-T11 there is loss of vertebral body height, irregularity of the endplates and heterogeneous signal within the disk space as well as marrow replacement within the vertebral bodies and posterior elements. There is epidural extension of disk mat... | 1.Findings are compatible with diskitis and osteomyelitis at T10-T11 associated with epidural extension and some mild compression of the spinal cord. There is both the anterior and posterior element involvement associated with compression deformities of T10 and T11. Post-contrast imaging of the thoracic spine may help ... |
Generate impression based on findings. | Amenorrhea. The pituitary gland is not enlarged, but enhances heterogeneously. The pituitary stalk and posterior pituitary bright spot are intact. There is no mass effect upon the optic apparatus or cavernous sinuses. | The pituitary gland is not enlarged, but enhances heterogeneously, which may be due to the presence of microadenoma, infarction, or physiologic variant. |
Generate impression based on findings. | Mrs. Steffen has a personal history of left lumpectomy for left breast ALH and LCIS in 2010. She also has a significant family history of breast cancer. She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | 82 years Female (DOB:11/22/1934)Reason: stroke, evaluate for presence of any acute ischemic infarct History: slurred speech and word finding difficultiesPROVIDER/ATTENDING NAME: NAVNEET CHEEMA MARK K. FERGUSON The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a punctate focus o... | 1.There is an acute microinfarct involving the left cerebellar hemisphere along the left inferior semilunar lobule. 2.Periventricular and subcortical white matter lesions of a mild to moderate degree and punctate lesions in the brainstem, internal capsules and basal ganglia are nonspecific. At this age they are most li... |
Generate impression based on findings. | Female, 28 years old, with brain cysts, status post cyst aspiration. Redemonstrated is evidence of extensive prior right-sided surgery including hemispherectomy and multiple prior craniotomies with fragmentation and a large deficiency in the residual right calvarium.Findings are also seen compatible with recent revisio... | 1.Findings are seen compatible with recent catheter revision and placement of a Rickham catheter directed slightly more posteriorly to drain a growing cyst. This targeted cyst has decreased in size relative to the prior examinations.2.A cyst just anterior to the catheter is unchanged in size. A cyst within the medial l... |
Generate impression based on findings. | 60 year-old male with history of end-stage renal disease with altered mental status. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage, mass or edema. Multiple, mild areas of patchy hypodensity in a periventricular and subcortical white matter distribution consistent with microangiop... | Age indeterminate microangiopathic changes. No evidence of intracranial bleed. If there is clinical concern for acute ischemia, an MRI may be considered. |
Generate impression based on findings. | Reason: Lesion suspicious for HCC on CT scan History: HCV ETOH cirrrhosis, 2.8 cm R lobe mass ABDOMEN:LIVER, BILIARY TRACT: Nodular cirrhotic morphology. Two subcentimeter adjacent nodules in the right lobe that are nonenhancing, but low on T2 and high on T1 (12:269, 8:15, 11:81) suspicious for dysplastic nodules.2.7 x... | 1.2.8 cm hepatocellular carcinoma in the posterior right hepatic lobe.2.Two subcentimeter probable dysplastic nodules on a background of nodular cirrhosis and likely portal hypertension, as above. |
Generate impression based on findings. | Cervical spine:Alignment is normal. The marrow signal is benign. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Unremarkable and unchangedC3/4: Unremark... | 1.C5/6: Moderate central, moderate left neural foraminal, and mild to moderate right neural foraminal stenosis, unchanged.2.C6/7: Mild to moderate left neural foraminal and moderate right neural foraminal stenosis, unchanged.3.C7/T1: Mild right neural foraminal stenosis, unchanged.4.Multilevel disc bulges throughout th... |
Generate impression based on findings. | Prostate cancer. PELVIS:PROSTATE:Prostate Size: 2.6 x 3.7 x 4.1 cmPeripheral Zone: In the left mid gland lateral peripheral zone there is a 9.0 x 8.1 mm lesion demonstrating T2 weighted hypointensity (series 301/78) with associated restricted diffusion (series 403/304). Otherwise the peripheral zone is atrophic and dif... | 1.Highly suspicious midline mid-gland anterior transition zone lesion measuring up to 1.4 cm with enhancement outside of the margin of the prostate.2.Additional moderately suspicious lesion in the left mid gland peripheral zone.3.Nonspecific small external iliac lymph nodes. |
Generate impression based on findings. | 60-year-old male with a history of glial neural tumor status post resection, radiation therapy, biopsy. There are postoperative findings related to left frontal craniotomy for tumor resection. Although the postcontrast sequences are limited secondary to motion, the ovoid area of enhancement along the anterior margin of... | Unchanged post-treatment findings in the left greater than right frontal lobes without evidence of tumor progression. |
Generate impression based on findings. | History of kidney transplant now with central sleep apnea. Evaluate for PRES versus encephalitis. No evidence of acute ischemia. Again seen is a bandlike region of increased T2 signal in the bilateral middle cerebellar peduncles and crossing the pons. The pontine abnormal signal may be slightly increased in conspicuity... | Stable bandlike increased T2 signal in the bilateral cerebellar peduncles and crossing the pons. Findings remain nonspecific and the differential considerations remain an atypical form of posterior reversible encephalopathy syndrome, drug toxicity, or other toxic metabolic syndrome. |
Generate impression based on findings. | 58-year-old female with shoulder pain, evaluate for rotator cuff pathology, frozen shoulder ROTATOR CUFF: There is diffusely increased T2 signal within the supraspinatus tendon suggesting a tendinopathy. There is focal partial thickness tearing along the bursal surface measuring approximately 1 cm with areas of full-th... | 1.Tendinopathy and partial-thickness tearing of the supraspinatus with small areas of full-thickness perforation.2.Degeneration of the anterior glenoid labrum. |
Generate impression based on findings. | Cognitive impairment. Rule out reversible causes for dementia. There is fairly symmetric moderate brain volume loss involving the parietal lobes and to lesser extent the frontal lobes with relative sparing of the occipital and temporal lobes. This results in expansion of the ventricles and sulci as well as basal cister... | 1.Moderate symmetric brain volume loss is most pronounced in the parietal lobes and to a lesser extent the frontal lobes, with relative sparing of the occipital and temporal lobes. This has slightly increased since the 2010 brain MRI.2.Moderate chronic microvascular ischemia, unchanged to very minimally increased since... |
Generate impression based on findings. | Chronic left ankle/heel pain TENDONS: No significant abnormality noted.LIGAMENTS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: A small focus of increased signal is noted posterior to the talocalcaneal articulation which may represent a small ganglion or small amount of posterior joint fluid. Otherwise ... | No acute internal derangement. |
Generate impression based on findings. | Diagnosis: Compression of brainClinical question: eval postop changesSigns and Symptoms: s/p Chiari decompressionComments: Please also do CINE flow sequence. | The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology... | 1.The patient status post recent posterior fossa decompression for Chiari I malformation. There is some postoperative change present with fluid and edema accumulation at the surgical site. CSF flow study suggests impeded flow at the level of the foramen magnum. |
Generate impression based on findings. | Sacral chordoma, evaluate response to therapy There are surgical changes of a partial sacrectomy extending from the level of S2 down with displacement of the rectum posteriorly, appearing similar to the prior study. There is increased fluid signal surrounding the rectum, likely representing a small amount of physiologi... | Innumerable masses within the posterior soft tissues as described above, presumably representing multifocal chordoma. When compared to the prior exam, overall these lesions appear similar in size and extent. |
Generate impression based on findings. | 30 years Female (DOB:9/26/1985)Reason: MS please do dr Javed MS protocol History: paresthesiasPROVIDER/ATTENDING NAME: JACQUELINE T BERNARD JACQUELINE T BERNARD The CSF spaces are appropriate for the patient's stated age with no midline shift. There are multiple periventricular white matter lesions which are perpendicu... | 1.Multiple periventricular white matter lesions are compatible patient's clinical diagnosis of demyelinating disorder.2.There is a suspected lesion present along the posterior aspect of the spinal cord at the C2 vertebral body level. If clinically appropriate MRI of the cervical spine may be of further benefit to confi... |
Generate impression based on findings. | Weakness [R53.1], Reason for Study: ^Reason: assess for stroke History: dizziness Brain MRIThere are restricted diffusion lesions on bilateral PICA territories indicating acute ischemic infarctions.There is no evidence of hemorrhagic conversion.Prior ischemic infarction related bilateral cerebellar PICA territorial enc... | 1. Acute ischemic infarctions on bilateral PICA territories without hemorrhagic transformation.2. Chronic ischemic infarction related encephalomalacia.3. Non specific small vessel ischemic disease, unchanged.4. No evidence of significant (more than 50%) extracranial luminal stenosis. The right vertebro basilar junction... |
Generate impression based on findings. | For consistency, numbering is performed based on prior MRI with the lowest lumbar type vertebral body transitional and represent S1 (or L6).CervicalAgain seen are multiple segmentation anomalies within the cervical spine. Convex left curvature of the cervical spine is seen from the occipital atlantal articulation thro... | 1. No signal abnormality in the cervical cord or extrinsic compression.2. Dedicated thoracic spine study was not performed. On the coronal T2 sequence including the thoracic spine, there is evidence of prominent central canal/tiny syrinx which was present on prior study from 5/7/2013. Finding is of uncertain clinical s... |
Generate impression based on findings. | Pain and numbness in bilateral lower extremities. Alignment is anatomic. The vertebral body heights are preserved. Degenerative endplate marrow signal abnormality as well as contour irregularity is present on multiple endplates most notably at L2-3. Severe disc degeneration at L2-3 without increased T2 signal to sugges... | 1. Severe degeneration at L2-3 with associated chronic endplate changes and advanced degeneration of the facet joints. This results in moderate to severe right neural foraminal stenosis. Given the advanced disc degeneration at this level compared to the others in the lumbar spine, this raises the possibility of a remot... |
Generate impression based on findings. | Abdominal pain and diarrhea, evaluate for mesenteric ischemia ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis. No focal hepatic lesions. The hepatic vasculature is patent.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: B... | No evidence of mesenteric ischemia. |
Generate impression based on findings. | Female 51 years old Reason: Pain in left shoulder, evaluate for rotator cuff tear ROTATOR CUFF: There is a full-thickness tear of the supraspinatus tendon anteriorly near the insertion with no retraction.SUPRASPINATUS OUTLET: There is a small amount of contrast in the subacromial subdeltoid bursa.GLENOHUMERAL JOINT AND... | Full-thickness tear of the supraspinatus tendon near the insertion anteriorly. |
Generate impression based on findings. | Evaluate/monitor for neurovascular assessment. The current invasive squamous cell cancer concern for sinus/skull/left ORBIT/current artery. CTA of intracranial circulation:45 cc of Omnipaque 350 is administered for this exam.Vertebral -- basilar system.Taken bilateral vertebral arteries, basilar artery, posterior cereb... | 1.Non-infused head CT demonstrate no evidence of acute intracranial process. Small areas of encephalomalacia of bilateral posterior frontal -- parietal lobes remains stable since prior MRI exam. Extensive destructive bony lesion of the skull base with involvement of left cavernous sinus and left carotid canal is partia... |
Generate impression based on findings. | Decreased rectal tone, Left lower extremity pain and weakness. Reason for study: evaluate for spinal cord compression. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has normal signal characteristics and overall morphology. There is no acute cord compression. Multilevel spondy... | No acute cord compression is identified. Multilevel degenerative changes noted. |
Generate impression based on findings. | T4aN2b BOT SCC, p16+ on OPTIMA IC with carbo/Abraxane. There has been marked interval decrease in size of a right tongue base tumor, without measurable residual tumor. There is no evidence of residual significant lymphadenopathy in the neck. For example, a necrotic right level 2B lymph node measures 6 mm in short axis ... | No evidence of residual measurable tumor in the right tongue base and no evidence of residual significant lymphadenopathy in the neck. |
Generate impression based on findings. | 11 years Female (DOB:9/2/2005)Reason: AVM, history intracranial hemorrhage, resection and radiation, yearly follow up History: yearly surveillance.PROVIDER/ATTENDING NAME: DAVID M. FRIM DAVID M. FRIM MRI of the brainNo diffusion weighted abnormalities are appreciated.There are numerous flow voids present in the left pa... | 1.Status post left parietal lobe surgery for arteriovenous malformation. There is persistence of arteriovenous malformation in the left parietal lobe. The prior exam was limited, however, based on the cerebral artery caliber and appearance, the AVM has not changed significantly. Follow-up surveillance exams inclusive o... |
Generate impression based on findings. | History of early morning vomiting for several years and prior syncope. 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 configurat... | No evidence of Chiari malformation, mass, or ventriculomegaly. |
Generate impression based on findings. | 64-year-old male with history of nasopharyngeal cancer presents with increasing fatigue, right ear effusion and ulcer noted in the nasopharynx Beam hardening artifact from dental hardware limits evaluation of oral cavity.There is intense enhancement and swelling of the mucosa of posterior nasopharynx. A nonenhancing ul... | 1. Ulceration is seen in the posterior-superior nasopharynx with associated subtle cortical erosion of the anterior clivus which appears mildly progressed as compared to the prior exams. These findings may represent infection, tumor or be related to post-radiation change. MRI with contrast is recommended for further ch... |
Generate impression based on findings. | Cervical spine:There is slight reversal of the cervical curvature. The marrow signal is benign. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.C2/3: Unremarka... | 1.C4/5: There is a right paracentral disc protrusion which causes anterior right paramedian cord flattening without intrinsic cord signal abnormality as well as focal mild central stenosis.2.C5/6: There is a right paracentral disc protrusion which causes anterior right paramedian cord flattening without intrinsic cord ... |
Generate impression based on findings. | Total spine findings: The cervical and thoracic spinal cord is enlarged with intrinsic abnormal T2 hyperintensity predominantly noted involving bilateral dorsal columns, although also involving the bilateral lateral-most aspects of the cord in skip-like fashion, extending from C1 through T12. There is no associated ab... | The cervical and thoracic spinal cord is enlarged with intrinsic abnormal T2 hyperintensity predominantly noted involving bilateral dorsal columns, although also involving the bilateral lateral-most aspects of the cord in skip-like fashion, extending from C1 through T12. There is no associated abnormal enhancement. Thi... |
Generate impression based on findings. | Bilateral skin/nipple sparing mastectomy in 2009 for right breast ADH/ALH. Status post immediate reconstruction with implants. Left breast thickness/density at 12:00 position, please assess on MRI Status post bilateral mastectomy with bilateral subpectoral silicone/gel implants which appear intact. No evidence of intra... | No MRI evidence for malignancy especially in patient's area of concern (area of thickness/density in left breast at 12:00 position). Band like areas of enhancement along the inframammary fold and 12 to 1:00 position of the right chest wall are most likely related to alloderm usage at the time of reconstructive surgery ... |
Generate impression based on findings. | Altered mental status, unspecified [R 41.82]64 years Male (DOB:2/9/1952)Reason: cva History: cvaPROVIDER/ATTENDING NAME: DANIEL W ROBINSON Brain MRIRestricted diffusion areas are seen on the right internal capsule posterior limb, right side midbrain as well as right cerebellar hemisphere indicating acute ischemic strok... | 1. Acute ischemic infarct without evidence of hemorrhagic conversion involving right internal capsule posterior limb, right side midbrain, and right cerebellar hemisphere.2. Chronic ischemic infarction involving left inferior parietal lobule and posterior superior temporal gyrus.3. Nonspecific small vessel ischemic dis... |
Generate impression based on findings. | 46-year-old female with history of pancreatic mass who presents for MRI evaluation. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: There is a T2 hyperintense, diffusion restricting focus in the pancreatic body measuring 4.0 x 2.3 cm (series 3, image 25)... | 1.Large pancreatic body solid enhancing neoplasm as detailed. Findings are concerning for neuroendocrine tumor given history of MEN1.2.Bilateral breast nodules are present. Correlation with mammography is recommended. |
Generate impression based on findings. | One-day-old female with abdominal and pelvic mass. There are likely 3 perineal orifices. A cystic mass extends from the pelvis into the abdomen and measures approximately 6.7 x 7.4 x 7.9 cm. The contents of the mass are bright on T1 and T2 weighted images, consistent with subacute blood products. There is a fluid-fluid... | 1. Obstructed vagina and uterus. There appears to be a longitudinal septum in the vagina with the right side larger than the left.2. Extrinsic obstruction of the ureters due to the mass with grade 3 hydronephrosis bilaterally. 3. Findings of a probable left duplicated ureter with an obstructed upper pole system.4. Exte... |
Generate impression based on findings. | 49-year-old male with altered mental status and seizure. There is no evidence of intracranial hemorrhage, or mass. Multiple patchy hypodensities in a periventricular distribution are consistent with small vessel disease, age indeterminate.Additional small focal hypodensity at the right frontal lobe, image 14 represents... | Subcortical stroke as described above of uncertain chronicity, new when compared to the previous study. MRI is recommended for further evaluation if clinically warranted. |
Generate impression based on findings. | Characterize liver lesion seen on CT. ABDOMEN:LIVER, BILIARY TRACT: The subcapsular segment 7 lesion demonstrates avid arterial enhancement which appears peripheral nodular and discontinuous. It is very T2-weighted hyperintense. It measures 1.5 x 1.0 cm.SPLEEN: No significant abnormality noted.PANCREAS: No significant ... | Subcapsular segment 7 lesion with imaging characteristics most suggestive of a benign hemangioma measuring 1.5 cm. |
Generate impression based on findings. | Neurofibromatosis, type 1 with moyamoya and brainstem mass.. There is an unchanged heterogenously enhancing mass centered within the right midbrain, which measures 22 AP x 20 RL x 18 SI mm. There is no evidence of intracranial hemorrhage or acute infarct.. There is unchanged encephalomalacia with subcentimeter cystic d... | 1. Unchanged right brainstem mass, accounting for differences in technique.2. Unchanged areas of encephalomalacia in the left frontal deep and periventricular white matter and within the right temporal occipital region are compatible with chronic infarcts. No evidence of acute cerebral infarction.3. Postoperative findi... |
Generate impression based on findings. | History of tethered cord release with syringomyelia Again seen is dilatation of the central spinal canal that extends from approximately T4-T5 level to the conus medullaris, which terminates at the level of L1-L2. There are 2 components with maximal dilatation noted at the T7 level measuring proximally 10 x 11 mm simil... | 1. No significant change in size and extent of the thoracolumbar syrinx. 2. No MR evidence of cord tethering. |
Generate impression based on findings. | 82-year-old male with history of urothelial cancer. ABDOMEN: Limited examination due to absence of IV contrast due to to patient's low GFR.LIVER, BILIARY TRACT: Gallbladder sludge within a mildly hydropic gallbladder. There is an outpouching along the gallbladder wall which may represent focal adenomyomatosis.SPLEEN: N... | 1.Limited examination secondary to absence of IV contrast due to to patient's low GFR.2.Status post right nephrectomy without evidence of residual or recurrent disease.3.T1 mildly hyperintense, T2 hypointense lesion within the interpolar left kidney is nonspecific but may represent a hemorrhagic cyst, can be re-assesse... |
Generate impression based on findings. | Diagnosis: Secondary malignant neoplasm of brainClinical question: brain mets, please evaluate for progressionSigns and Symptoms: brain mets The CSF spaces are appropriate for the patient's stated age with no midline shift. There is an irregularly-shaped enhancing focus present in the left cerebellar hemisphere lung th... | 1.A right temporal lobe mass has increased in size when compared to the previous exam. This compatible with metastatic disease2.A left cerebellar mass remains stable when compared to the prior exam. The patient status post surgery in this location.3.Please note that this exam is a limited exam for the purposes of treat... |
Generate impression based on findings. | Dystonia, unspecified [G24.9], Reason for Study: ^Reason: Follow up progression abnormal right external capsule lesion History: left hand dystonia Redemonstration of the right insular cortex and external capsular FLAIR/T2 high signal intensity lesions with mild volume loss with corresponding CSF space dilatation, uncha... | 1. Right insular cortex and external capsule FLAIR/T2 high signal intensity lesions with volume loss, unchanged since prior scan.2. No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | Severe low back pain since one month, status post fall Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is mild retrolisthesis of L5 on S1. Alignment of the lumbar spine is otherwise maintained. Bone marrow signal is benign. The conus medullaris is nor... | Multilevel degenerative changes in the lumbar spine as detailed above, relatively worse at the L5-S1 level. No evidence of compression fracture. |
Generate impression based on findings. | 46-year-old male with left buttock wound and fistula status post multiple surgeries. PELVIS:PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: A prominent left pelvic sidewall lymph node measures up to 9 mm in short axis, possibly reactive (series 10/32). ... | Transsphincteric left perianal fistula as above. Possible mild phlegmon versus surgical change within the subcutaneous soft tissues of the medial left buttock, but no evidence of abscess. |
Generate impression based on findings. | Reason: low back and buttock pain and Lt leg pain for 3-4 weeks History: as above Evaluation is limited by patient motion artifact. Evaluation of the hamstring tendon origins is limited due to patient motion artifact, however, the proximal end of the conjoined tendon on the left is indistinct and may be avulsed from th... | 1. Limited examination due to patient motion artifact. There is fluid adjacent to the hamstring tendons at their origin, left greater than right, which likely represents a combination of bursitis and partial-thickness tearing with possible avulsion of the left conjoined tendon from the left ischium. We are uncertain, h... |
Generate impression based on findings. | 34 years, Female, history of mechanical mitral valve presenting with TIA/?CVA. Thrombus on the mitral valve on TEE. Monocular blindness. No restricted diffusion to suggest acute ischemia. No intraparenchymal mass or mass-effect. The ventricles are within normal limits in size and configuration. Several scattered foci o... | 1. No evidence of acute infarct.2. Few nonspecific scattered foci of T2/FLAIR hyperintensity in the white matter which may represent mild chronic small vessel ischemic changes, related to prior inflammation, or less likely demyelination. There are also a few nonspecific foci of chronic microhemorrhage. |
Generate impression based on findings. | MRI CARDIAC W/FLOW QUANT WWO, 2/24/2015 1:00 PM Left VentricleThe left ventricle is normal in size with low normal systolic function. The overall LV ejection fraction is 52%, the LV end diastolic volume index is 79 ml/m2 (normal range: 65+/-11), the LVEDV is 166 ml (normal range 109+/-23), the LV end systolic volume in... | 1. The left ventricle is normal in size with low normal systolic function, LVEF is 52%. There is tardokinesis of the basal inferior wall. The function and size have improved compared to previous cardiac MRI (2011).2. There is epi-myocardial late gadolinium enhancement of the basal inferior and inferolateral walls sugge... |
Generate impression based on findings. | Somnolence [R40.0], Reason for Study: ^Reason: evaluate for lesion History: weakness and loss of sensation Slight kyphotic angulation of cervical spine at C56 with disc dessication at the level of C23, C34, c45 and C56. There is no evidence of neuroforaminal stenosis. There is no evidence of spinal canal stenosis. Spin... | 1. Loss of normal lordosis with disc dessication at cervical spine and disc dessication at the level of L12.2. Otherwise normal spinal cord signal intensity. Normal vertebral body height. No evidence of spinal canal stenosis nor neuroforaminal stenosis.3. No evidence of abnormal enhancement. |
Generate impression based on findings. | Congenital anomaly of cerebrovascular system [747.81] / Hereditary hemorrhagic telangiectasia [448.0], Reason for Study: ^Reason: AVM, prior hemorrhage in 2014, please evaluate, HHT History: HHT, motor, cognitive, speech deficits from previous stroke Brain MRI:There is extensive left parieto-occipital encephalomalacia.... | 1. Acute ischemic infarctions without hemorrhagic transformation on the left hemisphere especially on the remained brain parenchyme within encephalomalacia as described above. 2. Left temporooccipital brain AVM mainly supplied by the left PCA.3. Left hemispheric extensive encephalomalacia. |
Generate impression based on findings. | Chronic hepatitis C. Mass seen on ultrasound. ABDOMEN:LIVER, BILIARY TRACT: Mildly nodular heterogeneous liver morphology suggestive of chronic liver disease.1.2 x 1.1 cm mildly T2 hyperintense lesion in segment 3 (series 8/24) demonstrating restricted diffusion (series 501/26) and mild thin peripheral/rim enhancement.... | 1.1.2 cm segment 3 lesion demonstrating restricted diffusion and rim enhancement does not meet AASLD criteria for HCC, however remains suspicious. Biopsy should be considered or liver protocol CT if not amenable to biopsy. 2.Loculated right-sided pleural effusion. Consider dedicated chest CT as clinically indicated. |
Generate impression based on findings. | Female 74 years old Reason: 74F h/o chronic pancreatitis History: chronic pancreatitis seen on EGD/EUS ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. Gallbladder contains a large gallstone. Biliary tree is normal in caliber and course.SPL... | 1.Improvement in the pancreatic inflammation. The features of the pancreatitis suggests an autoimmune pancreatitis.2.No discrete pancreatic mass is identified.3.Mild scattered intrapancreatic ductal dilatation.4.Normal physiologic response to secretin.5.No change in the right adrenal nodule. |
Generate impression based on findings. | New left lower back/flank subcutaneous nodule; please evaluate; history of spindle cell (monophasic) synovial sarcoma of left distal forearm. There is no discernible tumor in the soft tissues in the region of the skin markers. There is also no evidence of tumor within the lumbar spine. There is lumbarization of S1. The... | 1. No discernible tumor in the region of the left lower back skin markers. 2. Small eccentric left disc protrusion with mild left lateral recess spinal canal stenosis at L5-S1. |
Generate impression based on findings. | Lower extremity cellulitis The examination is significantly limited by the patient's body habitus, by motion artifact, and the inability to complete all sequences.There is diffuse subcutaneous edema and skin thickening of the lower extremity. There is some fluid signal tracking between the muscles of the lower extremit... | Significantly limited exam demonstrates extensive subcutaneous and muscle edema with fluid signal tracking intermuscularly. |
Generate impression based on findings. | 30 yo female with loosely clustered calcifications at 3 o'clock position on mammogram in right breast. Family history of breast cancer diagnosed in sister at age 27. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.Regional non-mass enhancement ... | 1.Regional non-mass enhancement in the right breast 3 o'clock position, which corresponds with calcifications seen on mammography. This area was biopsied under ultrasound guidance later this same day. Pathology pending.2.No abnormal enhancement in the left breast.3.No abnormal lymph nodes.BIRADS: 4 - Suspicious Abnorma... |
Generate impression based on findings. | 40 year-old female with history of ulnar cancer and rectovaginal fistula presenting with gas from vagina now concerning for rectovaginal fistula. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abn... | Possible rectovaginal fistula on the right. MRI of the pelvis may be helpful for better depiction of the fistulous tract. Dilatation of the endometrial cavity. Perirectal inflammatory changes.Possible mild small bowel obstruction. The etiology is unknown but may be related to the periumbilical hernia containing small b... |
Generate impression based on findings. | NF1 with malignant NST Within the left rhomboid and trapezium muscles is a well-circumscribed mass measuring approximately 6.5 x 6.4 x 4.3 cm in the greatest craniocaudal, transverse and AP dimensions. The mass is heterogeneously isointense on T1 sequences and hyperintense on T2 sequences and demonstrates heterogeneous... | Slight interval increase in size of residual and/or recurrent malignant peripheral nerve sheath tumor. |
Generate impression based on findings. | Clinical question: Fracture? Signs and symptoms: Altered mental status, fall. Nonenhanced head CT:No detectable acute posttraumatic intracranial, calvarial or soft tissues of the scalp the findings.Very extensive periventricular and subcortical low attenuation white matter of bilateral cerebral hemispheres is consisten... | 1.Nonenhanced head CT demonstrates no acute posttraumatic findings. Extensive small vessel ischemic strokes of indeterminate age.2.Nonenhanced cervical CT demonstrates no acute fracture or malalignment. Moderate to advanced degenerative changes of cervical spine with resultant multi-level neural foraminal compromise an... |
Generate impression based on findings. | 31-year-old male with left knee pain. Evaluate for chondromalacia. MENISCI: There is deformity and signal abnormality of the lateral meniscus, particularly involving the body and posterior horn, indicating complex tearing. Only a small remnant of the body of the meniscus remains. The anterior horn is relatively spared.... | 1. Osteoarthritis particularly affecting the lateral tibiofemoral compartment and also the patellofemoral articulation with loose bodies in the joint.2. Extensive tearing of the lateral meniscus. |
Generate impression based on findings. | There is mild dextrocurvature of the thoracic spine as seen on prior radiographs. Alignment of the thoracic spine is otherwise maintained. Vertebral body heights are normal. Bone marrow signal is benign.Mild degenerative changes are seen including disc desiccation and minimal disc bulges at multiple levels. There is s... | Mild degenerative changes in the thoracic spine without significant spinal canal stenosis or high grade neural foraminal narrowing at any level. No or cord signal abnormality. Additional details as above. |
Generate impression based on findings. | 72 year old woman with history of CABG x2, with dyspnea on exertion, referred for evaluation of underlying ischemia.MEDICATIONS: ASA, Toprol XL, Crestor First Pass PerfusionDuring hyperemia, no perfusion defects were present.Viability/ Myocardial ScarThere was no late gadolinium enhancement noted suggesting that there ... | 1. No perfusion defects/ "ischemia" present during hyperemia.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 63%).4. Normal RV size and systolic function (RVEF 54%).I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with ... |
Generate impression based on findings. | Hereditary ataxia, unspecified [G11.9] / Other symptoms and signs involving the musculoskeletal system [R29.898], Reason for Study: ^Reason: scan ataxia AND acute leg weakness L History: ataxia; mild left leg weakness Brain MRINo evidence of acute ischemic or hemorrhagic lesion.There are gyriform susceptibility artifac... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Disproportional cerebellar volume loss without associated with pontine volume loss.3. Chronic bifrontal traumatic contusion.4. Hypoplastic vertebrobasilar system with bilateral fetal PCAs. No evidence of intracranial arterial luminal stenosis, occlusion or aneur... |
Generate impression based on findings. | Leukodystrophy and epilepsy. Assess progression of brain involvement. Bilateral subdural effusions over the cerebral convexities have increased in size mildly. They have a maximum thickness of 13 mm on the right and 11 mm on left, compared to 6 mm and 8 mm previously. As before, the fluid is T2 bright, similar to CSF, ... | 1.Since the previous examination of November 2015, there has been evolution of the brain parenchymal (predominantly white-matter) injury. Though the cerebral T2-hyperintense white-matter lesions appear less prominent and less discrete, associated volume loss is suspected to have mildly progressed since the previous exa... |
Generate impression based on findings. | Reason: PSC evaluate for dominant stricture or CCA History: PSC ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver without evidence of a suspicious mass. Unchanged regions of right hepatic lobe fibrosis. Irregular biliary ductal beading and intrahepatic strictures compatible with patient's known history of... | 1.No significant interval change in intrahepatic biliary irregular beading compatible with known primary sclerosing cholangitis.2.Cirrhotic hepatic morphology without interval development of new hepatobiliary lesion. |
Generate impression based on findings. | Clinical question: Left-sided week less. Signs and symptoms: Left-sided weakness CT of brain without infusion:Very subtle questionable patchy areas of low attenuation in the cortex of the right insula and right frontal lobe may represent an early acute cortical stroke. There is no definitive mass effect with the above ... | Only questionable cortical low-attenuation in the right insular cortex and frontal lobe as detailed. |
Generate impression based on findings. | Fall a few days ago. Ankle pain. Anterior tibial pain. Evaluate for fracture. Right ankle: There is mild soft tissue swelling, but I see no fracture or malalignment. The Achilles tendon silhouette is indistinct, and while this may simply be due to overlying soft tissue swelling, if there is clinical concern for Achille... | Mild soft tissue swelling but no fracture evident. The Achilles tendon silhouette is indistinct, and while this may simply be due to overlying soft tissue swelling, if there is clinical concern for Achilles tendon rupture, MRI may be considered for further evaluation. |
Generate impression based on findings. | Reason: Eval shoulder - please include pec major tendon History: pec major - possible partial tear The pectoralis muscles and tendons appear intact. This examination was not protocoled for detailed evaluation of the rotator cuff or the glenohumeral joint, however, there is perhaps a small amount of fluid within the gle... | The pectoralis muscles and tendons appear intact. |
Generate impression based on findings. | Male 51 years old with GBM, multiple recurrences, now on CCNU+Avastin+TTF Post-surgical changes of a right frontal craniotomy and partial tumor resection with stable overlying dural thickening/enhancement. There is a slight decrease in enhancement associated with the right frontal mass (12/49), although there appears t... | 1. Post-surgical changes of a right frontal and temporo-parietal craniotomy with partial tumor resection. The right frontal and temporal lesions appear overall improved from prior exam compatible with Avastin effect. There is however slight increase in masslike signal abnormality with enhancement along the lateral aspe... |
Generate impression based on findings. | A 63 year old male with history of coronary artery disease: an angiography on 2007 showed proximal total occlusion of the left anterior descending artery and non significant obstructions in the proximal ramus and right coronary arteries. Recently the patient has been complaining about shortness of breath. Referred to s... | 1. No perfusion defects/ "ischemia" present during hyperemia.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 56%).4. Normal RV size and systolic function (RVEF 50%).I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with ... |
Generate impression based on findings. | Lung adenocarcinoma. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered foci of T2 hyperintensity in the cerebral and pontine white matter. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no mi... | 1. No evidence of intracranial metastases.2. Mild scattered foci of T2 hyperintensity in the cerebral and pontine white matter are nonspecific, but may represent chronic small vessel ischemic disease. |
Generate impression based on findings. | Ptosis, INO. There is a nidus of enlarged and tangled blood vessels measuring up to nearly 4 cm within the left occipital lobe supplied by the left posterior cerebral artery and drained by the superior sagittal sinus via a superficial cerebral vein. There is associated mild surrounding susceptibility effect, as well as... | 1. Left occipital lobe arteriovenous malformation. Please refer to the recent CTA report for additional details.2. Chronic right corona radiata lacunar infarct and scattered foci of periventricular and subcortical white matter abnormality likely related to chronic small vessel ischemic disease, without evidence for acu... |
Generate impression based on findings. | Pituitary tumor follow up. There is no significant interval change in the hypoenhancing pituitary mass, which measures 13 AP x 15 RL x 12 SI mm. The infundibulum is deviated to the right. There is slight protrusion of the tumor into the medial compartment of the left cavernous sinuses. There is no mass effect upon the ... | No significant interval change in size of the pituitary mass, which likely represents a macroadenoma. |
Generate impression based on findings. | 40 year old with history of BRCA1 mutation. Family history of breast cancer in her mother. Breast parenchyma is almost entirely fat in both breasts.Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal lymph nodes are identified in either axillary region.High T2... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 63 year old with biopsy proven IDC grade 2 with high grade DCIS in right breast presents for staging MRI. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST:There is an enhancing mass measuring 37 x 20 x 21 mm (AP x LR x CC) at 11 o'clock position in ... | 1. Biopsy proven carcinoma at 11 o'clock position in the right breast.2. Suspicious, clumped linear non-mass enhancement at 3 o'clock position in the left breast. MRI guided biopsy is recommended.3. No abnormal lymph nodes in either axillary regionBIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate ... |
Generate impression based on findings. | 36-year-old female. Evaluate for Crohn's disease. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH ... | Findings of chronic inflammatory bowel disease with two short segment fibrotic strictures of the distal ileum. No evidence of active inflammatory bowel disease or bowel obstruction. |
Generate impression based on findings. | 86-year-old female with history of metastatic breast cancer, increasing hip and leg pain ACETABULAR LABRUM: There is degeneration and degenerative tearing of the superior labrum.ARTICULAR CARTILAGE AND BONE: There is marked narrowing of the joint with loss of articular cartilage and extensive subchondral cyst formation... | Severe osteoarthritis affecting the right hip as described above. |
Generate impression based on findings. | Recurrent cholangitis. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology, with geographic areas of T2 hypointensity and heterogeneous enhancement. The mildly increased periportal signal intensity representing periportal edema versus inflammation is similar to prior studies. Small amount pericholecystic fluid lik... | 1. Multifocal intra-and extrahepatic biliary duct strictures consistent with primary sclerosing cholangitis, without significant interval change or focal mass evident.2. No acute abnormality identified. |
Generate impression based on findings. | CN-VII bilateral weakness with complete facial weakness. The cisternal segments of the bilateral facial nerves are grossly intact. 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 ven... | The cisternal segments of the bilateral facial nerves are grossly unremarkable, although assessment is limited without intravenous contrast. No evidence of intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | Reason: follow up brain metastases History: none. The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a 5-mm lesion located in the left cerebellar hemisphere which previously had a ringlike appearance and measured 8 x 10 mm axial dimensions. A small lesion in located in the right... | 1.Since the previous exam there has been regression in size and the visibility of the brain parenchymal lesions compatible with metastatic disease.2.Encephalomalacia along the right orbital gyrus.3.Periventricular and subcortical white matter changes of a mild degree are nonspecific. At this age they are most likely va... |
Generate impression based on findings. | 76-year-old male with prostate cancer PELVIS:PROSTATE: Suboptimal examination due to the brachytherapy seeds.Prostate Size: 4.0 x 4.4 x 3.1 cm.Peripheral Zone: Scattered susceptibility artifact of prostate brachytherapy. T2 hypointensity in the right mid gland at the junction of the transitional and peripheral zone mea... | 1.Multiple T2 hypointense lesions centered in the mid gland at the junction of the transitional zone and peripheral zone as well as the left base as described above. |
Generate impression based on findings. | Reason: ACL tear History: lateral knee impact with Rugby - + Lachman's, + McMurray's MENISCI: Tear of the root and posterior horn of the lateral meniscus with extrusion of the lateral meniscus. No definite medial meniscal tear.ARTICULAR CARTILAGE AND BONE: T1 dark and T2 dark focus in the lateral femoral condyle likely... | 1. Complete tear of the anterior cruciate ligament with moderate joint effusion. 2. Posterior horn and root tear of the lateral meniscus. |
Generate impression based on findings. | 22-year-old female. Anterior hip pain. Evaluate for labral tear. ACETABULAR LABRUM: Gadolinium enters the anterior/superior labrum indicating a tear. The tear appears to extend from the 1 to 3 o'clock position and also appears to extend through the entire labrum on image 5, series 1301. The posterior labrum appears int... | 1. Labral tear, as described above.2. Mild edema along the inferomedial aspect of the right femoral neck suggestive of a stress reaction. |
Generate impression based on findings. | Cellulitis of the left lower limb. Evaluate for osteomyelitis. TENDONS: No significant abnormality noted.LIGAMENTS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: T1 heterogeneity of bones of hind and midfott, but most prominent within the talus. No cortical erosion or synovial enhancement. No fracture.A... | 1.T1 heterogeneity most prominent within the talus, but identified in the hind and midfoot. No erosions or synovial enhancement. Findings are equivocal, probably within normal limits. Limited MRI of the contralateral ankle may be helpful to better evaluate bone marrow within the talus.2.Lateral and dorsal midfoot soft ... |
Generate impression based on findings. | Vertebral body heights and alignment are maintained, better assessed on recent radiographs. There is severe susceptibility artifact, presumably related to metallic BB in the left prevertebral soft tissues, which severely distorts images of most of the cervical spine. No obvious cord signal abnormality or spinal canal ... | 1. Severely limited, essentially nondiagnostic, evaluation of the cervical spine due to extensive susceptibility artifact related to metallic BB in the left prevertebral soft tissues.2. Prominent left paracentral disc protrusion at the left T7-T8 level which deforms the left ventral aspect of the cord. Minimal addition... |
Generate impression based on findings. | left acoustic neuroma; please evaluate for stereotactic radiosurgery planningSigns and Symptoms: left sided hearing loss There is redemonstration of a 14 x 7 mm mass located in the left internal artery canal and left cerebellopontine angle cistern.Normal vascular flow voids are present in the distal carotid and vertebr... | 1.There is a left cerebellopontine angle cistern mass most likely representing an acoustic neuroma. It is unchanged since prior exam.2.Please note this exam was performed for the purpose of treatment planning and is a limited exam. |
Generate impression based on findings. | Reason: 33 yo female with dx of von hippel lindau (VHL); evaluate for growth of existing pancreatic cysts and new or solid lesions History: 33 yo female with dx of von hippel lindau (VHL); evaluate for growth of existing pancreatic cysts and new or solid lesions. ABDOMEN:LIVER, BILIARY TRACT: Borderline enlarged liver ... | 1.Stable innumerable pancreatic cysts.2.Stable multiple renal cysts.3.No definite suspicious lesion. |
Generate impression based on findings. | 15-year-old male with medial joint line pain and swelling. Evaluate for meniscus tear. MENISCI: The medial and lateral meniscus appear intactARTICULAR CARTILAGE AND BONE: There is mild edema within the medial aspect of the patella. While this can be seen in patient's who recently sustained transient patellar dislocatio... | 1. Normal appearing menisci.2. Edema within the medial aspect of the patella and medial femoral condyle may represent bone contusions. While edema within the medial aspect of the patella can be seen in transient dislocation of the patella, there is no edema within the medial retinacular structures or lateral femoral co... |
Generate impression based on findings. | Liver lesion and complex renal cyst noted on screening ultrasound. 53-year-old male with chronic hepatitis B. ABDOMEN:LIVER, BILIARY TRACT: The right hepatic lobe lesion seen on the prior ultrasound is not definitely identified. An 8 mm T2 hyperintense lesion in the posterior right hepatic lobe (segment 6/7) appears to... | 1. Right hepatic lobe lesion seen on the prior ultrasound is not definitely identified. 2. Subcentimeter posterior right hepatic lobe lesion likely representing an hemangioma. 3. Left renal cyst without suspicious features. |
Generate impression based on findings. | Female, 82 years old, with facial droop and slurred speech. No restricted diffusion is seen. Mild scattered white matter T2 hyperintensity is seen. No edema or mass effect is detected. There is no acute intracranial hemorrhage or any abnormal extra-axial fluid. The ventricles and sulci are prominent compatible with lik... | 1.No acute intracranial abnormality.2.Mild chronic small vessel ischemic disease. |
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