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Generate impression based on findings. | History of hepatocellular carcinoma. Status post TACE/RFA. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: Mild cirrhotic morphology with fissural widening and subtle capsule nodularity. There is an ablation cavity in segment 6 of the liver from the patient's prior RFA. This contains increased T1 signal com... | 1.Post ablation findings in the hepatic dome and segment 6. No areas of suspicious washout to indicate residual tumor.2.Cirrhotic morphology of liver without evidence of portal hypertension. |
Generate impression based on findings. | 35 years Female (DOB:9/23/1980)Reason: MRI Brain/Head WWO History: HyperprolactinemiaPROVIDER/ATTENDING NAME: SHARON MANGUM SERVICES ANCILLARY MRI pituitary:There is partial empty sella. The pituitary measures 3mm in height. There is a 2mm non-enhancing focus within the midline of the pituitary gland just anterior to t... | 1.There is a small nodule in the pituitary measuring 2mm size. The possibility that this represents pituitary adenoma cannot be excluded.2.There is partial empty sella present which is non-specific3. |
Generate impression based on findings. | Male 67 years old Reason: Neck pain with stiffness and radiculopathy, history of cervical spine surgery, fusion C5/C6 1995 Changes status post interbody fusion of C5-C7, with obliteration of the disc spaces. The cranial-cervical junction is normal. Mild reversal of the of the normal cervical lordosis, likely postsurgic... | Changes post fusion of C5-C7. Facet arthropathy with encroachment of the left neural foramina at C3-4 and C4-5. No significant spinal canal stenosis. |
Generate impression based on findings. | 40 year old woman s/p heart transplant referred to evaluate for ischemia First Pass PerfusionDuring hyperemia, no perfusion defects were present.Viability/ Myocardial ScarThere was no late gadolinium enhancement noted suggesting that there is no prior myocardial infarction, fibrosis, inflammation, or infiltration. The ... | 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.4. Normal RV size and systolic function.5. When compared to the prior study, no significant change. Perfusion defect described on prior study likely an ... |
Generate impression based on findings. | Knee pain MENISCI: There is a horizontally oriented posterior horn, body, and anterior horn of the lateral meniscus.There is blunting of the inner free edge of the medial meniscus suggesting presence of a radial tear.This intrasubstance degeneration of the medial and lateral menisci.ARTICULAR CARTILAGE AND BONE: There ... | 1. Tears of the medial and lateral menisci.2. Moderate osteoarthritis of the knee with areas full thickness articular cartilage loss, worst in the medial compartment. |
Generate impression based on findings. | 67 years Male (DOB:3/11/1949)Reason: post stroke History: amsPROVIDER/ATTENDING NAME: ROBERT A. MULLIKEN MRI of the brainNo diffusion weighted abnormalities are appreciated.The CSF spaces are appropriate for the patient's stated age with no midline shift. No intracranial hemorrhage is identified. No edema is identified... | 1.No evidence for intracranial aneurysm.2.No evidence for intracranial or extracranial cervicocerebral vascular occlusive disease.3.No evidence for acute ischemic cerebral infarction or posterior reversible encephalopathy syndrome.4.MRI of the brain and MRA of the brain are within normal limits. There is a smaller plaq... |
Generate impression based on findings. | 45-year-old female recalled from screening mammography following identification of two new masses in the right breast, one at the 6:00 position, and the other at the 10:00 position. Six diagnostic mammograms of the right breast were performed including a standard ML view, spot compression MLO, ML and CC views as well a... | Simple cysts at the 10:00 and 6:00 positions of the right breast explain the findings on the recent screening mammogram that triggered this exam. No further evaluation is necessary. There is no mammographic evidence for malignancy. As long as the patient's physical examination remains normal, annual bilateral screening... |
Generate impression based on findings. | MRI BRAIN: There are multiple diffusion restricting oval lesions throughout the cerebral hemispheres, within the white matter. The largest area is in the left paramedian frontal lobe, with a slightly less circumscribed appearance. Additional lesions are seen in the left parietal centrum semiovale, left frontal lobe de... | 1. No acute infarct.2. Multiple oval areas of diffusion restriction throughout the cerebral white matter, including the left paramedian/midline splenium of the corpus callosum. No definite associated enhancement with only mild associated FLAIR abnormalities and central lower T2 signal. Differential diagnosis includes p... |
Generate impression based on findings. | Meningeal irritation, evaluate for infectious process, structural cause for subdural hematoma, evaluate for aneurysm or other vascular abnormality, evaluate for extracranial vascular abnormalities MRI brain: There are bilateral subdural hematomas left larger than right with mild diffuse prominence of the overlying dura... | 1. Persistent bilateral subacute subdural hematomas with no change in the associated midline shift.2. Mild dural reaction overlying the subdural hematomas, but no evidence of abnormal leptomeningeal enhancement or cerebral abscess.3. No evidence of aneurysm, stenosis, or dissection of the intracranial and cervical arte... |
Generate impression based on findings. | Brain MRI:There is a 4.5 cm AP x 3.1 cm craniocaudal x 3.0 cm transverse dimension lesion located in the anterior left middle cranial fossa which is isointense to CSF on all sequences, does not contrast enhance, and does not demonstrate restricted diffusion.The ventricles and sulci are normal in size. The cerebellar t... | 1.There is a 4.5 cm AP x 3.1 cm craniocaudal x 3.0 cm transverse dimension arachnoid cyst within the anterior left middle cranial fossa.2.Small Schmorl's nodes are noted involving the endplates at several lower thoracic levels extending from T8/9 through T12/L1. Only 2 of the associated vertebral bodies demonstrate min... |
Generate impression based on findings. | 48-year-old male patient with left arm numbness. Question of ischemia/infarction. MRI BRAIN: There are no diffusion-weighted abnormalities to suggest acute ischemia. An area of encephalomalacia within the inferior left parietal lobe is consistent with a chronic ischemic infarct. There is an area of cortical T2 signal a... | 1. No evidence of an acute ischemic infarct.2. Chronic left inferior parietal lobe ischemic infarct and a chronic ischemic infarct involving the posterior right parietal lobe, which is new from the prior MRI. These findings occur on a background of chronic small vessel ischemic disease.3. Unremarkable MRA of the brain.... |
Generate impression based on findings. | Male 82 years old Reason: Eval for clearance of biliary stones, s/p ERCP on 2/12. Please perform study on Monday 2/15 (3 days post-procedure) History: jaundice, abd pain ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. Hepatic and portal veins are patent. There is mild central... | 1.Status post cholecystectomy with small amount of debris within the cystic duct. Mild central intrahepatic biliary duct dilatation.2.3.4 x 1.5 cm fluid collection anterior to the hepatic flexure representing either an abscess or biloma.Findings discussed with Dr. Krishnamoorthi at the time of dictation |
Generate impression based on findings. | Female, 50 years old, with numbness and weakness, history of neuromyelitis optica. Evaluate for new or worsening disease. Diffuse atrophy of the spinal cord is redemonstrated, particularly affecting the thoracic cord. Patchy abnormal signal is also redemonstrated in the cervical cord and to a lesser extent the thoracic... | 1.Diffuse spinal cord atrophy and patchy abnormal signal are redemonstrated appearing grossly similar to the prior examination. These findings are compatible with the stated history of neuromyelitis optica. No definite evidence of any new or enhancing lesion is seen.2.Incidental note is made of bilateral pleural effusi... |
Generate impression based on findings. | Male 20 years old Reason: recurrent knee pain, impingement? History: right knee pain anterolaterally MENISCI: There is a complex tearing of the posterior horn of the medial meniscus with both vertical and horizontal components. No new lateral meniscus tear.ARTICULAR CARTILAGE AND BONE: No significant abnormality noted.... | 1. Complex tearing of the posterior horn of the medial meniscus.2. Edema within the anterior patella which likely represents a bone contusion. |
Generate impression based on findings. | 14-year-old female with low back pain x 6 months plus sciatica. Evaluate for sclerosis/healing of bilateral spondylolyses. Lumbar spine:There is minimal straightening of the lumbar spine which may be secondary to positioning for examination. Attenuation and morphology of the vertebral bodies and intervertebral disk spa... | 1. Spondylolysis of L5. Mild bilateral sclerosis involving the inferior L5 facet compatible with pars defect without evidence of fusion.2. No evidence of spondylo-listhesis. |
Generate impression based on findings. | Signs and symptoms: MVC. No neck pain. Clinical question: 71-year-old.? Fracture. Nonenhanced head CT:Findings of small vessel disease of indeterminate age is present and evident by few small patchy periventricular and subcortical white matter low attenuation.No evidence of intracranial hemorrhage, edema, mass-effect, ... | 1.Nonenhanced head CT demonstrates minimal findings of small vessel disease of indeterminate age and otherwise unremarkable.2.CT of cervical spine demonstrates no evidence of fracture or malalignment. Extensive degenerative disk disease and hypertrophic changes of posterior elements are present. Significant bulge of di... |
Generate impression based on findings. | Ms. Einsele is a 64 year old female with a personal history of right breast lumpectomy in 2002 for DCIS treated with radiation and hormonal therapy. Family history of breast cancer in mother, maternal aunt, maternal first cousin, and paternal aunt. Patient is BRCA2 mutation carrier. There is scattered fibroglandular ti... | Stable postsurgical changes of the right breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Clinical question: Rule out hydrocephalus. Signs and symptoms: concern for developmental delay. Nonenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass effect or midline shift or hydrocephalus.The cortical sulci, ventricular system and midline is within normal. There is prominence of subarachno... | No definitive evidence of intracranial pathology for patient stated age. If there is concern for developmental delay follow-up with an MRI is recommended. |
Generate impression based on findings. | Vomiting and headaches. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. T... | No evidence of acute intracranial hemorrhage, mass, or ventriculomegaly. |
Generate impression based on findings. | History of multiple myeloma in remission with distal femur lesion. Again seen is the moderate cortical thickening/irregularity, periosteal reaction, and endosteal scalloping of the distal femoral diaphysis previously visualized on radiographs and MRI. These findings are not significantly changed from prior examination. | Chronic periosteal reaction is consistent with known myeloma however on the basis of this imaging, one cannot exclude a metastasis of an unknown primary. |
Generate impression based on findings. | There is mild anterolisthesis of L4 on L5 and mild retrolisthesis of L5 on S1. There are defects at the superior endplates of the T12 and L1 vertebral bodies, again noted. There is multilevel loss of disc height and disc dessication. There is mild heterogeneity of the marrow signal. The spinal cord displays normal sig... | 1.Degenerative spondylosis of the lumbar spine with interval progression of moderate spinal canal stenosis at L3-L4, improved moderate spinal canal stenosis at L4-L5 and unchanged moderate spinal canal stenosis at L2-L3. 2.Left laminotomy changes at L4-L5. 3.Left paracentral/foraminal disc protrusion at L5-S1 with impi... |
Generate impression based on findings. | 59-year-old female with 3 day history of headache and now has altered mental status. Evaluate for bleed. Patchy nonspecific areas of low attenuation are seen in periventricular white matter with a more discrete focus seen in the right thalamus as well as vague hypoattenuation in the left pons. While these may represent... | Patchy, nonspecific areas of low-attenuation in the periventricular white matter with a more discrete focus seen in the right thalamus and vague hypoattenuation in the left pons. Without prior comparison studies, it is difficult to distinguish between sequela from small vessel ischemic disease from acute infarct. If ac... |
Generate impression based on findings. | History of glaucoma and bilateral optic atrophy with visual field deficits not consistent with glaucoma: altitudinal superior field defect OS, enlarged blind spot OD. Some of the sequences are degraded by patient motion. There is mild diffuse volume loss of the bilateral optic nerves and chiasm. However, there is no ev... | 1. Mild diffuse volume loss of the bilateral optic nerves and chiasm.2. Findings that may represent acute sinusitis. |
Generate impression based on findings. | 45-year-old male with subacute cholestatic liver enzyme elevation with acute worsening of alkaline phosphatase in 300s one month ago at outside hospital, now 900s. Worsening of extensive tumor burden at multiple locations versus focal stentable obstruction secondary to malignancy. Exam limitations related to respirator... | 1.Numerous bilobar hepatic metastases with at least 2 lesions extending beyond the hepatic capsule into the subcutaneous tissues. Reference measurements listed above.2.There is possible abnormal soft tissue signal adjacent to the expected level of the bilioenteric anastomosis (could reflect nodal disease) without signi... |
Generate impression based on findings. | 38 years old, female, with history of dextro-transposition of the great vessels s/p Mustard procedure, who is transferred for tachy-brady syndrome. She is referred for Cardiac MRI to evaluate cardiac anatomy and function. Overall Anatomyd-TGA. There is a Mustard baffle that connects the SVC and IVC to the sub-pulmonic ... | 1. dTGA anatomy. 2 s/p Mustard operation.3. Unobstructed Mustard baffle without leak.4. Significant dilated sub-aortic ventricle with hypokinesis.5. No subpulmonic/subaortic stenosis.6. No aortic regurgitation.7. No LGE noted.Reviewed the study with Dr. Varga. |
Generate impression based on findings. | 59-year-old male with biopsy-proven multifocal HCC in right liver status post TACE/RFA in December 2014. Surveillance scan. LIVER, BILIARY TRACT: There is a 2.1 x 1.9 cm ablation cavity in the inferior right liver tip that does not demonstrate any residual internal or peripheral enhancement (series 10, image 122). Loca... | 1.Post-ablation changes in the right liver with nodular arterially enhancing lesion adjacent to the superior ablation cavity that demonstrates central washout. Findings are suspicious for residual HCC. 2.Cirrhotic liver morphology and findings compatible with portal hypertension as described above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images of left breast (2/18/15) and breast MRI (2/19/15) performed at . For comparison, digital mammographic images (1/26/15), ultrasound images of left breast (1/26/15) are available. DIGITAL MAMMOGRAPHIC IMAGES OF LEFT BREAST ... | 1. Biopsy proven cancer in the left 3 o'clock position.2. A small cluster of calcifications is present at 3 cm medially from the known cancer in the left breast. Stereotactic core needle biopsy is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Female, 61 years old, with history of multiple myeloma and back pain, with history of T12, L1 and L2 fractures. Assess for healing and for evidence of any new fractures. Thoracic:Spinal marrow signal density remains heterogeneous but is less uniformly T1 hypointense when compared to the prior examination which may refl... | 1.Interval kyphoplasty of the compressed T12 vertebral body. No new compression deformities are seen in the thoracic spine.2.No significant change in compression fractures of the L1 and L2 vertebral bodies including mild retropulsion of osseous material. No new lumbar compression deformity is are seen.3.No significant ... |
Generate impression based on findings. | 76-year-old female experiencing bilateral upper extremity numbness, tingling, and pain, left hand symptoms are worse. Posterior fossa findings from previous extra-axial mass resection are better demonstrated on previous brain MRI dated 11/11/2014. Alignment is anatomic. There are no fractures or subluxations. The marro... | 1.C2/3 redemonstrates a left paramedian disk protrusion which results in flattening of the anterior left hemicord. The signal intensity of the cord remains within normal limits and bilateral neural foramina remain patent. These findings are unchanged.2.C4/5 demonstrates mild left neural foraminal compromise, unchanged.... |
Generate impression based on findings. | History of prostate cancer. No pathology is available. PELVIS:PROSTATE:Prostate Size: 3.2 x 4.1 x 4.5 cmPeripheral Zone: Poorly defined T2 hypointense lesion in the paramedial right mid gland/apex (series 4 and 1/81) with associated restricted diffusion (series 503/304), measuring approximately 9 mm.Central Gland: 1.7 ... | 1.7 cm suspicious lesion in the right anterior mid gland/apex of the central gland bulging the prostatic contour, suspicious for extraprostatic extension. Right mid-gland peripheral zone 9 mm lesion is also suspicious for prostatic adenocarcinoma. No enlarged pelvic lymphadenopathy. |
Generate impression based on findings. | 76 year old female with a history of heart failure with reduced ejection fraction (non-ischemic), hypertension, and non-sustained ventricular tachycardia. Referred for cardiac MRI First Pass PerfusionNo perfusion abnormalities of the LV are noted. Left VentricleThe left ventricle is normal in size and moderately reduce... | 1. The left ventricle is normal in size and moderately reduced in systolic function (LVEF 42%). There is mild left ventricular hypertrophy. 2. No evidence of late gadolinium enhancement to suggest presence of underlying fibrosing, infiltrative, or inflammatory process.3. The right ventricle is normal in size and systol... |
Generate impression based on findings. | 45 year-old female with shortness of breath and previous MRI suggestive of constriction. For follow-up study. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 65%, the LV end diastolic volume index is 52 ml/m2 (normal range: 65+/-11), the LVEDV is 98 ml (norm... | 1.The left ventricular size and systolic function are normal. LVEF is 65%.2. The right ventricular size is normal with mildly reduced systolic function. RVEF is 44 %.3. Thickening of the pericardium with extensive calcification of the pericardium at the base of the ventricles with evidence of respirophasic septal shift... |
Generate impression based on findings. | Clinical question : 39-year-old female with history of left basal ganglia mass/calcification. Three evaluate for progression. Signs and symptoms: seizure Nonenhanced head CT:Large area of speckled calcification in the left basal ganglia with extension into the thalamus on the left is again identified. There is no evide... | Stable examination since prior study and in particular no evidence of change in the size or distribution of the left basal ganglia -- thalamic calcification. Please see above comments. |
Generate impression based on findings. | 27 years old, Male, Reason: palpable mass palpated along the left submandibular border History: firm, mobile mass in the soft tissue RIGHT LOBE MEASUREMENTS: 5.9 x 1.8 by 1.5 cmLEFT LOBE MEASUREMENTS: 5.5 x 1.7 x 1.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Echogenicity of the right thyroid lobe is within normal limit... | Benign appearing lymph node in the submandibular area which patient identifies as palpable mass. |
Generate impression based on findings. | Mail carrier with hip pain ACETABULAR LABRUM: No significant abnormality noted. Specifically the labrum appears intact in this non augmented study.ARTICULAR CARTILAGE AND BONE: Moderate osteoarthritic changes progressed since the prior plain film imaging. Currently more advanced but this may be partially due to differe... | Moderate osteoarthritic changes of the hip without superimposed discreet additional abnormalities. |
Generate impression based on findings. | 37 years, Female, numbness in the thumb/finger on the left and ankle on the left. Evaluate for multiple sclerosis. Brain MRI appears within normal limits. No parenchymal lesions are seen to suggest demyelinating disease. Ventricles and sulci are within normal limits. No restricted diffusion to suggest acute ischemia. N... | Brain MRI is within normal limits. No findings to suggest demyelinating disease. |
Generate impression based on findings. | There is a focus of restricted diffusion in the splenium of the corpus callosum with associated T2/FLAIR hyperintensity.Elsewhere there is no significant signal abnormality or evidence of edema or mass effect. The cerebellar tonsils remain above the foramen magnum. There is no grey matter heterotopia, cortical dysplas... | 1. Restricted diffusion in the splenium of the corpus callosum associated with T2/FLAIR hyperintensity. This likely represents cytotoxic edema related to seizure activity and/or the effect of anti-seizure medication.2. Findings suggestive of a short segment of fibrofatty infiltration of the filum terminale. In the abse... |
Generate impression based on findings. | 73 years Male (DOB:6/4/1943)Reason: eval for stenosis, hx of RLE radiculopathy History: abovePROVIDER/ATTENDING NAME: HUE H LUU HUE H LUU Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact. There is a levocurva... | 1.There are multilevel degenerative changes present in the lumbar spine with moderate encroachment of the right-sided exiting nerve roots at L4-5 and L5-S1.2.There are right-sided endplate reactive changes in the acute or subacute phase at the L3-4 level.3.There is a levocurvature to the lumbar spine associated with mi... |
Generate impression based on findings. | There is a normal alignment of the cervical vertebrae and the vertebral bone marrow signal is unremarkable. There is multilevel degenerative facet joint hypertrophy with considerable neural foraminal narrowing bilaterally at C2-3, C3-C4, C4-C5, and C5-C6, which may have progressed slightly overall since 2009. However,... | Multilevel cervical spine neural foraminal narrowing secondary to facet joint hypertrophy, with may have slightly progressed since 2009, but no significant spinal canal stenosis. |
Generate impression based on findings. | History of does Desmoid tumor. Evaluate for progression. ABDOMEN:LIVER, BILIARY TRACT: T2 hyperintense segment 7 focus demonstrating arterial enhancement without washout, unchanged. No additional focal liver lesion. Stable mild common bile duct prominence without a focal lesion or stone. Normally distended gallbladder.... | 1.No significant interval change in the small bowel mesentery mass which encases the SMA and SMV.2.Enlarged lobular uterus containing multiple masses most of which demonstrate signal characteristics typical of leiomyomata, however a right fundal mass is somewhat atypical (increased T2-weighted signal intensity restrict... |
Generate impression based on findings. | 34 year old male with new onset congestive heart failure presenting for evaluation of new left ventricular systolic dysfunction. Left VentricleThe left ventricle is normal in size with moderately reduced systolic function. There is moderate predominantly circumferential left ventricular hypertrophy. The overall LV ejec... | 1. Normal LV size with moderate left ventricular hypertrophy and moderately reduced systolic function (LVEF 36%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration.2. Normal RV size and systolic function (RVEF 61%). |
Generate impression based on findings. | Male, 37 years old, with back pain. Alignment is anatomic. Vertebral body heights are preserved. Mild degenerative endplate edema is seen at L4-5. Elsewhere, no significant marrow replacement or marrow edema is detected. The visualized distal spinal cord, conus and nerve roots of the cauda equina are within normal limi... | Relatively mild disc degeneration is seen at L3-4, L4-5 and L5-S1 with disc bulging and small protrusions as discussed above. No areas of high-grade spinal canal stenosis are seen and only mild scattered foraminal narrowing is observed. |
Generate impression based on findings. | 63 years, Female, new HIV diagnosis, stage IV rectal CA. Evaluate for tumor or infection. Sepsis, altered mental status. Global parenchymal volume loss is noted which is advanced for patient's age. Diffusion-weighted sequences are motion degraded limiting evaluation for acute infarct; however, no obvious acute infarct ... | Limited sequences obtained as patient could not tolerate the full study. No intracranial mass, mass effect, or evidence of edema. No findings to suggest intracranial abscess or empyema. Please note lack of contrast limits evaluation for small metastatic lesions as well as infection, and lumbar puncture should be consid... |
Generate impression based on findings. | 18 year-old male with sickle cell crisis and severe headache There is no evidence of intracranial hemorrhage, mass or edema. Crowding of the foramen magnum with the cerebellar tonsils extending inferiorly off the image corresponding to a Chiari 1 malformation as seen on the previous MRI.There is a subtle hypoattenuatio... | No acute intracranial abnormality. Chiari 1 malformation is again noted. |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient w... | Successful fluoroscopic-guided right hip arthrogram. |
Generate impression based on findings. | 24-year-old with locally diagnosed endometrial cancer. Assess extent of disease. EPIC Note: Dilation and curettage of the endometrial cavity: endometrial endometrioid FIGO grade 2 adenocarcinoma with background of polypoid endometrium with atypical hyperplasia PELVIS:UTERUS, ADNEXA: There is abnormal heterogeneous thic... | Abnormal heterogeneous thickening of the endometrial cavity with regions of polypoid heterogeneous enhancement with findings suspicious for at least 50% myometrial invasion at the anterior lower uterine segment. No evidence of cervical stromal invasion or extra-uterine tumor extension. |
Generate impression based on findings. | Reason: evaluate for loose bodies History: lateral joint line pain MENISCI: There are postsurgical changes of lateral partial meniscectomy with absence of the lateral meniscal body and degeneration / tearing of the posterior horn. There is increased signal within the medial meniscus which may reflect mucoid degeneratio... | 1.Postsurgical changes of lateral partial meniscectomy with absence of the lateral meniscal body. Degeneration and tearing of the posterior horn.2.Moderate to severe osteoarthritis with large areas of full-thickness cartilage loss in the lateral compartment. |
Generate impression based on findings. | 18-year-old with history of seizure and prior right temporal lobe indeterminate lesion/mass. Follow-up exam. There remains abnormally increased T2 signal within the mesial right temporal lobe hippocampus and amygdala which is perhaps minimally decreased compared to prior. The 2 nodular foci of increased enhancement in ... | 1. Compared to prior, there is stable to minimally decreased abnormal T2 signal in the mesial right temporal lobe. The adjacent nodular foci of enhancement have resolved. Considering the MR spectroscopy data from 12/15/2015, this remains most consistent with an inflammatory process with tumor considered less likely. Bo... |
Generate impression based on findings. | 35 year-old Male with history of MS.INDICATIONS: Reason: MS; eval for progression History: paresthesias. There are numerous (>20) bilateral periventricular and subcortical white matter T2/FLAIR hyperintense lesions with morphology and distribution consistent with known demyelinating disease. There are confluent areas n... | Moderate burden of T2/FLAIR hyperintense lesions related to known demyelinating disease. No prior studies are available for comparison; an addendum can be issued if they are made available. |
Generate impression based on findings. | Known cardiac amyloid, continued evaluation of disease burden. . Left VentricleThe left ventricle is normal in size with mildly decreased systolic function. The overall LV ejection fraction is 45%, the LV end diastolic volume index is 70 ml/m2 (normal range: 74+/-15), the LVEDV is 145 ml (normal range 142+/-34), the LV... | 1. The left ventricle ejection fraction is decreased at 45% with concentric hypertrophy of the ventricle.3. There is late gadolinium enhancement in a diffuse pattern of the myocardium, which in clinical context are suggestive of the presence of cardiac amyloid. 4. Native T1 mapping also suggests abnormal myocardial sig... |
Generate impression based on findings. | Evaluate for progression of metastatic disease. Images through the skull base and including cavernous sinuses remain free of malignancy. Paranasal sinuses and mastoid air cells are unremarkable.Images through the soft tissues of the neck demonstrate a cluster of large nonenhancing mass is in the left supraclavicular re... | 1.Cluster of metastatic nodes in the left supraclavicular region as detailed above.2.Metastatic lesion to C6 with significant compression deformity and metastatic lesion to the posterior aspect of C7 vertebrae. There is extraosseous epidural spread of tumor at this level into the cervical spinal canal.3.Metastatic nodu... |
Generate impression based on findings. | Diagnosis: Precocious pubertyClinical question: brain abnormality responsible for sexual precocity?Signs and Symptoms: sexual precocity MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is an extra-axial cystic lesion present along the anterior middle cranial fossa on th... | 1.There is a hypothalamic mass present. Differential considerations include craniopharyngioma as well as germinoma and primary brain tumor. Granulomatous disorder is less likely.2.There is an arachnoid cyst present in the right middle cranial fossa.3.There are opacities in the middle ears and mastoid air cells associat... |
Generate impression based on findings. | Female 13 years old Reason: TOF s/p valve sparing repair, RV dilation and elevated RVP, moderate valvar pulmonary stenosis, history of LPA stenosis. Left VentricleThe left ventricle is normal. The overall LV ejection fraction is 63.3%, the LV end diastolic volume index is 70.4 ml/m2 (normal range: 65+/-11), the LVEDV i... | 1. Right atrium and ventricle enlargement.2. Mild hypoplasia/stenosis of the left pulmonary artery.3. Pulmonary and tricuspid valve regurgitation.Dr. Peter Varga was present during the elaboration of this report and agrees with the findings. |
Generate impression based on findings. | Patient with history of BPH and urinary symptoms, PSA on 11/29/2016 was 2.04, no pathology report available but does not appear to have prior biopsy based on medical records. PELVIS:PROSTATE:Prostate Size: 5.3 x 3.2 x 4.5 cmPeripheral Zone: Diffuse patchy T2 signal abnormality with mild restricted diffusion in the peri... | 1.Diffuse patchy T2 signal abnormality of the peripheral zone, likely representing areas of prostatitis.2.Benign prostatic hypertrophy. |
Generate impression based on findings. | 67-year-old male with elevated PSA PELVIS:PROSTATE:Prostate Size: 2.9 x 2.6 x 4.5 cm.Peripheral Zone: T2 hypointensity measuring 0.9 x 0.9 cm in the left mid peripheral zone with corresponding ADC hypointensity. This lesion abuts and retracts the capsule. No early enhancement is evident.Nonspecific oblong T2 hypointens... | 1.T2 hypointensity in the left mid gland peripheral zone suspicious for malignancy.2.Additional nonspecific T2 hypointense lesion in the right peripheral zone apex. |
Generate impression based on findings. | Male; 72 years old. Reason: 72 yo with abnl LFT, h/o pancreatitis History: none ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesions. No biliary ductal dilation. Possibility of paradoxical signal loss of the liver diffusely on in- and out-of-phase images, which could be due to mild iron deposition. Trace perihepatic as... | 1. Findings of chronic pancreatitis.2. No focal liver lesions. No biliary ductal dilation. |
Generate impression based on findings. | History of metastatic prostate cancer status post recent left frontal region tumor resection. There are postoperative findings related to recent resection of a left frontal convexity mass, along with overlying craniectomy. There is no evidence of gross residual tumor, but there is persistent edema in the underling left... | 1. Recent resection of a left frontal convexity tumor resection, without evidence of gross residual tumor, but persistent edema in the left frontal lobe.2. Punctate acute infarct in the left inferior parietal lobule. |
Generate impression based on findings. | Female, 32 years old, at 31 weeks and 5 days gestational age, presenting for further evaluation of fetal ventriculomegaly as seen on ultrasound. The lateral ventricles are enlarged, left side more so than right. The left lateral ventricle measures up to 14 mm in diameter at the level of the atrium, while the right late... | Mild dilatation of the lateral ventricles is seen, left side more so than right. The third and fourth ventricles remain normal in caliber.The cortical mantle is severely thinned bilaterally with generalized under-sulcation of the brain along with delayed development of the sylvian fissure and poor opercularization.The ... |
Generate impression based on findings. | Multiple sclerosis. Sensory band at T9. There is no abnormal cord signal. Cord volume is maintained. There is very minimal anterior wedging involving the T6-T8 vertebral bodies. Vertebral body heights and alignment in the thoracic spine are otherwise maintained. Mild multilevel degenerative changes are seen including m... | 1. No appreciable cord signal abnormality to suggest demyelinating disease.2. Mild multilevel degenerative changes including disc protrusion at the T8-T9 level which effaces the ventral thecal sac and contacts the ventral cord. However there is no significant spinal canal stenosis overall at this or any other level in ... |
Generate impression based on findings. | This exam is limited without gadolinium based contrast. There is transitional anatomy with lumbarization of S1 and 6 lumbar type vertebral bodies. This vertebral body will be termed lumbarized S1 in this report.THORACIC SPINE: There are subtle T1 and T2 hyperintense lesions involving the C7, T5, T7, T8, and T10 verteb... | 1.Transitional anatomy with lumbarization of S1. If surgery is to be contemplated, please correlate with imaging of the entire spine.2.Limited exam without contrast.3.Unchanged recent L1 compression fracture without spinal canal stenosis. No additional lesions identified concerning for spinal metastases identified.4.Pr... |
Generate impression based on findings. | Paresthesias. Unusual pain in her right lower quadrant, around, and below the scar. The vertebral column alignment is within normal limits. There is a small intravertebral disc herniation in the superior endplate of L4. Otherwise. the vertebral body and disc space heights are preserved. The vertebral bone marrow signal... | 1. No evidence of spinal canal stenosis.2. The appearance of the bowel is the right pelvis appears to be abnormal, perhaps representing adhesions of inflammation, for example, although this area is incompletely characterized. Dedicated pelvic imaging via MRI, ultrasound, or CT may be useful for further investigation. |
Generate impression based on findings. | Assess for basal ganglia disease: tremor. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is punctate susceptibility effect in the bilateral globi pallidi. There are a few scattered punctate foci of cerebral white matter T2 hyperintensity. The ventricles and basal cisterns are normal in s... | 1. Nonspecific mild mineralization within the bilateral globi pallidi. 2. No evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | 64 year old man with history of atrial fibrillation, thickened inter-atrial septum seen on echo, referred for cardiac MRI for further evaluation. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57%, the LV end diastolic volume index is 62 ml/m2 (norm... | 1. The interatrial septum is thickened because of lipomatous hypertrophy. No evidence of mass. No evidence of atrial septal defect or other cardiac shunt. 2. The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 57% without evidence of underlying myocardial fibrosis, in... |
Generate impression based on findings. | History of left cavernous sinus aneurysm. The examination demonstrates expansion of the left cavernous sinus. In comparison with a prior brain MRI, it remains stable. The cerebral and cerebellar hemispheres are normal in attenuation and morphology. There is no intracranial hemorrhage, edema, midline shift or abnormal e... | Grossly stable left cavernous sinus fusiform aneurysm as detailed above. |
Generate impression based on findings. | 45 years Male (DOB:11/28/1970)Reason: Optic neuritis History: Per MRi recPROVIDER/ATTENDING NAME: RIMAS V LUKAS JAMES A MASTRIANNI MRI orbits:There is enlargement and enhancement of the intraconal portion optic nerves bilaterally and symmetrically.The eyeballs are intact. No intraconal or extraconal space mass is ident... | Enlargement and enhancement of the optic nerves bilaterally. One explanation could be optic neuritis. Infiltrating lesion such as granuloma or neoplasm are alternative consideration. Please correlate with patient's clinical symptoms and history. |
Generate impression based on findings. | Enhancing, intrinsically T1 hyperintense treated metastatic lesion in the right superior frontal gyrus is essentially stable to minimally increased in size, measuring 1.1 x 0.9 cm (series 1201, image 117), previously measuring 1.0 x 0.8 cm. Area of enhancement in the center of the lesion has become more bilobed in app... | 1. Stable to subtle interval increase in size of bilateral supratentorial metastatic lesions. There is a definite gradual increase in size of these lesions when compared to the more remote exam on 10/6/2015.2. Stable appearance of nonspecific, nonenhancing punctate foci of T2/FLAIR hyperintensity within the white matte... |
Generate impression based on findings. | 21-year-old female patient with pregnancy of unknown location at 14 weeks. Ultrasound demonstrated possible cornual versus ectopic pregnancy. PELVIS:UTERUS, ADNEXA: The uterus is displaced to the right in the pelvis secondary to a large extrauterine mass measuring approximately 7.8 x 7.9 x 7.6 cm (image 139, series 6 a... | 1.Findings favored to represent an ectopic pregnancy within the left adnexa, however, a pregnancy within a truncated didelphic horn is not entirely excluded, but considered less likely. No significant free fluid in the pelvis.2.Uterine fibroids. |
Generate impression based on findings. | Reason: lymphoma of scalp in past.new epidural and vertebral tumor on lumbar MRI and PET scan. History: none;findings as noted Serial CT images obtained during the biopsy procedure demonstrate the needle placement within the vertebral lesion. Following needle removal images obtained that demonstrate no complications. | 1.L3vertebral bone biopsy under CT guidance. A total of five bone biopsy samples were delivered to pathology for analysis.2.L3 paraspinous soft tissue biopsy under CT guidance. A total of 3 samples were delivered to pathology for analysis.3.Touch preps from each specimen were obtained and analyzed by cytopathologist wh... |
Generate impression based on findings. | Migraine without aura, not intractable, without status migrainosus [G43.009], Reason for Study: ^Reason: Migraine, increased on frequency, severity, over 2 months. ? Etiology History: Migraine, increased on frequency, severity, over 2 months. No evidence of acute ischemic or hemorrhagic lesion on the scan. No abnormal ... | Normal brain MRI. |
Generate impression based on findings. | Female 59 years old Reason: standing lumbar spine ap lateral flexion extension History: lbp. There is grade 1 anterolisthesis of L4 on L5. There is no significant change in the anterolisthesis on flexion or extension positioning.The remaining vertebral body heights and intravertebral disk spaces are preserved. | Grade 1 L4 on L5 anterolisthesis without change upon flexion or extension of the lumbar spine. |
Generate impression based on findings. | 18 year-old patient with somnolence and bilateral DVTs. The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma. No abnormal enhancing lesions ... | The infundibulum of the pituitary gland appears mildly thickened. Please correlate with for clinical symptoms related to to the pituitary. If thought clinically appropriate, an MRI of the pituitary may be of benefit in assessing this area. |
Generate impression based on findings. | Female, 38 years old, with Chiari malformation status post decompression with pseudomeningocele and CSF leak, recently admitted for infection involving the ventricular shunt and pseudomeningocele, status post EVD placement and removal, status post pseudomeningocele/abscess drainage and repair. Evidence of Chiari decomp... | 1.Postoperative findings are seen compatible with Chiari decompression status post redo. The dorsal CSF space at the neoforamen magnum remains crowded and there is no detectable CSF flow in this location. Ventrally, the CSF space seems to be adequately patent. The brainstem demonstrates a somewhat kinked morphology sug... |
Generate impression based on findings. | cT2N1 nasopharyngeal squamous cell carcinoma treated with TFHx and XRT. There are post-treatment findings in the nasopharyngeal. There is no residual measurable right nasopharynx mass. There is also no significant upper cervical lymphadenopathy. For example, a right level 2B lymph node measures 5 x 9 mm. The skull base... | No measurable residual treated right nasopharyngeal carcinoma and no significant upper cervical lymphadenopathy. |
Generate impression based on findings. | Strong family history of breast cancer There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal axillary lymph nodes are identified in either axillary region. | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 79 years Male (DOB:10/30/1937)Reason: Stroke work up History: as abovePROVIDER/ATTENDING NAME: KATIE TATARIS No evidence of acute ischemic or hemorrhagic lesion on the scan.Multifocal bihemispheric patchy FLAIR/T2 high signal intensities on periventricular white matter and centrum semiovale indicate nonspecific small v... | MRI of the brain is within normal limits |
Generate impression based on findings. | 44-year-old female with heavy bleeding. Evaluate uterine fibroids. PELVIS:UTERUS, ADNEXA: The uterus is retroverted. Note is made of thickening of the endometrium, most pronounced along the anterior wall of the body and fundus of the uterus, measuring approximately 26 mm in diameter. There are punctate foci of fluid si... | 1.Findings which appear most consistent with adenomyosis, as detailed above.2.Multiple subcentimeter uterine fibroids, as detailed above. |
Generate impression based on findings. | The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. The spinal cord is of normal caliber and signal. There is no pathological epidural or leptomeningeal enhancement. Diffuse low T1 marrow signal is noted which is nonspecific but compatibl... | 1. Findings most compatible with extensive bone infarcts/osteonecrosis involving the T10-S2 vertebra with similar smaller lesions involving the bilateral iliac bones. Vertebral body heights remain grossly maintained although subtle focal endplate depressions are noted at multiple levels. 2. No evidence of cord signal a... |
Generate impression based on findings. | Low grade glial neural tumor status post third ventriculostomy and biopsy: surveillance. There are postoperative findings related to right transfrontal biopsy of an inferior tectal lesion with interval resolution of enhancement, but persistent susceptibility effect and T2 hyperintensity along the surgical track. There ... | Interval evolution of postoperative findings related to biopsy of a tectal lesion, which has otherwise not significantly changed in size. |
Generate impression based on findings. | Seizures, question meningioma There is an extra-axial homogeneously enhancing mass along the left anterior temporal convexity measuring approximately 33 x 43 x 36 mm in the AP, transverse, and craniocaudal dimensions. Small associated dural tail best appreciated on the sagittal images. There is small amount of suscepti... | 1. 33 x 43 x 36 mm extra-axial enhancing mass along the left anterior inferior frontotemporal convexity most likely represents a meningioma. Suggest comparison with priors if available. There is associated local mass effect on the left anterior temporal and inferior frontal lobes at the operculum. No other lesions to s... |
Generate impression based on findings. | 24-year-old female with pain and swelling. LIGAMENTS: No significant abnormality noted.TENDONS: The extensor tendons appear intact. The flexor tendons appear intact. There is enhancement which extends in a circumferential fashion along the extensor tendons along the base of the second through the fourth metacarpals, wh... | Nonspecific subcutaneous edema along the dorsal aspect of the hand and wrist with possible mild extensor digitorum tendon tenosynovitis. |
Generate impression based on findings. | Reason: concern for CVA, unable to further assess chronicity on CT History: ams, contracted MRI of the brainThere is encephalomalacia present along the left parietal lobe as well as in the watershed zone between left anterior and middle cerebral artery territories. There is associated susceptibility effect along the le... | 1.Findings suggest late subacute infarction along the medial aspect of the left parietal lobe and in the posterior aspects of the cingulate gyrus bilaterally.2.Encephalomalacia is present along the left parietal lobe and watershed zone between the left middle and anterior cerebral artery territories.3.Punctate lesions ... |
Generate impression based on findings. | Clinical question: Rule out structural lesions. Signs and symptoms: Seizure. Nonenhanced brain MRI:Negative diffusion weighted series.Examination demonstrates 2 small foci of cortical FLAIR hyperintensity (likely encephalomalacia) with minimal subcortical white matter involvement in the right anterior frontal lobe. The... | 1.Negative diffusion weighted images.2.2 small foci of encephalomalacia involving the cortex and subcortical white matter of right anterior frontal lobe which are nonspecific. 3.Findings suggestive of minimal chronic nonhemorrhagic small vessel ischemic strokes. Unremarkable nonenhanced brain MRI otherwise.4.There are ... |
Generate impression based on findings. | 25 years Female (DOB: 3/2/1991)Reason: h/o Chiari malformation type I, evaluate for syrinx History: NAPROVIDER/ATTENDING NAME: IRIS L ROMERO IRIS L ROMERO The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. The... | 1.Although there is a Chiari I malformation present , CSF flow study does not reveal any impedance of flow. There is no evidence for syrinx. There is no change since prior exam.2.There are minor degenerative changes present in the cervical spine.3.Diminished marrow signal on T1-weighted imaging suggests some marrow rep... |
Generate impression based on findings. | Possible rethetering. There are postoperative findings related to dethetering of the filum terminale and debulking of a lipomatous mass in the posterior lower lumbar spine with a surgical cavity or pseudomeningocele via L4 and L5 laminectomy. The previously demonstrated component of the lipomatous mass in the anterior ... | 1. Interval evolution of postoperative findings related to dethetering of the filum terminale with persistent lipomatous malformation in the posterior lower lumbar spine associated with low-lying conus medullaris and clumping of the cauda equina, suggestive of persistent tethering.2. Left L5 pars defect.3. Mild bilater... |
Generate impression based on findings. | 25-year-old woman with history of fibroblastic disorder and abdominal desmoid. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. There is no intra or extrahepatic biliary ductal dilatation. Patient is status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant... | 1.Stable size of right retroperitoneal desmoid. Discussed with Dr. Undevia by phone at time of dictation.2.No additional sites of disease identified. |
Generate impression based on findings. | There is redemonstration of a bubbly internal T2 bright lesion with a rim of hemosiderin staining along the right hypothalamus, measuring 18 x 17 mm in the axial view and approximately 16 mm in the craniocaudal view, not significantly changed since previous study.There is a right-sided developmental venous anomaly whi... | 1. No significant interval change in the size or morphology of a right hypothalamic cavernous malformation. Likewise, there has been no change in the appearance of an associated large developmental venous anomaly. 2. A new or larger focus of susceptibility is seen adjacent to the DVA in the right basal ganglia which ma... |
Generate impression based on findings. | 80-year-old man with past medical history of colon cancer presents with severe lower back and right lateral hip pain. Severe osteoarthritis of the right hip has progressed when compared to CT dated 10/18/2013. This hip joint now appears essentially devoid of articular cartilage and there is flattening of the superior a... | 1. Severe osteoarthritis of the right hip that has progressed when compared to the prior study and may be secondary to underlying chronic inflammatory or depositional arthritis. Bone marrow signal abnormalities are felt to be arthritic in etiology as well. We see no focal lesions to indicate metastatic disease to bone.... |
Generate impression based on findings. | 67 year old female. Abnormal XR of right femur. Please evaluate. No lesion is identified at the previously described mild endosteal scalloping noted in the proximal femoral diaphysis on a prior radiograph. Bone marrow signal intensity is within normal limits. The musculature of the right hip is unremarkable. No patholo... | No suspicious bone lesion or other significant abnormalities. |
Generate impression based on findings. | History of necrotizing pancreatitis complicated by walled off necrosis. Status post endoscopic drainage. Previous MR demonstrated improvement in size of fluid collections. ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. Fatty liver with focal fat sparing. The liver is normal in morphology, and enhancement wi... | 1.No measurable residual fluid collection at the level of the previously described intrapancreatic fluid collection/pseudocyst with cystogastrostomy stents in place. There is enhancing inflammatory/fibrous tissue and pancreatic duct discontinuity in this region.2.Diminished intrinsic T1 signal intensity and enhancement... |
Generate impression based on findings. | Female, 20 years old, with elevated prolactin level. Assess for microadenoma of the pituitary. A T2 hyperintense, T1 hypointense, hypoenhancing lesion is evident within the central aspect of the pituitary gland measuring up to 4 mm TV x 3 mm CC x 5 mm AP. This lesion causes no significant displacement of the pituitary ... | 1.A subcentimeter lesion is identified within the pituitary gland which, given the history, could very well represent a microadenoma. 2.Left maxillary sinus mucosal inflammation is noted incidentally. |
Generate impression based on findings. | Reason: Has there been a chang in this man's History: 91 Y/O had EUS 5-9-13 which showed branched IPMT confirmed by needle aspiration. Last MRCP 4-29-15 was stable. Pt doing well. Any worrisome changes on MRCP? ABDOMEN:LIVER, BILIARY TRACT: The comment bile duct is prominent measuring 11 mm, unchanged. Punctate T2 hype... | Multiple cystic lesions throughout the pancreas measuring up to 2 cm likely represent side branch IPMNs, some of which are slightly increased in size. |
Generate impression based on findings. | Reason: 61 yo female with hx of IPMN in pancreas; please evaluate for any changes and or abnormalities History: pancreas mass ABDOMEN:LIVER, BILIARY TRACT: Several subcentimeter hepatic cysts are unchanged. No suspicious hepatic lesions.No intrahepatic or extrahepatic biliary ductal dilation.SPLEEN: No significant abno... | Stable pancreatic cystic lesions most consistent with branch type intraductal papillary mucinous neoplasms. |
Generate impression based on findings. | Male, 38 years old, with primary CNS lymphoma status post chemotherapy and radiation. No significant interval change is seen in the size or morphology of a T2 hyperintense hemosiderin stained lesion involving the left globus pallidus. A focus of enhancement internal to this lesion is unchanged as well.Also unchanged is... | Stable lesions in the bilateral basal ganglia with no evidence of progressive or new intracranial disease. |
Generate impression based on findings. | Radicular pain in the right lower extremity, assess for lumbar radiculopathy Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is minimal retrolisthesis of L2 on L3 and minimal anterolisthesis of L4 and L5. There is severe loss of disc height at the L2-... | 1. Moderate degenerative changes throughout the lumbar spine. 2. There is an 11 x 10 mm soft tissue dorsal to the inferior right L5 vertebral body which may represent extruded disc material versus granulation tissue(series 6 axial T2 image 35); postcontrast images would be helpful to differentiate (also may correlate w... |
Generate impression based on findings. | Clinical question: GBM. 2 wks post reRT+TMZ+bev. Signs and Symptoms: GBM. Pre and post enhanced brain MRI:Diffusion weighted images demonstrate interval increased restricted diffusion surrounding the right hemispheric surgical cavity since prior exam.There is however interval decreased right frontal vasogenic edema sin... | 1.Overall there is interval improvement of patient's known right hemispheric tumor. There is interval decreased vasogenic edema, significant decreased in thickness of a large irregular rim of enhancement surrounding the surgical cavity as detailed/measured above. There is also decreased in intensity of enhancement sinc... |
Generate impression based on findings. | Female, 34 years old, with numbness. Brain:Numerous small T2 hyperintense lesions are redemonstrated involving the periventricular and subcortical white matter of the cerebral hemispheres. Accounting for slightly improved image quality on the present examination, no convincing change in lesion size or number is seen. N... | 1.Numerous small cerebral white matter lesions are again seen with no significant interval change in lesion size or number. None of these lesions shows evidence of pathologic enhancement.2.Normal evaluation of the cervical spine with no evidence of cord lesions. |
Generate impression based on findings. | 22-year-old female with primary sclerosing cholangitis with biliary strictures ABDOMEN:LIVER, BILIARY TRACT: No focal liver lesions. The vasculature appears patent.The gallbladder is within normal limits. Redemonstrated is mild beading of the left and right intrahepatic biliary ducts centrally and at the Klatskin point... | 1.Narrowing of the biliary ducts at Klatskin point, particularly central right and left biliary ducts appearing similar to that seen on the prior examination. No focal mass or abnormal enhancement to suggest cholangiocarcinoma. |
Generate impression based on findings. | Left neck mass x 2 years. Additional history from the electronic medical record: history of posterior neck schwannoma resection who presents for evaluation of left neck mass. The patient has had a left neck mass for at least 4 years. Recently, over the last 3-4 months, it has been growing in size. C-spine MR on 2/2016 ... | 1. A left neck tubular cystic structure along the carotid sheath with a nodular solid component posteriorly and superiorly may represent a partially cystic peripheral nerve sheath tumor or cystic metastasis, perhaps related to a left thyroid malignancy. A thyroid ultrasound may be useful for further evaluation.2. Appar... |
Generate impression based on findings. | 66 year old man referred to evaluate for suspected hypertrophic cardiomyopathy. Left VentricleThe left ventricle has moderate to severe hypertrophy, predominantly involving the mid to apical levels. There is mild left ventricular hypertrophy of the basal level. The maximum wall thickness at the apex is approximately 18... | 1. The left ventricular is moderately hypertrophied with regional variation in a pattern that is supportive of the diagnosis of apical variant of hypertrophic cardiomyopathy. The overall systolic function is low normal (LVEF 54%).2. Normal RV size and systolic function (RVEF 54%).3. There is a moderate overall burden o... |
Generate impression based on findings. | Male, 35 years old, with neck pain. Alignment is anatomic. Vertebral body height and morphology are within normal limits. No evidence of marrow replacement or marrow edema is seen.The visualized spinal cord demonstrates normal signal intensity and morphology. No focal lesions are seen. No epidural abnormalities are sus... | 1.A central and left paracentral disc extrusion is seen at C6-7 which causes effacement of the ventral thecal sac but no significant cord impingement.2.Mild foraminal narrowing is demonstrated on the left at C5-6 due to uncovertebral and facet hypertrophy. |
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