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Generate impression based on findings. | Metastatic embryonal rhabdomyosarcoma off therapy since May, 2013. Assess for recurrent disease. Brain: There is no evidence of intracranial mass. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and conf... | 1. Post-treatment findings in the left parotid gland without discernible recurrent tumor.2. No significant change in the cervical lymph nodes.3. No evidence of intracranial mass.4. Findings suggestive of possible Chiari I malformation. |
Generate impression based on findings. | Demyelinating disease of central nervous system, unspecified [G37.9], Reason for Study: ^Reason: Demyelinating disease; eval for progression History: paresthesias Brain MRI:There is no evidence of acute ischemic or hemorrhagic lesion.There are suspicious enhancing area which most likely represent a venous channel (seri... | 1. Unchanged bihemispheric scattered FLAIR high signal intensity lesions since prior scan.2. No definitive evidence of enhancing lesion on today's scan. Specifically, previously shown nodular enhancing lesions do not show any evidence of enhancement on today's scan.3. Subtle T2 high signal lesions throughout the cervic... |
Generate impression based on findings. | 16 years, Male, status post Chiari decompression 3 months ago. Evaluate CSF flow and syrinx. Brain: There are postoperative changes of suboccipital craniectomy and resection of the posterior arch of C1 for Chiari I decompression. There has been significant improvement in CSF spaces at the foramen magnum when compared t... | Expected postsurgical changes of Chiari I decompression with interval expansion of CSF spaces at the foramen magnum and marked decrease in size of cervical syrinx. |
Generate impression based on findings. | A 49 year old male with personal history of intermittent LBBB and sinus tachycardia, hypertension, hyperlipidemia, overweight, obstructive sleep apnea. Due to chest pain he had a left cardiac catheterization in 2014 that showed non-significant coronary artery disease and a recent echocardiography showed a decrease in l... | 1. The left ventricle is mildly dilated with mildly reduced systolic function, the LVEF is 45%. The thickness of the myocardium is normal-to-thin. There is global mild hypokinesis with dyssynchrony due to conduction defects. 2. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, ... |
Generate impression based on findings. | There is nonspecific straightening of the normal cervical lordosis. There is mild loss of intervertebral disc space height and endplate degenerative changes noted at C5-6. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal and caliber. The cervicomedullary junction is normal. The ce... | Focal degenerative changes at C5-6 resulting in mild/moderate bilateral neural foraminal narrowing. Otherwise, no significant spinal canal stenosis or neural foraminal narrowing is evident. |
Generate impression based on findings. | Female 49 years old Reason: Pt s/p distal pancreatectomy and splenectomy 1/24/14 for a mucinous cystic neoplasm and endocrine neoplasm - please evaluate for recurrence History: mucinous neoplasm ABDOMEN:LIVER, BILIARY TRACT: Liver has a smooth contour. No suspicious hepatic lesion. Hepatic and portal veins are patent. ... | 1.Interval resection of the previously described cystic mass in the pancreatic body/tail, without evidence of residual or recurrent disease.2.Stable indeterminate left adrenal nodule. |
Generate impression based on findings. | 64-year-old man with history of prostate cancer on surveillance. Additional history as per chart: Biopsy on 10/5/2015 revealed Gleason 6 adenocarcinoma, last PSA of 8.1. PELVIS:PROSTATE:Prostate Size: 53 x 43 mm.Peripheral Zone: There is a very small 5 x 4 mm T2 hypointensity in the right peripheral apex (series 801, i... | Very small focus of abnormal signal in the right prostatic apex without extracapsular extension which may represent adenocarcinoma. |
Generate impression based on findings. | Tremors and worsening migraines, left sided weakness and numbness. 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.... | No evidence of acute intracranial hemorrhage, mass, or acute infarct.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Persistent headaches. Non-enhanced CT of brain:There is no evidence of intracranial hemorrhage, edema, mass effect or midline shift or hydrocephalus. There is a small foci of low-attenuation in the right basal ganglia close to CSF density on axial image 13 which may represent small old lacunar in part. This examination... | 1.A single small focus of low-attenuation in the right basal ganglia measuring 7 times 4-mm in size with close to CSF density is suspected for an old lacunar infarct. Exam is otherwise unremarkable. Correlate with history and risk factors and follow.2.Normal calvarium, visualized paranasal sinuses and mastoid air cells... |
Generate impression based on findings. | History of breast cancer, on chemotherapy, now with right-sided headache and blurry vision. Evaluate for metastases. There is no evidence of intracranial hemorrhage, edema or midline shift. Though no mass effect is present, evaluation for metastatic lesions is limited by a lack of intravenous contrast. If there is a hi... | No acute intracranial abnormality. No mass lesions are identified. If there is strong clinical concern for intracranial metastases, an MRI with contrast may be considered for further evaluation. |
Generate impression based on findings. | 76 year old female with a remote history of breast cancer, active colon cancer undergoing treatment referred for cardiac MRI after abnormal echocardiogram (apex with unclear clot/mass limited by poor acoustic windows). Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fra... | 1. The left ventricle is normal in size and systolic function (LVEF 58%).2. The right ventricle is normal in size and systolic function (RVEF 58%). 3. There is late non-transmural gadolinium of the mid anterolateral wall that may represent previous myocardial infarction. Less likely is inflammation or infiltrative dise... |
Generate impression based on findings. | 76-year-old female with history of pancreatic head mass. ABDOMEN:LIVER, BILIARY TRACT: Multiple ring-enhancing T2 hyperintense lesions are seen scattered throughout the liver compatible with metastatic disease.Reference segment 2 lesion measures 2.3 x 2.2 cm (image 542 of series 1402).Reference segment 6 lesion measure... | 1. Findings consistent with primary pancreatic adenocarcinoma with liver metastases as above. The tumor is intimately associated with the proximal SMV and hepatic artery, however the remaining vessels appear patent. Reference measurements are provided.2. Right midpole enhancing renal lesion suspicious for neoplasm. |
Generate impression based on findings. | 7-year-old female with history of left femoral osteosarcoma, concern for recurrence. Exam is significantly limited by metal related artifact from left femoral endoprosthesis.The prepubertal uterus appears normal. The ovaries are not visualized. The bladder is normal. There is no significant pelvic lymphadenopathy ident... | 1.Extremely limited exam without gross evidence for disease recurrence.2.Diffuse muscle atrophy in the left hemipelvis and left lower extremity. |
Generate impression based on findings. | Ms. Mohanty is a 42-year-old female with recent right breast excisional biopsy demonstrating DCIS (cribriform and papillary type) with several close margins. She presents today for an MRI evaluation postoperatively. Mild parenchymal enhancement is noted bilaterally.Right breast: In the right upper outer breast, post-su... | Post-surgical seroma identified in the right upper outer breast with non-mass-enhancement abutting the seroma cavity in both the postero-superior and antero-inferior direction. Although this type of enhancement adjacent to the seroma cavity may all represent post-operative changes from her recent surgery, underlying re... |
Generate impression based on findings. | 65-year-old female with known right breast malignancy and metastatic right axillary lymph node. She presents today for needle localization of the right breast malignancy (2 sites index plus adjacent satellite) and localization of right axillary lymph node which will be performed under sonographic guidance. On review of... | 1. Successful needle localization of the right breast index malignancy/adjacent satellite lesion.2. Successful needle localization of a metastatic right axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | History of partial left nephrectomy in 2008. Evaluate for metastatic disease. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted. Hepatic steatosis.SPLEEN: Stable subcentimeter enhancing soft tissue nodule along the anteroinferior margin of the spleen is consistent with an accessory spleen.PANCREAS: No sign... | Status post partial left nephrectomy with stable cystic changes at the surgical bed. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Evaluate for sacroiliitis, ankylosing spondylitis. There is no evidence of acute fracture or malalignment. Bone marrow signal is within normal limits. No specific findings of sacroiliitis. Bone island noted in the right sacral alar. Intraosseous lipoma is noted in the mid sacrum. No significant degenerative change of t... | No MRI evidence of sacroiliitis. |
Generate impression based on findings. | Male, 78 years old, with recent falls plus minus loss of consciousness in the setting of persistent afib on warfarin. No restricted diffusion is seen. Scattered foci of white matter and basal ganglia T2 hyperintensity are demonstrated, many of which have a cystic quality and are likely reflective of chronic lacunar inf... | 1.No definite evidence of any acute intracranial abnormality.2.Sequelae of chronic microvascular and lacunar ischemia are seen. |
Generate impression based on findings. | Male, 20 years old, with leg weakness. Assess for right lower extremity plexopathy. The lumbar spine as visualized is free of significant abnormalities. In particular, no evidence of pathologic enhancement of the cauda equina is seen. More distally along the lumbosacral plexi, no obvious lesions or abnormalities are id... | No findings to account for the patient's symptoms. |
Generate impression based on findings. | 44 years Female (DOB:9/24/1972)Reason: stroke? Chiari? History: HAsPROVIDER/ATTENDING NAME: JAMES A. MASTRIANNI JAMES A. MASTRIANNI The CSF spaces are appropriate for the patient's stated age with no midline shift. The cerebellar tonsils are low lying and extend 4 mm below the level of the foramen magnum. They are not ... | 1.The cerebellar tonsils are low lying and borderline for Chiari I malformation.2.In general there is a mottled appearance to the visualized marrow structures including upper cervical spine and skull base and calvarium. This is nonspecific and could be within the range of normal at this age. Low marrow signal can be se... |
Generate impression based on findings. | Clinical question: preop for brain tumor resection. Signs and symptoms: Brain tumor. Unenhanced Stealth head CT:A standard preoperative nonenhanced stealth head CT is performed. A halo is secured to patient's head.Examination demonstrates mass in the right anterior temporal lobe with extension into the inferior right f... | Nonenhanced stealth head CT reveals stable right temporal, frontal and basal ganglia mass and its associated mass effect. |
Generate impression based on findings. | Yearly follow up for ganglioglioma, status post resection. Postsurgical changes of left temporal ganglioglioma resection with left-sided craniotomy are redemonstrated. The large left cerebral convexity subdural fluid collection with multiple adhesions is unchanged in size from the prior exam measuring up to 28 mm on co... | Stable examination including large chronic left holohemispheric subdural fluid collection with midline shift. No evidence of recurrence or metastasis. |
Generate impression based on findings. | Pain along anterior aspect. Check for chondral injury versus meniscal tear MENISCI: Globular signal is observed in the body of the medial meniscus extending into the posterior horn extending up to the inferior articular surface. No definite discrete linear component is identified. Associated fraying of the inner edge a... | Bone contusion without discrete evidence of a fracture in the medial tibial plateau, meniscal degenerative changes and cartilaginous destruction with moderate to marked degenerative osteoarthritic changes are observed. See details provided above |
Generate impression based on findings. | Please note examination is significantly motion degraded as patient could not tolerate the study. Post gadolinium images were obtained of the thoracic spine. Post contrast images of the cervical spine could not be obtained.As seen on recent lumbar spine MRI from 8/1/2016 there is a fluid collection involving the ventr... | Large ventral epidural fluid collection with peripheral enhancement which tracks superiorly from the lumbar spine and involves the entire thoracic as well as the cervical spine to the C1 level. There is at least moderate degree of diffuse cervical and thoracic spinal canal stenosis and mild flattening of the spinal cor... |
Generate impression based on findings. | Check for meniscal tear or Baker's cyst. Knee swelling MENISCI: The menisci are intact and unremarkable. Old demonstrate proper anchoring posteriorly. However, extensive multilobulated cysts are observed posteriolateral to the lateral meniscus and displacing the lateral head of the gastrocnemius. Additional similar cys... | Multiple scattered para-meniscal and ACL ganglion cysts involving largely the postero-medial and lateral aspects of the knee. See detail provided |
Generate impression based on findings. | There is no evidence of acute infarction, intracranial hemorrhage, or mass lesions. There is unchanged moderate T2 hyperintensity within the supratentorial and infratentorial cerebral white matter, which are likely related to micrangiopathy. There are also punctate foci of encephalomalacia in the left cerebellar hemis... | 1.No evidence of acute infarct, mass lesion, or intracranial hemorrhage.2.Unchanged moderate cerebral white matter signal abnormality likely related to microangiopathy and punctate foci of encephalomalacia in the left cerebellar hemisphere and left basal ganglia that likely represent chronic infarcts. |
Generate impression based on findings. | Female, 67 years old, with history of L1 compression fracture. Evaluate for resolution or progression. Since the prior examination, further collapse of the L1 vertebral body has occurred. There is now approximately 60-70% loss of vertebral body height centrally. Elevated STIR signal within the L1 marrow space persists ... | 1.Further interval collapse of the L1 vertebral body. Associated retropulsion and ventral thecal sac effacement are minimally changed if at all. This results in a moderate generalized spinal canal stenosis. The conus is deflected posteriorly but not frankly impinged.2.A grade 1/2 anterolisthesis of L4 relative to L5 ha... |
Generate impression based on findings. | Ms. Hand is a 40-year-old female with a strong family history of breast cancer including maternal grandmother, paternal grandmother, mother, sister and maternal great aunt. There is heterogeneous amount of fibroglandular tissue in both breasts. Marked background parenchymal enhancement is noted bilaterally, limiting th... | Stable benign fibroadenomata of both breasts .No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Pain, unspecified [R52], Reason for Study: ^Reason: evaluate for disc herniation, nerve root compression History: L leg paresthesias, numbness, severe pain For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. Motion artifacts degraded exam quality especially axial scan. I... | 1. Multilevel disc protrusions including L23 and L34 toward left side neuroforamen as described above.2. No evidence of spinal cord signal abnormality. |
Generate impression based on findings. | H/o unknown primary with widely metastasis. Examination demonstrates diffuse bony destruction in the thoracic and lumbar spine as well as sacrum with loss of vertebral body height in T2, T12, L1 and L2. It appears that the spinal canal narrows at Levels T2 and L1. Please refer to spine MRI for details of cord compressi... | Diffuse metastatic disease in the thoracic and lumbar spine as detailed above. spinal canal stenosis at levels T2 and L1, please refer to spine MRI for details of cord compression. |
Generate impression based on findings. | 16 year old male with knee pain and instability. Evaluate meniscus and ACL MENISCI: There is a vertical tear with blunting of the posterior horn of the lateral meniscus. The medial meniscus is intact with no significant abnormality noted.ARTICULAR CARTILAGE AND BONE: No significant abnormality noted.LIGAMENTS: No signi... | Findings compatible with a tear of the posterior horn of the lateral meniscus. |
Generate impression based on findings. | Metastatic esophageal cancer with new brain metastasis. There is a lesion in the left precentral gyrus that measures up to 8 mm and contains susceptibility effect. The ventricles and basal cisterns are unchanged in size and configuration. There is no midline shift or herniation. The orbits, skull, paranasal sinuses, an... | Preoperative planning MRI demonstrates a subcentimeter metastasis in the in the left precentral gyrus. |
Generate impression based on findings. | There is slight reversal of normal upper cervical curvature. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unr... | C5/6: Moderate to severe bilateral neural foraminal stenosis. |
Generate impression based on findings. | Evaluate previously identified perianal abscess. PROSTATE/SEMINAL VESICLES: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: Multiple bilateral inguinal prominent lymph nodes are unchanged from prior.BOWEL, MESENTERY: No significant abnormality noted.BONES/SOFT TISSUES: The previo... | Decreased size of the left perineal abscess and associated inflammation. Bilateral perianal drainage catheters are in place. |
Generate impression based on findings. | Female, 46 years old, with worsening ataxia and falls and new right sixth nerve palsy. Again seen is severe atrophy of the right cerebral hemisphere with patchy superimposed nonmasslike parenchymal enhancement. Modest atrophy of the brainstem and left cerebral hemisphere is also redemonstrated.No CP angle or IAC masses... | 1.Redemonstration of right greater than left cerebellar atrophy and atrophy of the brainstem.2.No definite CP angle, IAC or cranial nerve lesions are identified.3.The right globe deviates nasally, and the right lateral rectus muscle is somewhat thin which could reflect passive stretch or flaccidity. |
Generate impression based on findings. | Prostate cancer, evaluate disease extent PELVIS:PROSTATE:Prostate Size: 7 cm in transverse dimension x 6.9 cm in craniocaudal dimension x 7.4 cm in AP dimension.Peripheral Zone: Ovoid focus of T2 hypointense signal in right-sided mid peripheral zone posteriorly measuring 9 x 7 mm. Corresponding marked low ADC signal vi... | 1. Right-sided 9 mm mid peripheral zone lesion suspicious for prostatic adenocarcinoma given decreased T2 signal and marked low ADC signal.2. Mildly aneurysmal abdominal aorta partially imaged, measuring up to 3 cm. |
Generate impression based on findings. | Diagnosis: Hemangioma of intracranial structuresClinical question: Please evaluate cavernomas for changes, 3T Scanner, QSM/Permeability, CCM Protocol. Please compare to outside scan from July.Signs and Symptoms: Brainstem cavernomas, worsening vision, gait in recent months since last MRIComments: Please evaluate cavern... | 1.Redemonstration of a pontine and midbrain cerebral cavernous hemangiomas associated with an adjacent developmental venous anomaly.2.Some signal changes in the medulla are present which are nonspecific. Stable since the prior exam and could be reactive to the above lesions. |
Generate impression based on findings. | Primary CNS lymphoma, please restage. Please note lack of contrast limits evaluation for tumor recurrence. Again seen are postoperative findings related to left transfrontal biopsy. There is unchanged confluent T2 hyperintensity and susceptibility effect in the superior left frontal lobe without associated mass effect ... | Lack of contrast again limits evaluation for tumor recurrence. There is no significant change in FLAIR hyperintensity involving the left frontal lobe, which while nonspecific, is favored to represent posttreatment change. No new mass or mass effect to suggest tumor recurrence. |
Generate impression based on findings. | Reason: please do Dr. Javed MS protocol History: headaches and numbness. Brain: Compared to 10/31/2014, no significant change is seen in the multiple scattered foci of FLAIR hyperintensity within the periventricular, juxtacortical, and deep white matter. No new lesions. No lesions with enhancement to suggest active dem... | 1. Compared to10/31/2014, there are no new lesions or abnormal enhancement to suggest active demyelination. 2. No evidence of demyelinating lesions within the cervical spinal cord.3. Enhancing focus within the C7 and T4 vertebral bodies likely represent hemangiomas. |
Generate impression based on findings. | Male 62 years old Reason: Left knee pain (superolateral) and instability for one month, no trauma. MENISCI: Medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: Marked thinning of the articular cartilage involving the lateral femoral condyle, but no focal cartilage defect. Mild irregularity of the medial... | No MRI findings to account for patient's symptoms. Extensive chondrocalcinosis involving the left knee on 8/27/2015 radiograph may account for patient's symptoms. |
Generate impression based on findings. | 11-year-old female with chronic right hip pain in the setting of neuroblastoma. Evaluate for right hip pathology. Bone marrow signal intensity is normal. No osseous masses are evident. The femoral head is well-positioned within the acetabulum with no joint space narrowing or effusion.The surrounding soft tissues appear... | No osseous or soft tissue abnormality affect the right hip. |
Generate impression based on findings. | 61-year-old female with history of liver lesion seen on outside MRI. ABDOMEN:LIVER, BILIARY TRACT: Segment 7 T2 hyperintense lesion demonstrating discontinuous peripheral nodular enhancement with progressive filling compatible with hemangioma measuring 22 x 18 mm (image 6 of series 4). Additional T2 hyperintense lesion... | Benign-appearing hepatic hemangiomas and simple cysts. |
Generate impression based on findings. | 55-year-old male with knee pain and previous subchondral plasty. New AVN? MENISCI: There is linear increased signal abnormality which traverses the posterior horn of the medial meniscus and extends to the tibial articular surface consistent with a horizontal tear which extends to the body of the meniscus. The anterior ... | 1. Diffuse bone marrow signal abnormality within the medial femoral condyle and medial tibial plateau may represent avascular necrosis superimposed on degenerative osteoarthritic changes, although this does not demonstrate the typical serpentine signal abnormality characteristic of this entity.2. Osteoarthritis of the ... |
Generate impression based on findings. | 26-year-old male patient with lower back pain. Evaluate for sacroiliitis/ankylosing spondylitis. We see no enhancement of the sacroiliac joints to suggest sacroiliitis. There is minimal edema-type signal along the lateral aspect of the lower right sacrum, which is nonspecific and could be degenerative rather than infla... | Minimal edema in the lateral aspect of the lower right sacrum is nonspecific. We see no enhancement of the sacroiliac joints to confirm sacroiliitis. |
Generate impression based on findings. | Clinical question: Worst headache of life, posterior headaches, left-sided weakness, slurred speech. Signs and symptoms: Worst headache of her life, posterior headache, left-sided weakness, slurred speech. Nonenhanced CT of brain:Images through posterior fossa are unremarkable.Edema in the right anterior temporal tip w... | 1.Foci of edema in the right anterior temporal tip with minimal hemorrhage and right anterior -- inferior frontal lobe without hemorrhage and minimal localized right parietal subarachnoid hemorrhage. Findings are suspected for posttraumatic changes. Follow-up with an MRI is recommended to exclude extent of injury or ad... |
Generate impression based on findings. | T2N0 right lateral oral tongue squamous cell carcinoma. The right lateral oral tongue lesion is not discernible. There is no evidence of significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. The major cervical flow voids are intact. The osseous structures a... | The right lateral oral tongue lesion is not discernible. No evidence of significant cervical lymphadenopathy. |
Generate impression based on findings. | 49 years Female (DOB:6/13/1967)Reason: patient with MS and cognitive decline - please assess MS burden (compare with 2003) History: language impairment and retrieval memoryPROVIDER/ATTENDING NAME: JAMES A. MASTRIANNI JAMES A. MASTRIANNI The CSF spaces are appropriate for the patient's stated age with no midline shift. ... | 1.Multiple periventricular, subcortical and subcortical white matter lesions are present in which appear to have been present on prior exam from 2003. There is not appear to be a significant change since that time to the extent of comparison possible.2.Mild ventriculomegaly is also stable. |
Generate impression based on findings. | Female, 55 years old. Reason: complains of hoarseness and has had multinodular goiter History: rule out enlargement RIGHT LOBE MEASUREMENTS: 7.9 x 2.4 x 2.2 cmLEFT LOBE MEASUREMENTS: 8.3 x 3.2 x 3.2 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: Heterogeneous echotexture, with multiple nodules. A right superior Palmetto mea... | Multinodular goiter, not significantly changed from prior. |
Generate impression based on findings. | 18-year-old female with Chiari malformation, now experiencing neck pain and headache, status post the compression. Brain: There has been interval repositioning of a fourth ventricular shunt now extending from the level of the dura, into the fourth ventricle, terminating within the cerebral aqueduct. The fourth ventricu... | 1.There has been interval repositioning of a fourth ventricular shunt now extending from the level of the dura, into the fourth ventricle, terminating within the cerebral aqueduct. The fourth ventricular height measured in the midline is decreased from 15 to 13 mm. There has been increase in both lateral and third vent... |
Generate impression based on findings. | 51-year-old male. Right hip pain. Evaluate for AVN, labral path. ACETABULAR LABRUM: Intermediate signal abnormality in the anterior superior labrum consistent with degeneration. No discrete tear is evident.ARTICULAR CARTILAGE AND BONE: Abnormal low signal intensity involving the subchondral bone of the superior aspect ... | 1. Avascular necrosis of the bilateral femoral heads without frank articular collapse. Large amount of associated edema in the right femoral head and neck.2. Degeneration of the right anterior superior labrum without a discrete tear. |
Generate impression based on findings. | Male 37 years old Reason: evaluation of persistent shoulder pain, poss labral injury History: same ROTATOR CUFF: All components of the rotator cuff are intact. No muscle atrophy.SUPRASPINATUS OUTLET: Type I acromion.GLENOHUMERAL JOINT AND GLENOID LABRUM: Humeral head is well seated at the glenoid. No evidence of a labr... | Normal MRI of the shoulder. |
Generate impression based on findings. | 68-year-old male with chronic pancreatitis and pancreatic cyst, abdominal pain ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintensities likely reflect cysts. The common bile duct is normal in caliber.SPLEEN: No significant abnormality noted.PANCREAS: Intrinsic T1 signal is diminished. Numerous T2 hyperintense cy... | 1.Atrophic pancreas with numerous hyperintense cystic foci scattered throughout the pancreas; provided the patient's history, findings likely represent sidebranch ectasia. Underlying IPMNs cannot be entirely excluded. |
Generate impression based on findings. | Status post fall from 6 stories, status post removal of bolt. Evaluate for DAI. Evaluate for ligamentous injury, C1 fracture. Brain: Linear tract with T2/FLAIR hyperintensity is noted in the right frontal lobe related to prior ICP bolt. Remainder of the brain appears within normal limits. No evidence of intracranial he... | 1. No evidence of intracranial hemorrhage. No findings to suggest diffuse axonal injury. 2. Fracture involving the anterior C1 arch better demonstrated on CT. No findings to suggest ligamentous injury. No abnormal signal in the cervical cord. No epidural hematoma. |
Generate impression based on findings. | 72-year-old male status post transphenoidal hypophysectomy. There is no evidence of intracranial hemorrhage or edema. Reidentified is a large, pituitary macroadenoma with extensive expansion of the sella and invasion of the sphenoid sinus and clivus which appears to be overall slightly smaller in size when compared to ... | Expected postsurgical changes as described above. |
Generate impression based on findings. | At least ten distinct T2 hyperintense white matter lesions are seen, many of which are perpendicular to the lateral ventricles in orientation, with a few lesions in the corpus callosum anterior and posterior body. There is interval improvement of the left parietal/occipital lobe lesion in the left periatrial white mat... | Mild improvement in the left parietal/occipital periatrial white matter lesion. No new white matter lesions. Other white matter lesions are stable. |
Generate impression based on findings. | Reason: Grade II oligodendroglioma s/p RT/PCV. Now off all Tx. Again seen are postsurgical changes in the left frontal lobe with the resection cavity appearing similar in size compared to the prior study. Compared to most recent study, there is no significant change in extent of T2/FLAIR hyperintensity surrounding the ... | No evidence of tumor progression. |
Generate impression based on findings. | 51 year old female with a personal history of right breast lumpectomy for invasive ductal carcinoma with DCIS in 2009 followed by chemotherapy and radiation therapy. She also has a personal history of Hodgkin's lymphoma, right breast reconstruction and left breast lift in 2012. There is scattered fibroglandular tissue ... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | History of lung cancer with brain metastases. Pretreatment planning for stereotactic radiosurgery. Post surgical changes from prior right frontal craniotomy. Redemonstration of a cystic lesion containing a fluid fluid level and susceptibility artifact compatible with hemorrhage in a surgical resection/biopsy cavity. Th... | Examination for treatment planning. No significant interval change in cystic cavity with peripheral nodular enhancement at the right frontal operculum compatible with residual tumor . |
Generate impression based on findings. | Female, 39 years old, approximately 35 weeks gestational age, with ultrasound showing fetal ventricles at the upper limit of normal. Both lateral ventricular atria measure up to 10 mm in diameter which is the upper limit of normal. The third and fourth ventricles are not dilated. The cerebral aqueduct is well-visualize... | 1.The atria of the lateral ventricles measure up to 10 mm in diameter which is the upper limit of normal. The third and fourth ventricles are within normal limits.2.The examination is otherwise within normal limits for gestational age. |
Generate impression based on findings. | Right shoulder pain ROTATOR CUFF: There is increased signal intensity within the distal fibers of the supraspinatus tendon near its insertion upon the greater tuberosity reflecting mild tendinosis or very slight interstitial tearing. Otherwise there is no evidence of a full-thickness rotator cuff tear..SUPRASPINATUS OU... | 1. Tendinopathy of the supraspinatus without evidence of rotator cuff tear.2. Likely degenerative tearing of the anterior superior labrum. |
Generate impression based on findings. | 39 year old man with recent history of ventricular tachycardia s/p dual chamber ICD and non-ischemic cardiomyopathy who was referred for cardiac MRI to evaluate for scar. Left VentricleThe left ventricle is severely dilated. Due to interference from device-related artifact, cardiac volumes could not be reliably assesse... | 1. Severely dilated left ventricle with severely reduced systolic function (EF <20%). 2. No evidence of late gadolinium enhancement to suggest the presence of an underlying inflammatory, infiltrative or fibrotic process. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this repo... |
Generate impression based on findings. | There is diffuse T2 signal hyperintensity in the left slightly greater than right periventricular white matter and appears similar to prior MRI in 2012; findings compatible with periventricular leukomalacia and encephalomalacia. Diffusely diminished supratentorial white matter volume as well as thinning of the corpus ... | 1.No significant change in extensive periventricular T2/FLAIR signal abnormality, periventricular cystic changes, and diminished supratentorial white matter volume. Findings are again consistent with periventricular leukomalacia/encephalomalacia related to remote injury.2.No intracranial mass, acute infarct, or hemorrh... |
Generate impression based on findings. | 60 female patient with history right arm numbness two days ago with persistent numbness in right hand. Possible infarct on head CT. There is a focus of restricted diffusion within the left thalamus compatible with acute ischemia. There is no associated susceptibility artifact to suggest hemorrhage. There is otherwise p... | 1. Left thalamic acute ischemic infarct.2. Chronic small vessel ischemic disease and chronic right thalamic lacunar infarct.Findings were discussed by the RROC with Dr Lu by telephone at 1800 hrs on 9/11/2016. |
Generate impression based on findings. | Male, 75 years old, with probable Alzheimer's disease and multiple hemangioblastomas. Evaluate for change. Sequelae of prior right frontal craniotomy and prior posterior fossa surgery are again seen. Enhancing dural thickening and tumor nodularity along the anterior interhemispheric falx is demonstrated. Likewise, mult... | Findings compatible with hemangioblastomatosis are again seen including dural tumor studding along the anterior interhemispheric falx and numerous enhancing nodules within the posterior fossa. Relative to the immediate prior examination, there has been no significant interval change. Compared to an older examination, i... |
Generate impression based on findings. | History of colon cancer now with enlarging liver lesion and renal lesion. Negative PET scan. Please evaluate for metastasis. ABDOMEN:LIVER, BILIARY TRACT: There is susceptibility artifact in the gallbladder fossa related to the surgical clips. Within the liver parenchyma adjacent to the gallbladder fossa there is a geo... | 1.Findings compatible with focal fatty infiltration in the gallbladder fossa. No evidence of hepatic metastasis.2.No significant change in small right superior pole renal mass compatible with small renal cell carcinoma.3.Left adrenal nodule with imaging findings compatible with a benign adenoma. |
Generate impression based on findings. | 70 year old with personal and family history of breast cancer. Personal history of left breast lumpectomy in 1992 for cancer followed by radiation and hormonal therapy. She also had a benign right breast surgery approximately 27 years ago. Mild parenchymal enhancement is noted bilaterally. There is heterogeneous amount... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Neck stiffness with disc degeneration seen on x-ray, decreased reflexes in the hands, and increased trapezius tone. There is multilevel degenerative cervical spondylosis associated with lack of the usual cervical lordosis. In particular, at C4-5, a posterior disc-osteophyte complex that is eccentric to the right nearly... | Multilevel degenerative cervical spondylosis associated with lack of the usual cervical lordosis. In particular, at C4-5, a posterior disc-osteophyte complex that is eccentric to the right nearly abuts the spinal cord, at C5-6, a posterior disc-osteophyte complex that abuts the spinal cord, and at C6-7, a posterior dis... |
Generate impression based on findings. | History of meniscal repair in 2001 with subsequent injury in 2009. Now complains of right knee pain. Due to the patient's body habitus, the high resolution coil could not be used. An alternative coil was used which results in slightly suboptimal image quality.MENISCI: There is marked deformity of the posterior horn of ... | 1.Extensive complex tearing of the lateral meniscus.2.Tricompartmental osteoarthritis.3.Collection of fluid signal intensity along the posteromedial aspect of the proximal tibia which may represent a ganglion or pes anserine bursitis. |
Generate impression based on findings. | Male, 34 years old, with GBM status post re-resection. Evidence of re-resection of the patient's left frontal lobe tumor is seen. The resection cavity has been expanded and contains predominantly FLAIR hypointense fluid. An oval collection of blood product is evident along the floor of the resection cavity which appear... | Expected findings are seen status post debulking of the patient's left frontal lobe tumor. A small amount of residual tumor is seen mostly along the posterior resection margin with invasion of the genu of the corpus callosum appearing similar to the preoperative examination. |
Generate impression based on findings. | Reason: Evaluate for Posterior Tibial Tendon Dysfunction left History: 41-year-old female with pain and edema along lateral aspect left ankle and anterior ankle with decreasing medial long arch TENDONS: There is circumferential fluid within the tendon sheath of the flexor hallucis longus just proximal to the master kno... | 1. Findings suggesting a synovitis of the tibiotalar joint.2. Findings suggestive of a mild tenosynovitis of the flexor hallucis longus as described above. The posterior tibialis tendon appears normal. |
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.he patient wa... | Successful right wrist midcarpal joint arthrogram injection. Please refer to the subsequent MRI report for further evaluation. |
Generate impression based on findings. | Right knee pain MENISCI: There is increased horizontal signal within the posterior horn of the medial meniscus, reflecting tear. There is mild extrusion of the meniscus into the medial gutter although the root appears intact. The lateral meniscus is intact.ARTICULAR CARTILAGE AND BONE: There is full-thickness cartilage... | 1. Horizontal tear of the posterior horn of the medial meniscus with mild extrusion.2. Full-thickness cartilage loss of the medial compartment with milder thinning of the patellofemoral and lateral compartments.3. Small joint effusion and mild synovitis. |
Generate impression based on findings. | Rule out abscess or osteomyelitis of the right pubic bone. Study is severely limited by artifact from bilateral total hip prosthesis. There is generalized muscle atrophy in bilateral thighs. There is a 3 x 2 cm fluid collection, which may represent an abscess in the proximal medial aspect of the thigh. There is no defi... | 1.3 x 2 cm fluid collection which may represent an abscess in the medial proximal aspect of the thigh. There is adjacent soft tissue edema and inflammatory changes, but within the limitations of the study, there is no definite signal changes within the pubic bone to indicate osteomyelitis.2.Superficial soft tissue defe... |
Generate impression based on findings. | Systemic lupus erythematosus and neuromyelitis optica on research treatment protocol. Evaluation for progressive multifocal leukoencephalopathy is requested. There are numerous T2 hyperintense lesion in the cerebral white matter. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnor... | Multiple nonspecific cerebral white matter lesions, but no particular findings to suggest progressive multifocal leukoencephalopathy. |
Generate impression based on findings. | Abulia. Also history of depression, migraines, HTN, seizures on Keppra, pseudotumor status post cisterna-magna shunt with Codman valve last revised in 2009. MRI: Some of the images are degraded by patient motion. There is an area of high T2 signal and restricted diffusion involving a portion of the left globus pallidus... | 1. Acute lacunar infarction involving a portion of the left basal ganglia and chronic lacunar infarction involving the right corona radiata.2. The posterior fossa catheter traverses the left aspect of the fourth ventricle and protrudes into medulla. The fourth ventricle appears similar in size as in 2013, but slightly ... |
Generate impression based on findings. | 77-year-old female with lumbar spinal stenosis Vertebral body heights are intact. Endplate degenerative changes, most severe and L3-L4, are unchanged. Multilevel disk desiccation with loss of disk height at L3-L4. Signal within the distal cord and conus is normal. Alignment is anatomic.T12-L1: Mild facet arthropathy. N... | Stable spondylosis of the lumbar spine with narrowing of the central canal and neuroforaminal stenosis at L3-L4 and L4-L5. |
Generate impression based on findings. | Diagnosis: Multiple sclerosisClinical question: please dom Dr Javed MS protocol, compare to priorSigns and Symptoms: progression MS MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of multiple periventricular and subcortical white matter lesions withi... | 1.There are multiple lesions present in the cervical spinal cord which appears stable when compared to prior exam.2.There are multiple lesions present within the brain parenchyma which appears stable compared to the prior exam.3.There are degenerative changes present in the cervical spine associated with left lateral r... |
Generate impression based on findings. | 49 old woman with transient left-sided weakness since morning an ongoing left weakness. There is no evidence of intracranial hemorrhage, mass or edema. No CT findings of acute stroke. However if acute stroke is of clinical concern, recommend MRI.The ventricles and basal cisterns are normal in size and configuration. A ... | 1. No CT findings of acute intracranial abnormality. If stroke is a clinical concern recommend MRI. |
Generate impression based on findings. | Radiculopathy Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is benign with several small T1 hyperintense vertebral body lesions compatible with hemangiomas or foci of fat. No destructive osseous lesions are app... | Degenerative changes at the C5-C6 level where there is a left paracentral disc osteophyte complex and uncovertebral hypertrophy contributing to mild stenosis involving the left aspect of the spinal canal as well as mild to moderate left-sided neural foraminal stenosis. No cord signal abnormality. Spinal canal and neura... |
Generate impression based on findings. | 35-year-old female. Pain occurring after slipping on ice and ankle. TENDONS: The Achilles tendon and other tendons of the ankle are normal in signal intensity and morphology. LIGAMENTS: The anterior talofibular and posterior talofibular ligaments as well as deltoid ligamentous complex are grossly intact. The distal tib... | 1. Mild edema in the talus and fibular tip suggestive of contusions given patient history of trauma.2. No evidence of ligamentous or tendon injury.3. Small ankle joint effusion. |
Generate impression based on findings. | Neutropenic fever. HIV infection.. There is susceptibility artifact in the region of the ears which causes mild limitation, most pronounced on diffusion-weighted imaging and fat saturated postcontrast axial imaging.There is a punctate T2-hyperintense right frontal white-matter lesion (series #401, image #19), which sho... | 1.Right frontal punctate T2-hyperintensity is nonspecific. The rest of the brain examination is normal.2.Left maxillary sinus mucosal thickening (versus retention cysts) is mild and nonspecific. |
Generate impression based on findings. | Evaluate for bleed. 68-year-old female Examination is suboptimal due to extensive motion artifacts in particular in the posterior fossa. However no definitive abnormality within the posterior fossa is noted in 4 to remains within normal size and location.Several area of low-attenuation is suspected in the left posterio... | Suboptimal exam however suspected left posterior temporal -- occipital stroke and small vessel disease. MRI is recommended. |
Generate impression based on findings. | Multiple myeloma, right thigh pain There are multiple foci of endosteal scalloping involving the femoral diaphysis which account for the lucent lesions seen on prior osseous survey. However, the signal intensity of the femur including these foci parallels fat signal indicating that these are treated lesions. There are ... | Foci of endosteal scalloping involving the femoral diaphysis which demonstrate the signal intensity of fat indicating these are treated lesions. There are no discrete myelomatous lesions evident in the femur on this exam. |
Generate impression based on findings. | A 71 year old male with CNS lymphoma with suspected cardiac involvement according to PET study. Referred to cardiac MRI to evaluate cardiac involvement. Left VentricleThere is motion artifact secondary to breathing which limits the quality of the examination. The left ventricle is mildly enlarged with mildly reduced sy... | 1. The patient was unable to cooperate with breathing instruction and thus the image quality is limited. Contrast was not injected for this reason.2. The left ventricle is mildly enlarged with mildly reduced systolic function, the LVEF is 48%. There is thinning of the inferior wall from the base to the apical two third... |
Generate impression based on findings. | Patient is having breast pain, history of previous breast augmentation, evaluate implants There is scattered fibroglandular tissue in both breasts. Bilateral retro-glandular silicone implants appear intact. No evidence of implant rupture.Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen ... | No MRI evidence for malignancy. No evidence of implant rupture.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Altered mental status, abnormal signal intensity on pons, bilateral thalami and basal ganglia. Increased T2 signal intensities on brainstem especially midbrain and pons, bilateral thalami and basal ganglia do not show significant interval change since prior exam.There is evidence of circumferential restricted diffusion... | Multifocal high signal intensities on FLAIR images including bilateral thalami, basal ganglia, as well as pons which shows circumferential restricted diffusion lesions. No significant interval change since prior exam.These are again non specific findings and not typical for acute ischemic lesion, nor hepatic encephalop... |
Generate impression based on findings. | Left knee locking. Assess for meniscal pathology. Evaluation of the knee is limited by metallic susceptibility artifact resulting from what I presume to be orthopedic hardware in the distal femur.MENISCI: I see no meniscal tear.ARTICULAR CARTILAGE AND BONE: I see no defects in the articular cartilage not distorted by t... | Limited study due to metallic susceptibility artifact arising from what I presume to be orthopedic hardware in the distal femur. Given this limitation, I see no meniscal pathology or other specific findings to account for the patient's knee locking. |
Generate impression based on findings. | Reason: Eval GBM. Pt Dx in 2014. Off all Tx for past year. History: GBM. Postoperative changes are again seen relating to prior left frontal craniotomy and left frontal lobe tumor resection. The mildly hemosiderin stained resection bed appears stable. There is no pathologic enhancement in the surgical bed. Specifically... | 1.Stable appearing left frontal lobe surgical bed with no evidence of pathological enhancement.2.Progressive ill-defined frontal lobe white matter signal abnormality, most likely post-treatment effects.3.Gradual increased ill-defined FLAIR abnormality in right basal ganglia, which may also be post-treatment related. Ad... |
Generate impression based on findings. | Right shoulder pain The exam is limited by motion artifact.ROTATOR CUFF: There is increased signal intensity of the subscapularis tendon indicating mild tendinosis. Additionally, there is a linear focus of longitudinal signal intensity involving the superior fibers of the subscapularis tendon likely representing inters... | 1. Mild tendinosis and interstitial tearing of the distal subscapularis tendon. The remaining rotator cuff tendons and musculature are intact.2. Probable normal variants of the glenoid labrum further detailed above. If there is strong clinical concern for labral pathology, an MR arthrogram can be considered. |
Generate impression based on findings. | 62 year-old female with history of severe headaches. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few scattered foci of T2 hyperintensity in the cerebral white matter. The ventricles and basal cisterns are normal in size and configuration. However, there is mild nonspecific promi... | Minimal nonspecific foci of increased T2 signal within the periventricular and subcortical white matter, which is likely due to chronic small vessel ischemic disease. Otherwise, no evidence intracranial mass or hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this rep... |
Generate impression based on findings. | Female 44 years old Reason: demoid tumor; colon cancer History: palpable RUQ mass 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 abnormali... | 1. Postsurgical changes in the anterior abdominal wall.2.Enhancing residual masses in the anterior abdominal wall on both sides. |
Generate impression based on findings. | Status of intracranial injury. Seizure. There is a small amount of scattered T1 hyperintense subdural hemorrhage along the posterior falx cerebri and cerebelli that measures up to 3 mm in thickness. There is no significant associated mass effect or midline shift. There is minimal prominence of the subarachnoid CSF spac... | 1. Mild subacute subdural hemorrhage along the posterior falx cerebri and cerebelli without associated significant mass effect or cerebral contusion. 2. A subcentimeter T1 hypointense and T2 hyperintense lesion in the midline tongue base region is incompletely characterized, but may represent a thyroglossal duct cyst o... |
Generate impression based on findings. | follow up meningioma resection. Previously shown left high fronto-parietal extra axial mass has been removed near totally. Subtle non enhancing area just underneath of the craniotomy site adjacent to the prior tumor location is most likely localized brain with swelling. Superior aspects of sinus invasion portion of the... | 1. Post operative status of the left high frontal and parietal meningioma with extensive parenchymal edema and superior sagittal sinus invasion.2. Near total removal of main tumor as well as sinus invasion portion as described above. Small residual mass is suspected especially intra-sinus portion of the tumor.3. There ... |
Generate impression based on findings. | Visual changes and word finding difficulties with headache in the setting of pregnancy. 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 abnormal mass lesions are appreciated intracranially. No intracranial hemorrha... | 1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.MR venogram of the brain is within normal limits.4.No evidence for intracranial mass lesion or cerebral infarction. |
Generate impression based on findings. | 64 year-old female with tongue tumor. The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass effect, edema, midline shift, intra or extra-axial fluid collection/hemorrhage, restricted diffusion/acute ischemia, or abnormal contrast enhan... | No intracranial metastasis. |
Generate impression based on findings. | Facial weakness [R29.810], Reason for Study: ^Reason: evaluate for brain stem infarct or tumor History: new right sided weakness, stroke risk factors, h/o malignancy No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.A couple of scattered FLAIR/T2 high signal intensity lesions on bi... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Non specific small vessel ischemic disease.3. Vertebrobasilar dolichoectasia. |
Generate impression based on findings. | Toe ulcer The examination is limited by motion artifact.There is abnormal signal intensity within the distal phalanx of the great toe, particularly within the tuft, compatible with osteomyelitis. There is ulceration of the skin dorsal to the distal phalanx. The proximal phalanx and first metatarsal demonstrate normal m... | Limited exam demonstrates osteomyelitis of the distal phalanx of the great toe with multiple phalangeal fractures as detailed above. |
Generate impression based on findings. | Wrist pain Tendons: The extensor tendons are intact. The flexor tendons are intact. There is no tenosynovitis.Ligaments: There is no extravasation of contrast into the radiocarpal space or the distal radioulnar joint. The scapholunate ligament is intact. The lunotriquetral ligament is intact. The triangular fibrocartil... | 1. Abnormal marrow signal intensity and cystic change which is isolated to the lunate. These findings are concerning for developing avascular necrosis. Although this could conceivably be posttraumatic in nature, it is thought to be less likely as the marrow signal intensity of the remaining osseous and surrounding soft... |
Generate impression based on findings. | History of ankylosing spondylitis and back pain. BONE MARROW: Heterogenous bone marrow signal within the visualized osseous structures is compatible with normal red marrow without suspicious focal space-occupying lesions. No fractures are identified.SOFT TISSUES: The visualized musculature and soft tissues are within n... | Unremarkable examination without specific evidence of sacroiliitis. |
Generate impression based on findings. | 65 years Male (DOB:2/15/1951)Reason: r/o compression History: low back pain with shooting pain down left legPROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imag... | 1.There are some mild degenerative changes present in the lumbar spine without significant compromise to spinal canal or exiting nerve roots.2.Findings raise the question of Baastrup's syndrome in the lower lumbar spine. Please correlate with patient's clinical symptoms3.No abnormal lesions are appreciated within the l... |
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