instruction stringclasses 1
value | input stringlengths 15 6.12k | output stringlengths 3 2.67k |
|---|---|---|
Generate impression based on findings. | follow up of right tentorial lesion, likely to be meningioma. There is again 8.9mm x 11.4mm x 10mm sized right tentorial based extra axial mass likely representing meningioma.The size, signal characteristics do not show any significant interval change since prior exam.The ventricles, sulci and cisterns are symmetric an... | No change of right tentorial based extra axial mass in terms of size (8.9mm x 11.4mm x 10mm), configuration and MR signal characteristics since prior exam.No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 71 year-old female with pituitary adenoma status post XRT. Postoperative changes remote transphenoidal surgery. An enhancing mass in the sella extends to the medial aspect of the right cavernous sinus adjacent to the right internal carotid artery without luminal narrowing or specific evidence of cavernous sinus invasio... | Right pituitary macroadenoma without significant change in size or signal characteristics compared to 12/23/14. |
Generate impression based on findings. | Ms. Bauby is a 40 year old female that is BRCA 1 positive and recently diagnosed with ovarian cancer. Family history of breast cancer in paternal aunt and ovarian cancer in paternal first cousin. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bil... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Abdominal pain, leukocytosis, right upper quadrant pain. History of PSC. Biliary stent placed 7/16/2015. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver morphology. No T2 hyperintense lesions are seen, though evaluation is limited by lack of IV contrast. The gallbladder is distended, though without specific evidence of c... | 1.Diffuse stricturing of the common bile duct, without dominant stricture identified.2.No evident cholelithiasis, choledocholithiasis, or biliary ductal dilation.3.Diffusely dilated small bowel loops in the upper abdomen, partially imaged. This may represent ileus versus small bowel obstruction |
Generate impression based on findings. | BRAIN: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are no areas of abnormal parenchymal signal. There is a small left frontal developmental venous anomaly. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is ... | Unremarkable brain and cervical spine MRI. |
Generate impression based on findings. | Female 59 years old Reason: bil dil seen on USG, please evaluate History: bil dil, HCV ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted. No gallstones. There is intra and extrahepatic biliary duct dilatation. The common duct measures 1.2 cm in transverse dimension and tapers toward the ampulla. No filling... | 1.Intra and extrahepatic biliary duct dilatation without filling defect or mass identified.2.There is herniation of the majority of the stomach into the right chest and deviation of the pancreatic body to the right upper quadrant and this anatomical variation may contribute to the biliary dilatation.3.Loss of normal T1... |
Generate impression based on findings. | 81-year-old female with HCC status post TheraSphere treatment ABDOMEN: The study is limited due to lack of intravenous contrast.LIVER, BILIARY TRACT: Cirrhotic liver morphology with ablation cavity in segment 4A is redemonstrated. There is been no significant change in the reference segment for ablation cavity when usi... | 1.Limited exam due to the lack of intravenous contrast. No significant change in appearance of treatment cavity.2.Unchanged indeterminate segment 6 focus. |
Generate impression based on findings. | 10-year-old female with right ear and throat pain. Evaluate for nerve impingement causing glossopharyngeal neuralgia. Artifact from dental hardware limits evaluation of the frontal lobe on the gradient echo sequences. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pitu... | 1.No evidence of intracranial hemorrhage, mass, or acute infarct. 2.No obvious abnormality affecting the bilateral glossopharyngeal nerves, although 3D T2 sequence is suboptimal.3.Interval improvement in paranasal sinus disease. |
Generate impression based on findings. | Pain in thoracic spine. There appears to be mild thoracic scoliosis. There is no spondylolisthesis. The vertebral body and disc space heights are preserved. The vertebral bone marrow signal is unremarkable. There are a few small eccentric left posterior disc-osteophyte complexes in the mid thoracic spine without signif... | 1. Apparent mild thoracic scoliosis. 2. Few small eccentric left posterior disc-osteophyte complexes in the mid thoracic spine without significant spinal canal stenosis. |
Generate impression based on findings. | 67-year-old female with history of small cell lung cancer status post chemo/RT. History brain metastases status post resection and whole brain RT. There is a questionable focus of mild enhancement or intrinsic high density along the superior aspect of the left lateral ventricle approximately at the location of the corp... | Questionable area of enhancement above the roof of the left lateral ventricle. MRI pre-and post contrast is recommended to further evaluate. |
Generate impression based on findings. | 62-year-old man with history of left lower extremity weakness, evaluate for demyelinating lesion. There are bilateral periventricular and subcortical foci of T2/FLAIR hyperintensity in the white matter arranged radially similar to the prior examination. This includes areas of signal abnormality in the subcortical right... | 1.Multiple T2 hyperintense lesions in the brain and spinal cord with a morphology suggestive of demyelinating disease. However, no enhancing lesions are identified.2.Osseous and soft tissues of the spine are essentially unremarkable with minimal degenerative changes.3.Trace pleural fluid, left perihilar bronchiectasis,... |
Generate impression based on findings. | Reason: Rule out pulmonary embolism History: chest pain + SOB CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Limited examination due to motion artifact. There is no evidence of acute central saddle pulmonary embolism to the level of the second pulmonary artery bifurcation. There is heter... | No evidence of acute central pulmonary embolism to the level of the second pulmonary artery bifurcation. |
Generate impression based on findings. | Left knee pain The examination is limited by patient motion artifact.MENISCI: There is abnormal signal intensity throughout most of the medial meniscus representing extensive degeneration and degenerative tearing. There is mild medial extrusion of the body of the medial meniscus. There is intrasubstance degeneration of... | 1. Severe osteoarthritis of the knee particularly affecting the medial tibiofemoral compartment with extensive degeneration and degenerative tearing of the medial meniscus.2. Moderate joint effusion.3. Tapering of the popliteal vein posterior to the knee joint with portions of the vessel not visualized. The possibility... |
Generate impression based on findings. | 57-year-old female with generalized and partial seizures. This examination is degraded by motion. No restricted diffusion to suggest acute ischemia. No acute intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. The right hippocampus has slightl... | Motion degraded examination, which may obscure detection of subtle seizure foci.1. Asymmetric smaller and T2/FLAIR hyperintensity of the right hippocampus may represent mesial temporal sclerosis. No intracranial mass, evidence of cortical dysplasia or gray matter heterotopia.2. Nonspecific signal change in the supraten... |
Generate impression based on findings. | 16 year old male with history of brain tumor. Status post craniotomy now with fever and draining the scalp wound. Concern for abscess/osteomyelitis. Patient also had syncopal event. Extensive postoperative changes of left frontal craniotomy which extends across the midline is again identified. Epidural thickening is ag... | 1.No evidence of interval change since prior exam.2.To exclude an abscess an MRI examination with infusion is recommended. |
Generate impression based on findings. | Gait imbalance and brisk deep tendon reflexes. Brain MRI with and without Contrast:There are scattered, punctate T2/FLAIR hyperintense foci in the cerebral white matter, most numerous in the frontal and parietal white matter. They show no diffusion restriction or contrast enhancement. These are nonspecific but likely r... | 1.No evidence of intracranial mass or mass effect. No evidence of acute infarct or hemorrhage. Mild chronic small vessel ischemic changes.2.Mild degenerative changes in the cervical spine without high-grade spinal canal stenosis at any level. No cord signal abnormality. Individual levels as above including relatively m... |
Generate impression based on findings. | 96 year-old woman with history of CVA and new onset aphasia, right facial droop. Questionable left-sided weakness. There is no evidence of intracranial hemorrhage, mass or edema. No acute cortical stroke is seen. If acute infarction is suspected clinically, MRI can be obtained. A large area of encephalomalacia is seen ... | 1. Multiple old strokes.2. Extensive small vessel ischemic disease, age indeterminate. |
Generate impression based on findings. | Further assessment of calcified mass on recent CT scan the head. The ossified extra-axial mass in the lateral right middle cranial fossa on the CT scan correlates with a mildly T2-hypointense, intensely contrast enhancing mass with a wide base over the medial squamosal and anterior petrous portions of the right tempora... | 1.Calcified extra-axial mass in the lateral right middle cranial fossa most likely represents a meningioma. There is associated moderate degree of vasogenic edema with mild leftward midline shift and minimal right uncal herniation.2.Small right frontal scalp hematoma which may related to trauma.I personally reviewed th... |
Generate impression based on findings. | Female 23 years old Reason: rectal fullness, hx of fevers. assess for abscess, pelvic pathology History: rectal fullness, hx of fevers ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No focal suspicious hepatic lesions. Hepatic and portal veins are patent. No significant fatty infiltration.No biliary ducta... | 1.Findings of active inflammation involving the rectum and distal sigmoid for a 12 cm segment.2.Findings of a small perianal fistula extending from the 12 o'clock position extending anteriorly to the right.. |
Generate impression based on findings. | Male, 61 years old, with smoldering myeloma, questionable transformation to myeloma. Evaluate for bone lesions. Cervical:Sagittal alignment is unremarkable. Vertebral body morphology and signal characteristics are within normal limits. Specifically, no focal marrow space lesions are identified.Within the limitations of... | 1.No lesions to suggest active myelomatous disease are seen in the cervical, thoracic or lumbar spine.2.Relatively mild degenerative findings as discussed above. |
Generate impression based on findings. | 67-year-old woman with known breast cancer metastatic on chemo. Reevaluate. CHEST:LUNGS AND PLEURA: Stable appearance of left apical traction bronchiectasis with fibrosis likely due to radiation change. New moderate to large left pleural effusion. Stable subcentimeter micronodule in the right upper lobe (image 27/95). ... | 1. Interval development of new moderate left pleural effusion with new airspace opacity in the left lingular segment that was shown to have increased activity on PET/CT from 6/24/08.2. Interval development of multiple thoracic and lumbar osseous metastatic disease better seen on MRI from 7/2/08. |
Generate impression based on findings. | 79 years, Male, memory loss. There is moderate global parenchymal volume loss without a particular lobar distribution. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. No intracranial mass or mass-effect. The ventricles are within normal limits in size and configuration. Several foci of T2... | 1. No intracranial mass or mass effect. No extra-axial collections or hydrocephalus.2. Mild chronic small vessel ischemic changes. Small focal area of volume loss involving the left posterior cerebellar hemisphere which may be related to chronic infarct. 3. Moderate global parenchymal volume loss without a particular l... |
Generate impression based on findings. | 78-year-old female with hyperbilirubinemia who needs a biliary drain. Evaluate. ABDOMEN: Suboptimal postcontrast images given motion artifact.LIVER, BILIARY TRACT: Again noted is a perihepatic infiltrative soft tissue which measures 4.8 x 5.5 cm (series 8, image 27), previously measuring 6.0 x 5.3 cm. Please note this ... | 1.Significant intrahepatic biliary ductal dilatation to the level of the hilum. The proximal common bile duct is not opacified, which may be secondary to extrinsic compression from the infiltrative hilar mass. Of note, in segment 8, there are 2 significantly dilated biliary ducts with possibly a vessel coursing in betw... |
Generate impression based on findings. | A 73 year old female with personal history of hypertension, hyperlipidemia, chronic pulmonary disease, non-obstructive coronary artery disease and mild to moderate aortic stenosis . A recent cardiac CT showed moderate calcification of the aortic valve, severe calcification of the coronary arteries and ascending aorta w... | 1. Two distinct areas of ischemia are noted: one in the basal inferolateral wall and the other in the apical inferior wall. 2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 72%).4. Normal RV size and systolic function (RVEF 68%).5. There is aortic valve ca... |
Generate impression based on findings. | Right-sided hemiparalysis. There is a patchy high signal intensity on FLAIR and T2-weighted images on the left side of the pons indicating chronic ischemic lesion. However, there is no evidence of acute ischemic or hemorrhagic lesion on the scan.Minimal scattered hyperintensities on the bilateral periventricular white ... | No evidence of acute ischemic or hemorrhagic lesion.Chronic ischemic lesion on the left side of pons as described above.Minimal nonspecific small vessel disease. |
Generate impression based on findings. | 16-year-old male with a abnormality in the frontal area on CT unimpressive on MR. History of amnestic episode questionable history of trauma and seizure. The appearance of the current CT scan versus the prior is slightly different. There are foci of hypodensity present along knee left the superior frontal gyrus and rig... | 1.No evidence for acute intracranial hemorrhage.2.Small hypodense foci superimposed on the left superior frontal gyrus and the right precentral gyrus. These were also identified on the previous exam. The possibility of these represent subcortical abnormality cannot be excluded. It's conceivable that these are related t... |
Generate impression based on findings. | 39-year-old male with shoulder pain. Evaluate cuff, biceps. ROTATOR CUFF: There is intermediate signal intensity within the distal fibers of the supraspinatus tendon anteriorly indicating tendinosis. A tiny (2 mm) focus of fluid signal intensity within the distal fibers of the tendon at its insertion is suggestive of a... | 1. Os acromiale with edema within the os which may reflect instability.2. Mild subacromial subdeltoid bursitis.3. Mild supraspinatus tendinosis and tiny insertional interstitial tear.4. Subscapularis tendinosis and undersurface fraying.5. Tendinosis of the long head of the biceps tendon. |
Generate impression based on findings. | 34 years Female (DOB:6/23/1981)Reason: Eval for demyelinating disease History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There are several subcortical punctate hyperintense white matter lesions present identifi... | 1.No abnormal lesions are identified in the cervical spinal cord.2.There are several subcortical white matter lesions present which are nonspecific. They could be vascular related, related to demyelination, trauma, vasculitis, sarcoid. They are nonspecific. In general they are not typical in imaging appearance of demye... |
Generate impression based on findings. | Redemonstrated is a mixed signal T1 and T2 intensity lesion within the medial rolandic brain involving both sensory and motor cortices, measuring 17 mm AP by 13 mm transverse dimensions (as measured on axial T2 technique), unchanged in size or morphology. This is associated with susceptibility hypointense abnormality,... | Stable cerebral cavernous malformation involving left medial rolandic brain involving both sensory and motor cortices with an associated developmental venous anomaly. |
Generate impression based on findings. | The ventricles and sulci are prominent, consistent with mild age-related volume loss. However, there is enlargement of the lateral and third ventricles, out of proportion to the degree of sulcal prominence; this is grossly stable when compared to remote MRI from 2006. The basal cisterns remain patent. There is no midl... | 1.No intracranial metastatic lesions are identified.2.Subcentimeter, multilobulated, CSF-signal intensity structure inferomedially adjacent to the right middle cranial fossa, not seen on prior MRI and without significant prior CT correlate. Given apparent contiguity with the adjacent subarachnoid space, this may repres... |
Generate impression based on findings. | Clinical question: Traumatic brain injury. Signs and symptoms: Increased tone. None CT of brain:Examination demonstrates significant ventriculomegaly of the lateral and third ventricle. There is a ventricular catheter entering from right posterior frontal, traversing the right parietal lobe and enters into the right la... | 1.No detectable acute posttraumatic findings.2.Low density extra-axial subdural collection encircles the entire brain parenchyma bilaterally as detailed.3.Significant ventriculomegaly and supratentorial space with a shunt in place. There are no old studies for comparison.4.Large area of low-attenuation involves the lef... |
Generate impression based on findings. | 43-year-old male with left-sided weakness and numbness; evaluate for stroke There is no evidence of acute intracranial hemorrhage, significant mass effect/midline shift, hydrocephalus or edema. Gray-white matter differentiation is preserved.The ventricles and basal cisterns are normal in size and configuration. There i... | 1. No acute intracranial hemorrhage, cortical infarct, mass-effect or edema. 2. Mild ectopia of the cerebellar tonsils. Recommend MRI with CSF flow study for further evaluation. |
Generate impression based on findings. | 57 year old with left breast carcinoma and metastatic left axillary lymph nodes, status post chemotherapy. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.The known carcinoma at posterior 2 o'clock position in the left breast seen on the prior stu... | 1. Complete imaging response of the right breast cancer.2. Interval reduction in size of the multiple abnormal left axillary lymph nodes3. No abnormal enhancement in right breast. 4. No abnormal lymph nodes in right axillary region. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Right knee pain for 1 day no known trauma Minimal osteoarthritic changes with chondrocalcinosis. Given patient's age, this latter finding may be age-related. Small effusion. MRI may be indicated to exclude an internal derangement, however no acute osseous abnormalities currently observed | Mild degenerative changes without definite superimposed acute abnormality other than a small effusion. See detail provided |
Generate impression based on findings. | CT best demonstrates a lucency involving the posterior arch of C1, rightward, just posterior to lateral masses, not involving adjacent transverse foramen. The edges are not rounded, however do demonstrate increased sclerosis. There is no evident bony bridging of trabeculation across the defect. There are no secondary ... | CT best demonstrates a lucency involving the posterior arch of C1, rightward, just posterior to lateral masses, not involving adjacent transverse foramen. The edges are not rounded, however do demonstrate increased sclerosis. There is no evident bony bridging of trabeculation across the defect. There are no secondary C... |
Generate impression based on findings. | Clinical question: Evidence of new CVA. Signs and symptoms: Patient with history of ischemic CVA x 5, presents with some similar symptoms, initial CT of head is negative. Pre and post enhanced brain MRI:No evidence of acute intracranial process and in particular no detectable acute ischemic stroke is seen.There is a la... | 1.No acute ischemic process.2.Extensive left hemispheric encephalomalacia consistent with a chronic minimally hemorrhagic stroke.3.Minimal chronic small vessel ischemic stroke.4.Absence of signal void of left cavernous and supraclinoid internal carotid consistent with occlusion.5.Extensive opacification of right mastoi... |
Generate impression based on findings. | Female, 68 years old, history of GBM, now on temozolomide plus TTF. A lesion is redemonstrated involving the left inferior and middle frontal gyri with findings seen indicating prior biopsy or resection. Somewhat nodular foci of enhancement superficially along the operative site are unchanged. Deep to the resection sit... | Stable enhancing lesions within the left inferior and middle frontal gyri with stable surrounding T2 signal abnormality. |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord is somewhat heterogeneous, which limits evaluation. There is no evidence of acute cord compression. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. Th... | 1.Multilevel degenerative changes with posterior disc osteophyte complexes and scattered neuroforaminal narrowing including moderate-severe narrowing on the right at C4-C5. 2.No acute cord pathology. |
Generate impression based on findings. | 41-year-old female presents with numbness tingling to the right lower extremity, decreased sensation, and urinary retention; evaluate for cauda equina syndrome. The vertebral bodies are appropriate in the overall alignment and height. The spinal cord has grossly normal signal characteristics and overall morphology. The... | 1. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord or cauda equina compression is identified. 2. Due to the screening nature of this protocol details are not as evident on imaging as dedicated protocols of ... |
Generate impression based on findings. | 53-year-old female with epigastric pain, nausea and vomiting. Evaluate for acute on chronic pancreatitis, pancreatic pseudocyst, and biliary obstruction. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology. No suspicious parenchymal lesions.Intra and extraperitoneal biliary ductal dilatation remain. The com... | 1.Findings compatible with recurrent acute pancreatitis of the pancreatic head. New and increasing fluid collections within and adjacent to the pancreas need correlation with timing of symptomatology. Less than 4 weeks duration would classify these as acute peripancreatic fluid collections, however greater than 4 weeks... |
Generate impression based on findings. | Right lower extremity radicular pain, evaluate for herniated disc Please note for the purposes of numbering, there are 4 lumbar type vertebral bodies with hypoplastic ribs associated with T12 and a transitional segment below L4 labeled S1.Vertebral body heights are within normal limits. Alignment is within normal limit... | 1. Please note variant numbering with hypoplastic ribs associated with T12, 4 lumbar type vertebral bodies, and a transitional segment below L4 labeled S1 for the purposes of this study. As numbered, there is severe right-sided neural foraminal stenosis at the L4-S1 level related to foraminal disc protrusion and advanc... |
Generate impression based on findings. | History of left neck carcinoma. Question of pulmonary embolism. Complains of acute onset shortness of breath. Likely PE but also evaluate for possible mass effect on trachea.IMAGE ACQUISITIONS: CT neck soft tissues with contrast. On the uppermost image of the neck CT, the previously noted right parietal metastasis is a... | 1. Asymmetric narrowing at the level of the vocal cords more likely due to left vocal cord nerve paralysis. Inferior to this level there is slight narrowing of the trachea due to mass effect.2. Progression of disease in the neck with enlargement of the mass as well small small new pathologic lymph nodes, and likely new... |
Generate impression based on findings. | 5 month old female patient with spasmus nutans. Question of glioma or brain lesion. BRAIN: The images are degraded by patient motion. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There appears to be a normal degree of myelination.... | 1. No evidence of intracranial hemorrhage, mass, or acute infarct. 2. Unremarkable examination of the bilateral orbits.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Reason: low back pain, history of multiple myeloma History: low back pain Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact. Since the prior examination has undergone laminectomies at L4 and L5 a... | 1.Since the prior exam the patient has undergone laminectomy and fusion in the lower lumbar spine.2.Since the prior exam the patient has developed a moderate to severe degree of spinal stenosis at L3-4. |
Generate impression based on findings. | 57 years, Male, Reason: ?s/p OLT, w/ perihepatic abscesses, now w/ drain, draining fluid w/ high amylase, eval for pancreatic duct leak History: abd pain, OLT. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Postoperative findings of orthotopic liver transplant There is an intrahepatic pigtail... | 1.The distal pancreatic duct is mildly dilated and abruptly terminates, traversing superiorly to the region of prior perihepatic fluid collection. A focal pancreatic ductal injury is possible causing the fluid high in amylase. 2.Resolution of perihepatic fluid collection.3.Fluid collection adjacent to the pancreatic ta... |
Generate impression based on findings. | Acute thalamic infarct. Evaluate for signs of neoplasm. There are new punctate foci of restricted diffusion in the right and left occipital lobes. The previously seen punctate focus of diffusion restriction along the left superior thalamus is less prominent.There are multiple punctate foci and extensive confluent areas... | 1. Two new punctate foci of restricted diffusion compared to 1/23/2015 compatible with acute infarcts in the bilateral occipital lobes. Recent infarct in the left superior thalamus also again seen and slightly less prominent compatible with evolution.2. Advanced chronic small vessel ischemic disease including multiple ... |
Generate impression based on findings. | MRI brain: There are significant susceptibility artifacts arising from the ventriculostomy reservoir. There are bihemispheric subdural fluid collections in the frontoparietal convexities which demonstrates fluid signal intensity containing internal susceptibility artifacts consistent with chronic subdural hematoma. Th... | 1. Bihemispheric multi-stage subdural hematoma including bilateral temporo-occipital subacute SDH as described above.2. Left frontal approach ventriculostomy catheter, is unchanged from previous.3. Effacement of the right lateral ventricle, unchanged from previous.4. Partially empty sella, a normal variant. Please note... |
Generate impression based on findings. | Strong family history of breast cancer in her mother, grandmother and two great grandmothers. The patient also has had a recent ultrasound for a left breast lesion that will be biopsied later today. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilatera... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | There is an ovoid lesion within the central spinal cord centered at the T1 level that measures up to 21 mm. The mass appears to be peripherally T1 hyperintense and T2 hyperintense centrally with a thin peripheral rim of T2 hypointensity. There is no appreciable enhancement. There are minimal patchy foci of T1 and T2 h... | 1. Findings most compatible with a late subacute spinal cord hematoma or hematomyelia with minimal edema centered at the T1 level, whereby spontaneous hemorrhage, post-traumatic hemorrhage, hemorrhagic infarction, or an underlying cavernous malformation are potential etiologies, for example. An underlying neoplasm is p... |
Generate impression based on findings. | Diagnosis: Primary central nervous system lymphoma, unspecified site, extranodal and solid organ sitesClinical question: Primary CNS NHLSigns and Symptoms: Evaluate for continued remission The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild to moderate degree of periventri... | 1.No abnormal enhancing lesions are appreciated within the brain parenchyma to suggest CNS lymphoma.2.There are periventricular white matter lesions and subcortical white matter lesions as well as lesions in the basal ganglia and cerebellum which are stable and compared to the prior exam from June. These are nonspecifi... |
Generate impression based on findings. | Reason: r/o cavernous sinus thrombosis, mass History: proptosis bilaterally, HA, vision changes 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 ... | 1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.There is no evidence for cavernous sinus thrombosis.4.Enlarged right eye with findings suggestive of coloboma. |
Generate impression based on findings. | Male 60 years old with prostate cancer undergoing active surveillance. Staging exam. PELVIS:PROSTATE:Prostate Size: 5.3 x 4.2 cmPeripheral Zone: Several foci of low T2 signal intensity in the peripheral zone of the prostate gland are compatible with the known history of prostate cancer. The index lesion located anterio... | 1.The index large anterior transitional zone cancer with extracapsular extension has increased in size. 2.A smaller lesion in the anterior apex invades the urethra. 3.Other small bilateral peripheral zone foci are also suspicious for prostate cancer and have also increased in size. |
Generate impression based on findings. | There are post-treatment findings in the nasopharyngeal region. There has been interval decrease in the enhancing lesion in the superior right parasagittal posterior nasopharynx, with mild asymmetric prominence on that side, but no discretely measurable tumor. There is no evidence of skull base invasion or intracrania... | No measurable residual nasopharyngeal carcinoma and no evidence of significant cervical lymphadenopathy. |
Generate impression based on findings. | History of retroperitoneal liposarcoma. Evaluate for response to treatment. PELVIS:UTERUS, ADNEXA: The uterus is displaced towards the left by the large right hemipelvis mass. Otherwise it is unremarkable. The adnexa are not clearly identified.BLADDER: The bladder is mostly collapsed and displaced by the large right he... | 1. No significant interval change in the right pelvic mass with extensive mass effect and soft tissue involvement as described.2. Stable involvement of the sciatic nerve to the level of the ischial tuberosity and tracking along the sacral plexus to the L5 and S1 right neural foramen. |
Generate impression based on findings. | Reason: 59F, episode off necrotizing pancreatitis march 2015 (images on PACS) with 9cm pseudocyst and SMV and PVT. Chole 30 years ago, rule out stones and lesion and evaluate PFC. Perform with gadolinium, thanks History: pain ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of a cholecystectomy. Mild intrahepatic bil... | 1.Large 10 cm pancreatic pseudocyst. Additional 4 cm peripancreatic pseudocyst.2.Peripancreatic edema likely representing resolving pancreatitis. 3.Main portal vein and superior mesenteric veins are patent.4.No suspicious lesions. |
Generate impression based on findings. | Male 58 years old with bladder and prostate cancer. Evaluate liver lesions seen on CT. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 15 cm in length and has a smooth contour. There are several T2 hyperintense, circumscribed, nonenhancing lesion in both lobes of the liver compatible with simple cysts. For example, a ... | 1.Multiple T2 hyperintense hepatic lesions with no enhancement are favored to represent cysts. There is no enhancing liver lesion.2.Interval improvement in bilateral hydronephrosis. |
Generate impression based on findings. | Female 13 years old History: h/o L knee twisting injury 2/28 with immediate knee pain and swelling; significant effusion and +lachman exam in clinic 3/8, c/f ACL tear MENISCI: The menisci are intact without tear or other significant abnormality.ARTICULAR CARTILAGE AND BONE: There are bone contusions of the lateral femo... | 1.Findings consistent with transient patellar dislocation with associated partial tearing of the medial patellofemoral ligament, medial patellar cartilage fragmentation and moderate joint effusion.2.Small Baker's cyst. |
Generate impression based on findings. | Female 31 years old Reason: peroneus brevis tear. please image from above the ankle down to insertion on the base of 5th metatarsal History: pain TENDONS: No significant abnormality noted.LIGAMENTS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: No significant abnormality noted. ADDITIONAL | No evidence of peroneus brevis tear. No specific findings to account for patient's symptoms. |
Generate impression based on findings. | seizure, evaluate for seizure focus Exam is limited by motion artifact. No abnormal diffusion restriction. There is encephalomalacia right occipital lobe with ex vacuo dilatation of the right lateral ventricle, likely from prior infarct. There is periventricular white matter and right cerebellar FLAIR signal hyperinten... | Only a part of the exam was performed as patient could not tolerate the entire exam. Exam is limited by motion artifact. No evidence of acute ischemia. |
Generate impression based on findings. | Loose body on radiograph. History of patellar dislocation medial sided knee pain. MENISCI: Adjacent to the anterior horn of the lateral meniscus there is a parameniscal cyst. The menisci are otherwise unremarkable.ARTICULAR CARTILAGE AND BONE: There is focal thinning of the patellar cartilage at the lateral facet, with... | 1. Loose body within the anteromedial aspect of the joint, with moderate effusion.2. Thinning of the cartilage of the lateral patella with a patellar subchondral cyst and adjacent anterior parameniscal cyst. |
Generate impression based on findings. | 48-year-old female with sacral mass precluding evaluation of the cervix PELVIS:UTERUS, ADNEXA: Displaced anteriorly by presacral mass described below. The endometrial canal is distended with small amount of fluid. There is an enhancing, partially cystic lesion in the lower uterine segment extending from the anterior wa... | 1.No significant change in an enhancing, partially cystic lesion extending from the anterior wall of the lower uterine segment favored to represent a polyp. 2.Nabothian cysts are noted without evidence of suspicious masslesion of the cervix. 3.Stable to slight interval increase in size of pathologically proven sacral n... |
Generate impression based on findings. | Clinical question: Rule out CVA. Signs and symptoms: Altered mental status, on possible. Non-infused CT of brain:Images through posterior fossa are unremarkable.Images through the supratentorial space demonstrates advanced small vessel disease of indeterminate age.No definite evidence of cortical stroke is detected. No... | 1.Advanced small vessel disease of indeterminate age.2.No definitive cortical stroke and no hemorrhage.3.Follow-up with an MRI is recommended. |
Generate impression based on findings. | Clinical question: Rule out intracranial lesion, evaluate for bitemporal visual field cut and pale optic disc and blurry vision. Signs and symptoms: As above. Pre- and post enhanced brain MRI:Unremarkable diffusion-weighted images.Examination demonstrate a small focus of FLAIR hyperintensity in the right centrum semiov... | 1.Pre- and post enhanced pituitary MRI is unremarkable.2.Pre and post enhanced brain MRI demonstrate 2 small foci of FLAIR hyperintensity in the right centrum semiovale and right cerebral peduncle without enhancement. Small focus of FLAIR hyperintensity in subcortical white matter of right posterior frontal lobe with f... |
Generate impression based on findings. | Mass measuring is a 49-year-old female with a strong family history of breast cancer in her mother (diagnosed twice at the ages of 39 and 54) and maternal aunt (diagnosed at the age of 50). Personal history of benign right breast biopsy in 2007 for stromal fibrosis/fat necrosis. There is heterogeneous amount of fibrogl... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Clinical question: Evaluate for pathology of lumbar pain. Signs and symptoms: Lumbar pain with radiculopathy. Nonenhanced lumbar MRI:There is normal anatomical alignment of vertebral colon.The signal intensity of vertebral column demonstrate mild changes secondary to degenerative disease and unremarkable otherwise.T12-... | 1.Central and right lateral broad-based disc protrusion with resultant mass effect and right lateral recess compromise at L5-S1 as detailed. Right neural foraminal compromise at L5-S1 secondary to degenerative disease is also present.2.Unremarkable exam at all other levels and without spinal stenosis at any level. |
Generate impression based on findings. | BRAIN MRI: The posterior fossa has a small capacities and the cerebellar tonsils display pointed morphologies and extend up to 15 mm inferior to the foramen magnum with crowding of the foramen magnum, which is unchanged. There is effacement of the basal cisterns. There is no evidence of cerebral edema, intracranial ma... | 1.Markedly low-lying cerebellar tonsils with crowding of the foramen magnum and effacement of the basal cisterns, as well as a small posterior fossa may represent an underlying Chiari 1 malformation with superimposed effects of intracranial hypotension manifesting as hindbrain herniation. However, no cerebral edema or ... |
Generate impression based on findings. | Right arm pain and weakness. Concern for rotator cuff injury. ROTATOR CUFF: There is diffuse edema throughout the rotator cuff and surrounding musculature. There is severe tendinosis of the supraspinatus with partial thickness tearing. No full thickness tear is evident. SUPRASPINATUS OUTLET: There is fluid in the suba... | 1. Severe tendinosis of the supraspinatus with partial tearing. No full-thickness tear is evident.2. Diffuse edema throughout the rotator cuff and surrounding musculature, suggestive of recent injury.3. Mild posterior displacement of the humeral head compatible with posterior capsule laxity, with degenerative tearing o... |
Generate impression based on findings. | 53 years Male (DOB:8/17/1962)Reason: evaluate stage of disease History: anaplastic large cell lymphoma with brain metastasisPROVIDER/ATTENDING NAME: GREG TOMCZYK SONALI M SMITH There is a nonenhancing heterogeneous lesion present in the right cingulate gyrus and adjacent to right paracentral lobule associated with the ... | 1.Since the previous examination a lesion located in the right basal ganglia has regressed in overall size.2.Small lesions in the left caudate nucleus, right thalamus and the left occipital lobe as well as a larger lesion centered in the right cingulate gyrus are stable .3.Although no cranial nerve lesion is identified... |
Generate impression based on findings. | Male, 61 years old, with newly diagnosed GBM status post biopsy. Postoperative MRI for radiotherapy treatment planning. Post biopsy changes are seen at the site of the right posterior frontal paramedian enhancing lesion. On comparison with the prior examination the lesion shows continued interval increase in size now m... | Interval increase in the size of an enhancing right posterior superior frontal mass status post biopsy. |
Generate impression based on findings. | Left neck mass. There is a skin marked overlying the left cheek. There is a fat signal intensity mass within the anterior superficial left parotid gland that measures up to 3 cm. The other salivary glands and upper aerodigestive tract are unremarkable. There is no evidence of significant lymphadenopathy in the images p... | 1. Left parotid lipoma measuring up to 3 cm.2. Apparent nodule within the isthmus of the thyroid gland, which is otherwise incompletely characterized. A thyroid ultrasound may be useful for further evaluation.3. Diffuse cerebral volume loss and chronic left cerebellar and right caudate infarcts. |
Generate impression based on findings. | Biopsy proven left breast cancer. There is scattered fibroglandular tissue in both breasts. Bilateral retropectoral silicone implants are intact. Mild parenchymal enhancement is noted bilaterally.The index mass near the left 12:00 has internal artifact from the biopsy clip and measures 2.2 x 1.2 x 1.9 cm. Immediately l... | 1. Left breast malignancy consisting of a 2.2 cm index lesion with adjacent satellite masses extending from the 12:00-2:00 positions. Overall extent is up to 3.0 x 1.3 x 2.5 cm.2. No suspicious axillary lymph node.3. Highly likely benign foci in the right breast. Recommend 6 month MRI follow up to ensure stability. BIR... |
Generate impression based on findings. | This is a limited exam specific for the exclusion of acute cord compression. Given this caveat, there is no acute cord compression. Redemonstrated are foci of T2 hyperintense foci within the cervical cord. Extensive metastatic disease involving the osseous elements are noted. | 1.No acute cord compression.2.Redemonstrated are foci of T2 hyperintense foci within the cervical cord.3.Extensive metastatic disease involving the osseous elements are noted. |
Generate impression based on findings. | 79-year-old female with pain and cortical irregularity on radiograph. Evaluate left femoral neck. ACETABULAR LABRUM: There is linear increased signal abnormality traversing the anterior labrum consistent with degenerative tearing. There is also heterogeneity and increased signal abnormality within the anterior acetabul... | No evidence of acute fracture as clinically questioned. Osteoarthritis of the left hip and other findings as described above. |
Generate impression based on findings. | Reason: NEEDS SECRETIN STIMULATION - evaluate for features of chronic pancreatitis History: OSH diagnosis of chronic pancreatitis ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: The main pancreatic duct is nondilated. There are no dilated side branches. ... | No MR findings of chronic pancreatitis. |
Generate impression based on findings. | 55 years, Male, status post meningioma resection. There are postsurgical changes of occipital craniotomy for resection of extra-axial tumor which was abutting the dorsal aspect of the cerebellum. There appears to be near total tumor resection. There is residual extra-axial enhancement abutting/invading the torcular her... | Near total resection of previously seen posterior fossa extra-axial mass, presumably representing meningioma. Minimal residual tumor is suspected along the wall of the torcular herophili and medial aspect of the right transverse sinus. Venous sinuses remain patent. |
Generate impression based on findings. | Ms. Ottenweller is a 61-year-old female with history of recurrent right breast IDC status post mastectomy and sentinel lymph node biopsy in December 2014. Patient also has personal history of benign MRI-guided biopsy of the left breast in 02/2009 for periductal chronic inflammation. No family history of breast cancer. ... | Stable postsurgical changes of the left breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, left unilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION:... |
Generate impression based on findings. | 59-year-old female with pain. Evaluate for rotator cuff tear ROTATOR CUFF: There is a wavy appearance of the subscapularis tendon with surrounding edema and intermediate signal intensity of the tendinous fibers distally near their insertion site compatible with at least a partial thickness tear. The tendon of the supra... | 1. At least partial thickness tear of the subscapularis and supraspinatus tendons with generalized fatty atrophy and infiltration of the rotator cuff musculature.2. Findings are suspicious for displacement of the long head of the biceps tendon proximally.3. Degenerative changes affect the acromioclavicular and glenohum... |
Generate impression based on findings. | Cervical Spine: Again seen are postsurgical changes of anterior cervical discectomy and fusion from C3 to C6. There appears to be solid osseous fusion across the vertebral bodies. Vertebral body heights are maintained. Alignment is maintained. Prominence of the dorsal epidural fat from the C6-C7 level extending inferi... | 1. Postsurgical changes of ACDF from C3 to C6 again seen. Degenerative changes in the cervical spine with moderate spinal canal stenosis at C6-C7 related to disc osteophyte complex and epidural lipomatosis is not significantly changed since 4/9/2015.2. Cord signal abnormality involving the cervical cord at the C5-C6 le... |
Generate impression based on findings. | 41 year old male with a hypergammaglobulinemia. SKULL: No discrete lytic lesions seen.CERVICAL SPINE: There is disc space narrowing at C3-C4, C4-5.THORACIC SPINE: Loss of height of several mid thoracic vertebral bodies which could be pathological and would be better evaluated with MRI. LUMBAR SPINE: Loss of height at t... | 1. Questionable lytic lesions in the ribs.2. Compression fractures of the mid thoracic spine and L3 which could be pathological fractures. |
Generate impression based on findings. | 51-year-old female with hepatitis B. New liver lesion on ultrasound. ABDOMEN:LIVER, BILIARY TRACT: No suspicious hepatic lesions demonstrating enhancement and/or washout. Specifically, no lesions are identified to correlate with findings seen on the 12/19/2016 ultrasound abdomen exam. No anatomic evidence for cirrhosis... | 1.No suspicious hepatic lesions. Specifically, no lesions are identified to correlate with findings seen on the 12/19/2016 ultrasound abdomen exam. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are right unilateral breast MRI (10/4/2016) performed at outside institution. For comparison, breast MRI (9/26/2016) are available. An attempt of MR guided biopsy of an enhancing lesion in the right breast at the retroareolar region was performed. The t... | MR guided biopsy was canceled because the target was not reproduced in the right breast. The suspected lesion on the prior MRI appeared to be a nipple.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 43-year-old female with history of Crohn's, evaluate disease status ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETRO... | 1.No evidence of active Crohn's disease.2.Findings suggestive of chronic inflammation involving the rectosigmoid, descending colon and transverse colon. |
Generate impression based on findings. | Secondary malignant neoplasm of brain [C79.31], Reason for Study: ^Reason: 57F with metastatic NSCLC with brain mets s/p WBRT and SRS (thought to be curative) here with diffuse weakness of LE and difficulty walking x1 week Redemonstration of tumor resection areas especially on the right temporoparietal and right cerebe... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Unchanged postoperative changes of the right parieto-temporal and right cerebellar hemisphere since prior scan.3. Unchanged non specific small vessel ischemic disease. |
Generate impression based on findings. | Male, 17 years old. Reason: Evaluate for right labral tear. History: Right hip pain ACETABULAR LABRUM: The anterior superior labrum is blunted and irregular likely representing a tear. There is a small fluid collection which may represent a paralabral cyst.ARTICULAR CARTILAGE AND BONE: No significant abnormality noted.... | Tear of the anterior superior labrum with possible paralabral cyst. |
Generate impression based on findings. | Metastatic pancreatic cancer. Biliary ductal dilatation. ABDOMEN:LIVER, BILIARY TRACT: Several segments have significant intrahepatic ductal dilatation. Segment 5/8 biliary ductal dilatation terminates at a 0.9 x 0.9 cm hypoenhancing mass, compatible with metastatic disease. There is an associated transient hepatic int... | Limited by motion. 1.Several hepatic segments with significant intrahepatic biliary ductal dilatation likely related to small metastatic lesions. A lesion in segment 5/8 is well demonstrated. An underlying lesion related to the lateral segment biliary dilatation is not discernable but is suspected given the abrupt bile... |
Generate impression based on findings. | Other disturbances of skin sensation [R20.8] / Flat foot (pes planus) (acquired), left foot [M21.42], Reason for Study: ^Reason: cervical myelopathy, brisk reflexes History: as above C spine:Disc dessication and diffuse bulging of disc which abuts thecal sac at the level of C56. The C67 level also shows mild disc degen... | 1. Disc degeneration with diffuse bulging of disc at the level of C56. And disc degeneration at the level of C67. 2. No evidence of spinal canal and neuroforaminal stenosis on both C and T spine.3. Spinal cord signal intensity is normal. |
Generate impression based on findings. | The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal. There is no pathological enhancement.There is no significant disk bulge, her... | Compared to MRI lumbar spine dated 8/31/2014, there has been some increase in size of the previously debulked large pelvic schwannoma including increased intraspinal extension involving the sacral spinal canal as detailed above. |
Generate impression based on findings. | History of prior spine surgery now with increasing low back pain and lower extremity paresthesias. The vertebral body heights are preserved. Alignment is anatomic. There is decreased signal and loss of disc height at L4-5 and L5-S1 compatible with disc degeneration. Reactive endplate marrow signal is present in the L4-... | 1. Post surgical changes from prior L4 and L5 bilateral laminectomies.2. Multilevel degenerative disc disease and degenerative arthritic changes which create multilevel neural foraminal stenoses. This is most severe involving the right L4-5 and left L5-S1 neural foramen. |
Generate impression based on findings. | Diagnosis: Lumbago with sciatica, unspecified sideClinical question: back and hip pain, abnormal plain x-rays Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is loss of disk spac... | 1.There are multilevel degenerative changes present.2.There is moderate spinal stenosis at L2-3 .3.There is a broad- based disk extrusion at L5-S1 encroaching on the nerve roots at the right lateral recess and to a lesser degree nerve roots at the left lateral recess and right neural foramen. |
Generate impression based on findings. | 24 year-old man with an inter-atrial shunt noted on saline contrast imaging. Sent for CMR to rule out ASD and quantify RV volumes. Left VentricleThe left ventricle is normal in size with low normal systolic function. The overall LV ejection fraction is 53%, the LV end diastolic volume index is 93 ml/m2 (normal range: 7... | 1. The left ventricle is normal in size with low normal systolic function. The overall LV ejection fraction is 53%. Localized subepicardial area of increased signal intensity in the basal inferoseptum partial volume from underlying coronary sinus versus small area of late gadolinium enhancement. Otherwise there is no l... |
Generate impression based on findings. | 75-year-old female patient with medial knee pain. Question of chondromalacia, meniscal tear. MENISCI: The posterior horn of the medial meniscus is abnormally small in size with increased signal intensity consistent with degeneration and fragmentation. Increased signal intensity within the body of the medial meniscus li... | 1. Tearing and degeneration of the medial meniscus as described above.2. Chondromalacia, most predominately affecting the medial compartment, which appears slightly progressed from the prior study. |
Generate impression based on findings. | Clinical question: metastatic Prostate cancer, Biopsy needed form a metastatic site for a study from L4 (approved by Dr Christoforidis)Signs and Symptoms: metastatic site biopsy Serial CT images obtained during the biopsy procedure demonstrate the needle placement within the vertebral lesion. | L4 vertebral bone biopsy under CT guidance. A total of six samples were delivered to for analysis. |
Generate impression based on findings. | CTLA4 deficiency autoimmune disease, inflammatory arthritis, AIHA status post splenectomy on Rapamune, pulmonary nodules, now presenting with new onset severe headache and nausea/vomiting. There are multiple infiltrative cortical and white matter enhancing lesions with high T2 signal within the right frontal lobe, bila... | 1. Slightly increased prominence of multiple supratentorial and infratentorial lesions may represent lymphocytic infiltration associated with CTLA4 deficiency rather than conventional central nervous system lymphoma. 2. Partially-imaged prominent cervical lymph nodes, particularly on the left side may also be related t... |
Generate impression based on findings. | 78 years, Female. Reason: Dobbhoff placement Feeding tube tip in the distribution of the proximal gastric body. Mild gaseous distention of the partially imaged bowel loops. Inferior pelvis is excluded from the field-of-view. Small left pleural effusion. | Feeding tube tip in the distribution of the proximal gastric body. Mild gaseous distention of the partially imaged bowel loops. |
Generate impression based on findings. | MVC, continued pain, noncompliant with J collar: Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. Alignment is maintained. Bone marrow signal is within normal limits. No evidence of epidural hematoma. Major cervical ligaments are intact.There is no signific... | MRI cervical spine without evidence of traumatic injury. |
Generate impression based on findings. | 36 year old male with right temporal lobe epilepsy with generalization. Please evaluate for MTS. There is an ovoid T1 hypointense and T2 hyperintense lesion that measures up to 7 mm along the medial aspect of the right hypothalamus, just superior to the mammillary body. The lesion is exophytic into the third ventricle.... | An ovoid T1 hypointense and T2 hyperintense lesion that measures up to 7 mm along the medial aspect of the right hypothalamus and may represent a neoplasm or hamartoma for example. Further evaluation via an MRI with contrast may be useful. Otherwise, the hippocampi are unremarkable. |
Generate impression based on findings. | Male, 49 years old, history of metastatic lung cancer to the brain status post radiation and multiple chemotherapy regimens, now status post two cycles of Alectinib. Innumerable T2 hyperintense, enhancing lesions are redemonstrated both supra- and infratentorially, most of which demonstrate some degree of hemosiderin s... | A majority of the known innumerable brain metastases demonstrate an interval decrease in size on the order of several millimeters. Some of the smaller lesions which were evident on the prior examination are no longer clearly seen. |
Generate impression based on findings. | 17 month old female. Rule out mass lesion for possible seizure No areas of hemorrhage, edema, mass-effect, midline shift or hydrocephalus. No evidence of a mass is identified on this non-infused exam.The cortical sulci in the left anterior temporal tip appear minimally more pronounced compared to the right side. This f... | No definitive abnormality however please see above comments. |
Generate impression based on findings. | Reason: labral tear History: r hip pain ACETABULAR LABRUM: Intra-articular gadolinium enters the anterior superior acetabular labrum at the 2 o'clock position, indicating a tear.ARTICULAR CARTILAGE AND BONE: The alpha angle measures 55 degrees which is borderline. No bone marrow signal abnormality is identified.SOFT TI... | Anterior superior acetabular labral tear with borderline alpha angle as described above. |
Generate impression based on findings. | 73-year-old woman with history of seizures and left medial temporal lesion. In the left medial temporal lobe (5/19) there is a 6mm area of low T1 and T2 signal. There is minimal surrounding T2 hyperintensity but no significant mass effect. No clear abnormal vasculature is seen in this region. There is mild susceptibili... | 1. A small, low T1 and T2 signal lesion is evident in the left medial temporal lobe without evidence of significant associated edema or mass effect. The signal characteristics are suggestive of the presence of hemosiderin or perhaps calcification/mineralization. The findings favor a long-standing chronic process and th... |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.