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Generate impression based on medical findings. | Shortness of breath Persistent marked COPD changes with minimal superimposed patchy streaky opacities and retrocardiac left lower lobe partial collapse. Small to moderate effusions are also unchanged.Right PICC line and right single jugular port terminating in the proximal SVC unchanged | Persistent patchy basilar changes suggesting atelectasis greater in the left lower lobe with effusions |
Generate impression based on medical findings. | Aortic mass removed Small residual right effusion with basilar atelectasis observed bilaterally. Improved aeration and decreased changes suggesting resolving edema.Cardiac and mediastinal contours are within limitsResuscitation wires project over right upper chest, removed | Improving aeration with small residual right effusion |
Generate impression based on medical findings. | Female, 68 years old.ETT. Tubes and lines similar in position. Dependent atelectasis with bronchial wall thickening suggestive of aspirated secretions, not significantly changed. No pneumothorax. No acute change | No acute change in findings suggestive of atelectasis and aspirated secretions. ETT 4.5 cm above carina. |
Generate impression based on medical findings. | Female 38 years old Reason: lung infiltrate History: cough x 1 week. Mild cardiomegaly, unchanged since prior examination. Low lung volumes. No focal opacity, pneumothorax, or pleural effusion is identified. | Low lung volumes with no acute cardiopulmonary abnormality. No specific evidence of infection. |
Generate impression based on medical findings. | Male 64 years old Reason: R/O HCC History: HCV, cirrhosis LIVER: The liver measures 16.0 cm in length with a mildly nodular contour. The parenchyma is mildly coarse and echogenic . No focal liver lesion is identified. The main portal vein is patent and demonstrates normal direction of flow with a velocity of 2.7 m/s. T... | 1.Mildly coarse and echogenic liver compatible with chronic liver disease.2.No hepatic masses identified.3.Chronic, duct and pancreatic ductal dilatation is stable to slightly decreased. |
Generate impression based on medical findings. | Female, 30 years old.Reason: Cough x 8 weeks, evaluate cause. History: cough Cardiomediastinal silhouette is unremarkable. No focal airspace opacity, pleural effusion, or pneumothorax.Moderately severe pectus excavatum deformity. | No acute cardiopulmonary abnormalities. No evidence of infection. |
Generate impression based on medical findings. | Renal cell with brain mets, post resection and SRS 7/2014 & whole brain RT 12/2014. There are postoperative findings related to right frontal craniotomy with persistent confluent high T2 signal, but no evidence of abnormal enhancement in the region of the right superior frontal resection cavity. There is interval decre... | Interval decrease in size of the brain metastases and associated vasogenic edema. |
Generate impression based on medical findings. | Thyroid dysfunction. Shortness of breath No cardiopulmonary abnormality | Normal |
Generate impression based on medical findings. | Male, 62 years old.Reason: r/o pneumothorax History: Chest tube removal Unchanged chest tubes with no significant pneumothorax.Stable subsegmental atelectasis with no new pulmonary findings.Moderate cardiomegaly. Prior right jugular Swan-Ganz catheter removed. | No significant pneumothorax. Unchanged subsegmental atelectasis. |
Generate impression based on medical findings. | Male, 52 years old.Reason: evaluate for cause of hypoxia in setting of known hemoptysis History: hypoxia, shortness of breath Extensive bullous fibrotic sarcoidosis is again noted in the mid and upper aspect of the lungs with severe lung volume loss. Superimposed consolidative abnormality, not substantially different c... | No substantial change compared to previous study. |
Generate impression based on medical findings. | Possible arachnoid cyst and abnormal vessel: right side headache, abnormal CT. MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and brainstem appear unremarkable. There is focal prominence of cerebrospinal fluid spaces along the inferior aspect of the left cerebellar he... | 1. No evidence of arachnoid cyst in the premedullary space. However, a small areas of focal prominence of the cerebrospinal fluid spaces along the inferior aspect of the left cerebellar hemisphere may be attributable to an arachnoid cyst.2. No evidence of cerebral aneurysms. |
Generate impression based on medical findings. | 56-year-old male with brain lesion, evaluate for metastatic disease CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: 1.6-cm splenic cyst in its u... | No evidence of primary or metastatic lesion the chest abdomen and pelvis.Left UPJ obstruction causing moderate left hydronephrosis. |
Generate impression based on medical findings. | Male, 53 years old.Reason: Infxn w/u History: fevers, chills Small left pleural effusion and possible basilar edema.Heart size upper normal status post mitral valve replacement.Unchanged mediastinal widening with numerous vascular stents. | Mild CHF without evidence of infection. |
Generate impression based on medical findings. | Clinical question: Evaluate for etiology of seizure. Signs and symptoms: Suspected seizures, as is right temporal and parietal hypodensities on CT. Pre-and post-enhanced brain MRI:Negative diffusion weighted images.Examination demonstrates a chronic healed depressed right parietal calvarial fracture as was noted on pri... | 1.No acute intracranial process.2.Small focus of right parietal superficial hemorrhagic encephalomalacia under a chronic healed depressed skull fracture as detailed.3.Larger focus of nonhemorrhagic encephalomalacia along the inferior surface of right anterior/mid temporal lobe involving the white matter and the cortex.... |
Generate impression based on medical findings. | 37 year-old female with metastatic rectal cancer. Please evaluate extent of disease status post chemo/radiation. CHEST:LUNGS AND PLEURA: No significant abnormality noted. No suspicious nodules, masses, or pleural effusion.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy. Heart size normal without pericardi... | 1. Previously seen rectal mass is no longer discretely visualized.2. Interval decrease in size of liver metastasis and pelvic lymphadenopathy.3. New submucosal edema in the gallbladder with increased mucosal enhancement, likely reflecting sequela of chemotherapy. |
Generate impression based on medical findings. | 62 yo male with history of MDS; pre-allo SCT evaluation. Normal cardiac silhouette. No focal airspace opacity, pleural effusion, or pneumothorax. No displaced rib fractures. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Cough, fever and SOB rule out pneumonia. Normal heart size. No visible lymphadenopathy. No pleural fluid or pneumothorax.No focal airspace opacities, visible nodules or masses. | No signs of pneumonia. No acute pulmonary abnormality. |
Generate impression based on medical findings. | Male, 33 years old.Reason: inubtated, resp failure History: intubated, resp failure NG tube tip 7 cm above carina. Venous catheters unchanged. ECMO cannula stable. Loculated left pneumothorax stable.Diffuse airspace and interstitial lung opacity is stable. | Diffuse airspace and interstitial lung opacity is stable. |
Generate impression based on medical findings. | Age: 75 yearsGender: MaleReason for Study: Reason: r/o infection History: leukocytosis The cardiomediastinal silhouette is unremarkable.The lungs are clear.There are no pleural effusions. | No acute cardiopulmonary abnormalities are identified. Specific evidence of infection. |
Generate impression based on medical findings. | Female, 85 years old.Reason: rule out chest metastasis History: hx of high grade urothelial carcinoma Extensive aortic arch calcification is unchanged. Cardiomediastinal silhouette is unchanged and within normal limits. Large lung volumes, bulla, and emphysema. Diffuse interstitial opacities opacities which are increas... | 1.No specific evidence metastasis background of chronic interstitial lung disease. If there is clinical concern for pulmonary metastatic disease, CT is recommended.2.Diffuse interstitial opacities have increased since chest radiograph 9/2/2015. ILD CT may be helpful for further evaluation. |
Generate impression based on medical findings. | Reason: Other History: CHF Cardiomegaly with moderately large pleural effusions and underlying atelectasis, similar to previous. Pacemaker leads and right jugular catheter unchanged. | Pleural effusions and atelectasis with no acute change. |
Generate impression based on medical findings. | Male, 59 years old.Reason: post op cardiac surgery History: post op cardiac surgery Multiple chest tubes with a persistent 17 mm right pneumothorax, slightly larger than before. Small lung volumes with moderate pulmonary fibrosis, unchanged.Heart size at least upper normal status post valve repair via median sternotomy... | Pulmonary fibrosis with slight enlargement of a right pneumothorax. |
Generate impression based on medical findings. | 41-year-old female status post BMT, worsening bilirubin, jaundice. Evaluate for VOD versus obstruction. LIMITED ABDOMENLIVER: Enlarged measuring 21.0 cm in length and is heterogeneous in echotexture. No focal hepatic lesions. BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No peri... | 1. Hepatosplenomegaly with heterogeneous echotexture of the liver suggestive of parenchymal dysfunction/infiltration. Patent inflow and outflow hepatic vasculature.2. Abdominal ascites and bilateral pleural effusions. |
Generate impression based on medical findings. | Clinical question: Intraop ablation. Signs and symptoms: Intraop ablation. Pre- and postenhanced treatment planning MRI:Study is performed utilizing treatment planning protocol and is not a true diagnostic exam.Examination redemonstrates a tectal plate mass with a thick rim of enhancement and measuring approximately 21... | 1.Interval significant central necrosis of a tectal plate tumor and a defect along its left posterior wall believed to be secondary to ablation.2.The tumor measures 21 x 21 mm in transaxial dimensions which is slightly larger than prior study and likely treatment related.3.Stable enlarged supratentorial ventricular sys... |
Generate impression based on medical findings. | Male 51 years old Reason: ? SLAP tear, ? Rotator cuff tear History: pain ROTATOR CUFF: Rotator cuff is intact.SUPRASPINATUS OUTLET: There is a type I acromion. No significant abnormality.GLENOHUMERAL JOINT AND GLENOID LABRUM: There is irregularity of the anterior superior labrum most consistent with degeneration. No di... | Irregularity of the anterior superior labrum consistent with degeneration without discrete tear. |
Generate impression based on medical findings. | Elevated T3 and T4 with cardiac anomalies RIGHT LOBE MEASUREMENTS: 4.9 x 1.5 x 2 cmLEFT LOBE MEASUREMENTS: 4.2 x 1.6 x 2 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Diffusely heterogeneous gland with increased vascularity. No discrete mass.LEFT LOBE: Diffusely heterogeneous gland with increased vascularity. No discrete m... | Diffusely heterogeneous gland with increased vascularity. No discrete mass. Findings suggestive for Graves' disease versus acute thyroiditis. |
Generate impression based on medical findings. | Female, 31 years old.History of sickle cell disease. Stable mild enlargement of the cardiac silhouette. Limited assessment of the mediastinum.No abnormal focal lung parenchymal opacities. No pleural effusion or pneumothorax.Left IJ port port catheter with tip overlying the azygos vein, unchanged in position. | No radiographic findings to suggest pneumonia. |
Generate impression based on medical findings. | Male, 50 years old.Reason: check ETT adjustment History: previously cuff above cords, now replaced Slight increase in interstitial opacities suggestive of edema, with small pleural effusions.Heart size upper normal.ET tube tip approximately 3 cm above the carina. | Mild increase in edema. ET tube repositioned, the tip now 3 cm above the carina. |
Generate impression based on medical findings. | Reason: s/p tECAB History: na ET tube about 7 cm above the carina and right jugular catheter tip in the area the right jugular vein. Mild streaky lower lobe opacities suggestive of bronchial thickening and subsegmental atelectasis secondary to aspirated secretions.No sign of pneumonia or CHF. | ET tube in acceptable position. |
Generate impression based on medical findings. | Female 27 years old; Reason: cholecystitis, gallstones History: pancreatitis LIVER: The liver demonstrates normal echogenicity and echotexture. No focal hepatic lesions. Hepatic length measures 17.6 cm. The main portal vein is patent with normal hepatopetal flow with a velocity of 31.6 cm/s. GALLBLADDER/BILIARY TRACT: ... | 1.No sonographic evidence of cholelithiasis, choledocholithiasis, or acute cholecystitis.2.Increased cortical echogenicity of bilateral kidneys, compatible with medical renal disease, without evidence of hydronephrosis or shadowing calculi. |
Generate impression based on medical findings. | Female 59 years old Reason: History gallbladder malignancy, acute elevation in alk phos History: abnormal labs LIVER: Liver measures 15.4 cm in length. The parenchyma is increased in echogenicity and heterogeneous with multifocal and in some areas confluent hypoechoic masslesions seen, primarily involving the right hep... | 1. Mild interval worsening of intrahepatic biliary duct dilatation and intrastent echoes seen, constellation of findings suspicious for stent obstruction.2. Multifocal/confluent hepatic lesions again seen, metastatic disease/neoplasm among differential considerations, coalescing abscesses not entirely excluded, correla... |
Generate impression based on medical findings. | Male, 55 years old.S/p BiVAD Iatrogenic devices are unchanged. No substantial change in diffuse pulmonary opacities given differences in inspiration. Unchanged cardiomegaly. No pneumothorax. Small pleural effusions. | No substantial change in diffuse pulmonary opacities given differences in inspiration. |
Generate impression based on medical findings. | Cough and shortness of breath. Low lung volumes with extensive chronic airspace opacities and consolidation bilaterally. Apparent interval worsening may reflect the interval decrease in lung volumes rather than disease progression. Superimposed pneumonia would be difficult or impossible to exclude on portable plain fil... | Extensive opacities previously described as advanced nummular pulmonary sarcoidosis; superimposed pneumonia would be difficult or impossible to exclude a portable plain film technique, especially given interval decrease in lung volumes. Consider reduced dose thoracic CT. |
Generate impression based on medical findings. | History of Crohn's disease and portal vein thrombosis. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 15.7 cm in craniocaudal dimension. It is normal in contour and morphology.There are small cystic structures adjacent to the central biliary tree which appear to communicate with the biliary tree likely representing s... | 1.Chronic portal vein thrombosis with cavernous transformation.2.Mild irregular narrowing of the biliary tree raises the possibility of PSC. No suspicious focal lesion or dominant stricture. |
Generate impression based on medical findings. | Female, 29 years old.Reason: eval for acute process History: fever/cough Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. No specific evidence of infection. |
Generate impression based on medical findings. | Female, 25 years old.MVA yesterday's there any evidence of rib fracture? Metallic BBs placed on sites of pain. Heart size appears upper normal for age, vascular redistribution is present and perihilar vascular unsharpness is suggestive of borderline edema. Please note that chest technique has a limited sensitivity for ... | 1. The cardiothoracic ratio appears prominent for the patient's age and the lungs also appear to show signs of mild hypervolemia. 2. Although no displaced rib fractures are identified, this does not exclude the presence of nondisplaced fracture which may not be visible by this technique. Dedicated bone-technique radiog... |
Generate impression based on medical findings. | Age: 57 yearsGender: FemaleReason for Study: Reason: chronic cough in morbidly obese smoker (1/2 PPD) History: as above Decreased lung volumes with stable cardiomediastinal silhouette.The lungs are clear.No pleural effusions. | No acute cardiopulmonary abnormalities identified without interval change. |
Generate impression based on medical findings. | Macrocephaly, developmental delay. Sacral dimple. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. The cerebral, cerebellar, and brainstem parenchyma appear unremarkable. There is a normal degree of myelination. The pituitary gland appears to be grossly intact. The ventricles and basal ci... | 1. No evidence of acute intracranial hemorrhage, mass, or ventriculomegaly.2. No gross spinal dysraphism or segmentation anomaly. |
Generate impression based on medical findings. | Multiple myeloma and ependymoma, evaluate interval change Five lumbar type vertebral bodies are presumed to be present. Again seen are multiple compression fractures including the T11, T12, L2, L3, and L4 vertebral bodies, not significantly changed since prior study from 2/19/2015. Relatively worse height loss is at T1... | 1. Compared to 2/19/2015 there is diffuse worsening of bone marrow signal with development of multiple new enhancing osseous lesions which are most apparent in the pelvis. Findings would be consistent with interval progression of osseous metastases/myelomatous involvement.2. No significant change in multiple chronic co... |
Generate impression based on medical findings. | 37-year-old female, 13 weeks pregnant presents to the diagnostic clinic to evaluate left breast palpable mass. Family history of breast cancer in 2 maternal aunts. Recent mammogram in February 2015 was within normal limits. A targeted left axillary ultrasound was performed for the patient’s area of pain. Patient indica... | Area of pain in the left lower axillary region corresponds to normal glandular tissue. A Normal axillary lymph node is identified in the vicinity.Patient is due in April 2016. Annual screening mammogram is recommended after April 2016.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on medical findings. | Male, 82 years old.Reason: fu removal of chest tube History: na Interval removal of the right basilar chest tube.Accounting for change in position, there is no significant change in size of the right pleural effusion. No interval pneumothorax. Streaky left lower lobe opacities are consistent with subsegmental atelectas... | No significant pneumothorax following chest tube removal. |
Generate impression based on medical findings. | 61 year-old female with recurrent stage IIIc fallopian tube cancer status post surgery and chemo. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Aortic arch atherosclerotic calcifications. No enlarged mediastinal or hilar lymphadenopathy. The heart size is normal. No pericardial effusion... | New soft tissue nodule posterior to the most superior aspect of the vaginal fornix, which may represent a recurrence of tumor. |
Generate impression based on medical findings. | Male, 66 years old, history of cough and shortness of breath. Fibrosis on an outside CT. LUNGS AND PLEURA: Diffuse nodular and interstitial opacities, septal thickening and bronchiectasis are noted, predominantly peripheral and slightly more severe at the bases. Evidence of early honeycombing is seen. These findings ha... | 1.Diffuse interstitial abnormality as described above. The pattern is most compatible with UIP (usual interstitial pneumonitis).2.Small pneumothorax on the right adjacent to postoperative change in the lower lobe. |
Generate impression based on medical findings. | Female, 75 years old.Altered mental status. Evaluate for infection. Interval removal of the central venous catheter. Right lower lobe and partially calcified right upper lobe nodules are not significantly changed from prior. Cardiac size is within normal limits with median sternotomy hardware, unchanged. Surgical clips... | No acute cardiopulmonary abnormality. Right sided pulmonary nodules are nonspecific. These were previously evaluated with CT and PET/CT, please see separate reports. CT would provide far better characterization if clinically warranted. As the patient has a history of breast and thyroid cancer, malignancy remains a cons... |
Generate impression based on medical findings. | Female, 64 years old.Reason: dyspnea History: dyspnea Limited by rotation. Cardiomegaly. No focal opacity to suggest pneumonia. No evidence of pneumothorax or significant pleural effusion. | Cardiomegaly. No focal opacity to suggest pneumonia. No evidence of pneumothorax or significant pleural effusion. |
Generate impression based on medical findings. | Personal history of NF1. Evaluate left flank plexiform neurofibroma and compare it to previous, also intra pelvic tumors. BONE MARROW: No fractures. Bone marrow signal is within normal limits.SOFT TISSUES: Again seen is a heterogeneously enhancing soft tissue mass in the left lower back centered just above the iliac cr... | 1.No change in size of soft tissue mass centered in the left lower back immediately superior to the left iliac crest measuring 6.2 x 11.0 x 4.5 cm 2.Additional smaller neurofibromas scattered throughout the soft tissues of the abdomen, pelvis and bilateral lower extremities appear similar. |
Generate impression based on medical findings. | Reason: S/P thoracentesis History: Undergoing therapeutic thoracentesis for pleural effusion Normal heart size and moderate mediastinal widening compatible with lymphadenopathy.Moderately large bilateral pleural effusions, greater on the right, decreased on the left side since the previous radiograph.Underlying pulmona... | Decreased left pleural effusion and no pneumothorax. |
Generate impression based on medical findings. | Male, 56 years old.Reason: eval for effusion History: SOB No significant cardiopulmonary abnormality.Healed right rib fractures. | No significant abnormality. |
Generate impression based on medical findings. | Chest pain Small left pneumothorax measuring under 1 cm with mild splinting and/or scoliosis concave to the left. Borderline cardiomegaly | Small left pneumothorax |
Generate impression based on medical findings. | Unspecified cerebral artery occlusion with cerebral infarction The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. This is stable compared to... | 1.The exam is stable compared to the July 2014 exam.2.Punctate periventricular and subcortical white matter as well as cerebellar and brainstem lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 3.Old lacunar infarcts are present in the cerebellar hemispheres4.There are several... |
Generate impression based on medical findings. | Female, 70 years old.Reason: Central Line Placement History: NA Median sternotomy with a small left pleural effusion, basilar atelectasis and cardiomegaly with coronary stents.Right jugular catheter, tip in SVC.ET tube tip approximately 5 cm above the carina.An NG tube terminates in the stomach. | Pleural effusions and basilar atelectasis with cardiomegaly. Right jugular catheter, tip in SVC. |
Generate impression based on medical findings. | Female, 52 years old.Fever 48 hours postop Unchanged cardiomegaly and mediastinal widening. Improving atelectasis. No new focal opacities. | Dependent opacities are most suggestive of atelectasis, likely from aspirated or retained secretions in the postoperative setting. Mediastinal widening is unchanged, incompletely evaluated by plain technique. |
Generate impression based on medical findings. | Cervical, thoracic, and lumbar radiculopathy on EMG as well as fasciculations, possible ALS. There is a small area of nonexpansile T2 hyperintensity in the dorsal columns and left grey matter of the spinal cord at the C2 level. There is no associated abnormal enhancement. The rest of the spinal cord appears to be unrem... | 1. Nonspecific lesion involving the dorsal columns and left grey matter of the spinal cord at the C2 level. Differential considerations include prior ischemia, trauma, or infection, for example.2. A disc extrusion at L3-4 that results in moderate to severe spinal canal stenosis.3. A disc protrusion at L4-5 that results... |
Generate impression based on medical findings. | Female, 33 years old.Reason: pna History: pna Possible right basilar opacity versus artifact.Heart size normal.Left subclavian catheter, tip in SVC. | Possible right basilar opacity which could indicate early infection. Otherwise, unremarkable. |
Generate impression based on medical findings. | Male, 77 years old.Reason: preop TECAB History: cough Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities.Quadrant surgical clips. | No significant abnormality. |
Generate impression based on medical findings. | 77 year old female status post fall. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse areas of periventricular white matter hypodensity consistent with microangiopathic changes. If there is clinical concern for stroke an MRI may be considered.The ventricles and basal cisterns are normal in size a... | Diffuse microangiopathic changes. If there is clinical concern for stroke an MRI may be considered. |
Generate impression based on medical findings. | Female, 70 years old.Reason: cough and bronchial breath sounds at left base History: cough Cardiomediastinal silhouette is normal.No pleural effusion or pneumothorax. No focal pulmonary opacity.Surgical clips in the left axilla. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Elbow pain, history of lateral epicondyle release LIGAMENTS: No significant abnormality noted.TENDONS: No significant abnormality noted.ARTICULAR SURFACES AND BONE: There is mild irregularity and increased signal of the lateral epicondyle which may be degenerative in nature. A small amount of fluid is noted between the... | Mild irregularity of the lateral epicondyle which may be degenerative or possibly postsurgical in nature. |
Generate impression based on medical findings. | Female, 79 years old.Reason: Concern for fluid o/l History: Tachypnea Remember with mild basilar edema and atelectasis with small pleural effusions, unchanged and suggestive of CHF. | Stable CHF with pulmonary opacities and pleural effusions. |
Generate impression based on medical findings. | 77-year-old male with metastatic prostate cancer and history of lung cancer. CHEST:LUNGS AND PLEURA: Postsurgical changes with volume loss from prior right lower lobectomy noted.No new infiltrates, nodules, masses or effusions seen. Elevation of the right hemidiaphragm persists.MEDIASTINUM AND HILA: Calcifications from... | 1. Prior right lower lobe lung resection. Diffuse thoracic skeletal metastases with slight increase number and size of sclerotic lesions noted previously. 2. Diffuse fatty infiltration of the liver. This obscures the ability to detect liver metastases as described above. 3. New lymphadenopathy in retroperitoneum of the... |
Generate impression based on medical findings. | Female, 64 years old.Reason: Pt. is a 64 yo F admitted for SBO. with s/p placement of central line for TPN. Please confirm tip of the catheter. History: abdominal pain, nausea Focal atelectasis or scarring left lower lung zone.Left PICC, tip at right atrial level. | Left PICC, tip at right atrial level. |
Generate impression based on medical findings. | Female, 42 years old.Reason: Evaluation for cardiopulmonary abnormalities History: Kidney Donor Clear lungs. No pleural effusion or pneumothorax. No acute bony abnormality. Normal heart size. | No acute cardiopulmonary process on radiography. |
Generate impression based on medical findings. | There are scattered foci of T2 hyperintensity within the subcortical and periventricular white matter, primarily subcortical in location. Many of these were present on the 2006 study, with a few that are new. None demonstrate mass effect, restricted diffusion, susceptibility abnormality, or enhancement. The ventricles... | Mild chronic small vessel ischemic disease. |
Generate impression based on medical findings. | Port placementVIEW: Chest AP Left chest port tip in the SVC. Cardiothymic silhouette normal. Multiple metastatic pulmonary nodules are present not significantly changed. No pleural effusion or pneumothorax. | Left chest port tip in the SVC. |
Generate impression based on medical findings. | 59-year-old female with right hip pain, soft tissue injury. ACETABULAR LABRUM: There is a probable small tear of the anterior/superior labrum.ARTICULAR CARTILAGE AND BONE: Mild osteoarthritis affects the right hip joint, including joint space narrowing and subchondral cyst formation.SOFT TISSUES: There is complete avul... | 1.Avulsion and retraction of the right semimembranosus tendon.2.Large associated hematoma, which extends out of field-of-view.3.Mild osteoarthritis of the right hip joint.4.Probable small tear of the anterior/superior labrum. |
Generate impression based on medical findings. | Male; 52 years. Reason: F/U on cholangiocarcinoma CHEST:LUNGS AND PLEURA: Pulmonary nodule in left base (series 4 image 70), unchanged compared to 5/7/11MEDIASTINUM AND HILA: Subcarinal lymphadenopathy measuring 1.3 cm, unchanged. Other borderline enlarged mediastinal lymph nodes are not significantly changed.CHEST WAL... | 1. Stable soft tissue attenuation in the porta hepatis/gallbladder fossa with periportal and retroperitoneal lymphadenopathy, consistent with known cholangiocarcinoma.2. Apparent focal circumferential wall thickening of the cecum, may represent primary neoplasm as this is atypical for metastases. Recommend correlating ... |
Generate impression based on medical findings. | Reason: ptx History: none No sign of pneumothorax.Interval extubation.NG tube tip in the stomach with sidehole in the esophagus.Increased lower zone nonspecific opacity which may be related to aspirated secretions and atelectasis. | 1. No pneumothorax.2. Proximal location of NG tube. |
Generate impression based on medical findings. | Male, 52 years old.Reason: s/p redo OLT History: s/p redo OLT Small lung volumes with basilar opacities and pleural effusions, unchanged, suggestive of aspiration.Tracheostomy tube tip approximately 3 cm above the carina.An NG tube terminates in the stomach.A Dobbhoff tube extends below the lower margin of the image.Ri... | Swan-Ganz catheter advanced. Stable pleural effusions and basilar opacities. |
Generate impression based on medical findings. | Male, 65 years old.Reason: sepsis workup History: sepsis workup New right hilar nodule which may be cavitary. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. | Right hilar nodule which may be cavitary. Chest CT is recommended for further evaluation. |
Generate impression based on medical findings. | Recent screening mammogram performed on 8/16/2016 was within normal limits. Patient presents with right breast itching and pain. Personal history of bilateral breast reduction in 2012. Family history of breast cancer in a maternal aunt and a maternal cousin. A targeted right ultrasound was performed for the patient’s a... | No sonographic evidence for malignancy corresponding to patient's area of pain in the right breast 3:00 position. Annual screening mammogram is recommended.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on medical findings. | Female, 49 years old.Reason: evaluate s/p bronchial thermoplasty History: s/p bronchial thermoplasty The cardiomediastinal silhouette is within normal limits. No focal consolidation, significant pleural effusion or pneumothorax. | No acute cardiopulmonary abnormalities.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Finger injury Note that the examination is limited by motion artifact.LIGAMENTS: No significant abnormality noted.TENDONS: There is rupture of the FDP tendon overlying the fifth digit with retraction to the level of the proximal third of the proximal phalanx. The distal fibers of the tendon overlie the mid diaphysis of... | Rupture of the FDP tendon overlying the fifth digit with associated hyperextension deformity. Evaluation of the associated nerve fibers is limited given inherent limitations of MRI and by motion artifact. |
Generate impression based on medical findings. | Redemonstrated are 2 brain enhancing lesions, presumed metastases, one involving the right parietal lobe and the other in the left cerebellar hemisphere, unchanged in appearance (changes in the appearance of contrast enhancement are likely technical in nature). There are no other new metastases. Associated vasogenic e... | Redemonstrated are 2 brain enhancing lesions, presumed metastases, one involving the right parietal lobe and the other in the left cerebellar hemisphere. Fiducials are in place. |
Generate impression based on medical findings. | Female, 72 years old.Reason: Patient with hx aspergilloma History: shortness of breath Borderline cardiomegaly. Extensive pulmonary fibrosis and bronchiectasis, right greater than left, not significantly changed from the prior exam.Unchanged right greater than left apical consolidation. No new pulmonary opacities ident... | Extensive chronic abnormalities in both lungs with focal apical opacities, right greater than left, not significantly changed since the prior exam. |
Generate impression based on medical findings. | Age: 35 yearsGender: FemaleReason for Study: Reason: Consolidation History: Cough and chest pain The cardiomediastinal silhouette is unremarkable.The lungs are clear.There are no pleural effusions. | No acute cardiopulmonary abnormalities are identified. No specific evidence of infection or edema. |
Generate impression based on medical findings. | Female, 86 years old.Reason: eval for SOB History: see above history of chronic systolic congestive heart failure Left-sided ICD unchanged in position. Stable cardiomegaly. Mild basilar opacities likely due to a combination of edema and atelectasis. Trace pleural fluid. | Mild basilar opacities likely due to a combination of edema and atelectasis. Trace pleural fluid. |
Generate impression based on medical findings. | Age: 59 yearsGender: FemaleReason for Study: Reason: assess for cause of SOB History: shortness of breath The cardiomediastinal silhouette is unremarkable.The lungs are clear.There are no pleural effusions. | No acute cardiopulmonary abnormalities are identified. |
Generate impression based on medical findings. | Reason: assess for infection - ams History: assess for infection - ams Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease. | No significant abnormalities. |
Generate impression based on medical findings. | Male, 70 years old.Reason: SOB History: above Increasing basilar opacities suggestive of aspirated secretions and possible edema.Mild cardiomegaly status post median sternotomy for CABG. | Gradually increasing basilar opacities suggestive of subsegmental atelectasis and possible edema. |
Generate impression based on medical findings. | Reason: eval for infiltrate or effusion History: chest pain Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease. | No significant abnormalities. |
Generate impression based on medical findings. | Male, 39 years old.Reason: cardiogenic shock History: as above Persistent decreased patchy opacity in the right lung base compatible with resolving right middle lobe pneumonia. Lungs otherwise remain clear. Moderate nonspecific cardiomegaly.Stable position of central venous catheter.No pneumothorax. No effusion. | Persistent right lung opacity. No change in cardiomegaly. |
Generate impression based on medical findings. | Female, 78 years old.Reason: eval lung fields History: sp AVR, MVR Patient has been extubated. Left basilar chest tube has been slightly repositioned. Other lines and tubes, not substantially different. Lower lung volumes. Apparent increase in diffuse pulmonary opacities, likely related to lower lung volumes. Small lef... | Patient has been extubated. Left basilar chest tube has been slightly repositioned.Apparent increase in diffuse pulmonary opacities, likely related to lower lung volumes. Small left pleural effusion. |
Generate impression based on medical findings. | Male, 59 years old.Reason: pleural effusion History: pleural effusion Bilateral pleural effusions are unchanged. Other findings also stable. | Bilateral pleural effusions are unchanged. |
Generate impression based on medical findings. | Reason: s/p intubation, check tube position History: sob ET tube tip approximately 5 cm above the carina. No significant pulmonary abnormalities. | ET tube in acceptable position. |
Generate impression based on medical findings. | Reason: 60 y/o with RA, + quantiferon gold, evaluate History: quantiferon gold Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease. | No significant abnormalities. |
Generate impression based on medical findings. | Arachnoid cyst, Chiari malformation, and neck and back pain. Brain: There is inferior extension of the cerebellar tonsils, left greater than right, by approximately 15 mm with a peg-like configuration with crowding of tissue at the foramen magnum that results in impeded CSF flow across the posterior foramen magnum and ... | 1. Findings compatible with Chiari malformation with inferior extension of the cerebellar tonsils, left greater than right, by approximately 15 mm and a thoracic syrinx that measures up to 7 mm in width.2. Mildly retroflexed dens.3. Small medial temporal region arachnoid cyst. |
Generate impression based on medical findings. | 75-year-old female with swelling in the upper chest. Heterogenous structure below the left clavicle/upper chest. Evaluate for possible abscess versus solid structure. In the left chest wall soft tissues, there is a complex fluid collection measuring 7.6 x 3.1 x 5.2 cm. This fluid structure is located 2.5 cm deep to the... | Complex fluid collection in the left anterior chest wall measuring 7.6 x 3.1 x 5.2 cm. The differential includes seroma, hematoma, or abscess. Findings were reported to Dr. Ganjoo on 12/12/2016 at 4:15 PM. |
Generate impression based on medical findings. | Male, 72 years old.Reason: lung transplant History: followup Mild scarring at the left lung base again noted. No new focal lung consolidation. No pleural effusion or pneumothorax. No acute bony abnormality. | No acute cardiopulmonary process on radiography. |
Generate impression based on medical findings. | Tongue vascular malformation: evaluate extent as well as type. MRI: There is a T2 hyperintense, enhancing lesion in the anterior oral tongue, which measures up to 25 mm. There is also an infiltrative T2 hyperintense, enhancing lesion in the right submandibular space that measures up to 45 mm, as well as a subcentimeter... | Lesions in the oral tongue and right submandibular space likely represents a low flow vascular malformation, such as a venous malformations. An area of high T2 signal in the left supraclavicular fossa may represent an additional vascular malformation or a cluster or lymph nodes, although assessment is limited due to ar... |
Generate impression based on medical findings. | Male, 53 years old.Swan placement, eval for pneumonia. Right jugular Swan-Ganz catheter tip projects over the proximal right upper lobe artery.Caudal aspect of the Swan-Ganz catheter as it passes through the right atrium may prolapse into the suprahepatic IVC.No pneumothorax.Persistent atelectasis at the bases. Patchy ... | Caudal aspect of the Swan-Ganz catheter in the right atrium may be slightly prolapsing into the suprahepatic IVC. Probable aspiration of secretions but no specific signs of pneumonia. |
Generate impression based on medical findings. | Male, 72 years old.Reason: dyspnea History: SOB Severe cardiomegaly with a tortuous aorta.No specific evidence of infection or edema.Left subclavian pacemaker, leads unchanged in position.Right jugular catheter, tip in SVC. | Severe cardiomegaly, but no acute abnormality. |
Generate impression based on medical findings. | Reason: eval pulmonary edema History: pulmonary edema Unremarkable cardiac and mediastinal silhouette. Perihilar and lower zone bronchial thickening but no specific evidence of edema or pneumonia.Nodular opacity at the right apex, partly attributable to costal cartilage and scarring, but there may be an underlying pulm... | 1. No sign of pulmonary edema or pneumonia.2. Possible nodule at the right apex for which erect PA and lateral chest radiographs are recommended. |
Generate impression based on medical findings. | Male, 66 years old.Reason: Evaluate pneumothorax History: SOB. s/p right lung biopsy c/b ptx s/p right pleural drain placement. Valve clamped at 115p Interval increase in right pneumothorax. Pigtail catheter unchanged. Other findings stable. | Interval increase in right pneumothorax. |
Generate impression based on medical findings. | 22 year old female febrile, s/p shunt revision FM to gallbladder. Right VP shunt coursing through the right hemithorax with tip projecting over the right upper abdominal quadrant. Small thin catheter again noted overlying the lower neck and upper chest unchanged, likely a spinal canal catheter.New retrocardiac opacity ... | New retrocardiac opacity which could represent infection, aspiration or atelectasis. Small left pleural effusion. |
Generate impression based on medical findings. | 67-year-old male with colon cancer and ground-glass opacities. CHEST:LUNGS AND PLEURA: Reference lesion behind right main stem bronchus is slightly increased in size. It currently measures 27 x 27 mm, previously 26 x 26 (image 39 series 3). Other lung nodules have significantly increased in size. Specifically two right... | 1. While minimal change in the reference lung masses, there are substantial increase in size in several other lung nodules.2. No significant change in size of retroperitoneal lymph node size. 3. Interval improvement in ground-glass opacities. |
Generate impression based on medical findings. | Female 75 years old Reason: pna? History: COPD, cough Cardiomediastinal silhouette is within normal limits. Elevation of the left hemidiaphragm is again noted. Slight increase in reticular opacities at the lung bases, worse on the right. No pneumothorax or pleural effusion is identified. Redemonstration of aortic ather... | Slight increase in reticular opacities at the bases, worse on the right. This may represent chronic/recurrent aspiration or atelectasis. |
Generate impression based on medical findings. | Abdominal wall discomfort right lower quadrant Small right inguinal fascial defect associated with fat-containing small reducible hernia without bowel involvement | Small right inguinal fascial defect associated with fat-containing small reducible hernia without bowel involvement |
Generate impression based on medical findings. | 58-year-old male with diabetic foot ulcer, cellulitis and elevated inflammatory markers evaluate for left fifth toe osteomyelitis. There is ulceration of the soft tissues along the dorsolateral aspect of the fifth toe. There is a biphalangeal fifth toe with abnormal signal intensity and enhancement of the tuft of the d... | Findings highly suggestive of osteomyelitis of the tuft of the distal phalanx of the fifth toe. These findings are related to Dr. Natelborg, Christina at 5149, via text page at 6:00 PM on 11/3/2015. |
Generate impression based on medical findings. | Intermittent vascular lesion on the left dorsum of tongue. Neck: There is no evidence of mass lesions or significant cervical lymphadenopathy. In particular, no tongue lesion is discernible. The thyroid and major salivary glands are unremarkable. The osseous structures are grossly intact. Brain: There is no evidence of... | 1. The reported tongue lesion is not discernible. 2. No evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on medical findings. | 94 years old Female. Reason: ET and NG placement History: Eval ET and NG location. There is no evidence for infiltrate in both lung, or pneumothorax. Cardiac silhouette is stable. Small left pleural effusion is stable. | Stable left small pleural effusion. |
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