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Generate impression based on medical findings. | Male, 49 years old.Reason: Preop MVR History: Preop MVR Patient is status post mitral valve replacement and sternotomy. Mild basilar reticulation and Kerley B lines. Mild left-sided pleural thickening. Normal heart size. | Probably mild interstitial pulmonary edema. Mild left-sided pleural thickening/scarring. Status post mitral valve replacement. |
Generate impression based on medical findings. | 78-year-old male with dyspnea, cough, wheeze, tachypnea, tachycardia, and chronic immobilization. Technically adequate exam.PULMONARY ARTERIES: Bilateral lower lobe pulmonary emboli (right lower lobe and segmental artery; left lower segmental artery).LUNGS AND PLEURA: Small bilateral pleural effusions with predominant ... | 1) Bilateral pulmonary emboli.2) Mild CHF with pulmonary edema, small pleural effusions. 3) Bilateral renal lesions incompletely evaluated, cannot exclude malignancy. Recommend additional renal ultrasound imaging. |
Generate impression based on medical findings. | Male; 60 years old. Reason: abdominal free air History: h/o PUD p/w severe epigastric pain; significant TTP No subdiaphragmatic free air as clinically questioned. Normal cardiac silhouette. No specific evidence of infection or edema. | No subdiaphragmatic free air or other acute abnormality. |
Generate impression based on medical findings. | 45-year-old female with history of breast cancer status post radiation, chemo, and right mastectomy presents with seizure and newly discovered lung nodule, MR of the brain is suspicious for metastatic disease (information obtained from EPIC) CHEST:LUNGS AND PLEURA: Post radiation changes in the right apex. Subsegmental... | 1.Subcarinal, pretracheal, and right hilar with compression of right upper and middle lobe main stem bronchi associated with ground glass opacities and subsegmental atelectasis in right upper and middle lobes as detailed above. 2.Right lower lobe solid nodule.3.Constellation of findings highly suspicious of metastatic ... |
Generate impression based on medical findings. | Age: 79 yearsGender: FemaleReason for Study: Reason: CP to back without URI sx History: CP with white count Loculated left pleural effusion/thickening and peripheral consolidation similar in appearance to the prior CT.Pulmonary nodules including dominant right apical nodule not as well-visualized as on the recent CT.No... | No specific evidence of acute infection. Pulmonary nodules and left-sided pleural effusion/thickening and peripheral consolidation similar to the recent CT. |
Generate impression based on medical findings. | 81-year-old female presents with AMS. Evaluate for infection, edema, or effusion., Surgical changes of prior median sternotomy are noted.Elevation of the right hemidiaphragm; unchanged. The cardiomediastinal silhouette is at the upper limits of normal. No focal pulmonary opacity, pleural effusion, or pneumothorax. Athe... | No acute cardiopulmonary disease. |
Generate impression based on medical findings. | Age: 79 yearsGender: MaleReason for Study: Reason: Does it seem more like pneumonia or hypervolemia? History: Cough Pleural effusion/thickening, right greater than left, and pulmonary opacities throughout the left lung and right lung base are similar to the prior exam.No new focal areas of consolidation.Stable cardiome... | No interval change in pleural effusions and pulmonary opacities suggestive of edema. No specific evidence of infection. |
Generate impression based on medical findings. | Age: 83 yearsGender: FemaleReason for Study: Reason: eval for PNA History: productive cough ET tube and NG tube have been removed.Decreased lung volumes with elevation right hemidiaphragm.Stable cardiomediastinal silhouette.Right basilar opacity compatible with consolidation/atelectasis similar to the prior exam .No ne... | Persistent right basilar consolidation/atelectasis. No acute abnormality identified. |
Generate impression based on medical findings. | Female, 53 years old.History of AML and fever. The cardiac and mediastinal contours are within normal limits.Lung volumes are normal. No abnormal focal lung parenchymal opacities.The pleural spaces are within normal limits.Right IJ central venous catheter terminating in the distal SVC.Surgical clearance in the left par... | No radiographic findings to suggest pneumonia. In the setting of immunosuppression, consider further assessment with chest CT if there is persistent concern for opportunistic pulmonary infection. |
Generate impression based on medical findings. | Female, 64 years old. ET tube tip approximately 5 cm above the carina.NG tube tip at the GE junction.New diffuse airspace and interstitial opacities suggestive of edema or possibly aspiration, with small pleural effusions. | ET tube in acceptable position. Proximal location of NG tube. |
Generate impression based on medical findings. | Male, 76 years old.Status post PICC placement. PICC not conclusively visualized. Two left-sided apically directed chest tubes, unchanged.Persistent low lung volumes.Questionable trace apical left pneumothorax.Patchy consolidation and atelectasis of the left lower and midlung zones, not significantly changed.Left-sided ... | PICC not conclusively visualized. No significant pneumothorax. Patchy consolidation/atelectasis at the left lung. No significant interval change. No new acute process.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Male 68 years old with history of hereditary hemorrhagic telangiectasia, evaluate for brain AVMs. MRI:There is no evidence of intracranial hemorrhage, mass, or acute infarct. Few foci of scattered periventricular and subcortical T2/FLAIR hyperintensity, which are nonspecific. The brain parenchyma otherwise appears unre... | 1. No evidence of vascular malformation, high-grade stenosis, or aneurysm.2. No evidence of intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on medical findings. | Female, 55 years old.Reason: intubated History: intubated Moderate cardiomegaly is present, with a left pleural effusion or pleural thickening.The contour of the left cardiac border is highly suggestive of left atrial appendage enlargement, often seen in mitral valvular disease or rheumatoid heart disease.Compression a... | Cardiomegaly and a left atrial appendage enlargement pattern, but no acute edema or pneumonia. |
Generate impression based on medical findings. | Age: 85 yearsGender: FemaleReason for Study: Reason: r/o pna History: fever Patient is severely rotated.Remarkably decreased lung volumes with elevation left hemidiaphragm.Stable cardiomediastinal silhouette.Basilar atelectasis.No focal areas of consolidation. | Decrease in size of mild basilar atelectasis. No specific evidence of infection. |
Generate impression based on medical findings. | 39-year-old male with seizure status post a partial suprasellar mass resection. There is no evidence of intracranial hemorrhage. The ventricles and basal cisterns are normal in size and configuration. Right frontoparietal craniectomy with overlying skin staples and surgical drain with adjacent frontal and left temporal... | 1. Postsurgical changes as described above without acute abnormality.2. For evaluation of residual disease MRI of the pituitary may be considered. |
Generate impression based on medical findings. | History of abdominal pain and transaminitis, evaluate for cholecystitis. BILIARY TRACT: The gallbladder is mildly hydropic but lacks significant wall thickening or associated pericholecystic fluid. No gallstones identified. No biliary ductal dilatation. The common bile duct measures up to 5.5 mm in diameter. The sonogr... | Hydropic gallbladder. Given lack of associated inflammatory changes or cholelithiasis, acute cholecystitis is considered less likely. |
Generate impression based on medical findings. | Reason: esoph cancer s/p chemorads and surg ck respnse History: dysphagia Gastric interposition extending to the right of the mediastinum.Opacity at both bases, greater on the right consistent with effusion and atelectasis.No new findings. | Persistent basilar opacities and effusions with no acute change. |
Generate impression based on medical findings. | 50 year-old male with history of pancreatic adenocarcinoma CHEST:LUNGS AND PLEURA: Large left-sided pleural effusion which has significantly increased in size compared to previous study. Scattered micronodules are unchanged.MEDIASTINUM AND HILA: Small mediastinal lymph nodes are unchanged.CHEST WALL: No significant abn... | Interval decrease in the size of the solid component of patient's known pancreatic cancer.Hepatic metastases are grossly unchanged.Interval increase in the amount of the left-sided pleural effusion.New peritoneal carcinomatosis, left adrenal metastases, hydronephrosis and enlargement of the left psoas muscle suspicious... |
Generate impression based on medical findings. | 32-year-old female with right upper quadrant pain and urinary frequency. Assess for recurrent teratoma CHEST:LUNGS AND PLEURA: Previously seen right-sided pleural effusion has resolved. Linear calcifications involving the right lower lobe pleura or diaphragm. No focal lesions within the liver.MEDIASTINUM AND HILA: No f... | New right para-aortic adenopathy. New mild right-sided hydronephrosis and hydroureter. Etiology is unknown. Pelvic recurrent disease cannot be excluded.Perihepatic linear calcification which may be diaphragmatic or pleural. Correlation with surgical history is recommended. |
Generate impression based on medical findings. | Cough Interval improvement with decreased left pleural effusion, currently moderate to large in size. Underlying atelectasis observed in both bases given the smaller more moderate right effusion.Cardiomegaly persists, however decreased perihilar edema pattern is otherwise observed, representing nearly resolved suspecte... | Decreasing pleural effusions and resolving CHF |
Generate impression based on medical findings. | Female, 70 years old.Reason: 70F with right sided pleural effusion s/p bedside thoracentesis History: s/p bedside thoracentesis Left lower lobe consolidation with pleural effusions, improved compared to the prior study.Moderate cardiomegaly is unchanged.Status post extubation.Right jugular catheter, tip in SVC.A Dobbho... | Improvement in basilar opacities and pleural effusions, with no pneumothorax following thoracentesis. |
Generate impression based on medical findings. | Left hip pain There is severe osteoarthritis of the left knee as evidenced by subchondral sclerosis, subchondral cystic change, and joint space narrowing. Moderate to severe osteoarthritis of the right hip also noted. There is no malalignment. Moderate multilevel degenerative changes of the lower lumbar spine also note... | Severe osteoarthritis of the hip. |
Generate impression based on medical findings. | 59-year-old female with pain and limited mobility of the shoulder, rule out tear in the shoulder area ROTATOR CUFF: There is marked thinning of the anterior fibers of the supraspinatus tendon reflecting both articular and bursal surface tearing. At its thinnest, the tendon measures only 1 mm in thickness. This high-gra... | 1.High-grade partial-thickness tearing of the supraspinatus tendon involving both articular and bursal surfaces.2.Osteoarthritis and other findings as described above. |
Generate impression based on medical findings. | Female, 31 years old. History of renal angiomyolipoma, hx of partial nephrectomy x 2 RIGHT KIDNEY: The right kidney measures 9.9 cm in length, with normal cortical echogenicity. A small round hyperechoic focus in the upper pole measures 0.7 x 0.7 x 0.8 cm, unchanged in appearance from prior.LEFT KIDNEY: The left kidney... | 1.Unchanged right upper pole hyperechoic focus, compatible with an angiomyolipoma.2.Multiple punctate hyperechoic foci throughout the left kidney appear similar to prior. |
Generate impression based on medical findings. | Left pelvic tenderness and mass. PELVIS:UTERUS, ADNEXA: Anteverted anteflexed uterus. The uterine morphology is unremarkable. The endometrium measures 15 mm in thickness, within normal limits for a premenopausal patient in the secretory phase. It is homogeneously hyperintense on T2-weighted imaging and has normal endom... | 1. 2.5 cm left ovarian lesion with imaging characteristics most compatible with a corpus luteal cyst. Follow-up pelvic ultrasound in 2-3 weeks is recommended to document resolution. 2. 3.3 cm lesion involving the lower left rectus abdominis muscle. It's imaging characteristics may represent c-section scar endometriosis... |
Generate impression based on medical findings. | 49 year-old female with right flank pain and a history of stones. Rule out right nephrolithiasis. ABDOMEN:Given the lack of intravenous contrast, evaluation of lesions within the solid organs is limited.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No signific... | 1. Right nonobstructing renal calculus without evidence of obstructing stone. Mild hydronephrosis of the right kidney. No hydroureter or perinephric fat stranding.2. Multiple punctate calcifications within the body of the pancreas. These findings can be seen in chronic pancreatitis. |
Generate impression based on medical findings. | Patient with AML, now presents with worsening low back pain for one month. Status post bone marrow transplant, left iliac crest. Extensive marrow replacement is observed bilaterally in a largely symmetric pattern involving both the pelvis and proximal femurs. Pattern and signal abnormality consistent with patient's und... | No superimposed acute or subacute additional abnormality observed outside of the lower lumbar spine findings described on the concomitant exam. Extensive marrow replacement compatible with known AML and treatment. |
Generate impression based on medical findings. | Female 72 years old Reason: patient with liver hemangioma seen on MRI at Little Company of Mary, solid mass in the medial segment of the the left hepatic lobe with imaging characteristics most compatible with a giant hemangioma LIVER: Liver measures 15.7 cm in length. In left hepatic lobe, there is echogenic mass measu... | 5.1 cm echogenic liver mass described above likely represents patient's reported hemangioma. Additional ovoid cystic lesion seen in right liver lobe, may reflect cyst or subcapsular/perihepatic fluid collection. Correlation with patient's clinical history and outside MRI recommended.Liver parenchyma is mildly coarse in... |
Generate impression based on medical findings. | Male, 42 years old.History of renal cancer, evaluate for metastatic disease. Unremarkable cardiomediastinal silhouette.No evidence of pulmonary or pleural disease.No evidence of metastasis. | No significant abnormality or interval change. |
Generate impression based on medical findings. | Male, 32 years old.Reason: eval lung fields for consolidation History: sickle cell crisis w/cp Right central catheter with tip at the cavoatrial junction. Cardiomediastinal silhouette is normal. No pleural effusion or pneumothorax. No specific evidence of infection or edema. No focal pulmonary opacity. | No acute cardiopulmonary abnormality. No focal pulmonary opacity. |
Generate impression based on medical findings. | Female, 35 years old. Status post chest tube placement, bronchial valve placement. Follow-up. Left chest tube with a moderate pneumothorax, unchanged.Bronchial valves in the left perihilar region, unchanged.Stable chronic diffuse interstitial lung disease.Right chest port tip at the cavoatrial junction. | Moderate left pneumothorax with a chest tube in place, unchanged. |
Generate impression based on medical findings. | Female, 70 years old with hypoxia. Evaluate for CHF. Cardiomegaly with pulmonary vascular redistribution and small bilateral pleural effusions with associated atelectasis. No reliable evidence of interstitial edema or infection.Tortuous aorta. | Cardiomegaly and small bilateral pleural effusions compatible with CHF. |
Generate impression based on medical findings. | Female, 42 years old.Reason: r/o pneumonia History: chest pain Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities.No specific evidence of infection. | No significant abnormality. |
Generate impression based on medical findings. | Female, 48 years old.Evaluate Swan-Ganz catheter position. Stable cardiomegaly. No specific evidence of infection or edema at this time. Left jugular Swan-Ganz catheter, with the tip in the right main pulmonary artery. Unchanged left subclavian single chamber ICD projects in expected position. Right upper quadrant surg... | Unchanged cardiomegaly. Swan-Ganz catheter tip appears similar to prior, in the right main pulmonary artery |
Generate impression based on medical findings. | Male, 38 years old.History of pneumothorax and shortness of breath Left chest tube and bronchial valves are unchanged. Left apical pneumothorax is slightly increased in size from prior. Cardiomediastinal silhouette is unchanged. Pulmonary cavitary lesions are again seen. | Slightly increased size of left pneumothorax, without additional acute abnormality. |
Generate impression based on medical findings. | Reason: evaluate for pna History: elevated WBC Normal heart size with surgical clips compatible with previous CABG surgery.Mild patchy airspace and interstitial opacities compatible with infection superimposed on severe emphysema, as shown on recent CT scan.Focal left upper lobe airspace opacity has resolved since the ... | Severe emphysema with mild patchy opacities suggestive of superimposed infection. |
Generate impression based on medical findings. | Enteric tube adjustment Enteric tube now seen looped once at level of gastric fundus with tip in gastric body. Nonobstructive bowel gas pattern. | Improved positioning of enteric tube as described above. |
Generate impression based on medical findings. | Reason: eval for effusions History: shortness of breath Normal heart size with evidence of previous median sternotomy.Small lung volumes with no specific evidence of pulmonary edema or infection.No visible pleural effusions. | No acute abnormalities. |
Generate impression based on medical findings. | Male, 78 years old.SOB and chest pain. Diffuse bilateral edema-like opacity, left greater than right. Lung volumes in cardiothoracic ratio similar to remote prior study. Atherosclerotic calcification of the aortic arch. No pneumothorax. | Diffuse asymmetric pulmonary opacity may reflect acute edema, asymmetry may be the result of hypoperfusion from causes such as pulmonary embolus. Diffuse pulmonary hemorrhage is not excluded. |
Generate impression based on medical findings. | Male, 89 years old.Reason: s/p extraction History: s/p extraction Prior left subclavian ICD leads removed, with a single temporary pacemaker lead extending to the RV apex.No pneumothorax although there is mild left basilar atelectasis.Moderate cardiomegaly. | No pneumothorax following pacemaker/ICD lead extraction. |
Generate impression based on medical findings. | Male, 69 years old.Reason: 7days s/p auto stem cell transplant with 1st neutropenic fever Clear lungs. No pleural effusion or pneumothorax. No acute bony abnormality. Normal heart size. Unchanged port catheter. Left IJ line terminates just above the cavoatrial junction. | No acute cardiopulmonary process on radiography. |
Generate impression based on medical findings. | Male, 48 years old.Reason: eval lung fields History: LVAD LVAD, enteric tube, tracheostomy tube, median sternotomy hardware, and left ICD are unchanged.Cardiomegaly is unchanged. Interstitial opacities consistent with edema are not significantly changed. Bilateral pleural effusions also not significantly changed. | Pulmonary edema and bilateral effusions are not significantly changed. |
Generate impression based on medical findings. | Female, 45 years old.Reason: eval for infection History: fever Lower lung volumes.Heart size normal.No reliable evidence of infection or edema. | Low lung volumes with no reliable evidence of infection or edema. If clinically warranted, a CT could be more sensitive in a patient of this size. |
Generate impression based on medical findings. | Cardiac surgeryVIEW: Chest AP Cardiac apex and aorta are right-sided. Cardiothymic silhouette is mildly enlarged. Endotracheal tube tip is below thoracic inlet. Right internal jugular line tip is in a right-sided superior vena cava. Epicardial pacer leads and atrial line are again visualized. Multiple surgical clips in... | Right chest tube removal without pneumothorax. |
Generate impression based on medical findings. | Male, 56 years old. Reason: malignant neoplasm of upper lobe of right lung History: malignant neoplasm of upper lobe of right lung/ 1 week s/p resection Interval removal of right-sided chest tubes. Small right apical hydropneumothorax is noted. Improvement in right-sided subcutaneous emphysema. Left lung is now clear. ... | Small right apical hydropneumothorax. |
Generate impression based on medical findings. | Shoulder pain. Four views of the right shoulder reveal no acute fracture or dislocation. There is interval widening of the acromioclavicular joint with resorption of the distal end of the clavicle. | Widening of the AC joint and resorption of the distal clavicle compatible with osteolysis, similar in appearance to a recent MRI. |
Generate impression based on medical findings. | Female, 68 years old.Chest pain. Mild cardiomegaly, unchanged. Normal lung volumes. Small nodule at the right costophrenic angle. No acute pulmonary abnormality. | No acute pulmonary abnormality. |
Generate impression based on medical findings. | Reason: acute pneumonia? History: T=104 with cough Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease. | No significant abnormalities. |
Generate impression based on medical findings. | Female, 73 years old.Retained foreign body fragments, unspecified material. Bulldog clamp. Intraoperative film with open sternotomy and surgical hardware.Bulldog clamp overlying the left heart border likely within the thorax.Esophageal pH probe looped in the hypopharynx with tip overlying the cervical portion of esopha... | Foreign body noted overlying left heart border (Bulldog clamp). Spoke to surgical attending Dr. Onsager, this foreign body has been removed prior to the time of the dictation of this study. Lines and tubes as above.These findings were discussed by telephone with Dr. Onsager, the attending surgeon, on 7/29/2016 at 1:58 ... |
Generate impression based on medical findings. | Male, 65 years old.Increasing productive cough, hemodynamic changes, evaluate for pneumonia Right PICC catheter tip in the SVC. Single lead left chest wall ICD is unchanged. Cardiac silhouette is unchanged. Basilar opacities and bilateral pleural effusions are improved compared to 11/8/2015. | Improved basilar opacities and effusions compared to 11/8/2015 |
Generate impression based on medical findings. | Male, 63 years old.Reason: Patient with long h/o smoking. Intermittent SOB and decreased RLL breath sounds. Chronic non-productive cough. Thanks History: Dr. Eton Hyperexpansion consistent with COPD.No specific evidence of infection or edema.Heart size normal. | Moderate to severe, but no acute abnormality. |
Generate impression based on medical findings. | A 51 year old male with history of hypertension, hyperlipidemia, atrial fibrillation. Patient with possible ventricular arrhythmia noted during stress test. Referred to stress cardiac MRI for further evaluation of ischemia and infiltrative disease.MEDICATIONS: Aspirin, Atorvastatin, Atenolol, Flecainide First Pass Perf... | 1. No perfusion defects/ "ischemia" present during hyperemia.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 66%) without evidence of underlying myocardial fibrosis, inflammation, or infiltration.4. Normal RV size and systolic function (RVEF 55%).5. There... |
Generate impression based on medical findings. | There is exaggerated lordosis of the lumbar spine. There is a minimal anterolisthesis of L5 on S1. Otherwise, the alignment of the lumbar spine is within normal limits. The vertebral body heights are preserved. There is no evidence of acute fracture. Bilateral L5 pars defects are present without associated edema, and ... | 1. Chronic bilateral L5 pars defects with minimal anterolisthesis of L5 on S1.2. No evidence of acute fracture, spinal canal stenosis, or neural foraminal narrowing. |
Generate impression based on medical findings. | Reason: PNA History: SOB Tracheostomy tube and ICD in the unchanged.Bilateral basilar opacity, greater on the left, consistent with atelectasis and consolidation, likely secondary to aspirated secretions. No new findings. | Nonspecific basilar consolidation and atelectasis without significant change. |
Generate impression based on medical findings. | 35-year-old female with colorectal cancer on chemotherapy CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: The right-sided port terminates in the right atrium. ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant... | No evidence of metastatic disease or obstruction. |
Generate impression based on medical findings. | Male, 70 years old.Reason: post LVAD, eval for effusions or opacities History: post cardiac surgery No change in cardiomegaly and basilar opacities with small pleural effusions.Unchanged support devices, except for removal of a Dobbhoff. | Unchanged cardiomegaly with basilar opacities and small pleural effusions. |
Generate impression based on medical findings. | Female, 89 years old.Reason: eval ETT, lung fields History: s/p CABG, AVR Interval placement of a bioprosthetic aortic valve. The patient is intubated with the endotracheal tube 1 cm above the carina; this has been removed on subsequent radiograph. Right IJ Swan-Ganz catheter is positioned in the central right pulmonar... | No evidence of complication following bioprosthetic aortic valve placement with coronary bypass. |
Generate impression based on medical findings. | Thoracentesis Interval new complete opacification of the right hemithorax with underlying suspected collapsible right lung. Left lung is similar with scattered nodular metastatic foci. No immediate postprocedural complications observed other than mild right to left mediastinal shift likely secondary to the presumed lar... | New opacification of the right hemithorax, thought to represent a large compressive effusion |
Generate impression based on medical findings. | Male, 23 years old.Reason: assess ETT position, pulm opacities History: CF, T1/2RF ET tube tip 4 cm above carina. NG tube tip in stomach.Extensive findings of cystic fibrosis with areas of bronchial wall thickening, mucoid impaction, and bronchiectasis. Previously noted left midlung focal opacity is slightly improved. | ET tube tip 4 cm above carina. Previously noted left midlung focal opacity is slightly improved. |
Generate impression based on medical findings. | 40 years, Female, Reason: assess pancreas History: abdominal pain and elevated lipase. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: 0.9-cm (13/44) segment 8 hyperenhancing lesion which is bright on T2 likely represents a flash filling hemangioma.SPLEEN: Mild splenomegaly. Subcentimeter hype... | 1.Nonspecific subcentimeter cysts within the pancreas. Follow-up is recommended.2.Small hemangiomas in the liver and spleen. |
Generate impression based on medical findings. | Female 65 years old Reason: cause of acute kidney injury History: elevated creatinine RIGHT KIDNEY: The right kidney measures 11.2 cm. No shadowing calculi or hydronephrosis is present. The renal cortex is increased echogenicity.LEFT KIDNEY: The left kidney measures 10.3 cm. No shadowing calculi or hydronephrosis is pr... | No hydronephrosis or shadowing renal calculus. Bilateral increased renal cortical echogenicity is compatible with medical renal disease. |
Generate impression based on medical findings. | Female, 56 years old.Acute bronchitis and cough. Moderate to severe bronchial wall thickening consistent with asthma or chronic bronchitis.No evidence of pneumonia.Unremarkable mediastinal contours and cardiac silhouette.Calcified granuloma left lower lobe. | Moderate to severe bronchial wall thickening consistent with asthma or chronic bronchitis. |
Generate impression based on medical findings. | Female, 60 years old.Fever, tachycardia, bodyaches Right lower lobe airspace opacity new from previous.Right hilar calcified lymph nodes and a granuloma abutting the right minor fissure are most consistent with healed granulomatous disease.Normal heart size. | Subtle airspace opacity, suspicious for infection. Follow-up PA and lateral radiographs may be obtained in 6 weeks to ensure resolution and exclude alternate pathology. |
Generate impression based on medical findings. | 35 year old with proven right breast cancer (IDC grade 3) presents for MRI for I-SPY #1. There is extreme amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally.The right breast shows diffuse abnormal enhancement, measuring 71 x 97 x 72 mm (AP x LR x CC), consistent with bio... | 1. Right proven carcinoma shows diffuse enhancement, almost whole breast, with skin thickening.2. Multiple abnormal lymph nodes in the right axilla3. No abnormal enhancement in left breast. No abnormal axillary lymph nodes in left axillary regionBIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on medical findings. | Male, 70 years old.Reason: s/p minimally invasive esophagectomy History: s/p minimally invasive esophagectomy Two right chest tubes with no pneumothorax following gastric pull-up.Basilar atelectasis and small pleural effusions noted.An NG tube traverses a gastric pull-up, the side port at the hemidiaphragm level. | No pneumothorax following gastric pull-up, with nonspecific basilar atelectasis and small pleural effusions. |
Generate impression based on medical findings. | Male, 74 years old.Reason: 74 y/o man w/ pneumothorax Left-sided chest tube with tip directed medially towards the apex. Moderate left and small right pleural effusions with associated atelectasis. Tiny apical left pneumothorax. Multiple skin folds. | Small left apical pneumothorax. |
Generate impression based on medical findings. | Female, 91 years old.Reason: ? PNA History: weakness Small lung volumes with streaky basilar atelectasis or edema.Heart size normal.No reliable evidence of infection. | Streaky basilar opacities which could be edema or aspiration related. No reliable evidence of pneumonia, however. |
Generate impression based on medical findings. | Pleural effusion status post thoracentesis. Interval decrease in right pleural fluid volume. Left pleural fluid volume remains large. Low lung volumes. Compressive atelectasis at the bases. Previously seen right middle lobe opacity is now favored to represent atelectasis. Left basal atelectasis/consolidation is more pr... | No pneumothorax. |
Generate impression based on medical findings. | Male, 78 years old.Reason: s/p MVR/ CABG History: SOB Feeding tube extends inferiorly off the field of view. Left-sided PICC terminates in the left brachiocephalic vein. Unchanged cardiomegaly. Slight increase in bibasilar opacities. No pneumothorax. | Increased bibasilar probable atelectasis. Unchanged cardiomegaly. |
Generate impression based on medical findings. | Female, 27 years old.Reason: hx of chest pain History: chest pain, Mild to moderate lower lung zone edema with a minimal left pleural effusionConsistent with CHF. Mild cardiomegaly.Right jugular catheter tip at right atrial level.Renal osteodystrophy noted in the spine. | CHF/hypervolemia without infection. |
Generate impression based on medical findings. | Female, 48 years old.Reason: s/p MVR, Chest Tubes pulled History: s/p MVR, Chest Tubes pulled Interval progression of small basilar opacities. Cardiomediastinal silhouette and vasculature are unchanged. The mid and upper lung zones are clear of air space and interstitial opacities. No pneumothorax. | Interval development of small bilateral basilar opacities. |
Generate impression based on medical findings. | Female, 67 years old.Reason: pain in right chest History: pain in chest Unremarkable mediastinal and cardiac silhouette other than a tortuous aorta consistent with age.No significant pulmonary or pleural abnormalities. | No significant abnormality. |
Generate impression based on medical findings. | Supraumbilical hernia Possible very small suprapubic fascial defect with very small fat-containing hernia. No bowel involvement. | Possible very small suprapubic fascial defect with very small fat-containing hernia. No bowel involvement. |
Generate impression based on medical findings. | Male, 24 years old.Hypoxia status post bilateral lung transplant. Right jugular catheters terminate at the SVC/artery junction. Normal heart size. Diffuse interstitial and airspace opacities with atelectasis/consolidation.Volume of pleural fluid on the right about the same, extending over the apex and into the fissures... | Diffuse pulmonary opacities and loculated pleural fluid without significant change. |
Generate impression based on medical findings. | Female, 48 years old.Reason: ETT placement History: Type IV respiratory failure Stable position of endotracheal tube.No change in appearance of bilateral pulmonary opacities as previously described. | No interval change in opacities as described. |
Generate impression based on medical findings. | 9-year-old male with history of leukemia receiving treatment now with bilateral hip pain, evaluate for avascular necrosis. Right KneeMENISCI: Medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: Small focus of increased edema is seen within the lateral aspect of the lateral femoral condyle (series 701, i... | 1. Left knee: Proximal medial tibial metaphysis focus of low signal on T1 is associated with increased signal on T2. These findings are nonspecific but may reflect tibial metaphyseal edema, infarct, or leukemia infiltration. 2. Right Knee: Increased T2 hyperintensity in the right lateral femoral condyle and left medial... |
Generate impression based on medical findings. | 47-year-old man with shortness of breath and concern for interstitial lung disease. LUNGS AND PLEURA: Examination is limited by significant motion artifact and the lower lung volumes. The upper lung zones are relatively opaque with areas of focal low attenuation. There is also significant pulmonary vascular redistribut... | 1. Limited examination without specific findings of interstitial lung disease as clinically questioned.2. Pulmonary arterial hypertension with findings in the lungs that could reflect sequela of PAH/chronic thromboembolic disease. The presence of an enlarged left atrium and upper lobe vascular redistribution weighs aga... |
Generate impression based on medical findings. | Female, 55 years old.Reason: evaluate for infection/pneumonia History: productive cough Stable cardiomediastinal silhouette.No focal consolidation, sizable effusion or pneumothorax. Mild left retrocardiac opacity likely atelectatic in nature.Surgical clips projecting over the right upper quadrant.Postsurgical changes i... | No radiographic evidence of acute cardiopulmonary process. |
Generate impression based on medical findings. | Female, 66 years old.Rib and chest pain. History of MVA. Please refer to separately reported rib series for skeletal assessment. Normal heart size. No pneumothorax. No pleural fluid.Low normal lung volumes with blunting of the posterior costophrenic angles. No focal airspace opacities. | No pneumothorax or acute pulmonary abnormality. |
Generate impression based on medical findings. | Age: 79 yearsGender: MaleReason for Study: Reason: ETT History: ETT ET tube unchanged with its tip 2 cm above the carina.Decreased lung volumes with stable cardiomediastinal silhouette.No new pulmonary opacities identified. | ET tube unchanged. No acute cardiopulmonary abnormalities. |
Generate impression based on medical findings. | Female, 79 years old.Reason: cp History: cp Moderate to severe cardiomegaly.Small right pleural effusion and right base streaky subsegmental atelectasis or scarring.Right subclavian dual-chamber ICD, leads in stable position. | Small right pleural effusion with right basilar subsegmental atelectasis. |
Generate impression based on medical findings. | Ms. Herts is a 27-year-old female with a personal history of Crohn's disease on immunosuppressant therapy, complaining of new palpable tender right breast lump. No family history of breast cancer. A targeted right ultrasound was performed for the patient’s area of concern.In the right breast 8:00 location, approximatel... | Sonographic findings are compatible with a right periareolar abscess. No sonographic evidence of malignancy. Patient should be seen by a breast surgeon for further evaluation and treatment. All results and recommendations were discussed with patient and Dr. Bao at time of dictation. The patient was subsequently seen by... |
Generate impression based on medical findings. | Male, 64 years old, with upper extremity weakness, fasciculations and atrophy, with history of lumbar foraminal stenosis with weakness and hyperreflexia. Also with asymmetric pupils. There is a reversal of the normal cervical lordosis centered at C3. In addition, there is a trace anterolisthesis of C2 relative three, a... | 1. Nodular soft tissue is evident within the left neural foramen at C7-T1. The differential for this finding would include a small tumor such as a schwannoma, or perhaps an extruded disc or inflammatory tissue related to the adjacent severe facet arthropathy. Further evaluation with contrast-enhanced MRI images is sugg... |
Generate impression based on medical findings. | Male, 25 years old.25-year-old male presenting with cough while on Remicade. No pleural effusion or pneumothorax. Cardiomediastinal silhouette is within normal limits. No focal pulmonary opacity. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Female, 64 years old.Burns. Febrile. Mild interstitial edema is stable. Heart is normal in size. No measurable pneumothorax. ET tube has been advanced slightly and is now 1.5 cm above the carina. Dobbhoff tube below the diaphragm. | Stable mild interstitial edema pattern. ET tube 1.5 cm above the carina. |
Generate impression based on medical findings. | Male, 36 years old.Reason: SOB 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. | Female, 59 years old.Reason: et tube placement, pneumonia, effusion History: see ct head Right midlung atelectasis may be the result of aspirated secretions or mucous plugging.Heart size normal.ET tube tip approximately 5 cm above the carina.An NG tube terminates in the stomach.Left axillary vascular stent. | Right midlung focal atelectasis which may be the result of aspirated secretions or mucous plugging. |
Generate impression based on medical findings. | 60-year-old male status post placement of right IJ trialysis catheter. Cardiomediastinal silhouette is within normal limits.Redemonstration of multifocal airspace and interstitial opacities, similar to prior. Persistent focal nodular opacity in the left upper lobe. No new pulmonary opacities identified. Interval placem... | Interval placement of right IJ dialysis catheter with tip in the SVC. No pneumothorax. |
Generate impression based on medical findings. | Diagnosis: Migraine, unspecified, not intractable, with status migrainosusClinical question: carotid/ vertebral stenosisSigns and Symptoms: L sided numbness, headache MRI of the brainNo diffusion weighted abnormalities are appreciated.The CSF spaces are appropriate for the patient's stated age with no midline shift. In... | 1.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 2.There is no evidence of intracranial aneurysm3.There is no evidence for intracranial or extracranial cerebrovascular occlusive disease. |
Generate impression based on medical findings. | Female, 76 years old.Reason: chest tube in place History: above Unchanged right chest tube terminating at the right apex. Aortic stent graft and surgical staples appear similar to prior study.Unchanged heart and mediastinal silhouette.Interval increase in patchy basilar opacities and increased bilateral pleural effusio... | Interval increase in basilar opacities and bilateral pleural effusions suggestive of hypervolemia. |
Generate impression based on medical findings. | 21-year-old male with history of shortness of breath. Diffuse airspace/interstitial opacities compatible with edema. Stable cardiomegaly. | Cardiomegaly and diffuse airspace/interstitial opacities compatible with edema. |
Generate impression based on medical findings. | Female, 77 years old.Reason: Intubation for angioedema History: Angioedema ET tube tip 2-3 cm above carina. Lungs hypoinflated with basilar edema and atelectasis, not significantly changed. | ET tube tip 2-3 cm above carina. |
Generate impression based on medical findings. | Female, 59 years old.Reason: ADHF History: as above Moderate cardiomegaly.No specific evidence of infection or edema.Left subclavian ICD, leads unchanged in position. | Moderate cardiomegaly without significant edema or pneumonia. |
Generate impression based on medical findings. | Right breast mass, possible fibroadenoma with prior benign biopsy result. Recent mastitis treated effectively, currently asymptomatic. A targeted right ultrasound was performed for the area marked by the clinical service. At the right 9 o'clock position, there is a mixed echogenicity lesion measuring 1.6 x 1.5 cm. This... | 1.6-cm mixed echogenicity lesion near the site of clinical concern. This could represent a recurrent galactocele or less likely an area of fat necrosis. Surgical consultation is recommended and the patient will be seeing Dr. Jaskowiak today.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on medical findings. | 53-year-old male with sepsis and history of osteomyelitis with a rectal exam concerning for sacral osteomyelitis. The coccyx is absent, presumably related to prior resection. There is ulceration of the soft tissues posterior to the distal sacrum to the left of midline which courses distally along the gluteal crease tow... | 1. Soft tissue ulceration as described above with inflammation extending along the anterior aspect of the lower sacrum as well as into the sacral spinal canal. Signal abnormality and enhancement of the S5 segment is compatible with osteomyelitis with possible osteomyelitis of the S4 segment as well.2. Gas density withi... |
Generate impression based on medical findings. | Female, 75 years old.PA catheter position. Interval extubation. Right jugular Swan-Ganz catheter tip at the level of the main pulmonary artery. Other tubes and lines unchanged. Left pleural fluid collection, retrocardiac atelectasis/consolidation unchanged. Pulmonary edema and basal atelectasis on the right unchanged. ... | Right jugular Swan-Ganz catheter tip at the main pulmonary artery level. Pleural fluid, edema and atelectasis, minimally increased on the right. |
Generate impression based on medical findings. | Reason: Tube placement History: OG tube, ventilator ET tube tip approximately 6 cm above the carina.Orogastric tube extending below the inferior margin of the radiograph.Slightly increased left perihilar opacity may represent aspirated secretions or infection in the superior segment of the left lower lobe.No other sign... | Slightly increased left perihilar opacity suggestive of aspirated secretions and possibly infection. |
Generate impression based on medical findings. | 59-year-old female patient with history of papillary cancer. RIGHT LOBE: Status post thyroidectomy. There is a new hypoechoic focus within the right thyroid bed measuring 0.2 x 0.2 x 0.4 cm.LEFT LOBE: Status post thyroidectomy without recurrent or residual tissue identified.ISTHMUS: Status post thyroidectomy.PARATHYROI... | 1. New hypoechoic focus within the right thyroid bed.2. Non-descript prominent right level III lymph node; this is amenable to biopsy if clinically indicated. |
Generate impression based on medical findings. | Kidney cancer, prostate cancer and lung nodule. Status post radiation treatment CHEST:LUNGS AND PLEURA: Previously mentioned lung nodule in the right lower lobe measures 13 x 9 mm on image number 48/224. No other new nodules are seen.MEDIASTINUM AND HILA: Enlarged mediastinal nodes are grossly unchanged. Previously mea... | Enlarged mediastinal nodes, right lower lobe nodule are unchanged. |
Generate impression based on medical findings. | Other pulmonary embolism without acute cor pulmonale [I26.99], Reason for Study: ^Reason: Assess brain lesion History: N/A There is 16.3mm (AP) x 15.5mm (CC) and 13.5mm (RL) sized relatively well circumscribed intra axial mainly cystic lesion at the right frontal operculum (right subcentral lobule) with surrounding ede... | 1. Interval progression of the thickness of enhancing rim, increased size of enhancing peripheral daughter nodules and the extent of surrounding edema of the right frontal opercular cystic lesion as described above since prior scan (Sep 15 2015).2. No change of high signal intensity lesions on bilateral periventricular... |
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