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Generate impression based on medical findings. | History of pancreatic and peribiliary cysts. Stomach and back pain. ABDOMEN:LUNG BASES: Dilated pulmonary artery redemonstrated, suggestive of pulmonary arterial hypertension.LIVER, BILIARY TRACT: Numerous peribiliary cysts are redemonstrated. They appear slightly increased in number, particularly centrally, and there ... | 1.Increased size of multiple pancreatic cystic lesions, likely representing branch-type IPMNs.2.Increased intra and extrahepatic biliary ductal dilatation. Intrahepatic dilatation may at least in part relate to increased size of a central peribiliary cyst. However, there is also a new or increased dilation of the commo... |
Generate impression based on medical findings. | 3 months of dry cough remote history of cigarettes quit in 1984. Normal heart size. Tortuous thoracic aorta unchanged. No visible lymphadenopathy. Plain film technique. No pleural fluid or pneumothorax. No visible pulmonary nodules or masses. Mild degenerative changes of the spine. Right upper quadrant calcifications u... | No acute pulmonary abnormality. |
Generate impression based on medical findings. | Male, 63 years old.Reason: Pre-Kidney evaluation, end stage renal disease. Rule out cardiomegaly. Rule out infiltrates. History: Pre-Kidney Transplant Suture line and mild volume loss in the right lower lung.Small loculated right pleural effusion versus pleural thickening, improved from prior radiograph and unchanged f... | Right pleural effusion versus pleural thickening. No specific evidence of infection. |
Generate impression based on medical findings. | Sepsis due to Pseudomonas Mildly improving cardiopulmonary appearance with decreasing edema in the perihilar and basilar distribution, however changes persist with moderate effusions greater on the right. Pericardial and right chest tubes unchanged. Dobbhoff, LVAD, gastric tube and right jugular dialysis catheter other... | Improving edema pattern with unchanged supportive hardware devices and a right chest tube |
Generate impression based on medical findings. | Female, 56 years old.Reason: r/o rib fx History: fall No acute cardiopulmonary abnormality. Borderline heart size. No evidence of rib fracture or pneumothorax. | No evidence of rib fracture given limits of technique. Borderline heart size |
Generate impression based on medical findings. | Male, 34 years old.Reason: endotracheal tube placed History: endotracheal tube placed Small lung volumes with nonspecific right basilar opacity suggestive of aspiration or localized edema.ET tube tip approximately 5 cm above the carina.A VP shunt courses over the right side of the chest. | Right basilar opacity suggestive of localized edema or aspiration. ET tube tip approximately 5 cm above the carina. |
Generate impression based on medical findings. | 65 year old female with shortness of breath. History of congestive heart failure status post LVAD. Evaluate for effusions or pneumonia. Interval removal of right IJ central catheter. ICD leads and LVAD are unchanged in position. Cardiomegaly unchanged. Median sternotomy wires, surgical clips and fixation hardware proje... | Interval improvement in bilateral pleural effusions. No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | 58 year old female with history of lung cancer presenting with shortness of breath. Evaluate for PE. PULMONARY VASCULATURE: No pulmonary embolus. Technically diagnostic study.LUNGS AND PLEURA: Stable diffuse paraseptal and centrilobular emphysema. Previously seen, poorly marginated mass in the superior segment of left ... | 1. No pulmonary embolus. 2. Slight interval decrease in previously seen left lower lobe mass.3. Stable diffuse mixed emphysema. |
Generate impression based on medical findings. | Male, 44 years old.Reason: 44yo M w/ resp failure, assess for effusion History: as above Stable positions of support devices.Moderate left and small right pleural effusions with associated atelectasis unchanged. No interval pneumothorax. | Stable moderate left and small right pleural effusions. |
Generate impression based on medical findings. | Reason: 89 yo M with h/o NSCLC s/p hypofractionated RT to left lung and h/o CVA. Decreased BS R base with subjective increased in SOB. Please assess for acute changes History: DOE Moderate cardiomegaly with a tortuous aorta, unchanged.Increased air space and interstitial opacity in the left lower lung, compatible with ... | Tumor progression with possible superimposed process such as infection in the lingula and left lower lobe. |
Generate impression based on medical findings. | Chest pain and shortness of breath past week. Rule-out PE. PULMONARY ARTERY: No evidence of pulmonary embolus.LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Dextroscoliosis of the thoracic spine.UPPER ABDOMEN: No significant abnormality noted. | No evidence of pulmonary embolus or other pulmonary abnormality. |
Generate impression based on medical findings. | 63 years Female (DOB:5/27/1953)Reason: stroke syndrome History: 2198PROVIDER/ATTENDING NAME: THOMAS F SPIEGEL KOUROSH A REZANIA There is a area of diffusion restriction present which involves the lateral aspect of the right postcentral gyrus and extends into the right centrum semiovale. There is also involvement of the... | 1.Findings are compatible with acute infarction involving the lateral aspect of the right postcentral gyrus and adjacent centrum semiovale and insular cortex2.Small hemorrhagic lesion is present in the dentate nucleus of the right cerebellar hemisphere3.Findings are compatible with the old lacunar infarcts involving th... |
Generate impression based on medical findings. | Left pleural effusionVIEW: Chest AP 2/6/15 Cardiothymic silhouette normal. Left chest tube in place. There is a moderate size left pleural effusion not significantly changed. Bilateral lung opacities in the right lower lobe and left lower lobe. There is a small left apical pneumothorax. | Moderate size left pleural effusion not significantly change with a small left apical pneumothorax. |
Generate impression based on medical findings. | Reason: evaluate lung fields History: s/p VAD Cardiopulmonary monitoring and support devices, unchanged.Nonspecific basilar opacity consistent with atelectasis, consolidation and effusions.No pneumothorax or other acute change. | Edema, atelectasis and small effusions with no acute change. |
Generate impression based on medical findings. | Male, 48 years old.Reason: pneumothorax History: trauma, mid thoracic back pain, vehicle lifted 10 feet in the air and dropped violently. No pleural effusion or pneumothorax. No focal pulmonary opacities. Widening of the aortic knob is suspicious for aortic injury. | Questionable widening of the aortic knob. Correlation with CT is recommended for further evaluation. |
Generate impression based on medical findings. | Ms. Johnican is a 43 year old female with known left breast cancer status post neoadjuvant chemotherapy and disease positive left axillary lymph node. Personal history of benign left breast biopsies for tubular adenoma and fibroadenoma and benign right axillary lymph node biopsy. There is heterogeneous amount of fibrog... | (1) Interval decrease in size of left breast index malignancy and left axillary lymph nodes.(2) No MR evidence of malignancy in the right breast.(3) Stable biopsy-proven tubular adenoma and fibroadenoma of the left breast.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on medical findings. | Adenocarcinoma, follow-up Postsurgical changes mild volume loss on the right with elevated hemidiaphragm and scarring in the right lung base unchanged. Scattered suture material overlying the right hilar region also unchanged. No focal plain film findings to suggest recurrence or interval changeLeft lung remains clear ... | Postsurgical changes in the right hemithorax without evidence of tumor recurrence |
Generate impression based on medical findings. | Female, 56 years old.Reason: ARDS s/p intubation, eval bilateral opacities and hardware placement History: as above ET tube approximately 4 cm above the carina.Diffuse nonspecific airspace opacities compatible with the clinical diagnosis of ARDS, is unchanged. Line position stable. No pneumothorax. | Lines in adequate position. No significant change in the appearance of ARDS. |
Generate impression based on medical findings. | Renal transplant. Question of pyelonephritis. Patient with weakness. The right iliac fossa transplant kidney measures 10 cm in length without shadowing nephrolithiasis. No peritransplant fluid collection. Color Doppler demonstrates symmetric blood flow. Note is made of a 1.3 cm simple cyst. There is mild pelviectasis.N... | Mild pelviectasis. No specific evidence of pyelonephritis as clinically questioned however ultrasound is very limited for making this diagnosis. |
Generate impression based on medical findings. | Female, 25 years old.Reason: pna? History: AMS 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, 61 years old.Reason: febrile neutropenia - c/f pneumonia History: chest pain The right port remains accessed.Small bilateral pleural effusions are new since the prior study. No focal consolidation or interval pneumothorax. Cardiac contour appears enlarged when compared to 3/20/2015, possibly from pericardial fl... | New small pleural effusions. |
Generate impression based on medical findings. | Likely CLL assess for lymphadenopathy. CHEST:LUNGS AND PLEURA: Two small nodules posteriorly in both lower lobes, on the left about 6 mm in diameter image 53/130 and on the right smaller, image 66/130.MEDIASTINUM AND HILA: One or two upper normal sized mediastinal lymph nodes but no extensive intrathoracic lymphadenopa... | 1 Extensive axillary, mesenteric and retroperitoneal lymphadenopathy, sparing the mediastinum and hila; this is consistent with the provided diagnosis of CLL.2. Two small pulmonary nodules discussed above, for which a one year follow up is recommended or follow-up as part of the patient's other treatment. |
Generate impression based on medical findings. | A patient submitted outside study for review. Submitted for review are a bilateral mammogram and ultrasound from 7/23/2015 and performed at the WomanCare P.C. Breast and Bone Density Center, Arlington IL . Two standard views of both breasts and ML and two spot compression views of left breast were obtained. The breast ... | 1.The area of thickening/palpable in the left breast upper outer quadrant most likely corresponds to fibrocystic changes. 2.Bilateral scattered breast calcifications and multiple, septated and clustered cysts in both breasts. 3.Given the absence of prior mammograms for comparison, a six-month follow-up mammogram is rec... |
Generate impression based on medical findings. | Age: 56 yearsGender: MaleReason for Study: Reason: trending effusion History: sob Left PICC line is tip in the SVC.IABP marker in the proximal descending aorta.Nupulse device and she did leads unchanged.Stable cardiomediastinal silhouette.Right basilar opacity compatible with pleural effusion and atelectasis similar to... | No interval change in the right pleural effusion and right basilar atelectasis. |
Generate impression based on medical findings. | Male, 58 years old.Reason: S/p pericardiectomy, pleurectomy, CT in place History: asx Left-sided chest tube again noted. Diffuse pulmonary opacities again noted. Unchanged cardiomegaly. No pneumothorax. Small pleural effusions. | Diffuse pulmonary opacities again noted most consistent with pulmonary edema. Small pleural effusions, as before. Unchanged heart size. |
Generate impression based on medical findings. | Pain of the left shoulder ROTATOR CUFF: There is increased signal intensity of the anteriormost fibers of the supraspinatus tendon proximal to its insertion at the greater tuberosity. This likely represents anterior edge fraying. There is an additional focus of intermediate signal intensity in the supraspinatus at its ... | 1. Mild to moderate osteoarthritis of the AC joint appearing similar to prior study.2. Mild fraying of the anterior surface of the supraspinatus tendon as it courses along the rotator interval, but no full-thickness rotator cuff tear is present. |
Generate impression based on medical findings. | 24-year-old female with abdominal pain. Evaluate for placenta accreta and cesarean section scar. PELVIS:UTERUS, ADNEXA: Intrauterine gestation is present. Mild subchorionic hemorrhage is present. Findings of placenta accreta and probable increta located anteriorly along the lower uterine body, likely in site of prior c... | 1.Findings of placenta accreta and probable increta as above. No evidence of placenta percreta.2.Mild subchorionic hemorrhage is present.3.Possible adenomyosis of the mid uterine body. |
Generate impression based on medical findings. | Male, 68 years old.Reason: 68yo M w/ hx heart/kidney transplant, PTLD, assess for causes of hypoxia History: as above New port catheter terminates near the cavoatrial junction. New diffuse pulmonary opacities with more focal left basilar opacity. Question of small pleural effusions. Unchanged cardiomegaly. No pneumotho... | New Port-A-Cath terminates near the cavoatrial junction. New diffuse pulmonary opacities most consistent with pulmonary edema. |
Generate impression based on medical findings. | Clinical question: History of brain surgery 9 years ago for subdural hematoma. Signs and symptoms: Memory loss. Nonenhanced brain MRI:No acute intracranial process and negative diffusion weighted series.Examination demonstrate expected chronic postoperative changes of a right parietal small craniotomy.Mild scattered pa... | 1.No acute intracranial process and negative diffusion weighted series.2.Findings suggestive of mild chronic nonhemorrhagic small vessel ischemic strokes only in the subcortical and periventricular white matter.3.Essentially unremarkable nonenhanced brain MRI otherwise for patient's stated age of 88. Please see above c... |
Generate impression based on medical findings. | Male, 59 years old.Reason: lung eval History: lung eval Support devices are unchanged.Persistent low lung volumes with stable pleural effusions, basilar consolidation and atelectasis. No significant pneumothorax. | No change in the basilar opacities and pleural effusions. |
Generate impression based on medical findings. | BRAIN: There is no evidence of restricted diffusion to suggest acute ischemic infarction. There is a small focus of chronic encephalomalacia within the right cerebellar hemisphere appearing similar to 2013 CT. Punctate and confluent foci of increased T2/FLAIR signal within the supratentorial white matter are nonspecif... | 1.No acute ischemic infarction.2.Chronic mild-moderate small vessel ischemic changes.3.Small chronic infarction in the right cerebellar hemisphere.4.MRA without evidence of flow-limiting stenosis or aneurysm. |
Generate impression based on medical findings. | Female, 48 years old.Reason: et tube placement, change in LLL opacity History: intubated, bacteremic Improved aeration left lower lobe but persistent partial opacification on the left and right basilar consolidation.ET tube tip approximately 2 cm above the carina.An NG tube extends below the lower margin of the image. | ET tube tip approximately 2 cm above the carina. Improvement in left lower lobe opacity but still consistent with pneumonia. |
Generate impression based on medical findings. | Male, 70 years old.Reason: s/p esophagectomy History: s/p esophagectomy 2 right chest tubes no pneumothorax.Mild basilar opacities improved on the left.An NG tube traverses gastric pull-up. | No significant pneumothorax. |
Generate impression based on medical findings. | The large right intraparenchymal temporoparietal hematoma is not significantly changed along with areas of low and high T2 signal and predominantly low T2 signal and surrounding vasogenic edema. There is no discernible underlying nodule enhancement. There is persistent partial effacement of the right lateral ventricle... | 1.Redemonstration of large right intraparenchymal temporoparietal hematoma, with adjacent vasogenic edema and effacement of the right lateral ventricle. There is no midline shift or herniation.2.Unchanged minimal right parietal subarachnoid and intraventricular hemorrhage.No evidence of vascular malformation, aneurysm ... |
Generate impression based on medical findings. | 73 year-old female with mediastinal adenocarcinoma of lymph nodes. Restaging examination. CHEST:LUNGS AND PLEURA: Severe centrilobular emphysema.A reference right lower lobe spiculated nodule is partially obscured by motion artifact which makes accurate measurement difficult. An estimated measurement of 1.6 x 1.2 cm on... | Stable disease in the chest with no evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on medical findings. | Female, 81 years old.Shortness of breath. Large lung volumes with flattening the diaphragms consistent with COPD/emphysema. Mild bronchial wall thickening. Atelectasis and bronchial wall thickening in the left lower lobe retrocardiac region may be the result of recent aspiration, nonspecific. | Chronic abnormalities consistent with COPD/emphysema with nonspecific bronchial wall thickening which could be the result of chronic bronchitis however asymmetry in the left lower lobe is suspicious for superimposed acute process such as aspiration. If symptoms worsen, follow-up PA and lateral chest radiographs would b... |
Generate impression based on medical findings. | Male 66 years old Reason: HCV evaluate for HCC History: HCV LIMITED ABDOMENLIVER: The liver has a smooth contour. Liver measures 16.1 cm in length. The parenchyma is mildly coarse and echogenic. No focal hepatic lesion is identified.BILIARY TRACT: Hydropic gallbladder with 1.8 cm echogenic calculi with posterior acoust... | 1.Hydropic gallbladder with cholelithiasis, without secondary signs of acute cholecystitis.2.Mildly coarse and echogenic liver, may represent nonspecific fatty infiltration/parenchymal dysfunction. No focal hepatic lesion identified. |
Generate impression based on medical findings. | Female, 26 years old.Reason: Routine screening, post OHT, HX of cough History: as above Median sternotomy, heart size normal.No significant pulmonary or pleural abnormality. | No significant abnormality following heart transplant. |
Generate impression based on medical findings. | Low back pain [M54.5], Reason for Study: ^Reason: assess for stenosis History: BL LE weakness (proximal worse than distal, R > L) and suppressed reflexes at right knee and ankle. History of prostate cancer. Thoracic MRI:Postoperative (colpectomy and external fixation) between T10-L1 and kyphoplasty at L2.Multiple metas... | 1. No change of multifocal metastatic lesions on thoracic spine, lumbar spine, ribs, sacrum and bilateral ilium.2. Intra thecal fluid collecting lesions likely represent subdural space along lumbar spine with various degree mass effects toward spinal cord as described above, no change in extent, size and configuration ... |
Generate impression based on medical findings. | 83-year-old male with prostate cancer. Staging. CHEST:LUNGS AND PLEURA: Upper lobe predominant centrilobular emphysema. Scattered micronodules, many of which are calcified. No suspicious nodules, masses, or pleural effusion. Central bronchial wall thickening.MEDIASTINUM AND HILA: No mediastinal or hilar lymphadenopathy... | 1. Multiple liver lesions as detailed above. Several lesions near the hepatic dome appear to be a combination of simple and complex cysts. Two less well defined lesions in the right hepatic lobe are nonspecific and given the lack of IV contrast they are not well characterized. The largest lesion may be amenable to ultr... |
Generate impression based on medical findings. | Male, 67 years old.Reason: hypoxic respiratory failure. History: hypoxia Unchanged position of left ICD.Multifocal interstitial and airspace opacities not significantly changed relative to prior exam. Airspace opacities appear more confluent at the lung bases.Probable small pleural effusions. No pneumothorax.Right fift... | Unchanged multifocal interstitial and airspace opacities.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Female, 60 years old.Reason: hx of lung cancer, History: increased sob New loculated moderately large right pleural effusion.Right basilar atelectasis.Emphysema redemonstrated.Minimal scattered scarring.Stable cardiomediastinal silhouette. | New loculated moderately large right pleural effusion. |
Generate impression based on medical findings. | There is straightening of cervical spine. The osseous marrow signal is within normal limits for patient age. The cord signal is within normal limits.There is mild congenital narrowing of the cervical spine with mild superimposed degenerative findings as described below. C2-3: Minimal disk/endplate degenerative changes... | Mild congenital narrowing of the cervical spinal canal with minimal degenerative changes as detailed above. No focal high grade spinal canal stenosis at any level. No significant neural foraminal stenosis. |
Generate impression based on medical findings. | Age: 58 yearsGender: MaleReason for Study: Reason: S/P LVAD. Eval for pneumonia History: fever Left-sided ICD and LVAD unchanged.Stable cardiac enlargement.The lungs are clear.No pleural effusions.Median sternotomy is intact. | No acute cardiopulmonary abnormalities identified without interval change. No specific evidence of infection. |
Generate impression based on medical findings. | Female, 44 years old.Reason: Pre-Kidney evaluation, end stage renal disease. Rule out cardiomegaly. Rule out infiltrates. History: Pre-Kidney Transplant Clear lungs. No pleural effusion or pneumothorax. No acute bony abnormality. Mild cardiomegaly. Small amount of pneumoperitoneum almost assuredly related to peritoneal... | Clear lungs. Mild cardiomegaly. |
Generate impression based on medical findings. | Female, 49 years old.Reason: pt with ards. please compare to prior History: ards Support devices are unchanged.Coarse air space opacities of ARDS or edema unchanged. Increasing retrocardiac consolidation and atelectasis. No interval pneumothorax. | Increasing retrocardiac consolidation in the setting of ARDS. |
Generate impression based on medical findings. | Female, 66 years old.Reason: 66F w/ hypoxic failure - eval ETT History: - Interval removal of right IJ Swan-Ganz catheter with sheath remaining in place. Other life-support devices remain unchanged.Stable cardiomediastinal silhouette.No significant change in bilateral lung aeration with redemonstration a loculated pleu... | No significant change in bilateral lung aeration status post aortic aneurysm repair. |
Generate impression based on medical findings. | Prior pneumonia. Right upper lobe infiltrate concern No cardiopulmonary abnormality. Specifically the previously described right upper lobe opacity has resolved | Improvement with resolution of the right upper lobe focal opacity concerning for pneumonia |
Generate impression based on medical findings. | 11-year-old male presents with a first time seizure, evaluate for structural abnormality. There is no evidence of a mass or acute infarct. There is a focus of encephalomalacia in the left posterior occipital lobe with cortical hemosiderin deposition causing blooming artifact on susceptibility weighted images. No additi... | 1. Single focus of encephalomalacia in the left occipital lobe with cortical hemosiderin deposition. Differential considerations include chronic focal cortical prior hemorrhage from other causes such as cortical venous thrombosis and conceivably an underlying vascular malformation. Acute process is unlikely since there... |
Generate impression based on medical findings. | 79-year-old male with acute kidney injury and decreased urine output status post right partial nephrectomy RIGHT KIDNEY: Status post right partial nephrectomy. The right kidney measures 10.9 cm. The cortex is of normal echogenicity. No shadowing calculi or hydronephrosis is present.LEFT KIDNEY: The left kidney measures... | No sonographic evidence of hydronephrosis or perinephric fluid collection. |
Generate impression based on medical findings. | Male, 58 years old.Reason: aspiration pneumonia History: aspiration pneumonia New linear opacity overlying the aortic arch, likely iatrogenic; this may be overlying the patient. Lines and tubes are unchanged. No new focal pleural parenchymal opacity. Right-sided subcutaneous emphysema again noted. Unchanged heart size. | New linear opacity overlying the aortic arch, likely iatrogenic; this may be overlying the patient. No acute cardiopulmonary process on radiography. |
Generate impression based on medical findings. | Male, 3 years old. Reason: ETT placement. Bilateral pleural effusionsVIEW: Chest AP (one view) 10/28/2015, 0504 hrs. ET tube tip at the profound thoracic inlet and above the carina. Right chest tube, tip at the right apex.The cardiothymic silhouette is obscured.Bilateral pleural effusions, unchanged from prior.Persiste... | Unchanged basilar consolidation and pleural effusions. |
Generate impression based on medical findings. | Male, 69 years old.Reason: possible RUL pneumothorax? History: respiratory failure The previously suspected pneumothorax is not visualized.There is no change in the right pleural effusion and basilar opacity.Support devices are unchanged.Progression of left basilar opacity. | The previously suspected pneumothorax is not visualized. Remaining findings are otherwise essentially stable. |
Generate impression based on medical findings. | 58-year-old male with frothy sputum. Evaluate for edema. Interval removal of enteric tube.Other support devices remain unchanged in position.Stable cardiomediastinal silhouette.Low lung volumes with basilar opacities compatible with atelectasis/edema.No new pulmonary opacities are identified. | Persistent basilar opacities compatible with atelectasis/edema. |
Generate impression based on medical findings. | Female, 34 years old.Chest pain, cough and fever. Normal heart size. No focal pulmonary opacities, pleural fluid or pneumothorax. | No acute cardiac pulmonary abnormality. Normal chest. |
Generate impression based on medical findings. | Female, 83 years old.Reason: pulmonary edema/pneumonia History: leg swelling/sob Large lungs consistent with COPD.Moderate cardiomegaly.No specific evidence of infection or edema. | Cardiomegaly and COPD, otherwise unremarkable |
Generate impression based on medical findings. | Patient is a 22 yr old female with history of AML with prior s/p anthracycline containing chemotherapy and stem cell transplant presenting for evaluation of left ventricular function. Left VentricleThe left ventricle is normal in size and systolic function. The overall LV ejection fraction is 62 %, the LV end diastolic... | 1. The left ventricle is normal in size and systolic function (LVEF 62%)2. The right ventricle is normal in size and systolic function (RVEF 52%)3. No evidence for delayed enhancement. |
Generate impression based on medical findings. | Weakness [R53.1], Reason for Study: ^Reason: r/o ischemic stroke History: right arm weakness and slurred speech Brain MRI:There is a focal high signal intensity on the left parietal operculum which shows high signal intensity on diffusion-weighted imaging with equivocal restricted diffusion on ADC map, the lesion shows... | 1. Equivocal restricted diffusion with slightly increased T2 signal intensity on the left parietal operculum indicate late subacute or early chronic ischemic infarction without hemorrhagic transformation. 2. Nonspecific small vessel ischemic disease.3. Focal but less than 50% of luminal narrowing on the left MCA distal... |
Generate impression based on medical findings. | Female, 52 years old.Reason: ett placement, eval for opacities or effusion History: s/p tracheostomy on vent Left IJ sheath is no longer visible. The remaining support devices are unchanged in position.Stable cardiomegaly. Decreasing opacities of edema. Small pleural effusions. Persistent retrocardiac atelectasis. | No pneumothorax following left IJ sheath removal. |
Generate impression based on medical findings. | Male, 34 years old.Reason: SOB, PNA? History: SOB? Cardiac leads/device again noted. Stable cardiomegaly noted. No focal lung consolidation. No pleural effusion or pneumothorax. | No acute cardiopulmonary findings with no specific evidence of infection. |
Generate impression based on medical findings. | Anaplastic astrocytoma status post chemotherapy and radiation treatment. Headache and increasing weakness. Again seen are areas of intrinsic T1 shortening as well as heterogeneous nodular enhancement in the right frontal, parietal, and temporal lobes predominantly in the periventricular regions related to known tumor. ... | Allowing for slight differences in technique, there is no significant change since 10/7/2016. Compared to 7/29/2016, however, there appears to have been significant progression with increased tumor involvement of the right frontal lobe, corpus callosum, and extension into the left cerebral hemisphere. |
Generate impression based on medical findings. | Non suppressible leg shaking, change in sensation and subsequent numbness occurring at night several times a month. There is perhaps mild volume loss and T2 hyperintensity in the left hippocampus. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The... | Possible left medial temporal sclerosis. |
Generate impression based on medical findings. | 60 years old Male. Reason: f/u R pneumothorax History: cough. Tiny small loculated pneumothorax is still present in the right apex, which has been improved as compared with the prior study. Diffuse the right pleural thickening and streaky opacities in the right lung. Consolidation is seen in the right lower lobe with e... | Interval improvement of the small loculated right pneumothorax. Consolidation in the right lower lung, which can be due to atelectasis. However infection cannot be excluded. |
Generate impression based on medical findings. | 66-year-old male with history of pancreas mass ABDOMEN:LIVER, BILIARY TRACT: Bone T2 hyperintense lesions scattered throughout the liver some of which are bigger and at least one which is new in segment 5/6.SPLEEN: Splenomegaly measuring up to 18 cm, increased. PANCREAS: Redemonstrated is a 3.7 x 2.9 cm mass in the tai... | 1.Slight interval increase in pancreatic tail mass as described above compatible with intrapancreatic spleen. 2.Mild periportal, aorta caval and mid mesenteric lymphadenopathy, more prominent when compared to the prior exam. Increased splenomegaly. Findings could represent worsening lymphoma. 3.No significant change in... |
Generate impression based on medical findings. | Reason: assess for pneumo (line placement yesterday) vs. pulmonary edema History: as above Left jugular catheter with its tip in the SVC, directed laterally.Severe cardiomegaly.Interval removal of a right jugular catheter. ICD lead unchanged.Cardiomegaly with bilateral opacities, most obvious at the left apex, recently... | Interval removal of right jugular catheter with no pneumothorax or other acute change. |
Generate impression based on medical findings. | Male, 57 years old.Reason: reeval questionable opacity History: as above Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. Questioned opacity on and earlier radiographs is not confirmed. |
Generate impression based on medical findings. | Male, 57 years old.Reason: eval for stool burden in patient with constipation History: nausea, abdominal pain, constipation Cardiomediastinal silhouette is unremarkable. There is mildly increased lung volumes.Slightly greater than average stool burden. No evidence of free air or bowel obstruction. | Slightly greater than average stool burden. |
Generate impression based on medical findings. | Cough and right lung egophony. Chronic biapical scarring and posterior costophrenic angle blunting. Cardiothoracic ratio progressively increasing, now upper normal. Unfolding of the thoracic aorta with prominence of the ascending segment present previously. No focal airspace opacities or specific signs of pulmonary ede... | Tortuous thoracic aorta, correlate for systemic hypertension. Cardiothoracic ratio remains within normal limits but is been progressively increasing. No conclusive acute pulmonary abnormalities. Short-term PA and lateral chest radiograph follow-up may be obtained if patient remains symptomatic. |
Generate impression based on medical findings. | 63-year-old male with history of cystectomy with neobladder CHEST:LUNGS AND PLEURA: Subcentimeter nodule image number 51, series number 5 in the left upper lobe, unchanged.MEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnor... | Stable examination.Interval development of new left sided hydronephrosis and hydroureter. Etiology is unknown. |
Generate impression based on medical findings. | 21 year old man referred for evaluation of pulmonic regurgitation and RV volume/function. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 54%, the LV end diastolic volume index is 101 ml/m2 (normal range: 74+/-15), the LVEDV is 181 ml (normal range 1... | 1. The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 54%. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.2. The right ventricle is normal in size with normal systolic function. The ov... |
Generate impression based on medical findings. | Male, 37 years old.Reason: Eval for infection History: Neutropenic fever, cough Right IJ tunnel central venous catheter remains unchanged.Stable cardiac silhouette.Interval improvement in bilateral lung volumes and bibasilar opacities with residual left basilar bandlike atelectasis/scarring. Redemonstration of intersti... | Interval improvement in bilateral lung volumes and bibasilar opacities with residual left basilar bandlike atelectasis/scarring. |
Generate impression based on medical findings. | 76-year-old male status post head injury; evaluate for ICH There is no evidence of acute intracranial hemorrhage, mass or edema. Extensive areas of nonspecific patchy and confluent hypoattenuation are seen in the periventricular and subcortical white matter, likely representing small vessel ischemic disease of indeterm... | 1. No acute intracranial hemorrhage. Extensive small vessel ischemic disease of indeterminate age. 2. Left frontal soft tissue swelling without underlying fracture. 3. Soft tissue density in the interhemispheric fissure as described above suspicious for ACOM aneurysm. Recommend MRI/MRA for further evaluation.These find... |
Generate impression based on medical findings. | Age: 56 yearsGender: MaleReason for Study: Reason: h/o HNC and CRT, History: pneumothorax per CT 1/6, reassess The cardiomediastinal silhouette is unremarkable.There are increased lung volumes compatible with COPD. No focal air space opacities noted.Left apical pleural thickening.Probable small left apical pneumothorax... | No acute cardiopulmonary abnormalites identified without interval change. No significant pneumothorax identified. |
Generate impression based on medical findings. | 31 year old female with rising liver function tests, evaluate for mass. LIVER: Enlarged measuring 22.1 cm in length. Increased echogenicity consistent with diffuse fatty infiltration. Focal fatty sparing noted adjacent to the gallbladder fossa. No discrete hepatic lesions identified. BILIARY TRACT: No significant abnor... | Hepatomegaly and increased echogenicity consistent with hepatic steatosis. No discrete liver masses or biliary ductal dilation. |
Generate impression based on medical findings. | Female, 64 years old.Shortness of breath. Evaluate for fluid overload. Interval improvement in basilar opacities. No new focal pulmonary opacities. No pleural effusions, or pneumothorax.Unchanged cardiomegaly.Interval removal of right IJ central catheter. | Interval improvement in basilar opacities, without evidence of fluid overload. |
Generate impression based on medical findings. | Sustained an injury six weeks ago. Persistent pain in left shoulder. Rule out labral tear of the left shoulder. ROTATOR CUFF: There is perhaps minimal undersurface tearing of the supraspinatus tendon, but otherwise the tendon and muscle appear normal. The infraspinatus tendon and muscle appear normal. The teres minor m... | Detachment of the superior and anterosuperior labrum from the underlying glenoid as described above. While it is possible that this could represent an unusually prominent sublabral sulcus coupled with a normal variant sublabral foramen, I suspect that it represents a true labral tear. |
Generate impression based on medical findings. | There is no evidence of intracranial hemorrhage, mass, or acute infarct. High T2 signal and encephalomalacia are again seen in the left frontal lobe, right parietal lobe, right occipital lobe and right inferior cerebellar hemisphere. Since the previous exam there has been progression of the abnormal T2 signal in the r... | 1.No acute infarct, intracranial hemorrhage or mass.2.Interval progression of chronic ischemic disease in the regions and territories previously affected by ischemia.3.Stable MRA of the brain with multifocal high-grade stenosis in the anterior and posterior circulation.4.In the neck there is no significant stenosis in ... |
Generate impression based on medical findings. | 52 year old female with a history of pancreatitis being treated for autoimmune pancreatitis with prednisone. MRI MRCP to evaluate biliary system, and pancreas. ABDOMEN:LIVER, BILIARY TRACT: Incidental note is made of pacreatic divisum. No evidence of intra-or extrahepatic biliary ductal dilation. There is stenosis/narr... | 1.There is questionable faint peripheral enhancement along the margins of the pancreas as well as narrowing of the distal common bile duct, which is nonspecific, but can be seen in autoimmune pancreatitis. Correlation with IgG4 levels could be considered if clinically indicated. 2.Focus of enhancing signal abnormality ... |
Generate impression based on medical findings. | Female, 37 years old.Reason: post op, eval lung fields History: s/p MVR on 5/5/15 Patient is status post sternotomy. Right IJ Swan-Ganz catheter tip in the right main pulmonary artery. Mediastinal drain/chest tube in place. ET tube tip 2.5 cm from the carina.Stable cardiomegaly. Improvement of RUL aeration with residua... | Expected postoperative changes with support devices. Improvement of RUL aeration. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Clinical question: Schwannoma, 3 months follow up lumbar tumor resection. Signs and symptoms: As above. Pre-and post-enhanced lumbar MRI:Since prior exam there is significant decreased enhancement of cauda equina at L1 -- L2 surgical site compared to prior study. Posteriorly at the L2 level within the cauda equina ther... | 1.Significant to near complete resolution of enhancement at the surgical site at L1 -- L2 level since prior study.2.Tiny solidly enhancing schwannoma measuring at 2.5 x 3 mm within the cauda equina at L2 level is identified.3.Multiple additional schwannomas are again identified without interval change.4.A small schwann... |
Generate impression based on medical findings. | 87-year-old male with history of bladder cancer with lymph node involvement Dense annular mitral valve calcification. Mild left basilar scarring. No abnormal pulmonary opacities identified. | No interval pulmonary nodules. |
Generate impression based on medical findings. | Female, 57 years old.Reason: assess for acute process - R chest pain History: assess for acute process - R chest pain Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. |
Generate impression based on medical findings. | Male, 63 years old.Reason: sob History: sob Innumerable surgical clips again seen in the neck and upper thorax.Cardiomediastinal silhouette.Calcified granulomas are unchanged.Mild blunting at the left cardiophrenic angle likely represents scarring versus small effusion.No focal consolidation or significant pneumothorax... | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Positive sputum culture. Diminished lung sounds, check for pneumonia Interval removal of left and mediastinal chest tube as well as a right jugular sheath. The LVAD and, ICD are otherwise unchanged.Decreasing. Persistent mild to moderate nonspecific cardiomegaly with diminishing cardiopulmonary changes suggesting resol... | Partial resolution of previously observed suspected CHF with overall improved aeration, specifically left lower lobe. Chest tubes and right jugular catheter removed |
Generate impression based on medical findings. | 56-year-old male with colon cancer status post chemotherapy. CHEST:LUNGS AND PLEURA: Multiple subcentimeter nodules in the right upper and middle lobes and left upper and lower lobes. Nodules in the right upper lobe (series 4, image 44, 45, 56, 62) appears slightly larger. There is a new left lower lobe nodule (Series ... | Interval progression of lung metastases, hepatic metastases and portacaval lymphadenopathy. |
Generate impression based on medical findings. | Male, 60 years old.History of MI, CHF, and AICD, now with lightheadedness. Defibrillator and pacer leads in place.The cardiomediastinal silhouette is normal.There is subsegmental basilar atelectasis with trace left pleural effusion.Lumbar osteophyte noted. | Basilar atelectasis with trace left pleural effusion. |
Generate impression based on medical findings. | Male, 31 years old.Reason: ? pna History: r chest pain No acute cardiopulmonary abnormality. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Reason: persistent cough History: persistent cough Unremarkable cardiac and mediastinal silhouette.Mild basilar scarring.No significant pulmonary or pleural disease. | No significant abnormalities. |
Generate impression based on medical findings. | Acute left-sided numbness. Please evaluate for infarct. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are scattered punctate and confluent areas of abnormal T2/Flair hypertensity in the periventricular and subcortical white matter, consistent with mild small vessel ischemic changes. The... | 1.No evidence of acute intracranial hemorrhage, mass, or acute infarct.2.Findings compatible with mild chronic small vessel ischemic disease. |
Generate impression based on medical findings. | Female, 87 years old.Reason: eval for edema/inf, and defib placement History: chest pain Mild to moderate cardiomegaly.No specific evidence of infection or edema.Left subclavian pacemaker, leads unchanged in position. | No specific evidence of infection or edema. |
Generate impression based on medical findings. | Bilateral upper extremity weakness and hyperreflexia, status post MVA Cervical: Craniovertebral junction appears within normal limits. There is evidence of osseous fusion involving the C5-C7 vertebral bodies which is postsurgical. The cervical vertebral bodies are appropriate in height. Alignment is grossly maintained ... | 1. Evidence of remote anterior cervical fusion involving the C5 to C7 vertebral bodies. There is no evidence of high-grade spinal canal stenosis at any level in the cervical spine or evidence of cervical cord signal abnormality.2. Adjacent segment disease with degenerative changes at C4-C5, where there is moderate left... |
Generate impression based on medical findings. | Female, 72 years old.With history of metastatic leiomyosarcoma status post chest wall resection. Interval removal of mediastinal drain. The cardiomediastinal silhouette is mildly enlarged. Large lung volumes suggestive of obstructive disease. Right moderate layering pleural effusion with adjacent atelectasis. Persisten... | Moderate layering right pleural effusion and tiny left pleural effusion with adjacent atelectasis. Septal thickening remains, reflecting a component of edema. |
Generate impression based on medical findings. | Age: 42 yearsGender: FemaleReason for Study: Reason: Non resolving infiltrate without a clear diagnosis History: cough, sweats, chills Stable cardiac mediastinal silhouette.Interval improvement in the ill-defined right basilar opacity.No new pulmonary opacities identified.No pleural effusion. | Right lower lobe airspace opacity improved from the prior exam. Continued follow-up imaging is recommended. |
Generate impression based on medical findings. | Age: 78 yearsGender: FemaleReason for Study: Reason: fluid overload History: SVT Mildly decreased lung volumes.The cardiac mediastinal silhouette is unremarkable.Blunting the costophrenic angles may represent pleural thickening.No focal airspace opacities.Severe degenerative joint disease involving the glenohumeral joi... | No acute cardiopulmonary abnormalities are identified. No specific evidence of infection or edema. |
Generate impression based on medical findings. | Reason: AM CXR History: AM CXR Perforation of the esophagus. Interval removal of a right chest tube with a probable skin fold at the right apex which could be confirmed on subsequent radiographs. Left chest tube, venous catheter and esophageal stent, unchanged.Small bilateral pleural effusions with a skin fold at the r... | Small pleural effusions and basilar atelectasis with no acute change. Probable skin fold at the right apex which could be reevaluated on subsequent radiographs. |
Generate impression based on medical findings. | Male, 21 years old.Leukocytosis, sickle cell disease. No focal airspace opacities or visible pleural fluid.Unchanged heart size.Right upper quadrant surgical clips. | No acute pulmonary abnormalities. |
Generate impression based on medical findings. | Male 63 years old; Reason: AKI on CKD History: above RIGHT KIDNEY: The right kidney measures 10.0 cm in length. The cortex is echogenic. No shadowing calculi or hydronephrosis is present. LEFT KIDNEY: The left kidney measures 9.5 cm in length. The cortex is echogenic. No shadowing calculi or hydronephrosis is present. ... | 1.Echogenic renal cortices. No sonographic findings of nephrolithiasis or hydronephrosis.2.Echogenic hepatic parenchyma possibly due to fatty infiltration. |
Generate impression based on medical findings. | Female, 96 years old.Reason: infiltrates History: dyspnea Dobbhoff tube tip projects over the proximal duodenum.Lungs are better expanded. Chronic nonspecific interstitial opacities unchanged. Probable mitral annulus calcification. Unchanged apical scarring. | Improved lung inflation. Chronic appearing nonspecific interstitial changes but no acute abnormalities. |
Generate impression based on medical findings. | Female, 23 years old.Reason: r/o acute chest History: hx of sickle cell disease Heart size is enlarged. Low lung volumes with basilar opacities favoring atelectasis. Pleural spaces are clear. Osseous changes reflect sickle cell disease. | Cardiomegaly without edema. |
Generate impression based on medical findings. | Female, 63 years old, with metastatic disease to the brain status post radiosurgery. An enhancing lesion within the left occipital lobe is slightly smaller, now measuring 6 x 3 mm, previously 7 x 4 mm, with reduced edema.A small enhancing lesion within the right inferior cerebellum measures 7 x 6 mm, previously 8 x 6 m... | 1.Lesions within the left occipital lobe and right cerebellum are stable to smaller.2.Two additional small lesions within the cerebellum are stable to minimally more prominent.3.Lesions within the right superior frontal gyrus, left frontal operculum and right superior temporal gyrus are new. |
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