note_id stringlengths 13 15 | subject_id int64 10M 20M | hadm_id int64 20M 30M | note_type stringclasses 1
value | note_seq int64 2 851 | charttime stringlengths 19 19 | storetime stringlengths 19 19 | text stringlengths 35 17.5k |
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10005858-RR-122 | 10,005,858 | 22,585,238 | RR | 122 | 2172-07-16 15:12:00 | 2172-07-17 19:13:00 | STUDY: MRI of the lumbar spine.
CLINICAL INDICATION: ___ female patient, with history of right lower
extremity weakness, low back pain, assess for fracture or nerve root
compression.
COMPARISON: Multiple prior MRI examinations of the lumbar spine, the most
recent dated ___.
TECHNIQUE: Sagittal T1, T2 and sagitta... |
10005858-RR-123 | 10,005,858 | 22,585,238 | RR | 123 | 2172-07-17 22:36:00 | 2172-07-18 11:11:00 | CLINICAL HISTORY: Preop chest x-ray for lumbar surgery.
CHEST, AP FILM:
Cardiac size is at the upper limits of normal. The lung fields are clear.
The costophrenic angles are sharp.
IMPRESSION: No acute disease.
|
10005858-RR-124 | 10,005,858 | 22,585,238 | RR | 124 | 2172-07-18 15:24:00 | 2172-07-19 07:41:00 | INDICATION: L2-L5 fusion and laminectomy
COMPARISON: MR lumbar spine ___.
TECHNIQUE: Three views obtained in the OR without a radiologist present.
FINDINGS:
The initial image shows surgical device posterior to L5. Subsequent images
show placement of posterior pedicle screws at what appears to be L3, L4 and
L5. ... |
10005858-RR-126 | 10,005,858 | 29,352,282 | RR | 126 | 2172-08-10 16:45:00 | 2172-08-10 17:32:00 | EXAM: Chest frontal and lateral views.
CLINICAL INFORMATION: Fever.
___.
FINDINGS: The patient is rotated to the left. No definite focal
consolidation is seen. There is persistent mild elevation of the right
hemidiaphragm. No pleural effusion or pneumothorax. The cardiac and
mediastinal silhouettes are stable... |
10005858-RR-127 | 10,005,858 | 29,352,282 | RR | 127 | 2172-08-10 20:44:00 | 2172-08-10 23:34:00 | HISTORY: ___ s/p L laminectomy & fusion with fever, back pain, redness @
incision. Total laminectomy of L2, L3, L4 and L5. Fusion and instrumentation
L3-5. Autograft.
TECHNIQUE: Multi planar multisequence MR images of the lumbar and thoracic
spine were obtained the without the administration of intravenous contras... |
10005858-RR-128 | 10,005,858 | 29,352,282 | RR | 128 | 2172-08-15 10:10:00 | 2172-08-15 11:44:00 | HISTORY: PICC placement.
FINDINGS: In comparison with study of ___, there has been placement of a
left subclavian PICC line that extends to about the junction of the
brachiocephalic vessel and the SVC. Cardiac silhouette remains somewhat
enlarged with tortuosity of the aorta.
There is displacement of the lower cer... |
10005858-RR-129 | 10,005,858 | 29,352,282 | RR | 129 | 2172-08-16 09:50:00 | 2172-08-16 11:58:00 | HISTORY: PICC exchange.
FINDINGS: In comparison with study of ___, the left subclavian PICC line now
extends to the lower portion of the SVC. No evidence of acute cardiopulmonary
disease.
|
10005866-RR-31 | 10,005,866 | 22,589,518 | RR | 31 | 2149-02-11 10:32:00 | 2149-02-11 11:23:00 | EXAMINATION: LIVER OR GALLBLADDER US (SINGLE ORGAN)
INDICATION: ___ with h/o cirrhosis c/o 3 days worsening ruq abdominal pain//
?portal venous thrombosis
TECHNIQUE: Grey scale and color Doppler ultrasound images of the abdomen were
obtained.
COMPARISON: ___ ultrasound
FINDINGS:
LIVER: The liver is coarsened ... |
10005866-RR-32 | 10,005,866 | 22,589,518 | RR | 32 | 2149-02-11 12:39:00 | 2149-02-11 13:16:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ with h/o cirrhosis c/o 3 days worsening ruq abdominal pain//
?pneumonia
COMPARISON: ___
FINDINGS:
PA and lateral views of the chest provided. There is blunting of the right CP
angle indicative of a small effusion. Otherwise the lungs are clear.
Cardiomediastina... |
10005866-RR-33 | 10,005,866 | 22,589,518 | RR | 33 | 2149-02-11 12:51:00 | 2149-02-11 13:56:00 | EXAMINATION: CT abdomen and pelvis
INDICATION: ___ with h/o cirrhosis and multiple abdominal surgeries c/o 3
days worsening ruq abdominal pain and vomiting
TECHNIQUE: Single phase split bolus contrast: MDCT axial images were acquired
through the abdomen and pelvis following intravenous contrast administration
with... |
10006029-RR-61 | 10,006,029 | 27,104,518 | RR | 61 | 2169-09-29 05:06:00 | 2169-09-29 05:42:00 | EXAMINATION: LIVER OR GALLBLADDER US (SINGLE ORGAN)
INDICATION: History: ___ with history of biliary obstruction now with
jaundice and fever.// eval for CBD dilation
TECHNIQUE: Grey scale and color Doppler ultrasound images of the abdomen were
obtained.
COMPARISON: ___ liver gallbladder ultrasound, ___ MRCP.
FI... |
10006029-RR-62 | 10,006,029 | 27,104,518 | RR | 62 | 2169-10-01 11:25:00 | 2169-10-01 16:16:00 | INDICATION: ___ year old man with PICC// Pt had a L PICC,49cm ___ ___
Contact name: ___: ___
TECHNIQUE: Single AP view of the chest.
COMPARISON: Multiple prior chest CTs, most recently dated ___.
FINDINGS:
Left PICC line tip terminates in the distal SVC near the superior cavoatrial
junction.
Lung volumes a... |
10006029-RR-63 | 10,006,029 | 27,104,518 | RR | 63 | 2169-10-01 17:40:00 | 2169-10-01 17:56:00 | EXAMINATION: CT ABDOMEN AND PELVIS WITH CONTRAST
INDICATION: ___ year old man with metastatic clear cell RCC on experimental
trial due for surveillance CT// surveillance CT
TECHNIQUE: Oncology 2 phase: Multidetector CT of the abdomen and pelvis was
done as part of CT torso with IV contrast. A single bolus of IV co... |
10006029-RR-64 | 10,006,029 | 27,104,518 | RR | 64 | 2169-10-01 09:51:00 | 2169-10-01 17:59:00 | EXAMINATION: CT CHEST W/CONTRAST
INDICATION: ___ man metastatic renal cell carcinoma on experimental
trial. Surveillance CT.
TECHNIQUE: Multi-detector helical scanning of the chest, coordinated with
intravenous infusion of nonionic, iodinated contrast agent, following oral
administration of contrast agent for s... |
10006029-RR-65 | 10,006,029 | 27,104,518 | RR | 65 | 2169-10-03 11:29:00 | 2169-10-03 17:16:00 | EXAMINATION: Fluoroscopic cholangiogram with year CP
INDICATION: ___ male, ERCP
TECHNIQUE: Fluoroscopic cholangiogram
COMPARISON: CT abdomen ___
FINDINGS:
13 intraoperative images were acquired without a radiologist present.
Images show existing plastic extent is removed, subsequent injection of
contrast opa... |
10006269-RR-5 | 10,006,269 | 27,357,430 | RR | 5 | 2124-07-03 19:01:00 | 2124-07-04 00:56:00 | EXAMINATION: CT ABD AND PELVIS W AND W/O CONTRAST, ADDL SECTIONS
INDICATION: ___ year old man with blood per rectum, cancer on colonoscopy//
New diagnosis of colorectal cancer via colonoscopy. Eval for mets.
TECHNIQUE: Single phase contrast: MDCT axial images were acquired through the
abdomen and pelvis following ... |
10006269-RR-6 | 10,006,269 | 27,357,430 | RR | 6 | 2124-07-03 19:04:00 | 2124-07-04 00:47:00 | EXAMINATION: CT CHEST W/CONTRAST
INDICATION: ___ year old man with blood per rectum, cancer on colonoscopy//
New diagnosis of colorectal cancer via colonoscopy. Eval for mets.
TECHNIQUE: Multi detector CT of the chest was performed after the
administration of intravenous contrast. Axial coronal and sagittal
recon... |
10006269-RR-7 | 10,006,269 | 27,357,430 | RR | 7 | 2124-07-05 11:55:00 | 2124-07-05 16:37:00 | EXAMINATION: MRI of the Pelvis
INDICATION: ___ year old man with new diagnosis of rectal cancer (pathology
showed tubulovillous adenoma), eval for staging and extent of malignancy//
Colorectal cancer staging It is suspected that the pathology sample with
incomplete and there is likely underlying malignancy.
TECHNIQ... |
10006431-RR-23 | 10,006,431 | 27,715,811 | RR | 23 | 2128-03-04 17:21:00 | 2128-03-04 17:37:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___ with leukocytosis
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph ___ and chest CT ___
FINDINGS:
Left-sided Port-A-Cath tip terminates in the low SVC. Heart size is mildly
enlarged, but decreased in size compared to the previous exam. The... |
10006431-RR-24 | 10,006,431 | 28,771,670 | RR | 24 | 2128-03-23 05:47:00 | 2128-03-23 06:42:00 | INDICATION: ___ with upper abdominal pain, history pancreatic cancer,
evaluate for infectious process.
TECHNIQUE: Single phase split bolus contrast: MDCT axial images were acquired
through the abdomen and pelvis following intravenous contrast administration
with split bolus technique.
Oral contrast was administered.... |
10006431-RR-26 | 10,006,431 | 28,771,670 | RR | 26 | 2128-03-28 14:15:00 | 2128-03-28 14:30:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old woman with pancreatic cancer, c/o persistent cough
and sputum production // evidence of pneumonia? evidence of pneumonia?
IMPRESSION:
In comparison with the study of ___, there is little interval change.
The cardiac silhouette remains within normal lim... |
10006457-RR-25 | 10,006,457 | 27,894,366 | RR | 25 | 2147-12-10 19:53:00 | 2147-12-10 20:54:00 | INDICATION: Left-sided weakness. Evaluate for stroke.
COMPARISONS: None.
TECHNIQUE: Contiguous axial MDCT images were obtained through the head
without the administration of IV contrast. Sagittal, coronal, and thin
section bone reformatted images were obtained and reviewed.
FINDINGS: There is no evidence of he... |
10006457-RR-26 | 10,006,457 | 27,894,366 | RR | 26 | 2147-12-10 20:23:00 | 2147-12-10 21:29:00 | EXAM: Chest frontal and lateral views.
CLINICAL INFORMATION: Left-sided weakness.
___.
FINDINGS: Frontal and lateral views of the chest were obtained. There is
minimal left base atelectasis. A lateral right mid lung calcified granuloma
is stable. No focal consolidation is seen. There is no pleural effusion or... |
10006457-RR-27 | 10,006,457 | 27,894,366 | RR | 27 | 2147-12-11 09:46:00 | 2147-12-11 19:07:00 | HISTORY: Hypertensive urgency, transient neurologic symptoms and possible
lacunar infarct. Evaluate for evidence of stroke or posterior reversible
leukoencephalopathy syndrome.
TECHNIQUE: Multiplanar MR images were acquired through the head including
sequences acquired prior to and following the uneventful intraven... |
10006457-RR-28 | 10,006,457 | 27,894,366 | RR | 28 | 2147-12-11 16:40:00 | 2147-12-11 18:38:00 | INDICATION:
___ female with multiple left hemisphere infarcts, and vague symptoms,
comes in today for carotid evaluation.
COMPARISON:
No prior similar study available for comparison.
TECHNIQUE:
Grayscale and color Doppler ultrasound of bilateral carotid and vertebral
arteries was performed.
RIGHT:
There is moder... |
10006457-RR-29 | 10,006,457 | 27,894,366 | RR | 29 | 2147-12-13 10:06:00 | 2147-12-13 16:25:00 | HISTORY: Postop day 1 status post left carotid endarterectomy with waxing and
waning neuro exam. Confirm carotid is open postoperative and assess for
progression of previous stroke.
TECHNIQUE: Contiguous axial images were obtained through the brain without
contrast material. Subsequently axial imaging was performe... |
10006457-RR-30 | 10,006,457 | 27,894,366 | RR | 30 | 2147-12-13 21:30:00 | 2147-12-14 13:35:00 | HISTORY: Worsening confusion and hand weakness, status post carotid
endarterectomy.
COMPARISON: MR from ___ and CT from ___.
TECHNIQUE: Multiplanar MR images are acquired through the head without
intravenous contrast.
FINDINGS: Ventricles and sulci are mildly enlarged, reflecting parenchymal
volume loss. Th... |
10006457-RR-32 | 10,006,457 | 27,894,366 | RR | 32 | 2147-12-14 21:09:00 | 2147-12-15 09:02:00 | HISTORY: Multiple infarctions. History of recent carotid endarterectomy.
COMPARISON: MRI from ___ and ___.
TECHNIQUE: Multiplanar MR images are acquired through the head without
intravenous contrast.
FINDINGS: As was seen on the recent comparison examination, there are
numerous foci of abnormally slow diffu... |
10006513-RR-39 | 10,006,513 | 28,504,108 | RR | 39 | 2125-05-06 03:14:00 | 2125-05-06 04:24:00 | INDICATION: NO_PO contrast; History: ___ with LLQ painNO_PO contrast//
diverticulitis
TECHNIQUE: Single phase split bolus contrast: MDCT axial images were
acquired through the abdomen and pelvis following intravenous contrast
administration with split bolus technique.
Oral contrast was not administered.
Coronal and... |
10006692-RR-10 | 10,006,692 | 29,746,536 | RR | 10 | 2165-05-12 03:31:00 | 2165-05-12 04:14:00 | EXAMINATION: UNILAT LOWER EXT VEINS RIGHT
INDICATION: ___ year old man with swelling/erythema/warmth of RLE, s/p bypass
graft harvesting years ago // eval for DVT
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the right lower extremity veins.
COMPARISON: None.
FINDINGS:
There ... |
10006692-RR-9 | 10,006,692 | 29,746,536 | RR | 9 | 2165-05-12 03:09:00 | 2165-05-12 03:55:00 | EXAMINATION: CT HEAD W/O CONTRAST Q111 CT HEAD
INDICATION: ___ year old man with HTN and headache. Evaluate for hemorrhage.
TECHNIQUE: Contiguous axial images of the brain were obtained without
contrast.
Coronal and sagittal as well as thin bone-algorithm reconstructed images were
obtained.
DOSE: This study in... |
10007058-RR-22 | 10,007,058 | 22,954,658 | RR | 22 | 2167-11-07 20:31:00 | 2167-11-08 08:05:00 | EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with aortic dissection, chest pain // evaluate
for acute process evaluate for acute process
COMPARISON: There no prior chest radiographs available.
IMPRESSION:
Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes
and ple... |
10007058-RR-23 | 10,007,058 | 22,954,658 | RR | 23 | 2167-11-07 22:23:00 | 2167-11-08 00:24:00 | EXAMINATION: CTA chest abdomen and pelvis
INDICATION: ___ year old man with acute type b dissection. // r/o extension
of type B dissection to type A. Need type a dissection protocol.
TECHNIQUE: Axial multidetector CT images were obtained through the chest,
abdomen, and pelvis after the uneventful administration ... |
10007058-RR-24 | 10,007,058 | 22,954,658 | RR | 24 | 2167-11-10 16:12:00 | 2167-11-10 20:06:00 | INDICATION: ___ year old man p/w back pain found to have abdominal aortic
dissection and NSTEMI // Please perform EKG-gated MRA of chest/abdomen/pelvis
to further evaluate aortic dissection
TECHNIQUE: ECG gated MRA images of the chest, abdomen, and pelvis. No IV
contrast was administered.
COMPARISON: Comparison ... |
10007058-RR-25 | 10,007,058 | 22,954,658 | RR | 25 | 2167-11-10 11:16:00 | 2167-11-10 15:18:00 | EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old man with diseection // pulmonary edema, pna?
pulmonary edema, pna?
COMPARISON: Prior chest radiograph ___.
IMPRESSION:
Lungs are fully expanded and clear. Cardiomediastinal and hilar silhouettes
and pleural surfaces are normal.
|
10007134-RR-15 | 10,007,134 | 29,356,606 | RR | 15 | 2140-05-22 03:03:00 | 2140-05-22 07:30:00 | EXAMINATION: Portable AP chest radiograph
INDICATION: ___ year old man with left sided pneumothorax after being run over
by a car. // 3 AM PLEASE. PTX progression?
TECHNIQUE: Chest PA and lateral
COMPARISON: ___ CT chest/abdomen/pelvis
FINDINGS:
A small left pneumothorax and minimally displaced lateral left... |
10007134-RR-16 | 10,007,134 | 29,356,606 | RR | 16 | 2140-05-23 10:15:00 | 2140-05-23 12:09:00 | INDICATION: ___ year old man with L ___ fx; small left PTX // interval
eval PTX
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph dated ___.
FINDINGS:
The previously seen small left pneumothorax has resolved. The left sixth and
seventh rib fractures are stable. No consolidation. The hila and pulm... |
10007174-RR-24 | 10,007,174 | 20,280,072 | RR | 24 | 2164-03-02 17:59:00 | 2164-03-02 19:14:00 | EXAMINATION: CT ABD AND PELVIS WITH CONTRAST
INDICATION: ___ with abd pain, evaluate for small bowel obstruction, abscess,
or UC flare.
TECHNIQUE: MDCT axial images were acquired through the abdomen and pelvis
following intravenous contrast administration with split bolus technique.
Coronal and sagittal reformatio... |
10007795-RR-48 | 10,007,795 | 20,285,402 | RR | 48 | 2136-08-04 22:03:00 | 2136-08-05 06:15:00 | HISTORY: PICC line with fevers.
COMPARISON: ___.
TECHNIQUE: PA and lateral chest radiograph, two views.
FINDINGS: A right-sided PICC terminates in the low SVC, unchanged from prior
examination. An upper enteric tube passes through the stomach and into the
duodenum out of view. Cardiomediastinal silhouette and ... |
10007795-RR-49 | 10,007,795 | 20,285,402 | RR | 49 | 2136-08-06 16:38:00 | 2136-08-06 17:06:00 | ABDOMEN
INDICATION: Evaluation for gas pattern.
COMPARISON: No comparison available at the time of dictation.
FINDINGS: The supine film shows no evidence of free intra-abdominal air. No
pathological calcifications. However, there is massive coiling of the
nasogastric tube at the level of the stomach. The tip i... |
10007795-RR-50 | 10,007,795 | 20,285,402 | RR | 50 | 2136-08-09 17:20:00 | 2136-08-10 08:22:00 | REASON FOR EXAMINATION: Evaluation of the patient with PICC line placement.
Portable AP radiograph of the chest was reviewed in comparison to ___.
The PICC line is coiled within the axillae and might be not in the vein or
potentially in the tributaries of the axillary or cephalic vein and replacing
is required.
Bib... |
10007795-RR-51 | 10,007,795 | 20,285,402 | RR | 51 | 2136-08-10 16:03:00 | 2136-08-10 18:50:00 | HISTORY: ___ female with bacteremia needing PICC for antibiotics.
COMPARISON: Multiple prior exams, most recently chest radiograph of ___.
OPERATORS: Dr. ___ (attending), Dr. ___ (fellow), Dr.
___ (resident). The attending was present and supervised throughout
the procedure.
FINDINGS:
The procedure was ex... |
10007795-RR-52 | 10,007,795 | 20,285,402 | RR | 52 | 2136-08-10 19:20:00 | 2136-08-10 20:30:00 | HISTORY: Inability to place a right-sided PICC line.
TECHNIQUE: Grayscale, color Doppler, and spectral analysis of the venous
system of the right upper extremity was performed.
COMPARISON: None available
FINDINGS:
There is normal compression of the internal jugular vein. Nonocclusive
thrombosis is seen in the s... |
10007795-RR-54 | 10,007,795 | 22,051,341 | RR | 54 | 2136-09-22 19:59:00 | 2136-09-22 21:45:00 | EXAM: Chest frontal and lateral views.
CLINICAL INFORMATION: History of laparoscopic drainage of pancreatic abscess
with severe abdominal pain.
___.
Frontal and lateral views of the chest were obtained. Left mid lung and right
mid-to-lower lung plate-like atelectasis is seen. There is no focal
consolidation, ple... |
10007795-RR-55 | 10,007,795 | 22,051,341 | RR | 55 | 2136-09-22 19:50:00 | 2136-09-22 22:06:00 | INDICATION: History of laparoscopic drainage of pancreatic abscess with
severe abdominal pain and tachycardia.
COMPARISON: CT ___ and ___.
TECHNIQUE: MDCT-acquired axial images from the lung bases to the pubic
symphysis were displayed with 5-mm slice thickness with oral and 130 mL
Omnipaque intravenous contrast. ... |
10007920-RR-37 | 10,007,920 | 26,693,451 | RR | 37 | 2136-08-27 12:49:00 | 2136-08-27 15:36:00 | INDICATION: ___ man with HIV, presenting with altered mental status.
Evaluate for mass.
COMPARISONS: Multiple prior head NECTs, most recently of ___.
TECHNIQUE: Contiguous axial MDCT images were obtained through the brain
without administration of IV contrast. Axial images were interpreted in
conjunction with co... |
10007920-RR-38 | 10,007,920 | 26,693,451 | RR | 38 | 2136-08-27 15:50:00 | 2136-08-27 17:09:00 | CHEST, TWO VIEWS: ___
HISTORY: ___ male with altered mental status. Question pneumonia.
FINDINGS: PA and lateral views of the chest are compared to previous exam
from ___. As on prior, there are low lung volumes. There are
calcified pulmonary nodules seen in the right upper lung stable dating back to
___. The ... |
10007928-RR-13 | 10,007,928 | 20,338,077 | RR | 13 | 2129-04-05 22:12:00 | 2129-04-05 23:31:00 | INDICATION: ___ woman with upper GI bleeding, please assess NG tube
placement.
TECHNIQUE: Single portable radiograph of the chest was obtained.
COMPARISON: There are no prior studies for comparison available.
FINDINGS:
The lung apices are not depicted. NG tube ends in the gastric antrum in
appropriate position. ... |
10007928-RR-14 | 10,007,928 | 20,338,077 | RR | 14 | 2129-04-06 09:12:00 | 2129-04-06 11:38:00 | AP CHEST, 9:25 A.M., ___
HISTORY: New hypoxia and fever with cough. Possible pneumonia.
IMPRESSION: AP chest compared to ___, 10:08 p.m.:
Lungs are essentially clear, heart size is normal, and there is no pleural
abnormality.
|
10007928-RR-15 | 10,007,928 | 20,338,077 | RR | 15 | 2129-04-06 21:41:00 | 2129-04-07 10:13:00 | HISTORY: ___ female with new hypoxia, evaluate for pulmonary embolus.
COMPARISON: Portable chest performed ___ and ___.
TECHNIQUE: Helical CT images were acquired of the chest before and after the
administration of contrast, and reformatted into coronal, sagittal, and
oblique planes.
FINDINGS: Peribronchovascula... |
10007928-RR-16 | 10,007,928 | 20,338,077 | RR | 16 | 2129-04-07 03:04:00 | 2129-04-07 08:53:00 | CHEST RADIOGRAPH
INDICATION: Hypoxic respiratory failure, multifocal pneumonia, evaluation for
interval change.
COMPARISON: ___.
FINDINGS: As compared to the previous radiograph, there is a massive increase
in extent and severity of multifocal pneumonia. The resulting very widespread
parenchymal opacities are mo... |
10007928-RR-17 | 10,007,928 | 20,338,077 | RR | 17 | 2129-04-08 03:22:00 | 2129-04-08 11:16:00 | AP CHEST, 4:05 A.M., ___
HISTORY: ___ woman with hypoxemia and multifocal pneumonia.
IMPRESSION: AP chest compared to ___:
Moderately severe pulmonary edema has improved. Because of differences in
patient positioning, I cannot say whether question right juxtahilar
consolidation is also resolving. Moderate bilate... |
10009021-RR-22 | 10,009,021 | 27,368,161 | RR | 22 | 2132-04-11 10:28:00 | 2132-04-11 11:14:00 | HISTORY: PICC.
COMPARISON: None.
FRONTAL CHEST RADIOGRAPH: A right upper extremity PICC extend 3.4 cm into the
contralateral brachiocephalic vein and should be repositioned.
Lungs are clear. No pleural effusion, pneumothorax or airspace consolidation.
Heart size is normal. Mediastinum and hilar structures are u... |
10009021-RR-23 | 10,009,021 | 27,368,161 | RR | 23 | 2132-04-11 11:23:00 | 2132-04-11 11:52:00 | HISTORY: Revised PICC placement.
FINDINGS: In comparison with the earlier study of this date, the PICC line
has been re-directed with the tip in the region of the mid portion of the SVC.
This information was telephoned to Ping, one of the venous access nurses.
|
10009049-RR-20 | 10,009,049 | 22,995,465 | RR | 20 | 2174-05-26 05:10:00 | 2174-05-26 06:51:00 | HISTORY: Cough and tachypnea.
COMPARISON: Comparison is made with chest radiographs from ___.
FINDINGS:
PA and lateral images of the chest. There has been interval development of
bibasilar opacities, which are concerning for a rapidly developing pneumonia
versus alveolar hemorrhage. There appears to be a sma... |
10009049-RR-21 | 10,009,049 | 22,995,465 | RR | 21 | 2174-05-27 07:21:00 | 2174-05-27 10:37:00 | AP CHEST, 7:27 A.M., ___.
HISTORY: ___ man with rapidly developing basilar opacities.
IMPRESSION: AP chest compared to ___:
Large scale consolidation in both lower lungs developed between ___, most likely severe pneumonia or pulmonary hemorrhage. Aspiration is most
likely scenario. Mild-to-moderate cardiomegaly ... |
10009049-RR-22 | 10,009,049 | 22,995,465 | RR | 22 | 2174-05-26 18:18:00 | 2174-05-26 19:54:00 | INDICATION: ___ year old man with pneumonia and distended abdomen, evaluate
for intra-abdominal process
TECHNIQUE: Single portable supine radiograph of the abdomen and pelvis was
obtained.
COMPARISON: None available.
FINDINGS:
There is mild gaseous distension of loops of small and large bowel with air
seen with... |
10009049-RR-23 | 10,009,049 | 22,995,465 | RR | 23 | 2174-05-28 07:12:00 | 2174-05-28 13:39:00 | PORTABLE CHEST FILM ___ AT 7:34.
CLINICAL INDICATION: ___ with pneumonia, here for followup.
Comparison to ___ at 7:27.
A portable AP upright chest film ___ at 7:34 is submitted.
IMPRESSION:
There is persistent opacification within the left lower lobe and to a somewhat
lesser extent at the right lung base. These... |
10009049-RR-24 | 10,009,049 | 22,995,465 | RR | 24 | 2174-05-28 14:35:00 | 2174-05-28 15:55:00 | INDICATION: ___ man with history of pneumonia and bacteremia.
Evaluate for empyema.
COMPARISON: No prior CT scan is available for comparison. Prior chest x-rays
of ___ and ___ available for review.
TECHNIQUE: Axial helical MDCT images were obtained of the chest after the
administration of IV contrast. Multiplan... |
10009203-RR-24 | 10,009,203 | 23,598,550 | RR | 24 | 2201-08-12 16:36:00 | 2201-08-12 18:18:00 | INDICATION: ___ man with bloody bowel movements, fever and
leukocytosis.
COMPARISON: MRI of the pelvis ___.
TECHNIQUE: Multidetector CT imaging of the abdomen and pelvis was obtained
after the administration of 130 mL of Omnipaque intravenous contrast.
Sagittal and coronal reformations were performed and reviewed... |
10009614-RR-20 | 10,009,614 | 24,377,082 | RR | 20 | 2188-09-16 16:21:00 | 2188-09-16 17:14:00 | INDICATION: Right upper quadrant abdominal pain after eating a fatty meal.
COMPARISONS: CT abdomen and pelvis ___.
FINDINGS: The liver is normal in shape and contour. There is increased
echogenicity, most consistent with fatty infiltration. There are no focal
hepatic lesions. The portal vein is patent with norm... |
10009657-RR-25 | 10,009,657 | 26,435,790 | RR | 25 | 2139-05-14 15:31:00 | 2139-05-14 18:57:00 | INDICATION: ___ female with perianal tenderness and erythema, rule
out perianal abscess.
COMPARISON: CT abdomen and pelvis with contrast, ___.
TECHNIQUE: MDCT axial images were obtained through the abdomen and pelvis
with the administration of IV contrast. Oral contrast was also administered.
Multiplanar reforma... |
10009657-RR-26 | 10,009,657 | 29,867,282 | RR | 26 | 2139-05-26 20:25:00 | 2139-05-26 23:42:00 | INDICATION: ___ female with recent perirectal surgery, purulent
diarrhea, abdominal pain, evaluate for perirectal abscess.
COMPARISON: ___ and ___.
TECHNIQUE: MDCT images were obtained through the abdomen and pelvis following
the administration of IV and oral contrast. Coronal and sagittal reformations
were perfo... |
10009657-RR-27 | 10,009,657 | 29,867,282 | RR | 27 | 2139-05-27 08:30:00 | 2139-05-27 09:18:00 | INDICATION: ___ woman with nausea, vomiting, and diarrhea. Abdominal
pain, found to have enlarging right ovarian cyst on CT scan from ___.
LMP: ___.
COMPARISON: CT, ___.
TECHNIQUE: Transabdominal and transvaginal ultrasound images of the pelvis
were obtained. Transvaginal images are obtained for further evalua... |
10010058-RR-21 | 10,010,058 | 28,963,312 | RR | 21 | 2145-10-02 15:23:00 | 2145-10-02 15:45:00 | EXAMINATION: CHEST (AP upright AND LAT)
INDICATION: ___ with increased lethargy// eval pnuemonia
COMPARISON: Prior exam from ___
FINDINGS:
AP upright and lateral views of the chest provided.
Left chest wall AICD is again seen with leads extending to the region of the
coronary sinus and right ventricle. The h... |
10010058-RR-22 | 10,010,058 | 28,963,312 | RR | 22 | 2145-10-02 15:06:00 | 2145-10-02 15:35:00 | EXAMINATION: CT HEAD W/O CONTRAST
INDICATION: ___ with increased lethargy on eliquis// eval bleed
TECHNIQUE: Contiguous axial images from skullbase to vertex were obtained
without intravenous contrast. Coronal and sagittal reformations and bone
algorithms reconstructions were also performed.
DOSE: Total DLP (He... |
10010058-RR-23 | 10,010,058 | 28,963,312 | RR | 23 | 2145-10-03 12:58:00 | 2145-10-03 16:51:00 | EXAMINATION: CT abdomen and pelvis without contrast
INDICATION: ___ year old man with n/v weight loss, inability to tolerate PO,
has CKD/ARF, PO contrast ok, IV not ok// please eval for cause to
n/v/inability to tolerate PO, weight loss. PO contrast ok.
TECHNIQUE: Multidetector CT images of the abdomen and pelvis ... |
10010058-RR-24 | 10,010,058 | 21,955,805 | RR | 24 | 2146-12-27 05:10:00 | 2146-12-27 05:26:00 | INDICATION: History: ___ with acute onset chest/abdominal pain// eval for PTX
or dissection
TECHNIQUE: Chest PA and lateral
COMPARISON: ___ chest radiograph
FINDINGS:
There is increased opacities in the left retrocardiac and right lung base
obscuring the hemidiaphragms. Linear opacity in the right midlung like... |
10010058-RR-25 | 10,010,058 | 21,955,805 | RR | 25 | 2146-12-27 06:38:00 | 2146-12-27 09:56:00 | INDICATION: History: ___ with acute onset chest/abdominal pain// eval for PTX
or dissection
TECHNIQUE: Axial multidetector CT images were obtained through the thorax
after the uneventful administration of intravenous contrast in the arterial
phase. Then, imaging was obtained through the abdomen and pelvis in the
po... |
10010058-RR-26 | 10,010,058 | 21,955,805 | RR | 26 | 2147-01-04 14:25:00 | 2147-01-04 14:55:00 | EXAMINATION: LIVER OR GALLBLADDER US (SINGLE ORGAN) PORT
INDICATION: ___ year old man with ongoing LFT abnormalities and gallbladder
congestion on CT at time of presentation// eval of ongoing LFT abnormality,
mild gallbladder congestion on CT
TECHNIQUE: Grey scale and color Doppler ultrasound images of the abdomen... |
10010231-RR-13 | 10,010,231 | 27,998,273 | RR | 13 | 2118-04-14 13:31:00 | 2118-04-14 15:06:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___ with fever, on chemo // Please eval for pna
Please eval for pna
IMPRESSION:
In comparison with the study of ___, there is little change and no
evidence of acute cardiopulmonary disease. No pneumonia, vascular congestion,
or pleural effusion. Little ... |
10010231-RR-14 | 10,010,231 | 27,998,273 | RR | 14 | 2118-04-14 14:53:00 | 2118-04-14 15:52:00 | EXAMINATION: CT NECK W/CONTRAST (EG:PAROTIDS) Q22 CT NECK
INDICATION: ___ year old man with neutropenia, fever, tender abscess-like mass
in submandibular area // Please eval for abscess
TECHNIQUE: Imaging was performed after administration intravenous contrast
material.
MDCT acquired helical axial images were ob... |
10010231-RR-15 | 10,010,231 | 27,998,273 | RR | 15 | 2118-04-17 14:31:00 | 2118-04-17 16:44:00 | EXAMINATION: CT NECK W/CONTRAST
INDICATION:
___ year old man with neutropenic MSSA bacteremia from skin source in the
submandibular area and pain when swallowing, now with persistent fevers of
several days duration. Evaluate for fluid collections or abscesses.
TECHNIQUE: Imaging was performed after administration ... |
10010231-RR-16 | 10,010,231 | 27,998,273 | RR | 16 | 2118-04-17 13:56:00 | 2118-04-17 16:44:00 | EXAMINATION: UNILAT LOWER EXT VEINS RIGHT
INDICATION: ___ year old man with new onset right calf pain this morning in
the setting of malignancy and neutropenic MSSA bacteremia // Evaluate for
right DVT
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the right lower extremity veins.
... |
10010231-RR-17 | 10,010,231 | 27,998,273 | RR | 17 | 2118-04-18 15:17:00 | 2118-04-18 16:39:00 | EXAMINATION: CT CHEST WANDW/O C
INDICATION: ___ man with febrile neutropenia and lung nodiules found
incidentally on neck CT presenting for further evaluation of pulmonary
nodules.
TECHNIQUE: Multidetector helical scanning of the chest was performed without
intravenous contrast agent reconstructed as contiguous 5-... |
10010231-RR-18 | 10,010,231 | 27,998,273 | RR | 18 | 2118-04-18 17:16:00 | 2118-04-19 14:41:00 | EXAMINATION: MANDIBLE (PANOREX ONLY)
INDICATION: ___ year old man with febrile neutropenia and submandibular source
with likely MSSA and some concern for possible dental abscessess // Evaluate
for dental abscessess Evaluate for dental abscessess
TECHNIQUE: Panorex radiograph of the teeth.
COMPARISON: CT of the ... |
10010231-RR-19 | 10,010,231 | 27,998,273 | RR | 19 | 2118-04-20 08:45:00 | 2118-04-20 12:16:00 | EXAMINATION: US EXTREMITY LIMITED SOFT TISSUE RIGHT
INDICATION: ___ year old man with febrile neutropenia, mssa bacteremia, and
cellulitis under chin // evaluate for abscess under chin
TECHNIQUE: Grayscale ultrasound images were obtained of the superficial
tissues of the submental area.
COMPARISON: None provide... |
10010231-RR-20 | 10,010,231 | 27,998,273 | RR | 20 | 2118-04-21 09:24:00 | 2118-04-21 11:26:00 | INDICATION: ___ year old man with AML s/p hiDAC cycle 4 (completed infusions)
here with febrile neutropenia found to have MSSA bacteremia and needs port
removed. ___ aware. // please remove port, likely date would be ___
waiting for counts to recover
COMPARISON: NONE
TECHNIQUE: OPERATORS: Dr. ___ radiology atten... |
10010231-RR-21 | 10,010,231 | 27,998,273 | RR | 21 | 2118-04-23 14:29:00 | 2118-04-23 17:01:00 | EXAMINATION: LIVER OR GALLBLADDER US (SINGLE ORGAN)
INDICATION: ___ year old man with new transaminitis // r/o obstruction
TECHNIQUE: Grey scale and color Doppler ultrasound images of the abdomen were
obtained.
COMPARISON: ___
FINDINGS:
LIVER: The liver is diffusely echogenic. The contour of the liver is sm... |
10010231-RR-22 | 10,010,231 | 27,998,273 | RR | 22 | 2118-05-06 17:30:00 | 2118-05-06 20:28:00 | EXAMINATION: CT chest without contrast
INDICATION: Mr. ___ us a ___ year old male with history of AML on HiDAC C4D1
(___) who initially presented with febrile neutropenia and associated
worsening cellulitis under the L mandible found to have MSSA bacteremia now
s/p port removal on cefazolin// please eval for pulm no... |
10010393-RR-9 | 10,010,393 | 27,377,841 | RR | 9 | 2136-07-01 10:24:00 | 2136-07-01 15:34:00 | EXAMINATION: SECOND OPINION CT NEURO PSO1 CT
INDICATION: ___ year old woman with acute low back pain and tenderness around
intrathecal catheter site // Please evaluate CT-L spine from ___ for
evidence of infection around intrathecal catheter
TECHNIQUE: Outside CT with contrast was presented for interpretation.
D... |
10010440-RR-20 | 10,010,440 | 26,812,050 | RR | 20 | 2173-08-08 09:06:00 | 2173-08-08 12:03:00 | INDICATION: ___ year-old woman with T12 lytic lesion extending to the spinal
canal. Assess for the degree of spinal canal stenosis and/or cord
compression. The patient is status post intracranial aneurysmal clip, which
is incompatible with MRI.
PROCEDURE: Lumbar spinal myelography, followed by CT thoracic and lumb... |
10010440-RR-21 | 10,010,440 | 26,812,050 | RR | 21 | 2173-08-08 09:21:00 | 2173-08-08 12:35:00 | HISTORY: ___ woman, with back pain and lower extremity weakness.
Outside CT shows progression of a lytic lesion at T12, with significant
encroachment of the spinal canal. Assess for the severity of cord
compression.
TECHNIQUE: The patient received intrathecal iodinated contrast via a
fluoroscopic-guided L1-2 level... |
10010440-RR-23 | 10,010,440 | 26,812,050 | RR | 23 | 2173-08-08 12:58:00 | 2173-08-08 17:46:00 | STUDY: Left foot, ___.
CLINICAL HISTORY: ___ woman with a history of stroke ___ years ago.
Status post fall with fourth and fifth digit fracture.
FINDINGS: Comparison is made to the prior radiographs from ___ at
outside hospital.
There is a fracture involving the base of the fifth proximal phalanx with
extension... |
10010440-RR-24 | 10,010,440 | 26,812,050 | RR | 24 | 2173-08-08 17:40:00 | 2173-08-09 08:57:00 | PORTABLE CHEST ___
COMPARISON: Scout image from a CT abdomen of ___.
FINDINGS: Cardiac silhouette is mildly enlarged allowing for accentuation by
low lung volumes and portable technique. This factor also accentuates the
pulmonary vascularity. With this in mind, there is no evidence of congestive
heart failure. N... |
10010440-RR-25 | 10,010,440 | 26,812,050 | RR | 25 | 2173-08-09 15:22:00 | 2173-08-10 09:27:00 | STUDY: Lumbar spine intraoperative study, ___.
CLINICAL HISTORY: The patient with posterior lumbar surgery and fusion.
FINDINGS: Several views of the lumbar spine from the operating room
demonstrates placement of pedicle screws in T10, T11, L1 and L2. Please refer
to the operative note for additional details. Th... |
10010440-RR-26 | 10,010,440 | 26,812,050 | RR | 26 | 2173-08-09 09:46:00 | 2173-08-09 11:47:00 | HISTORY: Status post fall, now with right foot pain. Evaluation for
fracture.
COMPARISON: None available.
TECHNIQUE: Right foot, three views.
FINDINGS: There is no evidence of acute fracture or dislocation within the
right foot. Calcaneal spurring is noted, representing mild degenerative
changes. Otherwise, n... |
10010440-RR-27 | 10,010,440 | 26,812,050 | RR | 27 | 2173-08-09 17:12:00 | 2173-08-10 08:40:00 | HISTORY: Intraoperative evaluation for T10 through L2 posterior spinal
fusion.
TECHNIQUE: Five intraoperative radiographic examinations of the lumbar spine.
COMPARISON: Intraoperative radiographs performed ___.
FINDINGS:
There are pedicle screws in place at the T10, T11, L1, and L2 levels. These
pedicle screws ... |
10010440-RR-28 | 10,010,440 | 26,812,050 | RR | 28 | 2173-08-11 16:13:00 | 2173-08-11 17:53:00 | INDICATION: Spinal mass with right foot pain, evaluate for ankle fracture.
COMPARISON: ___ foot radiograph.
THREE VIEWS, RIGHT ANKLE
There are moderate degenerative changes of the tibiotalar joint with narrowing
and subchondral sclerosis. There is evidence of prior avulsive injury arising
off the medial malleolus... |
10010440-RR-29 | 10,010,440 | 26,812,050 | RR | 29 | 2173-08-12 08:54:00 | 2173-08-12 10:29:00 | INDICATION: ___ male status post placement of a left PICC. Assess
position.
COMPARISON: Chest radiograph from ___
PORTABLE SEMI-UPRIGHT FRONTAL CHEST RADIOGRAPH: A left approach PICC is
malpositioned. The catheter runs across the left subclavian vein, left
brachiocephalic vein and then courses cephalad, terminat... |
10010440-RR-30 | 10,010,440 | 26,812,050 | RR | 30 | 2173-08-12 10:15:00 | 2173-08-12 12:10:00 | PICC LINE EXCHANGE/REPOSITIONING
INDICATION: Malposition of indwelling PICC line.
The procedure was explained to the patient. A timeout was performed.
RADIOLOGIST: Dr. ___, radiology resident, Dr. ___, ___
fellow and Dr. ___, ___ attending, performed the procedure.
TECHNIQUE: Using sterile technique and local... |
10010440-RR-32 | 10,010,440 | 26,812,050 | RR | 32 | 2173-08-12 14:18:00 | 2173-08-12 16:25:00 | HISTORY: UNDERLYING MEDICAL CONDITION: ___ year old woman with hx of SAH with
aneurysmal clip now with Hct drop, worsening mental status, and headache.
REASON FOR THIS EXAMINATION: Evaluate for intracerebral bleed.
COMPARISON: Outside non contrast head CT performed at ___ on ___.
TECHNIQUE: Multi detector ... |
10010440-RR-33 | 10,010,440 | 26,812,050 | RR | 33 | 2173-08-13 14:05:00 | 2173-08-13 17:58:00 | RADIOGRAPHS OF THE THORACIC AND LUMBAR SPINES
HISTORY: T12 lesion status post T10 through L2 fusion, T12 corpectomy and new
difficulties with pain control and falling hematocrit.
COMPARISONS: CT from ___ and lumbar spine radiographs from ___.
TECHNIQUE: Thoracolumbar spine, five views.
FINDINGS: The patient is ... |
10010440-RR-34 | 10,010,440 | 26,812,050 | RR | 34 | 2173-08-13 16:46:00 | 2173-08-14 09:37:00 | HISTORY: Multiple myeloma status post T12 corpectomy and T10-L2 fusion now
with increasing pain and hematocrit drop.
TECHNIQUE: Sagittal imaging was performed with T2, T1, and T2 weighted ideal
technique. Axial T1 and T2 weighted imaging was performed through select
levels. Ten cc of Gadavist intravenous contrast ... |
10010440-RR-39 | 10,010,440 | 29,040,430 | RR | 39 | 2173-10-22 19:50:00 | 2173-10-22 20:26:00 | HISTORY: ___ female with altered mental status.
COMPARISON: ___.
FINDINGS:
AP view of the chest. There is asymmetric left basilar opacity. Given lower
lung volumes this could be due to atelectasis. Elsewhere, the lungs are
grossly unchanged. Cardiomediastinal silhouette has not definitely changed
although exac... |
10010440-RR-40 | 10,010,440 | 29,040,430 | RR | 40 | 2173-10-22 19:14:00 | 2173-10-22 20:26:00 | HISTORY: History of subarachnoid hemorrhage on heparin now with altered
mental status.
COMPARISON: Comparison is made with head CT from ___.
TECHNIQUE: Contiguous axial MDCT images were obtained through the brain
without administration of IV contrast. Reformatted coronal and sagittal and
thin section bone algor... |
10010440-RR-41 | 10,010,440 | 29,040,430 | RR | 41 | 2173-10-24 19:52:00 | 2173-10-25 10:01:00 | INDICATION: ___ woman with multiple myeloma and history of ruptured
cerebral aneurysm, presenting with subacute altered mental status.
COMPARISON: Non-contrast head CT from ___.
FINDINGS/IMPRESSION: A localizer sequence was obtained. Two attempts at
sagittal T1-weighted images were made, both degraded by patient'... |
10010920-RR-4 | 10,010,920 | 24,676,144 | RR | 4 | 2150-10-05 02:36:00 | 2150-10-05 06:21:00 | INDICATION: ___ with rash, ___ edema, DOE, evaluate for acute cardiopulmonary
process.
TECHNIQUE: Chest PA and lateral
COMPARISON: None available.
FINDINGS:
The lungs are well inflated and clear. The cardiomediastinal silhouette, hila
contours, and pleural surfaces are normal. There is no pleural effusion or
pn... |
10010997-RR-58 | 10,010,997 | 20,783,870 | RR | 58 | 2139-04-28 14:44:00 | 2139-04-28 15:09:00 | EXAMINATION: HAND (PA,LAT AND OBLIQUE) RIGHT
INDICATION: History: ___ with R index finger infection s/p cyst removal on
___// ? osteo ? osteo
TECHNIQUE: Frontal, oblique, and lateral view radiographs of right hand
COMPARISON: Hand radiograph ___
FINDINGS:
No acute fracture or dislocation is seen. There... |
10011126-RR-23 | 10,011,126 | 26,463,677 | RR | 23 | 2155-11-20 12:26:00 | 2155-11-20 12:50:00 | HISTORY: ___ male with abdominal pain and fever.
COMPARISON: Multiple prior exams, most recently ___.
FINDINGS:
Frontal and lateral views of the chest. The heart size and cardiomediastinal
contours are normal. Small biapical scarring is unchanged. The lungs are
otherwise clear without focal consolidation, p... |
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