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 |
|---|---|---|---|---|---|---|---|
10000032-RR-22 | 10,000,032 | 22,841,357 | RR | 22 | 2180-06-26 17:15:00 | 2180-06-26 19:28:00 | EXAMINATION: LIVER OR GALLBLADDER US (SINGLE ORGAN)
INDICATION: History: ___ with cirrhosis, increased abdominal pain
TECHNIQUE: Grey scale and color Doppler ultrasound images of the right upper
quadrant were obtained.
COMPARISON: Abdominal ultrasound from ___
FINDINGS:
The liver is extremely course and nodul... |
10000032-RR-23 | 10,000,032 | 22,841,357 | RR | 23 | 2180-06-26 17:17:00 | 2180-06-26 17:28:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___ with shortness of breath
TECHNIQUE: Chest PA and lateral
COMPARISON: ___
FINDINGS:
The cardiac, mediastinal and hilar contours are normal. Pulmonary vasculature
is normal. Lungs are clear. No pleural effusion or pneumothorax is present.
Multiple clips ... |
10000117-RR-13 | 10,000,117 | 22,927,623 | RR | 13 | 2181-11-15 00:40:00 | 2181-11-15 07:54:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: History: ___ with PMH GERD presenting with sensation of foreign
body in her throat, SOB. // Foreign body or soft tissue mass in throat?
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph from ___.
FINDINGS:
Lungs remain hyperinflated, without focal conso... |
10000117-RR-14 | 10,000,117 | 22,927,623 | RR | 14 | 2181-11-15 00:47:00 | 2181-11-15 01:12:00 | EXAMINATION: NECK SOFT TISSUES
INDICATION: ___ woman with dysphasia. Evaluate for soft tissue mass.
TECHNIQUE: Frontal and lateral radiograph of the neck.
COMPARISON: None available.
FINDINGS:
There is no evidence of prevertebral soft tissue swelling or soft tissue mass,
within the limitations of plain radi... |
10000935-RR-71 | 10,000,935 | 21,738,619 | RR | 71 | 2187-07-11 11:16:00 | 2187-07-11 11:42:00 | HISTORY: Recurrent vomiting, subjective fever and cough.
TECHNIQUE: Upright AP and lateral views of the chest.
COMPARISON: ___.
FINDINGS:
Lung volumes are low. The heart size is normal. The mediastinal and hilar
contours are unremarkable. New nodular opacities are clustered within the
left upper lobe, and to ... |
10000935-RR-72 | 10,000,935 | 21,738,619 | RR | 72 | 2187-07-11 11:31:00 | 2187-07-11 12:50:00 | HISTORY: History of high-grade small bowel obstruction, presents with nausea,
vomiting, and left upper quadrant pain. Evaluate for SBO, fluid collection,
perforation, ischemic colitis.
TECHNIQUE: Helical MDCT images were obtained of the abdomen and pelvis after
administration of 150 cc of Omnipaque IV contrast util... |
10000935-RR-79 | 10,000,935 | 25,849,114 | RR | 79 | 2187-10-10 12:58:00 | 2187-10-10 13:32:00 | HISTORY: Dyspnea and history of lung cancer.
TECHNIQUE: Semi-upright AP view of the chest.
COMPARISON: CT torso ___ and chest radiograph ___.
FINDINGS:
Lung volumes are low. This results in crowding of the bronchovascular
structures. There may be mild pulmonary vascular congestion. The heart size
is borderlin... |
10000935-RR-80 | 10,000,935 | 25,849,114 | RR | 80 | 2187-10-10 15:09:00 | 2187-10-10 18:23:00 | HISTORY: Shortness of breath, evaluate for pulmonary embolism.
TECHNIQUE: MDCT images were obtained through the chest following
administration of IV contrast. Coronal and sagittal reformations are
performed. Right and left MIP reconstructions were performed.
COMPARISON: CT torso on ___.
FINDINGS:
No axillary l... |
10000935-RR-81 | 10,000,935 | 25,849,114 | RR | 81 | 2187-10-11 16:43:00 | 2187-10-11 17:03:00 | HISTORY: ___ female with known metastatic cancer, unknown primary
with liver metastases and elevated liver function tests.
COMPARISON: CT ___.
FINDINGS:
The liver is diffusely involved with innumerable metastatic nodules throughout
all portions of the liver and replacing much of the liver parenchyma. There
is no ... |
10000935-RR-82 | 10,000,935 | 25,849,114 | RR | 82 | 2187-10-14 10:45:00 | 2187-10-14 11:47:00 | HISTORY: ___ year old woman with probable malignancy of unknown primary,
involving liver and lung
PROCEDURE:
PHYSICIANS: ___
The procedure, risks, benefits and alternatives were discussed with the
patient and written informed consent was obtained. A preprocedure timeout was
performed discussing the planned proce... |
10000935-RR-85 | 10,000,935 | 25,849,114 | RR | 85 | 2187-10-16 12:24:00 | 2187-10-16 17:29:00 | HISTORY: Leukocytosis, low-grade temperature, rule out focal infiltrate.
TECHNIQUE: Portable semi-upright AP radiograph of the chest.
COMPARISON: Multiple prior radiographs of the chest most recent ___
CT of the chest ___.
FINDINGS:
Lung volumes remain low. There are innumerable bilateral scattered small
pulmon... |
10000935-RR-86 | 10,000,935 | 25,849,114 | RR | 86 | 2187-10-17 16:53:00 | 2187-10-18 10:25:00 | INDICATION: Metastatic colon cancer with left hip pain.
COMPARISON: CT torso dated ___.
ONE VIEW PELVIS AND TWO VIEWS LEFT HIP.
There is no acute fracture or dislocation. Femoroacetabular joint is grossly
preserved. There is no definite lytic or sclerotic lesion. Two surgical
clips overlie the pelvis.
IMPRESSI... |
10000935-RR-87 | 10,000,935 | 25,849,114 | RR | 87 | 2187-10-17 16:40:00 | 2187-10-17 21:29:00 | HISTORY: Newly diagnosed metastatic colon cancer, evaluate for brain
metastases, altered mental status.
TECHNIQUE: Contiguous axial images were obtained through the brain. No
contrast was administered.
COMPARISON: CT head on ___.
FINDINGS:
There is no evidence of acute hemorrhage, edema, mass, mass effect, or a... |
10000935-RR-88 | 10,000,935 | 25,849,114 | RR | 88 | 2187-10-19 14:08:00 | 2187-10-19 16:43:00 | PORTABLE SUPINE ABDOMEN, ___
COMPARISON: Radiograph of ___.
FINDINGS: Radiographs of the abdomen and pelvis demonstrate a nonobstructed
bowel gas pattern. A relative paucity of bowel gas is present in the upper
and mid abdomen, likely due to marked enlargement of the liver, displacing
bowel loops. Note that the u... |
10000935-RR-90 | 10,000,935 | 25,849,114 | RR | 90 | 2187-10-21 17:43:00 | 2187-10-21 19:10:00 | HISTORY: Evaluation for obstruction or perforation in a patient with
abdominal pain, distention and vomiting and widely metastatic colon cancer.
COMPARISON: Abdominal radiograph ___.
FINDINGS: Portable supine frontal abdominal radiographs demonstrate
non-dilated gas-filled loops of small and large bowel. Supine r... |
10000980-RR-58 | 10,000,980 | 29,654,838 | RR | 58 | 2188-01-03 13:41:00 | 2188-01-03 14:11:00 | INDICATION: Shortness of breath.
COMPARISONS: ___.
FINDINGS: PA and lateral views of the chest demonstrate low lung volumes.
Tiny bilateral pleural effusions are new since ___. No signs of
pneumonia or pulmonary vascular congestion. Heart is top normal in size
though this is stable. Aorta is markedly tortuous, u... |
10000980-RR-62 | 10,000,980 | 26,913,865 | RR | 62 | 2189-06-27 06:44:00 | 2189-06-27 07:49:00 | INDICATION: ___ female with shortness of breath.
COMPARISON: Chest radiograph from ___ and ___.
AP FRONTAL CHEST RADIOGRAPH: A triangular opacity in the right lung apex is
new from prior examination. There is also fullness of the right hilum which
is new. The remainder of the lungs are clear. Blunting of bilater... |
10000980-RR-64 | 10,000,980 | 26,913,865 | RR | 64 | 2189-06-29 10:46:00 | 2189-06-29 14:32:00 | INDICATION: History of coronary artery disease, hypertension, hyperlipidemia
who presents with shortness of breath, echo with severe mitral regurgitation,
preoperative exam, question opacity in the right upper lobe.
COMPARISONS: Chest radiograph from ___.
TECHNIQUE: MDCT axial imaging was obtained through the ches... |
10000980-RR-65 | 10,000,980 | 26,913,865 | RR | 65 | 2189-06-30 09:39:00 | 2189-06-30 11:11:00 | HISTORY: ___ female with coronary artery disease.
COMPARISON: ___
TECHNIQUE: Evaluation of bilateral extracranial internal carotid arteries was
performed with grayscale, color and spectral Doppler ultrasound.
FINDINGS:
Mild to moderate heterogeneous plaque is noted at the bifurcation of both
carotid systems... |
10000980-RR-71 | 10,000,980 | 25,242,409 | RR | 71 | 2191-04-03 15:42:00 | 2191-04-03 16:47:00 | EXAMINATION: UNILAT LOWER EXT VEINS LEFT
INDICATION: ___ with PVD, complaining of lower Left leg numbness and pain
since last night // DVT or Arterial clot of Left leg?
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the bilateral lower extremity veins.
COMPARISON: None.
FINDINGS... |
10000980-RR-72 | 10,000,980 | 25,242,409 | RR | 72 | 2191-04-06 19:09:00 | 2191-04-06 21:00:00 | EXAMINATION: VENOUS DUP UPPER EXT UNILATERAL LEFT
INDICATION: ___ year old woman with acute onset left arm swelling. ?DVT in
left upper extremity.
TECHNIQUE: Grey scale and Doppler evaluation was performed on the left upper
extremity veins.
COMPARISON: None.
FINDINGS:
There is normal flow with respiratory va... |
10000980-RR-73 | 10,000,980 | 25,242,409 | RR | 73 | 2191-04-08 12:00:00 | 2191-04-08 18:43:00 | EXAMINATION: CT HEAD W/O CONTRAST
INDICATION: ___ year old woman with bilateral DVT on heparin drip, had
multiple bleeding episodes on drip, ?new neurologic findings, ?bleed // ?bleed
TECHNIQUE: Contiguous axial images of the brain were obtained without
contrast.
DOSE: This study involved 3 CT acquisition phase... |
10000980-RR-75 | 10,000,980 | 25,911,675 | RR | 75 | 2191-05-23 05:40:00 | 2191-05-23 06:47:00 | EXAMINATION: Chest radiograph.
INDICATION: ___ with wheezing and dyspnea. Assess for pulmonary edema.
TECHNIQUE: Single portable upright frontal chest radiograph.
COMPARISON: ___ chest radiograph. ___ chest radiograph.
FINDINGS:
In comparison to study performed on of ___ there is new mild
pulmonary edema wi... |
10000980-RR-76 | 10,000,980 | 25,911,675 | RR | 76 | 2191-05-23 12:32:00 | 2191-05-23 13:14:00 | EXAMINATION: ___ DUP EXTEXT BIL (MAP/DVT)
INDICATION: ___ year old woman with recent DVT, now with anemia while on
anticoagulation, wish to assess interval change in DVT.
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the bilateral lower extremity veins.
COMPARISON: Bilateral low... |
10000980-RR-80 | 10,000,980 | 29,659,838 | RR | 80 | 2191-07-16 12:32:00 | 2191-07-16 15:04:00 | INDICATION: ___ with c/o SOB // ? PNA or CHF
TECHNIQUE: Frontal and lateral views of the chest.
COMPARISON: ___.
FINDINGS:
There is mild pulmonary edema with superimposed region of more confluent
consolidation in the left upper lung. There are possible small bilateral
pleural effusions. Moderate cardiomegal... |
10001217-RR-10 | 10,001,217 | 24,597,018 | RR | 10 | 2157-11-18 21:55:00 | 2157-11-19 15:09:00 | STUDY: MRI OF THE HEAD WITH AND WITHOUT CONTRAST.
CLINICAL INDICATION: ___ woman with history of multiple sclerosis,
presenting with numbness, paresthesias, and weakness on the left, evaluate for
demyelinating lesion.
COMPARISON: No prior examinations are available.
TECHNIQUE: Pre-contrast axial and sagittal T1-... |
10001217-RR-11 | 10,001,217 | 24,597,018 | RR | 11 | 2157-11-20 08:00:00 | 2157-11-21 09:55:00 | STUDY: MRI of the head with contrast.
CLINICAL INDICATION: ___ woman with right frontal enhancing lesion,
left hand clumsiness.
COMPARISON: Prior MRI of the brain dated ___.
TECHNIQUE: After the administration of gadolinium contrast, axial T1, coronal
MP-RAGE sequences were obtained, multiplanar reconstructions ... |
10001217-RR-13 | 10,001,217 | 24,597,018 | RR | 13 | 2157-11-20 14:14:00 | 2157-11-20 18:10:00 | HISTORY: UNDERLYING MEDICAL CONDITION: ___ year old woman s/p R temporal crani
for likely abscess.
REASON FOR THIS EXAMINATION: Assess postoperative changes.
COMPARISON: Enhanced MRI studies of the head dated ___ and ___.
TECHNIQUE: Multidetector CT axial imaging of the head was obtained without
intravenous ... |
10001217-RR-14 | 10,001,217 | 24,597,018 | RR | 14 | 2157-11-21 13:59:00 | 2157-11-21 17:09:00 | CT OF THE HEAD WITHOUT CONTRAST, ___
HISTORY: ___ female status post craniotomy with brain abscess,
new-onset lethargy and left leg weakness.
TECHNIQUE: Contiguous 5-mm axial MDCT sections were obtained from the skull
base to the vertex and viewed in brain and bone window on the workstation.
FINDINGS: Study is co... |
10001217-RR-15 | 10,001,217 | 24,597,018 | RR | 15 | 2157-11-22 12:22:00 | 2157-11-22 14:42:00 | HISTORY: Female with new right PICC.
TECHNIQUE: Single portable frontal chest radiograph.
COMPARISON: Chest radiograph ___.
FINDINGS:
Right PICC tip is in the proximal SVC with wire ending at the junction of the
right brachiocephalic and subclavian vein. Mild vascular engorgement with
mediastinal vein dilatatio... |
10001217-RR-16 | 10,001,217 | 24,597,018 | RR | 16 | 2157-11-23 18:14:00 | 2157-11-24 09:21:00 | AP CHEST, 6:28 P.M., ___
HISTORY: PICC line, withdrawn 7 cm.
IMPRESSION: AP chest compared to ___:
Right PICC line now ends in the axilla outside the chest. Lungs clear. Heart
size top normal. No pleural abnormality. Thoracic scoliosis is probably
exaggerated by patient position.
|
10001217-RR-18 | 10,001,217 | 24,597,018 | RR | 18 | 2157-11-25 16:35:00 | 2157-11-25 17:34:00 | INDICATION: Brain abscess status post right craniotomy. Follow up post-op
changes.
COMPARISON: Head CT ___, head MRI ___.
TECHNIQUE: Axial MDCT images were obtained through the brain without the
administration of IV contrast. Axial bone algorithm reformats in coronal and
sagittal images were also obtained.
CTDIv... |
10001217-RR-9 | 10,001,217 | 24,597,018 | RR | 9 | 2157-11-18 18:53:00 | 2157-11-18 19:29:00 | HISTORY: Multiple sclerosis, presenting with flaring fever.
TECHNIQUE: Frontal and lateral views of the chest.
COMPARISON: None.
FINDINGS:
There is mild left base atelectasis seen on the frontal view without clear
correlate on the lateral view. No definite focal consolidation is seen.
There is no pleural effus... |
10001338-RR-40 | 10,001,338 | 27,987,619 | RR | 40 | 2142-02-27 05:44:00 | 2142-02-27 07:52:00 | HISTORY: ___ female with right lower quadrant pain and history of
diverticulitis status post sigmoid resection many years ago. Evaluation for
appendicitis.
COMPARISON: CT abdomen and pelvis from ___.
TECHNIQUE: ___ MDCT-acquired axial images from the lung bases to the pubic
symphysis were displayed with 5-mm slic... |
10001338-RR-41 | 10,001,338 | 27,987,619 | RR | 41 | 2142-02-27 07:48:00 | 2142-02-27 09:25:00 | INDICATION: ___ woman with right lower quadrant pain, evaluate
ovaries and flow.
COMPARISON: CT abdomen and pelvis without contrast from ___.
LMP: ___
FINDINGS: Transabdominally the uterus measures 8.6 x 4.6 x 5.4 cm, and is
slightly heterogeneous in appearance with no distinct fibroids seen.
Transvaginal exam w... |
10001401-RR-16 | 10,001,401 | 26,840,593 | RR | 16 | 2131-06-19 19:27:00 | 2131-06-19 20:18:00 | INDICATION: ___ with recent surg, very distended abd // perf? SBO?
COMPARISON: Prior study from ___.
FINDINGS:
Multiple supine images of the abdomen and pelvis were provided. In this
patient with history of cystectomy and ileal conduit, a left ureteral stent is
in place which appears to extend to the ileal condu... |
10001401-RR-17 | 10,001,401 | 26,840,593 | RR | 17 | 2131-06-19 19:27:00 | 2131-06-19 20:20:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ with abd distention // PNA? free air
COMPARISON: ___
FINDINGS:
PA and lateral views of the chest provided. Lung volumes are low with mild
bibasilar atelectasis. No convincing signs of pneumonia or edema. No large
effusion or pneumothorax is seen. The cardiomed... |
10001401-RR-18 | 10,001,401 | 26,840,593 | RR | 18 | 2131-06-19 21:40:00 | 2131-06-19 23:16:00 | EXAMINATION: CT abdomen pelvis
INDICATION: ___ with abd pain. hx of sbo
TECHNIQUE: MDCT axial images were acquired through the abdomen and pelvis
without IV contrast. Oral contrast was not administered.
Coronal and sagittal reformations were performed and reviewed on PACS.
DOSE: Total DLP (Body) = 868 mGy-cm.
... |
10001401-RR-19 | 10,001,401 | 26,840,593 | RR | 19 | 2131-06-19 23:47:00 | 2131-06-20 06:21:00 | EXAMINATION: Chest radiograph.
INDICATION: History: ___ with SBO s/p NG*** WARNING *** Multiple patients
with same last name! // NG tube placement
TECHNIQUE: Single AP view
COMPARISON: Chest radiograph from the same date.
FINDINGS:
The right costophrenic angle is not imaged. Otherwise, the lungs are clear. ... |
10001401-RR-20 | 10,001,401 | 26,840,593 | RR | 20 | 2131-06-20 12:03:00 | 2131-06-20 13:41:00 | EXAMINATION: DX CHEST PORTABLE PICC LINE PLACEMENT
INDICATION: ___ year old woman with new R PICC for TPN // 40 cm R basilic DL
PICC - ___ ___ Contact name: ___: ___
TECHNIQUE: Single frontal view of the chest
COMPARISON: ___.
IMPRESSION:
Right PICC tip is in thelower SVC. Cardiac size is normal. Bibasila... |
10001401-RR-21 | 10,001,401 | 26,840,593 | RR | 21 | 2131-06-20 13:31:00 | 2131-06-20 17:18:00 | EXAMINATION: DX CHEST PORT LINE/TUBE PLCMT 1 EXAM
INDICATION: ___ year old woman with NGT re-placed // Assess for NGT
placement, interval change
TECHNIQUE: Single frontal view of the chest
COMPARISON: Chest radiograph ___ 12:12
FINDINGS:
NG tube is coiled in the stomach. Right PICC in lower SVC is unchanged... |
10001401-RR-22 | 10,001,401 | 26,840,593 | RR | 22 | 2131-06-23 10:58:00 | 2131-06-23 15:42:00 | EXAMINATION: CT abdomen/pelvis with oral and IV contrast
INDICATION: ___ year old woman who status post cystectomy with ileal loop on
___, readmitted ___ with ileus, also has gram neg bacteremia. No bowel
function yet.
TECHNIQUE: Single phase split bolus contrast: MDCT axial images were acquired
through the abdome... |
10001401-RR-23 | 10,001,401 | 26,840,593 | RR | 23 | 2131-06-24 13:12:00 | 2131-06-24 17:41:00 | INDICATION: ___ year old woman who is s/p radical cystectomy with ileal loop
urinary diversion on ___, readmitted ileus ___ but repeat CT shows increased
free abdominal fluid. Patient also with blood culture growing citrobacter //
Requesting drain placement for intra-abdominal collection. Please send fluid
for microbi... |
10001401-RR-24 | 10,001,401 | 26,840,593 | RR | 24 | 2131-06-27 08:59:00 | 2131-06-27 12:11:00 | INDICATION: ___ year old woman with NGT for ileus s/p Cystectomy with ileal
conduit and s/p pelvic abscess drain. // Assess for interval change.
TECHNIQUE: Supine abdominal radiograph was obtained.
COMPARISON: ___ abdominal radiograph
FINDINGS:
There is interval resolution of the degree of gastric small bowel ... |
10001401-RR-25 | 10,001,401 | 26,840,593 | RR | 25 | 2131-06-30 09:45:00 | 2131-06-30 11:30:00 | EXAMINATION: BILAT LOWER EXT VEINS
INDICATION: ___ year old woman s/p cystectomy, bilateral ___ edema, some R
ankle/calf pain // r/o DVT
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the bilateral lower extremity veins.
COMPARISON: None.
FINDINGS:
There is normal compressibil... |
10001401-RR-26 | 10,001,401 | 24,818,636 | RR | 26 | 2131-07-30 13:51:00 | 2131-07-30 14:06:00 | EXAMINATION: CHEST (AP AND LAT)
INDICATION: ___ with SOB // r/o acute process
COMPARISON: ___
FINDINGS:
AP upright and lateral views of the chest provided.
Mild basal atelectasis noted. Hilar congestion noted without frank edema. No
large effusion or pneumothorax. Heart size is normal. Mediastinal contour... |
10001401-RR-27 | 10,001,401 | 24,818,636 | RR | 27 | 2131-07-30 19:03:00 | 2131-07-30 19:56:00 | EXAMINATION: CTA chest
INDICATION: History: ___ status post robotic radical cystectomy on ___
with post op LLE DVT has been on lovenox, now presenting with new oxygen
requirement and worsening dyspnea on exertion x 1 day // eval for pulmonary
embolism
TECHNIQUE: Axial multidetector CT images were obtained through... |
10001401-RR-28 | 10,001,401 | 24,818,636 | RR | 28 | 2131-07-31 08:44:00 | 2131-07-31 11:33:00 | EXAMINATION: ___ DUP EXTEXT BIL (MAP/DVT)
INDICATION: ___ year old woman with recent LLE DVT now presents with PE //
evaluate for progression of DVT
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the bilateral lower extremity veins.
COMPARISON: Lower extremity ultrasound on ___
... |
10001401-RR-29 | 10,001,401 | 24,818,636 | RR | 29 | 2131-08-02 11:28:00 | 2131-08-02 12:54:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old woman with new PE. This morning with dyspnea and mild
leukocytosis. // Evidence of pulmonary edema or PNA Evidence of
pulmonary edema or PNA
IMPRESSION:
Compared to chest radiographs ___ through ___.
Heart size top-normal. Lungs grossly clear. No p... |
10001667-RR-20 | 10,001,667 | 22,672,901 | RR | 20 | 2173-08-22 15:07:00 | 2173-08-22 16:00:00 | EXAMINATION: MR HEAD W/O CONTRAST T___ MR HEAD.
INDICATION: ___ year old woman with afib on Eliquis p/w an episode of
dysarthria and confusion, found to have L M2 stenosis// eval for stroke.
TECHNIQUE: Sagittal T1 weighted imaging was performed. Axial imaging was
performed with gradient echo, FLAIR, diffusion, and... |
10001667-RR-21 | 10,001,667 | 22,672,901 | RR | 21 | 2173-08-23 07:48:00 | 2173-08-23 12:04:00 | EXAMINATION: CT ANGIOGRAPHY HEAD AND NECK
INDICATION: ___ year old woman with AFib on eliquis, CHF, HLD, HTN who
presents with acute onset dysarthria.
Outside read: CTA demonstrating left M2 branch attenuation concerning for
partial thrombosis or significant stenosis, left vertebral artery occlusion.
// second opini... |
10001860-RR-19 | 10,001,860 | 21,441,082 | RR | 19 | 2188-03-27 00:45:00 | 2188-03-27 04:43:00 | HISTORY: Injury after fall. Evaluate chest.
COMPARISON: None.
FINDINGS: A single frontal view of the chest was performed. There is no
pleural effusion, pneumothorax or focal airspace consolidation. The cardiac
silhouette is moderately enlarged. The mediastinal contours and hilar
structures are unremarkable. Th... |
10001860-RR-20 | 10,001,860 | 21,441,082 | RR | 20 | 2188-03-27 00:44:00 | 2188-03-27 04:50:00 | HISTORY: Injuries after fall, evaluate.
COMPARISON: None.
FINDINGS: Frontal, lateral and oblique views of the hands were performed.
There is no fracture or dislocation. There is likely an old fracture of the
right ___ metacarpal. The bones are demineralized. The soft tissues are
unremarkable. A dorsal plate an... |
10001860-RR-21 | 10,001,860 | 21,441,082 | RR | 21 | 2188-03-27 01:56:00 | 2188-03-27 04:55:00 | HISTORY: Fall, evaluate for fracture.
COMPARISON: None.
FINDINGS: A frontal view of the pelvis was performed. There is no fracture.
The hip joints are symmetric. The sacroiliac joints, pubic symphysis and
sacrum are unremarkable. Injection granulomas are noted.
IMPRESSION: No fracture. If concern for a fractu... |
10001860-RR-22 | 10,001,860 | 21,441,082 | RR | 22 | 2188-03-27 01:57:00 | 2188-03-27 02:46:00 | HISTORY: Fall and C3 fracture question vertebral artery injury
TECHNIQUE: Contiguous axial images were obtained through the neck during
infusion of 70 cc of Omnipaque intravenous contrast. Images were processed on
a separate workstation.
COMPARISON: None
FINDINGS:
There is no evidence of vertebral artery in... |
10001884-RR-116 | 10,001,884 | 26,170,293 | RR | 116 | 2130-04-15 17:07:00 | 2130-04-15 17:15:00 | INDICATION: ___ with Hx COPD and CAD with c/o CP and SOB // ? PNA
TECHNIQUE: PA and lateral views of the chest.
COMPARISON: ___.
FINDINGS:
The lungs are hyperinflated but clear without confluent consolidation or
effusion. The cardiomediastinal silhouette is within normal limits. No acute
osseous abnormalitie... |
10001884-RR-125 | 10,001,884 | 29,678,536 | RR | 125 | 2130-10-08 17:26:00 | 2130-10-08 18:52:00 | EXAMINATION: CHEST (PORTABLE AP)
INDICATION: History: ___ with persisting wheeze and sob w hypoxia // concern
pna
TECHNIQUE: Single frontal view of the chest
COMPARISON: None
FINDINGS:
Relative increase in opacity over the lung bases bilaterally is felt due to
overlying soft tissue rather than consolidation ... |
10001884-RR-126 | 10,001,884 | 29,678,536 | RR | 126 | 2130-10-09 15:50:00 | 2130-10-10 09:53:00 | INDICATION: ___ year old woman with COPD, afib, worsening dyspnea // eval for
PNA
COMPARISON: The comparison is made with prior studies including ___.
IMPRESSION:
There is hyperinflation. There is no pneumothorax, effusion, consolidation or
CHF. There is probable osteopenia.
|
10001884-RR-134 | 10,001,884 | 28,664,981 | RR | 134 | 2130-11-28 15:44:00 | 2130-11-28 16:36:00 | EXAMINATION: Chest radiograph
INDICATION: ___ y.o. woman, multiple medical problems most notable for HTN,
CAD, Afib, COPD on home O2 presenting with dyspnea.
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph ___ and chest CT from ___.
FINDINGS:
PA and lateral views the chest provided. Biapical ple... |
10001884-RR-135 | 10,001,884 | 28,664,981 | RR | 135 | 2130-11-29 18:21:00 | 2130-11-29 19:17:00 | EXAMINATION: CT CHEST W/O CONTRAST
INDICATION: ___ year old woman with COPD being considered for long-term
therapy with azithromycin. // Evidence of MAC?
TECHNIQUE: Multidetector helical scanning of the chest was performed without
intravenous contrast agent reconstructed as contiguous 5- and 1.25-mm thick
axial, ... |
10001884-RR-137 | 10,001,884 | 27,507,515 | RR | 137 | 2130-12-23 15:14:00 | 2130-12-23 16:43:00 | EXAMINATION: Chest radiograph.
INDICATION: History: ___ with COPD, acute dyspnea // ?cpd
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiograph from ___.
FINDINGS:
The cardiac silhouette is normal in size. The hilar and mediastinal contours
are stable. There is mild bibasilar atelectasis. There is n... |
10002013-RR-104 | 10,002,013 | 25,442,395 | RR | 104 | 2166-04-06 16:53:00 | 2166-04-06 17:10:00 | INDICATION: History: ___ with L great toe ulcer and spreading erythema// eval
osteomyelitis
TECHNIQUE: Left foot, three views
COMPARISON: Left foot radiographs ___
FINDINGS:
Soft tissue swelling is seen about the great toe without soft tissue gas. As
seen previously, ulceration is seen along the medial aspect ... |
10002013-RR-106 | 10,002,013 | 25,442,395 | RR | 106 | 2166-04-07 11:08:00 | 2166-04-07 11:35:00 | EXAMINATION: FOOT AP,LAT AND OBL LEFT
INDICATION: ___ year old woman with left hallux osteomyelitis// Post-op eval
TECHNIQUE: Three views left foot obtained at the patient's bedside
COMPARISON: Left foot radiographs ___
FINDINGS:
Compared to the prior study there has been interval surgery at the base of the
f... |
10002013-RR-107 | 10,002,013 | 25,442,395 | RR | 107 | 2166-04-09 08:22:00 | 2166-04-09 10:14:00 | EXAMINATION: CHEST (PORTABLE AP)
INDICATION: ___ year old woman with DMII, HTN who is POD1 after left hallux
bone amputation who was found to be afebrile to 100.5 on evening of ___//
concern for possible pneumonia post surgery
IMPRESSION:
In comparison with the study of ___, the there is no interval change or
evi... |
10002013-RR-108 | 10,002,013 | 25,442,395 | RR | 108 | 2166-04-10 15:25:00 | 2166-04-10 19:21:00 | INDICATION: ___ year old woman with poorly controlled diabetes, peripheral
arterial disease, admitted for diabetic foot ulcer complicated by
osteomyelitis, requiring hallux amputation.// Assess need for vascular
consult.
TECHNIQUE: Non-invasive evaluation of the arterial system in the
lower extremities was performed... |
10002013-RR-109 | 10,002,013 | 25,442,395 | RR | 109 | 2166-04-12 10:37:00 | 2166-04-12 14:00:00 | EXAMINATION: FOOT AP,LAT AND OBL LEFT
INDICATION: ___ year old woman s/p left hallux amputation// Post op eval
TECHNIQUE: Three views of the left foot.
COMPARISON: Multiple radiographs most recently dated ___.
FINDINGS:
Patient is status post left first phalangeal amputation at the MTP. The
remaining first me... |
10002013-RR-110 | 10,002,013 | 25,442,395 | RR | 110 | 2166-04-13 11:47:00 | 2166-04-13 14:09:00 | EXAMINATION: CHEST (PA AND LAT)
INDICATION: ___ year old woman with osteomyelitis of left hallux s/p
amputation POD#1. Worsening cough with new presentation of rales at bases
b/l.// New pulmonary process? New pulmonary process?
IMPRESSION:
Comparison to ___. No relevant change is noted. Alignment of the
ste... |
10002013-RR-111 | 10,002,013 | 25,442,395 | RR | 111 | 2166-04-16 19:54:00 | 2166-04-16 23:41:00 | EXAMINATION: MR foot with contrast
INDICATION: ___ year old woman with osteomyelitis ___ diabetic foot ulcer s/p
left hallux amputation// Abscess or other fluid collection?
TECHNIQUE: T1 and T2 weighted images of the left foot was obtained with and
without contrast in axial and coronal planes.
COMPARISON: Radiog... |
10002013-RR-112 | 10,002,013 | 25,442,395 | RR | 112 | 2166-04-17 18:45:00 | 2166-04-17 20:26:00 | EXAMINATION: Portable upright chest radiograph
INDICATION: ___ year old woman with osteomyelitis of diabetic foot ulcer s/p
left hallux amputation// PICC placement Contact name: ___:
___
TECHNIQUE: AP portable chest radiograph
COMPARISON: ___
FINDINGS:
A new right PICC is in place with its tip projecting ov... |
10002013-RR-46 | 10,002,013 | 21,975,601 | RR | 46 | 2159-12-15 00:47:00 | 2159-12-15 09:29:00 | CHEST RADIOGRAPHS
INDICATION: Questionable pneumothorax.
COMPARISON: ___.
Normal chest radiograph, no evidence of pneumothorax.
|
10002013-RR-70 | 10,002,013 | 24,848,509 | RR | 70 | 2162-07-08 16:22:00 | 2162-07-08 19:49:00 | EXAMINATION: CT abdomen and pelvis without and with intravenous contrast. CT
urography protocol.
INDICATION: ___ year old woman with right flank pain and UTI, hematuria //
PLEASE DO STONE PROTOCOL. ? Nephrolithiasis / perinephric findings.
TECHNIQUE: MDCT axial images were acquired through abdomen and pelvis prior... |
10002131-RR-18 | 10,002,131 | 24,065,018 | RR | 18 | 2128-03-17 11:44:00 | 2128-03-17 12:22:00 | EXAMINATION: PELVIS (AP ONLY)
INDICATION: Evaluate for fracture in a patient with right hip pain.
TECHNIQUE: AP view of the pelvis.
COMPARISON: None.
FINDINGS:
There is no acute fracture or dislocation. No focal lytic or sclerotic
osseous lesion is seen. There is no radiopaque foreign body. Vascular
calcif... |
10002131-RR-19 | 10,002,131 | 24,065,018 | RR | 19 | 2128-03-17 11:44:00 | 2128-03-17 12:23:00 | INDICATION: Evaluate for pneumonia in a patient with progressive decline.
TECHNIQUE: Chest PA and lateral
COMPARISON: Chest radiographs from ___ and ___.
FINDINGS:
Frontal and lateral chest radiographs demonstrate bilateral pleural effusions,
which make evaluation of the cardiomediastinal silhouette difficulty.... |
10002131-RR-20 | 10,002,131 | 24,065,018 | RR | 20 | 2128-03-17 11:45:00 | 2128-03-17 12:31:00 | EXAMINATION: UNILAT LOWER EXT VEINS BILATERAL
INDICATION: ___ with Left ___ edema, evaluate for DVT.
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the bilateral lower extremity veins.
COMPARISON: None.
FINDINGS:
There is normal compressibility and flow of the right common femo... |
10002167-RR-25 | 10,002,167 | 24,023,396 | RR | 25 | 2166-05-15 01:32:00 | 2166-05-15 07:17:00 | INDICATION: History: ___ with lap band p/w n/v // assess for obstructive
pattern, position of lap band
TECHNIQUE: Supine and upright views of the abdomen and pelvis are obtained.
COMPARISON: Upper GI study from ___
FINDINGS:
The gastric lap band is again identified in the left upper quadrant. Its
position is ... |
10002221-RR-155 | 10,002,221 | 20,237,862 | RR | 155 | 2204-07-03 12:22:00 | 2204-07-03 13:43:00 | EXAMINATION: UNILAT LOWER EXT VEINS RIGHT
INDICATION: History: ___ with RLE pain// dvt?
TECHNIQUE: Grey scale, color, and spectral Doppler evaluation was performed
on the right lower extremity veins.
COMPARISON: None.
FINDINGS:
There is normal compressibility and color flow of the right common femoral,
femora... |
10002221-RR-156 | 10,002,221 | 20,237,862 | RR | 156 | 2204-07-03 20:26:00 | 2204-07-03 21:19:00 | EXAMINATION: Q62R
INDICATION: ___ year old woman with severe right lower extremity pain, worse
in the right lateral thigh and right posterior calf.// Evaluate for evidence
of vascular occlusion, muscle infarction, or other acute process
TECHNIQUE: Contiguous axial images obtained through the right calf after the
a... |
10002221-RR-157 | 10,002,221 | 20,237,862 | RR | 157 | 2204-07-04 15:11:00 | 2204-07-04 19:00:00 | INDICATION: ___ year old woman with history of breast cancer, presenting with
severe pain on the right greater trochanter, likely bursitis though need to
r/o fracture// r/o fracture, lytic lesions
COMPARISON: CT scan of the abdomen and pelvis from ___
IMPRESSION:
No acute fractures or dislocations are seen. There... |
10002221-RR-158 | 10,002,221 | 20,237,862 | RR | 158 | 2204-07-04 15:12:00 | 2204-07-04 18:51:00 | INDICATION: ___ year old woman with history of breast cancer, presenting with
severe pain on the right greater trochanter, likely bursitis though need to
r/o fracture// r/o fracture, lytic lesions
COMPARISON: CT scan from ___ and radiographs from ___
IMPRESSION:
Two views of the right lower leg demonstrate no sig... |
10002221-RR-159 | 10,002,221 | 20,237,862 | RR | 159 | 2204-07-04 14:28:00 | 2204-07-04 15:22:00 | EXAMINATION: US DRAIN/INJ MAJOR JOINT/BURSA W US GUID
INDICATION: ___ year old woman with severe right sided trochanteric bursitis
leading to inability to ambulate// please aspirate and perform
lidocaine/steroid bursa injection
COMPARISON: CT lower extremity ___
TECHNIQUE: Following discussion of the risks, bene... |
10002348-RR-10 | 10,002,348 | 22,725,460 | RR | 10 | 2112-12-01 09:42:00 | 2112-12-01 12:43:00 | EXAMINATION: CT ABD AND PELVIS WITH CONTRAST
INDICATION: History: ___ with new cerebellar mass// mass?
TECHNIQUE: Single phase contrast: MDCT axial images were acquired through the
abdomen and pelvis following intravenous contrast administration.
Oral contrast was administered.
Coronal and sagittal reformations we... |
10002348-RR-11 | 10,002,348 | 22,725,460 | RR | 11 | 2112-12-01 09:42:00 | 2112-12-01 13:42:00 | EXAMINATION: Chest CT with contrast
INDICATION: ___ with new cerebellar mass. Right for thoracic metastases.
TECHNIQUE: MDCT axial images were acquired through the chest, abdomen and
pelvis following intravenous contrast administration with split bolus
technique.
IV Contrast: 130 mL Omnipaque.
Oral contrast was ... |
10002348-RR-13 | 10,002,348 | 22,725,460 | RR | 13 | 2112-12-04 16:17:00 | 2112-12-05 09:34:00 | EXAMINATION: MR HEAD W AND W/O CONTRAST T___ MR HEAD
INDICATION: ___ year old woman with new cerebellar brain mass. Fiducial
planning intraoperative guidance.
TECHNIQUE: Sagittal and axial T1 weighted imaging were performed. After
administration of intravenous contrast, axial imaging was performed with
gradient e... |
10002348-RR-14 | 10,002,348 | 22,725,460 | RR | 14 | 2112-12-05 01:24:00 | 2112-12-05 02:30:00 | EXAMINATION: ?LOCATION OF LOST MICRO ___
INDICATION: Suboccipital craniotomy, missing micropattie
TECHNIQUE: Single radiograph of missing device (micropattie), single lateral
view of the skull/bony calvarium
COMPARISON: CT from ___ MRI from ___ skull radiograph ___.
FINDINGS:
The missing device has a radiopaq... |
10002348-RR-9 | 10,002,348 | 22,725,460 | RR | 9 | 2112-11-30 18:32:00 | 2112-11-30 19:57:00 | EXAMINATION: CT HEAD W/ AND W/O CONTRAST
INDICATION: ___ with new cerebellar mass, headache, disequilibrium// eval per
nsg
TECHNIQUE: Contiguous axial images from skullbase to vertex were obtained
without intravenous contrast. Coronal and sagittal reformations and bone
algorithms reconstructions were also perform... |
10002428-RR-100 | 10,002,428 | 23,473,524 | RR | 100 | 2156-05-19 02:33:00 | 2156-05-19 08:38:00 | HISTORY: Pseudomonas with intubation.
FINDINGS: In comparison with the study of ___, there is little change in the
monitoring and support devices. Substantial bilateral pleural effusions, more
prominent on the right with bibasilar atelectasis. Unusual configuration to
the collection of opacification at the left ba... |
10002428-RR-101 | 10,002,428 | 23,473,524 | RR | 101 | 2156-05-20 02:11:00 | 2156-05-20 08:51:00 | SINGLE FRONTAL VIEW OF THE CHEST
REASON FOR EXAM: Intubated patient, hypoxic respiratory failure.
Comparison is made with prior study, ___.
Cardiac size is normal. Lines and tubes are in the standard position. Large
right and moderate left pleural effusions are grossly unchanged allowing the
differences in positi... |
10002428-RR-104 | 10,002,428 | 28,676,446 | RR | 104 | 2157-07-16 02:51:00 | 2157-07-16 07:33:00 | INDICATION: ___ female with left hip fractures. Preop.
COMPARISONS: Chest radiograph from ___.
FINDINGS: Single AP supine chest radiograph was provided. The lungs are
clear without focal consolidation, pleural effusion or pneumothorax. The
cardiomediastinal silhouette is normal.
IMPRESSION: No acute cardiopul... |
10002428-RR-105 | 10,002,428 | 28,676,446 | RR | 105 | 2157-07-16 04:15:00 | 2157-07-16 07:36:00 | INDICATION: Femoral neck fracture.
COMPARISONS: None.
FINDINGS: Single view of the left hip was provided. There is an impacted
subcapital fracture of the femoral neck imaged on one view. No other
fractures are identified. The visualized soft tissues are unremarkable.
There is non-obstructive bowel gas pattern.... |
10002428-RR-106 | 10,002,428 | 28,676,446 | RR | 106 | 2157-07-16 12:23:00 | 2157-07-16 16:16:00 | LEFT HIP
REASON FOR EXAM: ORIF.
54 fluoroscopic views of the left hip were submitted for review taken in the
OR without the presence of a radiologist for documentation of sequential steps
of left hip ORIF .
Please refer to the OR note for complete description of the procedure.
|
10002428-RR-58 | 10,002,428 | 28,662,225 | RR | 58 | 2156-04-12 12:37:00 | 2156-04-12 13:14:00 | INDICATION: Fever, tachycardia and history of bronchiectasis, evaluate for
pneumonia.
COMPARISON: ___ and CT chest, ___.
FINDINGS: Frontal and lateral views of the chest were performed. The lung
volumes are low which results in vascular crowding. However, despite this,
there appear to be bibasilar, right greater... |
10002428-RR-59 | 10,002,428 | 28,662,225 | RR | 59 | 2156-04-12 12:30:00 | 2156-04-12 14:33:00 | INDICATION: Fever, diarrhea with tenderness to palpation, evaluate for
colitis.
COMPARISONS: CT chest of ___.
TECHNIQUE: MDCT axial images were obtained from the dome the liver to the
pubic symphysis after the administration of IV contrast. Coronal and sagittal
reformations were provided and reviewed.
ABDOMEN: ... |
10002428-RR-60 | 10,002,428 | 28,662,225 | RR | 60 | 2156-04-12 15:36:00 | 2156-04-12 22:15:00 | STUDY: Chest radiograph.
INDICATION: ?pneumonia, now hypoxic. Please evaluate for pulmonary edema.
TECHNIQUE: Portable AP radiograph was obtained.
COMPARISON: ___ at 12:37, current radiograph time 15:37.
REPORT: There is extensive bilateral air space consolidation, more pronounced
in the right side. There are... |
10002428-RR-61 | 10,002,428 | 28,662,225 | RR | 61 | 2156-04-13 02:59:00 | 2156-04-13 09:45:00 | HISTORY: Sepsis with mitral regurgitation and possible worsening pulmonary
edema.
FINDINGS: In comparison with the study of ___, the bibasilar opacification
has somewhat decreased bilaterally. The time course suggests that much of
this appearance may have reflected improved pulmonary edema. Nevertheless,
there is ... |
10002428-RR-62 | 10,002,428 | 28,662,225 | RR | 62 | 2156-04-13 09:08:00 | 2156-04-13 16:47:00 | ABDOMEN
HISTORY: Diarrhea and colitis. Increasing abdominal distention.
COMPARISON: Abdominal CT ___.
There is no subdiaphragmatic free air. There are multiple distended loops of
bowel, most likely representing both colon and small bowel. Findings are most
consistent with an ileus. Air-fluid levels are seen on... |
10002428-RR-63 | 10,002,428 | 28,662,225 | RR | 63 | 2156-04-14 10:10:00 | 2156-04-14 13:07:00 | INDICATION: ___ woman admitted to the ICU for pneumonia and colitis.
COMPARISONS: ___ to ___. CT ___
FINDINGS: Single portable AP chest radiograph was obtained. There is minimal
improvement in teh right lower and middle lobe pneumonia that was better
deliniated on recent CT. Pulmonary edema hs also improved. B... |
10002428-RR-64 | 10,002,428 | 28,662,225 | RR | 64 | 2156-04-14 01:42:00 | 2156-04-14 17:22:00 | STUDY: KUB.
INDICATION: History of pancolitis with ileus. Evaluate for possible toxic
megacolon.
TECHNIQUE: Single view was obtained.
COMPARISON: ___.
REPORT:
There is significant dilatation of both large and small bowel noted, with
findings suggestive of a degree of thumbprinting particularly on the right
si... |
10002428-RR-65 | 10,002,428 | 28,662,225 | RR | 65 | 2156-04-15 01:39:00 | 2156-04-15 10:01:00 | INDICATION: ___ woman with pneumonia, severe mitral regurgitation and
sepsis.
COMPARISONS: ___ to ___.
FINDINGS: A single portable semi-erect chest radiograph is obtained. There
is no significant change in the middle and lower lobe pneumonia, better
appreciated on recent CT. There is no increased pulmonary edema... |
10002428-RR-66 | 10,002,428 | 28,662,225 | RR | 66 | 2156-04-15 01:39:00 | 2156-04-15 11:22:00 | INDICATION: ___ female with C. diff and concern for toxic megacolon.
COMPARISON: ___.
TECHNIQUE: Single frontal radiograph of the abdomen and pelvis was obtained
portably with the patient in a supine position.
FINDINGS: There is slightly increased bowel dilation. Areas of thumbprinting
are still seen, consisten... |
10002428-RR-67 | 10,002,428 | 28,662,225 | RR | 67 | 2156-04-14 15:02:00 | 2156-04-14 16:28:00 | INDICATION: ___ woman with need for central access, status post PICC
line placement.
FINDINGS: A left-sided PICC line terminates in the low SVC. There is no
change in the right basilar pneumonia and small left effusion.
IMPRESSION: Left PICC line in the low SVC.
Findings were discussed with the IV RN at 15:15 on... |
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