instruction stringclasses 1
value | input stringlengths 6 8.98k | output stringlengths 5 3.11k |
|---|---|---|
Generate impression based on findings. | History of liver transplant and immunosuppression with new fevers, evaluate for source of infection. CHEST:LUNGS AND PLEURA: Small bilateral pleural effusions with associated compressive atelectasis/consolidation.MEDIASTINUM AND HILA: Endotracheal tube with tip terminating just above the carina.CHEST WALL: No significa... | 1.Postsurgical changes of liver transplant.2.Large lesser sac postsurgical hematoma.3.Posthepatic loculated fluid collection, favor postoperative etiology.4.Attenuation and nonocclusive thrombus of the native portal vein with contrast opacification of the transplant portal vein branches. |
Generate impression based on findings. | 26-year-old male, dropped weight on great toe There is a bicondylar fracture of the head of the proximal phalanx of the great toe with intra-articular extension. The fracture fragments are in near anatomic alignment. Orthopedic screws are present in the talus and distal tibia. There may be partial subtalar joint fusion... | Nondisplaced, intra-articular fracture the head of the proximal phalanx of the great toe. |
Generate impression based on findings. | Male 3 months old; Reason: PCVC placement VIEW: Chest AP and abdomen AP (two views) 1/1/14 1228 Enteric tube tip is at the GE junction. The right lower extremity PICC tip is at the L3 level. The ET tube has been removed.The mediastinum remains right shifted. Otherwise, the cardiothymic silhouette is normal.Coarse bilat... | RLE PICC tip at the L3 level. Unchanged PIE. |
Generate impression based on findings. | 38-year-old female with pain, evaluate for fracture Mild to moderate osteoarthritis affects the hip. We see no evidence of fracture. | Osteoarthritis without fracture evident. |
Generate impression based on findings. | 92 year-old female with abnormality of her pain post fall Ankle: Soft tissue swelling about the ankle without fracture evident. Knee: There is a comminuted fracture of the patella with fracture fragments in near anatomic alignment. A small joint effusion is noted. Mild to moderate osteoarthritis affects the knee. | Comminuted, nondisplaced patella fracture. |
Generate impression based on findings. | Female 37 years old; Reason: Evaluate for progression of ileus, r/o free air History: severe C. diff, abdominal distension Gastrostomy tube projects over the stomach. Additional findings including lines/catheters essentially stable from prior study. Bowel gas pattern and distribution of enteric contrast without signifi... | No large amount of free air. Note that supine radiographs are insensitive for detection of small amounts of free air.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 28 short female with pain and tenderness to palpation over foot and ankle Ankle: A small density dorsal to the head of the talus could represent a small avulsion fracture, although we are uncertain whether this is acute or chronic. No additional fractures are evident. There may be a small joint effusion.Foot: We again ... | Small density dorsal to the head of the talus, which may represent an avulsion fracture of uncertain chronicity. |
Generate impression based on findings. | Fall on face. Suspected nasal fracture. There is a right nasal bone fracture with posterior angulation of the fracture fragment and overlying soft tissue swelling. No other fractures are identified. The lamina papyracea are intact. The orbits are unremarkable. There is mild mucosal thickening of the maxillary sinuses. ... | 1. Right nasal bone fracture with overlying soft tissues edema. 2. Multifocal periodontal disease with numerous dental caries and periapical lucencies. 3. Minimal mucosal thickening of the maxillary sinuses. 4. Hypoattenuating right thyroid nodule; ultrasound may be considered for further evaluation. |
Generate impression based on findings. | 78-year-old female with shortness of breath. PULMONARY ARTERIES: Note is made of multiple filling defects in segmental branches of the right lower lobe, consistent with pulmonary emboli. The main pulmonary artery, measures 3.2 cm in diameter, suggestive of pulmonary artery hypertension. There is reflux of contrast into... | 1. Multiple filling defects in the segmental branches of the right lower lobe consistent with pulmonary emboli. Dilation of the main pulmonary artery is suggestive of pulmonary artery hypertension. 2. Large bilateral pleural effusions with underlying atelectasis/consolidation. PULMONARY EMBOLISM: PE: Positive.Chronicit... |
Generate impression based on findings. | Female 6 years old; Reason: r/o fx History: knee painVIEWS: Left knee AP/oblique/lateral (3 views) 1/1/15 No fracture or malalignment is present. A small knee joint effusion is noted. | Small joint effusion, without fracture. |
Generate impression based on findings. | Female 6 years old Reason: post reduction History: wrist pain and splintVIEWS: Right wrist AP and lateral 1/1/15 (two views) Last material obscures fine bone details. Distal radius Salter-Harris two fracture is in anatomic alignment. | Distal radius Salter-Harris two fracture in anatomic alignment after casting. |
Generate impression based on findings. | Female 6 years old Reason: r/o fracture History: distal forearm pain and swellingVIEWS: Right elbow and wrist AP, lateral and oblique. Right forearm AP and lateral 1/1/15 (8 views) There is a minimally displaced Salter-Harris two fracture of the distal radius. Normal right elbow. | Minimally displaced distal Salter-Harris two fracture of the radius. |
Generate impression based on findings. | Hypoxia, chest pain. PULMONARY ARTERIES: No evidence of pulmonary embolism. No pulmonary artery enlargement.LUNGS AND PLEURA: Diffuse bilateral predominantly perihilar and apical groundglass opacities with central distribution. Small left and trace right pleural effusion with underlying left lower lobe subsegmental ate... | 1. No evidence of pulmonary embolism.2. Diffuse bilateral ground glass opacities. The differential for this appearance includes atypical infection, early acute edema, or GVHD. 3. Moderate to large pericardial effusion. |
Generate impression based on findings. | History of extensive rectovaginal fistula repair now with persistent leukocytosis, evaluate for sources of infection or leak ABDOMEN:LUNG BASES: Bilateral pleural effusions. Please see chest CT from same day for full description.LIVER, BILIARY TRACT: Cholecystectomy clips.SPLEEN: No significant abnormality notedPANCREA... | 1.Pelvic hematoma, similar to prior. No evidence of abscess.2.Interval placement of right percutaneous nephrostomy tube. New minimal left hydronephrosis.3.Please see chest CT from same day for chest findings. |
Generate impression based on findings. | 35-year-old female status post fall Knee: An ossicle within the intracondylar notch appears to represent a well corticated loose body and is unlikely to represent an acute fracture. An additional well corticated ossicle is present along the lateral joint. Moderate osteoarthritis affects the knee. No joint effusion.Hip:... | Degenerative arthritic changes and findings suggestive of old trauma without acute fracture evident. |
Generate impression based on findings. | 46 years old, Female, Reason: h/o reccurent C.Diff diarrhea with fecal transplant in 12/'14 now presenting with constipation; r/o obtsruction History: constipation Lack of IV contrast limits the evaluation of abdominal parenchyma. Within these limitations following observations are made:ABDOMEN:LUNG BASES: Small bilate... | 1.Mild thickening of the proximal colon may represent colitis.2.Moderate amount of ascites. |
Generate impression based on findings. | There is no midline shift or mass effect. There is no evidence of acute intracranial hemorrhage. There are scattered punctate and confluent areas of abnormal low density in the periventricular and subcortical white matter, consistent with age-indeterminate small vessel ischemic changes. The ventricles and sulci are pr... | 1. No evidence of acute intracranial hemorrhage. 2. Mild age-related parenchymal volume loss and age-indeterminate small vessel ischemic changes. If there remains clinical concern for an acute ischemic event, MRI of the brain is recommended, assuming there are no contraindications for this modality.I personally reviewe... |
Generate impression based on findings. | Female 10 years old Reason: post intubation History: status epilepticusVIEW: Chest AP (one view) 1/1/15 ET tube tip is below the thoracic inlet. NG tube terminates at the antropyloric region. Right IJ central line tip is at the RA/SVC junction. Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is... | No focal opacities. |
Generate impression based on findings. | Male 9 years old Reason: rule out fracture History: injury and lacerationVIEWS: Left hand AP and left fourth digit lateral and oblique 1/1/15 (3 views) Partial amputation of the soft tissues and distal phalanx of the fourth finger with comminuted fracture. | Comminuted fracture and partial amputation of the distal phalanx of the left forth finger. |
Generate impression based on findings. | Concern for brain metastases. Right sided tremors/visual disturbance. There is a new mass in the left frontal lobe that measures up to 18 mm with surrounding mild vasogenic edema, adjacent to an areas of encehaplomaalcia. There is also a new mass within the right cerebellar hemisphere that measures up to 20 mm with sur... | New mass lesions within the left frontal lobe and right cerebellar hemisphere are compatible with metastases.Discussed with Dr. Nabhan at 8:30 AM on 1/2/15. |
Generate impression based on findings. | 22-year-old female with bite to index finger DIP There is irregularity of the soft tissue along the tip of the index finger with loss of the nail compatible with stated history of bite injury. No fracture is evident Note is made of negative ulnar variance. | Soft tissue and nail injury without fracture or dislocation. |
Generate impression based on findings. | 79-year-old with new calcifications noted on screening mammogram. No current breast complaints. Mediolateral and spot magnification CC and mediolateral views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, uncha... | New grouped irregular calcifications in the right upper outer breast as described. Further evaluation with stereotactic biopsy is recommended for the calcifications located posteriorly.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Abdominal pain after bariatric surgery ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Fatty infiltration of the liver. Status post cholecystectomy.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS... | Status post gastric bypass without evidence for acute bowel inflammation or obstruction. Nonobstructing right nephrolithiasis.Fatty infiltration of the liver. |
Generate impression based on findings. | Female 12 years old Reason: rule out fracture History: bony TTP, lateral malleolusVIEWS: Left ankle AP, lateral and oblique 1/2/15 (3 views) Soft tissue swelling with no malalignment or monitoring diffusion or fracture. | Soft tissue swelling, no fracture. |
Generate impression based on findings. | Possible stroke. Question of CVA and fracture. Head: There is no evidence of acute intracranial hemorrhage. The gray-white differentiation is preserved. The ventricles are normal in size and configuration. There is no midline shift or herniation. There is mild mucosal thickening of the maxillary sinuses. The mastoid ai... | 1. No acute intracranial hemorrhage.2. Mild degenerative changes of the cervical spine without fracture. 3. Right nasal bone fracture with overlying soft tissue edema.4. Hypoattenuating right thyroid nodule; ultrasound may be considered for further evaluation. |
Generate impression based on findings. | 46-year-old female with swelling and pain of left first through third digits There is soft tissue swelling along the dorsum of the hand extending along the thumb, index, and middle fingers. No subcutaneous gas or radiographic evidence of osteomyelitis or gout is evident. Mild osteoarthritis affects the basilar joint. | Soft tissue swelling without radiographic evidence of osteomyelitis, subcutaneous gas or gout. |
Generate impression based on findings. | Male 0 days old Reason: post-intubation tube placement History: intubated for respiratory distress, 36 weekerVIEW: Chest and abdomen AP (two views) 1/2/15 at 636 hours Umbilical line terminates at the IVC. ET tube tip is at the thoracic inlet. NG tube terminates at the stomach. R. Cardiac silhouette size is normal. Bil... | Interval ET tube placement and repositioning of umbilical line as described.Persistent diffuse lung haziness consistent with TTN or RDS.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | History left lower quadrant pain and fever, evaluate for diverticulitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, UR... | 1.Redemonstration of diverticulitis of the sigmoid colon with intramural abscesses. Overall surrounding inflammation has slightly improved, but new small amount of free air suggests abscess perforation.2.Left nonobstructive nephrolithiasis. Bilateral mild/moderate hydronephrosis with abrupt transition at the UPJ.Findin... |
Generate impression based on findings. | Reason: 42F with ESRD on peritoneal dialysis, POD2 s/p bilateral nephrectomies for suspicious renal lesions, now with dyspnea and tachycardia History: dyspnea and tachycardia, please assess for PE PULMONARY ARTERIES: Technically adequate study. No evidence of pulmonary embolism.The main pulmonary artery is of normal ca... | 1. Technically adequate study without evidence of pulmonary embolism.2. Bilateral pleural effusions with associated compressive atelectasis.3. Status post bilateral nephrectomy; layered hyperdense fluid collections within the retroperitoneum suggests hematomas within the surgical beds.4. Multiple foci of air in the per... |
Generate impression based on findings. | Male 0 days old Reason: r/o pneumonia History: increased wobVIEW: Chest and abdomen AP (two views) 1/2/15 at 234 hours. UVC tip is at the confluence of the right IJ and the right subclavian vein. Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette is normal in size and shape. Diffuse lung haziness.... | Misplaced UVC.Bilateral diffuse lung haziness consistent with TTN versus RDS.Disorganized, nonspecific abdominal gas pattern. |
Generate impression based on findings. | There is artifact from dental amalgam. Within this limitation, there is periapical lucency at ADA 29 with adjacent cortical dehiscence. There is overlying soft tissue swelling and fat stranding without discrete fluid collections. There is no significant lymphadenopathy in the upper neck. The salivary glands are unrema... | Periodontal disease at ADA 29 with cortical dehiscence and overlying cellulitis, but no discrete abscess, although the assessment is limited by dental amalgam artifact. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male 0 days old Reason: position of UVC? History: Pulled back UVCVIEW: Chest and abdomen AP (two views) 1/2/15 at 647 hours UVC terminates at the the umbilical vein. Likely instrumental portal venous gas is again noted.Cardiac silhouette size is normal. No focal opacities, effusions or pneumothorax.Disorganized, nonspe... | UVC with positioning as described. Persistent, likely instrumental portal venous gas. |
Generate impression based on findings. | 69 year old female with metastatic colon cancer and profound new bilateral lower extremity edema. Evaluate the patency of the inferior vena cava. LIVER: The liver is markedly heterogeneous in echotexture with numerous predominantly hyperechoic mass lesions, consistent with the patient's known metastatic disease as seen... | 1. The visualized portions of the inferior vena cava appear patent. If there is concern for lower extremity DVT, dedicated sonography recommended.2. Right pleural effusion. 3. Known diffuse metastatic disease of the liver. |
Generate impression based on findings. | History appendiceal carcinoma ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Stable bilateral renal cysts.RETROPE... | Status post resection of appendiceal mass. No evidence for acute, inflammatory, or metastatic process. |
Generate impression based on findings. | Male 0 days old Reason: evaluate lung fields, line placement History: increased work of breathing, uvc placementVIEW: Abdomen and chest AP (one view) 1/2/15 UVC terminates at the right portal vein., Likely instrumental portal venous gas is noted.Aortic arch, cardiac apex and stomach are left-sided. Cardiac silhouette i... | Misplaced UVC with portal venous gas likely related to the procedure of UVC placement. |
Generate impression based on findings. | Altered mental status with cirrhosis. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. There is an unchanged focus of ossification near the midline of the tentorial cerebelli. The ventricles are unchanged in size and configuration. There is no midline sh... | No evidence of acute intracranial hemorrhage. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct or encephalopathy. |
Generate impression based on findings. | Male 2 years old Reason: infiltrate? History: trach dependent with fever, coughVIEW: Chest AP (one view) 1/2/15 at 450 hours. Tracheostomy tube terminates below the thoracic inlet. PDA clip again noted. Omphalocele/gastroschises again noted. Cardiac silhouette size is normal. Interval development of left upper and lowe... | Multifocal opacities development as described. |
Generate impression based on findings. | 60 year old male with metastatic thyroid cancer. Please evaluate for bone metastases prior to treatment. There is increased radiotracer uptake consistent with a left frontal skull lesion. There is also subtle increased radiotracer uptake in the left scapula, left ischium and left iliac consistent with multiple osseous ... | Multiple osseous metastatic lesions better characterized on concurrent F-18 NaF PET Bone scan. |
Generate impression based on findings. | 84 years old, Female, Reason: Diverticulitis? History: LLQ abdominal pain ABDOMEN:LUNG BASES: Small calcified nodule no superior aspect of the left lower lobe likely sequela of prior granulomatous disease. Left calcified hilar lymph nodes also likely sequela of prior granulomatous disease. Severe coronary artery calcif... | 1.Intra-hepatic and extrahepatic hepatic biliary ductal dilatation without associated pancreatic ductal dilatation and no obstructing stone or mass identified. This is favored to represent chronic biliary disease however if further imaging is clinically warranted MRCP may be helpful for further evaluation.2.Two fat-con... |
Generate impression based on findings. | History of colon cancer now with abdominal distention, evaluate for obstruction. ABDOMEN:LUNG BASES: Enlarged cardiophrenic lymph node.LIVER, BILIARY TRACT: Diffuse bilobar, confluent hepatic metastases are present.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No sign... | Distal partial bowel obstruction secondary to colon cancer. Diffuse metastatic disease. |
Generate impression based on findings. | known left PCA territorial ischemic infarction, further investigation for underlying vascular lesion. 3D time of flight MOTSA MRA brain images with maximum intensity projections of the anterior/posterior intracranial circulation demonstrate more than 50% of luminal narrowings on the right MCA M1 segment and left MCA M1... | 1. Multifocal luminal narrowings and irregularities on both anterior and posterior circulations indicating intracranial atherosclerosis. 2. Mild luminal narrowing on the right vertebral artery origin, otherwise not significant on extracranial cervico-carotid arterial system. |
Generate impression based on findings. | There is straightening of the normal cervical lordosis which may be secondary to patient positioning or muscle spasm. No acute fracture or subluxation. The prevertebral soft tissues are within normal limits. The airway is patent. There are scattered mildly enlarged cervical lymph nodes. | 1.No acute fracture or subluxation.2.Scattered mildly enlarged cervical lymph nodes are nonspecific. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Personal history of thyroid cancer and esophageal cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and dis... | Stable right axillary mass. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 77-year-old history of IDC/DCIS in the left breast status post lumpectomy in 2003 and radiation. No current breast related complaints. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged i... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | Female 18 years old; Reason: 18 y/o F with acute onset L flank pain, h/o lymphoma, day +28 s/p BMT, eval for stone vs PE History: acute onset L flank pain, hypoxia, SOB Please note that evaluation for solid organ pathology is limited by lack of IV contrast.ABDOMEN: LUNG BASES: Bilateral ground glass opacities. Small bi... | 1. No intra-abdominal pathology.2. Bilateral pulmonary opacities, small pleural effusions, and moderate to large pericardial effusion. Please see separate chest CT report from the same day for further evaluation. |
Generate impression based on findings. | 58-year-old male with history of left tonsil mass and muffled voice. Evaluate for peritonsillar abscess. There is a hypoattenuating collection demonstrating peripheral enhancement in the left tonsillar pillar measuring approximately 2.2 x 2.1 x 3.2 cm. This lesion causes narrowing on the adjacent oropharynx although it... | 1.Findings compatible with left peritonsillar abscess as above.2.Nonspecific hypoattenuating nodule in the right thyroid gland. |
Generate impression based on findings. | 66-year-old female with respiratory distress. Rule out PE. PULMONARY ARTERIES: Technically adequate study. Note is made of bilateral filling defects in lobar, segmental and subsegmental branches of the pulmonary arteries in the left upper and right middle lobes consistent with pulmonary emboli. The main pulmonary arter... | 1. Multiple pulmonary emboli in the left upper and right middle lobes. 2. Large bilateral pleural effusions with underlying compressive atelectasis/consolidation. Ascites and anasarca. 3. Multiple ground glass nodules in the upper lobes are nonspecific. Follow up examination in 6-12 months to establish resolution is re... |
Generate impression based on findings. | Male 16 days old Reason: PCVC placement History: PCVC placementVIEW: Chest AP (one view) 1/1/15 at 1222 hrs Soft tissue edema and umbilical line unchanged. Misplaced NG tube again noted. ET tube is below thoracic inlet. Interval placement of left upper extremity PICC, tip is at the SVC.Cardiac silhouette size is normal... | Interval central line placement as described. |
Generate impression based on findings. | Trauma. Evaluate for intracranial bleed. There is no evidence of acute intracranial hemorrhage. The grey-white matter differentiation appears to be intact. The ventricles and basal cisterns are normal in size and configuration for the patient's age. There is no midline shift or herniation. The imaged paranasal sinuses ... | No acute intracranial hemorrhage or other acute intracranial abnormality. |
Generate impression based on findings. | Female 20 years old Reason: 20yo F with history of HgbSS with left shoulder pain eval for AVN VIEWS: Left shoulder AP in internal and external rotation. 1/1/15 (two views) There is no evidence of fracture, malalignment, joint effusion or soft tissue swelling. No evidence of AVN. | Normal examination. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Benign calcifications are present. No suspicious masses, microcalcifications or areas ... | No mammographic evidence of malignancy. Mammography is most sensitive when evaluating for interval changes. If patient submits outside mammogram, comparison will be made. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION... |
Generate impression based on findings. | Acute respiratory insufficiency.VIEW: Chest AP (one view) 1/1/15 at 1554 hrs. Central line tip is at the right atrium. ET tube tip is below the thoracic inlet. Abdominal clips unchanged. Cardiac silhouette size is normal. Bibasilar patchy opacities, either atelectasis or pneumonia with no effusions or pneumothorax. | Multifocal patchy air space opacities, as described. |
Generate impression based on findings. | Nausea, vomiting, and previous neurosurgery. Question of signs of bleeding. There is no evidence of acute intracranial hemorrhage. Redemonstration of a pituitary mass which is grossly similar in size to the prior MRI. There are postsurgical changes of a prior transphenoidal resection. The surrounding basal cisterns are... | 1. No acute intracranial hemorrhage.2. Redemonstration of a pituitary mass which is grossly similar in size to the prior MRI; if further evaluation of the pituitary mass is warranted, MRI is a more sensitive means of characterizing changes in size and extent of the lesion. 3. Grossly stable size of the ventricles. |
Generate impression based on findings. | Reason: eval for PE History: tachycardia, hypoxia PULMONARY ARTERIES: Technically adequate study. Bilateral segmental pulmonary emboli (series 5, image 114 and 137). There is no specific evidence of right heart strain. The main pulmonary artery is of normal caliber. LUNGS AND PLEURA: Interval worsening of bilateral pl... | 1. Bilateral segmental pulmonary emboli, without specific evidence of right heart strain.2. Interval worsening of bilateral pleural effusions and basilar consolidation/atelectasis.3. Worsening multifocal ground glass and air space opacities suggestive of infection, possibly secondary to aspiration. 4. Evidence of porta... |
Generate impression based on findings. | 35-year-old with history of right benign biopsy presents for follow-up exam. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is extremely dense, unchanged in pattern and distribution. Percutaneously placed clip is present at upper outer quadr... | Multiple fibroadenomata in both breasts, without mammographic or sonographic evidence for malignancy. Diagnostic mammogram is recommended in one year for follow-up. Results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | There 2-3 punctate foci of T2 hyperintensity within right frontal subcortical white matter without associated mass effect, restricted effusion, or susceptibility abnormality. The ventricles and sulci are normal in size. The cerebellar tonsils are in normal position. There are no masses, mass effect or midline shift. T... | There 2-3 punctate foci of T2 hyperintensity within right frontal subcortical white matter without associated mass effect, restricted effusion, or susceptibility abnormality. These are nonspecific in appearance, and the differential diagnosis most likely includes residua from prior head trauma, sequelae of migraine hea... |
Generate impression based on findings. | Intussusception status-post reductionVIEW: Abdomen AP (one view) 1/1/15 1342 Enteric tube tip in the gastric body.Small amount of residual barium with air in the colon. Disorganized nonobstructive bowel gas pattern. No pneumatosis, pneumoperitoneum, or portal venous gas. | Small amount of residual colonic barium. |
Generate impression based on findings. | 55-year-old female with history of seizure. Evaluate for intracranial hemorrhage. There is no evidence of intracranial hemorrhage. There is extensive confluent areas of hypoattenuation within the periventricular and subcortical white matter compatible with age indeterminate ischemic small vessel disease. There are chro... | Extensive age indeterminate ischemic small vessel disease and chronic basal ganglia lacunar infarcts. No evidence of intracranial hemorrhage. |
Generate impression based on findings. | Gunshot woundVIEWS: Left forearm AP/lateral (two views), left humerus AP/lateral (two views), left elbow AP/lateral (two views). 1/1/15 Punctate bullet fragment with subcutaneous emphysema in the posterior distal upper arm. No underlying fracture or malalignment. No elbow joint effusion evident. | No fracture or malalignment. |
Generate impression based on findings. | Distal radius fracture.VIEWS: Left wrist AP, lateral and oblique 1/2/15 (3 views) Cast material obscures fine bone dose. Healing distal fractures of both forearm bones are in near anatomic alignment. | Healing fractures in near-anatomic alignment. |
Generate impression based on findings. | Shortness of breath and tachypneaVIEW: Chest AP (one view) 1/1/15 The aortic arch, cardiac apex, and stomach are left-sided. The cardiothymic silhouette is normal.No focal lung opacities or pleural effusions are present. No pneumothorax is evident.Radiopaque letters projecting across the upper thorax are likely from cl... | Normal examination. |
Generate impression based on findings. | Female 8 years old; Reason: Wilm's tumor; off therapy LIVER: 13.2 cm in length. Normal hepatic echotexture, without focal lesions. Patent portal vein with hepatopetal flow.GALLBLADDER, BILIARY TRACT: Normal gallbladder. No biliary ductal dilation.PANCREAS: No significant abnormality noted in the visualized head and bod... | No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 54 year old female diagnosed with breast cancer. Evaluate for metastatic disease. No abnormal osseous foci are identified to indicate metastatic disease. A punctate focus of increased radiotracer uptake is visualized at the right glenohumeral joint which likely represents degenerative change. These findings were compar... | No evidence of bone metastases. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Round markers were placed on skin lesions overl... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 80 year-old female with metastatic breast cancer. Please reevaluate and compare to prior scans. Multiple foci of increased radiotracer uptake are visualized throughout the axial and appendicular skeleton compatible with diffuse metastatic disease, which is overall slightly progressed compared to previous exam. Specific... | 1.Widespread osseous metastatic disease which is slightly progressed. 2.Interval development of two new benign appearing fractures of the right posterior eighth and ninth ribs. |
Generate impression based on findings. | There is mild left proptosis and marked left preseptal soft tissue swelling. There is a comminuted fracture of the left orbital floor that traverses a portion of the infraorbital nerve canal with inferior displacement of the fracture fragments. There is swelling and contour deformity of the left medial and inferior re... | Comminuted left orbital floor blowout fracture with mild partial herniation of the left inferior rectus muscle and minimal herniation of orbital fat. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | New diagnosis of leukemia Evaluation of the mandible is limited due to inability to optimally position the patient. Specifically, the posterolateral aspect of the left mandibular ramus, left mandibular condyle, and left temporomandibular joint are not visualized on this study. Given this limitation, I see no focal lesi... | Limited study showing no focal mandibular lesions. |
Generate impression based on findings. | Status post fusion. Evaluate hardware. Evaluation of the cervicothoracic junction on the lateral views is limited due to overlying anatomy. There is an anterior plate with screws entering the C4 and C5 vertebrae. An intervertebral spacer device is noted between the C4 and C5 vertebral bodies. There are also posterior s... | Postoperative changes of cervical fusion as described above. |
Generate impression based on findings. | Female 70 years old; Reason: dysphagia/ hx extensive surgery due to MVA History: dysphagia. Scout radiograph showed cardiomegaly and interstitial opacities which may indicate aspiration.Single contrast barium swallow demonstrated no abnormal contour, stricture or mass in the region of the esophagus. Esophageal motility... | 1.Severe gastroesophageal reflux up to the thoracic inlet.2.Abnormal esophageal motility with breakup of the primary wave, severe proximal escape and stasis.3. interstitial basilar pulmonary opacities which may indicate aspiration. |
Generate impression based on findings. | Shoulder pain. Evaluate for fracture. The bones are demineralized. I see no fracture. Mild osteoarthritis affects the glenohumeral and acromioclavicular joints. There is an os acromiale, a normal variant. There is a dual lumen Port-A-Cath, the distal tip of which is not visualized on this study. | Mild osteoarthritis and other findings as above without fracture evident. |
Generate impression based on findings. | 50 year-old with dense breast tissue and history of cysts noted on prior exams. Annual screening mammogram. No current breast related complaints. MAMMOGRAM: Three standard views of both were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is extremely dense, which lowers the sensitivi... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 55 year old female with right upper extremity lymphedema.RADIOPHARMACEUTICAL: The right upper extremity was prepared in a sterile manner. A total of 0.5 mCi Tc-99m filtered sulfur colloid was injected subcutaneously. Following injection, intraoperative probe localization was performed. No images were acquired. | Successful right upper extremity injection for intraoperative identification of lymph nodes for future lymph node transfer. |
Generate impression based on findings. | Male 7 months old Reason: is the trach in correct placement History: new trach , resting at the stress of the newbornVIEW: Chest AP (one view) 1/2/15 at 841 hours NG tube tip is in the stomach. Tracheostomy tube terminates below the thoracic inlet. Cardiac silhouette size is top normal. Persistent large lung volumes an... | No change in lung aeration after tracheostomy tube exchange. |
Generate impression based on findings. | Right thumb injuryVIEWS: Right thumb AP, lateral and oblique 1/2/15 (3 views) Healing Salter-Harris two fracture of the proximal follicles the right thumb is in near-anatomic alignment. | Healing fracture, in near anatomic alignment. |
Generate impression based on findings. | History of finger injury.VIEWS: Right fourth finger AP, lateral and oblique 1/2/15 (3 views) Soft tissue swelling about the PIP joint as well as medial periosteal reaction over the proximal flanks of the fourth digit is noted. Mid phalanx avulsion fracture is healed. | Periosteal reaction and soft tissue stranding as described around the PIP joint.Healed mid phalanx avulsion fracture. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Circumscribed masses in both breasts are most likely intramammary ly... | Right focal asymmetry. Spot compression imaging and ultrasound are recommended. As well, patient should submit outside mammogram for comparison.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 41 year old presenting with history of a lump in the left breast upper outer quadrant with associated pain. History of breast cancer in the patient's maternal grandmother. MAMMOGRAM: Three standard views of both breasts along with CC and mediolateral spot compression views were performed digitally and reviewed with the... | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Benign calcifications are present.No s... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram. |
Generate impression based on findings. | Male 65 years old; Reason: concern for fistula, bladder to rectum History: fecal material in urine. Scout radiograph demonstrated a nonobstructive bowel gas pattern. Retained contrast in the colon. Large amount of stool, gas and retained contrast projects over the lower pelvis. Upon placement of a Foley catheter, brown... | 1.Brown colored urine with fecal material visualized emptying from the Foley catheter.2.Large filling defect containing gas and debris in the bladder which obscured visualization of the posterior bladder, highly suspicious for feculent material.3.Although no definite fistulous connection was visualized between the blad... |
Generate impression based on findings. | 66-year-old male with history of bilateral hydronephrosis and renal failure secondary to urine retention status post TURP, assess for resolution. RIGHT KIDNEY: The right kidney measures 9.4 cm in length without hydronephrosis or shadowing calculus. There is a 1.8 x 2.0 x 1.7 cm simple appearing interpolar cyst with an ... | No evidence of hydronephrosis. |
Generate impression based on findings. | Status post right hemicolectomy with severe neutropenia and fever ABDOMEN:LUNG BASES: New moderate bilateral pleural effusions with associated compressive atelectasis/consolidation. Small pericardial effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No sign... | Partial small bowel obstruction with transition point just proximal to the ileocolonic anastomosis. No abscesses. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. Round markers were placed on skin lesions overlying both breasts. Arterial calcificati... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | There are postoperative findings related to bilateral uncinectomies, ethmoidectomies, and sphenoidotomies. There is new mucosal thickening of the bilateral frontal sinuses, mild on the right and moderate on the left. There is increased near complete opacification of the bilateral anterior ethmoid air cells and partial... | 1. Interval postoperative findings related to endoscopic sinus surgery with overall increased sinonasal opacification, which likely represents acute upon chronic sinusitis and perhaps nasal polyposis.2. New fluid within the left mastoid air cells and middle ear may represent otomastoiditis.I personally reviewed the Ima... |
Generate impression based on findings. | 13 year old with bilateral clear nipple discharge, presents for ultrasound evaluation. Ultrasound for nipple areola area in both breasts was performed. There are no dilated ducts, solid or cystic lesions in either breast. | No sonographic evidence for malignancy or any abnormal findings. Clinical follow-up is recommended. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in maternal aunt. Two standard digital views and tomosynthesis of both breasts and a cleavage view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, uncha... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | 38-year-old male with hand pain, rule out fracture There is a laceration along the soft tissues of the proximal phalanx of the middle finger. No fracture or foreign body evident. | Laceration without fracture evident. |
Generate impression based on findings. | Female 65 years old; Reason: endometrial cancer with abdominal adenopathy and pulmonary nodules. Compare to outside CT in epic from 10/2014. Please measure using recist criteria History: post 2 cycles of therapy CHEST:LUNGS AND PLEURA: Nonspecific micronodules seen bilaterally. For instance, punctate 2-mm right upper l... | 1. Retroperitoneal and pelvic adenopathy as above.2. Bilateral pulmonary micronodules, nonspecific. |
Generate impression based on findings. | 77 years old, Male, Reason: staging History: pt with HCC CHEST:LUNGS AND PLEURA: Bilateral pleural effusions, left greater than right with associated compressive atelectasis. Right hilar nodular scarring/atelectasis.MEDIASTINUM AND HILA: Minimally enlarged right paratracheal lymph node.CHEST WALL: No significant abnorm... | 1.Confluent bilobar large hepatic tumor consistent with bilobar hepatocellular carcinoma with regional metastatic lymphadenopathy and peritoneal metastasis.2.Moderate amount of ascites present.3.Bilateral pleural effusions, left greater than right. |
Generate impression based on findings. | Male 38 years old; Reason: 38 male with hydrocephalus History: OGT placement Note that the pelvis was not included in the exam. Nonobstructive bowel gas pattern. Interval placement of a orogastric tube which loops in the fundus and terminates in the body of the stomach. IVC filter projects over the T12-L1 level. | Orogastric tube tip in the body of the stomach with the sidehole beyond the gastroesophageal junction. |
Generate impression based on findings. | Abdominal pain, evaluate for ischemic process. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abno... | No acute findings to account for patient's pain. |
Generate impression based on findings. | Male 44 years old; Reason: evaluate for dilated loops of bowel, SBO v. ileus v. colitis History: abdominal pain, constipation Nonobstructive bowel gas pattern. Average amount of stool in the colon. | Nonobstructive bowel gas pattern. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in daughter. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Round mar... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Reason: evaluate for progression of esophageal cancer History: known esophageal cancer CHEST:LUNGS AND PLEURA: Unchanged left lower lobe scarring and mild bronchiectasis.No suspicious nodule/mass. No focal consolidation or pleural effusion.MEDIASTINUM AND HILA:Heart size is normal without significant pericardial effusi... | Stable appearance of esophageal mass and multiple reference lymph nodes, no new suspicious nodule/mass/lymphadenopathy. |
Generate impression based on findings. | History of MSSA bacteremia and fever, evaluate for abdominal source of infection ABDOMEN:LUNG BASES: Scattered ill-defined pulmonary nodular opacities the largest of which measures approximately 1 cm in the right lower lobe which are probably infectious/inflammatory in etiology but should be followed until resolution t... | 1.Cirrhotic liver morphology and mild ascites. 2.No abscess or abdominal source of infection identified. 3.Ill defined pulmonary nodules may be infectious/inflammatory but should be followed until resolution to exclude neoplastic process.4.Subcentimeter hepatic and renal lesions too small to characterize. |
Generate impression based on findings. | There is no evidence of acute intracranial hemorrhage or mass. There is unchanged mild patchy cerebral white matter hypoattenuation. There is an unchanged small area of hypoattenuation in the right cerebellar hemisphere. The ventricles are normal in size and configuration. There is no midline shift or herniation. Ther... | No evidence of acute intracranial hemorrhage. Mild patchy cerebral white matter hypoattenuation may represent small vessel ischemic disease and a small area of hypoattenuation in the right cerebellar hemisphere may represent an infarct of indeterminate age. However, non-contrast CT is insensitive for the detection of n... |
Generate impression based on findings. | Reason: eval for aortic dissection History: s/p PEA arrest, widened mediastinum on CXR LUNGS AND PLEURA: Dense consolidation in both lower lungs and poorly defined nodular opacities in the left upper lobe, consistent with infection and likely aspiration.Small bilateral pleural effusions, greater on the right.MEDIASTINU... | 1. No findings to suggest aortic dissection.2. Extensive bilateral pulmonary consolidation, suggestive of infection and aspiration.3. Pulmonary hypertension.4. Probable metabolic bone disease.5. Mediastinal and retroperitoneal lymphadenopathy of uncertain etiology. |
Generate impression based on findings. | 67-year-old male with history of subdural hematomas. There is redemonstration of a left hemispheric heterogeneous subdural collection measuring 18 mm in maximal coronal dimensions, previously 18 mm (image 42 of series 8021). There is associated mass effect, sulcal effacement, and rightward midline shift of approximatel... | Persistent bilateral subdural hematomas with associated rightward midline shift without significant interval change. |
Generate impression based on findings. | Metastatic colorectal carcinoma CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: Stable bilateral thyroid nodulesCHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Interval decrease in size of several of the previous noted bilobar hepatic metastatic lesions. This fi... | Interval decrease in size of several of the previously noted bilobar hepatic metastatic lesions. No new metastatic focus. |
Generate impression based on findings. | Asymptomatic female presents for routine screening mammography. History of breast cancer in half-sister. Two standard digital views and tomosynthesis of both breasts and an additional right MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular den... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on findings. | Cellulitis and abscess of buttock ABDOMEN:LUNG BASES: Normal in appearance.LIVER, BILIARY TRACT: Normal appearance without focal lesions or biliary ductal dilation.SPLEEN: Normal in appearance.PANCREAS: Normal in appearance.ADRENAL GLANDS: Normal in appearance.KIDNEYS, URETERS: Normal in appearance without focal lesion... | Ulceration and soft tissue edema over the coccyx, without drainable fluid collection or evidence of osteomyelitis. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.