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Generate impression based on findings. | Reason: please do dr jave d ms protocol compare to prior History: progression MS MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. There is a moderate degree of periventricular and subcortical punctate and conf... | 1.There are periventricular white matter lesions present which are stable since the prior exam and compatible with patient's clinical history of demyelinating disorder.2.There are several lesions present in the spinal cord which are compatible with a diagnosis of demyelination and stable since the prior exam. 3.There a... |
Generate impression based on findings. | 30-year-old male patient with PSC-IBD. Evaluate for cholangiocarcinoma. ABDOMEN:LIVER, BILIARY TRACT: Again seen are alternating areas of intrahepatic biliary narrowing and dilation, particularly centrally and in the left hepatic lobe. These findings appear similar compared to comparison examination. No suspicious enha... | 1.Alternating intrahepatic biliary narrowing and dilatation compatible with known history of PSC, not significantly changed compared to prior.2.No evidence of cholangiocarcinoma. |
Generate impression based on findings. | 75 years, Female, Reason: Tremor, worse with action (such as finger to nose, where tremor becomes coarse). Difficulty with tandem gait (falls/steps rightward). Evaluate for cerebellar disease. There is mild volume loss involving the cerebellar hemispheres. There is also a tiny linear focus of T2 hyperintensity in the r... | 1. No evidence of acute infarct, hemorrhage, or mass.2. Mild cerebellar and supratentorial parenchymal volume loss, which appears within normal limits for age. There is also a suggestion of a tiny chronic right cerebellar infarct. Brain MRI is otherwise unremarkable for age. |
Generate impression based on findings. | History of pancreatic tail cyst. Evaluate for any interval change. ABDOMEN:LIVER, BILIARY TRACT: Stable bilobar simple cysts. Normally distended gallbladder. No focal suspicious lesion. No biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: Stable pancreatic tail unilocular cyst measuring 1.1 x... | No significant change in the is unilocular cystic pancreatic tail lesion. |
Generate impression based on findings. | 49-year-old female with abnormal uterine bleeding. Evaluate for adenomyosis. PELVIS: Motion artifact limits evaluation.UTERUS, ADNEXA: The junctional zone is ill-defined and diffusely thickened measuring up to 13 mm. There are multiple subserosal T2 heterogeneous lesions with the largest measuring approximately 3.7 mm;... | 1.Uterine leiomyomata.2.Within the limitations of motion artifact, findings suggestive of diffuse adenomyosis. |
Generate impression based on findings. | Female 49 years old; Reason: chronic tendinitis History: pain and swelling TENDONS: The flexor and extensor tendons are normal in appearance. The Achilles tendon is normal in appearance. No significant abnormality is noted.LIGAMENTS: The medial and lateral ligaments of the ankle are intact. No significant abnormality i... | No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | Orbital cellulitis possible orbital abscess: left orbital pain and blurry vision. There are secretions and moderate mucosal thickening diffusely throughout the left frontal anterior ethmoid, and maxillary sinuses. There is a defect in the left lamina papyracea with mild protrusion of the orbital contents, which is more... | Left osteomeatal unit pattern of sinusitis and medial left orbit cellulitis associated with a lamina papyracea defect, but no evidence of orbital abscess. |
Generate impression based on findings. | 60 year-old female with history of pain. There is narrowing along the superior aspect of the hip joint compatible with mild to moderate osteoarthritis. We see no fracture line, however there is periosteal bone formation along the medial aspect of the femoral neck which may represent a stress fracture in the correct cli... | 1.Periosteal bone formation along the medial aspect of the femoral neck which may represent a stress fracture. An MRI is recommended for further evaluation.2.Osteoarthritis as above.Findings and plan discussed with Dr. Welch at 1030 on 2/4/15. |
Generate impression based on findings. | 81-year-old female with a history of a lung mass presents with back pain, concern for bony metastases; evaluate for spinal cord compression. This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities or dural based metastases.... | 1.No evidence of spinal cord compression. Please note that this is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities, nerve root involvement or dural based metastases. 2.There is a lytic lesion present at T5 which extends int... |
Generate impression based on findings. | Benign neoplasm of pituitary gland [D35.2] / Benign neoplasm of craniopharyngeal duct [D35.3], Reason for Study: ^Reason: hx of pituitary adenoma s/p RT, surveillance MRI History: HA Postsurgical changes with a defect along the right sella related to prior pituitary tumor resections are again demonstrated. The pituitar... | Stable postoperative changes in the sella without new or enlarging lesions. |
Generate impression based on findings. | 58 years Female (DOB:4/12/1958)Reason: Left arm radicular pain with history of cervical fusion in 2002 History: AbovePROVIDER/ATTENDING NAME: THOMAS J. KELLY THOMAS J. KELLY The cervical vertebral bodies are appropriate in overall alignment and height. The patient status post anterior fusion from C3 through C6. There i... | The patient is status post anterior fusion from C3 through C7. There is a moderate degree of spinal stenosis present at C7-T1 associated with encroachment of exiting nerve roots within the neural foramina at C7-T1. |
Generate impression based on findings. | Left sided weakness initially, followed by incontinence and LOC. Many of the images are degraded by patient motion.MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are subcentimeter defects in the bilateral thalami. There is mild supratentorial and infratentorial white matter T2 hyper... | 1. Chronic lacunar infarcts in the thalami and mild small vessel ischemic disease, but no evidence of intracranial hemorrhage, mass, or cerebral edema.2. Mild stenosis of the right middle cerebral artery.3. Chronic right medial orbital wall fracture. |
Generate impression based on findings. | Patient used prophylactic antibiotics before and after the procedure as prescribed. The patient received antibiotic prophylaxis with oral Ciprofloxacin 500mg and Keflex 500 mg. The patient took 1 tablet of Ciprofloxacin 500mg the night before and morning of the procedure. The patient also took 2 tablets of Keflex 500 ... | Successful core-biopsies of the left mid gland peripheral zone. |
Generate impression based on findings. | Female 85 years old with inflammation and severe pain in low back and left hip, evaluate for osteoarthritis Please note that the patient aborted the study before all pre-contrast sequences could be completed. No post-contrast sequences were performed.BONE MARROW: Bandlike signal abnormalities within the left sacral win... | Limited study showing edema within the sacral ala bilaterally as well as the right pubic bone. Given the location and morphology of edema we suspect these represent fractures, perhaps stress fractures if there is no history of trauma. |
Generate impression based on findings. | 60-year-old female with past medical history of Crohn's status post colectomy with elevated bilirubin ABDOMEN:LIVER, BILIARY TRACT: Trace perihepatic fluid. The gallbladder is absent. No intrahepatic ductal dilation. The proximal common bile duct is difficult to visualize although the distal CBD is normal in caliber.SP... | 1.Limited examination due to the lack of IV contrast. The proximal common bile duct is difficult to visualize although the distal CBD appears normal in caliber. No intrahepatic ductal dilation. 2.The gallbladder is absent.3.Small volume abdominopelvic ascites and ileus type pattern. |
Generate impression based on findings. | Migraine, left sided numbness, and blurriness of vision. There is a punctate focus of high T2 signal and perhaps mild restricted diffusion in the medial right occipital lobe. There is no evidence of intracranial hemorrhage or acute infarct. There is a 20 mm wide arachnoid cyst in the middle cranial fossa with flattenin... | 1. A punctate focus of high T2 signal and perhaps mild restricted diffusion in the medial right occipital lobe may represent a recent "migrainous stroke" or embolic infarct or perhaps an atypical focus of demyelinating disease or incipient neoplasm, for example. Follow up via a brain MRI with contrast may be useful.2. ... |
Generate impression based on findings. | Female, 51 years old. Pain MENISCI: The medial and lateral menisci are intact, without evidence of tear.ARTICULAR CARTILAGE AND BONE: There is a bone contusion along the posterior aspect of the medial femoral condyle. There is diffuse patellar chondral thinning, without focal defects.LIGAMENTS: The cruciate and collate... | 1.Bone contusion along the posterior aspect of the medial femoral condyle. 2.Diffuse patellar chondral thinning, without focal cartilage defects. |
Generate impression based on findings. | 56 years Female (DOB:12/25/1959)Reason: please assess for atrophy History: MoCA score is 16, psychosisPROVIDER/ATTENDING NAME: KAMALA GULLAPALLI COTTS The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild to moderate degree of centrum semiovale, periventricular and subcortic... | 1.Periventricular and subcortical white matter lesions of a mild to moderate degree are nonspecific. They are most likely vascular related. Please note that this degree of periventricular white matter lesion accumulation is more than expected at this age.2.Several microhemorrhages are noted in the brainstem and left th... |
Generate impression based on findings. | 73 year old female with a left ear infection and pain with left face weakness, dysarthria, and stuttering. Evaluate the left ear and facial nerve for infection or mass. MRI Brain:Several sequences, including the axial thin section T2 and post-contrast sequences, are severely limited by motion. There is no evidence of i... | Significant left sided otomastoiditis with extensive soft tissue edema and enhancement involving the external auditory canal, peri-auricular soft tissues and extending inferiorly along the infra-temporal soft tissues. At this point, there is no evidence of intracranial extension and no evidence of a drainable abscess. |
Generate impression based on findings. | Right upper quadrant fullness, known PBC, evaluate for change in mass, known hemangioma ABDOMEN:LIVER, BILIARY TRACT: Stable hepatic segment 6 T2 hyperintense focus demonstrating progressive enhancement, consistent with a hemangioma, measures 1 x 0.9 cm, image 17 series 3.Anteriorly located 0.9 x 0.5 cm subcapsular foc... | Stable scattered cysts and hemangiomas.Unchanged lymphadenopathy. |
Generate impression based on findings. | Reason: h/o lung ca, r/o mets History: none The CSF spaces are appropriate for the patient's stated age with no midline shift. There are subtle subtle T1 signal hyperintense small lesions located in the right thalamus, left putamen, left caudate nucleus, right posterior insular cortex and two at the right precentral gy... | 1.There is small lesions present in the right thalamus, left putamen, left caudate nucleus, right posterior insular cortex and two at the right precentral gyrus which are not identified on the prior exam. These are not typical for metastases, though it is conceivable in the appropriate clinical setting that they are re... |
Generate impression based on findings. | Brain tumor. Status post resection. Evaluate extent of resection. The dural based, parasagittal right parietal mass has been near completely resected. There is small residual contrast enhancing tissue within the involved posterior segment of the superior sagittal sinus. There is also minimal, nodular contrast enhancing... | Expected postsurgical changes of right parietal parasagittal meningioma resection. There has been near total tumor resection with small residual enhancement within the invaded posterior superior sagittal sinus compatible with residual tumor. Minimal nodularity along the right parietal convexity dura and along the poste... |
Generate impression based on findings. | Male 24 years old; Reason: injury History: pain, and decrease ROM LIGAMENTS: There is abnormal morphology and signal of the anterior bundle of the ulnar collateral ligament suggestive of a high-grade partial-thickness tear, if not a full thickness tear. Edema is seen in the adjacent soft tissues. The lateral collateral... | 1. Findings suggestive of a tear of the anterior bundle of the ulnar collateral ligament.2. Strain of the flexor digitorum superficialis.3. Slight prominence of the radiohumeral plica, which can be seen in patients with synovial fringe syndrome, though is of questionable clinical significance in this patient. |
Generate impression based on findings. | Right parotid mass. There is a well-defined, bosselated, T2 hyperintense, heterogeneously enhancing mass in the superficial portion of the right parotid gland that measures 19 AP x 14 RL x 31 SI mm. The mass appears to be situated inferior to the main trunk of the right intraparotid facial nerve. The other major saliva... | 1. A right parotid gland tumor that measures up to 31 mm likely represents a pleomorphic adenoma.2. Nonspecific left thyroid nodules measuring up to 12 mm. Follow up via thyroid ultrasound may be useful. |
Generate impression based on findings. | knee pain MENISCI: There is a bucket-handle type tear of the medial meniscus with the fragment displaced anteriorly towards the anterior horn of the meniscus. There is no evidence of lateral meniscal tear.ARTICULAR CARTILAGE AND BONE: No significant abnormality noted.LIGAMENTS: There are surgical changes of ACL reconst... | 1. Bucket-handle type tear of the medial meniscus with anterior displacement of the meniscal fragment. There is no evidence of a lateral meniscus tear.2. Intact ACL graft. |
Generate impression based on findings. | Female 85 years old Reason: evaluate for malignancy History: Eval abdomen and abnormal bladder wall thickening unintentional wt loss LIVER: 11.7 cm in length.Two septated cysts seen: 2.8 x 2.3 x 2.8 cm. The second measures 1.8 x 1.6 x 2.1 cm. These correspond to lesions seen on the MRI.Hemangioma along the posterior co... | Hepatic cysts. Renal cysts. Peripancreatic lymph node. |
Generate impression based on findings. | 35-year-old male experiencing headache, history of AML status post stem cell transplant, recently hit in the face. There is no evidence of intracranial hemorrhage, mass, or acute infarct. Redemonstrated is encephalomalacia in the right occipital lobe with predominantly gyriform areas of susceptibility effect, and ex va... | Stable bilateral occipital lobe encephalomalacia, right greater than left, but no evidence of intracranial mass or leptomeningeal disease. |
Generate impression based on findings. | Status post orthotopic liver transplant. Evaluate for HCC. ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes from orthotopic liver transplant. The gallbladder has been surgically removed.No suspicious liver lesion. There is mild biliary ductal wall thickening and enhancement with mild central ductal dilatation without... | No suspicious liver lesion.There is mild biliary ductal wall thickening and enhancement with mild central ductal dilatation without a focal lesion. The hepaticojejunostomy appears patent. |
Generate impression based on findings. | A 38 year old female with hypertension and hyperlipidemia. Hospitalized now with a clinical diagnosis of myo-pericarditis. Referred to cardiac MRI for further evaluation. Left VentricleThe left ventricle is normal size with overall normal systolic function. There is mild hypokinesia and the basal to mid inferolateral w... | 1. The left ventricle is normal size with normal systolic function, the LVEF is 59%. There is mild hypokinesia at the area of enhancementdemonstrated by the infero-lateral wall base to midchamber. Given the clinical history, this is suggestive of myocarditis. No associated pericardial effusion or enhancement.2. The rig... |
Generate impression based on findings. | Reason: 59M with gleason 6 PrCa on active surveillance History: as above. PELVIS:PROSTATE:Prostate Size: 2.8 x 4.8 x 4 cm.Peripheral Zone: In the left posterior mid/base peripheral zone there is a 0.7 x 0.9 x 0.8 cm tumor (series 501 image 80, series 601 image 21). Central Gland: Heterogeneous with probable hyperplasti... | Findings suspicious for subcentimeter tumor in the left posterior mid/base peripheral zone. |
Generate impression based on findings. | Numerous FLAIR hyperintense foci are seen in the subcortical and periventricular white matter. Similar foci are seen in the centrum semiovale bilaterally, in the midbrain, pons and medulla. These foci are nonspecific but likely relate to chronic ischemic microvascular disease.Apparent punctate enhancement is suggested... | 1. No definite evidence of metastatic brain disease. 2. Incidental ectopic posterior pituitary.3. Moderate chronic small vessel ischemic changes. |
Generate impression based on findings. | Female, 63 years old, history of brain lesion, planning for resection. A rim-enhancing lesion centered in the right frontal corona radiata has increased in size compared to the prior examination, now measuring 45 x 41 mm, previously no more than 31 x 23 mm. The degree of surrounding parenchymal T2 signal abnormality an... | Interval growth of both rim-enhancing right cerebral masses. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are 2 view mammograms of the bilateral breasts, 2 spot compression views of the right breast, and right grayscale ultrasonographic images dated 7/14/2016 and bilateral breast MRI dated 8/9/2016 performed at Saint Alexius Medical Center. Mammogram 7/14/1... | Abnormal non-mass enhancement on breast MRI dated 8/9/2016 as specifically outlined above (more disease seen on MRI than mammogram) dated 7/14/2016 and is compatible with malignancy. Further, two pathologically enlarged right axillary lymph nodes are visualized. Ultrasound of the right axilla can be performed.Kindly su... |
Generate impression based on findings. | Male, 44 years old, history of metastatic melanoma status post two cycles of Temodar. Assess response to therapy. Numerous enhancing parenchymal lesions are again seen, most of which have substantially decreased in size compared to the prior examination. Some of the larger lesions also show reduced edema. For example, ... | Interval response to treatment with a majority of the previously seen enhancing lesions showing a substantial reduction in size. |
Generate impression based on findings. | Male, 74 years old. Pain, swelling TENDONS: The Achilles tendon is thickened with areas of internal abnormal signal, compatible with mild to moderate tendinopathy. A 6-7 mm cystic structure is noted within the tendon posteriorly approximately 2 cm from its insertion. A focus of fluid signal along the middle third of th... | 1.Partial tear of the Achilles tendon insertion is likely subacute in nature on a background of mild to moderate tendinopathy. Bone marrow edema in the calcaneus is likely secondary to the Achilles tendon insertion injury.2.Medial talar dome osteochondral defect and additional degenerative changes throughout the forefo... |
Generate impression based on findings. | Nontraumatic intracranial hemorrhage, unspecified, evaluate for microbleeds. The exam is degraded by patient motion. Within this limitation, there is an unchanged hematoma in the right thalamus with intrinsic T1 signal and surrounding T2 hyperintensity, measuring up to approximately 20 mm. There is no evidence of acute... | 1. Unchanged small subacute right thalamic hematoma.2. No evidence of acute ischemic cerebral infarction.3. Extensive white matter abnormality may represent chronic small vessel ischemic disease.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 65-year-old female with altered mental status. Evaluate for CVA. Patient is status post right parietal craniotomy with region of encephalomalacia seen in the right precentral gyrus, involving the right centrum semi-ovale as well. Patchy hypoattenuation areas are also seen in bilateral corona radiata. These findings app... | Postsurgical changes appearing similar to prior MRI from 2006. Please note that lack of IV contrast limits evaluation for tumor, and CT is insensitive to early detection of CVA. Consider contrast-enhanced CT or MRI to evaluate for tumor recurrence or stroke if clinically needed. |
Generate impression based on findings. | External impingement right shoulder ROTATOR CUFF: The supraspinatus and infraspinatus tendons are intact. There is a small articular sided partial tear of the subscapularis.SUPRASPINATUS OUTLET: Mild degenerative changes are seen at the acromioclavicular joint.GLENOHUMERAL JOINT AND GLENOID LABRUM: Note is made of dege... | Small articular sided partial tear of the subscapularis tendon. |
Generate impression based on findings. | Reason: r/o lose body fragment History: pain and locking of knee MENISCI: There is a oblique tear of the posterior horn of the medial meniscus which extends to the free edge of the meniscus as well as the tibial and femoral articular surface. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: No full-thi... | 1. Oblique tear of the posterior horn of the medial meniscus.2. Edema within the quadriceps fat pad is nonspecific but can be seen in fat pad impingement syndrome. |
Generate impression based on findings. | 64-year-old woman with history of HCC status post TACE/RFA in April 2015. ABDOMEN:LIVER, BILIARY TRACT: Ablation cavity in segment 5 (1011/172) appears similar to the prior examinations without evidence of arterial enhancing lesion. The liver is cirrhotic in morphology.No intra or extrahepatic biliary ductal dilatation... | Segment five ablation zone without evidence of local recurrent or new disease. |
Generate impression based on findings. | 26-year-old male with recurrent dislocation of the patella. Evaluate for loose ligaments of the patella or internal derangement. MENISCI: There is linear signal abnormality which extends to the femoral articular surface within the posterior horn of the lateral meniscus which may reflect a small vertical tear. The anter... | 1. Complete rupture of the ACL.2. Tearing of the medial and lateral meniscus.3. Findings consistent with patellofemoral instability with a probable loose body within the joint space.4. Full-thickness articular cartilage defects as described above. |
Generate impression based on findings. | Osteomyelitis of the pubic symphysis. Evaluate for pelvic abscess. Extensive pelvic wall edema. Dependent body wall edema. Extensive edema signal of the adductor musculature bilaterally. Osteomyelitis affects the body of the pubic symphysis with extensive reactive osteitis extending along the pubic rami and inferiorly.... | No loculated drainable fluid collection is evident in the pelvis. See the dedicated MRI of the femur report. Acute on chronic pubic symphysis osteomyelitis and inflammatory/phlegmonous soft tissue changes about the pubic symphysis, involvement with a collapsed non-visualized bladder cannot be excluded. |
Generate impression based on findings. | Multiple sclerosis with head and fatigue. There are several cerebral white matter lesions. A lesion in the left frontal centrum semiovale has slightly increased in size, although the associated enhancement has essential resolved. On the other hand, an anterior right frontal lobe lesion has decreased in size. There is n... | Multiple demyelinating lesions related to multiple myeloma, including decrease in size of a right anterior frontal lobe and slight increase in size of a left frontal centrum semiovale lesion. |
Generate impression based on findings. | 38-year-old male with tenderness, fever. Evaluate for epidural abscess. Alignment and bone density are within normal limits. Vertebral body heights and disk spaces are maintained. Hypertrophy of the facet joints at L3-4, L4-5, and L5-S1. The dorsal epidural fat pads are intact. There is no definite dural thickening alo... | Limited study in evaluating for an epidural abscess. However, within the limitations, there are no findings to suggest an epidural process. No other specific findings on this study to explain the patient's symptoms. |
Generate impression based on findings. | 57 years, Female, Reason: H/o HCV; CT scan on admit showing 1.6 cm indeterminate lesion; stable from previous imaging in 11/2014; evaluate for HCC versus other etiology History: as above. ABDOMEN:LUNG BASES: No significant abnormality noted.LIVER, BILIARY TRACT: 1.6-cm lesion in the left hepatic lobe is hyperintense on... | 1.Enhancing left hepatic lobe lesion. There is a lack of nodular enhancement and an atypical hemangioma is considered most likely. 12-month follow-up is recommended. |
Generate impression based on findings. | Knee pain. Malignant neoplasm of the breast. Due to the patient's body habitus, the high-resolution knee coil could not be used. An alternative coil was used instead which results in slightly suboptimal image quality.MENISCI: The menisci appear normal.ARTICULAR CARTILAGE AND BONE: There is perhaps mild superficial dege... | 1.Minimal degeneration of the articular cartilage of the patella.2.Small focus of low signal intensity within the distal femoral metaphysis is nonspecific. While I suspect that it is benign in etiology, given the patient's history of breast cancer, follow-up radiographs are recommended to assess for interval change in ... |
Generate impression based on findings. | Female 79 years old with abdominal pain. A 1.5 cm cystic lesion in the uncinate process of the pancreas was seen on EUS done in August of 2016. Patient was also noted to have multiple other cystic type lesions. Please evaluate for interval changes. Additional history from the electronic medical record indicates a right... | 1. Solid enhancing lesions along the length of the pancreas are most suspicious for metastatic renal cell carcinoma given multiplicity and the patient's remote history of RCC. 2. Neuroendocrine tumor another differential consideration.3. Findings concerning for hepatic metastatic disease.4. Probable sidebranch IPMNs in... |
Generate impression based on findings. | The exam is markedly degraded by dental brace artifact. The ventricles and sulci are normal in size. There are no masses, mass effect or midline shift. There is no evidence for intracranial hemorrhage or acute infarction in the areas that are not degraded by artifact. The paranasal sinuses and mastoid air cells are gr... | The exam is markedly degraded by dental brace artifact, but there is no gross intracranial mass. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Male; 75 years old. Reason: eval PSC for dominant stricture, eval for HCC, f/u pancreatic cyst History: cirrhosis, PSC, pancreatic cyst ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology of the liver again seen. No focal, enhancing hepatic lesions. Portal venous system is patent. Gallbladder sludge and/or small stones.... | 1.New moderate retroperitoneal lymphadenopathy.2.No focal, enhancing hepatic lesions.3.Stable appearance of the biliary tree, likely secondary to sclerosing cholangitis, with no new dominant stricture evident.4.No gross change in multiseptated uncinate pancreatic IPMN. |
Generate impression based on findings. | History of urothelial cancer with new onset pain to scrotum, pain worsening, please evaluate PELVIS:PROSTATE/SEMINAL VESICLES: Prostatomegaly, evidence of BPH, gland measures up to 6.1 cm (please note that prostate is suboptimally assessed on this nondedicated study).BLADDER: No significant abnormality noted.LYMPH NODE... | Pelvic lymphadenopathy as above. |
Generate impression based on findings. | Male, 41 days old, ex 28 weeker with history of presumed meningitis, now with poor head growth. Hemosiderin staining is evident along the germinal matrices bilaterally. Hemosiderin staining is also evident within the occipital horn of the left lateral ventricle. A small focus of susceptibility effect is demonstrated in... | 1.Sequelae of mild bilateral germinal matrix hemorrhages are seen. In addition, there is evidence of hemosiderin staining within the left lateral ventricle which would imply some degree of intraventricular hemorrhagic extension. Ventricular size, however, remains within normal limits.2.A small focus of susceptibility e... |
Generate impression based on findings. | T4N2cM0 p16+ left BOT/oral tongue squamous cell carcinoma 1month post TFHX. There are post-treatment findings in the upper neck. There is no measurable residual oropharyngeal tumor. There is also no evidence of residual significant cervical lymphadenopathy. For example, a right level 2A lymph node measures 4 x 10 mm in... | 1. No measurable residual oropharyngeal tumor or residual significant cervical lymphadenopathy.2. Apparent thrombosis of the catheterized right internal jugular vein. Doppler ultrasound may be useful for further evaluation.3. Unchanged left vestibular schwannoma. |
Generate impression based on findings. | 37 year old with history of right mastectomy for IDC and DCIS. There is heterogeneous amount of fibroglandular tissue in the left breast. The patient is status post right mastectomy. Mild parenchymal enhancement is noted in the left breast.No abnormal enhancement is seen in the left breast or right chest wall. No abnor... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | 61-year-old female with poor PO intake. Evaluate for any small bowel abnormalities. ABDOMEN: Mild dependent right basilar atelectasis.LIVER, BILIARY TRACT: There is a mildly lobulated T2 hyperintense non- focus in the hepatic dome measuring 3.9 x 2.5 cm. SPLEEN: No significant abnormality noted.PANCREAS: No significant... | 1.Gastric and diffuse small bowel distention, consistent with diffuse adynamic ileus. The dilated ileum has a "hidebound appearance" with narrowed separation of the valvulae conniventes (despite the degree of bowel lumen dilatation) with normal-appearing thickness of the folds. Somewhat more than expected intraluminal ... |
Generate impression based on findings. | 65 year old male with new diagnosis of heart failure with reduced ejection fraction, atrial fibrillation referred for cardiac MRI for further evaluation. Left VentricleThe left ventricle is normal in size with mildly reduced systolic function. The overall LV ejection fraction is 51%, the LV end diastolic volume index i... | 1. The left ventricle is normal in size with mildly reduced systolic function (LVEF 51%) with global hypokinesis. 2. The right ventricle is normal in size with mildly reduced systolic function (RVEF 48%). 3. Mild-moderate left ventricular hypertrophy and mild right ventricular hypertrophy with diffuse predominantly mid... |
Generate impression based on findings. | 29 year old with BRCA 1 mutation. History of benign left breast MR guided biopsy in 2015. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.Metallic artifact from prior benign biopsy is present in the upper inner quadrant in the left breast.No ab... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Female, 81 years old, with memory decline, history of pituitary macroadenoma. A chronic lacunar infarct of the right basal ganglia is unchanged. No diffusion restricting lesions are seen. No evidence of parenchymal edema or mass effect is detected. No acute intracranial hemorrhage or any abnormal extra axial fluid coll... | 1.A chronic right lacunar infarct is redemonstrated. No new or acute findings are seen.2.Stable enlargement of the pituitary gland. |
Generate impression based on findings. | Reason: Evaluate for cervical myelopathy History: LE weakness, hyperreflexia, LE numbness Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.No abnormal enhancing lesions are appreciated in the c... | 1.No spinal cord lesions are appreciated.2.There are mild degenerative changes present in the cervical spine. |
Generate impression based on findings. | Right knee pain. MENISCI: The apical portion of the body of the medial meniscus is not visualized. Additionally, there is abnormal signal adjacent to the anterior horn of the medial meniscus which may represent the displaced meniscal fragment. There is also blunting of the posterior horn of the medial meniscus. The lat... | 1. Tear of the body of the medial meniscus with possible displacement as described above. 2. Intact cruciate ligaments. |
Generate impression based on findings. | Dizziness and giddiness [780.4], Reason for Study: ^Reason: HA, vertigo, possible neurosyphilis? History: HA, vertigo No evidence of acute ischemic or hemorrhagic lesion on the scan.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. There is no mass, mass... | Maxillary sinusitis, otherwise unremarkable brain MRI. |
Generate impression based on findings. | There is mild narrowing of the distal cavernous right internal carotid artery. The intracranial internal carotid arteries are otherwise normal in course and caliber. There is a mildly hypoplastic right A1 segment. There is mild irregularity of the proximal left M1 segment. There is also mild irregularity of the proxim... | No flow-limiting stenosis or intracranial aneurysm. However, mild scattered posterior greater than anterior circulation atherosclerotic disease as detailed above. Of note, there is fetal right inferior type left supply to the PCAs. |
Generate impression based on findings. | 31-year-old female with left knee pain. MENISCI: There is a bucket-handle tear of the posterior horn of the medial meniscus. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: No significant thinning of the articular cartilage. There is bone marrow edema of the medial femoral condyle and medial tibial pl... | 1. Large joint effusion with bucket handle tear of the posterior horn of the medial meniscus.2. ACL tear.3. Bone marrow edema within the medial femoral condyle and medial tibial plateau. |
Generate impression based on findings. | Headaches, acoustic neuroma, preoperative planning. Examination is obtained for operative planning and intraoperative navigation. Fiducial markers are in place. Again seen is an enhancing mass at the right cerebellopontine angle cistern measuring approximately 3.0 x 2.9 x 2.7 cm in the AP, transverse, and craniocaudal ... | 1. Heterogeneously enhancing right cerebellopontine angle mass measuring 3.0 x 2.9 x 2.7 cm extending into the right internal auditory canal consistent with known vestibular schwannoma.2. Mass-effect on the right pons, middle cerebellar peduncle, cerebellum, as well as the cisternal segment of the right trigeminal nerv... |
Generate impression based on findings. | Fatty filum, scoliosis, symptom changes. Please do on 3T. Urinary changes For the purposes of numbering, there are 5 lumbar type vertebral bodies. Conus appears to terminate at the L2-L3 level. Fatty infiltration of the filum terminale is noted below the upper L4 level and measuring up to 2.5 mm in the AP dimension. Th... | 1. Conus appears to terminate at the lower L2/L2-L3 level which is borderline low. There is a fatty filum terminale measuring up to 2.5 mm in thickness at the L4 level. Overall findings are somewhat suggestive of tethered cord and can be correlated with clinical exam.2. Trace prominence of the central canal at the conu... |
Generate impression based on findings. | 58 year old man with history of HTN, AF, referred for cardiac MRI prior to planned AF ablation. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 51%, the LV end diastolic volume index is 62 ml/m2 (normal range: 74+/-15), the LVEDV is 142 ml (normal ra... | 1. The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 51%. There is no late gadolinium enhancement in the left ventricle to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process.2. The right ventricle is normal in size with normal sys... |
Generate impression based on findings. | 14-year-old male with history of syncope and new right-sided limp. The cerebellar tonsils extend down to the level of the foramen magnum, raising the question of tonsillar herniation. This could be better evaluated on MRI.There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns ... | Question of low lying cerebellar tonsils which could be better evaluated on MRI. Otherwise, unremarkable examination. |
Generate impression based on findings. | Reason: episodes of bilateral visual loss, h/o stroke History: bilat visual loss MRI of the brainNo diffusion weighted abnormalities are appreciated.The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white ma... | 1.Findings suggest a 4 millimeter aneurysm at the communicating segment of the LICA. This can be confirmed with CTA. 2.Findings suggest 1.5mm Infundibulum at the origin of the left posterior communicating artery. This can be confirmed with CTA. 3.No evidence for cerebrovascular occlusive disease.4.Periventricular and s... |
Generate impression based on findings. | Reason: Rt long finger A2 pully rupture? History: pain and inability to straighten finger. LIGAMENTS: The flexor pulley system is intact, particularly the A2 pulley is intact as clinically questioned.TRIANGULAR FIBROCARTILAGE COMPLEX: No significant abnormality noted.TENDONS: No significant abnormality noted. BONES: Mi... | 1.Intact flexor pulley system.2.Mild nonspecific bone marrow edema involving the base of the proximal phalanx of the middle finger. |
Generate impression based on findings. | Clinical question: History of meningioma status post XRT. Please evaluate/computer. Signs and symptoms: Right blurry vision. Pre and post enhanced brain MRI:No acute intracranial process and negative diffusion weighted series.There is revisualization of a meningioma within the right cavernous sinus with resultant expan... | 1.No acute intracranial process and stable findings suggestive of mild chronic small vessel ischemic strokes.2.Stable size, morphology, signal intensity and homogeneous pattern of enhancement of a meningioma within the right cavernous sinus and sella turcica with minimal expansion superiorly into the basal cistern, min... |
Generate impression based on findings. | Reason: eval for meniscus tear/chondromalacia History: knee pain. MENISCI: The posterior horn and posterior body of the lateral meniscus are diminutive with a low signal intensity structure anterior to the anterior horn of the lateral meniscus suspicious for a flipped fragment of the posterior horn and body. The anteri... | 1.Tear of the posterior body and horn of the lateral meniscus with a fragment flipped anterior to the anterior horn of the lateral meniscus. 2.Fraying of the free edge and undersurface of the anterior horn of the medial meniscus.3.Small joint effusion. |
Generate impression based on findings. | History of Crohn's disease admitted with abdominal pain. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size and signal intensity. No intra or extrahepatic biliary ductal dilatation. No focal suspicious lesion.The gallbladder is normally distended with a large gallstone at the gallbladder body/neck ju... | Gallstone at gallbladder body/neck junction of a normally distended gallbladder without specific findings of acute cholecystitis or biliary ductal dilatation. No choledocholithiasis, discrete stricture or lesion is evident. The findings seen on the patient's HIDA scan may reflect ampullary stenosis. |
Generate impression based on findings. | 31-year-old male with lateral meniscus repair 9 months ago now with new injury MENISCI: Mild globular intermediate signal within the medial meniscus may represent intrasubstance degeneration without discrete tear. Globular intermediate signal within an enlarged lateral meniscus is compatible with intrasubstance degener... | 1.Blunting of the anterior horn of the lateral meniscus compatible with a radial tear. Complex fragmentation of the posterior horn with vertical and horizontal components. 2.Edema within the lateral femoral condyle.3.Small joint effusion. |
Generate impression based on findings. | 60-year-old male with elevated PSA PELVIS:PROSTATE:Prostate Size: 4.7 x 3.1 x 3.5 cmPeripheral Zone: No significant abnormality.Central Gland: There is a lesion in the right transition zone extending into the anterior prostate measuring 1.1 x 0.9 cm which is hypointense on ADC, hyperintense on DWI, has ill-defined T2 s... | 1.Lesion in the right transition zone extending into the anterior prostate is suspicious for prostate cancer.2.No lymphadenopathy. |
Generate impression based on findings. | vertigo, vomiting and truncal ataxia No evidence of acute ischemic or hemorrhagic lesion on this scan.Multifocal scattered bihemispheric high signal intensity lesions on FLAIR indicate age indeterminate non specific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. There i... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. Non specific small vessel ischemic disease. |
Generate impression based on findings. | 67-year-old female with history of right cerebellar pontine angle meningioma status post cyber knife and resection. Limited exam secondary to lack of IV contrast.Postsurgical changes from a right sided suboccipital craniotomy and CP angle tumor resection are seen. There is significantly reduced T2/flair hyperintensity ... | 1.Limited exam secondary to lack of IV contrast which decreases sensitivity for the detection of recurrence.2.Postsurgical changes of right CP angle meningioma resection with evidence of decreased local edema.3.No definitive evidence of bulky tumor recurrence without the benefit of IV contrast. If warranted, the patien... |
Generate impression based on findings. | 37-year-old female with newly diagnosed right breast IDC with metastatic right axillary lymph node. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.RIGHT:There is an irregularly shaped enhancing mass at 8:00 position in the right breast measuring 36 x 27 x 24 m... | 1. Biopsy proven right breast cancer with metastatic right axillary lymph node.2. Linear branching, clumped non-mass enhancing lesion in the right retroareolar region. MR-directed ultrasound is recommended. If no sonographic correlation is detected, MR guided biopsy should be considered.3. No MR evidence for malignancy... |
Generate impression based on findings. | Reason: see below History: Rt hand pain eval for etiology Multiple sequences are severely limited secondary to patient motion artifact. Evaluation of the intrinsic ligaments and triangular fibrocartilage complex of the wrist is limited due to lack of intra-articular contrast as well as extensive patient motion artifact... | 1. Limited examination secondary to extensive patient motion artifact. Negative ulnar variance with increased signal abnormality within the lunate which may reflect early Kienböck's disease/avascular necrosis.2. Nonspecific edema within the pronator quadratus muscle belly. Although there is no corresponding edema withi... |
Generate impression based on findings. | 75 year old female with metastatic breast cancer and pancreatitis status post ERCP on 10/27 with stent placement now with abdominal pain, nausea/vomiting, increasing lipase. Please evaluate for pancreatitis. ABDOMEN:LUNG BASES: Increase in bilateral pleural effusions since prior MRI, right greater than left with adjace... | 1. Worsening of bilateral pleural effusions.2. Poor visualization of the portal vein, confluence, splenic vein and distal SMV consistent with thrombosis.3. New left-sided hydronephrosis and hydroureter with lack of visualization of the distal ureter consistent with obstruction.4. Apparent worsening of intra-abdominal a... |
Generate impression based on findings. | 44-year-old female with invasive ductal carcinoma in the lower inner left breast 2:00 location and metastatic disease in the left axillary lymph node presents for preop staging. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.RIGHT BREAST:There is... | 1. Unifocal 3.1 cm biopsied malignancy in the far posterior left breast 2:00 position. Enhancement of the overlying skin is highly suggestive of skin involvement of cancer and/or postbiopsy change of the skin.2. Multiple abnormal-appearing lymph nodes in the left axilla including the subpectoral region compatible with ... |
Generate impression based on findings. | Headache [R51], Reason for Study: ^Reason: seizure History: complex partial seizure. No evidence of acute ischemic or hemorrhagic lesion on the scan. There is no evidence of abnormal enhancement either.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiation is normal. Th... | Normal brain MRI.Sebaceous cyst on the right high convexity. |
Generate impression based on findings. | History of relapsed follicular lymphoma with bone lesions in the left humerus. Within the mid diaphyseal region of the left humerus is a somewhat ill-defined lesion that is dark on T1 and bright on T2 images with probable mild endosteal scalloping. This lesion enhances on postcontrast imaging. There is no adjacent soft... | Intraosseous lesion in the left mid-humeral diaphysis most consistent with the patient's history of lymphoma. |
Generate impression based on findings. | CERVICAL SPINE:Degenerative disc disease is noted within the cervical spine with disc dessication and mild loss of disc height. The marrow signal is benign. The cervical and upper thoracic cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar tonsils are in norm... | 1.Degenerative and post-surgical changes of the cervical spine as described above without significant spinal canal stenosis or neural foraminal narrowing.2.No cervical spine of thoracic spine compression fracture is identified. |
Generate impression based on findings. | Reason: R shoulder pain and popping after injury. Assess for rotator cuff pathology. ROTATOR CUFF: There is a full-thickness tear of the posterior aspect of the supraspinatus tendon which also involves the anterior aspect of the infraspinatus tendon, and extends over AP diameter of at least 12 mm. There is retraction o... | 1.Full-thickness tear of the posterior supraspinatus/anterior infraspinatus tendons with associated retraction, tendinopathy, and mild muscular atrophy.2.Moderate degenerative arthritic changes at the glenohumeral joint with moderate chondral loss and near circumferential degenerative tearing of the glenoid labrum.3.Th... |
Generate impression based on findings. | New onset slurred speech, now resolved, but residual left-sided weakness. There is a punctate focus of mildly restricted diffusion in the posterior limb of the right internal capsule. There is encephalomalacia with hemosiderin staining in the right basal ganglia and corona radiata. There is prominent underlying diffuse... | 1. Recent punctate infarction involving the posterior limb of the right internal capsule.2. Evolution of the hemorrhagic infarction involving the right basal ganglia and corona radiata, which is now in the chronic phase.3. Moderate probable chronic small vessel ischemic white matter disease. |
Generate impression based on findings. | Reason: Evaluate for structural lesions History: paresthesias The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma.There is a punctate signa... | 1.No evidence for intracranial mass lesion or demyelination to explain the patient's paresthesias.2.A microhemorrhage along the right basal ganglia is of uncertain clinical significance in isolation. It is conceivable that this could be the source of paresthesia. Please correlate with clinical exam. |
Generate impression based on findings. | Four month-old female presents with infantile spasms. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There may mild thinning of the posterior corpus callosum, measuring 2 mm in thickness, but otherwise the degree of myelination appears to be appropriate. The brain parenchyma and pituitary glan... | 1. No evidence of hypoxic ischemic encephalopathy. 2. Prominent subarachnoid spaces in the bilateral anterior cerebral convexities.3. Perhaps mild thinning of the posterior corpus callosum, but otherwise the degree of myelination appears to be appropriate.I personally reviewed the Images and/or procedure with the Resid... |
Generate impression based on findings. | Nasopharyngeal adenoid cystic carcinoma status post radiation therapy. There is no significant interval change in size of the enhancing perineural tumor in the left parapharyngeal space along the V3 segment of the left trigeminal nerve into the left cavernous sinus, measuring up to 6 mm in thickness. The left foramen r... | 1. No significant interval change in the appearance of the treated perineural tumor related to nasopharyngeal adenoid cystic carcinoma involving the left trigeminal nerve.2. Unchanged nonspecific defect in the left greater with of the sphenoid with enhancement, which may be vascular rather than neoplastic in nature.3. ... |
Generate impression based on findings. | 54-year-old male with right shoulder pain not improving despite injection. ROTATOR CUFF: There is fluid signal abnormality along the posterior aspect of the humeral head which may reflect a ganglion within the infraspinatus muscle or less likely a small interstitial tear. The supraspinatus and infraspinatus muscles and... | 1. Extensive bone marrow edema and subcutaneous inflammatory change about the AC joint, which may be degenerative in etiology. Further evaluation with dedicated radiographs is recommended.2. Rotator cuff tendinosis without evidence of a full-thickness rotator cuff tear. Other findings as described above. |
Generate impression based on findings. | Reason: H/o left shoulder lymphoma please restage History: prior mass and pain There is abnormal heterogeneous signal intensity within the glenoid and neck of the scapula compatible with the patient's known history of lymphoma with pathologic fracture. The fragmentation seen on the prior MRI study is not as evident ind... | 1. Findings indicating treatment of scapular lymphoma with an overall favorable response and continued healing of a pathologic fracture.2. Synovitis of the glenohumeral joint appearing similar to the prior study. |
Generate impression based on findings. | Redemonstrated is a primarily T2 hyperintense mass lesion in the parietal lobe containing some central T2 hypointense components. On recent comparison brain MRI this demonstrated ring enhancement with adjacent vasogenic edema. There is no significant associated mass effect. The ventricles are unchanged in size or shap... | 1.Redemonstrated is a primarily T2 hyperintense mass lesion in the parietal lobe containing some central T2 hypointense components2.Incidental note is made of a 5 mm transverse x 5 mm AP x 7 mm craniocaudal focus within the posterior sella which is T1 hypointense and T2 hyperintense. This is unchanged when compared to ... |
Generate impression based on findings. | Clinical question: Evaluate for growth of AA status post RT/TMZ+ TMZ. Now off all treatments. Signs and symptoms: Right frontal anaplastic astrocytoma. Pre- and post enhanced brain MRI:No diffusion-weighted abnormalities.Examination demonstrates a focus of FLAIR hyperintensity with underlying parenchymal volume loss an... | 1.Stable post surgical/treatment changes of right frontal lobe astrocytoma.2.Unremarkable pre and post enhanced brain MRI otherwise and stable since prior study. |
Generate impression based on findings. | 67 year old with personal history of prior left lumpectomy, radiation therapy and chemotherapy in 2002. Family history of breast cancer in her sister and maternal aunt. BRCA2 positive. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally. Post surgical volume loss a... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | 46 year old man with history of non-ischemic cardiomyopathy with worsening LV function on serial echocardiograms. He was referred for cardiac MRI to evaluate cardiac function. Left VentricleThe left ventricle is normal in size with mild to moderate reduced systolic function. The overall LV ejection fraction is 40%, the... | 1. Mild to moderately reduced LV systolic function (EF 40%) with normal LV size. When compared to the previous MRI of 5/13/2014, LV function appears slightly worse.2. No evidence of late gadolinium enhancement to suggest a myocardial infiltrative, inflammatory or fibrosis process. 3. Normal sized RV with moderately red... |
Generate impression based on findings. | Gait abnormality The spinal cord has grossly normal signal characteristics and overall morphology. There is no compromise of the spinal cord. The vertebral bodies are appropriate in overall height. There is straightening with loss of normal thoracic kyphosis and lumbar lordosis. There are degenerative changes in the ce... | This is a limited exam specific for the exclusion of cord compression only and does not exclude more subtle lesions such as intrinsic cord abnormalities. No cord compression is identified. There is however large disc extrusion at the L4-L5 level which appears to cause high-grade spinal canal stenosis and mass effect on... |
Generate impression based on findings. | Secondary malignant neoplasm of brain [C79.31] / Secondary malignant neoplasm of other parts of nervous system [C79.49], Reason for Study: ^Reason: metastatic NSCLC with brain mets s/p SRS; assess for stability History: stability Redemonstration of enhancing nodules at bilateral cerebellar hemispheres, right posterior ... | 1. Multifocal enhancing lesions involving bilateral cerebellar hemispheres, pons and right occipital lobe as described above, unchanged since prior scan.2. No evidence of acute ischemic or hemorrhagic lesion.3. Previously reported bilateral inferior parietal lobule enhancing nodules are not as conspicuous as prior.4. N... |
Generate impression based on findings. | 14-year-old male with a history of left ureteral reimplantation presents with left flank pain, evaluate for renal stones or obstruction. BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Present. Left: Not observedKIDNEYS Cortical E... | Normal sonographic evaluation of the kidneys. Specifically, no evidence of nephrolithiasis or hydronephrosis.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the cali... |
Generate impression based on findings. | Clinical question: Compared to x-ray of the lumbar spine. Signs and symptoms: Low back pain. Nonenhanced lumbar MRI:At T12-L1 there is a T2 hypointense left lateral epidural defect (sagittal T2 image 7 and axial T2 series 601 images 38 through 40) finding extends into the left neural foraminal at T12-L1 level and is su... | 1.Extensive degenerative changes of lumbar spine in particular hypertrophic changes of posterior elements are present.2.There is moderate central spinal stenosis at L2-L3 and L3-L4 levels.3.There is an extruded disc fragment posterior to the vertebral body of T12 and extending into the left T12-L1 neural foramina with ... |
Generate impression based on findings. | 11 years Female (DOB:11/7/2004)Reason: Please evaluate for tumor or dysplasia - seizure focus History: Complex partial epilepsy with staring and eye fluttering, seizure focus R frontal on EEGPROVIDER/ATTENDING NAME: CHALONGCHAI PHITSANUWONG YULIYA YANOVSKAYA The CSF spaces are appropriate for the patient's stated age w... | 1.There are multiple lesions present in the upper neck in particular in the left parotid space but also along the jugular chains. There is concern for lymphadenopathy and possibly a mass in the left parotid gland. This is incompletely imaged on this exam which is tailored for the brain and not the neck. If clinically a... |
Generate impression based on findings. | Left frontal meningioma resection in 1981. Reresection in 1994. Left falcine meningioma RT in 2009. There are postoperative findings related to left frontal meningioma resection with encephalomalacia in the underlying brain parenchyma and a small amount of enhancing tissue overlying the left middle frontal gyrus, which... | 1. Postoperative findings related to left frontal meningioma resection with encephalomalacia in the underlying brain parenchyma and a small amount of enhancing tissue overlying the left middle frontal gyrus, which measures up to 5 mm in width and may represent residual meningioma. 2. Interval increase in size of the fa... |
Generate impression based on findings. | Infection Note that the examination is significantly limited given the presence of metallic susceptibility artifact, and the lack of contrast, and extensive patient motion.The components of a total knee arthroplasty are noted. There is a extensive marrow abnormality within the distal femur, proximal tibia, proximal fib... | 1. Significantly limited examination secondary to orthopedic hardware, extensive patient motion, and a lack of complete sequences.2. Diffusely abnormal marrow signal which may relate to known leukemia or be post-treatment in nature.3. Small joint effusion and diffuse soft tissue edema. |
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