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Generate impression based on medical findings. | 8 year-old former 32 week premie with significant developmental delays. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. ... | No evidence of acute intracranial hemorrhage, mass, or infarction. |
Generate impression based on medical 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 s/p resection of R sided metastasis and adjuvant WBRT; please evaluate for response/progress Previously seen right frontal operculum cystic lesion appears ... | 1. Interval decrease in size of right frontal operculum mass as well as daughter nodules since prior scan as described above.2. No evidence of new abnormal enhancement.3. No acute ischemic lesion.4. Unchanged non specific small vessel ischemic lesions and right middle frontal sulcus enhancing lesion since prior scan. |
Generate impression based on medical findings. | Shoulder pain The examination is significantly limited by motion artifact.ROTATOR CUFF: There is fluid signal in the area of the supraspinatus tendon suggesting full-thickness tearing with retraction to the level of the clinoid. The infraspinatus may also be involved however this is unclear given the motion artifact. T... | 1. Significantly limited examination secondary to motion artifact.2. Within the limits, there is likely full-thickness tearing of the supra/infraspinatus tendons with retraction to the level of the glenoid. Evaluation of the subscapularis tendon is limited although there may be partial tearing of the distal superior fi... |
Generate impression based on medical findings. | There is a mild dextrothoracic and levolumbar S-shaped scoliosis. There is minimal retrolisthesis of L1 on L2, L2 on L3 and L3 on L4. There is mild anterior wedging of the T12 vertebra. There is loss of disc height at T11-T12. There are scattered punctate T1 hyperintense foci throughout the lumbar spine, which are non... | S-shaped scoliosis with degenerative lumbar spondylosis, most prominent at the L2-L3 and L3-L4 levels, with moderate spinal canal stenosis and severe right and mild to moderate left foraminal stenoses. |
Generate impression based on medical findings. | 64-year-old female with diarrhea, nausea, vomiting and abdominal pain. History of see differential colitis with abnormal guaiac two days ago. Evaluate for colitis. Previous history of multiple myeloma. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Hepatic hypodensities in the right lobe at a... | 4 cm lesion in sigmoid with appearance suggesting colon cancer. Right hepatic lobe hypodensity was present in 2005, but appears larger. Bony changes compatible with stable multiple myeloma. |
Generate impression based on medical findings. | Questionable hemorrhage on CT status post fall. History of extra-axial mass likely meningioma. No evidence of acute traumatic intracranial hemorrhage. Focus of increased density in the left pons on CT therefore represents mineralization. Punctate focus of restricted diffusion in the right cerebellar vermis compatible w... | 1. Punctate focus of acute infarct involving the right cerebellar vermis as well as an acute to subacute punctate infarct in the right frontal lobe. There is also a focus of microhemorrhage with associated gliosis in the left frontal corona radiata which appears chronic but is new since prior study from 8/18/2015.2. St... |
Generate impression based on medical findings. | 52-year-old male. History prostate cancer. Patient scheduled for RALP. PELVIS:PROSTATE:Prostate Size: 3.5 x 3.9 x 4.5 cm. Peripheral Zone: In the apex, there is extension of tumor from the transitional zone into the medial left peripheral zone (series 801, image 11). 1.2 x 0.5 cm T2 hypointense lesion in the left base ... | Multifocal prostate cancer with dominant lesion in the central to left TZ and medial left peripheral zone at the apex. Findings suspicious for extracapsular extension at the anterior fibromuscular stroma. |
Generate impression based on medical findings. | Reason: Evaluate lumbar pathology History: Low back pain radiating down right leg Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall height. The conus medullaris on sagittal imaging is grossly intact.At L5-S1 there is loss of disk space height, disk desiccation and diffuse dis... | 1.There are degenerative changes present in lumbar spine with spondylolysis with spondylolisthesis at L5-S1 where there is encroachment of the exiting nerve roots within the neural foramina bilaterally right worse than left. |
Generate impression based on medical findings. | Right neck mass status post biopsy on 5/2015 with pathology as cyst. There is a T2 hyperintense, enhancing, right palatine tonsillar mass measuring 3.9 x 3.4 x 2.7 cm with extension into the soft palate and mild oropharyngeal airway narrowing. There may also be slight extension of tumor across the glossotonsillar sulcu... | 1. A mass in the right palatine tonsil with extension into the soft palate likely represents a squamous cell carcinoma or minor salivary gland neoplasm.2. Right suprahyoid lymphadenopathy likely represents metastatic disease, juxtaposed to what may represent a branchial cleft cyst with prior hemorrhage and possible tum... |
Generate impression based on medical findings. | 3 month laser ablation follow up for seizure focus. There has been expected evolution of postoperative findings related to laser ablation of the left medial temporal lobe lesion, where there is volume loss. There is a small amount of susceptibility effect along the left frontal and temporal surgical tracks. The ventric... | Expected evolution of postoperative findings related to laser ablation of the left medial temporal lobe lesion. |
Generate impression based on medical findings. | Status post right frontal craniotomy and mass resection. Again seen are expected postoperative changes related to right frontal craniotomy and mass resection, including pneumocephalus, a small amount of hemorrhage, and persistent vasogenic edema. There is a rim of restricted diffusion in the resection cavity, compatibl... | 1.Status post right frontal craniotomy and right frontal lobe mass resection with expected postsurgical changes, including a small amount of hemorrhage in the resection cavity. 2.Persistent vasogenic edema, regional mass effect, and mild leftward midline shift, not significantly changed from recent CT. 3.No definite ev... |
Generate impression based on medical findings. | Redemonstrated are postoperative findings of the lumbosacral spine for tethered cord repair. There is unchanged appearance of fat signal intensity involving the tip of the conus extending from the L4-L5 level down to the lower S1 level and remains adherent to the dorsal dural margin. The spinal cord displays normal si... | Postoperative findings in the lumbosacral spine with redemonstration of an intradural lipoma and low-lying conus medullaris. Apparent clumping of the cauda equina nerve roots may indicate arachnoiditis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Cerebellar hemangioblastomatosis treated with surgery in 2002 and SRS in 2004: headache and gait difficulty. There are postoperative findings related to left suboccipital craniotomy. There has been interval increase in size of the left inferior cerebellar hemisphere enhancing lesions, which now measure up to 18 and 8 m... | Interval increase in size of the left inferior cerebellar hemisphere hemangioblastomas, along with increased associated vasogenic edema. |
Generate impression based on medical findings. | 46-year-old male with sensory level, evaluate spinal known thoracic lipoma. CERVICAL SPINE: The vertebral body heights and disc are normal. Straightening of the cervical spine, otherwise no abnormal alignment. No abnormal marrow signal or enhancement. There is mild edema within the lower cervical cord as described belo... | 1. Intramedullary lipoma in the upper thoracic spinal cord with associated edema.2. Multilevel degenerative cervical spondylosis that is most pronounced at C5-C6 associated with mild left neural foramen and spinal canal narrowing. |
Generate impression based on medical findings. | Multiple sclerosis: paresthesias. There are scattered focal and confluent areas of T2 hyperintensity predominantly involving the periventricular white matter of the bilateral cerebral hemispheres. There also appears to be a T2 hyperintense lesion in the spinal cord at the C1-2 level. The lesions appear to be similar to... | Findings compatible with demyelinating lesions in the brain and in the upper spinal cord, which appear similar to prior scans, although comparison is limited by differences in the technical parameters of the scans. |
Generate impression based on medical findings. | 69-year-old female with shoulder pain. ROTATOR CUFF: There is a full-thickness tear of the supraspinatus from its insertion on the greater tuberosity, with 1 cm or less of proximal retraction. This appears to be a complete or near-complete tear, possibly with a few intact articular surface fibers posteriorly. There is ... | Rotator cuff tear, acromioclavicular joint osteoarthritis, and other findings as described above. |
Generate impression based on medical findings. | Benign neoplasm of meninges, unspecified [D32.9], Reason for Study: Evidence of prior bilateral posterior parietal craniotomy.There is relatively well circumscribed homogeneously enhancing extra axial mass adjacent to the superior sagittal sinus around the area of the right parieto-occipital fissure. The lesion appears... | 1. Interval increase in size of parasagittal, around the area of right parieto-occipital fissure, extra dural mass, likely representing residual meningioma since prior scan.2. No evidence of acute ischemic or hemorrhagic lesion.3. Postoperative status with postoperative encephalomalacia of the right cuneus and precuneu... |
Generate impression based on medical findings. | 56-year-old man with history of rectal cancer status post resection of left lobe hepatic metastasis, now with new lesions seen on recent CT. ABDOMEN:LIVER, BILIARY TRACT: Patient is status post partial left hepatectomy. In comparison to 6/2016, there are two new hepatic parenchymal lesions identified. A segment 4 lesio... | 1.Segment 4 lesion suspicious for metastasis.2.Segment 6 surgical defect without evidence of enhancing tumor.3.Signal along the left lobe resection margin nonspecific but may represent postoperative inflammation/scarring. |
Generate impression based on medical findings. | Female, 18 years old, with left palm and sole numbness. Assess for thalamic or sensory cortical abnormality. Assess for cervical spine intramedullary or extramedullary lesions. Brain:The cerebral and cerebellar hemispheres and brainstem show normal signal intensity and morphology. No restricted diffusion is seen. The p... | 1.Unremarkable evaluation of the brain with no specific findings to account for the patient's symptoms.2.Unremarkable evaluation of the cervical spine with no specific findings to account for the patient's symptoms. |
Generate impression based on medical findings. | Coronary arteries: LM: The left main coronary artery arises normally from the left sinus of Valsalva and trifurcates into the left anterior descending, ramus intermedius, and left circumflex coronary arteries. There are no significant stenoses present in the left main.LAD: The left anterior descending coronary artery ... | 1.Double outlet right ventricle s/p repair. See above for details. 2.There is normal origin of the coronary arteries. There are no significant coronary artery stenoses present. The distal LAD is diminutive; however, the LV apex is supplied by large acute RV marginal branches.3. There are at least two anatomic (but not ... |
Generate impression based on medical findings. | BRAIN: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are no areas of abnormal parenchymal signal. There is a small left frontal developmental venous anomaly. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is ... | Unremarkable brain and cervical spine MRI. |
Generate impression based on medical findings. | 25-year-old female patient perirectal pain and drainage. Evaluate for perirectal abscess. PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: There are scattered mildly enlarged perirectal lymph nodes. BOWEL, MESENTERY: Redemonstration of a fistula originating ... | 1.Rectal bowel wall thickening with signal abnormality and enhancement compatible with active disease. 2.New small amount of presacral fluid, but no definite perirectal abscess.3.Similar appearance of fistulae to prior exam. |
Generate impression based on medical findings. | 65 years, Female, multiple sclerosis, evaluate for progression. Brain: There are multiple T2/FLAIR hyperintense lesions in the periventricular and subcortical white matter with distribution and morphology compatible with known demyelinating disease. Differences in technique limit comparison; there are few small lesions... | 1. Multiple T2/FLAIR hyperintense lesions are compatible with known chronic demyelinating disease. Differences in technique with prior study from 4/14/2012 limited precise comparison; however, there are small lesions which are present on the current high-resolution study and not seen on prior. Comparison is technically... |
Generate impression based on medical findings. | 56 years, Male, Reason: Patient with hx of right tonsil cancer treated in 2012 with CRT. Now with new onset right horner' s, right hypoglossal weakness and dysphagia Brain: Please note lack of contrast limits evaluation for small metastatic lesions. Within this limitation no intracranial mass, mass effect, or evidence ... | 1. Please note lack of contrast limits evaluation, especially for perineural tumor spread. There is soft tissue thickening in the right neck which is grossly similar to prior neck CT and favored to be related to posttreatment change. No discrete neck mass or significant cervical lymphadenopathy is appreciated. 2. Volum... |
Generate impression based on medical findings. | Encephalopathy: confusion, encephalopathy. Many of the sequences are degraded by patient motion. There is an area of encephalomalacia in the right thalamocapsular junction region with extension into the corona radiata and left frontal lobe white matter, as well as punctate foci of encephalomalacia in the bilateral fron... | Scattered chronic infarcts and probable chronic small vessel ischemic disease, but no evidence of intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on medical findings. | 45-year-old male with diabetic ulcer and spiking fevers on antibiotics. Evaluate for osteomyelitis. Right foot: There is significant soft tissue edema within the midfoot and forefoot of the right foot particularly along the dorsal aspect. There is normal bone marrow signal present on all sequences. No evidence of osteo... | No evidence of osteomyelitis. |
Generate impression based on medical findings. | Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: ischemic stroke History: ischemic stroke Brain MRIMotion artifacts degraded image quality.Previously seen left thalamic hemorrhage and IVH especially on the left lateral ventricle occipital horn are again demonstrated. Restricted diffusion seen on DWI... | 1. Left thalamic ICH with IVH especially in the left lateral ventricle occipital horn,2. No evidence of other acute ischemic lesion.3. Intracranial atherosclerosis involving basilar artery and the left MCA as described above.4. Mass like lesion on the right maxillary sinus, dedicated imaging study can be considered if ... |
Generate impression based on medical findings. | Pain, check for labral tear ROTATOR CUFF: Mild tendinopathy with diffuse increased signal and mild thickening of the supraspinatus, most pronounced underlying the acromion and AC joint. Specifically a definite partial and suspected full-thickness split tear is observed with supraspinatus intact fibers, given a small am... | 1.Supraspinatus partial and possible full-thickness split tear, see description above. 2.Mildly degenerative labor without discrete focal abnormality |
Generate impression based on medical findings. | History of cholangiocarcinoma, presents for restaging. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology and size. There is severe intrahepatic ductal dilatation which abruptly terminates at Klatskin's point (series 8/92), where there is a suspected mass lesion measuring 1.2 x 1.0 cm which progressively e... | Extensive intrahepatic ductal dilatation which tapers abruptly at Klatskin's point with focal lesion suspicious for cholangiocarcinoma. Extensive periductal enhancement and thickening predominantly involving the right hepatic lobe which extends to peripherally based heterogeneous enhancing/rim-enhancing lesions. The ex... |
Generate impression based on medical findings. | Altered mental status and history of alcoholic cirrhosis of liver with ascites. Many of the images are degraded by patient motion. There is mild cerebral white matter T2 hyperintensity, primarily in a periventricular distribution. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild T1... | 1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Diffuse cerebral and cerebellar volume loss is likely related to alcohol use.3. Findings suggestive of chronic hepatic encephalopathy. |
Generate impression based on medical findings. | 54-year-old female with right lower quadrant pain and fluid collection. Evaluate fluid.Per EPIC, patient with history of multiple abdominal surgeries. PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No sign... | 1.Findings most consistent with a right lower quadrant simple fluid collection measuring up to 10 cm.2.Sacral decubitus ulcer. |
Generate impression based on medical findings. | Known right triple negative cancer. Biopsy proven axillary metastasis. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bilaterally.RIGHT BREAST:In the right upper outer breast, there is an irregular enhancing mass identified measuring 3.0 x 2.5 x ... | Proven malignancy in the right breast and axilla with measurements given above. Numerous satellite lesions are again noted extending inferior and posterior to the index lesion and ultrasound guided biopsy of one of satellites furthest from the index can be performed if clinically indicated. BIRADS: 6 - Known cancer.REC... |
Generate impression based on medical findings. | Cervical lesion, 6 month follow-up Again seen is T1 shortening involving the C1-C3 vertebral bodies consistent with prior radiation therapy. There is been slight increase in STIR hyperintensity and enhancement involving the inferior aspect of the odontoid process. Again seen are multiple abnormal foci of enhancement an... | 1. Compared to 11/19/2015, there is stable to minimal worsening of diffuse metastatic disease involving the cervical and visualized upper thoracic spine. No evidence of pathologic fracture or epidural tumor.2. Moderate spinal canal stenosis at the C3-C4 level on a degenerative basis with cord myelomalacia is unchanged. |
Generate impression based on medical findings. | 28 year old male; evaluate for CVA. Subtle area of low attenuation within the brainstem likely represents artifact. A separate subtle area of low attenuation is noted in the right thalamus/posterior limb of the internal capsule; if acute infarct is suspected, recommend MRI or repeat examination to further evaluate.Ther... | Subtle areas of low attenuation with the brainstem and right basal ganglia/posterior limb of internal capsule; recommend MRI or repeat CT if acute infarct is suspected. |
Generate impression based on medical findings. | Male, 31 years old, with oligodendroglioma, 1p19q co-deleted, surveillance imaging. A region of T2 hyperintense, nonenhancing parenchymal thickening is again seen involving the left superior and middle frontal gyri. Evidence of prior biopsy of this lesion is seen including visualization of the biopsy trajectory and pla... | No significant progression of the left frontal lobe tumor. |
Generate impression based on medical findings. | Pain one month after fall MENISCI: There is extensive globular and branching signal abnormality throughout the posterior horn of the medial meniscus indicating extensive degeneration and complex tearing which propagates into the body of the medial meniscus as well. There is mild attenuation of the anterior horn of the ... | Severe osteoarthritis of the right knee, particularly affecting the patellofemoral joint, with medial and lateral meniscal tears as well as other findings as described above. |
Generate impression based on medical findings. | TIA, migraines with odynophagia, persistent headaches (following a recent fall), and eye pain. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midlin... | No evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on medical findings. | Reason: Assess for foot abscess, osteomyelitis, foot as source of possible bacteremia History: No ulcers/soft tissue defects of the foot; significant swelling and pain; evidence of Charcot arthropathy on XR As seen on the recent radiographs, there are findings compatible with a neuropathic arthropathy of the tarsometat... | Soft tissue edema and neuropathic arthropathy of the Lisfranc joint. There is also a small fluid collection along the lateral aspect of the talonavicular joint that may represent a synovial cyst or ganglion. While it is impossible to completely exclude infection, we see no soft tissue ulceration, sinus tracts, or other... |
Generate impression based on medical findings. | 13 years Female (DOB:5/26/2002)Reason: Female, 13 years old, with seizures and mesial temporal abnormalities on prior imaging. re-evaluate temporal lobe History: encephalopathy w/ temporal lobe abnormalitiesPROVIDER/ATTENDING NAME: CHARLES J. MARCUCCILLI CHARLES J. MARCUCCILLI The CSF spaces are appropriate for the pat... | The examination is stable. There is redemonstration of brain atrophy predominantly involving the right temporal lobe and especially the right hippocampus. |
Generate impression based on medical findings. | 16 year old female with sickle cell disease. Headache. There is no evidence of intracranial hemorrhage, mass or edema. Slight prominence of the sulci in the right frontoparietal region and small areas of hypoattenuation in the right centrum semiovale are consistent with known prior strokes in this region as visualized ... | Sulcal prominence and white matter hypoattenuation in the right frontoparietal region consistent with known prior stroke as detailed above. |
Generate impression based on medical findings. | Reason: knee mass/pain History: pain The medial and lateral meniscus appear intact. No full-thickness or near full-thickness articular cartilage defects are identified. No bone marrow signal abnormality is seen. The cruciate and collateral ligaments appear intact. The extensor mechanism appears intact. There is a small... | Enhancing heterogeneous mass/collection within the subcutaneous tissue along the anteromedial aspect of the medial retinacular structures is nonspecific and may be infectious, inflammatory, or neoplastic in etiology. |
Generate impression based on medical findings. | Evaluate for etiology of dizziness, nystagmus. History of diabetes and hypertension. Brain MRI: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is mild scattered foci of cerebral white matter T2 hyperintensity, most of which are attributable to prominent perivascular spaces. There is no a... | 1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. No evidence of significant steno-occlusive arterial lesions in the head and neck.3. The bilateral internal carotid arteries are tortuous, with redundant looping of the right side, which may be attributable to hypertension. |
Generate impression based on medical findings. | History of multiple endocrine neoplasia 1a with pancreatic lesions. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, size, signal intensity and enhancement without a focal lesion, biliary ductal dilatation or vascular abnormality. Status post cholecystectomy. No extrahepati... | Stable pancreatic tail subcentimeter lesion likely corresponding to the patient's previously sampled neuroendocrine tumor. |
Generate impression based on medical findings. | Female, 52 years old, with right leg subjective weakness, inability to walk. Cervical:The cervical lordosis is straightened but alignment is otherwise unremarkable. Vertebral body height and morphology are within normal limits. No concerning marrow replacement, edema or pathologic enhancement is seen. The visualized sp... | No specific findings to account for the patient's symptoms. |
Generate impression based on medical findings. | 63 year old female with breast cancer s/p chemotherapy, hx of atrial flutter s/p ablation. Referred for MRI for assessment of function. Left VentricleThe left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 62%. The LVEDV is 129 ml (normal range 109+/-23), LV end diastolic... | 1.The left ventricle is normal in size with normal systolic function. The overall LV ejection fraction is 62%.2.The right ventricle is normal in size with normal systolic function. The overall RV ejection fraction is 55%. 3.There is no evidence of late gadolinium enhancement suggesting no fibrosis or inflammation.I per... |
Generate impression based on medical findings. | 63-year-old female patient with pain in right knee. Question of right knee chondromalacia. MENISCI: There is increased signal within the posterior horn of the medial meniscus. Additionally, there is linear increased T2 signal within the body of the medial meniscus which may represent a horizontal cleavage tear (image 1... | 1. Chondromalacia of the right knee, most predominantly affecting the medial tibiofemoral compartment.2. Questioned horizontal cleavage tear of the body of the medial meniscus. |
Generate impression based on medical findings. | New left-sided 7th nerve palsy, history of DLBCL, melanoma, breast cancer. There is new diffuse left facial nerve enhancement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few nonspecific punctate foci of T2 hyperintensity within the cerebral white matter. The ventricles and basa... | New diffuse left facial nerve enhancement is suggestive of Bell's palsy rather than neoplastic involvement and there is otherwise no evidence of brain metastases. |
Generate impression based on medical findings. | 57 year old female with right upper extremity pain and pain in the shoulder for many months with decreased mobility of the joint. ROTATOR CUFF: Full thickness tear of the supraspinatus measuring approximately 9 mm in the AP dimension with minimal retraction. Fibers of the supraspinatus can be traced to their insertion ... | Full thickness rotator cuff tear as detailed above. |
Generate impression based on medical findings. | Worsening balance, endometrial cancer. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild scattered nonspecific foci of high T2 signal in the cerebral white matter bilaterally. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size and... | No evidence of intracranial metastases. |
Generate impression based on medical findings. | 66 years, Female, stroke, left-sided weakness sparing the face. Brain: There is restricted diffusion in the distal right anterior cerebral artery territory including the right paramedian frontal lobe extending into the paramedian parietal lobe with involvement primarily of the superior frontal gyrus and right paracentr... | 1. Acute infarct involving the right paramedian frontal and parietal lobes. No associated mass effect or hemorrhagic transformation.2. Chronic infarct with evidence of prior hemorrhage in the right anterior basal ganglia. Chronic left inferior cerebellar infarct also noted. There is also a background of mild to moderat... |
Generate impression based on medical findings. | Reason: eval for labral tear History: shoulder pain for a year ROTATOR CUFF: The supraspinatus and infraspinatus muscles and tendons appear intact. The subscapularis and teres minor muscles and tendons appear intact.SUPRASPINATUS OUTLET: No significant fluid or intra-articular gadolinium is identified within the subacr... | Findings indicating a synovitis of the glenohumeral joint and tenosynovitis involving the long head of the biceps tendon. The glenoid labrum appears intact. |
Generate impression based on medical findings. | Reason: 40yo F w/ foot swelling pain and concern for deep tissue infection History: as above There is thickening of the distal fibers of the posterior tibialis tendon which may reflect a mild tendinosis. There are lobulated foci of fluid signal intensity within the tendon sheath of the posterior tibialis tendon which d... | Tendinosis and a mild tenosynovitis of the posterior tibialis tendon. Findings indicating a mild synovitis affecting the subtalar joint, talonavicular articulation, and first MTP joint. No evidence of osteomyelitis or focal fluid collection to suggest abscess formation. |
Generate impression based on medical findings. | History of C2-C4 ACDF presenting with C6 radiculopathy. There are postsurgical findings related to C3 through C5 anterior spinal fusion. There is diffuse loss of cervical lordosis. There is multilevel degenerative spondylosis. In particular, at C2-C3, there is a slight disc bulge and mild uncovertebral joint hypertroph... | 1. Postoperative changes from C3 to C5 anterior spinal fusion with spondylitic changes at these level results in considerable spinal canal stenosis at these levels, with contribution from altered alignment and what represent an underlying congenitally narrow spinal canal.2. Spondylitic changes also result in severe spi... |
Generate impression based on medical findings. | Plantar soft tissue mass and Achilles tendon pain Note that the examination was tailored for the evaluation of the plantar soft tissues.TENDONS: Within the limits of the exam, there are no significant abnormalities. Specifically, the visualized portion the Achilles tendon appears normal.LIGAMENTS: Within the limits of ... | 1. No evidence of plantar soft tissue mass or abnormal enhancement contrast demonstration.2. Surgical changes of the first MTP joint with osteoarthritis. |
Generate impression based on medical findings. | 51-year-old woman with history of cervical cancer. PELVIS:UTERUS, ADNEXA: There is abnormal intermediate T2 signal involving the left lateral cervix (501/40) with corresponding diffusion abnormality (806/328). This signal abnormality extends approximately 18 mm laterally into the parametrial fat beyond the ectocervix. ... | 1.Cervical carcinoma with parametrial extension, left greater than right, as detailed above.2.No regional lymphadenopathy or hydroureter. |
Generate impression based on medical findings. | Female, 40 years old, with numbness and tingling in the hands and feet, history of C5-6 transverse myelitis in October 2014. Assess for demyelination. A 5-mm round focus of T2 hyperintensity is evident just lateral to the corpus callosum in the right frontal lobe. No additional parenchymal lesions are seen.Diffusion we... | A single 5-mm nonenhancing focus of signal abnormality is seen within the white matter lateral to the corpus callosum in the right frontal lobe. While such a lesion could represent demyelinating disease, in the absence of other lesions or more definitive findings, it is nonspecific. |
Generate impression based on medical findings. | 20 old female with with B cell lymphoma and known brain metastasis presents with headache and neck stiffness x 7 days. Interval resolution of the vasogenic edema within the left cerebral hemisphere. No definite evidence of the previously described mass on this study. High density material within the right transverse si... | 1. Interval resolution of the vasogenic edema involving the left hemisphere. No definite evidence of a mass within the limitations of this noncontrast study.2. High density material within the right transverse sinus possibly represents thrombosis. An MRI is recommended for further evaluation.These findings were discuss... |
Generate impression based on medical findings. | 13-year-old male with history of Rathke's cyst and pituitary cyst. Evaluate cystic structures. MRI Brain:There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no evidence of abnormal enhancement. The ventricles and basal cisterns are normal in size ... | Interval significant decrease in the size of a likely Rathke's cleft cyst located between the anterior and posterior pituitary gland. |
Generate impression based on medical findings. | Reason: pannus History: inflammation c spine The cervical vertebral bodies are appropriate in overall height. The cervical spinal cord has normal signal characteristics and overall morphology. There is multilevel disk desiccation presentThere is mild thickening of the cruciate ligaments which is nonspecific. There is h... | 1.The right lateral mass of C1 is somewhat heterogeneous and irregular. This is nonspecific. It is possible that this is related to degenerative change. A CT of the cervical spine may be helpful in further evaluating if clinically appropriate.2.There are some minor degenerative changes present in the cervical spine wit... |
Generate impression based on medical findings. | 51 year old female with hypertension, hyperlipidemia, and chest pain with a history of LVH, abnormal stress test, and negative coronary angiogram. Referred for cardiac MRI. Left VentricleThere is mild qualitative thickening of the left ventricular apical walls. The left ventricle is normal in size and systolic function... | 1. The left ventricle is normal in size and systolic function (LVEF 60%) except for wall thickening within the apical LV. There is transmural, diffuse late gadolinium enhancement in the anterior apex and apical walls that is atypical in pattern for infarction but may represent myocarditis or suggest the presence of an ... |
Generate impression based on medical findings. | Paraclinoid meningioma status post RT: surveillance MRI. There are postoperative findings related to left temporal craniotomy with a substantial defect in the anterior left temporal lobe and confluent T2 hyperintensity in the surrounding brain parenchyma, mainly related to encephalomalacia. The extra-axial enhancing tu... | Apparent slight interval decrease in size of the treated residual left paraclinoid region meningioma. |
Generate impression based on medical findings. | 50 year-old male. Small bowel Crohn's. Evaluate extent of disease. Cramping. ABDOMEN:LIVER, BILIARY TRACT: Multiple bilobar homogeneously T2 hyperintense hepatic cysts, unchanged. Signal loss of the liver on out of phase images consistent with fatty infiltration. No biliary ductal dilatation.SPLEEN: No significant abno... | Findings consistent with fibrostenotic chronic inflammatory bowel disease of approximately 12 cm of most distal terminal ileum. |
Generate impression based on medical findings. | 65 year old man with history of HTN, new LV dysfunction and rectal cancer referred for stress MR as part of ischemic evaluation.MEDICATIONS: carvedilol, lisinopril, aspirin, spironolactone First Pass PerfusionDuring hyperemia, there were no perfusion defects observed.Viability/ Myocardial ScarThere was a prominent mid-... | 1. No perfusion defects with stress.2. No prior myocardial infarction, however there is a prominent pattern of mid-wall late gadolinium enhancement throughout the basal-mid septum and basal-mid inferior wall with associated significant wall motion abnormalities. While this has been described in dilated cardiomyopathy, ... |
Generate impression based on medical findings. | 27-year-old female presents for evaluation of the right thigh mass. There is a large mass within the proximal thigh posteriorly that appears to arise from the sciatic nerve. It measures approximately 7 cm x 5.5 cm in the transaxial dimension and 8.5 cm in the cranial caudal dimension (measured approximately 6.5 cm x 5 ... | Slight enlargement of peripheral nerve sheath tumor arising from the sciatic nerve as described above. While it is impossible to exclude a malignant peripheral nerve sheath tumor, the relatively slow growth as well as the similar signal characteristics to the prior study argue against malignant transformation. |
Generate impression based on medical findings. | Other specified postprocedural states [Z98.89], Reason for Study: ^Reason: s/p l4-5 microdisc History: same For the purpose of this dictation, the lowest visualized intervertebral disc space is labeled L5-S1. The spine alignment is anatomic. The vertebral body height is preserved. The bone marrow and end plates demonst... | 1. Post laminectomy and microdiscectomy status of L45 extruded disc.2. Non enhancing lesion located on the left side lateral recess of L45 disc space, diagnostic possibilities include 1) residual or recurrent disc material and 2) postoperative blood products. |
Generate impression based on medical findings. | There is a focus of restricted diffusion in the splenium of the corpus callosum with associated T2/FLAIR hyperintensity.Elsewhere there is no significant signal abnormality or evidence of edema or mass effect. The cerebellar tonsils remain above the foramen magnum. There is no grey matter heterotopia, cortical dysplas... | 1. Restricted diffusion in the splenium of the corpus callosum associated with T2/FLAIR hyperintensity. This likely represents cytotoxic edema related to seizure activity and/or the effect of anti-seizure medication.2. Findings suggestive of a short segment of fibrofatty infiltration of the filum terminale. In the abse... |
Generate impression based on medical findings. | 75-year-old female patient with worsening right low back pain in past 3-4 months. Severe degenerative disc disease is noted throughout the lumbar spine with vacuum disc phenomenon at T12/L1, L1/L2, L4/L5, and L5/S1. There is a dextrorotoscoliosis and a slight anterolisthesis of L5 on S1. There is heavy atherosclerotic ... | Severe degenerative disc disease of the lumbar spine. |
Generate impression based on medical findings. | Ms. Jonikaite is a 40 year old female with recent history of left breast lumpectomy for malignant phyllodes tumor in 12/2015 with multiple positive margins. She presents today for MRI for further evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts. Moderate background parenchymal enhancem... | (1) Expected postsurgical changes from recent left breast lumpectomy with three suspicious enhancing masses extending inferomedial from the lumpectomy bed. Total AP extent of these masses measures approximately 3.9 cm in the AP dimension. (2) Abnormal morphology left axillary lymph node. (3) No MR evidence of malignanc... |
Generate impression based on medical findings. | 40-year-old male patient with history of liver lesions. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in size and morphology. There is no intra or extrahepatic biliary ductal dilatation. Redemonstration of multiple hypointense lesions within the right hepatic lobe, which are best seen on postcontrast imaging. There... | Relatively stable appearance of multiple non-specific hypointense lesions within the liver. |
Generate impression based on medical findings. | Left shoulder pain ROTATOR CUFF: There is increased intermediate signal intensity and thickening of the supraspinatus and infraspinatus tendons, indicating moderate tendinosis. The increased signal intensity within the supraspinatus tendon extends to the articular surface fibers, suggesting undersurface fraying but we ... | 1. Rotator cuff tendinosis and possible undersurface fraying of the labrum without discrete rotator cuff tear.2. Os acromiale.3. Findings suggestive of a longitudinal split tear of the biceps tendon at its transition from the bicipital groove to the rotator interval.3. Other findings as above. |
Generate impression based on medical findings. | Male, 56 years old, with history of disseminated Nocardia. Multiple small edema-inducing lesions are seen within both cerebral hemispheres. The most conspicuous is a ringlike lesion within the right occipital lobe measuring up to 8 mm in diameter. Additional smaller lesions are seen at the gray-white junction of the le... | Multiple intracranial lesions are identified ranging in size up to 8 mm. These lesions induce mild local edema but no significant generalized mass effect. The examination is limited without postcontrast images, but given the history, these lesions would be compatible with a Nocardia infection of the brain. |
Generate impression based on medical findings. | The study is motion degraded and nearly nondiagnostic. Given this caveat:Soft tissue edema with ill-defined enhancement is noted involving the soft tissues overlying the right posterior sacral region and sagittal STIR images fail to demonstrate osseous edema, thus there is no gross evidence of osteomyelitis.Redemonstr... | The study is motion degraded and nearly nondiagnostic. Given this caveat, no gross evidence for osteomyelitis. Soft tissue edema with ill-defined enhancement is noted involving the soft tissues overlying the right posterior sacral region and sagittal STIR images fail to demonstrate osseous edema. |
Generate impression based on medical findings. | Reason: evaluate for renal recurrence/metastasis History: Hx of renal cell ca, sp left partial nephrectomy. ABDOMEN: Limited examination without the administration of intravenous contrast.LIVER, BILIARY TRACT: Cholelithiasis.SPLEEN: No significant abnormality noted.PANCREAS: 1.4 cm cystic lesion in the pancreatic head ... | Significantly limited examination without contrast. Multiple bilateral renal cysts some of which are proteinaceous or hemorrhagic. Left renal cyst has increased in size in its cystic component, with its solid component (which enhanced on prior CT) stable, remaining suspicious renal malignancy. |
Generate impression based on medical findings. | 79-year-old woman with history of chronic pancreatitis, questionable stone and ventral duct which could not be removed during ERCP on 9/21/2015. ABDOMEN:LIVER, BILIARY TRACT: The liver appears normal. There is no intrahepatic biliary duct dilatation. The gallbladder and common bile ducts appear normal.SPLEEN: The splee... | 1.Irregular pancreatic duct dilatation compatible with given history of chronic pancreatitis.2.Preserved exocrine function but decreased pancreatic duct compliance also compatible with chronic peritonitis.3.Probable side branch IPMN documented in the pancreatic head without suspicious features.4.No obstructing mass or ... |
Generate impression based on medical findings. | 70-year-old man with history of multiple myeloma status post stem cell transplant with new onset back pain. The examination is somewhat limited without intravenous contrast. There are numerous low T1 and high T2 signal lesions throughout the axial skeleton, consistent with multiple myeloma. In particular, there is a le... | 1. Widespread multiple myeloma throughout the axial skeleton, with a pathological fracture of the T9 vertebral body and retropulsion associated with spinal cord compression at this level. Additional multilevel vertebral compression deformities are not associated with spinal canal or neural foraminal stenosis.2. Multile... |
Generate impression based on medical findings. | Reason: new lesion on MRI at T7-please bx-hx of head and neck ca History: as above Serial CT images obtained during the biopsy procedure demonstrate the needle placement within the vertebral lesion. | T7 vertebral bone biopsy under CT guidance. A total of eight samples were delivered to pathology for analysis. |
Generate impression based on medical findings. | Clinical question: Rule-out brain hemorrhage. Signs and symptoms: Fall and alteration of mental status. Nonenhanced head CT:No detectable acute intracranial hemorrhage, edema, mass effect, mass, midline shift or hydrocephalus.There is a focus of low-attenuation in the left posterior temporal subcortical and periventric... | 1.No acute intracranial findings. CT is insensitive for early detection of acute ischemic strokes.2.Focus of low attenuation in the left posterior temporal subcortical/periventricular white matter could represent a focus of encephalomalacia however follow-up with an MRI is highly recommended to exclude other possibilit... |
Generate impression based on medical findings. | Provided history of prostate cancer. No pathology results available. PELVIS:PROSTATE:Prostate Size: 3.5 x 5.8 x 5.1 cmPeripheral Zone: There is diffuse T1 weighted hyperintensity in the peripheral zone compatible with hemorrhage/proteinaceous material likely related to prior biopsy. This severely limits evaluation of t... | 1.Left apex periurethral central gland 1.1 cm lesion may represent a site of prostatic adenocarcinoma.2.The study is significantly limited by intrinsic T1 weighted hyperintensity in the peripheral zone related to recent biopsy.3.Changes of BPH.4.Mottled bone marrow signal intensity without a definite arterial enhancing... |
Generate impression based on medical findings. | Reason: presence of small vessel ischemic disease History: transient aphasia MRI BRAIN: There is an area of restricted diffusion in the left thalamus, consistent with an acute infarct. Chronic infarcts are present in the right posterior frontal lobe extending to the operculum, left middle frontal gyrus and left inferio... | 1. Small focus of of restricted diffusion in the left thalamus is consistent with an acute infarct.2. Linear areas of mild diffusion hyperintensity just anterior to the chronic infarct in the right frontal lobe without corresponding low signal on the ADC map may represent subacute ischemia. 3. Multiple supra and infrat... |
Generate impression based on medical findings. | Clinical question: Based on the study. Signs and symptoms: Metastatic melanoma. Please measure. Enhanced CT of brain:The examination demonstrates no evidence of metastatic disease to the brain or leptomeninges.There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. No abnorm... | 1.Negative enhanced CT of brain parenchyma and the leptomeninges.2.Complete opacification of the left chamber of the sphenoid sinus with some subtle bony thinning of planum sphenoidale which remotely could represent a bony metastatic disease considering provided clinical data. The findings could also represent changes ... |
Generate impression based on medical findings. | 29-year-old female with history of trauma to the right knee with pain and swelling. MENISCI: Complete vertical tear of the posterior horn of the medial meniscus (series #2, image 22).ARTICULAR CARTILAGE AND BONE: The articular cartilage appears intact without significant abnormality.LIGAMENTS: There is diffuse signal a... | 1. Findings compatible with complete tear of the anterior cruciate ligament of the right knee.2. Complete vertical tear of the posterior horn of the medial meniscus. |
Generate impression based on medical findings. | 69-year-old female with a personal history of left breast lumpectomy in 2005 for DCIS followed by radiation and Arimidex therapy. Family history of breast cancer in her paternal cousin and ovarian cancer in her mother. She has no current breast complaints. There is heterogeneous amount of fibroglandular tissue in both ... | No MRI evidence for malignancy. Stable postsurgical change in the left breast.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on medical findings. | Impingement syndrome of left shoulder [M75.42] / Pain in thoracic spine [M54.6] / Low back pain [M54.5], Reason for Study: ^Reason: eval for disc herniation History: lbp 2011 with disc herniation; better now but recent strain of the back For the purpose of this dictation, the lowest visualized intervertebral disc space... | 1. Progressed disc dessication at the level of L45. Slightly changed disc protrusion from central to central to right side with minimal right side neuroforaminal stenosis at the level of L45.2. Unchanged minimal bulging of disc at L5S1 level. |
Generate impression based on medical findings. | 55-year-old female with left-sided neck pain with radicular pain down the left upper extremity. There are scattered patchy non-expansile T2/STIR spinal cord signal abnormalities located at the upper C2 level, centrally at the lower C2 level, posteriorly at the upper C3 level, along the right lateral aspect of the spina... | 1.Scattered patchy areas of T2/STIR signal abnormality in the posterior fossa and cervical spinal cord which are suspicious for a demyelinating process. MRI Brain with and without contrast is recommended for further evaluation.2.Mild spondylotic changes of the cervical spine with at most moderate bilateral neuroforamin... |
Generate impression based on medical findings. | 65-year-old female with nonweightbearing for 5 weeks. Evaluate for fracture. ACETABULAR LABRUM: The labrum appears intact within the limits of a non arthrographic examination.ARTICULAR CARTILAGE AND BONE: Marrow signal appears within normal limits without evidence of fracture.SOFT TISSUES: The musculature of the left h... | No evidence of fracture or other finding to account for the patient's symptoms. |
Generate impression based on medical findings. | Several sequences are limited by patient motion. There is redemonstration of asymmetric severe right and moderate left cerebellar atrophy associated extensive susceptibility along the residual right cerebellar parenchyma extending into the right pons and medulla which also demonstrate asymmetric volume loss. There is ... | 1.Redemonstration of severe right and moderate left cerebellar atrophy with associated right pontine and medullary atrophy. Corresponding coarse calcifications on the right in the posterior fossa and along the brainstem, with minimal scant enhancement felt to relate to areas of scarring. Findings are suggestive of a ch... |
Generate impression based on medical findings. | 42-year-old male with right frontal sinusitis. Complains of right pressure in forehead x 8 months. Patient has history of glioma right orbit/temporal. Extensive opacification of right frontal sinus is noted. Priors MRI examination of the brain from 4 -- 11 -- 07 as well as 9 -- 26 -- 06 were also reviewed which also de... | 1.Extensive chronic sinusitis of right chamber of frontal sinus as detailed.2.Minimal bilateral ethmoid sinus disease.3.Unremarkable paranasal sinuses otherwise. |
Generate impression based on medical findings. | Pulsating left upper quadrant pain. History of drained right hepatic cyst. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology size and signal intensity. Several simple cysts. No suspicious lesion, biliary ductal dilatation or vascular abnormality.SPLEEN: The spleen is normal in size morphology, signal inte... | No significant abnormality or specific findings to account for the patient's reported left upper quadrant pulsatile mass. |
Generate impression based on medical findings. | Pituitary lesion, on Cabergoline. There is an unchanged intrinsically T2 hyperintense punctate lesion situated between the adenohypophysis and neurohypophysis. There is also an unchanged subcentimeter slightly hypoenhancing lesion in the right lateral sella, with extension into the medial cavernous sinus. The infundibu... | 1. Unchanged subcentimeter lesion in the right lateral sella, with extension into the medial cavernous sinus, which may represent a microadenoma. 2. Unchanged punctate pituitary lesion situated between the adenohypophysis and neurohypophysis, which may represent a pars intermedia cyst. |
Generate impression based on medical findings. | 66-year-old male patient with epigastric abdominal pain, weight loss, pancreatitis, suspected pancreatic neoplasm status post EUS 6/29/2016 with a cystic lesion in pancreatic tail and diffuse echogenicity in pancreas. Study limited as multiple sequences are degraded by motion artifact.ABDOMEN:LIVER, BILIARY TRACT: The ... | 1.No suspicious pancreatic head mass. A cystic lesion in the tail of the pancreas likely represents a lobulated sidebranch IPMN with other punctate cystic branch type lesions elsewhere.2.An air/fluid containing structure near the ampulla is favored to represent an ampullary/duodenal diverticulum. |
Generate impression based on medical findings. | Female, 19 years old. Knee pain. Evaluate for meniscus and ACL tear. MENISCI: The medial meniscus is intact. The body of the lateral meniscus is mildly extruded. The anterior horn of the lateral meniscus is small in size and displaced superiorly by underlying fluid, although a clear displaced fragment is not definitely... | 1.Complete tear of the ACL with associated bone marrow edema and focal cartilage loss involving the lateral compartment.2.Abnormal position and morphology of the anterior horn of the lateral meniscus suggests a tear, although the displaced fragment is not clearly identified. |
Generate impression based on medical findings. | Clinical question: Bleed/mass. Signs and symptoms: Headaches, nausea and vomiting. Nonenhanced CT of head:Images through posterior fossa demonstrate ectopia of cerebellar tonsils consistent with Chiari malformation. The inferior pole of cerebellar tonsils are beyond the field of study. There is complete effacement of s... | 1.Chiari malformation with resultant deformity of cerebellar tonsils and total effacement of subarachnoid space at the level of foramen magnum . CT examination of brain is otherwise unremarkable.2.Recommend follow-up with an MRI examination of brain and including CSF flow study at the level of foramen magnum. |
Generate impression based on medical findings. | 58 years Female (DOB:12/17/1957)Reason: etiology of L sided weakness History: LUE and LLE weaknessPROVIDER/ATTENDING NAME: KOUROSH L REZANIA KOUROSH L REZANIA There is redemonstration of ventriculomegaly and confluent periventricular white matter signal hyperintensities extending to the subcortical white matter. Bivent... | 1.There is diffuse cerebral atrophy present and loss of white matter which has very subtly progressed since the prior exam. There is no evidence for acute cerebral ischemic infarction. Underlying etiology is uncertain. |
Generate impression based on medical findings. | 61-year-old male with history of renal cancer, concern for hepatic metastases. ABDOMEN:LIVER, BILIARY TRACT: There is no definite enhancing hepatic mass lesion identified. The large right renal mass causes extrinsic mass effect on the right hepatic lobe with adjacent heterogeneous enhancement in this region immediately... | 1.No discrete intrahepatic mass is identified.2.Heterogeneous enhancement in the right hepatic lobe adjacent to extrinsic compression from large right renal mass --- favored to be compression effect alone, but direct invasion cannot be excluded.3.Large right renal mass with tumor thrombus in the right renal vein. |
Generate impression based on medical findings. | 61-year-old female with medial sided left knee pain. MENISCI: Mild intrasubstance degeneration of the posterior horn of the medial meniscus. No evidence of meniscal tear.ARTICULAR CARTILAGE AND BONE: There is mild thinning of the cartilage along the anterior femoral head. There is no full-thickness tear. There is fissu... | Synovitis with a moderate joint effusion and debris within the joint. This could represent synovial chondromatosis or less likely pigmented villonodular synovitis. |
Generate impression based on medical findings. | ORBITS: The optic nerves are symmetric and normal in size and signal intensity. There is no intraorbital mass or abnormal enhancement. There is no chiasmatic mass or parasellar abnormality. The extraocular muscles are unremarkable.BRAIN: There is no restricted diffusion to suggest acute ischemic infarction. There is n... | 1.No evidence of acute ischemic infarction.2.Orbits and optic nerves unremarkable and without specific findings to account for patient's symptoms. |
Generate impression based on medical findings. | 56-year-old male with history AV malformation, seizure disorder who presents with altered mental status. There is no evidence of intracranial hemorrhage, mass or edema. Vascular calcifications are noted. The region of encephalomalacia within the posterior temporal occipital region with high density clip/coils presumabl... | Chronic changes as described above. If there is clinical concern for acute ischemia, an MRI may be considered. |
Generate impression based on medical findings. | Back pain following motor vehicle accident On this limited study lateral view of the lumbosacral spine, there is a radiopaque density anteriorly adjacent to the superior aspect of the L4 vertebral body. While this very likely represents bowel contents superimposed over this region, in the setting of trauma additional v... | On this limited study lateral view of the lumbosacral spine, there is a radiopaque density anteriorly adjacent to the superior aspect of the L4 vertebral body. While this very likely represents bowel contents superimposed over this region, in the setting of trauma additional views would ordinarily be indicated. If this... |
Generate impression based on medical findings. | 52 year old female; rule out intracranial hemorrhage. No abscess identified.Patchy low attenuation in the subcortical white matter compatible with small vessel disease of indeterminate age.More focal low attenuation in the right high parietal region represents edema given subsequent contrast enhanced examination that r... | 1. No intracranial hemorrhage.2. Metastatic lesion with surrounding edema in the high right parietal region adjacent to the cerebral falx; please see recent contrast enhanced examination for further details. If further workup is necessary, recommend MRI. |
Generate impression based on medical findings. | 41 years, Female, Reason: Rule out biliary obstruction History: elevated bilirubin, hepatomegaly, fever, abdominal pain. ABDOMEN: Please note that there is significant artifact from Dobbhoff tube tip within the duodenum.LUNG BASES: Small bilateral pleural effusions, new from the prior CT.LIVER, BILIARY TRACT: Mild hepa... | 1.No evidence of biliary obstruction.2.Two small side branch IPMN's.3.Small bilateral pleural effusions and anasarca. |
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