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Generate impression based on medical findings. | Female, 82 years old. Right jugular catheter tip in the SVC with no pneumothorax or other complications.Small linear scar like opacities in the left upper lobe and no acute cardiopulmonary findings. | New catheter with no complications. |
Generate impression based on medical findings. | Female, 34 years old.Reason: balloon pump placement Left-sided ICD lead and generator in place. Right central venous catheter tip in the SVC/atrial junction.Stable cardiomegaly. Mild migration of the IABP marker into the descending aorta, which now projects approximately 3 cm from the top of the aortic arch.No large pl... | Mild migration of the IABP marker into the descending aorta, which now projects approximately 3 cm from the top of the aortic arch.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | 68-year-old male her with brain lesions. Evaluate for primary tumor source CHEST:LUNGS AND PLEURA: Right upper lobe air space opacity measuring 2.7 x 2.3 cm on image number 27, series number 3 suspicious for a bronchogenic neoplasm. There is air space opacity extends to the right hilum.MEDIASTINUM AND HILA: No signific... | Right upper lobe soft tissue density lesion suspicious for primary bronchogenic carcinoma. |
Generate impression based on medical findings. | Female, 51 years old.Reason: Neutropenic fever, r/o pneumonia History: Fever Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities.Right subclavian and left jugular catheters terminate in the SVC. | No significant abnormality. No evidence of infection although CT would be more sensitive if the patient continues to be neutropenic and febrile. |
Generate impression based on medical findings. | Cough, please rule out pneumonia Right PICC terminates in the SVC. Low lung volumes persists although improved with diminishing basilar atelectasis. No pneumothorax or pleural effusion. | Mildly improving basilar atelectasis and improving lung volumes.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Male, 80 years old.Reason: Constipation - compare with previous imaging for LBO Chest: Status post median sternotomy. The heart size is normal. No focal pulmonary opacities, pleural effusion, or pneumothorax. Left basilar subsegmental atelectasis. LVAD is in an unchanged position. No evidence of subphrenic free air.Abd... | No specific evidence of bowel obstruction. No free intraperitoneal air. |
Generate impression based on medical findings. | 39-year-old female complains of right upper quadrant pain. LIVER:The liver measures 15.5 cm. There is normal echogenicity of the parenchyma. No masses, ascites, or intrahepatic ductal dilatation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: There is an approximately 1.7 x 0.6 cm hy... | 1. Cholelithiasis as described above without signs of acute inflammation or ductal dilatation. |
Generate impression based on medical findings. | Reason: eval right pleural effusion History: as above Large right pleural effusion with almost complete opacification of the right hemithorax, and marked shift of the mediastinum to the left. A previously described left suprahilar airspace opacity is not visible on the current radiograph but may be obscured by the shif... | Very large right pleural effusion producing mediastinal shift and underlying atelectasis. |
Generate impression based on medical findings. | Abdominal pain. Loose screening stool. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. An 8 mm hyperechoic focus in the right hepatic lobe, favoring benign etiology such as an hemangioma. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal... | 1. No specific findings to account for the patient's symptoms.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease. |
Generate impression based on medical findings. | Male, 81 years old.Reason: please evaluate for metastatic disease History: left kidney cancer Heart size upper normal.No significant pulmonary or pleural abnormality.No sign of metastases. | No evidence of metastases, or other significant abnormality. |
Generate impression based on medical findings. | Male, 54 years old.Prekidney transplant evaluate. End-stage renal disease. Rule out cardiomegaly or infiltrates. Normal heart size. No focal airspace opacities, pleural fluid or pneumothorax. | Normal chest. |
Generate impression based on medical findings. | Male, 81 years old.With acute dyspnea after pacemaker implant. Low lung volumes with subsegmental atelectasis. Persistent moderate cardiomegaly with worsening edema. Pacemaker leads appear unchanged. No pneumothorax. | Worsening pulmonary edema. No pneumothorax. |
Generate impression based on medical findings. | 61-year-old female with history of metastatic renal cell cancer CHEST:LUNGS AND PLEURA: Previous described nodular opacities in the left upper lobe are unchanged. Calcified granulomas in the right lower lobe are also unchanged.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality... | No significant change from previous study. |
Generate impression based on medical findings. | Age: 32 yearsGender: FemaleReason for Study: Reason: persisitent cough, pregnant History: cough, right sided chest pain The cardiomediastinal silhouette is unremarkable.The lungs are clear.There are no pleural effusions. | No acute cardiopulmonary abnormalities are identified. No specific evidence of infection. |
Generate impression based on medical findings. | Male 59 years old Reason: r/o infection History: confusion, wbc 22 Right internal jugular central venous catheter tip now terminates at cavoatrial junction.Questionable focal airspace opacity in the lingula.No pleural effusion or pneumothorax.The cardiomediastinal silhouette is normal. | Questionable focal airspace opacity in the lingula, repeat PA and lateral would be of value.These findings were relayed to Dr. Tibrewal at 10:15 on 6/20/2015 via telephone. |
Generate impression based on medical findings. | Reason: Evaluate for PNA History: Pt fell at home, more weak than usual, hx of PNA Moderate cardiomegaly with pacemaker leads in place and dense calcification in the mitral annulus, and dense coronary artery calcification, unchanged from previous.No evidence of pulmonary edema, pneumonia or pleural effusions.Old fractu... | Moderate cardiomegaly with no acute findings. |
Generate impression based on medical findings. | Clinical question: Status post cavernoma bleed. Signs and symptoms: Cavernoma. Pre-and post-enhanced brain MRI:Diffusion-weighted images are negative.There is a focus of susceptibility indeed a right centrum semi-ovale with minimal blooming. On T2 weighted images the lesion has characteristic appearance of a cavernous ... | 1.Negative diffusion weighted images.2.A right centrum semi-ovale cavernoma measuring at 10 x 6.5-mm without evidence of hemorrhage or surrounding edema.3.A second 6mm cavernoma suspected in the anterior left temporal lobe on susceptibility MR images as detailed.4.Few punctate foci of flair hyperintensity in subcortica... |
Generate impression based on medical findings. | Female, 43 years old.Reason: chest pain post-op despite pain medications, rule out PE History: chest pain, pain with inspiration Mild left base subsegmental atelectasis which can be an indicator of pulmonary embolism or infection/aspiration.Elsewhere, the lungs are unremarkable.Heart size normal. | Left lower lobe subsegmental atelectasis which is nonspecific but can be seen in the setting of infection, aspirated secretions or pulmonary embolism. |
Generate impression based on medical findings. | 57-year-old male with cirrhosis of unknown etiology. Please assess lung nodule and questionable liver mass and evaluate for abdominal abscess This study is limited due to lack of IV contrast. Especially focal liver lesions cannot be optimally evaluated.CHEST:LUNGS AND PLEURA: Left lower lobe subsegmental atelectasis. B... | No evidence of chest mass or intra-abdominal abscess.Cirrhosis and portal hypertension.Focal hypodensities in the liver. It cannot be characterized at the level of IV contrast, however, given the presence of cirrhosis, this lesion is suspicious for hepatocellular carcinoma.Bilateral iliac bone lytic lesions concerning ... |
Generate impression based on medical findings. | Right upper extremity numbness, memory loss and right-sided headache x 6 weeks. No intracranial mass or mass-effect. There is mild global parenchymal volume loss which appears within normal limits for age. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. Several foci of T2/FLAIR hyperinten... | 1. Examination is essentially unremarkable for age. No intracranial mass or mass effect. Mild global parenchymal volume loss.2. Scattered T2/FLAIR hyperintensities in the white matter, which are nonspecific and may represent mild small vessel ischemic change I personally reviewed the Images and/or procedure with the Re... |
Generate impression based on medical findings. | Mesothelioma Interval removal of 2 of the right chest tubes, the single apical chest tube otherwise persist with a minimal residual hydropneumothorax with suspected loculation and fluid along the lateral inferior wall.Basilar atelectasis without additional discrete new right intrapulmonary abnormality. Left lung remain... | 2 right chest tubes |
Generate impression based on medical findings. | Female, 25 years old.Reason: history of possible PE History: chest pressure Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. |
Generate impression based on medical findings. | 75-year-old male with thrombocytopenia, evaluate. LIVER: Increase in hepatic parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions. Hepatic length measures 14.4 cm. The main portal vein is patent with normal hepatopetal flow with a velocity of 20 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder ... | 1.Increase in hepatic parenchymal echogenicity with coarsened echotexture consistent with fatty liver/hepatic parenchymal dysfunction. No hepatic mass or ductal dilatation identified.2.Gallbladder sludge without evidence of acute cholecystitis.3.Right pleural effusion. |
Generate impression based on medical findings. | Age: 41 yearsGender: FemaleReason for Study: Reason: 41 year old f shortness of breath x 2 weeks. Hx of Hodgkins Lymphoma age 23 History: shortness of breath, chest tightness, no fever chills, wt loss Cardiac size is normal.Mild superior retraction of the hila compatible with post radiation changes.Calcified hilar medi... | No acute cardiopulmonary abnormalities are identified. No specific evidence of infection. |
Generate impression based on medical findings. | Male, 73 years old.Reason: evaluate CIED History: pacemaker Left basilar linear scarring, lungs otherwise unremarkable.Heart size upper normal.Left subclavian dual-chamber pacemaker, one lead projected over the right atrial appendage and the other along the pulmonary outflow tract. | Pacemaker leads described above, the exam otherwise unremarkable except for left basilar scarring or subsegmental atelectasis. |
Generate impression based on medical findings. | Female, 46 years old.Reason: cough fever History: fever Cardiomediastinal silhouette is within normal limits.No focal air space abnormality. No significant pleural effusions.Mild scoliosis. | No acute cardiopulmonary abnormality or interval change. |
Generate impression based on medical findings. | Male, 27 years old.PICC placement. Left upper extremity PICC tip in the superior vena cava. No pneumothorax. The cardiomediastinal silhouette is within normal limits. No focal airspace opacity, significant pleural effusion, or pneumothorax. | PICC tip in the superior vena cava without acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Age: 64 yearsGender: MaleReason for Study: Reason: chest pain History: cp that radiates to the back Stable Carty mediastinal silhouette.Postsurgical changes in the right midlung.Mild nonspecific basilar interstitial opacities similar to the prior exam.No new pulmonary opacities noted. | No acute cardiopulmonary abnormalities identified without interval change. |
Generate impression based on medical findings. | Male, 47 years old.Postoperative. Left ventricular assist device. Median sternotomy hardware noted. Unchanged radiographic appearance of the left ventricular assist device.Left PICC tip in the left subclavian vein.Stable cardiac enlargement. Otherwise unremarkable cardiomediastinal silhouette.Left lower lobe atelectasi... | Postoperative findings without significant interval change. |
Generate impression based on medical findings. | Age: 52 yearsGender: MaleReason for Study: Reason: Increased O2 requirement History: SOB There are decreased lung volumes.There is probable cardiac enlargement although the left heart and port or is obscured by a moderate-sized left pleural effusion and left basilar consolidation/atelectasis.Mild scarring/discoid atele... | Moderate-sized left pleural effusion and left basilar consolidation/atelectasis. |
Generate impression based on medical findings. | Female, 72 years old.Lung cancer surveillance. Right chest port change in position. No visible pulmonary nodules or masses. No pleural fluid. Left hemithorax postsurgical changes. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Female; 43 years old. Reason: large gallstone on bedside US, eval for acute cholecystitis History: RUQ abdominal pain LIVER: The liver measures 18.2 cm in length. Liver contour is smooth. The parenchyma demonstrates a coarsened echotexture. No worrisome hepatic mass is identified. There is no ascites.The main portal ve... | Cholelithiasis without acute inflammation or ductal dilatation. Coarsened echogenic liver parenchyma suggestive for fatty infiltration/parenchymal dysfunction without mass. No ascites.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Male, 61 years old.Reason: swan placement History: swan placement Support devices unchanged with Swan-Ganz catheter tip in the pulmonary artery.Stable cardiac enlargement.Right pleural effusion and right basilar opacity similar to the prior exam.No new pulmonary opacities identified. | Support devices unchanged. Stable cardiopulmonary appearance with right pleural effusion and associated right basilar opacities. |
Generate impression based on medical findings. | Male, 71 years old.Chest pain. Hypoxia. Question volume overload. Cardiomegaly with enlargement of the central pulmonary vasculature consistent with pulmonary hypertension unchanged. Chronic pleural scarring and parenchymal atelectasis/scarring bilaterally, but no signs of a superimposed acute process. No specific evid... | No acute pulmonary abnormality. Chronic findings consistent with pulmonary hypertension, scarring and atelectasis. |
Generate impression based on medical findings. | Patient with persistent pain in right shoulder, status post dog attack 3 months ago. Dog pulled on distal arm and shook patient. No direct attack at the shoulder joint. ROTATOR CUFF: Supraspinatus, infraspinatus, and teres minor tendons appear normal. The muscles likewise appear normal. There is a 3 to 4 mm tiny focus ... | 1.Tiny focus of signal intensity in the superior fibers of the subscapularis tendon may represent small interstitial tear, but this is of questionable clinical significance and the remainder of the rotator cuff is unremarkable.2.Mild osteoarthritis of the acromioclavicular joint and other findings as described above. |
Generate impression based on medical findings. | Female, 72 years old.Reason: malignant neoplasm of supraglottis and lung RUL and middle lobe History: s/p lung resection wedge vats 11/25/15 Basilar scar like opacities and small pleural effusions, improved compared to the prior examination.Status post wedge resections.Unremarkable mediastinal contours and cardiac silh... | Improvement in atelectasis following surgery last month, with no new findings. |
Generate impression based on medical findings. | 80 years Male (DOB:5/30/1935)Reason: memory loss History: memory lossPatient History: pt c/o headaches, dizziness, memory loss, patient moving on some scansPregnancy Assessment: Patient signed.PROVIDER/ATTENDING NAME: TIA R KOSTAS TIA R KOSTAS The CSF spaces are appropriate for the patient's stated age with no midline ... | 1.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 2.Microhemorrhages are suspected to be present along the hippocampi bilaterally - right more than left. |
Generate impression based on medical findings. | 39-year-old female with left knee pain. Medial joint line pain after ACL reconstruction. Patient motion artifact limits examination.MENISCI: The medial meniscus appears intact. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: There are tricompartmental osteophytes. No full-thickness or near full-thickn... | 1. Disruption of the mid substance and distal fibers of the ACL graft reconstruction.2. Small knee joint effusion.3. Osteoarthritic changes of the knee. |
Generate impression based on medical findings. | 35-year-old female with recently diagnosed breast cancer, concern for abscess post biopsy. There is heterogeneous amount of fibroglandular tissue in both breasts.Marked parenchymal enhancement is noted bilaterally, a limitation to the exam. The enhancing index right breast mass at 1:00 measures 3.9 x 3.7 x 3.8 cm. Medi... | 1. Superficial loculated enhancing fluid collection/abscess medial to the index cancer with adjacent inflammatory changes as described above. The biopsy clip appears to have migrated into the collection. 2. Index right breast cancer measures up to 3.9 cm and has two possible satellite lesions present posteriorly. As we... |
Generate impression based on medical findings. | 35 years Male (DOB:12/23/1980)Reason: assess for structural abnormality History: twitching of left handPROVIDER/ATTENDING NAME: ADIL JAVED ROBERT T KAVITT The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhag... | There are no MRI findings which can explain the patient's hand twitching. There is no intracranial mass lesion appreciated. |
Generate impression based on medical findings. | Female, 62 years old.Left thoracentesis evaluate for pneumothorax. No pneumothorax.Interval decrease in left pleural fluid volume.Improving pulmonary edema.Hair braids project over the upper thorax.Vascular embolization coils project over the mediastinum. | No pneumothorax. Improving pulmonary edema. |
Generate impression based on medical findings. | Age: 64 yearsGender: MaleReason for Study: Reason: 64 yo m w/ pancreatitis History: shortness of breath Enteric tubes with their tips beyond the margin of the image.Right central venous catheter with its tip at the SVC/RA junction.There decreased lung volumes with basilar opacities compatible with pleural effusions and... | No acute cardiopulmonary abnormalities are identified. |
Generate impression based on medical findings. | 64 year old female with a history of AL Amyloidosis. She is referred for cardiac MRI to rule out cardiac involvement. Left VentricleThe left ventricle is normal in size and function. The overall LV ejection fraction is 77%, the LV end diastolic volume index is 68 ml/m2 (normal range: 65+/-11), the LVEDV is 151 ml (norm... | 1. The left ventricle is normal in size and function. There is stable enhancement of the basal to mid inferior wall, atypical for amyloid. This may be related to prior scar from myocarditis. In this clinical setting with small pericardial effusion and slight increase in wall thickness, the possibility of localized card... |
Generate impression based on medical findings. | 27 years old Male. Reason: tachycardia History: tachycardia. There is no evidence of acute infiltrate, pleural effusion or pneumothorax. The cardiac silhouette is normal. | Unremarkable study. |
Generate impression based on medical findings. | Shortness of breath in dialysis patient. Evaluate volume status. Normal cardiomediastinal silhouette size.Unchanged position of left sided central venous catheter and right sided vascular stents.No focal pulmonary opacity, pleural effusion or pneumothorax. | No evidence of pulmonary edema. |
Generate impression based on medical findings. | Male, 65 years old.Reason: insure nothing retained from pulled pa catheter History: none No evidence of retained PA catheter fragment. Right jugular introducer sheath in upper SVC. Other findings stable. | No evidence of retained PA catheter fragment. |
Generate impression based on medical findings. | Female, 32 years old.Pleuritic chest pain and shortness of breath for one month. No fever, cough or congestion. Evaluate for bony abnormality, cardiomegaly or pulmonary edema. Low lung volumes. Normal heart size. No focal pulmonary opacity or signs of pulmonary edema.Please note that chest technique has a limited sensi... | Markedly low lung volumes, likely related to patient's bodily habitus, though an intra-abdominal process could not be excluded by plain film. No acute pulmonary abnormality. |
Generate impression based on medical findings. | Female, 81 years old.Reason: patient with sudden change in BP, assess for pneumothorax History: hypotension Endotracheal tube terminates approximately 6 cm from the carina. Enteric tube side port is again at the gastroesophageal junction. Study limited by rightward rotation. Low lung volumes makes detailed cardiopulmon... | Basilar pleuroparenchymal opacities, not substantially changed. |
Generate impression based on medical findings. | Female, 65 years old.Port placement. Right chest port tip terminates in the SVC. No significant pneumothorax. Streaky right basilar opacity most consistent with subsegmental atelectasis. Blunting of the left costophrenic angle consistent with scarring/atelectasis versus a trace pleural effusion. Surgical fixation of th... | Right chest port without evidence of complication.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Female, 57 years old.Reason: re-evaluate pneumothorax History: none, trend pneumothorax Right pleural effusion and persistent right basilar airspace opacity suggestive of infection or aspiration.Mild basilar edema and small left pleural effusion.Right apical pneumothorax improved, now 15 mm previously 22 mm over the ap... | Improvement in right pneumothorax with persistent right pleural effusion and right basilar consolidation. |
Generate impression based on medical findings. | 76-year-old male with prostate cancer CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Atherosclerotic changes of the thoracic aorta.Calcified subcarinal and right hilar lymph nodes, all unchanged.Coronary artery calcifications.Moderate hiatal hernia, unchanged.CHEST WALL: No significant ab... | Interval worsening of retroperitoneal and pelvic lymphadenopathy, new adrenal mass, and new osseous lesions, compatible with progression of disease. |
Generate impression based on medical findings. | Papillary thyroid carcinoma status post resection with palpable lymph nodes RIGHT LOBE: Status post thyroidectomy without massLEFT LOBE: Status post thyroidectomy without massISTHMUS: Status post thyroidectomy without massPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Stable benign-appearing cervical... | Hypoechoic normal sized lymph node within the subcutaneous tissues left level 5 periarticular region corresponding to the clinically palpable focus. Its appearance favors a benign reactive etiology over metastatic focus. Would recommend special attention to this lymph node on future surveillance scans. Otherwise stable... |
Generate impression based on medical findings. | The pituitary gland is not enlarged and there is no evidence of gross mass lesions, although the assessment is limited by the lack of intravenous contrast. The pituitary stalk lies in the midline. The suprasellar cistern, optic chiasm, cavernous sinuses and intracranial portions of the optic nerves appear to be intact... | 1. Limited non-contrast examination without evidence of gross mass lesions in the pituitary gland. 2. Several lesions in the periventricular and subcortical white matter likely represent demyelinating lesions, although these are incompletely characterized due to the lack of intravenous contrast.I personally reviewed th... |
Generate impression based on medical findings. | Female, 47 years old.Reason: short of breath History: short of breath Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. No specific evidence of infection or edema. |
Generate impression based on medical findings. | Age: 22 yearsGender: FemaleReason for Study: Reason: Eval for catheter remaining post central line removal History: chest discomfort Interval removal of a right central venous catheter.No residual catheter can identified.Decreased lung volumes with stable cardiomediastinal silhouette.No new pulmonary opacities identifi... | Interval removal of a right central venous catheter. No evidence of catheter remnant identified. No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Increasing white count Persistent decreased lung volumes with mildly prominent right hilar region, possibly secondary to enlarged pulmonary artery and patient rotation. Changes are associated with overlying bullet fragment and is explicitly stable compared to prior.No discrete superimposed focal air space abnormality, ... | Essentially unchanged mild decreased lung volumes without definite superimposed acute abnormality. Close serial imaging however will be important to exclude a subtle abnormality possibly obscured by limitations described |
Generate impression based on medical findings. | 43-year-old female with a history of a right mastectomy for IDC/DCIS in 2011. She has a family history of breast cancer in her paternal grandmother diagnosed in her 80s and paternal aunt diagnosed in her 60s. Status post right mastectomy and reconstruction.There is scattered fibroglandular tissue in the left breast.Mil... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on medical findings. | Shortness of breath Small to moderate left pleural effusion with ill-defined retrocardiac opacity, possibly representing atelectasis and compression from the moderately enlarged heart versus aspiration or infection. Serial imaging is needed. Decreased lung volumes | Questionable left lower lobe partial consolidation versus atelectasis associated with a small effusion. Pneumonia cannot be excluded in the appropriate setting |
Generate impression based on medical findings. | Male, 64 years old.Reason: Febrile History: Febrile Lines and tubes are unchanged. Improvement in patchy left basilar opacity. Small left pleural effusion again noted. No new focal lung consolidation. Unchanged heart size. No pneumothorax. | Improvement in patchy left basilar opacity which may represent aspiration and/or atelectasis. Small left pleural effusion again noted. |
Generate impression based on medical findings. | 30-year-old female with cavernous malformation. Redemonstrated are numerous supratentorial and infratentorial foci of susceptibility hypointensity, which are not significantly changed, none of which demonstrate perilesional edema. There is an unchanged 4 mm transverse dimension enhancing lesion along the right falx cer... | 1.Numerous supratentorial and infratentorial cavernous malformations have not significantly changed, none demonstrating perilesional edema. No evidence of acute intracranial hemorrhage or acute infarct.2.An unchanged 4 mm wide enhancing lesion along the right falx cerebri likely represents a meningioma. |
Generate impression based on medical findings. | 32 year old female with known descending aortic dissection now with abdominal pain/vomiting. Please evaluate for acute process. CHEST:LUNGS AND PLEURA: Moderate (right greater than left) pleural effusion with overlying compressive atelectasis/consolidation.MEDIASTINUM AND HILA: Reidentification of type A aortic dissect... | 1. Stable type A aortic dissection as detailed above. Intramural hematoma at the proximal aorta as well as pericardial hematoma are unchanged.2. Subtle asymmetrically decreased enhancement of the left kidney, which is perfused by the false lumen of the aorta.3. Stable right greater than left pleural effusions and bibas... |
Generate impression based on medical findings. | Female, 35 years old.Reason: eval ETT, lung fields History: s/p MVR, TVR Endotracheal tube terminates approximately 5 cm from the carina. Mediastinal drains noted. Swan-Ganz catheter terminates within the right pulmonary artery. Epicardial lead is noted. Mild pneumomediastinum, likely postoperative in nature. Patient s... | Expected appearance status post MVR and TVR. |
Generate impression based on medical findings. | Reason: pna History: cough, sob Unremarkable cardiac and mediastinal silhouette. Streaky bronchial thickening and airspace opacity in the lower lobes bilaterally, suggestive of aspiration.Healed rib deformities on the right. | Bilateral lower lobe airspace opacity and bronchiolitis, suggestive of aspiration and infection.The findings were discussed with Dr. Carter in the ED at the time of reporting. |
Generate impression based on medical findings. | Age: 68 yearsGender: MaleReason for Study: Reason: hx Vfib arrest, post extubation History: as above Left IJ venous catheter has been removed.Decreased lung volumes with stable cardiomediastinal silhouette.The lungs are clear.No pleural effusions. | No acute cardiopulmonary abnormality identified. |
Generate impression based on medical findings. | Female 20 years old Reason: Evaluate for disc herniation History: L4/L5 level midline pain with SLR+ b/l Five lumbar type vertebral bodies are presumed to be present. The lumbar spine is in normal alignment, with a normal lumbar lordosis. The vertebral body and disk heights are well-maintained. No focal marrow signal a... | Mild degenerative disc findings at L5-S1 without significant spinal canal or foraminal stenosis. No other findings are seen to account for the patient's symptoms. |
Generate impression based on medical findings. | Male, 78 years old.Reason: intubated, h/o aspiration History: intubated h/o aspiration Right-sided airspace opacity and diffuse nodular interstitial disease unchanged.Median sternotomy, heart size likely normal.ET tube tip approximately 4 cm above the carina.NG tube tip in proximal stomach.Right PICC, tip at cavoatrial... | Unchanged pulmonary opacities suggestive of infection and possible aspiration. ET tube tip approximately 4 cm above the carina. |
Generate impression based on medical findings. | Clinical question: Left pulsatile tinnitus. Signs and symptoms: Left pulsatile tinnitus. Pre-and post-enhanced brain MRI:Negative diffusion weighted images.Examination demonstrates few tiny foci of flair hyperintensity in the periventricular and subcortical white matter of bilateral cerebral hemispheres which appear mo... | 1.Pre-and post-enhanced brain MRI demonstrate no evidence of acute intracranial process. Findings suggestive of very mild nonhemorrhagic chronic small vessel ischemic strokes.2.Unremarkable neck MRA. |
Generate impression based on medical findings. | 69-year-old male with history of carcinoid tumor status post left lower lobe lobectomy CHEST:LUNGS AND PLEURA: New right middle lobe air space opacity extending from the hilum to the pleura, likely scarring/atelectasis. Postoperative appearance of left lower lobe with left basilar consolidation/atelectasis (improved fr... | Post operative appearance with left basilar consolidation/atelectasis, improved from prior. New right middle lobe scarring/atelectasis. |
Generate impression based on medical findings. | Female, 65 years old.Reason: s/p pacemaker implantation History: symptomatic bradycardia Cardiac leads terminating in expected location of the right atrium and right ventricle. Mild interstitial pulmonary edema, slightly increased from last study. Question of very small pleural effusions. No pneumothorax. Unchanged car... | Cardiac leads, as above. No pneumothorax. Slight increase in mild interstitial pulmonary edema. |
Generate impression based on medical findings. | Pneumonia, cough Mildly interval increasing interstitial and patchy airspace changes now more pronounced in all 4 quadrants and on the right. Underlying mild nonspecific cardiac megaly, moderate effusions and hardware are otherwise unchanged. | Concern for increasing diffuse mild to moderate edema superimposed upon previously observed scarring and nonspecific changes |
Generate impression based on medical findings. | Female, 49 years old.Shortness of breath question evidence of infection. Mild globular cardiomegaly unchanged. Low normal lung volumes. No focal airspace opacities, pleural fluid or pneumothorax. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | 76-year-old male with a hypermetabolic sellar mass and metastatic thyroid cancer to the posterior aspect of T9. BRAIN/PITUITARY:No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. The ventricles are within normal limits in size and configuration. The expected location of the pituitary gland, ... | 1. 1.4 x 1.3 sellar mass without abutment of the (distal likely represents a macroadenoma, or less likely a metastasis.2. Redemonstration of known thyroid metastasis posterior to the T9 vertebral body with invasion as above.3. A separate lesion concerning for metastasis is centered in the T10 vertebral body.4. There is... |
Generate impression based on medical findings. | History of papillary serous carcinoma status post brain biopsies. There are postoperative findings related to right occipital lobe biopsy without evidence of residual enhancing lesion. There is residual surrounding confluent T2 hyperintensity. There is an unchanged enhancing dural based lesion that measures up to 5 mm ... | 1. Post-treatment findings in the right occipital lobe, without evidence of recurrent tumor. 2. An unchanged enhancing dural based lesion that measures up to 5 mm along the inferior surface of the left tentorium may represent a meningioma or metastasis.3. Punctate foci of susceptibility effect without associated enhanc... |
Generate impression based on medical findings. | Dyspnea, evaluate for pneumonia. Perihilar bronchial thickening consistent with history of asthma. No consolidation or effusion. Normal cardiomediastinal silhouette. | No acute abnormalities. No evidence of pneumonia. |
Generate impression based on medical findings. | Male, 83 years old.Shortness of breath Low lung volumes.Cardiomediastinal silhouette is unchanged.Bibasilar opacities consistent with left greater than right pleural effusions with adjacent atelectasis is not significantly changed accounting for differences in positioning. Bibasilar airspace opacities appears similar t... | Bilateral airspace opacities, atelectasis, and pleural effusions without significant interval change. |
Generate impression based on medical findings. | 36-year-old male history testicular cancer status post orchiectomy, chemo for increased RPLN, also history renal transplant due to Alport syndrome. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: No significant abnormality notedCHEST WALL: No significant abnormality notedABDOMEN: The exam ... | Comparison of coronal and axial images suggest only minimal if any increase in size of the bilobed left external iliac artery aneurysms.Cholelithiasis. |
Generate impression based on medical findings. | Male, 44 years old.CHF. Swan-Ganz catheter placement. Not significantly changed. Right jugular Swan-Ganz catheter has been advanced with tip now over the right pulmonary artery. Mediastinal drains again noted. No pneumothorax. | Swan-Ganz catheter advanced tip now over the right pulmonary artery. Stable predominantly right-sided pulmonary opacities may reflect edema or infection. |
Generate impression based on medical findings. | Age: 78 yearsGender: MaleReason for Study: Reason: s/p bronchoscopy History: hypoxia Motion limits sensitivity.Support devices unchanged.Stable cardiac mediastinal silhouette.Perihilar/basilar opacities are compatible with atelectasis, edema, pleural effusions. | Limited exam due to respiratory motion. Support devices unchanged. Stable cardiopulmonary appearance. |
Generate impression based on medical findings. | Male, 68 years old.Reason: sp prostatectomy, cb sigmoid perforation, remains intubated History: none Basilar atelectasis unchanged with small pleural effusions.ET tube tip approximately 5 cm above the carina.Left jugular catheter, tip in SVC. | ET tube tip approximately 5 cm above the carina. Unchanged basilar opacities. |
Generate impression based on medical findings. | Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. A few scattered punctate foci of T2 hyperintensities are noted in the subcortical frontal lobe white matter bilaterally. There is no abnormal intracranial enhancement. The cavernous sinuses appear to be intact. The ventricles and basal cis... | 1.Minimal punctate foci of T2 hyperintensities in the subcortical frontal lobe white matter bilaterally, but otherwise no specific findings to suggest a demyelinating process or acute infarct. 2.Apparent disconjugate gaze and mild volume loss of the left lateral rectus related to left abducens nerve palsy, but no disce... |
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. | Male, 61 years old.Reason: catheter placement confirmation History: above Small lung volumes, otherwise unremarkable.Right jugular catheter, tip in SVC. | Right jugular catheter, tip in SVC. |
Generate impression based on medical findings. | 2-year-old male with oral aversion and vomiting. Evaluate for brainstem or posterior fossa lesion. There are scattered areas of periventricular white matter T2 hyperintensity, left more than right. There is otherwise a normal degree of myelination and the brainstem and cerebellum are unremarkable, however. There is no ... | Scattered areas of periventricular white matter T2 hyperintensity, left more than right, are nonspecific. Differential considerations include prior ischemia or infection in addition to terminal zones of myelination. The brainstem and cerebellum are unremarkable, however. I personally reviewed the Images and/or procedur... |
Generate impression based on medical findings. | Male, 59 years old.Reason: IABP position, pulmonary edema History: CHF, IABP Left ICD stable.IABP marker slightly higher now at the level of aortic arch. No new pulmonary opacity or significant edema. | IABP marker slightly higher now at the level of aortic arch. |
Generate impression based on medical findings. | Female, 60 years old.Reason: picc line placement History: picc line Mild cardiomegaly.No specific evidence of infection or edema.Right PICC, tip in right subclavian. | PICC placement. Mild cardiomegaly. |
Generate impression based on medical findings. | Reason: infiltrate History: AMS Normal heart size with a retrocardiac hiatal hernia.No significant pulmonary abnormalities. | No acute abnormalities. |
Generate impression based on medical findings. | Male, 66 years old.Reason: presumed lung CA R mainstem bronchus, History: shortness of breath Right jugular catheter terminates in the cavoatrial junction.There is near complete collapse of the right lung, with rightward shift of the mediastinum, consistent with patient's known endobronchial lesion. No pleural effusion... | Near complete collapse of the right lung with rightward shift of the mediastinum, consistent with patient's known endobronchial lesion. This can be further evaluated with a contrast-enhanced CT of the chest.These findings were discussed with Dr. Philip Hoffman at 10:45 AM on 5/17/2016. |
Generate impression based on medical findings. | Male, 19 years old.Reason: Evidence of mediastinal masses/PNA/pulmonary edema? 19 YO male with a history of seizures and chronic pain History: Chest Pain Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities. | No significant abnormality. |
Generate impression based on medical findings. | Male, 32 years old.Infectious. Volume loss again noted in the left hemithorax and left pleural thickening is not significantly changed. Stable cardiomediastinal silhouette. No focal airspace opacity, pleural effusion, or pneumothorax. | No acute cardiopulmonary abnormality. |
Generate impression based on medical findings. | Female, 55 years old.ETT position. Tubes and lines unchanged in position, ETT tip about 2.5 cm above the expected level of the carina. Basal atelectasis. Motion artifact. No pneumothorax. No specific signs of pulmonary edema. | ETT tip about 2.5 cm above the expected level of the carina. |
Generate impression based on medical findings. | Age: 21 yearsGender: MaleReason for Study: Reason: rule out pneumonia History: sickle cell voc crisis, low back, admisison The cardiomediastinal silhouette is unremarkable.No focal areas of consolidation.There are no pleural effusions. | No acute cardiopulmonary abnormalities identified without interval change. |
Generate impression based on medical findings. | Male, 31 years old.Reason:. Evaluate lung fields, r/o hemothorax History: trach - removed R subclavian IJ yesterday Right subclavian line has been removed. Other lines and tubes, unchanged. Mild diffuse pulmonary edema with patchy left basilar opacity again noted. No pneumothorax. Unchanged currently measuring. | No pneumothorax or right-sided pleural effusion. Mild pulmonary edema, as before. |
Generate impression based on medical findings. | Diagnosis: Other forms of epilepsy and recurrent seizures with intractable epilepsyClinical question: epilepsy presurgical evaluation. Epilepsy protocol 2. 1 mm thin cut. Please include 3 D T1 contrast and DTI is requested. Please contact Dr. Carina Yang for questions.Signs and Symptoms: Medically intractable right fro... | MRI of the brain is within normal limits. No etiology for the patient's known seizures is appreciated. |
Generate impression based on medical findings. | Encephalopathy, unspecified [G93.40], Reason for Study: ^Reason: Persistently encephalopathic with R gaze deviation and R sided weakness History: pls see above Multifocal scattered bihemispheric restricted diffusion lesions involving bilateral frontal, parietal temporal, left occipital bilateral basal ganglia and bilat... | 1. Multifocal supra and infratentorial ischemic infarctions.2. Left basal ganglia ICH with mass effects with midline shift toward right side, likely represent hemorrhagic conversion.3. Underlying non specific small vessel ischemic disease. |
Generate impression based on medical findings. | 61 year-old female with metastatic breast cancer status post two cycles of chemotherapy. Evaluate and compare to previous. CHEST:LUNGS AND PLEURA: Punctate left lower lobe nodule is unchanged (image 42; series 80213)MEDIASTINUM AND HILA: Reference precarinal lymph node has decreased minimally in size and currently meas... | Slight interval progression of disease. Reference measurements above. |
Generate impression based on medical findings. | Enlarged thyroid RIGHT LOBE MEASUREMENTS: 1.5 x 1.5 x 5.4 cmLEFT LOBE MEASUREMENTS: 1.5 x 1.5 x 4.5 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely heterogeneous gland. Right inferior hyperechoic thyroid nodule measuring 1.6 x 1.0 x 1.5 cm.LEFT LOBE: Diffusely heterogeneous gland.ISTHMUS: No significant abnormality... | Diffusely heterogeneous gland. Right inferior hyperechoic nodule, favor benign etiology. |
Generate impression based on medical findings. | Please evaluate cough. History of laryngeal carcinoma. Evaluate for metastases. LUNGS AND PLEURA: Moderately severe mainly upper lobe centrilobular emphysema.Scarring and surgical staples in the right lower lobe.Several nonspecific micronodules, unchanged, and no sign of metastases.MEDIASTINUM AND HILA: No significant ... | No change and no sign of metastases. |
Generate impression based on medical findings. | 55-year-old female. Cirrhosis. Screen for HCC. ABDOMEN:LIVER, BILIARY TRACT: Liver contour: Nodular consistent with a cirrhotic morphologyFeatures of portal hypertension: Small esophageal and perigastric varices, ascites, and borderline splenomegaly. Portal vein: Patent proximal to the TIPS.Hepatic artery: PatentHepati... | 1.Stable nonspecific right hepatic dome lesion with enhancement characteristics that do not meet strict criteria for HCC. No new worrisome lesion.2.Interval TIPS placement, patency of which cannot be evaluated due to shunt artifact. Small amount of ascites.3.1.8 cm distal splenic artery aneurysm, unchanged. Consultatio... |
Generate impression based on medical findings. | Reason: eval for pathology History: desaturation on room air Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease.Presumed shunt catheter superimposed on the mediastinum. | No significant abnormalities. |
Generate impression based on medical findings. | Chiari malformation decompression follow up. Brain: There are stable postoperative findings related to Chiari decompression and fourth ventricular stenting. The cerebellum displays an unchanged morphology and signal characteristics. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles... | 1. Stable postoperative findings related to Chiari decompression and fourth ventricular stenting without evidence of syringohydromyelia.2. A posterior disc-osteophyte complex has increased in size and indents the spinal cord. |
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