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Generate impression based on medical findings. | Age: 56 yearsGender: MaleReason for Study: Reason: Pre-Kidney evaluation, end stage renal disease. Rule out cardiomegaly. Rule out infiltrates. History: Pre-Kidney Transplant The cardiomediastinal silhouette is unremarkable.Increased lung volumes compatible COPD.The lungs are clear.There are no pleural effusions. | No acute cardiopulmonary abnormalities are identified. No specific evidence of infection or edema. |
Generate impression based on medical findings. | Age: 65 yearsGender: MaleReason for Study: Reason: ICU survey History: s/p LVAD; HCAP Support devices unchanged.Stable cardiac enlargement.Retrocardiac consolidation/atelectasis similar to prior exam.No new pulmonary opacities identified. | Support devices unchanged. Stable cardiopulmonary appearance with cardiomegaly and left retrocardiac consolidation/atelectasis. |
Generate impression based on medical findings. | Female, 63 years old.Reason: eval pulm edema, pna History: eval for infection, rising white count, hypotension Cardiomegaly.No sign of infection.Stable minimal edema.Right PICC, tip in right innominate vein.Left subclavian ICD, leads unchanged in position. | No sign of infection. Minimal edema. |
Generate impression based on medical findings. | Myelopathic symptoms. The spinal canal appears to be congenitally narrow throughout. There is superimposed multilevel degenerative spondylosis. At C3-4, there is a posterior disc-osteophyte complex and uncovertebral joint hypertrophy bilaterally, which results in considerable compression of the spinal cord and severe b... | Multilevel degenerative spondylosis, with spinal cord compression at C3-4 and C4-5. |
Generate impression based on medical findings. | Male 79 years old Reason: Hx of metastatic renal cancer with bilateral pleural effusions : check for worsening right pleural effusion History: shortness of breath There are stable basilar interstitial and airspace opacities and moderate layering pleural effusions, not significantly changed. There is no pneumothorax.The... | Stable basilar interstitial and airspace opacities with associated pleural effusions. |
Generate impression based on medical findings. | Male, 65 years old.Reason: hx of bladder cancer, evaluate for metastatic disease History: see above Unremarkable mediastinal and cardiac silhouette.No significant pulmonary or pleural abnormalities.No evidence of metastases. | No significant abnormality. |
Generate impression based on medical findings. | Age: 57 yearsGender: FemaleReason for Study: Reason: evaluate for pulmonary edema given history of heart failure History: tachypnea Left-sided ICD and right Port-A-Cath unchanged.Stable cardiac enlargement.The lungs are clear.No pleural effusions. | Cardiomegaly without evidence of infection or edema. |
Generate impression based on medical findings. | Reason: R lung rhonci, cough. h/o Ulcerative coltiis History: cough, rhonchi R lung Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease. | No significant abnormalities. |
Generate impression based on medical findings. | Age: 56 yearsGender: MaleReason for Study: Reason: tachycardia History: chest pain, tachycardia Inferior portion of the chest is not included on the imaging.Stable cardiac mediastinal silhouette.Diffuse interstitial opacities similar in appearance to the prior exam.No new pulmonary opacities identified. | Diffuse interstitial opacities with bronchial wall thickening similar in appearance to the prior exam. CT of the chest may be of value. |
Generate impression based on medical findings. | Female, 75 years old.Reason: hx of bladder cancer, evaluate for metastatic disease History: see above Large lung volumes consistent with COPD.No sign of metastases or other significant abnormality.Left subclavian ICD, leads unchanged in position. | No evidence of metastases, or other significant abnormality apart from COPD. |
Generate impression based on medical findings. | Female, 53 years old.Reason: central line placement History: central line placement Moderate to large layering right pleural fluid collection similar in volume. The dependent right lung is atelectatic and consolidated. Additionally, there are hazy opacities in the left base. Placement of central venous catheter with ti... | 1. No pneumothorax following line position2. Lines otherwise stable as well as the moderate right effusion. |
Generate impression based on medical findings. | Meningioma and left sided headache. There is no significant interval change in the extra-axial left paraclinoid tumor, measures up to approximately 13 mm. There is slight mass effect upon the overlying brain parenchyma, but no evidence of edema. There are scattered nonspecific T2 hyperintensities within the subcortical... | No significant change in the left paraclinoid meningioma. |
Generate impression based on medical findings. | Male, 55 years old.Reason: Pneumothorax; Post device placement in EP Lab History: Post device placement in EP Lab New presternal ICD.Left subclavian ICD, leads unchanged in position.Unremarkable appearing lungs. | New presternal ICD, without placement complication. |
Generate impression based on medical findings. | History of rhabdomyosarcoma with new left breast mass. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Heterogeneous mass in the left inner upper quadrant of the left breast measuring 2.8 x 2.2 cm with soft tissue spiculation and restricted dif... | 2.8 cm left breast inner upper quadrant heterogeneously enhancing solid mass, suspicious for neoplasm, including metastatic disease. |
Generate impression based on medical findings. | Reason: post op, eval lung fields History: s/p CABG Left chest tube in place with no significant pneumothorax. Right jugular catheter tip in the area of the SVC.Cardiomegaly with pulmonary edema, effusions and atelectasis, not significantly changed. | CHF with no acute change. |
Generate impression based on medical findings. | Male, 73 years old.Reason: ? PNA History: Altered mental status Low lung volumes makes detailed cardiopulmonary assessment difficult. Mild interstitial pulmonary edema. No large pleural effusion or pneumothorax. Normal heart size. Stigmata of previous granulomatous disease. | Low lung volumes makes detailed cardiopulmonary assessment difficult. Mild interstitial pulmonary edema. |
Generate impression based on medical findings. | 5 x 6 cm nodule of the left posterior neck, waxing/waning in size, assess depth or if adherent to adjacent structures A subcutaneous T2 hyperintense cystic lesion is seen in the left posterior neck under a vitamin E capsule marker measuring 4.1 x 2.5 cm (image 33, series 901). This measures up to 3 cm in craniocaudal d... | Simple cyst involving the left posterior neck subcutaneous soft tissues. While this is nonspecific, given its proximity to the skin surface, this may represent a sebaceous cyst. No invasion of the underlying musculature. |
Generate impression based on medical findings. | Recurrent/metastatic nasopharyngeal cancer, status post treatment. There are post-treatment findings in the nasopharyngeal region. There is no gross residual right cavernous sinus region tumor. There is persistent enhancement within the right foramen rotundum and Vidian canal, as well as in the right sphenopalatine for... | 1. No gross residual right cavernous sinus region tumor. 2. Persistent enhancement within the right foramen rotundum and Vidian canal, as well as in the right sphenopalatine foramen region may represent residual treated tumor with perineural extension. |
Generate impression based on medical findings. | 38 year-old female with goiter, fatigue. Family history of thyroid disease RIGHT LOBE MEASUREMENTS: 2.1 cm x 1.5 cm x 6.3-cmLEFT LOBE MEASUREMENTS: 2.1 cm x 1.7 cm x 7.3-cmISTHMUS MEASUREMENTS: 2 mm in thicknessRIGHT LOBE: Mildly heterogeneous echotexture. Subcentimeter heterogeneous nodule in the upper pole. LEFT LOBE... | Mildly heterogeneous thyroid gland with bilateral thyroid nodules as above, dominant 2.2 cm mixed solid/cystic nodule in the left lobe would be amenable to FNA if clinically warranted. |
Generate impression based on medical findings. | Male 25 years old Reason: RLE pain, hx of NF1. Right thigh/buttock pain and twitching. Evaluate for plexiform neurofibroma or sarcoma. Right femur: Bone marrow signal is within normal limits. Visualized muscles and tendons are unremarkable. Visualized soft tissues are unremarkable. No T2 hyperintense signal in the musc... | 1.Left gluteal musculature edema with overlying subcutaneous superficial scarring.2.No plexiform neurofibromas identified, and no lesions that are suspicious for malignant peripheral nerve sheath tumors within limitations of a noncontrast-enhanced examination. |
Generate impression based on medical findings. | Reason: ETT position History: hypovolemic shock, UGIB, intubated for airway protection Interval extubation.Venous catheters unchanged.Left perihilar airspace opacity, questionably increased, likely secondary to aspiration. | Interval extubation with left perihilar opacity suggestive of aspiration. |
Generate impression based on medical findings. | 24 years old Male. Reason: Swan Ganz in place History: Swan Ganz in place. The cardiac and mediastinal silhouette is enlarged with cephalization of pulmonary veins. Stable patchy opacity in the left upper lobe. The Swan-Ganz catheter and AICD electrode is stable in position. | The above findings are consistent with mild CHF. |
Generate impression based on medical findings. | Pituitary lesion; preoperative planning for resection. There is a pituitary lesion with suprasellar extension and mass effect upon the optic chiasm. There is also a subcentimeter extra-axial lesion along the left aspect of the superior sagittal sinus. Fiducial markers are present on the skin. | 1. Preoperative planning MRI demonstrates a pituitary lesion with suprasellar extension, which likely represents a pituitary macroadenoma. Please refer to the prior MRI report for additional details.2. A subcentimeter extra-axial lesion along the left aspect of the superior sagittal sinus may represent a meningioma. Pl... |
Generate impression based on medical findings. | Female, 79 years old.Reason: eval infection History: AMS Loss of the superior aspect the left heart border without definite correlate on lateral view. Otherwise clear lungs. No pleural effusion pneumothorax. Normal heart size. Aortic atherosclerosis. | Loss of the superior aspect the left heart border without definite correlate on lateral view which could reflect early aspiration or pneumonia. Consider close repeat imaging as clinically indicated. |
Generate impression based on medical findings. | Male, 58 years old.Reason: eval line placement History: TLC Right IJ line terminates at the cavoatrial junction. No pneumothorax. Moderate cardiomegaly again noted. No new focal lung consolidation. No large pleural effusion. | Right IJ line terminating at the cavoatrial junction without evidence of pneumothorax. Cardiomegaly, as before. |
Generate impression based on medical findings. | 73-year-old male with cirrhosis and liver mass status post RFA/TACE ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: The examination of the previously seen liver mass is somewhat limited by suboptimal timing of arterial phase scan. This limits the evaluation of the mass because visualization of... | 1. Liver mass is unchanged with characteristics and measurements described.2. No new sites of disease. |
Generate impression based on medical findings. | Female, 59 years old.Reason: eval pna History: low-grade temp with cough known history of sarcoidosis. Nodular interstitial opacities are unchanged, with some right paratracheal lymphadenopathy, consistent with the known history of sarcoidosis.Chronic elevation right hemidiaphragm.No reliable evidence of pneumonia. | Findings of sarcoidosis, but no reliable evidence of pneumonia. |
Generate impression based on medical findings. | Age: 96 yearsGender: FemaleReason for Study: Reason: please followup prior pneumonia History: improving, persisted ms changes, aspiration risk Cardiac size normal. Ectasia of the aorta.Increased lung vines compatible COPD.Blunting of the left costophrenic angle compatible with a small effusion.The lungs are clear.. | Significant interval improved improvement in the pleural effusions and pulmonary opacities noted on the prior exam. Small left pleural effusion. |
Generate impression based on medical findings. | 68-year-old male with shortness of breath, hypoxia. Evaluate for pulmonary edema. Right IJ venous catheter has been advanced with tip in the right atrium.Patchy left upper lobe opacity similar to prior with new perihilar interstitial opacities, septal lines and probable pleural effusions. No pneumothorax. Mild cardiome... | Left upper lobe pneumonia with likely superimposed pulmonary edema. |
Generate impression based on medical findings. | Male, 59 years old.Reason: eval lung fields History: eval lung fields Cardiomegaly status post median sternotomy.Small pleural effusions and right basilar atelectasis are noted.Prior right jugular Swan-Ganz catheter removed.Left PICC, tip in the SVC.IABP catheter proximal marker projects over the aortic arch. | Unchanged pleural effusions right larger than left, and mild right basilar subsegmental atelectasis. |
Generate impression based on medical findings. | Male, 55 years old. Right jugular catheter tip in the right atrium.No pneumothorax or other complications.ET tube tip approximately 3 cm above the carina. Bilateral nonspecific airspace opacity compatible with infection, not significantly changed. | Catheter tip in the right atrium. |
Generate impression based on medical findings. | Male, 79 years old.Reason: chronic non-productive cough; known GERD; ?h/o asthma Minimal bronchial wall thickening which can be seen in the presence of asthma or bronchitis. No focal consolidation or pleural effusion. Tortuous descending thoracic aorta. Heart size is normal. No pneumothorax. | Bronchial wall thickening which be seen in the presence of asthma or bronchitis. No focal pneumonia. |
Generate impression based on medical findings. | Male 67 years old Reason: eval for PNA or edema History: new shortness of breath Unremarkable cardiomediastinal silhouette.Low lung volumes with bibasilar atelectasis/consolidation.No large pleural effusion or pneumothorax. | No specific evidence of edema or infection. |
Generate impression based on medical findings. | Male, 87 years old.Reason: labored breathing, s/p valvuloplasty yesterday History: labored breathing, s/p valvuloplasty yesterday Unchanged moderate right pleural effusion with overlying atelectasis. Left lung unremarkable.Moderate cardiomegaly. | Unchanged right pleural effusion with overlying atelectasis and cardiomegaly. |
Generate impression based on medical findings. | Hypoxia Endotracheal tube terminates approximately 4 cm above the level of the carina. Right jugular sheath terminates in the distal jugular vein. Right Port-A-Cath terminates in the right atrium.Unchanged moderate cardiomegaly with bilateral pleural effusions and septal thickening. | Unchanged CHF pattern.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Male 25 years old Reason: evaluate cardiopulmonary fields History: fever Cardiomediastinal silhouette is unremarkable.No focal opacity or pleural effusion. | No significant cardiopulmonary abnormality. |
Generate impression based on medical findings. | 52-year-old male with resected no positive for carcinoid. Evaluate for possible recurrence. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Multiple nonenlarged mediastinal lymph nodes.CHEST WALL: No significant abnormality notedABDOMEN:LIVER, BILIARY TRACT: No significant abnormality note... | No evidence of metastatic disease in the chest and abdomen. |
Generate impression based on medical findings. | 53-year-old female with history of AICD. Assess left ventricular lead placement. Left-sided AICD/pacemaker is present. Left ventricular lead is directed posteriorly presumably into an epicardial cardiac vein. Cardiac size mildly enlarged. No focal air space opacities, pleural effusions, or pneumothorax. | Left-sided AICD/pacemaker with leads in the expected location. No evidence of postprocedural pneumothorax. |
Generate impression based on medical findings. | Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable. There are no significant de... | Negative noncontrast cervical spine MRI. Specifically, there are no MRI findings of spinal cord cavernous malformation. |
Generate impression based on medical findings. | 32 years Female (DOB:6/6/1983)Reason: MS, f/u progression History: paresthesiasPROVIDER/ATTENDING NAME: ADIL JAVED ADIL JAVED The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a moderate to marked degree of periventricular and subcortical punctate hyperintense white matter lesi... | Redemonstration of multiple white matter lesions scattered throughout the brain but predominantly the supratentorial brain are stable when compared to the prior exam. Some of the lesions that were more conspicuous on the prior exam are less conspicuous on the current exam. |
Generate impression based on medical findings. | Female, 39 years old.Reason: chest pain,sob Apparent enlarged heart size is likely related to low lung volumes. The lungs are clear. No pneumothorax or pleural effusions. | No acute cardiopulmonary abnormalities. |
Generate impression based on medical findings. | Female, 49 years old.Neutropenic fever. For infiltrate. Right jugular catheter tip at the cavoatrial junction.Unremarkable cardiac and mediastinal silhouette.Calcified right lung granulomas.No evidence of infection or edema. No pleural effusion. | No evidence of infection. |
Generate impression based on medical findings. | Clinical question: Rule out brain metastases. Signs and symptoms: Known spinal cancer. Pre and post contrast brain MRI: Negative diffusion weighted images.Examination demonstrate normal anatomic cord morphology and with normal signal intensity on all MRI sequences. Unremarkable sacral cortex, cortical sulci, ventricula... | 1.Negative pre and post enhanced brain MRI.2.Nonenhanced cord compression complete spine MRI demonstrate no cord compression. There are however multiple osseous metastatic lesions present. There is metastatic lesion involving L2 vertebrae and with mild compression fracture of superior endplate. Normal signal intensity ... |
Generate impression based on medical findings. | Male, 54 years old.Reason: worsening infection? 54M with ALL with nodular pulm infiltrates on CT 1/17/15 History: neutropenic fever, chills, nodular pulm infiltrates Right upper lobe capacity more extensive than before combo with new foci in the right lower lung zone and basilar atelectasis.Heart size normal.Right jugu... | Worsening pneumonia consistent with fungal infection. |
Generate impression based on medical findings. | Reason: Pt w/ Hx of CAD, CHF, Cirrhosis h/w ADHF History: B/l LE edema, Abd distention, SOB Moderate cardiomegaly with vascular redistribution but no specific evidence of pulmonary edema.No other significant findings. | Cardiomegaly and vascular redistribution without visible edema or effusions. |
Generate impression based on medical findings. | 56-year-old female with lung cancer. Evaluate response to therapy. CHEST:LUNGS AND PLEURA: A right upper lobe spiculated mass has changed in configuration slightly making direct comparison somewhat difficult. The tumor measures 2.3 x 1.9 cm on axial image 30/111 and is unchanged at this level which is equivalent to tha... | 1.Right upper lobe mass has changed somewhat in configuration, and although the reference measurement is stable, the mass appears slightly fuller in certain planes.2.Scattered new pulmonary micronodules.3.Improved axillary and mediastinal lymphadenopathy as above.4.Gallstones. |
Generate impression based on medical findings. | 66-year-old female with history of widened mediastinum. Rule out infiltration. Moderate cardiomegaly. Mediastinal silhouette is within normal limits.Mild basilar atelectasis.Healed rib fractures are again noted. | Mild basilar atelectasis. No specific evidence of pneumonia. |
Generate impression based on medical findings. | Male, 20 years old.Reason: sob History: sob and chest No focal lung opacity, pleural effusion, or pneumothorax. The heart size is normal. Rightward curvature of the thoracolumbar spine. | No acute cardiopulmonary abnormality.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Female, 61 years old.Reason: swan distance? History: swan in place Swan ganz tip in right interlobar PA. Other findings stable. | Swan ganz tip in right interlobar PA. |
Generate impression based on medical findings. | Ms. Uppal submitted outside study for review. Submitted for review are:-Right breast ultrasound: 7/22/2016-Right breast ultrasound-guided biopsy: 7/29/2016-Bilateral breast MRI: 8/23/2016-Post stereotactic biopsy left breast mammogram: 8/26/2016The right breast ultrasound and right ultrasound-guided biopsy were perform... | Biopsy-proven DCIS of both breasts. Surgical management is recommended for known malignancy. Submission of all mammograms would be of benefit to see if left lower breast calcifications are stable, document morphology of calcifications on magnification views and to document clip locations in the right breast. BIRADS: 6 ... |
Generate impression based on medical findings. | Female, 82 years old. Right jugular catheter extending to the area of the right atrium.Pacemaker lead from the IVC with its tip projected over the area of the right ventricle, though now directed superiorly, whereas previously it was directed inferiorly towards the apex.Cardiomegaly with interstitial edema and small pl... | 1. Interval change in the position of a temporary pacemaker with its tip now projected superiorly in the right ventricle.2. Right jugular catheter tip in the right atrium. |
Generate impression based on medical findings. | Male 70 years old; Reason: aki evaluate for obstruction History: aki RIGHT KIDNEY: The right kidney measures 10 cm in length. The cortex is normal echogenicity. No shadowing calculi or hydronephrosis is present. LEFT KIDNEY: The left kidney measures 11 cm in length. The cortex is normal echogenicity. No shadowing calcu... | 1.No hydronephrosis |
Generate impression based on medical findings. | Age: 27 yearsGender: MaleReason for Study: Reason: r/o pneumonia History: SOB, cough, chest pain There are decreased lung volumes.The cardiomediastinal silhouette is unremarkable.Minimal nonspecific basilar opacities are compatible atelectasis.No focal areas of consolidation.Multiple metallic fragments are identified o... | No acute cardiopulmonary abnormalities are identified. No specific evidence of infection. |
Generate impression based on medical findings. | 74-year-old male with history of mesothelioma. Status post presacral to treatment. CHEST:LUNGS AND PLEURA: Irregular pleural thickening in the left hemithorax with associated calcified pleural plaques are similar in comparison to prior study.Reference measurements as below:At the aortic arch (series 3, image 34): 15 mm... | Stable disease as detailed above |
Generate impression based on medical findings. | Reason: eval lung fields History: s/p lobectomy, now in RF ET tube tip approximately 3 cm above the carina.Diffuse nonspecific pulmonary opacity and loculated left pleural effusion without significant change.No new findings. | Nonspecific pulmonary opacity and pleural effusion without significant change. |
Generate impression based on medical findings. | Female, 50 years old.Reason: pulm edema History: sob, missed HD Right-sided central venous catheter tip projects over the cavoatrial junction, unchanged. Low lung volumes. The cardiomediastinal silhouette is within normal limits. No radiographic evidence of edema. | No evidence of pulmonary edema, or other acute cardiopulmonary process. |
Generate impression based on medical findings. | Female, 22 years old.Confirm PICC tip. Require TPN. Left PICC tip at the SVC level. No focal airspace opacities, pleural fluid or pneumothorax. Gastrostomy tube retention device projects over the left upper quadrant. | No acute pulmonary abnormality. Left PICC tip in appropriate position at the level of the superior vena cava. |
Generate impression based on medical findings. | Reason: pneumonia? History: chills and hypoxia with sob Moderate cardiomegaly with a mitral valve prosthesis in place.Diffuse mainly lower zone interstitial and airspace opacity, suggestive of edema, but possibly with superimposed infection. | Findings suggestive of pulmonary edema but possibly with superimposed infection. |
Generate impression based on medical findings. | Male, 76 years old.Reason: progression of PNA History: increased oxygen requirement The cardiac and mediastinal contours are partially obscured.Progressive volume loss of the left upper lobe, which may be secondary to postobstructive atelectasis secondary to left hilar metastatic lymphadenopathy seen on prior study.Coa... | Progressive volume loss of the left upper lobe which may be secondary to postobstructive atelectasis in the setting of known left hilar metastatic lymphadenopathy, or superimposed pneumonia in the appropriate clinical setting. Correlation with physical exam and patient's symptoms is recommended.No interval change in ap... |
Generate impression based on medical findings. | Reason: 60 F with hx COPD, CHF, 3 episodes pneumonia, presents with right flank pain, SOB, wheezing r/o CHF exacerbation, PNA History: SOB, diffuse expiratory wheezes, desaturate to 80s when talking Mild cardiomegaly with small lung volumes secondary to obesity.No specific evidence of pulmonary edema or infection. | No acute abnormalities. |
Generate impression based on medical findings. | Reason: shortness of breath, hx L pleural effusion History: dyspnea Status post left upper lobectomy with residual partially loculated left pleural effusion, which may have increased at the left base.Volume loss in the left lung is also slightly more marked than previously.No significant abnormalities in the right lung... | Volume loss in the left lung with partially loculated pleural effusion, questionably increased compared to previous. |
Generate impression based on medical findings. | 71 year old man with history of CAD with known occlusion of the RCA, LV dysfunction, previous stroke, hypertension and peripheral arterial disease referred for cardiac MRI to evaluate cardiac function and assess for scar. Left VentricleThe left ventricle is mildly dilated with moderate-severely reduced systolic functio... | 1. Mildly dilated LV with moderate-severely reduced function (EF 35%). 2. There is an irregularity in the basal anterior wall which resembles an outpouching. In this same area there is hypokinesis of the mid anterior wall.3. There is a very small area of late gadolinium enhancement in the apical inferolateral wall whic... |
Generate impression based on medical findings. | 51-year-old female with sarcoidosis. Cholestatic picture on LFTs. Transjugular liver biopsy demonstrating osteopenia with portal and lobular inflammation and granulomatous, compatible with sarcoidosis. Extremely limited study due to patient refusal of multiple sequences, including lack of IV contrast.ABDOMEN:LUNGS BASE... | 1.Significantly limited examination due to patient's refusal of multiple sequences and IV contrast administration.2.Hepatosplenomegaly, without biliary ductal dilation evident. |
Generate impression based on medical findings. | 63-year-old male with head and neck cancer. Compare previous. Measurements for IRB 10334. CHEST:LUNGS AND PLEURA: Mild paraseptal emphysema as seen previously. Trace pleural fluid. Mild pleural thickening consistent with tumor at the level of the right ninth rib metastasis, including a more nodular area of thickening (... | 1. New lytic metastasis in the left manubrium.2. Nodular right pleural thickening posteriorly at the level of the right ninth rib metastasis has increased since prior study and is consistent with tumoral involvement.3. Continued decrease in reference measurements in the right ninth rib metastasis and index precarinal l... |
Generate impression based on medical findings. | Cervical spine:There has been prior anterior cervical fusion at C5, C6, and C7 better visualized on previous cervical spine CT.Redemonstrated is congenital narrowing of the spinal canal.Alignment is anatomic. There are no fractures or subluxations. The marrow signal is benign. The cervical cord is normal in signal. Th... | 1.Postoperative changes of the cervical lumbar spines as described above.2.C2/3: Moderate left neural foraminal stenosis.3.C3/4: Mild/moderate central and moderate bilateral neural foraminal stenosis.4.C4/5:The cord is flattened both anteriorly and posteriorly, worse on the right anteriorly, demonstrating intrinsic cor... |
Generate impression based on medical findings. | Non-Hodgkin lymphoma. CHEST:LUNGS AND PLEURA: No significant abnormality noted.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: Cholelithiasis without biliary dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abn... | Mesenteric and para-aortic adenopathy. |
Generate impression based on medical findings. | Female, 45 years old.Reason: eval acute infection History: SOB No significant cardiopulmonary abnormality.No specific evidence of infection. | No significant abnormality. |
Generate impression based on medical findings. | 59-year-old female with a lytic lesions concerning for malignancy CHEST:LUNGS AND PLEURA: Bilateral pleural effusions and dependent atelectasis. Pleural effusions have increased in sizeMEDIASTINUM AND HILA: Cardiomegaly. Bilateral thyroid nodules. Tubular fat density structure along the proximal and mid esophagus it is... | Left-sided pelvic fractures as described above. Bilateral obturator adenopathy.Possible lipoma in the esophagus.Indeterminate splenic lesions.Ultrasound a helpful for further evaluation of the gallbladder. |
Generate impression based on medical findings. | Female 44 years old Reason: Met Breast Cancer, known spine mets, s/p xrt L2-l4 and L3 kyphoplasty History: lower back pain Again seen are bilateral pars defects with grade 1 anterolisthesis of L5 on S1 which is unchanged compared to the exam from 9/19/2014. The remainder of the alignment of the lumbar spine is within n... | 1.No evidence of new osseous metastatic disease.2.Degenerative changes most severe at the L5-S1 level where there is grade 1 anterolisthesis, severe bilateral neural foraminal stenosis and mild spinal canal stenosis which is not significantly changed from the previous exam.3.Interval kyphoplasty of the L3 vertebral bod... |
Generate impression based on medical findings. | Evaluate for rotator cuff tear ROTATOR CUFF: There is a partial tear articular surface of the supraspinatus without contraction. Note is made of muscle atrophy. There is also a partial tear of the infraspinatus at its insertion. Subscapularis is unremarkable. SUPRASPINATUS OUTLET: No significant abnormality noted.GLENO... | Muscle atrophy of the supraspinatus with partial articular surface tear. Also partial tear of the infraspinatus at its insertion. |
Generate impression based on medical findings. | Female, 63 years old. Catheter tip in the SVC.Small lung volumes with mild interstitial opacity compatible with resolving edema.Basilar atelectasis and probable small pleural effusions.Feeding tube doubled back in the stomach. | Catheter tip in the SVC. |
Generate impression based on medical findings. | Male, 58 years old.Reason: OHT History: OHT Status post recent median sternotomy and cardiac transplant. The cardiac silhouette is within normal limits, considering technique.Mediastinal drains are now noted. No residual pneumomediastinum or pneumothorax.Adequate position of new ET tube overlying the mid trachea. There... | Status post recent median sternotomy and cardiac transplant.Abnormal position of the Swan-Ganz catheter possibly within a subsegmental arterial branch in the right lower lobe; recommend retraction approximately 6 cm.Appropriate position of additional support apparatus.Notification: Treating team is aware of this findin... |
Generate impression based on medical findings. | 55-year-old male with history of pleurodesis. A right pleural drain is again noted. There is a moderate-sized right pleural effusion with associated basilar atelectasis. The heart size is mildly enlarged. | Right pleural effusion and associated atelectasis without significant interval change. |
Generate impression based on medical findings. | Age: 70 yearsGender: FemaleReason for Study: Reason: effusion, edema History: SOB Decreased lung volumes with stable cardiac enlargement. Pulmonary vascular redistribution and perihilar/basilar interstitial opacities slightly increased from the prior exam.Median sternotomy is intact with evidence of aortic and mitral v... | Mild interval increase in perihilar/basilar interstitial opacities suggestive of edema and CHF. |
Generate impression based on medical findings. | Shortness of breath, chest pain Mild decreased lung volumes with minimal basilar atelectasis. No distinct effusions or focal discrete airspace process.Moderate nonspecific cardiomegaly with a globular appearance raising concern for a questionable pericardial effusion. | Questionable pericardial effusion |
Generate impression based on medical findings. | Reason: eval infiltrates History: SOB Unremarkable cardiac and mediastinal silhouette. Large lung volumes compatible with COPD.No sign of pneumonia or CHF. | No acute abnormalities. |
Generate impression based on medical findings. | Female 35 years old Reason: Evaluate for gallstones History: RUQ pain LIVER: Mild hepatomegaly, liver measures 20 cm in length. The parenchyma is within normal limits. No focal liver lesion. Main portal vein with normal directional flow, velocity measures 30 cm/sec. BILIARY TRACT: Gallbladder unremarkable. No significa... | Mild hepatomegaly. Unremarkable study otherwise. |
Generate impression based on medical findings. | 55-year-old male with non-Hodgkin lymphoma status post auto stem cell transplant. CHEST:LUNGS AND PLEURA: No significant abnormality notedMEDIASTINUM AND HILA: Unchanged calcified right paratracheal lymph node. No enlarged mediastinal or hilar lymphadenopathy.Left PICC tip in the SVC.CHEST WALL: No significant abnormal... | 1. Stable reference lymphadenopathy.2. Stable nonspecific hypodensity in the spleen.3. Unchanged renal cysts.4. No new sites of metastatic disease. |
Generate impression based on medical findings. | 14 years Female (DOB:12/17/2001)Reason: 14 yo F with hx cerebral AVM, s/p coil embolization and craniotomy, eval vasculature History: worsening HA and vomitingPROVIDER/ATTENDING NAME: SANGHYUN MARGARET PAIK STEPHEN THOMAS MRI of the brainThere is redemonstration of encephalomalacia involving the majority of the right f... | 1.Encephalomalacia involving large portion of the right frontal lobe and a small portion of the left frontal lobe. 2.No evidence for intracranial arteriovenous malformation. |
Generate impression based on medical findings. | 72-year-old male with metastatic melanoma CHEST:LUNGS AND PLEURA: A few subcentimeter nodules are identified in both lungs, unchanged. The reference left lower lobe nodule measures 5 mm (series 4; image 85), unchanged in size. MEDIASTINUM AND HILA: A surgical clip is seen in the previous location of the enlarged left s... | Interval excision of the left supraclavicular lymph node. Otherwise, stable examination. |
Generate impression based on medical findings. | Female, 75 years old.Reason: Is there pneumonia? History: fever Low lung volumes with increased basilar opacities compared to the prior study. This may represent infection or atelectasis.No other interval changes | Increasing basilar opacities may represent infection or atelectasis. |
Generate impression based on medical findings. | Male 58 years old with bladder and prostate cancer. Evaluate liver lesions seen on CT. ABDOMEN:LIVER, BILIARY TRACT: The liver measures 15 cm in length and has a smooth contour. There are several T2 hyperintense, circumscribed, nonenhancing lesion in both lobes of the liver compatible with simple cysts. For example, a ... | 1.Multiple T2 hyperintense hepatic lesions with no enhancement are favored to represent cysts. There is no enhancing liver lesion.2.Interval improvement in bilateral hydronephrosis. |
Generate impression based on medical findings. | 70 year-old male with metastatic melanoma evaluate for response to DTIC chemotherapy. CHEST:LUNGS AND PLEURA: Multifocal pulmonary nodules grossly unchanged.Reference pleural-based nodule posterior aspect right lower lobe series 5 image 75 measures 2.2 x 1.1 cm.The reference left upper lobe nodule cannot be separated f... | No new sites of disease. Measurements as above. |
Generate impression based on medical findings. | Female, 56 years old. Reason: concern for hydronephrosis. History: urinary retention RIGHT KIDNEY: Right kidney measures 10.3 cm in length with mildly increased cortical echogenicity. No hydronephrosis, shadowing calculi, or mass.LEFT KIDNEY: Left kidney measures 11.2 cm in length with mildly increased cortical echogen... | Mildly increased cortical echogenicity bilaterally suggests medical renal disease/parenchymal dysfunction. No hydronephrosis. |
Generate impression based on medical findings. | Further advancing of enteric tube Enteric tube does not appear significantly changed from prior study. Better seen on current study is rounded tubing overlying gastric body, correlate with patient's procedural history. Remainder of exam similar to earlier exam. | Enteric tube does not appear significantly changed from prior study. Better seen on current study is rounded tubing overlying gastric body, correlate with patient's procedural history. |
Generate impression based on medical findings. | Wheezing, increased work of breathing Aortic arch, cardiac apex, and stomach are left-sided. Cardiothymic silhouette is normal.No pleural effusions or pneumothorax. No focal pulmonary consolidation. Lung volume is increased with diaphragm between 10th and 11th posterior ribs. | Large lung volumes, which may represent bronchiolitis/airway hyperreactivity. |
Generate impression based on medical findings. | 62 years Male (DOB:4/27/1953)Reason: optic nerve atrophy and VF defects both eyes History: decreased visionPROVIDER/ATTENDING NAME: JEFFREY W NICHOLS JEFFREY W NICHOLS MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. Incidental note is made of partial empty sella.There is a m... | 1.Optic nerve atrophy2.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on medical findings. | Age: 47 yearsGender: FemaleReason for Study: Reason: free air under diaphragm, micro perf, pneumonia, effusion, cardiomegaly History: hx of gastric band surgery, n/v x multiple episodes, chest pain, warm sensation across chest. The cardiomediastinal silhouette is unremarkable.The lungs are clear.There are no pleural ef... | No acute cardiopulmonary abnormalities identified without interval change. No evidence of free peritoneal air. |
Generate impression based on medical findings. | Clinical question: Evaluate for acute or subacute subdural hematoma. Signs and symptoms: Altered mental status with unclear history. Nonenhanced head CT:Examination demonstrates very extensive subcortical and periventricular low-attenuation white matter which considering patient's age likely are presenting advanced sma... | 1.Advanced small vessel ischemic strokes of indeterminate age.2.Regions of cortical stroke in the bilateral posterior temporal -- occipital regions which are also indeterminate as of their age. Recommend follow up with MRI exam.3.No detectable acute intracranial hemorrhage, midline shift or hydrocephalus. |
Generate impression based on medical findings. | 66 year old female with history of metastatic renal cell cancer. Restaging scans status post 69 cycles of oral TKI . CHEST:LUNGS AND PLEURA: Multiple metastatic lung nodules and masses are reidentified:Reference right upper lobe nodule (series 4, image 15) measures 1.4 x 1.3 cm (stable).Reference right middle lobe mass... | Metastatic disease with reference measurements as above. No new sites of disease. |
Generate impression based on medical findings. | Female, 78 years old.Reason: eval for pna History: copd, hacking cough, night sweats Calcified granulomas again noted within the lungs. No new focal pleural parenchymal opacity. No large pleural effusion or pneumothorax. Mild cardiomegaly again noted. No large pleural effusion or pneumothorax. | No acute cardiopulmonary process on radiography. |
Generate impression based on medical findings. | Reason: evaluate for malignancy. Patient with known primary maligancy, leg weakness and radiculopathy. Punctate nodules of enhancement are present along the correlate quinine at that L3-4, L4-5 and L5-S1 levels.Small foci of low signal are reidentified at the L3 and L4 which do not enhance following gadolinium administ... | 1.Several punctate lesions in the lower cauda equina are present. Differential considerations include leptomeningeal metastases, drop metastases and nerve sheath tumors.2.There are degenerative changes present in the lumbar spine with encroachment of the nerve roots of the right lateral recess at L4-5 related to disk d... |
Generate impression based on medical findings. | Assess for pneumonia. Low normal lung volumes similar to previous. No focal airspace opacities, pleural fluid or pneumothorax. No specific evidence of pulmonary edema. | No acute pulmonary abnormalities. |
Generate impression based on medical findings. | Dystonia, unspecified [G24.9], Reason for Study: ^Reason: Follow up progression abnormal right external capsule lesion History: left hand dystonia Redemonstration of the right insular cortex and external capsular FLAIR/T2 high signal intensity lesions with mild volume loss with corresponding CSF space dilatation, uncha... | 1. Right insular cortex and external capsule FLAIR/T2 high signal intensity lesions with volume loss, unchanged since prior scan.2. No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on medical findings. | Right wrist mass The exam is limited by motion artifact and inhomogeneous fat saturation. Tendons: The extensor tendons are intact. The flexor tendons are intact. There is no tenosynovitis.Ligaments: The scapholunate ligament is intact. The lunotriquetral ligament is intact. The triangular fibrocartilage complex is int... | Soft tissue mass within the ulnar soft tissues consistent with simple lipoma. Remaining evaluation of the wrist is otherwise unremarkable. |
Generate impression based on medical findings. | Heart failure The LVAD and left subclavian catheters unchangedMildly improving aeration, correlating with suspected partial resolution of superimposed patchy edema in all 4 quadrants. Small effusions unchanged. Mild cardiomegaly | Moderately decreasing diffuse pulmonary edema |
Generate impression based on medical findings. | Check for edema Essentially unchanged marked CHF with diffuse four-quadrant edema, layered large effusions and mild cardiomegaly. Diminished lung volumesRight subclavian single port unchanged | Severe CHF essentially unchanged |
Generate impression based on medical findings. | Reason: chest tube placement History: s/p redo left thoracotomy repair paraesophageal hernia Left chest tube extending to the apex with no significant pneumothorax.Gastric interposition extending to the right of the mediastinum with an NG tube in place. Bilateral perihilar and lower zone airspace opacities and subsegme... | Left chest tube in place with no significant pneumothorax or other acute change. |
Generate impression based on medical findings. | Reason: r/o ptx, pna History: chest pain Unremarkable cardiac and mediastinal silhouette.No significant pulmonary or pleural disease.Catheter tip in the upper right atrium appearing | No acute abnormalities. |
Generate impression based on medical findings. | Right shoulder pain and limited mobility ROTATOR CUFF: There is mildly increased signal intensity of the distal fibers of the supraspinatus suggesting tendinosis with perhaps mild bursal surface tearing but we see no fluid-filled full-thickness tear. The supraspinatus muscle is normal. The infraspinatus and teres minor... | AC joint osteoarthritis, rotator cuff tendinopathy, and superior labral tearing as described above with no evidence of mass. |
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