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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Male 56 years old Reason: Abdominal pain and weight loss History: Rule out malignancy ABDOMEN:LUNG BASES: Cardiomegaly. Small pericardial effusion.LIVER, BILIARY TRACT: Again noted numerous cysts throughout the liver. No definite solid component is noted.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Status post bilateral nephrectomy.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Right iliac fossa transplant kidney, unremarkable.PELVIS:PROSTATE, SEMINAL VESICLES: Seminal vesicles are bilaterally dilated. This may represent seminal vesicle cysts. MRI of the prostate may be helpful for further evaluation.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
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Numerous hepatic cysts. Bilateral nephrectomy. Renal transplant, unremarkable.Cardiomegaly and trace pericardial effusion.Possible seminal vesicle cyst. MRI of the prostate may be helpful for further evaluation, if clinically indicated.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of a brain tumor. Two standard digital views with tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Right total hip, pain Hip: Marked medial and inferiorly rotated acetabular cup suggesting on multiple projections as a long standing remodeling. No definite distinct fracture is observed, however an acetabular pelvic fracture cannot entirely be excluded without priors for comparison. Specifically the femoral component appears markedly subluxed and not distinctly dislocated. Partial pseudo-acetabular changes are seen superiorly.Femoral stem component however appears intact without additional abnormality.Pelvis: The opposite left hip chemistries moderate osteoarthritic changes with more mild disease involving both SI joints. Diffuse demineralization
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Repositioning and remodeling long-standing changes involving the acetabular cup suggested given orientation and appearance as well as pseudo-acetabular changes with the prosthetic femoral head superiorly. Please provide outside imaging, if available, to allow sensitive comparison.
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Generate impression based on findings.
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Female 54 years old Reason: 54 y/o F smoker with weight loss, left-sided abdominal pain; CT chest/abdomen/pelvis with ORAL CONTRAST ONLY to evaluate (cannot get IV contrast due to renal disease) History: as above This study is limited due to lack of intravenous contrast.CHEST:LUNGS AND PLEURA: Right-sided pleural calcifications. Minimal right-sided pleural thickening.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: No significant abnormality noted.ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: Small fat-containing paraumbilical hernia.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Limited study due to lack of intravenous contrast. Small fat containing paraumbilical hernia.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of lung cancer. Family history of breast cancer in second paternal cousin. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Benign morphology mass in the right medial breast has previously been characterized as a cyst on prior ultrasound. Asymmetry in the left superior breast is stable when compared to prior examinations.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Male 52 years old Reason: evaluate for recurrent hiatal hernia History: abdominal pain ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Right-sided inguinal hernia containing nonobstructed small bowel loops.
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Right-sided inguinal hernia containing nonobstructed small bowel loops.
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Generate impression based on findings.
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Patient with history of SLE and pulmonary hemorrhage. Follow up examination.VIEW: Chest AP (one view) 1/23/2015 The right upper extremity PICC terminates in the SVC. The endotracheal tube and enteric feeding tube have been removed. The previously identified left retrocardiac opacity has improved with only trace residual subsegmental atelectasis evident. The cardiothymic silhouette is top normal in size.
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Improved retrocardiac opacity with residual subsegmental atelectasis.
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Generate impression based on findings.
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Male, 52 years old, with history of locoregionally advanced base of tongue squamous cell carcinoma T1N2b (p16+), s/p CRT. Evidence of left neck dissection is again seen with infiltration of the fascial planes and scarring along the margins of the sternocleidomastoid muscle. Within this background, no new mass or pathologic adenopathy is detected. Likewise, the right side of the neck is free of pathologic or progressing adenopathy.The mucosa of the pharynx, base of tongue and supraglottic larynx is diffusely but symmetrically enhancing which may reflect treatment related inflammation. No discrete or measurable mucosal tumor is seen.The salivary glands are free of focal lesions. The thyroid is unremarkable. The cervical vessels enhance normally with a right IJ port catheter in place. No concerning osseous lesions are detected.Limited visualization of the intracranial contents shows no significant abnormalities. There is a prominent perivascular space within the right basal ganglia.
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Redemonstration of treatment-related findings the neck with no evidence to suggest mucosal tumor recurrence or pathologic adenopathy.
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Generate impression based on findings.
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Left ankle pain Distal oblique fibular fracture without associated additional malalignment or osseous abnormality. Mortise intact and symmetric. Minimal interval healing suggested given improved fracture plane demonstration indicating subacute timing.
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Subacute distal fibular fracture with minimal interval healing and without additional new abnormalities
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Generate impression based on findings.
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Right knee pain Moderate to severe tricompartmental osteoarthritic changes are again observed involving the right knee. Narrowing, sclerosis and osteophytes with chondrocalcinosis appear unchanged specifically bone-on-bone narrowing is observed involving the patellofemoral compartment no definite effusion. Of particular note is a large calcific density posterior to the knee, a probable fixed body measuring 13 by 9 mm in the lateral projectionGrossly unchanged left total knee arthroplasty
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Moderate to severe tricompartmental osteoarthritis
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of cervical (pre-cancerous) and thyroid cancer. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Check I. M. rod Interval surgical placement of an IM rod with two fixation screws both proximally and distally. Fracture fragments in appearance similar in alignment.
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IM rod placement affixing a comminuted mid to proximal femoral diaphyseal fracture
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Generate impression based on findings.
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Lower back pain and radiating lower extremity pain Interval increasing marked scoliosis with extensive severe degenerative changes including bone-on-bone disk space narrowing, sclerosis and osteophyte formation. Foramina appear grossly patent and alignment the lateral projection is otherwise intact grossly, however a mild grade 1 anterolisthesis of L4 on 5 cannot entirely be excluded tip appearance may be exaggerated due to scoliosis and angulation.Extensive aortic calcifications also increased. Cholecystectomy clips.
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Increasing scoliosis and degenerative changes, see detail provided and consider MR imaging
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Focal asymmetry in the left upper outer breast is unchanged from multiple prior exams.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Shortness of breath PULMONARY ARTERIES: No evidence of acute pulmonary embolism. The pulmonary artery is normal in diameter.LUNGS AND PLEURA: There is mild basilar atelectasis/scarring without acute abnormality. Benign appearing micronodules.MEDIASTINUM AND HILA: The heart size is top normal without evidence of right heart strain. There is no pericardial effusion. Mild coronary artery calcifications.CHEST WALL: Findings consistent with diffuse idiopathic skeletal hyperostosis of the thoracic spine.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post gastric bypass surgery.
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No evidence of acute pulmonary embolism or other acute abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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57 years, Male. Reason: 57 male with metastatic lung cancer, abdominal pain. r/o obstruction History: abdominal pain Small amount of gas in sigmoid colon and rectum. Nonspecific paucity of small bowel gas. No definite evidence of bowel obstruction.
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Small amount of gas in sigmoid colon and rectum. Nonspecific paucity of small bowel gas. No definite evidence of bowel obstruction.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Family history of ovarian cancer in sister, diagnosed at the age of 56. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Linear scar markers overlie each breast. No suspicious masses, microcalcifications or areas of architectural distortion are present. Stable asymmetry in the right central breast (best seen on the MLO view).
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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34-year-old female with two months history of pain over glenohumeral joints radiating to the biceps. Cervical spine:No significant degenerative changes are present. Alignment, vertebral body, and intervertebral disk spaces are preserved. No evidence of fracture or malalignment.Right shoulder:No significant degenerative changes are present. No evidence of fracture or malalignment.Left shoulder: No significant degenerative changes are present. No evidence of fracture or malalignment.Right humerus: No evidence of fracture or malalignment.Left humerus:No evidence of fracture or malalignment.
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No significant degenerative changes.
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Generate impression based on findings.
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22 years, Female. Reason: abdominal pain; previously with large stool burden; uncomplicated EGD done today History: abdominal pain; constipation Nonobstructive bowel gas pattern. Average stool burden.
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Nonobstructive bowel gas pattern. Average stool burden.
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Generate impression based on findings.
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Chest pain, rule out pulmonary embolism PULMONARY ARTERIES: Markedly limited opacification of the pulmonary artery likely related to SVC occlusion with collateral venous formation. Within this limitation there is no evidence of central pulmonary artery embolism. The pulmonary artery measures 2.9 cm in diameter. LUNGS AND PLEURA: Mosaic attenuation pattern at the bases with ground glass suggestive of edema. Small bilateral pleural effusions, right greater than left.MEDIASTINUM AND HILA: The SVC is markedly attenuated with a distended azygous vein consistent with SVC syndrome. There is no evidence of right heart strain. Heart size is normal. There is no pericardial effusion.CHEST WALL: There are extensive chest wall venous collaterals and edema. Much of the injected contrast is retained within the right posterolateral chest wall veins.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Distended IVC with atrophic kidneys.
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1. Limited exam without evidence of central pulmonary artery embolism or other acute abnormality.2. Findings consistent with SVC syndrome.PULMONARY EMBOLISM: PE: Indeterminate.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative..
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Generate impression based on findings.
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82 years, Female. Reason: please assess NG tube placement History: nausea and vomiting Enteric tube tip overlies gastric body. Cholecystectomy clips noted. Multiple surgical clips overly the pelvis. Dilated loops of small bowel noted in the left abdomen and in the pelvis. This is better evaluated on recent CT.
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Enteric tube tip overlies gastric body. Dilated loops of small bowel consistent with SBO seen on recent CT.
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Generate impression based on findings.
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77 year-old female with back and thigh pain, assess scoliosis There is approximately 37 degrees lumbar dextroscoliosis and minimal thoracic levoscoliosis. The coronal balanced measures + 1.3 cm and the sagittal balanced measures + 6.6 cm. Severe degenerative disk disease affects the lower lumbar spine. Moderate multilevel degenerative disk disease affects the thoracic spine.
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Scoliosis and degenerative disk disease as described above.
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Generate impression based on findings.
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Reason: eval laminoplasty History: myelopathy The cervical vertebral bodies are appropriate in overall alignment and height. No fractures are identified in the cervical spine. The patient is status post multilevel laminoplasty is with the widening of the left lamina and the interposition of spinous process at C3, C4, C5, C6 and C7 . Air bubbles in the soft tissues surrounding the cervical spine suggest recent surgery.At C2-3 there is no significant compromise to the spinal canal. There are small uncovertebral osteophytes present at this level with mild narrowing of the neural foramina.At C3-4 there is no significant compromise to the spinal canal. There are small uncovertebral osteophytes present at this level. There is left sided facet hypertrophy present at this level. There is narrowing of the neural foramen at this level - left more than right.At C4-5 there is no significant compromise to the spinal canal. There are small uncovertebral osteophytes present at this level. There is eight sided facet hypertrophy present at this level. There is narrowing of the neural foramen at this level - right more than left.At C5-6 there is no significant compromise to the spinal canal . There are small uncovertebral osteophytes present at this level. There is narrowing of the neural foramen at this level.At C6-7 there is no significant compromise to the spinal canal . There are uncovertebral osteophytes present at this level with associated narrowing of the neural foramina at this level.At C7-T1 there is no significant compromise to the spinal canal . There are uncovertebral osteophytes present at this level with associated narrowing of the neural foramina at this level.
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1.Status post recent multilevel laminoplasty cervical spine.2.There are multilevel degenerative changes in the cervical spine with narrowing of the neural foramina . MRI may be helpful if there is clinical suspicion for spinal stenosis.
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Generate impression based on findings.
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Reason: Met Colon Cancer: Restaging History: NA CHEST:LUNGS AND PLEURA: Stable size and number of pulmonary metastases. Reference lesion in the right lower lobe measures 3.7 x 2.6 cm (series 5 image 58), previously 3.8 x 2.6 cm. No pleural effusions.MEDIASTINUM AND HILA: Mediastinal lymphadenopathy not significantly changed since previous. Reference paratracheal node measures 2.2 x 1.6 cm (series 3 image 33) previously 2.1 x 1.7 cm. Right chest port with tip in the cavoatrial junction. Severe coronary arterial calcifications. No pericardial effusion.CHEST WALL: Thoracic spine degenerative changes. No suspicious osseous lesions.ABDOMEN:LIVER, BILIARY TRACT: Reference hypoattenuating lesion in the hepatic dome unchanged measuring 2.3 x 1.8 cm (series 3 image 68) previously 2.3 x 1.8 cm. Hypoattenuating lesion in the tip of the right inferior hepatic lobe also unchanged, as are smaller subcentimeter hypoattenuating foci too small to characterize. Focally dilated bile duct or possibly focal thrombus in the right portal vein unchanged. Status post cholecystectomy.SPLEEN: No significant abnormality noted. Small round focus of tissue inferior to the spleen may represent a splenule is unchanged over multiple exams.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted. Subcentimeter focus of soft tissue adjacent to the right kidney (series 3 image 21) unchanged.RETROPERITONEUM, LYMPH NODES: Scattered small lymph nodes unchanged. Severe atherosclerotic calcifications of the aorta and branches.BOWEL, MESENTERY: The bowel is normal in caliber without obstruction. Metastatic implant in the right lower quadrant is perhaps mildly increased in size since the prior study measuring 2.9 x 2.6 cm (series 3 image 142) previously 2.5 x 2.0 cm, this may partially reflect differences in angulation. However, this implant remains decreased in size compared with July 25, 2014 in retrospect.BONES, SOFT TISSUES: No suspicious osseous lesions.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomyBLADDER: No significant abnormality noted.LYMPH NODES: Mildly prominent pelvic and inguinal lymph nodes are unchanged.BOWEL, MESENTERY: As aboveBONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Slight enlargement of metastatic implant in the right lower quadrant may in part reflect differences in angulation. Otherwise stable disease.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign biopsies and aspirations. Family history of breast cancer and maternal first cousin. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Scattered benign calcifications, including arterial calcifications, are present bilaterally. Focal asymmetry in the central right breast is stable when compared to multiple prior exams.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Reason: hx of metastatic prostate cancer with rising psa level on lupron History: bone pain Again seen is increase radiotracer uptake in the T12 vertebra compatible with metastatic disease, unchanged. Punctate lesion in the lateral aspect of the right ninth rib is also unchanged.Degenerative changes in the lumbar spine, shoulders, and knees are again noted.No new foci of increased uptake.
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Stable osseous metastases. No new foci of disease.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal grandmother and paternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Stable benign morphology masses and scattered benign calcifications are present bilaterally.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Metastatic breast cancer, compare prior exam CHEST:LUNGS AND PLEURA: Persistent loculated right pleural effusion with associated atelectasis, no significant change. There is right apical and subpleural reticulation compatible with prior radiation therapy. Left basilar atelectasis is again noted. Increasing pleural nodule in the right posterior inferior hemithorax measuring 22 mm in maximal thickness (series 10249, image 52), previously 15 mm. Just superior to this lesion is another pleural nodule measuring 20 x 15 mm (series 10249, image 40), previously 18 x 15 mm. Additionally there is a more well-defined lesion adjacent to the right seventh rib.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: Right chest wall mass measures 70 x 46 mm (series 10249, image 59), previously 63 x 29 mm. Multiple old right rib fractures.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: Status post cholecystectomy. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Soft tissue lesion posterior to the suprahepatic IVC measures 20 x 19 mm (was 10249, image 60), previously 11 x 11 mm. BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
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1. Increasing right pleural based nodules.2. Increasing right chest wall mass.3. Increasing soft tissue lesion posterior to the suprahepatic IVC.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Reason: secondary hyperpara, pls eval for ectopic glands or abnormally secreting glands History: secondary hyperpara There is physiologic distribution of the radiopharmaceutical with enlargement of the right lobe of the thyroid gland. Abnormal focus of activity posterior to the superior right thyroid lobe. The right thyroid lobe appears to measure 5.0 cm and the left lobe 4.0 cm in length.
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Findings suspicious for right superior parathyroid adenoma.
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Generate impression based on findings.
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75-year-old female with pain. Evaluate right humerus. Components of a right total shoulder arthroplasty device are situated in near-anatomic alignment. There has been interval increased scalloping and lucency surrounding the intramedullary rod, raising the question of hardware loosening. The bones are demineralized, suggesting osteopenia or osteoporosis. No evidence of acute fracture or malalignment.
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Right total shoulder arthroplasty with findings raising question of hardware loosening along the intramedullary rod.
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Generate impression based on findings.
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Reason: eval for parathyroid adenomas/hyperplasia, plan for possible parathyroidectomy History: primary hyperparathyroidism (hypercalemia, hyperparathyroidism), fatigue, renal stones, nausea There is physiologic distribution of the radiopharmaceutical. Abnormal focus of activity posterior and inferior to the left thyroid gland consistent with an enlarged parathyroid gland. The right thyroid lobe appears to measure 4.2 cm and the left lobe 4.3 cm in length.
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Findings suspicious for left inferior parathyroid adenoma.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect subtle changes. If the patient's prior mammograms are submitted, then an addendum to this report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Reason: recurrent prostate cancer. eval for mets History: prostate cancer No abnormal osseous foci are identified to indicate metastatic disease.Again seen is right lower quadrant diverting ostomy and moderate to severe right and mild left hydronephrosis, not significantly changed.Degenerative changes again seen in the left shoulder, elbows, wrists, left knee, and feet are again noted. Uptake in the mandible and maxilla likely correspond to periodontal disease.
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No evidence of bone metastases.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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The risks (including, but not limited to, those of bleeding, infection, allergic reaction, temporary nerve block, pain, and inability to access the joint) and benefits of the procedure were explained to the patient, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient was placed supine on the fluoroscopy table. The left hip was localized fluoroscopically, and a spot radiograph was obtained. The course of the femoral artery was noted on the patient's skin using an ink marker. The skin was cleansed and covered with a sterile drape. The skin and subcutaneous tissues were anesthetized with 1% lidocaine using 25-gauge and 22-gauge needles.Under fluoroscopic guidance, a 20-gauge spinal needle was advanced into the joint. Attempted aspiration yielded no fluid. Next, 5 ml of a 50/50 mixture of Omnipaque 240 (to confirm the intra-articular position of the needle). Contrast opacified the joint in the expected manner. A spot radiograph was obtained for documentation. A mixture of 2 cc lidocaine and 1 cc triamcinolone hexacetonide was then injected. The needle was withdrawn. Blood loss was negligible (<1cc), and patient tolerated the procedure well without immediate complication. An adhesive bandage was placed on the patient’s skin. Routine post procedure instructions were communicated to the patient. Exposure time: 28 seconds.
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Successful left hip joint steroid injection.
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Generate impression based on findings.
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Reason: Screening for lung cancer. History: History of tobacco use, at least 30 pack years. Now e-cigarettes. LUNGS AND PLEURA: Punctate calcified granulomata, benign. No evidence of malignancy.Small nonspecific pulmonary cysts are present, of little clinical significance. MEDIASTINUM AND HILA: Mild aortic arch calcifications are present, and the ascending aorta is ectatic, 4.4 cm in AP diameter image 46 series 3.CORONARY ARTERIES: Mild calcification.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Low dose technique markedly limits sensitivity for abdominal pathology. Small left Bochdalek hernia, an incidental finding. Otherwise, limited views of the upper abdomen are unremarkable.
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No evidence of lung cancer. Ectasia of the ascending aorta is present, measured at 4.4 cm. Lung-RADS: Category: 1/S (Negative: No nodules and definitely benign nodules/Significant - other)RECOMMENDATION: Continue annual screening with LDCT in 12 months.
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Generate impression based on findings.
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Reason: prostate ca Again seen are foci of increased radiotracer uptake in the left skull and left L1 pedicle, unchanged. Again seen is increased greater tracer uptake in the region of the right SI joint, also unchanged. No new foci of disease.
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Stable left skull and left L1 pedicle lesions. Stable right SI joint uptake. No new foci of disease.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Focal asymmetry in the right central breast is unchanged when compared to prior studies.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Evaluate vasculature to support kidney transplant; cardiac stenosis The following observations are made given the limitations of an unenhanced studyABDOMEN:LUNG BASES: Severe coronary artery calcifications. No focal pulmonary lesions identified.LIVER, BILIARY TRACT: No focal abnormalities. The liver appears somewhat small and nodular which may reflect underlying cirrhosis. Status post cholecystectomy.SPLEEN: Spleen measures 16.3 cm in AP dimension.PANCREAS: 1.7 cm hypodense nodule in the body of the pancreas (image 44; series 3) is nonspecific but has an overall benign appearance.ADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Atrophic native kidneysRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: Minimal aortic calcificationsPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Minimal iliac calcifications
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Minimal aortic and iliac artery calcifications. Severe coronary artery calcifications. Status post cholecystectomy. Probable cirrhosis with findings of portal hypertension including splenomegaly.
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Generate impression based on findings.
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44-year-old male with left shoulder pain Round, 1.3 cm calcification medial to the humeral neck appears to represent a loose body in the inferior joint recess. Mild degenerative changes affect the glenohumeral joint.
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Osteoarthritis and likely loose body in the inferior joint recess.
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Generate impression based on findings.
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There is infiltration of the fat planes in the right submandibular space, with resultant induration of the right platysma. Bilateral parotid glands appear mildly enlarged, although are not completely assessed on this study. Scattered prominent cervical lymph nodes are identified, which are not enlarged by size criteria. No acute facial bone fracture is identified. The temporomandibular joints are intact. Small retention cyst in the right maxillary sinus. There is mucosal thickening of the bilateral ethmoid sinuses, left greater than right. The mastoid air cells are clear. No orbital fracture is identified. The globes are intact. The lacrimal glands appear enlarged, right greater than left, the right gland measures 11 x 24 mm, and the left gland measures 8 x 22 mm. There is mild bilateral periorbital edema, right greater than left.
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1. Mild infiltration of the fat planes in the right submandibular space with associated platysmal induration. 2. Bilateral enlargement of the lacrimal glands and suspected prominence of the parotid glands (the parotids are only partially visualized on this exam). This pattern of gland enlargement can be seen in the setting of sarcoidosis and sjogrens. 3. Scattered mucosal thickening of the paranasal sinuses.
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Generate impression based on findings.
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28-year-old female fell repeatedly 6 days ago while skiing. Developed thumb pain, swelling, and bruising. Rule out fracture. No significant soft tissue swelling is identified. No evidence of fracture or malalignment in the left hand.
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No evidence of fracture.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views and additional right MLO view of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses. No suspicious masses, microcalcifications or areas of architectural distortion are present. Scattered benign calcifications, including arterial calcifications, are present bilaterally.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect subtle changes. If the patient's prior mammograms are submitted, then an addendum to this report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Reason: restaging gastric antrum (s/p stent) after 'neoadjuvant chemotherapy' for uT3N2Mx cancer. History: none CHEST:LUNGS AND PLEURA: Severe bullous emphysematous changes in both lung bases. No suspicious nodules or masses. No pleural effusions.MEDIASTINUM AND HILA: Subcentimeter hypoattenuating thyroid nodules. Scattered small mediastinal lymph nodes. Moderate coronary arterial calcifications. No pericardial effusion. Right chest port with tip in the cavoatrial junction. CHEST WALL: Scattered breast calcifications. Two small hyperattenuating osseous foci in the T4 vertebral body may represent benign bone islands.ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hypoattenuating focus in the hepatic dome unchanged and too small to characterize. No suspicious hepatic lesions.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: Unchanged renal cysts.KIDNEYS, URETERS: Numerous small renal cysts appear unchanged, some too small to be characterized.RETROPERITONEUM, LYMPH NODES: The previously measured enlarged gastrohepatic lymph node is no longer visualized. A mildly enlarged lymph node inferior to the stomach measures 1.6 at 0.9 cm (series 5 image 114) which in retrospect is unchanged in size compared with the prior study. No new lymphadenopathy is identified.BOWEL, MESENTERY: Gastric soft tissue thickening with a stent again noted within the gastric antrum. A globular focus of air is noted extending from the stent lumen into the anterior soft tissues of the gastric antrum (series 5 image 105) which may represent a gastric ulcer. Contrast opacifies the small bowel which is normal in caliber. No free air.BONES, SOFT TISSUES: Degenerative changes affect the lumbar spine most severe at L3-4.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: No significant abnormality noted.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: The rectum is distended with desiccated stool measuring 7.2 cm.BONES, SOFT TISSUES: As aboveOTHER: No significant abnormality noted.
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1. Stent in the gastric antrum with a globular focus of air extending from the stent lumen into the anterior wall of the gastric antrum may represent a gastic ulcer. There is no evidence of free intraperitoneal air or contrast extravasation. 2. The previously measured enlarged gastrohepatic lymph node is no longer clearly visualized. A mildly enlarged lymph node inferior to the stomach is unchanged compared with the prior study. No new lymphadenopathy. 3. Other findings as described above.
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Generate impression based on findings.
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75-year-old female with left shoulder pain. Moderate to severe degenerative changes affect the acromioclavicular and glenohumeral joints. Calcified left upper lobe granuloma is noted incidentally in the left lung.
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Moderate to severe degenerative changes affect the left shoulder.
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Generate impression based on findings.
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Abdominal aortic aneurysm. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Bilateral renal cysts.RETROPERITONEUM, LYMPH NODES: There is a 6.3 x 6.0-cm infrarenal abdominal aortic aneurysm which extends to but does not involve the common iliac arteries. IMA appears to be patent. Bilateral lower pole accessory renal arteries are noted. BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: Iliac arteries are tortuous and mildly dilated measuring 1.7 cm in diameter. Probable moderate stenoses at the origins of both common iliac arteries. 1.1-cm left hypogastric artery aneurysm is also noted.
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6-cm infrarenal abdominal aortic aneurysm. 1.1-cm left hypogastric aneurysm. Probable moderate stenoses at the origins of both common iliac arteries
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Generate impression based on findings.
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Left neck pain. There is asymmetric prominence of the left palatine tonsil. There is no evidence of significant cervical lymphadenopathy based on size criteria. The thyroid and major salivary glands are unremarkable. There is minimal degenerative cervical spondylosis and reversal of the usual lordosis, without evidence of significant spinal canal or neural foramen stenosis. The airways are patent. There are air-fluid levels in the sphenoid sinuses. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear.
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1. asymmetric prominence of the left palatine tonsil is nonspecific and may be associated inflammatory or infectious process, although neoplasm cannot be excluded. The exam is otherwise limited by the lack of intravenous contrast and endoscopy may be useful for further evaluation.2. Air-fluid levels in the sphenoid sinuses suggest acute sinusitis.
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Generate impression based on findings.
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53-year-old female with knee pain Right knee: Mild sharpening of the tibial spines and tiny osteophytes consistent with minimal osteoarthritis. There is possibly a small joint effusion.Left knee: Sharpening of the tibial spines and small osteophytes consistent with minimal osteoarthritis. No joint effusion.Left tibia and fibula: Again seen is a sclerotic lesion eccentrically located within the mid tibial diaphysis, appearing similar to the prior exam. No fracture or other acute abnormality.
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1. Minimal osteoarthritis, appearing similar to the prior exam.2. Unchanged benign-appearing sclerotic lesion of the tibia.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views, cleavage view and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Focal asymmetry in the right retroareolar region is identified. No suspicious masses, microcalcifications or areas of architectural distortion are present in the left breast.
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Focal asymmetry in the right breast. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of sarcoidosis. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Several stable benign morphology masses are identified in the right upper outer breast, some of which have previously been characterized as benign intramammary lymph nodes by ultrasound.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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47 year old with claudication. Evaluate for thrombosis. ANGIOGRAPHY: The abdominal aorta and iliac arteries are normal in size and contour. No significant atherosclerotic calcification. The ostia of the aortic branch vessels are widely patent. Replaced right hepatic artery arising from the superior mesenteric artery. The right leg has a normal three vessel runoff without focal stenosis. A left SFA-popliteal stent graft is in place and completely occluded. The distal popliteal is reconstituted by collateral vessels. There is delayed/decreased flow to the distal arteries. The peroneal artery attenuates at the level of the mid tibia while the flow in the posterior tibial artery attenuates at the ankle mortise. Flow through the anterior tibial artery is maintained. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Diffusely decreased hepatic parenchymal attenuation compatible with hepatic steatosis with focal sparing of the gallbladder fossa. SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: No significant abnormality notedRETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: No significant abnormality notedBLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted
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Complete occlusion of the left popliteal - SFA stent graft. Distal flow is reconstituted by collateral vessels as described.
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Generate impression based on findings.
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Redemonstrated are postsurgical changes related to a suboccipital craniectomy and resection of the posterior arch of C1. There is mild encephalomalacia and gliosis in the medial cerebellum and vermis. The pineal region operative bed demonstrates minimal non-specific tissue thickening and minimal enhancement and appears stable over multiple prior examinations. There is redemonstration of a left tentorial based, enhancing lesion with flow void on T2 sequence and associated susceptibility artifact, perhaps representing a venous diverticulum. The cisterns remain patent. There is no midline shift or mass effect. There is no diffusion abnormality. No extra-axial fluid collection is identified. Normal flow-voids are demonstrated in the major intracranial vascular structures.
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1. Postsurgical changes related to suboccipital craniectomy with stable appearance of pineal region operative bed. 2. Interval increase in size of the lateral and third ventricles with transependymal CSF flow, which is concerning for increased hydrocephalus. 3. Stable enhancing structure along the left tentorium which may represent a venous diverticulum.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are present. Bilateral benign morphology masses are present, likely representing benign intramammary lymph nodes.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect subtle changes. If the patient's prior mammograms are submitted, then an addendum to this report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in mother, maternal grandmother, and paternal aunt. Two standard digital views, repeat bilateral MLO views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.Mammography is optimally performed when prior studies are available to detect subtle changes. If the patient's prior mammograms are submitted, then an addendum to this report will be made.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Short of breath, elevated d-dimer PULMONARY ARTERIES: No evidence of pulmonary embolism to the subsegmental pulmonary arterial distribution. The main pulmonary artery is normal in diameter.LUNGS AND PLEURA: Mile basilar atelectasis/scarring without acute abnormality. No pleural effusions.MEDIASTINUM AND HILA: No evidence of right heart strain. No pericardial effusion. No coronary artery calcifications.CHEST WALL: No significant abnormality noted.UPPER ABDOMEN: Absence of enteric contrast material markedly limits sensitivity for abdominal pathology. Status post gastric bypass surgery.
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No evidence of acute pulmonary embolus through the subsegmental pulmonary arterial distribution or other acute abnormality.PULMONARY EMBOLISM: PE: Negative.Chronicity: Not applicable.Multiplicity: Not applicable.Most Proximal: Not applicable.RV Strain: Negative.
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Generate impression based on findings.
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Reason: intraabdominal infection? History: sepsis/AMS. L abd pain + tender. ESRD/oliguric \T\ allergies (no IV contrast); vomiting/unable to take PO Limited examination without oral or intravenous contrast.ABDOMEN:LUNG BASES: Small right pleural effusion. Left basilar atelectasis/consolidation.LIVER, BILIARY TRACT: Cirrhotic morphology without discrete focal lesion. Cholelithiasis and hydropic gallbladder without specific secondary signs of inflammation, though limited by motion artifact.SPLEEN: Multiple nonspecific hypoattenuating foci in the spleen.PANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Atrophic kidneys with bilateral renal cysts, some in the right kidney demonstrating thin peripheral calcification. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Severe atherosclerotic calcifications of the aorta and branches.BOWEL, MESENTERY: No evidence of acute obstruction. No intra-abdominal fluid collections to suggest abscess.BONES, SOFT TISSUES: A severe compression deformity of L2 vertebral body with bone loss is new since the prior examination. Additionally, there is bone loss along the anterior aspect of the L1 vertebral body with inferior displacement of the L1 vertebral body through the superior endplate of L2. Sub-endplate densities at multiple lumbar levels is consistent with hyperparathyroidism and renal osteodystrophy.OTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: Clustered coarse calcifications in the pelvis likely represent fibroid uterus.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: The rectum is distended with desiccated stool measuring 6.3 cm in diameter.BONES, SOFT TISSUES: As aboveOTHER: No significant abnormality noted
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1. Findings consistent with hyperparathyroidism and renal osteodystrophy, with severe compression fracture of the L2 vertebral body with bone loss and inferior displacement of the L1 vertebral body as well, which are age indeterminate but new since 2013. 2. Small right pleural effusion and left basilar atelectasis/consolidation. Consider left lower lobe pneumonia in the appropriate clinical context. 3. No abscess or other specific evidence of intraabdominal infection.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Scattered benign calcifications are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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46 years, Male. Reason: Assess for stool burden History: Constipation, bloating, abdominal pain. Above average stool burden. Nonobstructive bowel gas pattern.
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Above average stool burden. Nonobstructive bowel gas pattern.
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Generate impression based on findings.
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54 year old female with history of fallopian tube cancer, now with vomiting. Evaluate for bowel obstruction. History pulmonary nodule. CHEST:LUNGS AND PLEURA: No change in 5 mm noncalcified nodule in the right lower lobe on image 54/98. Scarring in the right upper lobe. Small focal areas of pleural thickening at the left base posteriorly when compared to prior study are non-descript.MEDIASTINUM AND HILA: No significant abnormality noted.CHEST WALL: The right chest with catheter tip in the SVC.ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic morphology.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is significant wall thickening involving small bowel within the pelvis is noted on image 162/223 with least some degree of narrowing on image 166/223. This was present on the prior exam and appears mildly progressive. There is very mild small bowel dilatation proximal to this region. This is associated with progressive ascites and mesenteric/omental disease. Therefore, findings may be due to tumor encasement/implant or even radiation although not specific.Previously noted soft tissue mass adjacent to the stomach now measures 1.9 x 2.5 cm on image 111/223. The second soft tissue mass adjacent to the rectum cannot be separated from adjacent colon on today's exam. BONES, SOFT TISSUES: No significant abnormality noted.OTHER: Mild/moderate ascites in the abdomen and pelvis.PELVIS:UTERUS, ADNEXA: Post TAH/BSO.BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: There is significant wall thickening involving small bowel within the pelvis is noted on image 162/223 with least some degree of narrowing on image 166 left 223. This was present on the prior exam and appears mildly progressive. There is very mild small bowel dilatation proximal to this region. This is associated with progressive ascites and mesenteric/omental disease. Therefore, findings may be due to tumor encasement/implant or even radiation although not specific.Previously noted soft tissue mass adjacent to the stomach now measures 1.9 x 2.5 cm on image 111/223. The second soft tissue mass adjacent to the rectum cannot be separated from adjacent colon on today's exam.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Wall thickening involving pelvic small bowel which appears mildly progressive when compared to the prior exam with very mild proximal dilatation of small bowel.Enlarging mass adjacent to the stomach.Interval development of ascites.Stable right lower lobe nodule.Mild and nonspecific focal pleural thickening left hemithorax.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in sister and ovarian cancer in mother. Two standard digital views, bilateral MLO views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Scattered benign calcifications, including arterial calcifications, are present bilaterally.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Call back from screening mammogram for a focal asymmetry in the left breast. An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The focal asymmetry breast seen on the tomosynthesis images are not well visualized on the spot compression views today. The focal asymmetry was present at lower outer quadrant in the left breast. Focused ultrasound is performed for the left breast at lower outer quadrant. Detected is a simple cyst measuring 4 x 3 mm at 5 o'clock position, 3 cm from nipple, corresponding to the focal asymmetry in the mammographic.
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No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.
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Generate impression based on findings.
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Male, 73 years old, with history of esophageal squamous cell carcinoma. Since the prior examination, a bulky mass involving the cervical esophagus has decreased in size. For reference purposes, soft tissue thickening in the vicinity of the prior tumor measures approximately 14 x 12 mm (image 58 series 8), previously at least 20 x 20 mm. A right paratracheal reference lesion is difficult to measure accurately given shifting of anatomy and morphologic changes. As a best approximation, this lesion measures 18 x 5 mm (image 64 series 8), previously 17 x 9 mm. A right supraclavicular reference lesion is also difficult to accurately measure, but is estimated at 10 x 7 mm (image 54 series 8), previously 17 x 9 mm.Asymmetry of the laryngeal mucosa is redemonstrated with some thickening of the left vocal cord and asymmetric widening of the right laryngeal ventricle. Findings are unchanged. The aerodigestive mucosa is otherwise unremarkable.No concerning abnormality is detected within the salivary glands or the thyroid. The right IJ vein is small and does not opacify just above the entry point of the right IJ port catheter.Nodular opacities are demonstrated in the lungs, particularly the right lung apex. No definite worrisome or destructive osseous lesions are seen. There is a stable subcentimeter sclerotic focus in the T1 vertebral body. The fourth through seventh ribs on the right are newly fractured.
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Interval decrease in the size of a bulky cervical esophageal tumor with associated decreasing adenopathy.Fractures of the right fourth through seventh ribs are new.
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Generate impression based on findings.
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43 years, Female. Reason: constipation and blood in stool History: S/p posterior cricoid split for bilateral VC paralysis refractory to multiple cordotomies. Interval removal of enteric tube. Nonobstructive bowel gas pattern. Average stool burden.
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Interval removal of enteric tube. Nonobstructive bowel gas pattern. Average stool burden.
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Generate impression based on findings.
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58 years, Female. Reason: ? bowel gas pattern History: abd pain Nonobstructive bowel gas pattern. Moderate stool burden.
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Nonobstructive bowel gas pattern. Moderate stool burden.
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Generate impression based on findings.
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70 year-old female with right shoulder pain. History of MGUS. Moderate degenerative changes affect the acromioclavicular and glenohumeral joints. No evidence of fracture or malalignment.
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Moderate right shoulder osteoarthritis.
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Generate impression based on findings.
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Reason: downtrending hgb, s/p PCI w/ c/f bleeding post procedure History: eval for RP bleed ABDOMEN:LUNG BASES: Moderate centrilobular emphysema. Bibasilar scar/atelectasis. New small right pleural effusion.LIVER, BILIARY TRACT: Hepatic granulomata and small hypoattenuating foci too small to characterize but unchanged.SPLEEN: Splenic granulomata.PANCREAS: No significant abnormality notedADRENAL GLANDS: Mild nonspecific adrenal thickening.KIDNEYS, URETERS: Bilateral renal cysts unchanged. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Severe atherosclerotic calcifications. Nonspecific small mediastinal lymph nodes. No retroperitoneal hematoma as clinically questioned.BOWEL, MESENTERY: Small is normal in caliber without evidence of acute obstruction. Colonic diverticulosis without specific evidence of acute inflammation.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXA: No significant abnormality notedBLADDER: Partially collapsed and containing residual contrast.LYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: As aboveBONES, SOFT TISSUES: Subcutaneous and intramuscular soft tissue inflammatory changes along the right anterior thigh soft tissues consistent with hematoma, the extent of which is incompletely visualized. OTHER: No significant abnormality noted
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1. Right thigh hematoma incompletely imaged, correlation with physical examination is recommended. 2. No distant hematoma in the abdomen or pelvis. 3. Small right pleural effusion and other findings as described above.
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Generate impression based on findings.
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The ventricles and sulci are within normal limits. The basal cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal. There is no diffusion abnormality. No extra-axial fluid collection is identified. The myelination pattern is appropriate, corrected for age of 42 weeks. There is a cavum septum pellucidum.Normal flow-voids are demonstrated in the major intracranial vascular structures. The midline structures and craniocervical junction are within normal limits.
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Normal examination for gestational status and age.
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Generate impression based on findings.
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66 year old male with left hip pain. Intramedullary rod and screw device affixes a comminuted intertrochanteric fracture in near anatomic alignment without evidence of hardware complication. There is suggestion of interval healing, however there remains medial displacement of the lesser trochanteric fracture fragment. There is early heterotopic bone formation superior to the greater trochanter. Mild to moderate osteoarthritis affects the left hip.
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Healing comminuted intertrochanteric fracture with medial displacement of the lesser trochanter fracture fragment. Early heterotopic bone formation.
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Generate impression based on findings.
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Call back from screening mammogram for developing calcifications and small mass in the left breast. An ML view and two spot magnification views and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The developing cluster of calcifications at lower inner quadrant in the left breast has typical appearance for benign fibroadenomatous calcifications. A small circumscribed mass is present at upper outer quadrant in the left breast. This mass is new when compared to the prior studies.Focused ultrasound was performed for the upper outer quadrant in the left breast. Detected is a round hypo-/anechoic lesion measuring 3 x 3 mm at 12:30 position in the left breast, 2 cm from the nipple. It is not certain if this lesion corresponds to the mass on the mammography. No suspicious findings are detected in this ultrasound study.
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Benign appearing mass in the left breast with questionable sonographic correlation. Short term left unilateral mammographic follow-up is recommended in 6 months. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Nasopharyngeal cancer currently on induction therapy. There has been interval decrease in size of the mass centered within the nasopharynx and skull base. There is no appreciable residual discrete soft tissue mass within the nasopharynx although the right nasopharyngeal tissues appear slightly more prominent than on the left. There is also residual effacement of the pterygopalatine fossa fat bilaterally. There is been interval remineralization of the sphenoid bone and clivus as well as the posterior maxillary and ethmoid sinuses and right pterygoid plate. A necrotic left level IIA lymph node is decreased in size and currently measures 15 x 14 mm, previously 20 x 26 mm. Likewise the retropharyngeal lymph node have decreased in size, measuring up to 5 mm in short axis, previously up to 7 mm on the right and 8 mm on the left. There is fluid within the bilateral mastoid air cells and left middle ear cavity, as well as mucosal thickening within the paranasal sinuses. There is a left tonsillolith. The thyroid and major salivary glands are unremarkable. The major cervical vessels are patent. There are mild degenerative changes of the cervical spine. The airways are patent. The imaged intracranial structures are unremarkable. The imaged portions of the lungs are clear.
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1. Marked interval decrease in size of the nasopharyngeal mass with remineralization of the central skull base. 2. Interval decrease in size of a retropharyngeal and left level IIA lymph nodes.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.
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Generate impression based on findings.
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Profound left sensorineural hearing loss. Left: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular bulb and carotid canal are intact. Right: The external auditory canal is patent. The middle ear and mastoid air cells are well-pneumatized and clear. The ossicular chain is intact. The inner ear structures are unremarkable. The facial nerve describes a normal course. The jugular bulb and carotid canal are intact. Miscellaneous: There are degenerative changes affecting the bilateral temporomandibular joints.
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1. No evidence of inner ear abnormalities.2. Degenerative changes of the bilateral temporomandibular joints.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in grandmother. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Stable benign morphology mass in the right lower inner breast, likely representing a fibroadenoma. Stable benign punctate calcifications present in the right upper outer breast.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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62 year-old female with wrist pain and knee pain. Tibial plateau fracture on outside x-ray. Left wrist: Cast material limits evaluation of fine bone detail. Moderate soft tissue swelling about the hand and wrist. Fractures of the distal metaphyses of at least the first, second, and fifth metacarpals are present. Left knee: Moderate soft tissue swelling about the knee. Small joint effusion noted. Nondisplaced minimally depressed medial tibial plateau fracture is present. Moderate osteoarthritis affects the left knee.
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1.Metacarpal fractures, as above. Dedicated left hand radiographs may be considered for better evaluation if clinically indicated.2.Minimally depressed medial tibial plateau fracture of the left knee.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal aunt. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Coarse benign calcifications are present in the right breast.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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24 year-old female with leg pain status post pedestrian versus automobile motor vehicle collision. A primarily transverse, nondisplaced fracture of the proximal to mid left fibular diaphysis is redemonstrated in near anatomic alignment. Overlying soft tissue swelling is present.
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Left fibular diaphyseal fracture redemonstrated.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Stable benign intramammary lymph node in the right upper outer breast. Two focal asymmetries in the left retroareolar breast are unchanged when compared to prior exams.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSA - Screening Mammogram.
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Generate impression based on findings.
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37-year-old male with right ankle pain. No significant soft tissue swelling or joint effusion is identified. The ankle mortise appears intact. No evidence of fracture or malalignment.
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No evidence of fracture.
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Generate impression based on findings.
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Evaluate for changes in intraventricular hemorrhage. Comatose, exam slightly worse. There is slight interval decrease in size of the large intraparenchymal hemorrhage and associated vasogenic edema centered in the left thalamus with intraventricular extension, along with decreased midline shift. In addition, the lateral ventricles are less distended. There is persistent hyperattenuation along the posterior aspect of the cerebellum. There is persistent periventricular hypoattenuation that likely represents transependymal CSF flow. A right transfrontal ventricular catheter is in unchanged position.
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1. Slight interval decrease in size of the large intraparenchymal hemorrhage and associated vasogenic edema centered in the left thalamus with intraventricular extension, along with decreased midline shift. 2. Decreased hydrocephalus.3. Persistent posterior fossa subarachnoid hemorrhage.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in maternal cousin. Two standard digital views, additional right MLO view and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Benign lymph nodes project over the axilla. Stable focal asymmetry in the right upper outer breast.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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History of leukemia; pre-allo SCT evaluation. There is a periapical cyst associated with a partially-imaged carious tooth #15 and defect in the buccal aspect of the overlying maxillary alveolus that measures up to 28 mm with an air-fluid level. There is diffuse sclerosis and irregularity of the cyst walls. There is moderate mucosal thickening within the alveolar recess of the left maxillary sinus. The other paranasal sinuses are clear. The nasal cavity is also clear. There is no significant nasal septal deviation. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable.
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A periapical cyst associated with a carious tooth #15 and defect in the buccal aspect of the overlying maxillary alveolus that measures up to 28 mm with an air-fluid level suggestive of fistulous communication with the oral cavity and perhaps superimposed infection or inflammation, including the mucosal thickening in the left maxillary sinus.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Stable partially obscured mass is present within the left superior breast.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of left breast cyst aspiration. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Scattered punctate calcifications are seen in the right breast.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Followup of allergic rhinitis, food allergies, possible asthma, and snoring. The paranasal sinuses are clear. The nasal cavity is also clear. There is mild nasal septal deviation directed towards the left. There is a right conchae bullosa, which is an anatomic variant. The lamina papyracea and ethmoid roofs are intact. The carotid grooves and optic canals are covered by bone. The nasopharynx, facial soft tissues, orbits, and imaged intracranial structures appear to be unremarkable. There is a fossa navicularis, which is an anatomic variant.
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No evidence of active rhinosinusitis.
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Generate impression based on findings.
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78 years old male. Reason: AD History: memory disturbance. There is a large subdural hematoma in the left frontal and parietal regions which compress the brain parenchyma, new as compared with prior study. There is a prominence of the ventricles and sulci, consistent with brain atrophy. Calcifications are seen in the basilar and cerebral arteries. Small bony defects are seen in the parietal bones, which may relate to the prior surgical procedures.The FDG PET imaging demonstrates decreased metabolic activity of the bilateral medial temporal lobes. The apparent decreased metabolic activity in the bilateral cingulate gyri may be due to brain atrophy.The two foci of increased activity in the right parapharyngeal space, which may correlate with small lymph nodes seen on CT, concerning for tumor. The SUVmax of the lymph nodes is 11.7.
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1. Subacute subdural hematoma in the left frontal and parietal regions. Dr. Tania Rebeiz was notified the findings at about 2:40 pm. 2. Mildly decreased activity in the medial temporal lobes on both sides, which is nonspecific.3. Hypermetabolic lymph nodes in the right parapharyngeal space, which can be due to tumor. Suggest clinical correlation.4. Brain atrophy.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of bilateral benign breast biopsies. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Three biopsy marker clips are identified in the left breast. The ribbon clip in the left lower inner breast is at the site of biopsy proven benign fibroadenoma. Additional partially obscured mass in the left upper outer breast is stable when compared to prior exams. Scattered benign calcifications have progressed in a benign fashion in the left breast.
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Stable benign masses and calcifications. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSC - Screening Mammogram.
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Generate impression based on findings.
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Premature infant status post PICC placement.VIEW: Chest AP (one view) 1/23/2015, 14:26 Interval placement of a right upper extremity PICC with the tip terminating in the contralateral subclavian vein. The nasogastric tube tip is in the body of the stomach with the side-port at the level of the GE junction.Mild diffuse hazy bilateral opacities persist. The cardiothymic silhouette is normal.
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Right upper extremity PICC with the tip terminating in the contralateral subclavian vein.
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Generate impression based on findings.
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History of stroke with altered mental status. There is no evidence of intracranial hemorrhage or mass. There is unchanged minimal patchy cerebral white matter hypoattenuation, which may represent small vessel ischemic disease. The ventricles are unchanged in size and configuration. There is no midline shift or herniation. There is left otomastoid opacification. There is mild mucosal thickening in the right sphenoid sinus. There is unchanged diffuse thickening of skull with a salt and pepper appearance of the diploic space that is compatible with renal osteodystrophy. There is unchanged deformity of the left lamina papyracea, which may be developmental or post-traumatic.
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1. No evidence of intracranial hemorrhage or mass. However, non-contrast CT is insensitive for the detection of non-hemorrhagic acute infarct. 2. Renal osteodystrophy.3. Nonspecific left otomastoid opacification.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Family history of breast cancer in paternal aunt. Two standard digital views with bilateral additional MLO views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Scattered benign calcifications and stable benign morphology masses are present in both breasts.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram.
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Generate impression based on findings.
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SCLC status post CRT CHEST:LUNGS AND PLEURA: Status post resection of superior left lower lobe. Radiation fibrosis in the left upper lobe with persistent consolidation. Paraseptal and mild centrilobular emphysema. No evidence of recurrence or metastatic disease.MEDIASTINUM AND HILA: Heart size is normal without pericardial effusion. No coronary artery calcifications. No lymphadenopathy.CHEST WALL: No significant abnormality noted.ABDOMEN: Absence of enteric contrast material limits sensitivity for abdominal pathology. LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted. KIDNEYS, URETERS: Bilateral hypoattenuating renal lesions are unchanged in size and likely benign.PANCREAS: No significant abnormality noted.RETROPERITONEUM, LYMPH NODES: Mild arterial calcifications without significant lymphadenopathy.BOWEL, MESENTERY: Absence of enteric contrast material limits sensitivity for GI pathology.No gross abnormalities noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
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1.No evidence of recurrent or metastatic disease in the thorax.
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Generate impression based on findings.
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A patient submitted outside study for review. Submitted for review are digital mammographic images (12/20/14) and ultrasound images for both breasts and axillae (12/20/14) performed at Rush University Medical Center. DIGITAL MAMMOGRAPHIC IMAGES (12/20/14):The breast parenchyma is heterogeneously dense. Scattered benign calcifications are noted in both breasts.No dominant mass, suspicious microcalcifications or areas of architectural distortion are noted in either breast. ULTRASOUND IMAGES FOR BOTH BREASTS AND AXILLAE (12/20/14):Focused ultrasound was performed for the subareolar region in both breasts. There are no solid or cystic lesions or other suspicious findings in both subareolar regions. Multiple enlarged lymph nodes with thickened cortices are present in both axillae. The cortical thickness appears up to 1 cm.
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No mammographic evidence of malignancy. Multiple enlarged lymph nodes in both axillae on ultrasound. As per outside radiology report, the patient has a history of lupus which can be a cause of multiple enlarged axillary lymph nodes. Clinical correlation is recommended. If a biopsy of the lymph node is clinically indicated, it can be performed under ultrasound guidance.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.
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Generate impression based on findings.
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Reason: prostate cancer, rule out mets History: prostate cancer Punctate foci of increased radiotracer uptake involving multiple thoracic and lumbar vertebrae suspicious for metastatic disease. Linear increased radiotracer uptake in the left scapula and left lateral 10th rib also suspicious for metastatic disease. Large areas of increased radiotracer uptake involving the pelvis, particularly the bilateral ischia and pubic bones may represent Paget's disease or metastases. No additional imaging for comparison.
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1.Multiple foci suspicious for osseous metastases including the thoracic and lumbar spine, left 10th rib, and left scapula.2.Large areas of activity in the pelvis may represent Paget's disease or metastases. No additional imaging for comparison.
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Generate impression based on findings.
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Reason: history of uterine cancer with paraaortic positive lymph nodes s/p surgery on 1/7/15 History: none 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: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, URETERS: Small bilateral renal cysts. No hydronephrosis.RETROPERITONEUM, LYMPH NODES: Scattered retroperitoneal lymph nodes. For reference, a left periaortic node measures 10 x 8 mm (series 3 image 120). BOWEL, MESENTERY: Colonic diverticulosis without evidence of inflammation.BONES, SOFT TISSUES: No suspicious osseous lesions.OTHER: No significant abnormality noted.PELVIS:UTERUS, ADNEXA: Status post hysterectomy. Enhancing tissue at the vaginal cuff with a small amount of surrounding fluid may be postoperative in etiology, but residual tumor cannot be excluded on this study. BLADDER: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality noted.OTHER: No significant abnormality noted.
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1. Status post hysterectomy. Enhancing tissue at the vaginal cuff with a small amount of surrounding fluid may be postoperative in etiology, but residual tumor cannot be excluded on this study. 2. Scattered nonspecific borderline retroperitoneal lymph nodes. Otherwise, no specific evidence of metastatic disease.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Personal history of left cyst aspiration. Two standard digital views and tomosynthesis of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. No suspicious masses, microcalcifications or areas of architectural distortion are present. Benign calcifications, including arterial calcifications, are present bilaterally.
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No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 1 - Negative.RECOMMENDATION: NSB - Screening Mammogram.
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