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Generate impression based on medical findings. | 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 w... | Successful left shoulder arthrogram. |
Generate impression based on medical findings. | There is no mass, mass-effect, or midline shift. There are no abnormal foci of enhancement. There is no diffusion abnormality to suspect acute stroke. There is no susceptibility weighted abnormality. The ventricles and sulci are within normal limits. The basal cisterns remain patent. The major intracranial vascular st... | 1. No evidence of intracranial mass, Chiari malformation, white matter lesions, or signs of hydrocephalus.2. Moderate left maxillary sinus opacification may represent sinusitis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Female 38 years old; Reason: Achilles tear? Ankle instability. History: Ankle instability. Pain and swelling of achilles TENDONS: The anterior fibers of the distal Achilles tendon appear minimally convex with minimal streaky increased signal, which may represent minimal tendinosis, however this is equivocal and appears... | 1. Mild inflammatory changes in the pre-Achilles fat in the approximate location of the retrocalcaneal bursa, with mild reactive edema in the underlying calcaneus. There is perhaps minimal tendinosis of the distal Achilles tendon, however this is equivocal and is unchanged from the prior study.2. Other findings as desc... |
Generate impression based on medical findings. | 23-year-old female with ductal dilatation on CT and right upper quadrant pain. Evaluate for a small stone causing ductal dilatation. ABDOMEN:LIVER, BILIARY TRACT: Similar-appearing mild intra and extrahepatic biliary ductal dilatation. The distal common bile duct measures 8.1 mm in diameter. There is a 3 mm stone in th... | 1.Choledocholithiasis with mild intra and extrahepatic biliary ductal dilatation. Additionally, a benign stricture at the ampulla is suspected.2.A peripheral arterial enhancing focus of hepatic segment 6 is isointense on all other series. A perfusional variant is favored. A benign focal nodular hyperplasia is less like... |
Generate impression based on medical findings. | Diagnosis: Headache(784.0)Clinical question: r/o structural abnormalitySigns and Symptoms: headacheComments: S/p left parotidectomy | The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No e... | 1.Continued enlargement of a left parotid gland lesion. In general this has a relatively benign appearance.2.New right parotid gland lesion which has similar signal characteristics and morphology to the left-sided parotid lesion but is smaller. It is adjacent and superficial to the right retromandibular vein.3.A smalle... |
Generate impression based on medical findings. | History of malignant neoplasm of head and neck cancer on the right, increased uptake on the right carotid bifurcation on PET and mass on US exam. 1. Neck MRIMotion artifacts degraded image quality.There is 9.4mm x 10mm x 12mm sized relatively well defined mass on the right carotid bifurcation. The mass shows high signa... | 1. 9.4mm x 10mm x 12mm sized mass on the right carotid bifurcation. The MR characteristics and location of the mass is consistent with carotid body tumor.2. About 40% luminal stenosis on the right CCA bifurcation |
Generate impression based on medical findings. | View for chronic and acute subdural hematoma: fall from bed. There is a mildly T1 hyperintense and T2 hyperintense right frontoparietal subdural collection that measures up to 8 mm in thickness. There is also a globular area of high T1 and low T2 signal with susceptibility effect in the right superior frontal convexity... | 1. A small focus of acute subdural hemorrhage is present in the right superior frontal convexity superimposed upon what likely corresponds to a late frontoparietal convexity subdural hematoma.2. A left frontoparietal convexity fluid collection may represent a subdural hygroma versus a chronic subdural hematoma with sup... |
Generate impression based on medical findings. | Female, 53 years old, with worsening neck pain and history of cervical disc herniation seen in 2009. The cervical lordosis is straightened. Vertebral body heights are preserved. No evidence of pathologic marrow replacement or edema is seen. Signal alteration compatible with the presence of a hemangioma is seen within t... | 1.Minimal increase in size of a left paracentral protrusion at C6-7. However, there is no evidence of spinal cord impingement or significant canal stenosis at this level.2.Improvement in the size of a disc osteophyte at the C5-6 level, again without significant spinal canal stenosis.3.The neural foramina are patent thr... |
Generate impression based on medical findings. | 54-year-old male with a history of right-sided weakness. Evaluate for acute stroke. There is no evidence of intracranial hemorrhage, extra-axial fluid collection, mass or edema. There is no mass effect or midline shift. There is preservation of the gray-white matter interface. There is no evidence of acute territorial ... | 1. No evidence of acute territorial ischemia or intracranial hemorrhage. It should be noted that CT is insensitive in detecting acute, nonhemorrhagic stroke. 2. Hypoattenuation in the left internal capsule, and right thalamus are nonspecific, but most consistent with age indeterminate lacunar infarcts. The focus of hyp... |
Generate impression based on medical findings. | The patient was unable to complete the study secondary to pain thus axial thoracic spine, entire lumbar spine, and all contrast enhanced images were not obtained. The patient stated a desire to reschedule the exam at a later date.Several sequences are motion degraded, with attempts to repeat when possible.Cervical spi... | 1.The patient was unable to complete the study secondary to pain thus axial thoracic spine, entire lumbar spine, and all contrast enhanced images were not obtained. The patient stated a desire to reschedule the exam at a later date.2.C5/6: Mild left neural foraminal and moderate right neural foraminal stenosis.3.C6/7: ... |
Generate impression based on medical findings. | Tuberous sclerosis [Q85.1], Reason for Study: ^Reason: evaluate cortical tubers, SEN, SEGA History: tuberous sclerosis Multifocal bihemispheric cortical tubers involving bilateral frontal and parietal lobes (left greater than right) appear to be stable without evidence of enhancement, thus unchanged since prior scan.Th... | Unchanged multifocal cortical tubers as described above.Stable size and MR characteristics including enhancement pattern of two subependymal nodules on the ependymal surface of the left lateral ventricle frontal horn. |
Generate impression based on medical findings. | Altered mental status and stroke. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is periventricular and subcortical T2/FLAIR hyperintensity in a similar distribution to the prior MRI. The ventricles are prominent in proportion to the sulci compatible with parenchymal volume loss. There i... | 1. No evidence of acute infarction, acute intracranial hemorrhage, or mass.2. Periventricular and subcortical white matter chronic small vessel ischemic disease is not significantly changed from the prior MRI. |
Generate impression based on medical findings. | 15-year-old female. Patient with lymphangioma retroperitoneum. Needs follow-up MRI in two months. On Inderal 40 mg BID. Need to assess for shrinkage of mass. The fluid filled mass with multiple septations located posterior to the superior gastric body, anterior to the upper pole of the left kidney, and medial to the sp... | Retroperitoneal lymphangioma without significant interval change in size. |
Generate impression based on medical findings. | Male, 47 years old, with history of L3-4 diskitis osteomyelitis with MRSA bacteremia. The L3-4 intervertebral disk demonstrates abnormal increased T2 signal with irregularity and patchy T2 hyperintensity of the adjacent end plates. Moderate ill-defined T2 hyperintensity is seen within the adjacent paraspinal soft tissu... | Constellation of findings at L3-4 including abnormal disk signal intensity, irregularity and abnormal signal intensity of the adjacent endplates, and edema/inflammation of the adjacent paraspinal soft tissues, compatible with diskitis osteomyelitis. No definite discrete or drainable epidural or paraspinal collections a... |
Generate impression based on medical findings. | Dysarthria and vomiting. Evaluate for posterior circulation stroke. Brain MRI: There is an area of diffusion restriction and increased T2 signal in the right cerebellar hemisphere that measures up to 16 mm. There is also a punctate focus of diffusion restriction in the superior right postcentral gyrus. There are a few ... | 1. Foci of diffusion restriction in the right cerebellar hemisphere and right postcentral gyrus are compatible with acute infarcts. 2. No evidence of significant steno-occlusive lesions in the head and neck arteries. |
Generate impression based on medical findings. | Previously noted abnormal marrow signal and slight osseous expansion involving the body of the sphenoid, planum sphenodale, anterior clinoids, lesser wings of the sphenoids (right greater than left), shows no significant interval change.. Again seen is expansion and patchy enhancement of the clivus, similar in size an... | No significant interval change of expansile bony lesions involving the clivus and sphenoid since prior exam, compatible with fibrous dysplasia. |
Generate impression based on medical findings. | 37-year-old man with history of right shoulder pain. ROTATOR CUFF: The supraspinatus, infraspinatus, subscapularis, and teres minor muscles appear normal without evidence of abnormal tendon signal.SUPRASPINATUS OUTLET: There is a small amount of fluid in the subacromial bursa which is within normal limits. The acromioc... | No finding to account for the patient's pain. |
Generate impression based on medical findings. | Pt with trochlear nerve palsy/recovering encephalopathy, hx of Multiple Myeloma. Please obtain CT head with special attention at skull bases, cavernous sinuses and orbits. There is no evidence of intracranial hemorrhage, mass or edema. Brain parenchyma is normal in attenuation and morphology. The ventricles and basal c... | Normal brain/orbit CT. |
Generate impression based on medical findings. | There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are no areas of abnormal parenchymal signal. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation. The major cerebral flow voids are i... | 1.Brain MRI is within normal limits without evidence of intracranial mass or mass effect.2.Paranasal sinus mucosal thickening which may represent sinusitis. |
Generate impression based on medical findings. | 76 years male with tinnitus.Provider Name: RIMAS V. LUKAS BRAINBilateral subdural effusions are present related to age-related atrophy. No midline shift or herniation.No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. Bilateral periventricular and subcortical wh... | 1.Stable small enhancing lesion within the right internal auditory canal likely a vestibular schwannoma.2.Multiple patchy lesions in the brainstem, thalami and basal ganglia are most likely vascular related.3.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are mos... |
Generate impression based on medical findings. | Reason: 1.2 cm right lateral temporal lobe ring-enhancing lesion s/p SRS History: follow up ill-defined T2 hyperintensity involving the mesial left temporal w/o pathologic enhancement on last MRI. This exam is for treatment planning purposes and is limited. There is a ring-enhancing lesion in the lateral right temporal... | Limited examination for treatment planning demonstrating interval decrease in size of right lateral temporal lobe ring-enhancing lesion. |
Generate impression based on medical findings. | 53 years Female (DOB:10/13/1962)Reason: please do dr javed MS protocol compare to prior History: leg weakness, fatigue, dysequilibriumPROVIDER/ATTENDING NAME: JACQUELINE T. BERNARD JACQUELINE T. BERNARD The CSF spaces are appropriate for the patient's stated age with no midline shift. There are periventricular and subc... | There is redemonstration of multiple white matter lesions present within the subcortical and periventricular white matter as well as in the posterior fossa which are stable when compared to the prior exam. |
Generate impression based on medical findings. | Migraine with aura, with intractable migraine, so stated, without mention of status migrainosus [346.01], Reason for Study: ^Reason: structural abnormality? Brain MRINo evidence of acute ischemic or hemorrhagic lesion.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-white matter differentiati... | 1. No evidence of acute ischemic or hemorrhagic lesion. 2. No abnormal enhancement.3. Normal brain MRA and Neck MRA |
Generate impression based on medical findings. | Female; 34 years old. Reason: gallstones, pancreatitis History: lipase >3000, gallstone on bedside u/s ABDOMEN:LIVER, BILIARY TRACT: No focal hepatic lesions.Multiple small gallstones. Mild pericholecystic fluid and gallbladder wall thickening, which could be due to early acute cholecystitis. Normal caliber of the bili... | 1. Severe acute pancreatitis as detailed above.2. Mild pericholecystic fluid and gallbladder wall thickening, which could be due to early acute cholecystitis.Findings discussed with the GI fellow (Dr. Coronel) at 9:50 a.m. on 4/17/15. |
Generate impression based on medical findings. | Male 47 years old Reason: newly diagnosed rectal cancer History: rectal cancer Overall image quality: ExcellentPELVIS:PROSTATE/SEMINAL VESICLES: Wedge-shaped T2 hypointense foci in bilateral mid gland peripheral zones demonstrating restricted diffusion, particularly on the right. BLADDER: No significant abnormality not... | 1.Indeterminate mid gland peripheral zone prostate lesions. Correlation with PSA is recommended.2.Upper rectal mass with mesorectal lymphadenopathy as described above. |
Generate impression based on medical findings. | Female 72 years old Reason: HCC/ s/p TheraSphere Administration History: HCC/ S/P TheraSphere Administration The absence of intravenous contrast limits evaluation of the solid organs and of the bowels. Additionally, extensive abdominal ascites noted. Given these limitations, despite repetition of multiple sequences the... | 1.Essentially nondiagnostic study for the reasons detailed above. It is not possible to assess response to therasphere administration. |
Generate impression based on medical findings. | There are are non-enhancing densely calcified globular and irregular extra-axial lesions along the planum sphenoidale and sella, as well as along the left petrous apex. There are also calcified globular lesions in the left temporal lobe and left basal ganglia, measuring up. In addition, there are patchy susceptibility... | 1. Apparent postoperative findings related to remote frontal craniotomy with encephalomalacia and susceptibility effect corresponding to calcifications in the bilateral anterior frontal lobes, as well as atrophy of the bilateral optic nerves. 2. Densely calcified extra-axial lesions along the planum sphenoidale and sel... |
Generate impression based on medical findings. | 59 year old with strong family history of breast cancer including a sister at age of 21 and another sister at age 54. History of benign biopsy of the left medial breast on 1/7/05 and right anterior 12 o'clock lesion on 7/30/10. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal ... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on medical findings. | 82 -year-old woman with history of non-small cell lung cancer and lesion noted on recent CT. There is a rim-enhancing 12 x 11 mm lesion in the left inferior frontal lobe (series 1401, image 17) with an adjacent, 4 mm enhancing nodule immediately anterior. The left inferior frontal lobe lesion demonstrates increased cen... | 1.Rim-enhancing lesion in the inferior left frontal lobe with enhancing small satellite nodule. Associated vasogenic edema with mild sulcal effacement but no significant mass effect. Given the history, this is most compatible with metastasis.2.No additional enhancing lesions identified. |
Generate impression based on medical findings. | Right wrist/hand pain, decreased range of motion. Bone marrow signal intensity is normal. Note is made of congenital coalition of the lunate and triquetrum, a normal variant. There is perhaps mild synovitis dorsal to the proximal carpal row, but this is equivocal. The metacarpophalangeal joints appear normal. This stud... | There is perhaps mild synovitis dorsal to the proximal carpal row, but I otherwise see no definite findings to account for the patient's pain. Although subjectively there appears to be slight dorsal subluxation of the distal ulna relative to the sigmoid notch of the radius, measurements do not support a true subluxatio... |
Generate impression based on medical findings. | History of breast cancer. Now with shoulder pain. 3 views of the right shoulder reveal a vague lucency in the humeral head that is most likely a pseudotumor. There is also some vague sclerosis in the humeral head that again is probably unremarkable. Because of the patient's shoulder pain however a shoulder MRI was sugg... | Negative right shoulder radiographs |
Generate impression based on medical findings. | 77-year-old man with history of prior heavy EtOH and liver lesions seen on prior ultrasound. ABDOMEN:LIVER, BILIARY TRACT: There is a 20 x 20 mm lesion in segment 5/6 of the liver (series 1001, image 245) which is mildly T2 hyperintense, demonstrates mild diffusion restriction, avidly enhances in the arterial phase, an... | Segment 5/6 lesion compatible with hepatocellular carcinoma with pseudocapsule. This finding was discussed with Dr. Cornel by phone at 9:45 on 10/26/2015. |
Generate impression based on medical findings. | Reason: eval lesion in anterior pons History: BLE weakness. Again seen is a lesion with increased T2 signal in the anterior pons, left greater than right, without associated diffusion restriction, susceptibility or significant mass effect that measures approximately 2.0 x 1.5 cm. There may be some subtle speckled enhan... | T2 hyperintense lesion within the pons without masslike enhancement. There is some subtle speckled enhancement along the anterior aspect which is suspected to represent prominent vasculature. This lesion remains nonspecific with differential including demyelinating, inflammatory and metabolic etiologies. A neoplastic p... |
Generate impression based on medical findings. | Again seen are postsurgical changes of Chiari decompression including suboccipital craniectomy and resection of the posterior arch of C1. Again seen are foci of deformity of the posteroinferior aspect of the cerebellum, with tenting towards the overlying dura and unchanged. There is a retroflexed dens with associated ... | Postoperative findings related to Chiari decompression again seen. Compared to 2/11/2016, there is no significant change in the appearance of the posterior fossa including retroflexed dens with associated narrowing of the anterior column of CSF flow as well as tenting of cerebellar tissue towards the overlying dura pos... |
Generate impression based on medical findings. | Clinical question: r/o transverse myelitis and cord lesionSigns and Symptoms: b/l LE weakness. L>RComments: Thoracic, Lumbar, and Sacral. Will require sedation. | MRI thoracic spine:There is a 53x42 axial dimension and 53x64mm sagittal dimension mass located in the right posteromedial thoracic cavity abutting the right... | 1.Large intrathoracic mass abutting he T1 through T8 vertebral bodies extends into the spinal canal through the T3-4, T4-5 , T5-6 right neural foramina behind the T2-T6 vertebral bodies where it markedly compresses the spinal cord. Differential consideration includes neuroblastoma as well as other neoplasms.2.The same ... |
Generate impression based on medical findings. | 54 years, Male, Reason: f/u brain lesions History: brain lesions. History of leukemia and intracranial abscess. Compared to 6/18/2015, there is been marked improvement/resolution of the previously seen peripherally enhancing lesion with restricted diffusion within the left cerebellar hemisphere. Again seen is leptomeni... | 1. Previously seen left cerebellar abscess has resolved.2. Leptomeningeal enhancement involving the cerebellar surfaces as well as along the ependymal surface of the lateral ventricles is not significantly changed and compatible with leptomeningeal infection and ventriculitis. Leukemic involvement however can not be en... |
Generate impression based on medical findings. | Female, 42 years old, with headache and cranial 6 palsy. Assess for dural thickening/enhancement. Also history of lumbar spine epidural fluid collection, assess for resolution. Brain:Brain parenchymal morphology and signal characteristics are within normal limits. No evidence of parenchymal edema or mass effect is seen... | 1.Interval resolution of previously seen diffuse pachymeningeal thickening and enhancement. Evaluation of the brain is unremarkable.2.Interval resolution of previously seen ventral epidural collections in the lumbar spine. No new or significant abnormalities are detected. |
Generate impression based on medical findings. | Female; 56 years old. Reason: Stem cell transplant patient with a recent CT showing a dome on her liver. Pt currently has a MSSA bacteremia. ABDOMEN:LIVER, BILIARY TRACT: Paradoxical loss of signal on in-and-out of phase images of the liver diffusely, suggestive of iron deposition.2.7 x 2.4 cm T2 hyperintense, T1 hypoi... | 2.7 x 2.4 cm right hepatic lobe lesion most suspicious for hepatic abscess, though solid lesion from tumor cannot be entirely excluded.Findings discussed with Dr. Caponi at 10:35 a.m. on 4/27/15. |
Generate impression based on medical findings. | Reason: hx of prostate cancer, scheduled for prostatectomy, evaluate further to guide nerve sparing and for extraprostatic disease History: see aboveBiopsy 3/22/2016: Right base Gleason 6, right mid Gleason 6, right apex Gleason 7, left apex Gleason 7 PELVIS:PROSTATE:Prostate Size: 4.4 x 2.8 x 3.4 cmPeripheral Zone: Th... | 1.Ill-defined region of low T2 signal in the left mid and apex peripheral zone is suspicious for prostatic adenocarcinoma with findings suggestive of extracapsular extension.2.No pelvic lymphadenopathy. |
Generate impression based on medical findings. | Pain. Question of ACL tear. MENISCI: The medial and lateral menisci are intact.ARTICULAR CARTILAGE AND BONE: There is near full thickness loss of articular cartilage of the superior aspect of the lateral facet of the patella with underlying subchondral edema. Additionally, there is heterogeneity of cartilage more infer... | 1. Multiple fractures through the medial femoral condyle, posterior tibial plateau, and proximal fibula as described above.2. Questionable MCL tear.3. Intact menisci and cruciate ligaments. 4. Chondromalacia as described above. |
Generate impression based on medical findings. | Diagnosis: Other convulsionsClinical question: SeizureSigns and Symptoms: Seizure recurrent The CSF spaces are appropriate for the patient's stated age with no midline shift. The patient is status post right frontal ventriculostomy tube placement for shunt. The tip of the catheter is in the frontal horn of the right la... | 1.Cerebellar atrophy associated with some encephalomalacia medially within the cerebellum.2.Status post ventriculostomy tube placement without evidence for ventriculomegaly on the current exam. |
Generate impression based on medical findings. | Neutropenic fever. History of leukemia.IMAGE ACQUISITIONS: 1.5-mm contiguous axial images of the brain without contrast infusion.2.Thin section axial and reformatted coronal images of paranasal sinuses without contrast infusion. Low-attenuation in involving right internal capsule and periatrial white matter and small p... | 1.Chronic right anterior choroidal artery infarct is again noted. CT of the brain is otherwise negative.2.There is some frothy secretion in the sphenoid sinus on the right. This has developed since the previous scan and could indicate early acute inflammation. |
Generate impression based on medical findings. | History of Li Fraumeni Syndrome with liver lesions on PET. History of breast cancer. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology and size. There is loss of signal on the out of phase images consistent with fatty infiltration.There are several hepatic lesions. The largest in segment 6/7 measures 2.7 ... | 1. Several arterial homogeneously enhancing foci most of which are subcentimeter, including an indeterminant 1.6 cm right inferior hepatic lobe lesion demonstrating mild T2-weighted hyperintensity, enhancement and restricted diffusion. The remaining lesions demonstrates no apparent washout, restricted diffusion, rim en... |
Generate impression based on medical findings. | Complains of headaches. On Coumadin. Rule out chronic subdural? Nonenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass effect, midline shift or hydrocephalus.The pituitary gland appears a slightly enlarged and with apparent extension into the basal cistern. This is concerning for a pituitary a... | 1.Pituitary adenoma as described above. Follow-up with an MRI is recommended.2.Unremarkable non-infused CT of brain and calvarium.3.Visualized paranasal sinuses and mastoid air cells are unremarkable. |
Generate impression based on medical findings. | Neurofibromatosis, type 2 [Q85.02] / Dysphagia, unspecified [R13.10], Reason for Study: ^Reason: eval for midbrain disease/infarct History: acute dysphagia, Brain MRIThere is dumbbell shaped extra axial mass appears to be attached to the inferior aspect of the right acoustic schwannoma extends toward right jugular fora... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Multiple schwannomas on bilateral IACs and right jugular foramen as well as dural based enhancing lesions likely representing meningiomas are again seen, unchanged since prior scan.3. C45 to C67 spinal cord T2 high signal intensity lesions on the ri... |
Generate impression based on medical findings. | Malignant neoplasm of right main bronchus [C34.01] No evidence of acute ischemic or hemorrhagic lesion.No evidence of abnormal enhancement.Patchy bilateral periventricular white matter FLAIR/T2 high signal intensity lesions indicate nonspecific small vessel ischemic disease. The ventricles, sulci and cisterns are symme... | 1. No evidence of acute ischemic or hemorrhagic lesion. No abnormal enhancement.2. Nonspecific small vessel ischemic disease. |
Generate impression based on medical findings. | Ovarian cancer and renal cell cancer ABDOMEN:LIVER, BILIARY TRACT: Multiple T2 hyperintense foci throughout the liver, similar in distribution/size to CT 1/26/2011, and likely benign.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDN... | Postsurgical changes without evidence of recurrent or residual disease. |
Generate impression based on medical findings. | Male, 61 years old, with weakness. Assess for CNS metastases versus ischemia. A punctate focus of mild diffusion bright signal is seen within the right globus pallidus with equivocal ADC correlation. No other definite areas of restricted diffusion are seen.Moderate patchy T2 hyperintensity is seen within the subcortica... | 1.Moderate chronic small vessel ischemic disease.2.No definite evidence of acute ischemia. A punctate focus of questionable diffusion signal abnormality within the right globus pallidus is nonspecific and may simply be artifactual.3.No evidence of intracranial metastases. |
Generate impression based on medical findings. | History of fistulous small bowel Crohn's disease. ABDOMEN:LIVER, BILIARY TRACT: The liver dome is not included in the coronal field-of-view. The visualized liver is unremarkable.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No significant abnormality noted.KIDNEYS, ... | No evidence of active inflammation or significant stricture. No fluid collections. |
Generate impression based on medical findings. | MRI CARD W/VASODILATOR STRESS WWO CNTRST, 9/6/2016 10:48 AM First Pass PerfusionDuring hyperemia, a non-transmural, moderate sized perfusion defect was noted in the basal anterolateral wall and the mid inferior and inferolateral wall. The overall ischemic burden is 9% of the LV mass. Viability/ Myocardial ScarThere is ... | 1. There is evidence of hibernating myocardium involving the basal anterolateral and mid inferior and inferolateral walls. This territory is ischemic and mostly viable. 2. There is a small myocardial infarction involving the basal anterolateral wall. 3. Normal LV size and systolic function (LVEF 58%). The native myocar... |
Generate impression based on medical findings. | Re-evaluation after stage II resection of olfactory groove meningioma on 2/25/15: 3 month follow up There are postoperative findings related to recent bifrontal craniotomy with areas of susceptibility along the margins of the resection cavity and bilateral anterior frontal lobe encephalomalacia. There is an enhancing m... | Postoperative findings related to olfactory groove meningioma resection with no significant interval change in size of the residual tumor in the posterior aspect of the resection cavity and perhaps along the left planum sphenoidale. |
Generate impression based on medical findings. | Cerebral vascular accident. 48-year-old male. The CSF spaces are appropriate for the patient's stated age with no midline shift. A hypodense focus is present along the left cerebellar hemisphere. It is somewhat ill-defined and measures 35 x 40 mm in axial dimensions and corresponds to an area of infarction identified o... | 1.Left cerebellar hemisphere subacute infarction in PICA distribution.2.no hemorrhagic conversion.3.The ventricles are nondilated. |
Generate impression based on medical findings. | History of visualization. Evaluate for adrenal pathology. Please note that the field of view of this study is intended to be limited to the adrenal glands.ABDOMEN:LIVER, BILIARY TRACT: The liver is not completely evaluated. There is no gross abnormality.SPLEEN: No significant abnormality noted.PANCREAS: No significant ... | The inferior extent of the left adrenal gland is not included in the field-of-view on the axial images. The patient is returning for a repeat study at no additional charge to the patient, please refer to this subsequent examination report for characterization of the adrenal glands. |
Generate impression based on medical findings. | 59-year-old male with an ICD and history of CAD sent for CMR to assess for scar/late gadolinium enhancement. Wide-band imaging performed. Difficult images. Significant troubleshooting required at the MRI scanner. Extensive ICD artifact improved when patient was asked to lift arm above his head. Left VentricleThe left v... | 1. The left ventricle is normal in size with mildly reduced systolic function. The overall LV ejection fraction is 48%. There are inferior/inferoseptal and inferolateral wall motion abnormalities which extend from the base of the heart to the apex. There is inferior/inferoseptal and inferolateral subendocardial late ga... |
Generate impression based on medical findings. | 37-day-old female. Meningitis, GBS. Premature birth with gestational age of 31 weeks. Triplet gestation. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There appears to be paucity of myelination in the perirolandic region. The brain parenchyma, brainstem, and cerebellum otherwise appear unrema... | 1. No evidence of intracranial abscess or infarct. 2. Apparently delayed myelination, even accounting for prematurity. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | T3N0 HPV/p16 positive SCCA of the left BOT on OPTIMA clinical trial, finished TFHX on 7/3/15, panendo/bx 9/18/15, re-evaluate compare to previous scans. Again seen are post-treatment findings in the neck with mild persistent supraglottic edema. The base of tongue and lingual tonsils appear unchanged with continued asym... | 1. Post-treatment findings in the neck without evidence of locoregional tumor recurrence. 2. No evidence of significant cervical lymphadenopathy based on size criteria. |
Generate impression based on medical findings. | Male 8 years old Reason: Ao root dilatation Left VentricleThe left ventricle is normal in size. There are no regional wall motion abnormalities present. There is no late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. Global LV function is normal.Left At... | 1. Status post arterial switch operation.2. Normal right and left ventricle function. 3. Significant aortic root dilatation (38 cm in diameter), significant aortic valve insufficiency.4. Particular coronary anatomy as described above.5. Normal cardiac viability, no evidence of intracardiac shunt.Dr. Peter Varga was pre... |
Generate impression based on medical findings. | Trigeminal nerve entrapment versus CNS demyelinating lesion: right facial pain. Internal Auditory Canals: A small venous structures courses along the superior and medial aspects of the root entry zone of the right trigeminal nerve. The bilateral trigeminals nerves are otherwise intact. There is no evidence of mass lesi... | 1. A small venous structures courses along the superior and medial aspects of the root entry zone of the right trigeminal nerve, which is nonspecific and may be indicative of a vascular loop syndrome or represent an incidental anatomical variant. Otherwise, no evidence of tumor or demyelinating lesions.2. Postoperative... |
Generate impression based on medical findings. | This exam is degraded by motion artifact.There are unchanged postoperative findings with residual pneumocephalus related to placement of a right frontal approach catheter within a right basal ganglia hematoma. The overall cavity size is unchanged, as is the acute hematoma, currently measuring 52 x 37 mm. There is gros... | 1.Essentially unchanged postoperative findings related to placement of a catheter within a right basal ganglia acute hematoma with surrounding edema and intraventricular extension. The size of the hematoma and the associated midline shift is unchanged. 2.The ventricles are unchanged in size with questionable mild dilat... |
Generate impression based on medical findings. | Meningiomas. Status post resection. Assess for recurrent/growth. Since the previous examination, the patient did have resection of the left anterior parietal convexity meningioma. There is a small focus (measuring 7 mm in diameter) of somewhat linear contrast enhancement in the treatment bed which may reflect the lepto... | 1.The patient did have resection of the left parietal paramedian convexity meningioma. 2.Seven millimeter focal contrast enhancement in the resection bed likely represent leptomeningeal scarring rather than residual tumor. However, follow-up MRI can more reliably rule out minimal residual tumor though. |
Generate impression based on medical findings. | Evaluate for gliosis: Headaches, memory and executive problems after 3 concussions. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or ... | No evidence of gliosis. However, MR tractography may be useful for further evaluation. |
Generate impression based on medical findings. | 61 year old female with a personal history of left breast lumpectomy for breast cancer in 1997 followed by chemoradiation therapy. BRCA1 positive. Family history of breast cancer in sister and niece. Breast parenchyma is almost entirely fat in both breasts.Minimal parenchymal enhancement is noted bilaterally.There is a... | A new suspicious mass at posterior 3:00 position in the left breast. MR directed ultrasound study is recommended. If no sonographic correlation is detected, MR guided biopsy should be considered.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on medical findings. | There is a 3.9 x 3.8 cm partially solid and cystic enhancing mass within the right frontal lobe with marked surrounding vasogenic edema and mass-effect with compression of the right lateral ventricle and 9-mm leftward subfalcine herniation. There are three additional similar appearing but smaller masses with surroundi... | Four intracranial metastases, the largest of which is within the right frontal lobe and results in marked mass-effect and 9-mm leftward subfalcine herniation. |
Generate impression based on medical findings. | Patient with history of squamous cell carcinoma of ethmoid sinus with recurrence.Please evaluate for disease. Metastases. CT of soft tissues of the neck.Images through the skull base and including cavernous sinuses remain within normal limits.Revisualization of extensive opacification of left ethmoid air cells which al... | 1.Negative CT of brain with infusion.2.Reduction in the amount of soft tissue density at the level of the left ethmoid air cells and left orbit since prior study. Further evaluation to exclude residual tumor with an MRI is recommended.3.No areas of pathologic adenopathy in the neck and stable multiple small bilateral l... |
Generate impression based on medical findings. | 41 year old with history of left breast cancer, status post left mastectomy and right prophylactic mastectomy. Status post bilateral mastectomies.There is no residual breast tissue in either breast.No abnormal enhancement is seen in either mastectomy bed. No abnormal lymph nodes are identified in either axillary region... | No MRI evidence for malignancy. Status post bilateral mastectomies, no residual breast tissue.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on medical findings. | There has been interval appearance of at least three small enhancing nodular lesions along the right anterior temporal lobe and a single small enhancing lesion along the left anterior temporal lobe with surrounding FLAIR signal abnormality indicating vasogenic edema. The largest lesion in the tip of the right anterior... | Interval appearance of multiple small enhancing masslike lesions in the right greater than left anterior temporal lobes with surrounding FLAIR signal abnormality indicating vasogenic edema. Differential considerations include radiation necrosis and metastases. |
Generate impression based on medical findings. | Reason: evaluate for small bowel inflammation History: abdominal distention, family history of IBD ABDOMEN:LIVER, BILIARY TRACT: Questionable small gallstone, please correlate with ultrasound. No focal liver lesion or biliary dilatation.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted... | 1.No MR evidence of inflammatory bowel disease.2.Questionable small gallstone, please correlate with ultrasound.3.Incidental findings of possible PCOS (polycystic ovarian syndrome) and arcuate morphology of the uterus. Please correlate with patient's history and obtain pelvic ultrasound if indicated. |
Generate impression based on medical findings. | 63 year-old female with BRCA gene mutation who presents for MRI guided biopsy of the right breast nonmass enhancement. Nonmass enhancement is identified in the medial aspect of the right breast, corresponding to the findings on the outside MRI breast, which is the target for today's MRI guided biopsy.PROCEDURE:Coordina... | Successful MR guided core needle biopsy of the enhancing lesion at 3 o'clock in the right breast. The biopsy clip is approximately 1 cm lateral to the biopsy cavity. Pathology is pending.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on medical findings. | Left upper extremity weakness and neck pain. C4-C5 fusion. Multiple sequences are motion degraded and repeated. Again seen are postoperative changes of ACDF at C4-C5 with solid osseous fusion better demonstrated on CT. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate ... | 1. Postoperative changes of ACDF at C4-C5, with solid osseous fusion better demonstrated on CT.2. Degenerative changes in the cervical spine superimposed on mild developmental narrowing of the cervical spinal canal. There is mild spinal canal stenosis at the C5-C6 level. Otherwise no evidence of high-grade spinal canal... |
Generate impression based on medical findings. | The examination is limited by motion artifact. There is a large area of ischemia involving the left PICA territory, specifically the left lateral medulla and left cerebellar hemisphere. Small areas of ischemia are also present in the right cerebellum. There is ischemia involving the red nucleus of the right midbrain a... | Limited examination secondary to motion artifact.1. Multifocal areas of ischemia involving the anterior and posterior circulation with largest area involving the left PICA territory. Additional smaller areas of ischemia are demonstrated in the right cerebellum, bilateral brainstem, bilateral occipital lobes, posterior ... |
Generate impression based on medical findings. | There are scattered nonspecific punctate foci of T2/FLAIR hyperintensity in the bilateral frontal subcortical and periventricular white matter. Ventricular size is normal for age with no midline shift. Basal cisterns are patent. There are no diffusion or susceptibility abnormalities. There is no abnormal enhancement. ... | Unremarkable MRI of the brain. |
Generate impression based on medical findings. | 75-year-old female with history of multiple CVAs now presents with increased altered mental status and muscle twitches. Please evaluate for new bleed, mass effect or shift. Compared to previous to evaluate progression of CVA. There is no evidence of intracranial hemorrhage, mass or edema. The previously described there... | 1. Stable right frontoparietal subacute infarct. 2. Small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. |
Generate impression based on medical findings. | Reason: ? medial meniscus tear History: catching/pain MENISCI: Menisci are intact.ARTICULAR CARTILAGE AND BONE: There a 2 foci of near full-thickness fissuring along the lateral patellar facet. The articular cartilage along the medial patellar facet, trochlea and medial and lateral compartments is intact.LIGAMENTS: The... | 1.No evidence of meniscal tear.2.Near full-thickness fissuring along the articular cartilage of the lateral facet of the patella.3.Small Baker's cyst. |
Generate impression based on medical findings. | 57-year-old female with history of right proximal humerus lesion. Redemonstrated is a heterogeneous lesion within the right proximal humeral metaphysis extending into both the epiphysis and diaphysis. This lesion measures 6.6 cm in maximal sagittal dimensions, previously 6.6 cm (image 18 series 1001). This lesion demon... | 1.Stable right humeral lesion as above likely corresponding to a benign enchondroma.2.Mild AC joint osteoarthritis. |
Generate impression based on medical findings. | 26-year-old female with history of prior meningioma resection, placement of spinal instrumentation, and now more recently hardware removal. Patient now presents with back pain. Thoracic: Compared to prior MRI from 7/23/2015, thoracic fusion hardware has been removed. Redemonstrated is an extra-axial mass located at a T... | 1.Interval removal of thoracic spinal fusion hardware. There is no significant change in extra-axial mass likely representing a calcified meningioma at the T6-7 level compared to 7/23/2015. There is evidence of slight enlargement when compared to remote studies dating back to 2012.2.Again seen is dural thickening along... |
Generate impression based on medical findings. | Reason: 14 year old with intractable migraines s/p LP presenting with back pain, neck pain: please evaluate for focal defect History: Back pain, neck pain, headache, photo/phonophobia The craniocervical junction appears within normal limits. Vertebral body heights in the cervical, thoracic, and lumbar spine are normal.... | No findings to suggest epidural hematoma or fluid collection in the paraspinous tissues to suggest a CSF leak. No significant spinal canal stenosis. There is diffuse prominence/engorgement of the epidural venous plexus in the cervical, thoracic, and lumbar spine which can be seen post lumbar puncture/with intracranial ... |
Generate impression based on medical findings. | 58 years Female (DOB:1/25/1958)Reason: rule out stroke History: right sided clumsiness, weaknessPROVIDER/ATTENDING NAME: IRA J BLUMEN HELENE G. RUBEIZ MRI of the brainThere is a small focus of diffusion restriction present in the posterior limb of the left internal capsule which extends to the centrum semiovale.The CSF... | 1.Acute Lacunar infarction in the posterior limb of left internal capsule.2.The distal right internal carotid artery appears to be ectatic and associated with a duplicated right middle cerebral artery. 3.Findings suggest a small bilateral aneurysms at the at the distal internal carotid arteries distal to the origins of... |
Generate impression based on medical findings. | Headaches, CT shows tightening at the foramen magnum As seen on recent CT study there is prominent retroodontoid soft tissue thickening without erosion. There is a cystic component involving the posterior and superior aspect of the lesion. There is mass effect with deformity and kinking at the cervicomedullary junction... | 1. Prominent retroodontoid soft tissue is again seen which is likely on a degenerative basis. There is a cystic component along its posterior-superior aspect, which is favored to represent a synovial cyst. There is associated mass effect with contour deformity and impression on the ventral cervicomedullary junction. No... |
Generate impression based on medical findings. | Metastatic prostate cancer. There is redemonstration of findings related to right posterior parietal craniotomy with a small amount of fluid at the operative site. There has been gross total resection cystic mass overlying the right parietal lobe. A punctate enhancing focus in the right lateral margin of the section ca... | 1.Postoperative findings related to right posterior parietal craniotomy and resection of an right parietal dural metastasis with markedly decreased surrounding right parietal lobe edema.2. No significant change in size of the extensive remaining bilateral dural based metastatic disease, although left inferior frontal l... |
Generate impression based on medical findings. | Right upper quadrant pain, elevated LFTs and leukocytosis. Susceptibility artifact from the patient's spinal fixation hardware limits some of the imaging sequences, particularly the diffusion weighted images which are non-diagnostic.ABDOMEN:LUNG BASES: Small right greater than left pleural effusion with minimal basilar... | 1.Distended gallbladder with significant intra and extrahepatic biliary ductal dilatation to the pancreatic head. A pancreatic head mass is suspected, as described above, specifically a pancreatic adenocarcinoma or less likely a cholangiocarcinoma. EUS/ERCP evaluation and biopsy is recommended.2.Small pleural effusions... |
Generate impression based on medical findings. | There are mild scattered nonspecific T2 hyperintensities in the cerebral white matter. There is also a nonspecific punctate focus of susceptibility effect in the posterior right temporal lobe. There is no evidence of acute intracranial hemorrhage, mass, or acute infarct. There is mild diffuse cerebral volume loss. The... | 1. Mild scattered nonspecific T2 hyperintensities in the cerebral white matter may represent chronic small vessel ischemic disease. 2. A nonspecific punctate focus of susceptibility effect in the posterior right temporal lobe may represent a chronic microhemorrhage. I personally reviewed the Images and/or procedure wit... |
Generate impression based on medical findings. | 72-year-old male with elevated PSA. Evaluate for prostate cancer. PELVIS:PROSTATE:Limited exam due to lack of contrast enhancement (related to the extravasation).Prostate Size: 4.9 cm in transverse, 3.7 cm in AP, and 4.2 cm in craniocaudal diameter.Peripheral Zone: In the right mid gland peripheral zone, there is a sma... | 1.Suspicious lesion in the right mid gland peripheral zone. The lack of contrast enhancement (due to extravasation) and background of chronic prostatitis limit further evaluation.Contrast extravasation description:Supervising radiologist: Julie Sanders, MDMinor or major extravasation: MinorContrast type:18.2 cc of Mult... |
Generate impression based on medical findings. | 19 year-old male with headache, sudden onset. Evaluate for intracranial hemorrhage. Electronic medical records provided history of sickle cell disease. There is no evidence of intracranial hemorrhage, mass or edema. A single focus of low attenuation is present along the anterior aspect of the left frontal horn which re... | No acute intracranial abnormalities. |
Generate impression based on medical findings. | right side weakness and right partial retinal artery occlusion. No evidence of acute ischemic or hemorrhagic lesion.Multiple scattered small high signal intensities on bilateral hemispheres on FLAIR images indicating non specific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremar... | No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on medical findings. | 54-year-old male with bilateral knee pain. MENISCI:Left Knee: Linear increased signal is noted in the posterior horn of the left medial meniscus, extending to the articular surface. Findings are compatible with a radial tear but there is also a vertical component (series 601, image 21). The anterior horn of the left me... | 1.Radial tear with vertical component in the posterior horn of the left medial meniscus.2.Findings suggestive of a partial undersurface tear in the posterior horn of the right medial meniscus. |
Generate impression based on medical findings. | 47-year-old female with left upper extremity pain and numbness.Additional EMR Data: two month history of left-sided arm numbness that is constant as well as intermittent shoulder numbness. Normal recent EMG of the left extremity. Motion limited exam. The craniovertebral junction appears within normal limits. The cervic... | Spondylotic changes of the cervical spine most prominent at the C5-6 level where there is moderate to severe left neuroforaminal stenosis. Correlate clinically for a left C5-6 radiculopathy. |
Generate impression based on medical findings. | Reason: any plexiform tumor noted to left thumb area History: large fibroma to top of left thumb/wrist area, limited mobility, pain. Exam slightly limited by patient motion artifact on several sequences. Along the radial aspect of the distal first metacarpal, there is a lobulated T2 hyperintense, T1 hypointense, homoge... | 1.Scattered plexiform neurofibromas with the largest along the first metatarsal bone. 2.Positive ulnar variance with findings likely related to impaction involving the lunate and triquetral bones. |
Generate impression based on medical findings. | Lower extremity weakness bilaterally There is interval increase in destructive changes at the C6-C7 disc level including the adjacent C6 and C7 vertebral bodies with loss of vertebral body height. T2 hyperintensity involving the disc space and bone marrow compatible with edema is stable to minimally increased in the in... | Examination is limited to sequences per cord compression protocol. Compared to 12/29/2014, there has been worsening of endplate destructive changes at the C6-C7 level, worsening vertebral body height loss, stable to slight worsening of disc/bone marrow edema at this level, and worsening of osseous retropulsion, which n... |
Generate impression based on medical findings. | 70-year-old male with back pain and abnormal CT For purposes of numbering, the lower-most level containing a well-formed disc is considered to be L5/S1. With this numbering nomenclature, there is L5 transitional anatomy, and the lower-most level containing ribs is T11. This is the same nomenclature utilized for the two... | 1.For purposes of numbering, the lower-most level containing a well-formed disc is considered to be L5/S1. With this numbering nomenclature, there is L5 transitional anatomy, and the lower-most level containing ribs is T11. This is the same nomenclature utilized for the two comparison lumbar spine CT exams.2.L2-L3: Mil... |
Generate impression based on medical findings. | 33-year-old female with knee instability, rule out ACL and medial meniscal tear MENISCI: There is a buckle handle tear of the medial meniscus with meniscal tissue displaced into the intracondylar notch, anterior to the PCL. The lateral meniscus appears intact.ARTICULAR CARTILAGE AND BONE: We see no bone contusions. We ... | ACL tear and bucket-handle tear of the medial meniscus. These may be chronic given the lack of bone contusions. |
Generate impression based on medical findings. | 84-year-old female patient with biliary ductal dilatation. ABDOMEN:LIVER, BILIARY TRACT: There is mild intrahepatic biliary ductal dilatation. The common bile duct is dilated up to 14 mm proximally and smoothly tapers distally without evidence of an obstructing mass. The gallbladder is absent. Multiple scattered subcen... | 1.Intra- and extrahepatic biliary ductal dilatation without evidence of an obstructing mass; this is likely secondary to a post-cholecystectomy state given normal bilirubin.2.Subcentimeter cystic hepatic and pancreatic lesions likely representing biliary hamartomas and sidebranch IPMN's, respectively.3.Hepatic steatosi... |
Generate impression based on medical findings. | Reason: assess for recurrent disease History: high risk testis cancer s/p right orch 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 abnorm... | 1.Mildly enlarged retroperitoneal lymph node is slightly increased in size from prior. This is located near the right gonadal vein along the anterior aspect of the IVC |
Generate impression based on medical findings. | Knee pain. Knee injury three weeks. MENISCI: The menisci appear intact.ARTICULAR CARTILAGE AND BONE: Articular cartilage appears intact. Bone marrow signal intensity appears normal.LIGAMENTS: The cruciate and collateral ligaments appear intact. EXTENSOR MECHANISM: The extensor mechanism appears intact. There is perhaps... | Mild edema of the quadriceps fat pad is of questionable clinical significance. I otherwise see no findings to account for the patient's pain. |
Generate impression based on medical findings. | 71 years Male (DOB: 5/7/1945)Reason: spontaneous muscle movement History: muscle twitchingPROVIDER NAME: RIMAS V. LUKAS RIMAS V. LUKAS MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal mass lesions are appreciated intracranially. No intracranial hemorrhage is ident... | 1.Examination of the cervical spine is degraded to patient motion artifact which will obscure more subtle abnormalities. There are multilevel degenerative changes present in the cervical spine with findings suspicious for neural foraminal encroachment at multiple levels and findings suspicious for mild to moderate spin... |
Generate impression based on medical findings. | 26-year-old man with history of testicular cancer, evaluate for metastases. ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter hepatic cyst (600/23). The liver is otherwise normal in signal and morphology. The gallbladder appears normal. There is no intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnorm... | No evidence of metastatic disease in the abdomen or pelvis. |
Generate impression based on medical findings. | Ms. Nichols is a 47-year-old female with history of right breast cancer status post mastectomy in 2008, implants 2009. History of chemotherapy and hormonal therapy. History of benign MRI-biopsy of the left breast in 2009. No current breast complaints. Three standard views and two implant displaced views of the left bre... | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, left unilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on medical findings. | Dermatomyositis and skin wound Again seen is diffuse subcutaneous and muscle edema consistent with known history of the dermatomyositis. Overall, these findings have improved from the prior exam. There is a soft tissue defect overlying the mid lateral thigh. The soft tissue defect does not extend beyond the subcutaneou... | Improving subcutaneous and muscle edema. Soft tissue defect overlying the mid lateral thigh does not extend beyond the subcutaneous fat. |
Generate impression based on medical findings. | 19 years, Male, examination post tumor resection. History of ganglioglioma. Interval postsurgical changes of resection of recurrent tumor in the posterior fossa are seen. There is restricted diffusion involving the left cerebellar hemisphere along the posterior margin of the resection cavity related to blood products a... | Interval postsurgical changes related to resection of recurrent posterior fossa tumor as described above. No definite evidence of residual tumor is appreciated although blood products in the surgical bed limit evaluation for small residual lesions. Slight decrease in size of the ventricular system is noted. |
Generate impression based on medical findings. | History of renal carcinoma and vertebral compression fractures. Thoracic spine: The expansile, lobulated metastatic lesion involving the left side of the T3 vertebra is overall slightly smaller, with almost complete resolution of the mass-effect on the thecal sac. In the axial plane, the mass along with its left parasp... | 1.The expansile metastatic lesions at T3 and T9 are overall smaller with almost complete resolution of the mass-effect on thecal sac. Also, the smaller T10 vertebral body lesion has regressed since January 2016. Mild right sided T9 vertebral body compression fracture is unchanged or minimally increased.2.The minimally ... |
Generate impression based on medical findings. | Oropharyngeal fibroma status post biopsy. There is a residual subcentimeter mild nodular mucosal thickening in the region of the right tongue base and glossotonsillar sulcus without extension into the deeper tissues of the tongue. There is no significant lymphadenopathy in the neck. The thyroid and major salivary gland... | 1. A subcentimeter lesion in the right oropharyngeal region is compatible with residual fibroma and/or inflammatory changes. 2. Unchanged left T1-2 neural foramen perineural cyst. 3. Interval enlargement of left axillary lymph nodes, which measure up to 15 mm, which is non-specific. |
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