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Generate impression based on medical findings. | Female 20 years old Reason: evaluate for injury History: pain after 15 mi run, instability with knee "buckling" twice MENISCI: No meniscal tears.ARTICULAR CARTILAGE AND BONE: Bone marrow signal intensity is normal. There is a linear focus of low signal intensity extending through the articular cartilage of the femoral ... | 1.Findings suggestive of iliotibial band friction syndrome.2.Findings suggestive of a non-fluid filled fissure of the cartilage of the femoral trochlea. |
Generate impression based on medical findings. | The intracranial internal carotid arteries are normal in course and caliber. The middle and anterior cerebral arteries are unremarkable. The vertebral arteries, basilar artery, and posterior cerebral arteries are normal in course and caliber. There is no evidence of flow-limiting stenosis or aneurysm. | Normal MRA. If there is continued clinical concern for vasculitis, a catheter angiogram would be recommended. |
Generate impression based on medical findings. | Clinical question: Patient with spinal metastases, neck pain. Signs and symptoms: Neck pain Nonenhanced CT of the cervical spine:Previously described on prior MRI of the cervical spine with the study the lesion to the vertebral body of C5 is not identified on this study. There is subtle low attenuation of C7 vertebral ... | 1.Multiple metastatic disease to the thoracic spine and a suspected metastatic lesion to as to as detailed.2.There is mild compression fracture of T1 and T5 and mid no involvement of the pedicles of T1 or T5.3.The alignment of the vertebral column throughout the spine remains normal. |
Generate impression based on medical findings. | Diagnosis: HeadacheClinical question: 3T scannerSigns and Symptoms: headaches The CSF spaces are appropriate for the patient's stated age with no midline shift. No abnormal enhancing mass lesions are appreciated intracranially. No intracranial hemorrhage is identified. No edema is identified within the brain parenchyma... | 1.There is no evidence for intracranial mass lesion to explain patient's headaches.2.Periventricular and subcortical white matter changes of a mild to moderate degree are nonspecific. At this age they are most likely vascular related. |
Generate impression based on medical findings. | Redemonstrated is nonenhancing T2/FLAIR hyperintense lesion with gyral thickening involving the left medial and anterior temporal lobe including the amygdala and extending to the insular cortex. Asymmetric T2/FLAIR hyperintensity is also noted involving the left posterior frontal corona radiata extending towards the p... | No significant change in appearance of the infiltrating neoplasm involving the medial and anterior left temporal lobe as well as the insular cortex dating back to 12/19/2014. |
Generate impression based on medical findings. | 46 year old female with newly diagnosed multivessel coronary artery disease after admission for non-ST elevation myocardial infarction. Risk factors included hypertension, hyperlipidemia. She is referred for cardiac MRI for assessment of viability. Left VentricleThe left ventricle is severely dilated with severely redu... | 1. The left ventricle is severely dilated with severely reduced systolic function (LVEF 27%).2. The right ventricle is mildly dilated with mildly reduced systolic function (RVEF 41%).3. The majority of the left ventricle is free of myocardial infarction and viable. However, there is a small transmural myocardial infarc... |
Generate impression based on medical findings. | Altered mental status. Assess for stroke. The study is limited by patient motion.There is no diffusion restriction to indicate a recent infarct. There is inflammation related to the chronic right temporal infarct. Addition, there is extensive confluent periventricular cerebral white-matter T2 hyperintensity reflecting ... | 1.Study is limited by patient motion. 2.No evidence of acute intracranial hemorrhage, mass, or acute infarct.3.Moderate cerebral volume loss and chronic right temporal and cerebellar infarcts are present, as described above and on the previous CT scan report. |
Generate impression based on medical findings. | 60 year old with history of pulmonary sarcoidosis with irregular heart beat presenting for structural evaluationMEDICATIONS: albuterol inhaler First Pass PerfusionDuring hyperemia, no perfusion defects were present. Viability/ Myocardial ScarThere was no late gadolinium enhancement noted suggesting that there is no pri... | 1. No perfusion defects/ "ischemia" present during hyperemia.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 55%).4. Normal RV size and systolic function (RVEF 48%). |
Generate impression based on medical findings. | Ms. Nagle is a 51-year-old female with a family history of breast cancer in her maternal grandmother diagnosed in her 40s. Personal history of benign left breast biopsy. No current breast related complaints. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.No a... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on medical findings. | 92 year-old female with hypertensive urgency. Rule out CVA. There is no evidence of intracranial hemorrhage, mass or midline shift. Patchy areas of subcortical and periventricular white matter hypodensity likely represent small vessel ischemic disease, age indeterminate by CT. There is an old left basal ganglia lacunar... | No definite evidence of acute intracranial abnormality. Small vessel ischemic disease and old lacunar infarct. |
Generate impression based on medical findings. | 11-year-old female with history of Crohn's disease, evaluate for small bowel disease.EXAMINATION: MR enterography without and with IV contrast 5/27/2015 ABDOMEN:LIVER, BILIARY TRACT: The liver is within normal limits.SPLEEN: The spleen appears normal.PANCREAS: No significant pancreatic abnormality.ADRENAL GLANDS: The a... | 1. Distal ileum and sigmoid colon bowel wall thickening consistent with given history of Crohn's disease. 2. Likely left perianal fistula as described above. |
Generate impression based on medical findings. | 71 year-old female with substernal goiter with airway deviation. Evaluate for nodules. RIGHT LOBE MEASUREMENTS: 1.8 x 2.0 x 6.0 cmLEFT LOBE MEASUREMENTS: 13.4 x 8.8 x 6.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: The right thyroid lobe is homogeneous in echotexture without focal lesions.LEFT LOBE: The left thyroid lobe... | Left thyroid goiter with rightward deviation of the airway. |
Generate impression based on medical findings. | Female, 38 years old, with history of T2 and one squamous cell cancer of the right tongue status post partial glossectomy, neck dissection and radiation followed by recurrence. Image quality is degraded by motion artifact which is present on all sequences despite multiple repeat attempts. There is also loss of signal i... | Image quality is significantly limited by motion artifact and loss of signal affecting the anterior inferior neck. Postoperative findings are seen in the anterior right tongue. The remainder of the anterior oral tongue is thickened and demonstrates pathologic T2 signal compatible with extensive local residual or recurr... |
Generate impression based on medical findings. | Please note this examination is technically degraded, particularly the axial T2 fat-sat sequences. Coronal STIR images demonstrate grossly symmetric T2 hyperintensity involving the nerve roots of the brachial plexus proximally. There is suggestion of asymmetrically increased T2 hyperintensity involving the left C6 and... | Examination is suboptimal in quality and if clinically indicated repeat examination may be considered. There is however suggestion of subtle increased signal involving the distal aspects of the left C6 to C8 nerve roots which in retrospect also appears to be present on prior MRI from 1/13/2011 and 8/4/2009 studies. Fin... |
Generate impression based on medical findings. | Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, not intractable, without status epilepticus [G40.209] / Migraine with aura, not intractable, without status migrainosus [G43.109], No evidence of acute ischemic or hemorrhagic lesion.No abnormal enhancemen... | Normal brain MRI |
Generate impression based on medical findings. | 52-year-old male patient with right knee pain status post fall. Evaluate for lateral meniscus tear. MENISCI: The lateral and medial menisci are intact.ARTICULAR CARTILAGE AND BONE: There are bone contusions in the weightbearing portion of the lateral femoral condyle and the posterior aspect of the lateral tibial platea... | At least partial anterior cruciate ligament tearing with characteristic bone contusions involving the lateral femoral condyle and posterior aspect of the lateral tibial plateau. |
Generate impression based on medical findings. | Female, 61 years old, with altered mental status, seizure. No restricted diffusion is seen. Numerous scattered foci of periventricular and subcortical T2 hyperintensity are seen within the cerebral hemispheres. The caudate heads and putamina are also involved, left side more than right. Fairly conspicuous central ponti... | Patchy T2 hyperintensity is seen in the periventricular white matter, basal ganglia and central pons. The differential for these findings is broad and would include sequelae of small vessel ischemic disease, vasculitis, demyelination, or toxic/drug exposure. Similar features can also be seen in osmotic demyelination wi... |
Generate impression based on medical findings. | 41-year-old female intravenous drug user with left hip fracture, febrile despite antibiotics. There is enhancement of the left hip joint indicating synovitis with small nonenhancing pockets representing small collections of fluid. There is a 2.0 x 2.0 x 0.8 cm collection of fluid along the anterosuperior aspect of the ... | 1.Synovitis of the left hip with small pockets of fluid compatible with septic arthritis.2.Extensive inflammatory changes in the soft tissues with a small collection of fluid along the anterosuperior aspect of the hip joint, which may represent a small abscess.3.Abnormal signal in the femoral head and acetabulum compat... |
Generate impression based on medical findings. | Evaluate for bilateral anterior cerebral artery ischemia/hypoperfusion/infarction in the setting of bilateral anterior cerebral artery vasospasm History: Lower extremity, abulia. Severely limited exam.There is an globular area of diffusion restriction in the posterior right frontal lobe corresponding to blood products ... | Severely limited study. Suspected punctate infarct in the right frontal lobe adjacent to the right lateral ventricle. Otherwise no clear evidence of acute infarction in the ACA territories or elsewhere in the brain. |
Generate impression based on medical findings. | Male, 74 years old, history of lung cancer with unsteady ambulation. At least 10 enhancing parenchymal lesions are identified in the brain, most of which are supratentorial. They range in size from punctate up to 15 mm in diameter. Most are solidly enhancing but several show a centrally cystic morphology. The lesions a... | 1. Numerous, at least 10, parenchymal metastatic lesions are seen, predominantly affecting the cerebral hemispheres. These lesions induce only mild local edema and mass effect. These are new when compared to the prior examination.2. Metastatic disease to the right skull base is seen involving the occipital condyle and ... |
Generate impression based on medical findings. | Female, 58 years old. Right shoulder pain ROTATOR CUFF: Metallic suture material in the humeral head causes artifact, somewhat limiting evaluation. The supraspinatus, infraspinatus, and teres minor tendons and muscles are intact. There is mild to moderate tendinopathy of the subscapularis tendon, without discrete tear ... | Postoperative changes with mild rotator cuff tendinopathy as above. No discrete rotator cuff tear identified. |
Generate impression based on medical findings. | 58 year old female with a BRCA 1 mutation presents for screening MRI. Family history of breast cancer in her paternal grandmother at age 55, aunt at age 36 and cousin at age 48 There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in e... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on medical findings. | 42-year-old female with left hip pain. Evaluate greater trochanteric bursa. ACETABULAR LABRUM: The acetabular labrum appears intact within the limitations of a non arthrogram study.ARTICULAR CARTILAGE AND BONE: No bone marrow signal abnormality is identified. No full-thickness articular cartilage defects are seen.SOFT ... | No evidence of a bursitis. No findings to account for the patient's left hip pain. Other findings as described. |
Generate impression based on medical findings. | 19 year-old male with abdominal pain, asses for Crohn's disease. 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.RETROPER... | Moderate amount of stool noted throughout the colon without evidence of active inflammatory bowel disease, as clinically questioned. |
Generate impression based on medical findings. | Craniopharyngioma status post laser ablation and proton beam radiation. There are bilateral transfrontal catheters that terminate in the suprasellar mixed cystic and solid craniopharyngioma. Although many of the cystic components of the tumor have decreased in size, the overall size of the tumor has not significantly c... | Although many of the cystic components of the tumor have decreased in size, the overall size of the craniopharyngioma has not significantly changed, measuring up to approximately 25 mm. However, the patchy T2 hyperintensity, which may represent edema in the adjacent brain parenchyma and optic apparatus appears to have ... |
Generate impression based on medical findings. | 11 year old female with history of Chiari malformation status post decompression 12/2012, with headaches and back pain Again seen are postsurgical changes of suboccipital craniectomy and C1 laminectomy for Chiari decompression. CSF spaces at the level of the foramen magnum are patent ventrally and dorsally. The cerebel... | Status post Chiari decompression with preservation of the CSF spaces ventrally and dorsally at the foramen magnum. No syrinx. |
Generate impression based on medical findings. | Altered mental status and ataxiaClinical question: r/o stroke, NPHSigns and Symptoms: r/o stroke, AMS ataxia There is a 20x29mm axial dimension cyst in the pineal region compatible with arachnoid cyst. It follows CSF on all pulse sequences. There is associated flattening of the tectal plate.The lateral ventricles are r... | 1.Large lateral ventricles. The possibility of normal pressure hydrocephalus cannot be excluded. Another possibility is that this is related to the pineal region arachnoid cyst.2.Pineal region arachnoid cyst associated with flattening of the tectal plate.3.Periventricular and subcortical white matter changes of a mild ... |
Generate impression based on medical findings. | Reason: possible FAI History: possible femoral acetabular impingement ACETABULAR LABRUM: Degenerative tearing of the anterior and anterosuperior labrum. No chondrolabral detachment.ARTICULAR CARTILAGE AND BONE: No full-thickness cartilaginous defect is identified. There is no significant osteoarthritis. No acute fractu... | 1.Degenerative tearing of the anterior and anterosuperior labrum. |
Generate impression based on medical findings. | 84-year-old male with right sided neglect x 2 to 3 days. On Coumadin. Evaluate for subdural. Findings consistent with mild small vessel disease of indeterminate age are noted. No definitive interval change since prior exam. No evidence of hemorrhage, edema, mass effect, midline shift or hydrocephalus. Vascular calcific... | Small vessel disease of indeterminate age. |
Generate impression based on medical findings. | Reason: osteomyelitis of left foot? History: diabetic foot infection, high CRP Note is made of soft tissue irregularity along the plantar aspect of the distal phalanx of the great toe consistent with the stated history of ulceration. There is increased signal abnormality on fluid sensitive sequences within the subcutan... | Findings consistent with osteomyelitis of the distal phalanx of the great toe. Other findings as described. |
Generate impression based on medical findings. | 23 year old female patient with seizure like episodes. History of bipolar type I as well as anxiety disorder. There is asymmetrically slight vertical alignment of the right collateral sulcus and a globular morphology of the right hippocampus, but the internal architecture and signal is not grossly abnormal and there is... | Apparent mild malrotation of the right hippocampus, but no evidence of tumor or mesial temporal sclerosis.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Since the prior brain MRI from 9/6/2016 there has been significant increase in size of a subdural hematoma along the left cerebral convexity which measures up to 22 mm in thickness, previously 12 mm. There are areas of T1 hyperintensity indicative of subacute hemorrhage, new since prior. There is increased effacement ... | 1. Significant interval increase in size of a left-sided subdural collection with MRI signal features and same-day CT findings suggesting subacute subdural hematoma, with new areas of hyperdensity/T1 shortening indicating new hemorrhage. There is increase in associated mass effect.2.Encephalomalacia in the right fronta... |
Generate impression based on medical findings. | Clinical question: L frontal GBM initial Dx 9/2012. s/p RT/TMZ+TMZ. Off all Tx.Signs and Symptoms: GBM.Comments: GBM Dx 9/2012. S/p RT/TMZ+TMZ. Please compare to earlier studies. | The patient is status post left frontal lobe surgery for removal of a left frontal lobe mass. Since the prior exam a new 18mm focus of Flai... | Since the prior exam a new focal lesion has developed at the anterior aspect of the right frontal lobe adjacent to the anterior and inferior margin of the surgical site which is suspicious for local recurrence. |
Generate impression based on medical findings. | The patient is a 13-year-old female with history of neurofibromatosis. Cerebellar tumor resection in June 2005. Tinnitus, vertigo, ear pain and decreased hearing. Again seen is hypodensity in the left cerebellar hemisphere partially surrounded by calcified rim which appears unchanged from the prior study. Midline poste... | 1. Normal caliber internal auditory canals. For evaluation for possible tumor at this location, we recommend MRI.2. Stable postoperative findings. |
Generate impression based on medical findings. | 48-year-old male patient with known history of metastatic neuroendocrine tumor with liver metastases. ABDOMEN:LIVER, BILIARY TRACT: There are multiple hepatic lesions throughout the liver demonstrating T2 hyperintensity and arterial enhancement. Some of these have increased in size including a reference segment seven l... | 1. Slight interval increase in size of multiple hepatic lesions. No new hepatic lesion is identified.2. Stable mild dilatation of the common bile duct. |
Generate impression based on medical findings. | Female 2 years old Reason: re-evaluation of cortical tubers, SEN History: tuberous sclerosis, refractory epilepsy, focal onset Redemonstration of numerous cortical/subcortical T2 hyperintense lesions throughout both hemispheres of the supratentorial brain. These are not significantly changed from prior. In addition the... | Stable exam with findings of tuberous sclerosis including scattered subcortical tubers and ependymal nodules. |
Generate impression based on medical findings. | Multiple sclerosis follow up. There are multiple cerebral white matter T2 hyperintense lesions, primarily in a periventricular distribution, but also in juxtacortical locations, such as in the right occipital lobe. In particular, there is a new lesion in the right parietal periventricular white matter. There is no asso... | Multiple sclerosis with a new lesions in the right parietal periventricular white matter. |
Generate impression based on medical findings. | Orbital cellulitisClinical question: assess after ENT decompressionSigns and Symptoms: s/p abscess drainageEpidural abscess There is redemonstration of ring-enhancing fluid collection along the left superior lateral aspect of the orbits which extends from the extraconal space to the preseptal space and superficial to t... | 1.There is a left orbital abscess present centered in the left superior lateral aspect of the left orbit preseptal space at the expected location of the lacrimal gland which extends across the left extraconal space including the superior aspect of the extraconal space as well as the subcutaneous tissues surrounding the... |
Generate impression based on medical findings. | Reason: suboptimal MRI CSF flow study on 1/3/2015. Radiologist recommended to repeat flow sequence with no additional change to the patient. History: Chiari malformation. There are mildly low-lying cerebellar tonsils. There is intact CSF flow across the anterior foramen magnum. but blunted CSF flow posteriorly at the l... | Intact CSF flow across the anterior foramen magnum. but blunted CSF flow posteriorly at the level of the cerebellar tonsils. Please refer to the prior brain MRI report for additional details. |
Generate impression based on medical findings. | 18 years Female (DOB:7/28/1997)Reason: ? vasculitis History: confusion and h/o lupusPROVIDER/ATTENDING NAME: JAMES AHN RIMAS V LUKAS MRI of the brainNo diffusion weighted abnormalities are appreciated.The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a well-circumscribed focus ... | 1.No evidence for cerebrovascular occlusive disease.2.No evidence for intracranial aneurysm.3.There is an ill-defined lesion present in the left basal ganglia. One possibility is that this may represent capillary telangiectasia.4.There is a lesion in the left frontal lobe which is suspected represent a developmental ve... |
Generate impression based on medical findings. | 35-year-old female with left lower quadrant and abdominal pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: There is gallbladder sludge versus cholelithiasis. No definite evidence of cholecystitis.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLA... | Central pelvic mass(es) as probably consisting of a fibroadenoma and teratoma, as described above. Further evaluation with transvaginal ultrasound and/or MRI may be helpful, if indicated.Cholelithiasis without cholecystitis. |
Generate impression based on medical findings. | Susceptibility with corresponding areas of T2 hypointensity is again visualized in the basal cisterns symmetrically and along scattered bilateral supratentorial and infratentorial subarachnoid spaces, more prominent along the left greater than right occipital lobes, right temporal lobe, left parietal lobe, right great... | Stable superficial hemosiderosis of the basal cisterns and scattered supratentorial and infratentorial subarachnoid spaces. |
Generate impression based on medical findings. | Clinical question: Reexploration posterior fossa, removal of hardware, placement of 4 ventricular shunt with connection to distal left ventriculoperitoneal shunt and craniotomy Signs and symptoms: Postop follow-up.. Nonenhanced cervical/thoracic MRI:Examination demonstrates extensive postoperative changes of suboccipit... | 1.Nonenhanced MRI of cervical and thoracic spine demonstrate interval increased size of significantly expansile syrinx of entire cervical cord and extending inferiorly to thoracic cord to T7-T8 disc level. Postoperative changes decompression and placement of a catheter/stent within the fourth ventricle demonstrate no s... |
Generate impression based on medical findings. | Clinical question: Vascular versus Alzheimer. Signs and symptoms: Memory loss starting 1.5year ago. Nonenhanced brain MRI:No diffusion-weighted abnormalities.Examination demonstrates numerous small narrowing size foci of FLAIR and T2 hyperintensity primarily in the periventricular white matter of cerebral hemispheres a... | 1.No acute intracranial process.2.Moderate chronic and minimally hemorrhagic small vessel ischemic strokes primarily in the periventricular and bilateral basal ganglia and to a lesser degree in the subcortical white matter as detailed.3.Unremarkable cerebral cortex, cortical sulci, ventricular system and the CSF spaces... |
Generate impression based on medical findings. | Thoracic spine:There is a smooth, physiologic thoracic kyphotic curve. The vertebral body heights and disc spaces are maintained. Marrow signal intensity is benign throughout. The spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. There are no stenoses or developmental anomalies.Lum... | 1.Negative noncontrast thoracic spine MRI.2.The conus is normal in signal and morphology and terminates at the mid L3 level, unchanged. There is no fat signal material within the filum terminale. Upon prone positioning, the conus translates anteriorly. |
Generate impression based on medical findings. | Diagnosis: SomnolenceClinical question: cause of altered mental statusSigns and Symptoms: altered mental status There is left-sided intraventricular blood present and to a lesser degree right-sided intraventricular blood.There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesion... | 1.There is intraventricular blood present predominantly in the left lateral ventricle. There is associated intraparenchymal blood along the subependymal region along the caudate tail adjacent the body of the left lateral ventricle. Presumably this represents the source of bleeding.2.Lesions in the right thalamus and ri... |
Generate impression based on medical findings. | History of left renal exophytic lesion with possible mild increase in size in recent ultrasound. ABDOMEN:LIVER, BILIARY TRACT: Diffuse, mildly decreased signal intensity of the hepatic parenchyma on out of phase images suggestive of hepatic steatosis. No focal hepatic lesions are identified. The hepatic vasculature app... | 1.Simple renal cysts without suspicious renal lesions.2.Hepatic steatosis. |
Generate impression based on medical findings. | Pilar cyst near cranial suture just left of midline. Does cyst communicate through suture? Brain or eye involvement? Subjective complaints of "my eyes hurt". Brain: There is a well-defined, partially enhancing, low T1 and T2 signal mass in the left apical scalp that measures 20 mm. There are multiple other punctate low... | 1. A left apical scalp mass, as well as multiple other punctate low signal foci within the scalp diffusely, may represent pilomatrixomas or related skin adnexal lesions, without evidence of skull erosion or intracranial extension.2. The orbits are unremarkable. |
Generate impression based on medical findings. | Clinical question: Assess for artifact. Lesion/tumor or other causes of anosmia. Signs and symptoms: Anosmia for 6 months. Pre and post enhanced brain MRI:No diffusion-weighted abnormalities.Examination demonstrates no detectable abnormality of the skull base, bilateral frontal regions or the olfactory bulbs. Very mini... | 1.No diffusion-weighted abnormality.2.No evidence of pathology to explain patient's anosmia. Unremarkable calvarium and skull base.3.Foci of FLAIR hyperintensity in the right occipital, medial aspect of right posterior temporal and right thalamus suggestive of chronic ischemic changes of PCA territory.4.Unremarkable pr... |
Generate impression based on medical findings. | Malignant neoplasm of bronchus and lung, unspecified site [162.9], Reason for Study: ^Reason: rule out metastases History: ams, There is no evidence of acute ischemic or hemorrhagic lesion on this scan.There is a focal high signal intensity on the right post central gyrus (224, series 406) but it does not show restrict... | No evidence of acute ischemic or hemorrhagic lesion on the scan.Non specific white matter lesions on FLAIR images as described above.If metastatic lesion is suspicious, MR exam should be repeated with Gadolinium enhancement. |
Generate impression based on medical findings. | Transient alteration of awareness [R40.4], Reason for Study: ^Reason: ? stroke History: see CT read There is no evidence of acute ischemic or hemorrhagic lesion.There are multifocal scattered T2/flair high signal intensity lesions on periventricular white matter indicating nonspecific small vessel ischemic disease.The ... | 1. No acute ischemic or hemorrhagic lesion. No abnormal enhancement.2. Nonspecific small vessel ischemic disease. |
Generate impression based on medical findings. | New onset headaches. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are minimal nonspecific punctate foci of high T2 signal in the cerebral white matter. The brain parenchyma, brainstem, and cerebellum otherwise appear unremarkable. There is no abnormal intracranial enhancement. There is... | No evidence of intracranial hemorrhage, mass, or acute infarct. Flattening of the pituitary gland, along with constriction of the bilateral transverse sinuses can be a sign of pseudotumor cerebri. |
Generate impression based on medical findings. | Sinonasal basaloid carcinoma that was resected. Planning for chemo/RT. There are interval postoperative findings related to interval resection of a sinonasal mass with a subcentimeter nodular lesion in the region of the olfactory recesses. There is slight extension of the tumor into the epidural space of the anterior c... | 1. Postoperative findings related to interval resection of a sinonasal mass with a subcentimeter nodular lesion in the region of the olfactory recesses that appears to have slight epidural extension along the floor of the anterior cranial fossa, which is suggestive of residual tumor.2. A dural based lesion along the po... |
Generate impression based on medical findings. | Clinical question: Grade II astrocytoma of the cord. s/p RT 9w/ proton beam) + TMZ. Now receiving TMZ. Completed RT in ~5/2015. Signs and Symptoms: Grade II astrocytoma of spinal cord. Pre- and post enhanced cervical MRI:Examination redemonstrate an expansile lesion of the cervical cord extending from C2-C4 disc level ... | 1.Stable expansile mass of the cervical cord in size, extent and overall morphology as detailed.2.Stable expansile lesion of the thoracic cord in size, extent and overall morphology as detailed.3.Unremarkable MRI of the lumbar spine other than moderate central spinal stenosis secondary to degenerative disease at L4-L5 ... |
Generate impression based on medical findings. | 9-year-old female. Assess for dorsal ganglion cyst involvement of the scapholunate ligament and bone quality of lunate. The dorsal aspect of the capitolunate interval demonstrates a focal well-defined lobulated area of increased signal on T2 hyperintensity with associated decreased signal on T1 imaging. Marrow signal o... | Focal well defined lesion in the dorsal aspect of the capitolunate interval with increased T2 signal intensity and decreased T1 signal intensity is most likely a ganglion cyst. The capitate and lunate bones are normal. |
Generate impression based on medical findings. | 39-year-old female with heavy bleeding. Evaluate size and number of uterine fibroids. PELVIS:UTERUS, ADNEXA: The uterus measures 11.4 cm in AP, 8.6 cm in transverse, and 10.1 cm in craniocaudal diameter. There is a 5.3 x 5.1 x 3.3 cm submucosal fibroid causing a contour deformity of the endometrium (axial series 5 imag... | Mildly enlarged uterus containing multiple fibroids, the largest of which is submucosal in location measuring 5.3 x 5.1 x 3.3 cm.5.3 x 5.1 x 3.3 cm submucosal fibroid |
Generate impression based on medical findings. | Diagnosis: Secondary malignant neoplasm of unspecified siteClinical question: pt with met melanoma and slurred speech please eval for brain metsSigns and Symptoms: met melanoma The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of status post left-sided craniotom... | 1.Status post left temporal craniotomy and left temporal lobe surgery.2.No evidence for brain metastases at this time. |
Generate impression based on medical findings. | There are nonspecific scattered foci of FLAIR signal superficially in the frontal lobe (series 4, images 8, 10, and 11) with the one in the left middle frontal gyrus more prominent compared to previous examination and the one in the left precentral gyrus new from previous exam. No abnormal enhancement within the brain... | 1.No evidence of acute intracranial enhancing mass.2.Small lesions in the left precentral gyrus and left middle frontal gyrus are most likely vascular related. The left middle frontal gyrus lesion is suspected to have been present in 2005 whereas the left precentral gyrus lesion is new. |
Generate impression based on medical findings. | 41 year old female patient with newly diagnosed cervical cancer pre-op vs chemotherapy. Vaginal discharge. PELVIS:UTERUS, ADNEXA: There is a mass at the cervical os extending externally, more towards the right than left. The mass extends into the endometrial canal, the superior extent of which is not clearly delineated... | 1.Cervical mass compatible with provided history of malignancy.2.Bilateral complex adnexal masses, left greater than right, are suspicious for primary malignancy or metastatic disease. |
Generate impression based on medical findings. | 58 year old male with history of complex coronary disease with previous PCI to the LAD and PDA, with known anomalous left circumflex coronary artery and persistent stable angina, referred for cardiac MRI vasodilator stress testing. MEDICATIONS: aspirin, metoprolol, rosuvastatin, ticagrelor, amlodipine, ranolazine First... | 1. A small transmural perfusion defect/ "ischemia" present in the basal anterolateral wall during hyperemia.2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size with low normal systolic function (LVEF 54%).4. Normal RV size and systolic function (RVEF 70%).I personally reviewed the Image... |
Generate impression based on medical findings. | Neck pain, left hand numbness and tingling. History of cervical and lumbar fusion, status post MVA x2. Cervical: Craniovertebral junction demonstrates moderate degenerative changes but is otherwise within normal limits. The cervical vertebral bodies are appropriate in height. There are changes related to previous poste... | 1. Postsurgical changes of prior laminectomy and C3 to C6 fusion with solid osseous fusion anteriorly and posteriorly. There are degenerative changes at the C7-T1 level with mild spinal canal stenosis and mild to moderate neural foraminal stenosis at this level. Otherwise no high-grade spinal canal or neural foraminal ... |
Generate impression based on medical findings. | Reason: tremor, numbness and tingling. History of lupus. MRI brain:There is increased central T2 signal within the pons without associated diffusion restriction, mass effect, or susceptibility. No other parenchymal signal abnormalities are appreciated. There is no evidence of intracranial hemorrhage or acute infarct. A... | 1.Increased T2 signal within the central pons which may be related to prior osmotic demyelination. No abnormal signal in the basal ganglia is appreciated. Prior ischemia is also possible but less likely given the absence of significant white matter signal abnormality elsewhere in the brain. Remainder of the brain is un... |
Generate impression based on medical findings. | Low back pain positive straight leg raise. There is prominent right L5-S1 facet hypertrophy and ligamentum flavum thickening, which indent the right neural foraminal nerve roots. There is mild facet hypertrophy on the left side of L5-S1 and bilaterally at L4-5, with slight level neural foraminal narrowing at this level... | Prominent right L5-S1 facet hypertrophy and ligamentum flavum thickening, which indent the right neural foraminal nerve roots. |
Generate impression based on medical findings. | Disc protrusion, foraminal stenosis. Right leg numbness, pain shooting down laterally, anteriorly. Five lumbar type vertebral bodies are present. Vertebral body heights are within normal limits. There is mild loss of lumbar lordosis as well as grade 1 anterolisthesis of L4 on L5 and minimal L5 on S1 retrolisthesis. Bon... | Multilevel degenerative changes in the lumbar spine including mild spinal canal stenosis at the L3-L4 level. There is also also mild to moderate right neural foraminal narrowing at the L4-L5 level where there is possible impingement of the right L4 nerve root. Additional levels as above. |
Generate impression based on medical findings. | 44-year-old male with right shoulder pain. Rule out labral versus cuff pathology. The exam is limited by motion artifact.ROTATOR CUFF: Intermediate signal in the supraspinatus tendon consistent with tendinopathy.SUPRASPINATUS OUTLET: No significant abnormality noted.GLENOHUMERAL JOINT AND GLENOID LABRUM: Tear is presen... | 1. Tear in the posterior glenoid labrum.2. Abnormal signal in the acromioclavicular joint with bone marrow edema in the acromion and clavicle consistent with chronic repetitive stress.3. Intermediate signal in the supraspinatus tendon consistent with tendinopathy. |
Generate impression based on medical findings. | 71 years, Male, Reason: evaluate for HCC History: cirrhosis with rising AFP. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology with recanalization of the umbilical vein.Enhancing right segment 8 lesion with associated increased T2 signal and equivocal washout appears s... | 1.Arterially enhancing segment 8 lesion with equivocal washout appears slightly increased in size suspicious for hepatocellular carcinoma. Two adjacent enhancing lesions may represent additional foci of hepatocellular carcinoma.2.Segment 7 lesions seen on prior exams with intrinsic T1 shortening may represent dysplasti... |
Generate impression based on medical findings. | Reason: brain and spine mets History: gait ataxia, RUE weakness, lung CA. MRI Brain: Please note lack of intravenous contrast limits evaluation for metastatic disease. There is a 1.2 x 0.9 cm lesion, measured on the axial T2/FLAIR sequences, in the right parietal lobe with susceptibility effect indicative of blood prod... | 1. Please note lack of postcontrast brain MRI sequences limits evaluation for metastatic disease. There is a 12x9 mm hemorrhagic lesion in the right parietal lobe with extensive surrounding vasogenic edema presumably representing metastasis given history. Suggest post contrast brain MRI for further evaluation including... |
Generate impression based on medical findings. | Bilateral L5 radiculitis. At L5-S1, there is a small annular fissure associated with minimal disc bulging and bilateral facet hypertrophy. There is no significant spinal canal or neural foramen stenosis at this level. At L4-L5, there is annular fissuring, mild disc bulging and bilateral facet hypertrophy with trace eff... | Mild multilevel degenerative spondylosis, with mild bilateral neural foramen stenosis at L4-5, but no significant spinal canal stenosis at this or the other lumbar spine levels. |
Generate impression based on medical findings. | 21 years Female (DOB:10/10/1995)Reason: pituitary cystic lesion, enlarge in Sep 2015 w possible hemorrhage associated with headache, also has infratentorial lesion. History: normal vision and endocrine functionPROVIDER/ATTENDING NAME: ISSAM A. AWAD ISSAM A. AWAD MRI brain:There is a 32 x 36 mm sagittal dimension and 52... | 1.Stable pituitary lesion which could represent a Rathke's cyst.2.There is a compatible with an arachnoid cyst in the posterior fossa which is stable compared to the prior exam.3.Findings suggest congenital absence or hypoplasia of the right sigmoid sinus. |
Generate impression based on medical findings. | Male, 47 years old, with multiple sclerosis. Assess for progression. Image quality is degraded by motion artifact. Within this limitation, the point observations are made.Numerous T2 hyperintense lesions are redemonstrated within the periventricular and juxtacortical white matter. An extensive lesion is also seen encom... | No significant interval change in the size or number of demyelinating lesions. |
Generate impression based on medical findings. | Ms. Amerik is a 29 year old female with a personal history of BRCA1 mutation and a strong family history of breast cancer, including her mother (diagnosed at the age of 48) and a maternal aunt (diagnosed at the age of 44). Personal history of benign MR guided biopsy of right breast in 2011 for fibroadenoma. The patient... | No MRI evidence for malignancy. Follow up should be per the research protocol. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on medical findings. | Reason: eval prior OSH surgery, possible Dupuytren's excision with continued pain and stiffness History: finger and palmer hand pain Suboptimal evaluation secondary to inability to properly position patient due to the inability to flatten the patient's fingers, per the technologist note.TENDONS: The flexor and extensor... | Linear decreased signal abnormality within the subcutaneous tissue along the volar aspect of the wrist and hand may reflect postsurgical scarring or fibrosis. |
Generate impression based on medical findings. | Male, 52 years old, with neurofibromatosis type I and a long-standing temporal lobe lesion, who recently had a seizure after being controlled for a few years. A multicystic lesion involving the left cavernous and choroidal fissure is redemonstrated showing no significant interval change in size, morphology or signal ch... | 1.No change in size or morphology of a nonenhancing multicystic lesion involving the left hippocampus and choroidal fissure. The lesion is unchanged when compared to an examination dating back to 2007.2.No new intracranial lesions are seen to account for the patient's seizure.3.A left periorbital cutaneous lesion is un... |
Generate impression based on medical findings. | Pain in left shoulder after fall going up stairs. Evaluate for torn ligament, tendon or other shoulder injury. ROTATOR CUFF: There is a full-thickness supraspinatus tear at its insertion, without significant retraction. The infraspinatus tendon appears intact. There is high signal within the subscapularis, consistent w... | 1. Full-thickness supraspinatus tear at its insertion, with no significant retraction.2. Nonvisualization of the proximal aspect of the biceps tendon, consistent with tear. |
Generate impression based on medical findings. | Clinical question: Rule out malignant otitis, rule out abscess. Signs and symptoms: Right ear pain. Enhanced CT of the maxillofacial:Examination demonstrates a low-density mass within the left submandibular gland measuring 21.5 mm x 15.2-mm in trans-axial dimensions on image 14 and 32.3-mm in cranial -- cephalad axis o... | Examination demonstrates a low-density nonenhancing mass within the left submandibular gland measuring 21.5 x 15 times 32.3-mm in size. Follow up with an MRI examination is recommended. This lesion is not associated with any enhancement, inflammatory changes, abnormal calcification within the gland or the lesion and no... |
Generate impression based on medical findings. | Right arm and leg weakness, numbness, and pain. Brain MRI: There are several small areas of encephalomalacia in the bilateral basal ganglia and pons. There are also scattered foci of high T2 signal in the cerebral white matter. There are scattered foci of supratentorial and infratentorial susceptibility effect, which m... | 1. Multiple chronic infarcts and small vessel ischemic disease, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. No evidence of significant steno-occlusive lesions in the head and neck. |
Generate impression based on medical findings. | 72-year-old female with small cell lung cancer. Evaluate for metastasis. There are at least 12 enhancing lesions seen within the bilateral cerebral hemispheres and cerebellum. Many of these are very close to the or at the cortical surface concerning for involvement of the subarachnoid space. There is no definite crania... | Numerous, at least 12, enhancing intracranial lesions are seen compatible with metastatic disease. |
Generate impression based on medical findings. | 55-year-old man with history of lumbar radiculopathy. Five lumbar type vertebral bodies are presumed to be present. There are degenerative endplate changes with Schmorl's nodes, otherwise vertebral body heights are within normal limits. Alignment is within normal limits. An area of T2 hyperintense signal and T1 isointe... | Degenerative changes as described above with multilevel neural foraminal and spinal canal stenosis. |
Generate impression based on medical findings. | Male 58 years old Reason: assess right triceps mass History: present for 10 months Again noted with in the right arm, within the triceps muscle is a 3.8 x 4.6 x 5.0 cm soft tissue mass, stable/mildly increased from prior allowing for differences in imaging technique. Linear high signal and appearance suggestive of a du... | 5.0-cm soft tissue mass in the right triceps muscle. Although this may represent a benign peripheral nerve sheath tumor, due to the inhomogeneity, the appearance is somewhat worrisome for a malignant peripheral nerve sheath tumor. |
Generate impression based on medical findings. | Fat saturation is slightly inhomogeneous. There is redemonstration of postoperative changes related to thyroid isthmusectomy and neck dissection with susceptibility artifact from surgical clips. There is no evidence of recurrent mass in the thyroid bed. No nasopharyngeal mass is identified. There is no diffusion abnor... | Stable appearance of postoperative and posttreatment changes, without mass recurrence or lymphadenopathy. |
Generate impression based on medical findings. | Ms. Lindsey is a 24 year old female with personal history of right breast lumpectomy and sentinel lymph node biopsy in 2014 for IDC treated with neoadjuvant chemotherapy and radiation. She has no current breast related complaints. There is extreme amount of fibroglandular tissue in both breasts. Mild parenchymal enhanc... | Expected postsurgical changes of the right breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on medical findings. | 57 year old with left breast carcinoma and metastatic left axillary lymph nodes, status post chemotherapy. There is heterogeneous amount of fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.The known carcinoma at posterior 2 o'clock position in the left breast seen on the prior stu... | 1. Complete imaging response of the right breast cancer.2. Interval reduction in size of the multiple abnormal left axillary lymph nodes3. No abnormal enhancement in right breast. 4. No abnormal lymph nodes in right axillary region. BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on medical findings. | Clinical question: 28-year-old female with chronic history of migraines, escalating a recent month. Family history of aneurysm. Rule out mass, increased intracranial pressure. Signs and symptoms: Severe headache. Pre and post enhanced brain MRI:Negative diffusion weighted series.Examination demonstrate normal anatomica... | 1.Pre- and post enhanced brain MRI demonstrate a small right basal ganglionic/frontal lobe congenital developmental venous anomaly and unremarkable otherwise.2.Note should be made that MRI cannot exclude possibility of aneurysm.3.Well-pneumatized paranasal sinuses and bilateral mastoid air cells and middle ear cavities... |
Generate impression based on medical findings. | Cyst and hydrocephalus: possible shunt malfunction. There is a catheter that enters via a right occipital burr hole and terminates in the anterior right lateral ventricle. There are thin septations within the dilated portion of the posterior right lateral ventricle, which has not significantly changed in size. The rest... | 1. Dilatation of posterior portion of the shunted right lateral ventricle with septations, which may represent adhesions and perhaps cyst formation with surrounding encephalomalacia and gliosis. The constellation of findings may be the result of remote insult, such as infection and perhaps ischemia. Other scattered are... |
Generate impression based on medical findings. | Low back pain Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. The conus medullaris is normal in position. There is suggestion of bilateral pars defects at L5 without spondylolisthesis.L1-L2: T... | 1. Minimal degenerative changes including disc desiccation at L1-L2 with small Schmorl's node. There is also mild L5-S1 facet arthropathy. No significant spinal canal or neural foraminal stenosis at any level. 2. Likely pars defects at L5 without associated spondylolisthesis. This finding can be better visualized with ... |
Generate impression based on medical findings. | 52 year old female with a personal history of biopsy-proven left breast intraductal papilloma with focal atypia. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally. Scattered bilateral enhancing foci are noted, none of which are uniquely enhancing.W... | Left breast lesion corresponding to the patient's biopsy-proven papilloma without additional mass or suspicious enhancement identified.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on medical findings. | Male, 60 years old, new diagnosis of head and neck cancer, abnormal lesion in the left thalamus on CT. Assess for metastases. T1 hyperintensity and mild susceptibility artifact is seen within the pulvinar of the left thalamus with at most a slight expansion of the affected tissue. There is no convincing enhancement abo... | Corresponding to the lesion seen on recent prior CT, intrinsic T1 hyperintensity and mild susceptibility artifact are seen within the pulvinar of the left thalamus. The lesion as a whole does not enhance. However, there is a developmental venous anomaly which originates within and passes through the lesion.The findings... |
Generate impression based on medical findings. | 90 years Male (DOB:12/14/1925)Reason: eval for tia/stroke History: left facial droopPROVIDER/ATTENDING NAME: DAVID HOWES KEEGAN CHECKETT MRI of the brainNo diffusion weighted abnormalities are appreciated.The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of perive... | 1.There is no evidence for acute cerebral ischemic infarction.2.No evidence for significant intracranial cerebrovascular occlusive disease3.There is no evidence for extracranial cerebrovascular occlusive disease4.Periventricular and subcortical white matter lesions of a mild degree are nonspecific. At this age they are... |
Generate impression based on medical findings. | Shoulder pain The examination is limited secondary to motion artifact.ROTATOR CUFF: There is undersurface fraying and mild tendinosis of the supraspinatus tendon although no fluid-filled discrete tear is identified. There is tendinosis of the infraspinatus tendon at its insertion on the greater tuberosity but again no ... | 1. Limited examination secondary to motion artifact.2. Partial-thickness insertional tearing of the subscapularis tendon with additional rotator cuff tendinosis further detailed above. There is no evidence of a full-thickness rotator cuff tear.3. Osteoarthritis of the shoulder.4. Fluid within the biceps tendon sheath w... |
Generate impression based on medical findings. | Low signal to noise is present secondary to patient positioning in relation to the MRI coil. There is loss of the normal cervical lordosis with a kyphotic angle centered at C5/C6. Vertebral body heights are grossly preserved. There is a trace anterolisthesis of C4 on C5 and grade 1 anterolisthesis of C5 on C6. There i... | 1. Multilevel degenerative changes of the cervical spine most prominent at C4/C5 with severe left neural foraminal stenosis and C5/C6 with grade I anterolisthesis and mild spinal canal stenosis. Additional findings as described above.2. Diffuse bone marrow heterogeneity with sclerosis is consistent with metastatic dise... |
Generate impression based on medical findings. | 54-year-old female with history of ventral hernia and hematuria ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Left adrenal nodule, enlarged from previous study no... | Midline tissue defect along incision. Post surgical changes in the anterior abdominal wall. No evidence of obvious herniation.Mild wall thickening of the bladder suggestive of cystitis.MRI of the adrenal may be helpful for further evaluation of small left adrenal nodule, which is increased in size compared to previous ... |
Generate impression based on medical findings. | History of left parotid region squamous cell carcinoma with radiation necrosis of the temporal bone status post resection and reconstruction 3 weeks ago now with concern for possible abscess/cerebritis History: fevers, chills, AMS. There are postoperative findings related to left lateral temporal bone resection with my... | 1. Postoperative findings related to left lateral temporal bone resection with myocutaneous graft reconstruction. There is heterogeneous fluid within the anterior portion of the surgical bed, which extends to the overlying skin incision and measures approximately 25 mm, which may represent s seroma with superimposed in... |
Generate impression based on medical findings. | Meningioma status post CyberKnife in May 2014 and orbital pseudotumor. Brain: There are postoperative findings related to left suboccipital craniotomy for resection of a meningioma with encephalomalacia in the left cerebellar hemisphere. There is slight interval decrease in size of the tumor, which now measures up to 1... | 1.Slight interval decrease in size of the treated left posterior fossa meningioma.2. Persistent small nodular extra-axial lesion in left posterior fossa adjacent to the craniotomy margin may represent an organizing hematoma. 3. Decrease in size of the lesion within the inferior right orbit, abutting the optic nerve. |
Generate impression based on medical findings. | Male, 65 years old, with neck pain. The cervical lordosis is mildly reversed. There is a grade 1 retrolisthesis of C6 relative to C7.Fusion of the C3 through C5 vertebral bodies is demonstrated. Mild edema, likely degenerative in nature, is seen within the C5, C6 and C7 vertebral bodies.The visualized spinal cord demon... | 1.Fusion of the C3 through C5 vertebral bodies with obliteration of the intervening disk spaces.2.At the C4-5 level, there is a bony ridge arising from the level of the obliterated disk space at the left paracentral/subarticular zone. This ridge mildly impinges upon the left ventral cord.3.A moderate spinal canal steno... |
Generate impression based on medical findings. | 55 years Female (DOB:5/3/1960)Reason: neck pain and RUE radiculopathy. S/p MRI without contrast showing nodular mass at C2-C3. MRI with contrast to evaluate further. History: abovePROVIDER/ATTENDING NAME: JAMES M MOK JAMES M MOK The cervical vertebral bodies are appropriate in overall alignment and height. The cervical... | 1.There are multilevel degenerative changes present in the cervical spine worse at C5-6 and C6-7 where there is mild to moderate spinal stenosis at C5-6 and moderate spinal stenosis at C6-7 as well as encroachment of the exiting nerve roots within the neural foramina at C5-6. There are degenerative changes present at o... |
Generate impression based on medical findings. | A 49 year old male with alcohol abuse and recently diagnosed biventricular heart failure (LVEF 10% by echo). An apical clot was suspected and anticoagulant treatment was started. Normal coronary arteries by left heart catheterization. Referred to cardiac MRI for further evaluation Left VentricleThe left ventricle is se... | 1. The left ventricle is severely dilated with severely reduced systolic function, the LVEF 15%. 2. There is no late gadolinium enhancement to suggest the presence of an underlying focal replacement fibrosing, infiltrative, or inflammatory process. However, native myocardial T1 times are mildly increased, suggesting th... |
Generate impression based on medical findings. | Clinical question: Evaluate for hydrocephalus. Signs and symptoms: Gait instability. Non-enhanced CT of brain:Examination demonstrate a highly suspected loculated mass in the left cerebellum with extensive surrounding vasogenic edema. There is significant mass-effect on the fourth ventricle with near complete collapse ... | 1.Mass with extensive surrounding vasogenic edema in the left cerebellum with significant associated mass effect and upward transtentorial herniation.2.Supratentorial hydrocephalus.3.Dedicated MRI examination with enhancement is recommended.4.The above findings were relayed to Dr.Thomas Kelley from neurosurgery departm... |
Generate impression based on medical findings. | 28-year-old male with history of von Hippel-Lindau. History laminectomy for spinal hemangioblastoma. Has current cerebellar/spinal hemangioblastomas. Evaluate for growth and new lesions. BRAIN MRI: Compared to 1/3/2014, there is no significant change in size of left cerebellar enhancing lesion measuring 7 x 5 x 7 mm, p... | 1. Compared to 1/3/2014, there is no significant change in small enhancing lesion involving the left posterior cerebellar hemisphere compatible with a hemangioblastoma. A second punctate lesion identified on the prior study along the right posterior aspect of the medulla is also unchanged. No new lesions or evidence of... |
Generate impression based on medical findings. | 66 years Female (DOB:4/9/1949)Reason: r/o cervical spondylosis, ro/ cord impingement History: neck pain, brisk reflexes, lower extremity sensory symptomsPROVIDER/ATTENDING NAME: HELENE G. RUBEIZ HELENE G. RUBEIZ Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical s... | 1.The patient is status post intraspinous posterior fusion at L4-5 since the prior exam. There is spinal stenosis at L4-5 has regressed compared to the prior exam but is still present.2.Moderate spinal stenosis due to degenerative changes at L2-3 has developed since the prior exam from 2012.3.Degenerative changes are p... |
Generate impression based on medical findings. | Family history of breast cancer in her mother, sister, maternal aunt, and maternal cousin. BRCA1. There is scattered fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. No abnormal axillary lymph nodes are identified in either axi... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
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