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Generate impression based on findings. | Right thumb mass There is an ovoid focus of low T1/low T2 signal intensity measuring 1 cm in the longitudinal dimension within the subcutaneous fat of the thumb medial to the proximal diaphysis of the proximal phalanx. This is surrounded by additional intermediate signal intensity measuring approximately 1 cm in the tr... | Low signal intensity subcutaneous mass within the thumb with minimal if any enhancement. The signal characteristics suggest the possibility of a fibrous lesion or scarring. |
Generate impression based on findings. | Reason: 70M with Gleason 9 prostate cancer s/p RARP 5/2016 and BCR History: assess for recurrent disease, PSA rose from 0.57 to 1.08 after prostatectomy. PELVIS:PROSTATE:Prostate Size: Patient is status post radical prostatectomy.Peripheral Zone: Patient is status post radical prostatectomy.Central Gland: Patient is st... | 1.Mildly enlarged right internal iliac lymph node as above.2.No residual disease in the prostatic bed.PI-RADS™ v2 Assessment Categories:PIRADS 1 – Very low (clinically significant cancer is highly unlikely to be present) PIRADS 2 – Low (clinically significant cancer is unlikely to be present)PIRADS 3 – Intermediate (th... |
Generate impression based on findings. | Female, 83 years old. Reason: evaluate for thyroid nodule History: hair loss, palpable nodule in left upper lobe RIGHT LOBE MEASUREMENTS: 5.6 x 2.1 x 2.2 cmLEFT LOBE MEASUREMENTS: 5.2 x 1.9 x 2.3 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Mildly heterogeneous echotexture. A right upper pole nodule measures 0.7 x 0.4 x 0... | Bilateral subcentimeter thyroid nodules as described above. |
Generate impression based on findings. | Pituitary adenoma: MEN 1. There is no discernible pituitary tumor. The pituitary gland is not enlarged. The pituitary stalk and bright spot are intact. The imaged portions of the brain are unremarkable. There is scattered paranasal sinus mucosal thickening. | No discernible pituitary tumor. |
Generate impression based on findings. | Female 51 years old Reason: evaluate for History: hypoglycemia with hyperinsulinemia ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted. Normal intrinsic T1 hyperintensity throughout the pancreas. No pancreatic mass. No panc... | 1.No specific cause is identified for patient's hypoglycemia/hyperinsulinemia. |
Generate impression based on findings. | 38 year-old male with hypertension and headache. There is no evidence of intracranial hemorrhage, mass or edema. Diffuse hypodensities within the subcortical white matter and periventricular distribution consistent with small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may... | Small vessel disease, age indeterminate. If there is clinical concern for acute ischemia, an MRI may be considered. |
Generate impression based on findings. | Low back pain radiating to bilateral lower extremities, hip flexion weakness Five lumbar type vertebral bodies are presumed to be present with the most inferior well-defined disc space labeled L5-S1. Vertebral body heights are within normal limits. Alignment is within normal limits. Bone marrow signal is benign. Multil... | Multilevel degenerative changes in the lumbar spine with up to mild to moderate L4-L5 and mild L5-S1 spinal canal stenosis. There is also moderate to severe left L5-S1 neural foraminal stenosis where there may be impingement of the exiting L5 nerve root. Additional levels as described above. |
Generate impression based on findings. | seizures, No evidence of acute ischemic or hemorrhagic lesion on this scan.There are patchy high signal intensity lesions on bilateral periventricular white matters indicate non specific small vessel ischemic lesion. Underlying brain shows minimal to mild brain atrophy which could be a bit more prominent than age.The v... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. No evidence of intracranial and extracranial craniocervical arterial luminal narrowing.3. No evidence of intracranial aneurysm.4. Non specific white matter changes with mild brain atrophy as described above. |
Generate impression based on findings. | L3 compression fracture on outside hospital examination. Personal history of thyroid cancer. Evaluate fracture. There is approximately 25% loss of height of the L3 vertebral body appearing similar to prior. Vertebral body also demonstrates heterogeneous increased both T1 and T2 signal. No adjacent soft tissue edema. Mi... | 1. No significant change in appearance of the L3 chronic compression fracture with approximately 25% loss of height compared to prior MRI from 2009.2. Mild degenerative changes as described without significant neural foraminal or spinal canal stenosis.3. No specific evidence of osseous metastatic disease on this noncon... |
Generate impression based on findings. | History of CFTR mutation with hypertriglyceridemia and severe pancreatitis now with worsening pain. Evaluate for pancreatic duct stricture and new fluid collection. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology and size measuring 19.4 cm in craniocaudal dimension. Loss of signal intensity on out of ph... | Mild irregular dilatation, narrowing and mural contour of the main pancreatic duct, improved in caliber from the prior, compatible with stigmata of chronic/prior pancreatitis. 3.3 cm air and fluid collection anterior to the left adrenal gland abutting the lesser curvature of the stomach. This likely represents a pseudo... |
Generate impression based on findings. | Multiple myeloma. History of lesions at T3, T6, T7, and T12 suspicious for myeloma. Bone marrow biopsy shows less than 10% plasma cells. There are T2 hyperintense enhancing lesions of variable sizes in the C6, T3, T6-10, T12, and L1 through L5 vertebrae. There is multilevel cervical and lumbar degenerative disease is a... | 1.Multiple enhancing lesion within the vertebral column may represent multiple myeloma deposits, without evidence of pathological fracture. 2.Multilevel cervical and lumbar degenerative disease is associated with no significant spinal canal stenosis. |
Generate impression based on findings. | Brain tumor, follow-up. Again seen are postsurgical changes of right frontotemporal craniotomy for tumor resection. Again seen is masslike T2/flair hyperintensity in the right periatrial region extending across the corpus callosum into the left parietal lobe. T2/FLAIR hyperintensity involving the right basal ganglia an... | 1. Compared to 11/26/2014, there is overall no significant change in extensive areas of masslike FLAIR hyperintensity and enhancement consistent with known high grade glial neoplasm. There is restricted diffusion involving the tumor within the periatrial region and splenium of the corpus callosum which was present on p... |
Generate impression based on findings. | 61-year-old male with history of HCV and cirrhosis. Evaluate for hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: The liver has a cirrhotic morphology. There are several T2 hyperintense foci throughout the liver with the largest in the right hepatic lobe with no evidence of enhancement; findings compatible with ... | Cirrhotic liver without suspicious hepatic lesion. |
Generate impression based on findings. | Evaluate brainstem lesion, compare with previous: vomiting, brainstem lesion on previous exam. There is no appreciable residual abnormal signal in the left pons. There is no abnormal intracranial enhancement. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The ventricles and basal cisterns are ... | No appreciable residual brainstem lesion. |
Generate impression based on findings. | Clinical question: 7-year-old ex-34 week infant with ALTE requiring CPR at home. Nonenhanced head CT:There are questionable patchy areas of cortical low-attenuation in the bilateral posterior temporal and parietal lobes which considering patient's age may not be an abnormal finding however possibility of ischemic chang... | No definitive evidence of pathology. Questionable areas of low attenuation of the cortex and bilateral temporal and parietal lobes may be related to patient's premature brain however possibility of ischemic change cannot be entirely from out. Correlate with history and follow-up with an MRI. |
Generate impression based on findings. | Female, 81 years old, with a left parotid mass. An ill-defined lesion is evident within the left parotid gland occupying primarily the deep lobe and a small portion of the superficial lobe. The lesion measures at least 21 x 14 mm (image 30 series 701), and does seem to extend slightly through the stylomandibular canal.... | An infiltrative masslike lesion is identified within the left parotid gland occupying primarily the deep lobe with mild involvement of the superficial lobe. The lesion extends slightly through the stylomandibular canal.The signal characteristics of the lesion are quite heterogeneous, particularly on the T2-weighted ima... |
Generate impression based on findings. | 88-year-old male with spiculated left upper lobe opacity on chest x-ray. LUNGS AND PLEURA: Emphysema. Adjacent to the aortic arch and right perihilar region is a spiculated mass with areas of cavitation measuring 2.7 x 4.7 cm call (image 32, series 5), consistent with a primary lung neoplasm. Adjacent region of right u... | 1. Right parahilar mass consistent with primary neoplasm.2. Enhancing right adrenal mass suspicious for metastatic disease.Further follow-up may be considered with PET/CT, dedicated adrenal CT or MRI as clinically indicated. |
Generate impression based on findings. | Several neurologic sequelae from MVA in 2002 presenting with right lower extremity weakness. The patient had been treated with halo, C1-2 wiring, ventriculoperitoneal shunt, syringoperitoneal shunt @ T12, suboccipital decompression with duraplasty, O-C2 fusion, T1-L1 fusion. Now POD #1 for re-exploration of posterior f... | 1. Postoperative findings related to posterior fossa decompression, ventricular shunting, and craniocervical fusion, with suggestion of cerebellar slumping, but no evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Extensive syringohydromyelia that extends from the level of the dens to the imaged uppe... |
Generate impression based on findings. | 84-year-old female with constipation, unable to disimpact. Concern for mass or fecolith per ER. ABDOMEN: The exam is not sensitive detection of lesions in the solid organs due to the lack of intravenous contrast. Given that limitation, the following observations are made.LUNG BASES: Left mastectomy.LIVER, BILIARY TRACT... | Possible proctitis. Moderate amount of stool in the rectum. Renal lesions likely cysts including one atypical lesion which is stable. |
Generate impression based on findings. | 51-year-old female with known bilateral breast cancer, left greater than right. Prior CT showing abnormal lesions in the liver and spleen. ABDOMEN:LIVER, BILIARY TRACT: The previously seen 1.0 x 0.8 cm posterior peripheral lesion in hepatic segment 6 demonstrates faint enhancement without washout and without delayed en... | 1.1.0 cm posterior peripheral lesion in hepatic segment 6 with features most suggestive of a benign etiology, such as a sclerosed hemangioma. However, given the patient's history, follow-up cross sectional imaging is recommended to confirm stability.2.1.3 cm lesion in the spleen compatible with a hemangioma. |
Generate impression based on findings. | Again seen is an Ommaya catheter with tip in the lateral aspect of the lateral ventricle. Again seen is a CSF signal intensity collection surrounding the catheter which is slightly larger measuring approximately 4.4 x 2.7 cm, previously 3.0 x 2.0 cm, but with near resolution of surrounding vasogenic edema. There is mi... | 1. There is no evidence of progressive disease in the brain or spine. No new mass or new focus of abnormal parenchymal or meningeal enhancement. 2. There is mild decrease in size of the ventricular system compared to 9/1/2015 and decrease in periventricular FLAIR hyperintensity, findings which are favored to represent ... |
Generate impression based on findings. | Female, 72 years old, with low back pain. Evaluate for fracture. Evidence of kyphoplasty is seen at T11, T12 and L1. Mild loss of vertebral body height is seen at L1. Moderate loss of vertebral body height is seen at T12 and T11. The T12 vertebral body is mildly retropulsed causing effacement of the ventral thecal sac.... | 1.Evidence of kyphoplasty is seen at T11, T12 and L1. The L1 vertebral body shows minimal loss of height. T11 and T12 show more moderate vertebral body height loss. The remaining lumbar vertebrae are not significantly compressed.2.No aggressive or destructive osseous lesions are seen.3.Multilevel degenerative disease i... |
Generate impression based on findings. | There is slight reversal normal upper cervical curvature which is likely positional. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized par... | Essentially negative noncontrast cervical spine MRI. Specifically, there are no MRI findings to explain the patient's spasticity. |
Generate impression based on findings. | Preoperative planing for WHO II meningioma. There are postoperative findings related to prior biparietal craniotomy. There are tumors in the treatment bed, which demonstrate decreased enhancement, but have not significantly changed in size. There is persistent extensive vasogenic edema in the adjacent bilateral cerebra... | Postoperative findings related to prior biparietal craniotomy for prior partial resection of meningioma. There are residual tumors in the treatment bed, which demonstrate decreased enhancement, likely due to recent embolization. Nevertheless, there is persistent extensive vasogenic edema in the adjacent bilateral cereb... |
Generate impression based on findings. | Male, 54 years old, with right lower extremity weakness. Five fully lumbar type vertebral bodies are present with a transitional S1. Spinal alignment is anatomic. Vertebral body height and morphology are within normal limits. No pathologic marrow replacement or marrow edema is observed.The visualized distal spinal cord... | Relatively mild degenerative findings are seen causing at most a mild spinal canal narrowing at L4-5 and scattered mild foraminal narrowing. |
Generate impression based on findings. | Newly diagnosed rectal cancer-rectal cancer staging. Li Fraumeni p53 mutation, bilateral breast carcinoma. Recent TAH/BSO. Colonoscopy proven invasive moderately differentiated rectal adenocarcinoma and rectosigmoid polyp with adenocarcinoma. Overall image quality: ExcellentPELVIS:UTERUS, ADNEXA: Status post hysterecto... | 1. Polypoid circumferential lesion involving the mid to distal rectum with perirectal lymphadenopathy, mesorectal fat extension and suspicion of extramural vascular invasion. The mass invades the vaginal cuff as described above.2. Mesorectal lymphadenopathy. 3. Multiple additional prominent pelvic lymph nodes as descri... |
Generate impression based on findings. | Left wrist pain LIGAMENTS: No significant abnormality noted. The intra-articular contrast remains in the mid carpal space. No communication is seen with the radiocarpal space, indicating that the intrinsic scapholunate and intrinsic lunate- triquetral ligaments are intactTRIANGULAR FIBROCARTILAGE COMPLEX: No significan... | Negative MR arthrogram of the left wrist |
Generate impression based on findings. | Reason: 14 y/o with autism macrocephaly optic nerve hypoplasia primary generalized epilepsy. CT head normal 2003 o other neuroimaging done. Please evaluate for other developmental anomalies History: 14 y/o with autism macrocephaly optic nerve hypoplasia primary generalized epilepsy. CT head normal 2003 no other neuroim... | 1.Evidence of posterior pituitary ectopia which is located at the median eminence of the hypothalamus. Pituitary stalk is severely diminutive and poorly visualized. Anterior pituitary is small. There is also hypoplasia involving the bilateral optic nerves and chiasm. Septum pellucidum is present. Constellation of findi... |
Generate impression based on findings. | Status post left knee arthroscopy with continued pain, evaluate for patellofemoral chondromalacia or medial meniscus tear MENISCI: There is increased signal intensity within the superior fibers of the posterior horn of the medial meniscus at/near its root, which is new from the prior study. While this finding is compat... | 1.Small focus of signal abnormality in the patellar cartilage as described above may represent a non-fluid filled cleft.2.Signal abnormality in the medial femoral condyle likely due to microfracture. Increased signal intensity in the overlying cartilage may represent a residual cartilage defect.3.Abnormal signal in the... |
Generate impression based on findings. | Clinical question: Cognitive impairment, rule out vascular issues, NPH, urinary incontinence. Signs and symptoms: As above. Nonenhanced brain MRI:No diffusion weighted abnormalities.Examination demonstrate small foci of flair hyperintensity in the subcortical and periventricular white matter of cerebral hemispheres, ri... | 1.No acute intracranial process.2.Chronic nonhemorrhagic small vessel ischemic strokes of mild-to-moderate degree with mild interval progression since prior MRI exam 2 - 25 - 2014.3.Slight prominence of supratentorial ventricular system is stable since prior exam from 2014 MRI however with interval progression since MR... |
Generate impression based on findings. | Ms. Tennant is a 37-year-old female with biopsy-proven DCIS and ADH of the left breast. She presents today for MR evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts. There is a moderate amount of background parenchymal enhancement noted bilaterally, which limits the sensitivity of MRI.In... | (1) Moderate amount of background parenchymal enhancement, which limits the sensitivity of MRI.(2) 2.2 cm linear nonmass enhancement corresponding to the site of biopsy-proven DCIS in the left breast. Note that the MR detected area of enhancement (2.2 cm-AP dimension) measures less than the mammographically detected ar... |
Generate impression based on findings. | Female, 67 years old, with metastatic melanoma to the left sacrum. Evaluate for extent of disease. A 3 x 3 x 2 cm enhancing mass is evident within the left sacral ala. The lesion encroaches slightly upon the left S1 neural foramen. A majority of the lesion is intraosseous, though there is a small extraosseous component... | A metastatic lesion is evident within the left sacral ala. The lesion encroaches mildly upon the left S1 neural foramen. The lesion is predominantly intraosseous, though there is a small extraosseous component which tracks inferiorly and anteriorly along the exiting S1 nerve root. |
Generate impression based on findings. | 47 year old with personal history of left mastectomy in 2003 for IDC with reconstruction. Patient received radiation, chemotherapy, and hormonal therapy. Patient had right breast reduction in 2005. No new breast complaints. History of breast carcinoma in maternal grandmother and maternal great-grandmother. Minimal pare... | 1.No MRI evidence for malignancy within right breast.2.Focal area of skin enhancement in the 8:00 position of the right breast could represent a focal skin lesion. Recommend correlation with physical exam (which will be performed by Donna Christian) followed by a targeted ultrasound as needed.Findings were discussed wi... |
Generate impression based on findings. | Back pain, urinary incontinence, and poor rectal tone The vertebral bodies in the cervical, thoracic, and lumbar spine are grossly maintained. Alignment is grossly maintained. Advanced degenerative changes are seen in cervical spine with disc osteophyte complexes at C3-C4, C4-C5, C5-C6, and C6-C7, which in association ... | Examination is obtained per screening cord compression protocol. There is moderate to severe spinal canal stenosis in the cervical spine on a degenerative basis with suspected cord signal abnormality, which may be related to myelomalacia, at the C4-C5 level. Up to moderate multilevel spinal canal narrowing in the lumba... |
Generate impression based on findings. | There is a linear flow void extending from the left superior frontal sulcus towards the anterior aspect of the left lateral ventricle where there is heterogeneous ovoid 9 x 7 mm area with susceptibility effect and heterogeneous predominantly T2 hyperintense, T1 isointense signal. There is no surrounding vasogenic edem... | Findings most likely representing a 9 x 7 mm cavernoma adjacent to the frontal horn of the left lateral ventricle with associated developmental venous anomaly. Recommend comparison with prior outside examination when available. |
Generate impression based on findings. | 51 years Male (DOB:7/31/1964)Reason: assess for stenosis History: left face and arm weaknessPROVIDER/ATTENDING NAME: KEME H CARTER RICHARD KRAIG MRI of the brainThere is a small focus of diffusion restriction present along the posterior limb of the right internal capsule.There is a mild to moderate degree of periventri... | 1.There is an acute lacunar infarct present along the right internal capsule at the posterior limb.2.There is a stenosis present along the left P2 segment.3.There are microhemorrhages present within the basal ganglia and brainstem which are in a pattern suggestive of hypertension.4.There are punctate lesions present in... |
Generate impression based on findings. | Mechanical symptoms, medial knee pain. Evaluate for meniscus and loose body. MENISCI: The inner aspect of the body of the medial meniscus is not visualized. There is irregularity and blunting of the posterior horn of the medial meniscus compatible with a complex tear. The lateral meniscus is intact.ARTICULAR CARTILAGE ... | 1. Complex tear of the posterior horn of the medial meniscus. 2. Chondromalacia as described above. |
Generate impression based on findings. | Female, 79 years old, with frequent headaches on the left side of the head on and off for three weeks. Patient on clinical trial with MPDL/BEV for recurrent high grade serous fallopian tube carcinoma. No evidence of edema or mass effect is seen. No pathologic intracranial enhancement is observed. Scattered nonspecific ... | 1.No evidence of intracranial metastases.2.No acute intracranial findings.3.Stable scattered nonspecific foci of T2 hyperintensity may reflect chronic microvascular ischemia. |
Generate impression based on findings. | 54 years Female (DOB:1/1/1962)Reason: s/p fall, evaluation for vertebral compression fracture. History: pain significantly worse than 10 days agoPROVIDER/ATTENDING NAME: SAMANTHA C ISRAEL SAMANTHA C ISRAEL Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment. The conus... | 1.There is a subacute compression fracture present at L2 with 50% loss of vertebral body height which is unchanged since prior exam.2.Since prior exam patient has undergone right sacral alla sacroplasty for an insufficiency fracture of the right sacral alla. There are edematous changes present within the right sacral a... |
Generate impression based on findings. | 66-year-old male with metastatic lung cancer to the liver ABDOMEN:LIVER, BILIARY TRACT: Normal liver morphology. T2 hyperintense lesion in segment 8 of the liver measuring 11 x 11 mm with discontinuous nodular enhancement is likely a hemangioma. Lesion in the liver dome/superiormost aspect of caudate lobe with isointen... | 1.Enhancing lesions with subsequent washout seen in the caudate lobe and segment 6, consistent with metastatic disease.2.Segment 8 lesion has imaging characteristics of a hemangioma. |
Generate impression based on findings. | Per EPIC, history of chronic hepatitis B, HCC metastatic to lung (s/p sorafenib, currently on phase III study of cabozantinib 4/3-) presenting with encephalopathy. Evaluate for lesion, RPLE. Image quality is somewhat degraded by motion artifact. There is no evidence of acute intracranial hemorrhage, mass effect, or acu... | 1. Findings compatible with chronic hepatic encephalopathy.2. No evidence of intracranial metastasis. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Ms. McKinney is a 55-year-old female in high-risk screening protocol MRI program. Family history of breast cancer in mother, two maternal aunts, and ovarian cancer in maternal cousin. Personal history of benign right breast biopsy in 1982. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild par... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Reason: Characterize new cystic mass anterior left shoulder History: Sudden appearance of left shoulder mass a month ago. ROTATOR CUFF: There is thickening and intermediate signal intensity within the supraspinatus indicating moderate tendinosis. There is a full-thickness tear of the posterior fibers of the supraspinat... | 1. Multiple lobulated foci of signal abnormality within the deltoid musculature which demonstrate peripheral enhancement on postcontrast sequences. There is associated increased signal abnormality on T1-weighted images within these collections. This may represent subacute blood products/hematoma, however, melanoma and ... |
Generate impression based on findings. | Ms. Day is a 68 year old female with a personal history of left breast lumpectomy in 2005 for IDC treated with radiation, chemotherapy, and Arimidex. She has no current breast related complaints. There is heterogeneous amount of fibroglandular tissue in both breasts. Minimal background parenchymal enhancement is noted ... | No MRI evidence for malignancy. BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | history of meningioma resection, follow up. No evidence of acute ischemic or hemorrhagic lesion.Left tentorial edge meningioma is redemonstrated, and its size, configuration and MR characteristics do not show any interval change since prior exam.Re demonstration of the left middle cranial fossa post-operative changes i... | 1. No change of left tentorial meningioma since prior exam.2. No change of postoperative changes of left middle cranial fossa including left temporal lobe.3. No acute ischemic or hemorrhagic lesion. |
Generate impression based on findings. | 64 years, Male, Reason: Liver protocol, triple phase, follow up of liver nodules History: hep C cirrhosis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Cirrhotic liver morphology. Peripheral hyperattenuation on arterial phase images, e.g., within segment 6, likely represents perfusion abnor... | Multiple nonenhancing lesions have signal characteristics suggestive of dysplastic nodules, these lesions do not meet strict criteria for HCC currently, are not significantly changed from the prior exam. Continued follow up is recommended. |
Generate impression based on findings. | Susceptibility artifact from left parietal approach ventriculocisternal catheter limits evaluation of the adjacent parenchyma on the diffusion sequence. There is no evidence of restricted diffusion to suggest acute ischemia. Interval normalization of the T2 hyperintensity previously seen within the left bilateral occi... | 1. Susceptibility artifact from left transparietal catheter limits evaluation of the surrounding parenchyma. There is no evidence of acute ischemia in the visualized brain. No findings to suggest abscess or empyema. If there is suspicion for meningitis, consider lumbar puncture for more sensitive evaluation.2. Compared... |
Generate impression based on findings. | 62-year-old female with history of IPMN. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: A few scattered subcentimeter hepatic cysts are unchanged. No suspicious enhancing hepatic lesions. No intra or extrahepatic biliary ductal dilatation.SPLEEN: No significant abnormality noted.PANCREAS: There is been no ... | 1.Stable pancreatic cystic lesions most consistent with branch type intraductal papillary mucinous neoplasms.2.Stable nonspecific focal enhancement in L1 vertebral body which may be degenerative in etiology. |
Generate impression based on findings. | Neck pain and recent trauma. There appears to be intermediate T1 and T2 signal epidural material in the right aspect of the partly imaged upper thoracic spine. There is absence of the usual cervical lordosis, but no spondylolisthesis. The vertebral body and disc space heights are preserved. The vertebral bone marrow si... | Apparent intermediate T1 and T2 signal material in the right epidural space of the partly imaged upper thoracic spine may be volume averaging artifact, although hemorrhage cannot be entirely excluded in the setting of trauma. A dedicated thoracic spine MRI may be useful for further evaluation if clinically warranted. O... |
Generate impression based on findings. | 78 years, Female, left upper lobe lung mass, adenocarcinoma. Evaluate for brain metastasis.. No evidence of intracranial metastatic disease. No intracranial mass or mass-effect. No abnormal parenchymal or meningeal enhancement. No restricted diffusion to suggest acute ischemia. No intracranial hemorrhage. There is prom... | 1. No evidence of intracranial metastatic disease.2. Prominent volume loss involving the anterior and medial temporal lobes which may be related to a neurodegenerative process and can be correlated with clinical findings. |
Generate impression based on findings. | There are postoperative changes from previous right frontal craniotomy. There are scattered foci of susceptibility along the margins of the right frontal lobe region resection cavity as well as along the ventricular margins which appears unchanged, and likely due to chronic hemosiderin deposition. The enhancement that... | 1. Interval decrease in size of the right frontal horn mass abutting the medial ependymal surface.2. The right paramedian cerebellar lesion that exerts partial effacement of the fourth ventricle is unchanged from the most recent study and minimally progressed since 5/7/2015.3. The enhancing nodular tissue along the sup... |
Generate impression based on findings. | 46 years, Male, chronic headaches. Patient had MRI scheduled today but syncopal episode brought him to the emergency department. No intracranial mass or mass-effect. Several foci of T2/FLAIR hyperintensity are seen in the bilateral subcortical and periventricular white matter, which are nonspecific, but compatible with... | 1. No evidence of intracranial mass or mass effect. No evidence of infarct or hemorrhage.2. Mild nonspecific scattered foci of T2/FLAIR hyperintensity which are nonspecific but may represent mild chronic small vessel ischemic disease.3. Scattered paranasal sinus opacification which appears overall improved since maxill... |
Generate impression based on findings. | 60 year-old female with history of medial joint line tenderness. Evaluation of the proximal tibia is limited due to metal susceptibility artifact from intramedullary rod which is incompletely imaged on this study.MENISCI: There is attenuation of the body and posterior horn of the medial meniscus. In particular, there i... | 1.Severe osteoarthritic changes as described above.2.Small foci of signal abnormality within the medial femoral condyle may conceivably represent tiny foci of avascular necrosis, but this is equivocal.3.Postoperative changes as above.4.Medial meniscal abnormalities as described above which may reflect prior partial men... |
Generate impression based on findings. | Patient is status post left lumpectomy and axillary lymph node dissection in 2001 for breast cancer, status post chemotherapy and radiation therapy. BRCA 1 mutation. Breast MRI for surveillance. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.There are stable p... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Reason: 70 with TBI, here with fevers, AMS. Has unstageable sacral wound w/eschar. Requesting MRI of sacrum to evaluate for abscess or osteo History: fevers with large sacral wound Intravenous contrast was not able to be administered due to a malfunctioning IV.There is diffuse nonspecific subcutaneous edema most pronou... | Soft tissue ulceration along the posterior aspect of the sacrum with inflammatory change in the subcutaneous and surrounding soft tissues including a 2.0 cm loculated fluid collection in the left gluteus maximus muscle as well as a presacral fluid collection which may represent early abscess formation versus confluent ... |
Generate impression based on findings. | Reason: fibroids, considering UFE History: heavy periods PELVIS:UTERUS, ADNEXA: The uterus measures 10.0 x 9.3 x 11.7 cm.There are innumerable intramural and subserosal fibroids within the uterus. No submucosal fibroids. Most of these lesions are only faintly enhancing. There is no avid enhancement within any particula... | Innumerable subserosal and intramural fibroids within the uterus, measuring up to 4.2 cm, which demonstrate minimal enhancement. None of these lesions are avidly enhancing. |
Generate impression based on findings. | Metastatic melanoma with single brain lesion; please evaluate for radiosurgery planning. There is a presumably enhancing hemorrhagic lesion in the right medial occipital lobe lesion that measures up to 15 mm. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniation... | Preoperative planning MRI shows a right medial occipital lobe lesion that measures up to 15 mm, which is compatible with a metastasis. |
Generate impression based on findings. | Disorder of brain, unspecified [G93.9], Reason for Study: ^Reason: for stereotaxis for OR History: AMS, Weakness There are multiple fiducial markers on scalp.Due to significant patient motion artifact, the quality of exam has been degraded. The left parietal lobe mass was again demonstrated, however, since there was no... | 1. Limited exam due to patient's motion artifacts and non contrast infused exam.2. No change of the size and T2 characteristics of the left parietal lobe lesion. |
Generate impression based on findings. | Daily headache. There is concavity of the superior aspect of the pituitary. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is ... | 1. Concavity of the superior aspect of the pituitary may indicate pseudotumor cerebri, but is otherwise nonspecific.2. No intracranial hemorrhage, mass, or mass effect.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Left supraclavicular lymph node metastasis. There is persistent left level 4 lymphadenopathy, which measures 13 x 14 mm in axial cross-section. There is also a prominent left supraclavicular lymph node, which measures 7 x 11 mm in axial cross-section. The other cervical lymph nodes and other neck soft tissues are unrem... | Persistent left level 4 and supraclavicular lymphadenopathy with corresponding hypermetabolism on PET are compatible with metastatic disease. |
Generate impression based on findings. | 56 years Female (DOB:3/7/1960)Reason: Evaluate for ischemia History: slurred speech, R sided weaknessPROVIDER/ATTENDING NAME: KAMALDEEP S HEYER TAO XIE The CSF spaces are appropriate for the patient's stated age with no midline shift. There is T2 and FLAIR signal hyperintensity present within the cortex and subcortical... | 1.Encephalomalacia along the watershed distribution on the left frontal lobe is suspected to be related to prior ischemic event.2.There is no evidence for acute ischemic cerebral infarction. |
Generate impression based on findings. | There is moderate tumor on sorafenib PELVIS: The ill-defined infiltrating mass in the left hemipelvis is increased in size. The infiltrative character makes is difficult to accurate measure, though is at least 9.4 x 7.7 cm (series 601, image 17), previously 6.6 x 5.5 cm. The mass encases the left external iliac artery.... | 1. Increase in size and extent of the left pelvic desmoid tumor.2. Occlusion of the left external iliac vein, with venous collateral formation. |
Generate impression based on findings. | 62-year-old male with PNET metastatic to the liver. Please evaluate for interval change since the prior MRI. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Numerous arterially enhancing hepatic metastases are slightly decreased to not significantly changed compared to the previous examination... | 1.Stable to slightly decreased numerous hepatic metastatic lesions. 2.Stable to slightly decreased pancreatic head lesion. |
Generate impression based on findings. | Ms. Stolzer is a 50 year old female with a personal history of left breast mastectomy in 2010 for IDC/DCIS treated with hormonal therapy. Personal history of benign right breast biopsy in 2010 for PASH and benign left chest wall lymph node biopsy in 2011. Family history of breast cancer in mother. Patient is status pos... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | 80 years, Female, follow-up meningioma, surveillance. There are postsurgical changes of right frontal craniotomy presumably related to resection of meningioma. There is extensive encephalomalacia in the right anterior and inferior frontal lobes which remains unchanged. Small foci of susceptibility in this region may be... | 1. Stable postsurgical changes of right frontal meningioma resection. No definite evidence of residual or recurrent meningioma. Please see comment above.2. Known right MCA aneurysm better assessed on recent MRA study. |
Generate impression based on findings. | Diagnosis: Fever, unspecifiedClinical question: evaluate for signs of brain abscessSigns and Symptoms: h/o recurrent brain abscess, s/p craniotomy, now with fever and headache The patient is status post right craniotomy and right temporal lobe surgery for removal of a ring enhancing lesion. There is no residual enhanci... | 1.Since the prior exam a right temporal lobe ring enhancing lesion has been removed. There is a small fluid collection present at the surgical site.2.Status post right mastoidectomy and temporal bone surgery. |
Generate impression based on findings. | Preoperative planning for deep brain stimulator. There is no evidence of intracranial hemorrhage or mass. The brain parenchyma and pituitary gland appear grossly unremarkable. The ventricles and sulci are diffusely prominent due to cerebral volume loss. There is no midline shift or herniation. The major cerebral flow v... | Unremarkable brain MRI for deep brain stimulator surgical planning. |
Generate impression based on findings. | Unspecified convulsions [R56.9], Reason for Study: ^Reason: recurrent seizures 5/015 previous 2011 History: recurrent seizures 5/015 previous 2011 No evidence of acute ischemic or hemorrhagic lesion on the scan.The ventricles, sulci and cisterns are symmetric and unremarkable. Scratch thatThere is no mass, mass effect,... | Normal brain MRI. |
Generate impression based on findings. | 40 year old 5 month pregnant female with history of heroine use and cocaine use with two days of left-sided weakness/numbness. There is no evidence of intracranial hemorrhage, mass or edema. The ventricles and basal cisterns are normal in size and configuration.The calvaria and skull base are radiographically normal. T... | No acute intracranial abnormalities. |
Generate impression based on findings. | Benign neoplasm of cranial nerves [D33.3], Reason for Study: ^Reason: Eval acoustic neuroma for change: PLEASE ONLY DO WITH CONTRAST. PATIENT DIDN'T COMPLETE PREVIOUS EXAM History: yearly imaging IAC MRI:There is evidence of left retrosigmoid craniectomy with the left inferolateral cerebellar hemispheric encephalomalac... | 1. Post left retrosigmoid craniectomy related changes with residual masses around the left IAC with both well enhancing and not well enhancing extra axial mass lesions mixed with T1 and T2 low signal lesions as described above.2. No evidence of acute ischemic or hemorrhagic lesion.3. Encephalomalacia on the anterior an... |
Generate impression based on findings. | Female, 76 years old, with rigors, positive blood cultures, presenting with neck and shoulder pain on the left. Cervical:The cervical lordosis is mildly straightened, but sagittal alignment is otherwise unremarkable.Significant disc degeneration and endplate irregularity are seen at C4-5 through C7-T1. Fatty degenerati... | 1.No imaging findings are seen to suggest osteomyelitis or epidural abscess.2.Degenerative disease in the cervical spine results in mild to moderate spinal canal stenoses and mild cord impingement at mid cervical levels.3.Degenerative disease at T11-12 results in a moderate spinal canal stenosis and severe bilateral fo... |
Generate impression based on findings. | Status post curettage of the left calcaneus for aneurysmal bone cyst. Evaluate for local recurrence. Postoperative changes of curettage of an aneurysmal bone cyst appear similar to those seen on the prior study. There is an approximately 7 mm lucency with sclerotic margins in the navicular seen only on the lateral view... | Postoperative changes of left calcaneal aneurysmal bone cyst curettage. Lucency of the navicular as described above is seen only on one view, but we cannot rule out the possibility of tumor recurrence. If there is high clinical concern for recurrence MRI can be considered for further evaluation. |
Generate impression based on findings. | 60-year-old male with HIV, ESRD, and seizure disorder. Persistent somnolence and new hyperreflexia. Evaluate for intracranial masses. Brain: No intracranial mass or mass effect. No diffusion restriction to suggest acute ischemia. Moderate degree of T2/FLAIR hyperintensity in the periventricular white matter is unchange... | 1. No intracranial mass or mass effect. No evidence of acute ischemia.2. Evidence of moderate chronic small vessel ischemic disease as well as chronic hemorrhagic infarct in the right anterior basal ganglia is again seen. Global parenchymal volume loss which is slightly advanced for age also again noted.3. Cervical spi... |
Generate impression based on findings. | Paresthesias. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are a few T2 hyperintense lesions in the bilateral periventricular white matter, including the corpus callosum. There are no definite infratentorial lesions. The ventricles and basal cisterns are normal in size and configuratio... | A few lesions in the bilateral periventricular white matter may represent demyelinating lesions. |
Generate impression based on findings. | History of hepatitis C. Evaluate for hepatocellular carcinoma. ABDOMEN:LIVER, BILIARY TRACT: Minimal fissural prominence without overt findings of cirrhosis.Punctate T2 weighted hyperintensities are too small to characterize, likely hepatic cysts. No suspicious liver lesion, biliary ductal dilatation or vascular abnorm... | No suspicious liver lesion. |
Generate impression based on findings. | 85 year-old female with aphasia. Evaluate for CVA. Nonspecific, patchy areas of moderate hypoattenuation in periventricular and subcortical white matter. These changes were present on 2009 MRI.Intracranial vertebral artery calcifications.There is no evidence of intracranial hemorrhage, mass or edema. The gray-white mat... | 1.Patchy areas of white matter hypoattenuation most likely vascular related at this age. These changes were present on 4/29/2009 MRI. No evidence of acute ischemia, however CT is not sensitive in detecting early acute ischemia.2.No evidence for intracranial hemorrhage, edema, or mass. |
Generate impression based on findings. | 11-year-old female with 4 months of non improving medial midfoot pain and difficulty flexing toes. Evaluate for midfoot ligamentous tear or flexor tendon tear TENDONS: The flexor tendons appear intact. The peroneal tendons appear intact. The Achilles tendon is normal in appearance. There is a small amount of fluid alon... | 1. Mild focal edema within the navicular tuberosity is nonspecific and may represent a resolving contusion or perhaps an enthesitis at the posterior tibialis insertion, but the tendon appears normal.2. Small amount of fluid along the tibialis anterior and extensor hallucis longus tendons is atypical but of questionable... |
Generate impression based on findings. | Reason: eval for recurrence History: GCT right knee MENISCI: Minimal high signal intensity within the medial and lateral menisci likely reflects intrasubstance degeneration. There is no discrete meniscal tear. ARTICULAR CARTILAGE AND BONE: There is moderate degeneration of the articular cartilage of the patella, partic... | Mild synovitis, degeneration of the articular cartilage and surgical changes as described above without specific imaging features of tenosynovial giant cell tumor recurrence. |
Generate impression based on findings. | Unilateral R-sided headaches with subacute worsening, vertigo, and falls. Evaluate for ischemic injury, inflammation, or aneurysm. Some of the sequences are motion limited secondary to length of the exam which exceeded two hours in duration.MRI brain: There is no evidence of intracranial hemorrhage, mass, or acute infa... | 1.Some of the sequences are motion limited secondary to length of the exam which exceeded two hours in duration. 2.Scattered predominately subcortical with some periventricular T2/Flair white matter hyperintense lesions which is nonspecific. 3.A 1.5 mm outpouching from the anterior communicating artery is at the expect... |
Generate impression based on findings. | 56 years Female (DOB:7/9/1959)Reason: ischemic lesion History: right sided weaknessPROVIDER/ATTENDING NAME: JAMES A MASTRIANNI JAMES A MASTRIANNI Small foci of diffusion restriction are present in the left middle frontal gyrus as well as the left pre- and post central gyrus including the left hand motor area. These are... | 1.There are watershed distribution small foci of infarction along the left middle frontal gyrus and left pre and postcentral gyrus which aren't in the acute phase. In addition there are chronic phase watershed infarctions in the left frontal lobe.2.Findings suggest left ICA occlusion with collateral reconstitution. |
Generate impression based on findings. | Clinical question: Headaches. Signs and symptoms: Postoperative hemorrhage? Nonenhanced CT of brain:Expected postoperative changes of right-sided suboccipital craniotomy. Residual air within the subarachnoid space in the posterior fossa, soft tissues of the scalp.Four ventricle remains within normal size and in the mid... | Expected postoperative changes of right suboccipital craniotomy as detailed. |
Generate impression based on findings. | AMS x 2 weeks. A punctate, T2 hyperintense, extra-axial lesion adjacent to the posterior right temporal lobe. There is no evidence of intracranial hemorrhage or acute infarct. There are scattered punctate and confluent areas of periventricular and subcortical white matter T2 abnormality, most compatible with chronic sm... | 1.No evidence of acute infarct.2.Moderate chronic small vessel ischemic changes and mild cerebral volume loss.3.A small extra-axial lesion adjacent to the right temporal lobe likely represent a meningioma, but is incompletely characterized.4.Fluid in the left mastoid air cells may represent mastoiditis.5.Chronic right ... |
Generate impression based on findings. | 50 years, Male, trigeminal neuralgia, radiation therapy planning. Examination is limited to susceptibility weighted and post gadolinium 3-D T1 sequences per radiation treatment planning protocol. There is no intracranial mass or mass effect. No abnormal parenchymal or meningeal enhancement. No midline shift or herniati... | Examination for radiation treatment planning. No obvious mass or vascular loop along the intracranial course of the trigeminal nerves is appreciated. Dedicated MRI brain per cranial nerve V protocol can be considered if clinically indicated. |
Generate impression based on findings. | The risks (including, but not limited to, those of bleeding, infection, allergic reaction, pain and inability to access the joint) and benefits of the procedure were explained to the patient and the patient's legal guardian, and informed written consent was obtained. A pre-procedural “time-out” form was completed.The ... | Successful fluoroscopic-guided injection of dilute gadolinium into the right elbow for subsequent MRI arthrogram examination. |
Generate impression based on findings. | There is a large area of encephalomalacia involving the left superior and middle temporal gyri with mild gliosis of the surrounding parenchyma. There is also a small area of cortical FLAIR signal abnormality in the left inferior frontal lobe. Additionally, scattered foci of subcortical white matter FLAIR and T2 hyperi... | 1.Encephalomalacia in the left temporal lobe with additional scattered areas of signal abnormality in the left frontal lobe and subcortical white matter, likely from prior ischemic events.2.No specific findings to suggest a degenerative etiology for dementia. |
Generate impression based on findings. | Right lower extremity weakness. 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 herniation. The major cerebral flow voids are intact... | No evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | 75-year-old female with mental status changes status post fall on face. Evaluate for acute bleed. Extensive areas of low-attenuation in the deep, subcortical, and periventricular white matter consistent with small vessel ischemic disease of indeterminate age. They appear grossly stable when comparing to prior MRI of th... | 1. Extensive small vessel ischemic disease of indeterminate age.2. Mottled appearance of the bones of the skull base and frontal bone is of uncertain etiology. Given patient's history of malignancy, metastatic disease to bone is a differential consideration. Nuclear medicine bone scan may be helpful for further evaluat... |
Generate impression based on findings. | 70 years Male (DOB:1/31/1946)Reason: Eval for Stenosis History: Lower back pain and b/l LE numbnessPROVIDER/ATTENDING NAME: ANTHONY T. REDER ANTHONY T. REDER Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment and height. The conus medullaris on sagittal imaging is gr... | 1.There is no compromise to lumbar spinal canal or neural foramina. There are degenerative changes present in the lumbar spine. There are far lateral disc protrusions present throughout the lumbar spine with some displacement of the right-sided exiting nerve roots at L5-S1 and the left-sided exiting nerve roots at L2-3... |
Generate impression based on findings. | 64-year-old male with pain and limited movement after heavy lifting. Assess rotator cuff injury. ROTATOR CUFF: There is a partial-thickness articular surface tear of the supraspinatus involving less than one third of the tendon width just proximal to the level of its insertion on the greater tuberosity, measuring appro... | Partial thickness undersurface tearing of the supraspinatus without evidence of full-thickness rotator cuff tear. |
Generate impression based on findings. | Diplopia, dizziness, and new onset memory impairment. There is a mild to moderate degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. There are also unchanged punctate lesions in the basal ganglia, thalami, and brainstem. There is no eviden... | Small vessel ischemic disease in the brain and pons, but no evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | 82-year-old male with biliary ductal dilation and possible ampullary lesion ABDOMEN:LIVER, BILIARY TRACT: No intra or extrahepatic biliary ductal dilation. The common bile duct measures 5 mm in maximal diameter. Status post cholecystectomy. The ampulla is slightly prominent without evidence of mass.Subcentimeter segmen... | 1.Slightly prominent ampulla without evidence of mass.2.No intra or extra hepatic biliary ductal dilation. The common bile duct is normal in diameter. |
Generate impression based on findings. | Female, 45 years old, with acute lymphoblastic leukemia, presenting with a right visual field change involving the left eye. Assess for leptomeningeal disease as well as for hemorrhage. Brain:Amorphous abnormal signal is evident within the left globe, primarily situated along the central and temporal margins of the pos... | 1.Left intraocular hemorrhage is seen, along the posterior and left temporal margin of the globe, which may be both subretinal and within the vitreous. The choroidal layer underlying the area of hemorrhage is mildly enhancing. The possibility of retinal detachment should be considered. In addition, given the clinical h... |
Generate impression based on findings. | 73 years, Male, Reason: New liver lesion (on ultrasound) in context of HCV. MRI (liver protocol) to evaluate History: New liver lesion. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: Lesion identified on ultrasound is not evident. No suspicious hepatic lesions. No intrahepatic biliary ductal ... | No suspicious hepatic lesions. Previously identified lesion is not evident on this exam. |
Generate impression based on findings. | 23 years Female (DOB: 8/29/1992)Reason: MS, f/u progression History: paresthesiasPROVIDER NAME: ADIL JAVED ADIL JAVED MRI brain:The CSF spaces are appropriate for the patient's stated age with no midline shift. There is redemonstration of a moderate degree of periventricular and subcortical white matter lesions. Some o... | 1.There are multiple periventricular subcortical white matter lesions throughout the brain which are compatible with demyelinating disease. Since the prior exam enhancing lesions no longer enhance and are also smaller when compared to the previous exam. The previously enhancing lesions are likely the chronic stage curr... |
Generate impression based on findings. | 70 years Male (DOB:3/23/1946)Reason: chronic back pain, eval for mets History: chronic back pain, eval for mets PROVIDER/ATTENDING NAME: MICHAEL L MAITLAND CHRISTOPHER K DAUGHERTY Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal cha... | 1. There is no evidence for skeletal metastasis of the cervical or thoracic spine.2.There are degenerative changes present cervical spine with straightening of the normal cervical curvature and narrowing of the spinal canal at C2-3 and C4-5. Please refer to MRI from 4/29/2016 for further comments.3.There are degenerati... |
Generate impression based on findings. | 25-year-old female with abdominal pain ABDOMEN:LUNG BASES: Linear atelectasis at lung bases. Trace left-sided pleural effusion.LIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, ... | Trace bilateral pleural effusion. Fat stranding in the pelvis, not significantly changed from previous study.Percutaneous cystostomy catheter. |
Generate impression based on findings. | Clinical question: Evaluate for abscess. Signs and symptoms: Fever status post thoracic procedure. Pre-and post-enhanced thoracic MRI:Examination demonstrates the new small likely postoperative epidural collection measuring approximately 13 times 15 mm in transaxial dimensions. It applied very subtle mass effect on the... | 1.Small epidural collection posteriorly at T9 and T10 with surrounding soft tissue enhancement is within expected postop change. Possibility of overlapping infectious however cannot be entirely excluded.2.This collection applies subtle mass effect on the thecal sac and cord.3.There is a surgical device likely a drain t... |
Generate impression based on findings. | Female 19 months old with history of arachnoid cyst, surveillance imaging There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma, ventricles, cisterns, and myelination appear appropriate for patient's age. There is no abnormal intracranial enhancement. There is redemonstration of ... | Stable non-enhancing infratentorial lesion along the dural venous sinuses, which demonstrates benign characteristics and likely represents a developmental cyst although not of CSF signal intensity. No acute intracranial abnormalities identified. If future follow-up imaging is desired, 3-D T1 post contrast and 3-D T2W i... |
Generate impression based on findings. | MGUS SKULL: No focal myelomatous lesions are identified.CERVICAL SPINE: No focal myelomatous lesions are identified. There is mild degenerative disc disease at C5-C6.THORACIC SPINE: No focal myelomatous lesions are identified. LUMBAR SPINE: No focal myelomatous lesions are identified.RIBS: No focal myelomatous lesions ... | 1. No discrete myelomatous lesions.2. Mildly depressed fracture of the right medial tibial plateau which is further detailed above. These findings were discussed with the ordering physician, Dr. J. Godfrey, at the time of interpretation. |
Generate impression based on findings. | 89-year-old female, Jehovah's Witness, status post 2 falls at home yesterday. Evaluate for bleed. There is no evidence of intracranial hemorrhage, mass or edema. Multiple areas of diffuse hyperdensities within a periventricular and subcortical white matter distribution consistent with small vessel disease, age indeterm... | Chronic changes as described above, no acute findings. If there is clinical concern for acute ischemia, an MRI may be considered |
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