instruction stringclasses 1
value | input stringlengths 15 6.12k | output stringlengths 3 2.67k |
|---|---|---|
Generate impression based on findings. | 15-year-old girl with history of medial knee pain for 3 years. MENISCI: The medial and lateral meniscus are normal without evidence of tear.ARTICULAR CARTILAGE AND BONE: No bone marrow signal abnormality is identified. The articular cartilage of the patellofemoral and tibiofemoral compartments is intact without of foca... | Normal left knee. |
Generate impression based on findings. | seizure, R frontal contusions vs AVM vs mass. The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a somewhat lobular appearing mass present centered in the lateral aspect of the left orbital gyrus adjacent to the left inferior frontal gyrus measuring 20 x 12 mm axial dimensions w... | 1.There is a left frontal lobe lesion present which is suspicious for a cerebral cavernous malformation with recent hemorrhage based on its imaging characteristics.2.Opacification of the paranasal sinuses and nasal cavity. There is suspicion for acute sinusitis. Please correlate with clinical symptoms and history. |
Generate impression based on findings. | Female, 73 years old, with right hip and low back pain radiating down the posterior right leg. Bone marrow signal intensity is diffusely low on all sequences including T2 and STIR. Superimposed are small areas of bright T2 signal within the left aspect of the L1 and L3 vertebral bodies though this signal does suppress ... | 1.Diffusely abnormal low marrow signal intensity is seen which would be compatible with anemia, excess iron deposition perhaps from blood transfusions, or other marrow infiltrative processes.2.Focal areas of bright T2 signal which suppresses on STIR images in L1 and L3 probably reflect either hemangiomas or focal fatty... |
Generate impression based on findings. | Female, 35 years old, 21 weeks gestational age, with abnormal prenatal ultrasound, neck teratoma suspected. A multiloculated, T2 hyperintense, predominantly cystic-appearing lesion is evident centered on the right parotid and masticator spaces. This lesion measures up to 27 x 23 x 18 mm. The lesion extends up to the fl... | A multiloculated, predominantly cystic appearing lesion is evident with the largest component centered on the right parotid and masticator spaces. Smaller lesion components are seen within the submandibular space, and it does appear that the lesion encroaches to some degree on the nasopharynx. It does not appear that t... |
Generate impression based on findings. | Possible Chiari malformation, headaches, and back pain. The cerebellar tonsils are minimally low-lying, extending up to 3 mm inferior to the foramen of magnum. The cerebellar tonsils display a normal morphology and there is intact CSF flow across the foramen magnum. The spinal cord displays normal signal and morphology... | Minimally low-lying cerebellar tonsils with intact CSF flow across the foramen magnum and no evidence of cervical spinal cord syrinx. |
Generate impression based on findings. | Female 8 years old with chronic ankle pain. TENDONS: The Achilles, posterior tibialis, flexor digitorum and flexor hallucis tendons and peroneus complex are intact. LIGAMENTS: The anterior and posterior tibiofibular ligaments, ATFL and deltoid ligaments are intact.ARTICULAR SURFACES AND BONE: Low T1 and high T2 signal ... | Findings can be seen in cuboid stress fracture, correlation with radiographs is recommended. Osteomyelitis is considered less likely given the lack of soft tissue edema and chronic course of symptoms however correlation with inflammatory markers is suggested. |
Generate impression based on findings. | Known history of right vestibular schwannoma: Dizziness, Imbalance. The bilateral cranial nerve 7 and 8 complexes are intact. There is no evidence of mass lesions. The bilateral inner ear structures, including the cochlea, vestibule, endolymphatic duct, and semicircular canals, appear unremarkable. The bilateral mastoi... | No evidence of retrocochlear or inner ear lesions. |
Generate impression based on findings. | Diagnosis: Unspecified convulsions Malignant neoplasm of brain, unspecified Unspecified convulsions Malignant neoplasm of brain, unspecified MRI brain:There is a 12 x 23 mm axial dimension mass located at the medial aspect of the right temporal lobe which is homogeneously high signal on T2 and homogeneously low signal ... | There is redemonstration of a right medial temporal lobe mass which is stable compared to the prior exam and is known to represent an exophytic pilocytic astrocytoma. It is stable compared to the prior exam. |
Generate impression based on findings. | Male 39 years old Reason: s/p ACL recon by Dr. Martin Leland. Check for ACL re-tear versus meniscus re-tear. History: knee pain and swelling. MENISCI: Again seen is vertically-oriented increased signal intensity within the peripheral fibers of the posterior horn of the medial meniscus indicating a longitudinal tear. Th... | 1.ACL reconstruction as described above, with heterogeneous signal intensity of the graft that is favored to represent "neo-ligamentization" rather than tearing.2.Intermediate to low signal intensity tissue anterior to the graft may represent residual torn ACL fibers, but we cannot exclude the possibility of focal arth... |
Generate impression based on findings. | There is reversal normal upper cervical curvature. There are no fractures or subluxations. The marrow signal is benign. The cervical and upper thoracic cord are normal in signal. The cervicomedullary junction is normal. The cerebellar tonsils are in normal position. The visualized paraspinal contents are unremarkable.... | 1.C2/3: Mild left neural foraminal stenosis.2.C3/4: Moderate bilateral neural foraminal stenosis.3.C4/5: Mild central and moderate bilateral neural foraminal stenosis.4.C5/6: Mild central and moderate right neural foraminal stenosis.5.C6/7: Mild to moderate central, moderate to severe left neural foraminal, and moderat... |
Generate impression based on findings. | 42-year-old male with persistent left knee pain unresponsive to conservative therapy. MENISCI: There is a complex but predominantly horizontal tear of the posterior horn of the medial meniscus with branching signal abnormality which extends to both the tibial and femoral articular surfaces. The signal within portions o... | 1. Nondisplaced patellar fracture with adjacent soft tissue injury as described above.2. Medial and lateral meniscus tears.3. Cartilage defects/degeneration as described above.4. Moderate sized joint effusion. |
Generate impression based on findings. | Male, 72 years old, with neck pain and radiculopathy radiating down the left arm. Mild reversal of the cervical lordosis is seen. Sagittal alignment is otherwise unremarkable.Mild degenerative loss of vertebral body height is noted. Degenerative endplate edema is seen at C3-4 and C6-7. No definite areas of marrow repla... | Multilevel disc degeneration is seen with scattered variable areas of facet arthropathy. At C4-5, these findings contribute to produce a moderate generalized spinal canal stenosis with slight deformation of the cord contour. Scattered mild to moderate foraminal narrowing is demonstrated as above. |
Generate impression based on findings. | Male 42 years old Reason: thyroid nodule History: thyroid nodule, pls assess for changes RIGHT LOBE MEASUREMENTS: Right lobe measures 5.3 x 1.6 x 1.9 cmLEFT LOBE MEASUREMENTS: Left lobe measures 4.3 x 4.7 x 1 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: Again noted heterogeneous echotexture of the right lobe without any dis... | Heterogeneous echotexture of the thyroid suggestive of thyroiditis. No significant change from previous study. |
Generate impression based on findings. | Small cell lung cancer: please evaluate for brain metastasis. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is unchanged predominantly periventricular white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are unchanged in size a... | No evidence of intracranial metastases. |
Generate impression based on findings. | Persistent pain ROTATOR CUFF: There is tendinosis of the supraspinatus with partial thickness tearing. The supraspinous muscle is not retracted. There is tendinosis of the infraspinatus without fluid-filled tear evident.SUPRASPINATUS OUTLET: There is moderate to severe acromioclavicular joint osteoarthritis.GLENOHUMERA... | 1. Tendinosis of the supraspinatus with partial thickness tearing.2. Degenerative changes of the superior glenoid labrum.3. Moderate to severe acromial clavicular joint osteoarthritis. |
Generate impression based on findings. | Female 25 years old; Reason: eval for ATFL tear; talar injury History: ankle sprain Oct, 2014 still pain with walking laterally and still in aircast with limp and weakness TENDONS: A small amount of fluid is noted in the flexor tendon sheaths, likely of no clinical significance. The peroneal tendons are intact. The ext... | Findings compatible with prior sprain of the anterior talofibular ligament and calcaneofibular ligament, without a fluid-filled tear of the ligaments seen. We see no injury to the talus. |
Generate impression based on findings. | 19 female with cerebellar lesion Redemonstrated is a stable 15 x 15 mm axial dimension mass in the right cerebellar hemisphere at the junction of the right middle cerebellar peduncle which mildly extends to the fourth ventricle surface at its right posterolateral aspect. There is no associated contrast enhancement or s... | 1.Stable right cerebellar mass.2.There is pansinus opacification with superimposed air-fluid levels throughout several sinuses. The mastoid air cells are clear. |
Generate impression based on findings. | High risk low grade astrocytoma, evaluate for progression. Status post biopsy and RT/TMZ. Again seen is sequela of left frontal approach biopsy. Again seen is a nonenhancing T2 hyperintense mass involving the left thalamus measuring approximately 3.8x2.6x3.0 cm in the AP, transverse, and craniocaudal dimensions. The le... | Compared to 11/4/2014 and 8/27/2014, there is no significant interval change in the size of left thalamic tumor. Also unchanged is evidence of tumor extension into the medial aspect of the left anterior temporal lobe. There is linear branching enhancement within the posterior aspect of the left thalamic tumor, which is... |
Generate impression based on findings. | 19-year-old female with right thigh pain in a runner. Is there a stress fracture? Heterogeneous bone marrow likely represents residual islands of red marrow. No convincing stress reaction is identified. There is no linear signal abnormality to suggest a stress fracture. The remainder of the bone marrow signal is within... | No evidence of stress reaction or stress fracture as clinically questioned. No findings to account for the patient's pain. |
Generate impression based on findings. | Reason: pain History: pain Right shoulder:Lucent lesion with internal calcifications within the proximal humeral metaphysis may represent an enchondroma however, if pain localizes to this location than MRI could be considered. Mild osteoarthritis first glenohumeral and acromioclavicular joints. No acute fracture is evi... | Osteoarthritis of the knees, left great toe, and right shoulder. Lucent lesion in the proximal humeral metaphysis may represent an enchondroma, however, if pain localizes to this location, MRI could be considered for further evaluation. |
Generate impression based on findings. | Female, 40 years old, with cavernous malformation, evaluate for change. A bilobed heterogeneous lesion is again seen centered on the right basal ganglia. As before, the lesion is heterogeneously T2 hyperintense internally and contains scattered locules of T1 hyperintensity. On postcontrast imaging, the components of th... | No significant change in size or morphology of a presumed cavernous malformation centered on the right basal ganglia. |
Generate impression based on findings. | 21-year-old woman with history of Chiari malformation and reported history of syrinx, now with worsening symptoms and back pain. The thoracic spine is in normal alignment. The vertebral body and disk heights are well-maintained. There is a subcentimeter T1 and T2 hyperintense lesion consistent with hemangioma involving... | 1.No evidence of syrinx in the thoracic cord. 2.Borderline low position of the conus medullaris at L2/L3 without fatty filum or other lesions to suggest cord tethering. Prone images may be considered if clinically warranted.3.Mild central disc protrusion at L5/S1. No significant spinal canal or neural foraminal stenosi... |
Generate impression based on findings. | Paresthesias and back pain, rule out radiculopathy and myelopathy. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is some loss of lumbar lordosis and minimal retrolisthesis of L5 on S1. Alignment is otherwise normal. Bone marrow signal is benign. The... | Multilevel degenerative changes in the lumbar spine. There is no significant spinal canal stenosis at any level. There is mild to moderate stenosis of the left neural neural foramina at the L3-L4, L4-L5, and L5-S1 levels. There is mild right L4-L5 and moderate right L5-S1 neural foraminal stenosis. |
Generate impression based on findings. | Clinical question: Evaluate for extent of right nasal mass. Signs and symptoms of right nasal mass. CT of maxillofacial region without infusion:Complete opacification of right chamber of sphenoid sinus consistent with sinusitis. There is no associated bony changes.There is extensive opacification of right ethmoid air c... | 1.Complete opacification of right frontal sinus, right ethmoid sinuses, right nasal cavity and right maxillary sinus with extensive bony remodeling however no bony destruction. Findings are believed to represent long-standing chronic sinus disease with possible nasal polyposis on the right. To exclude the less likely p... |
Generate impression based on findings. | Pial synangiosis in 2008 right side: surveillance. MRI: There are postoperative findings related to right pial synangiosis. 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 conf... | 1. No evidence of acute intracranial hemorrhage, mass, or acute infarct.2. Findings compatible with moyamoya disease of the right anterior circulation. The left anterior cerebral circulation is intact. 3. Patent right superficial temporal artery pial synangiosis.4. Apparent asymmetrically diminished left posterior cere... |
Generate impression based on findings. | Metastatic lung cancer. There is no evidence of acute intracranial hemorrhage or infarct. There are scattered areas of T2 hyperintensity in the cerebral white matter, which are nonspecific. There are multiple unchanged punctate foci of susceptibility effect in the bilateral cerebral hemispheres, without associated enha... | Post-treatment findings without evidence of recurrent intracranial metastatic disease. |
Generate impression based on findings. | 79-year-old female with increased CRP and purulent wound, evaluate for osteomyelitis. Several series are limited by patient motion artifact. Evaluation of the knee is limited due to metallic susceptibility artifact from the patient's total knee arthroplasty device.There is diffuse thickening and enhancement of the skin... | Limited study showing cellulitis, without evidence of osteomyelitis. |
Generate impression based on findings. | There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are no areas of abnormal parenchymal signal. There is no abnormal intracranial enhancement. There is a 6 mm presumed pineal cyst. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or herniatio... | 1.Normal brain MRI without evidence for Chiari malformation.2.Minimal nonspecific fluid within the left mastoid air cells. |
Generate impression based on findings. | 9 year-old boy with history of intractable epilepsy. The hippocampi and parahippocampal gyri appear unremarkable. However, there is a subcetimeter focus of T2 hyperintensity and susceptibility effect in the posterior limb of left internal capsule. Additionally, there is a small curvilinear susceptibility artifact exten... | A focus of signal abnormality in the left internal capsule may represent a small developmental venous anomaly that may be associated with a cavernous malforamtion. A contrast-enhanced MRI of the brain can be considered for further evaluation. |
Generate impression based on findings. | Patient with marked shoulder pain with both active and passive movement. Low back pain. Motor vehicle accident 2 weeks ago Diffuse demineralization limits sensitivity. Near severe osteoarthritic changes of the shoulder largely involving the glenohumeral articulation with narrowing, bulky osteophytes and extensive subch... | Near severe osteoarthritic changes without distinct definite acute or subacute abnormality. |
Generate impression based on findings. | Possible Chiari malformation: vertigo and neck pain. There are unchanged mildly low lying cerebellar tonsils, up to 4 mm on the left and 5 mm on the right. However, the cerebellar tonsils display normal rounded morphologies and there is intact cerebrospinal fluid flow across the foramen magnum. The spinal cord appears ... | 1. Unchanged mildly low lying cerebellar tonsils, up to 4 mm on the left and 5 mm on the right. However, the cerebellar tonsils display normal rounded morphologies and there is intact cerebrospinal fluid flow across the foramen magnum. 2. No evidence of syrinx.3. Degenerative spondylosis in the lower cervical spine, in... |
Generate impression based on findings. | Painless left parotid mass. There is a well-defined, but bosselated T2 hyperintense and heterogeneously enhancing mass centered in the superficial portion of the left parotid gland, measuring up to 3 cm. The other salivary glands are unremarkable. There is no evidence of significant cervical lymphadenopathy. There are ... | A left parotid mass that measures up to 3 cm displays features most suggestive of a pleomorphic adenoma. |
Generate impression based on findings. | Ms. Miller is a 72 year old female with two areas of biopsy proven malignancy in the left breast. She presents for MRI evaluation for staging purposes. There is scattered fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.LEFT BREAST:In the left lateral breast, there are two irregu... | (1) Two biopsy proven malignancies in the left lateral breast, spanning approximately 4.3 cm in the AP oblique dimension. Of note, the biopsy clip for the anterior mass is located slightly anteriorly within an adjacent hematoma.(2) Prominent left axillary lymph node. MR directed ultrasound is recommended for further ev... |
Generate impression based on findings. | Diagnosis: Fibromyalgia CervicalgiaClinical question: cause for neck pain, pt with fibromyalgia and spine issuesSigns and Symptoms: neck pain The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology. A T1 hyperintens... | 1.There are mild degenerative changes present in the cervical spine without significant compromise to the spinal canal or neural foramina. |
Generate impression based on findings. | For the purposes of numbering, there are 5 lumbar type vertebral bodies. There is mild levocurvature of the lumbar spine with apex at L2-3 and loss of lumbar lordosis. Alignment is otherwise within normal limits. There is severe disk space narrowing at L2-3 and L3-4 with degenerative marrow signal abnormality involvin... | Severe degenerative disk disease affecting L2-L3 and L3-L4 with moderate to severe neuroforaminal stenosis at these levels as detailed above. No high grade spinal canal stenosis at any level. |
Generate impression based on findings. | Benign neoplasm of cranial nerves [D33.3], Reason for Study: ^Reason: eval for tumor resection History: eval for tumor resection Previously seen large left middle cranial fossa mass appears to be removed with evidence of left fronto-temporal craniotomy.The surgical bed shows some susceptibility artifacts and extradural... | 1. Post total resection status of the middle cranial fossa extra axial mass with significant relief of mass effects toward adjacent brain parenchyme including left cerebral peduncle, upper pons and left mesial temporal lobe.2. Postoperative changes including some blood products at surgical bed, craniotomy site extradur... |
Generate impression based on findings. | 68 year old male with pain. Evaluate for infection. TENDONS: There is circumferential fluid signal intensity about the flexor hallucis longus tendon suggesting tenosynovitis.ARTICULAR SURFACES AND BONE: Degenerative changes affect the third tarsalmetatarsal joint. No bone marrow signal abnormality is identified to sugg... | 1. Soft tissue edema about the mid and forefoot as described above. Superimposed infection cannot be excluded. There is no evidence to suggest osteomyelitis. 2. Subcentimeter focus of nonenhancing fluid signal abnormality within the interspace of the first and second metatarsals may represent a mild bursitis. Other fin... |
Generate impression based on findings. | 54-year-old male with history of pancreatitis ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy. No choledocholithiasis. Common bile duct is within normal limits.SPLEEN: No significant abnormality noted.PANCREAS: Normal response to secretin with normal morphology and conventional anatomy of the main pancreatic ... | 1.No specific MR evidence of acute or chronic pancreatitis.2.Normal response to secretin with normal morphology and conventional anatomy of the main pancreatic duct. 3.Left adrenal gland adenoma. |
Generate impression based on findings. | 47-year-old female with history of fall. MENISCI: There is mild intrasubstance degenerative signal within menisci compatible with degeneration, but we see no discrete meniscal tear.ARTICULAR CARTILAGE AND BONE: There is a fracture of the lateral tibial plateau with 1 mm of depression. The fracture fragment is situated ... | 1.Tibial plateau fracture with large joint effusion as described above.2.Cartilage defects as described above.3.No evidence of patellar/quadriceps tendon tear. Other findings as above. |
Generate impression based on findings. | There is loss of the cervical lordosis with mild cervical kyphosis. There is loss of height of the C4 vertebral body. The C45 intervertebral disc shows low signal intensity on T1 but high signal intensity on T2 and STIR images. In addition, the disc shows somewhat inhomogenous enhancement. However, the enhancement doe... | 1. Possible discitis at the level of the C4-C5 without involvement of the adjacent endplates. 2. There is mild to moderate disc bulge with mild spinal stenosis at C45 with mild narrowing of the neural foraminal canal bilaterally.3. Calcified disc with loss of height of the disc space C5-C6. |
Generate impression based on findings. | Worsening headache with known white matter abnormality on previous MRI. A number of scattered punctate hyperintense T2/FLAIR lesions are somewhat better seen due to the 3 Tesla imaging technique, but these were all likely present on the previous exam, and do not appear to have significantly changed.No diffusion restric... | No significant interval change in the size, number or distribution of numerous punctate nonspecific white matter lesions. |
Generate impression based on findings. | There are postoperative findings related to left frontal lobe meningioma resection with unchanged regional encephalomalacia, and punctate susceptibility effect with no evidence of recurrent tumor. There is no acute infarct, suspicious intracranial enhancement elsewhere, or significant mass-effect. The ventricles and b... | Stable treatment related changes without recurrent tumor. |
Generate impression based on findings. | Rotator cuff tear The exam is slightly limited by motion artifact.ROTATOR CUFF: Again seen are full-thickness tears of the supraspinatus and infraspinatus tendon with associated retraction to the level of the glenoid. Intermediate signal within the joint space may reflect a combination of scarring or debris. Mild fatty... | Redemonstration of complete and retracted tears of the supraspinatus and infraspinatus tendons appearing similar to the prior exam. Additional chronic findings are described above. |
Generate impression based on findings. | The exam is degraded by motion artifact.BRAIN: Foci of restricted diffusion are noted in the right dorsal putamen and right parietal periventricular white matter, consistent with acute infarction. Multiple chronic lacunar infarcts are again noted in the bilateral cerebellar hemispheres. FLAIR signal abnormality in the... | 1. Small foci of restricted diffusion in the right dorsal putamen and right parietal periventricular white matter are consistent with acute infarction. 2. No significant stenosis in the major intracranial vasculature.3. Note examination is moderately motion degraded. |
Generate impression based on findings. | Clinical question: h/o intractible epilepsy; planning for depth electrode placement. Signs and Symptoms: preop planning Pre and postcontrast enhanced fusion brain MRI:This limited examination is performed utilizing surgical planning protocol and is not a true diagnostic exam.There is no acute intracranial process.There... | Unremarkable surgical planning brain MRI as detailed above. |
Generate impression based on findings. | Reason: Preop planning for 6/27 surgery. Study patient. Craniotomy for tumor History: none- preop Limited exam for surgical planning purposes was obtained. There is redemonstration of postoperative changes from previous right temporal parietal craniotomy, with a stable cystic-appearing resection cavity in the right pos... | 1.Redemonstration of multiple peripherally enhancing lesions surrounding the right posterior temporal resection cavity margins, as previously described, with slight increased convexity of the margins of the most superior lesion.2.Similar extent of T2 abnormality within the surrounding white matter which is nonspecific ... |
Generate impression based on findings. | Female 28 years old; Reason: s/p knee dislocation and reduction, assess ligamentous injury MENISCI: There is vertical signal abnormality within the peripheral fibers of the posterior horn of the medial meniscus extending to the tibial articular surface, which may represent a short partial-thickness undersurface tear of... | 1. Tears of the ACL, PCL, and LCL, as described above.2. Possible medial retinaculum injury and medial meniscus tear, as described above.3. Findings suggestive of at least a partial tear of the biceps femoris tendon and possibly of the popliteus tendon.4. Other findings, as described above. |
Generate impression based on findings. | Stage IV melanoma: restaging. There is a subcentimeter of high T2 signal in the left corona radiata. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift o... | A subcentimeter of high T2 signal in the left corona radiata may represent a chronic lacunar infarct. Otherwise, no evidence of intracranial metastases. |
Generate impression based on findings. | Jaw mass There is sclerosis of the right hemimandible with bony enlargement particularly of the mandibular body with protuberance inferiorly. This correlates with the signal abnormality seen on the MRI of 2012. Of note, prior CT also showed multifocal involvement of this process affecting the bones of the skull. We see... | Sclerosis and deformity of the right hemimandible which is compatible with fibrous dysplasia. We see no aggressive features to suggest malignancy; however if there has been recent growth or development of a mass, further evaluation with CT is recommended. |
Generate impression based on findings. | Female; 22 years old. Reason: PSC, IBD, eval for cholangiocarcinoma History: PSC, IBD ABDOMEN:LIVER, BILIARY TRACT: Liver is normal in morphology. No suspicious hepatic lesions. The portal and hepatic veins are patent.Mild beading of the left and right intrahepatic central ducts is similar similar to prior. However, th... | Increased narrowing of the biliary ducts at Klatskin point, particularly of the common hepatic duct, with new concentrate biliary wall thickening. Considering the patient's young age, cholangiocarcinoma is a possibility, and correlation with ERCP is recommended. |
Generate impression based on findings. | Clinical question: Assess for intracranial hemorrhage. Signs and symptoms: Found down. Nonenhanced head CT:There is no detectable acute intracranial process.CT is insensitive for early detection of acute ischemic strokes.Excessive premature a subcortical low attenuation white matter is nonspecific caliber considering p... | 1.Small muscle ischemic stroke of indeterminate age. CT is insensitive for the detection of nonhemorrhagic acute strokes.2.No acute intracranial process.3.Right anterior temporal tip encephalomalacia and resultant ex vacuo dilatation of right temporal horn.4.Fracture of C1 anterior and posterior arch without any associ... |
Generate impression based on findings. | 54-year-old male patient with severe back pain after fall. Pelvis: Three parallel pins affix the left proximal femur in near anatomic alignment. Osteoarthritis affects both hips with osteophyte formation and subchondral sclerosis. No acute fracture is evident.Lumbar spine: There is compression deformity of the L1 verte... | Age indeterminate compression deformity of the L1 vertebral body, which was not present on prior MRI from 6/4/2015. |
Generate impression based on findings. | Chronic hepatitis C. Cirrhosis. ABDOMEN:LIVER, BILIARY TRACT: The liver is nodular in contour with prominent fissure, compatible with cirrhotic morphology. Within the hepatic dome, there is a T2 hyperintense lesion measuring 1.1 x 1.0 cm lesion (series 7, image 17), with contrast enhancement but no washout on delayed i... | 1.Stable T2 hyperintense hepatic dome lesion, without washout on delayed imaging, in a cirrhotic liver. This lesion remains suspicious for HCC. Follow-up recommended.2.Cystic lesion within the pancreas communicating with the main pancreatic duct is unchanged since recent MRI, but increased in size since April 2015, pro... |
Generate impression based on findings. | 42-year-old male with nonspecific lesion on recent CT scan 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: T2 hyperintense nonenhancing lesion in the inte... | 1.Thin septation-containing cyst containing simple fluid in the right kidney. |
Generate impression based on findings. | Osmophobia, headaches, and vomiting. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma and pituitary gland appear unremarkable. There is no abnormal intracranial enhancement. The ventricles and basal cisterns are normal in size and configuration. There is no midline shift or ... | No evidence of intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on findings. | Breast cancer, evidence of brain metastasis, follow-up No evidence of acute ischemic or hemorrhage lesion.There are evidences of left frontal craniotomy including left frontal resection site with encephalomalacia and extra axial enhancement.Previously noted left inferior and superior frontal gyrus enhancing lesions app... | 1. Post left frontal craniotomy with resection of tumor, no change since prior scan.2. Previously identified two enhancing nodules on the left frontal lobe superior and inferior gyri, do not show interval change in terms of size and MR characteristics since prior scan.3. No evidence of new ischemic or hemorrhagic lesio... |
Generate impression based on findings. | 52 year-old female with medial distal tibia pain There is bone marrow edema within the distal tibial diaphysis without discrete fracture line. The cortex appears intact. The remaining marrow signal is within normal limits. There is mild soft tissue swelling along the anterior distal tibia with the soft tissues otherwis... | Bone marrow edema within the distal tibia which may represent a stress reaction without fracture evident. |
Generate impression based on findings. | Cervical spine:T2 hyperintensity with enhancement is noted within C2, C3, C4 and C7. This signal abnormality is confined to osseous structures without breaching the cortices.Alignment is normal. The cervical cord is normal in signal without abnormal enhancement. The cervicomedullary junction is normal. The cerebellar ... | 1.Abnormal signal and enhancement is noted throughout multiple osseous structures from the cervical spine extending inferiorly into the visualized pelvic bones. This signal abnormality is confined to osseous structures without breaching the cortices. The findings are nonspecific, and is most likely related to infectiou... |
Generate impression based on findings. | Clinical question: Follow-up for polyradiculopathy and nerve root enhancement. Signs and symptoms: Neuropathic pain in lower extremities. Pre-and post-enhanced lumbar MRI:Examination redemonstrates uniformly mild thickening of cauda equina without convincing evidence of change since prior exam. There is however noticea... | 1.Uniform mild thickening of cauda equina without significant change since prior exam however the enhancement of cauda equina is significantly less conspicuous.2.Unremarkable pre-and post enhanced lumbar MRI otherwise. |
Generate impression based on findings. | Clinical question: Status post stroke, rule out hemorrhagic transformation. Signs and symptoms: Aphagia. Nonenhanced CT of brain:A subacute nonhemorrhagic right frontal lobe cortical stroke with subtle associated mass effect on the adjacent cortical sulci is identified. This finding was poorly visible on prior CT study... | 1.Redemonstration of right frontal and left posterior temporal -- occipital nonhemorrhagic subacute cortical stroke.2.Advanced small vessel disease of indeterminate age.3.No evidence of acute new findings and in particular no evidence of breakthrough hemorrhage of above described subacute cortical strokes. |
Generate impression based on findings. | Temporal lobe seizures. Recent video-EEG study showed right temporal lobe interictal spikes and he had five seizures originated from right temporal lobe. There is suggestion of mild gyriform T2 hyperintensity in the inferior right temporal lobe. The hippocampi are unremarkable. There is no evidence of intracranial hemo... | Suggestion of mild gyriform T2 hyperintensity in the inferior right temporal lobe, which may represent an underlying cortical dysplasia, perhaps with superimposed edema related to seizure activity. A neoplastic process is less likely. Nevertheless, further evaluation via an MRI with contrast may be useful. |
Generate impression based on findings. | Cerebral infarction, unspecified [I63.9], Reason for Study: ^Reason: r/o stroke History: slurred speech Brain MRIThere is no evidence of acute ischemic lesion on this scan.Susceptibility lesions are seen on the right inferior parietal lobule and right middle frontal gyrus with associated encephalomalacia indicating chr... | 1. No evidence of acute ischemic or hemorrhagic lesion.2. More than 50% luminal stenosis of the right MCA M1 segment.3. About 36.4mm length signal loss on the right extracranial ICA on Neck MRA likely representing post carotid stenting status. Otherwise unremarkable. |
Generate impression based on findings. | There is mild motion artifact degrading image quality. There is no suspicious intracranial enhancement, acute infarct, mass effect, or cerebral edema. There is minimal nonspecific T2 signal abnormality at in the periventricular white matter, likely vascular related. The ventricles and basal cisterns are normal in size... | No intracranial mass or mass effect. |
Generate impression based on findings. | 41-year-old female with a history of bilateral cerebral peduncle cavernomas and acute bleed seen on MRI examination at an outside hospital. Ill defined hyperdensities are noted within the cerebral peduncles bilaterally, the left lesion being located nearer to the thalamus. These lesions are in identical location to the... | Ill-defined hyperdense lesions within the cerebral peduncles, corresponding to cavernomas in these locations previously characterized by MRI in 2004. There is interval reduction size of the left sided lesion since 2004, and there is no convincing evidence of edema or mass effect from either of the lesions based on CT. ... |
Generate impression based on findings. | Multiple sclerosis.Question: MS, follow-up progression. Signs and symptoms: Paresthesias. There is redemonstration of several scattered cerebral T2 hyperintense lesions mostly in the periventricular and subcortical white matter, callosal septal interface, pons, left inferior cerebellar peduncle and right superior cereb... | Multiple scattered T2 hyperintense lesions predominantly in the bilateral cerebral periventricular and subcortical white matter as well as callosal septal interface suggestive of demyelinating disease with 2 small new foci in the right parietal subcortical white matter. |
Generate impression based on findings. | Female, 12 years old, with history of Chiari malformation, no surgery done, yearly follow-up examination. The cerebellar tonsils remain pointed and descend 10 to 11 mm below the level of the foramen magnum, similar to the prior exam. On cine flow imaging, biphasic CSF flow is seen along the ventral brainstem and spinal... | 1.Findings compatible with Chiari malformation appearing similar to the prior examination.2.Partially visualized is a small prominence of the CSF space posterior to the cerebellum which may represent a small arachnoid cyst or focal prominence of the cistern.3.Appearance of the spinal cord remains within normal limits. |
Generate impression based on findings. | Repeat evaluation of pituitary: multiple myeloma with possible pituitary abnormality on MR. There is a persistent mild heterogeneous enhancement of the pituitary. Otherwise, there no evidence of a discrete pituitary mass or enlargement of the gland. The pituitary infundibulum is intact. The optic apparatus and cavernou... | Persistent nonspecific mild heterogeneous appearance of the pituitary. |
Generate impression based on findings. | New diagnosis of metastatic non-small cell lung cancer and history of leukemia. There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are mild nonspecific scattered foci of cerebral white matter T2 hyperintensity. There is no abnormal intracranial enhancement. The ventricles and basal cisterns ... | 1. No evidence of intracranial metastases.2. Several mildly enlarged lymph nodes in the partially-imaged neck are likely related to leukemia. |
Generate impression based on findings. | . Reason: Patient with sepsis and diabetes with foot ulcer History: fever, chills, pain Abnormal signal at the base of the third, fourth, and fifth metatarsals representing osteomyelitis. Blooming artifact along the osteotomies likely due to small bone fragments from amputation. Also abnormal signal in the cuboid and l... | Osteomyelitis of the base of the third, fourth, and fifth metatarsals. Also osteomyelitis of the cuboid and lateral aspect of the lateral cuneiform, incompletely imaged. Surrounding cellulitis without definite abscess. |
Generate impression based on findings. | Optic nerve meningioma. There is no significant interval change in the well-defined right orbital mass that surrounds the optic nerve and results in marked proptosis, although the mass has gradually increased in size over several years. The right optic nerve is engulfed by the mass and there is remodeling of the orbita... | No significant interval change in the well-defined right optic nerve sheath meningioma, although the mass has gradually increased in size over several years. |
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 informed written consent was obtained. A pre-procedural “time-out” form was completed.The patient was placed supine on the ... | Successful fluoroscopic-guided injection of dilute gadolinium into the left elbow for subsequent MRI arthrogram examination. |
Generate impression based on findings. | Ms. Jenkins is a 51 year old female with known left breast cancer (IDC grade III). She presents for MRI staging preoperatively. There is scattered fibroglandular tissue in both breasts. Minimal parenchymal enhancement is noted bilaterally.In the left lower inner breast, approximately 7:00 location, there is patchy enha... | (1) Unifocal malignancy in the left lower inner breast. If breast conservation therapy is desired, biopsy marker clip can be used for targeting.(2) No MR evidence of malignancy in the right breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Clinical question: 36 year old lady with a history of UC who has left lower extremity weakness. Signs and symptoms: Left lower extremity weakness. Complete spine MRI:There is normal anatomical alignment of the entire spine.There is normal signal intensity of vertebral column.There is normal signal intensity and caliber... | Unremarkable nonenhanced total spine MRI utilizing cord compression protocol. |
Generate impression based on findings. | 59-year-old male patient with left shoulder pain, has known arthritis, not responsive to injections. Evaluate left shoulder for rotator cuff tear. ROTATOR CUFF: Linear high signal intensity within the supraspinatus extending from the myotendinous junction into the distal fibers of the tendon is compatible with intrasub... | 1. Marked osteoarthritis of the glenohumeral and acromioclavicular joints.2.Tearing of the supraspinatus, infraspinatus, and subscapularis tendons without full thickness rotator cuff tear. |
Generate impression based on findings. | Clinical question: Evaluate for CVA. Signs and symptoms: Left-sided weakness, slurred speech. Non-infused head CT: Examination demonstrate multiple foci of low-attenuation in the periventricular white matter of bilateral cerebral hemispheres. These are highly suspected for areas of encephalomalacia and likely result of... | Small vessel disease of indeterminate age. |
Generate impression based on findings. | Ms. Bosby is a 33 year old with proven left breast cancer presents for research MRI (I-SPY #4). There is extreme amount of fibroglandular tissue in both breasts. Mild parenchymal enhancement is noted bilaterally.LEFT BREAST: The known left breast cancer shows a minimal interval decrease in size, now measuring 57 x 59 x... | (1) Mild interval decrease in size of known left breast cancer with overall marked decrease in previously seen solid/heterogenous enhancement pattern, compatible with treatment-related response. (2) Interval decrease in size of metastatic left axillary lymph node.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Clinical question: Bleed. Signs and symptoms: Acute change in mental status. Nonenhanced head CT:There is no evidence of intracranial hemorrhage, edema, mass-effect, midline shift or hydrocephalus. Cortical sulci, ventricular system and gray -- white matter differentiation is preserved and unremarkable. On sagittal ref... | 1.No evidence of acute intracranial findings. 2.Minimally ectopic cerebellar tonsils which may require further follow-up with an MRI. |
Generate impression based on findings. | Clinical question: Evaluate brain tumor resection. Signs and symptoms: Same. Pre- and post enhanced brain MRI:Examination demonstrates postoperative changes of a recent right posterior temporal-parietal craniotomy. There is revisualization of a necrotic thick/irregular rim enhancing tumor at this site measuring at leas... | 1.Examination is status post right posterior temporal-parietal craniotomy with expected postoperative changes as detailed.2.A round necrotic tumor with thick irregular rim enhancing measuring at 15 x 21 mm in size compared to prior study measurement of 17.5 x 22.5 mm.3.The surgical path projects posterior to the tumor ... |
Generate impression based on findings. | History of uterine fibroids. PELVIS:UTERUS, ADNEXA: The uterus is lobular in contour and enlarged due to multiple intramural, and subserosal pedunculated fibroids. One fibroid appears to have a small submucosal component. The uterus measures 13.3 x 10.1 cm in the sagittal plane. The endometrial cavity is distorted and ... | Multiple intramural and subserosal pedunculated uterine fibroids as above within a lobular enlarged uterus demonstrating moderate to avid postcontrast enhancement. |
Generate impression based on findings. | Ms. Morgan is a 44-year-old female with a personal history of right skin sparing simple mastectomy in 2011 for invasive breast cancer. Currently on tamoxifen. Family history of breast cancer in paternal grandmother, two paternal aunts, and a first cousin. She has no current breast related complaints. There is scattered... | Stable postsurgical changes of the right breast. No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | Headache [R51] / Other visual disturbances [H53.8], Reason for Study: ^Reason: 73 yo F admitted with bilateral uveitis, HA, blurry vision, possibly vasculitis on CT chest, eval for GCA and any other cause of HA/blurry vision History: bilateral eye redness Brain MRIThere is no evidence of acute ischemic or hemorrhagic l... | 1. Diffuse pachymeningeal enhancement, diagnostic possibilities include meningitis, infiltrative lesions or post lumbar puncture status.2. Bilateral frontal convexity extra axial CSF collections, may represent subdural hygroma.3.Non specific scattered T2/FLAIR high signal intensity lesions.4. No evidence of acute ische... |
Generate impression based on findings. | Left hemispheric syndrome. There is a subcentimeter area of restricted diffusion involving the left postcentral gyrus with associated high T2 signal. There is a punctate defect in the left thalamus. There is moderate predominantly periventricular cerebral white matter T2 hyperintensity. There are a few scattered puncta... | Punctate acute infarct involving the left postcentral gyrus superimposed upon moderate probable chronic small vessel ischemic disease, a chronic lacunar infarct in the left thalamus, and chronic microhemorrhages.Discussed with Dr. Guan at 10:10 AM on 5/15/15. |
Generate impression based on findings. | 42-year-old female with suspicious palpable right breast mass, presenting for biopsy. Patient is under the Alan Penn protocol, and had an MRI breast performed on the same day. Targeted ultrasound of the right breast at 6:00 position reveals a 2.9 x 1.9 cm irregular shadowing hypoechoic mass with indistinct margins and ... | 1. Successful ultrasound-guided core biopsy of the right breast lesion and clip placement. Pathology is pending at this time.2. Nonspecific benign-appearing subcentimeter mass within the right medial breast, 4:00, correlates to enhancing focus on same day MRI.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: ... |
Generate impression based on findings. | 66 years, Female, headache. No intracranial mass or mass effect. There are multiple foci of T2/FLAIR hyperintensity involving the bilateral periventricular and subcortical white matter. Few foci in the anterior temporal subcortical white matter as well as the external capsules also noted. No restricted diffusion to sug... | 1. No intracranial mass or mass effect is appreciated on this MRI brain without contrast. No contrast was administered due to patient's GFR of less than 30.2. Multiple foci of T2/FLAIR hyperintensity in the bilateral subcortical and periventricular white matter are nonspecific but likely related to chronic small vessel... |
Generate impression based on findings. | Pathological hyper-reflexia. Brain: There is no evidence of intracranial hemorrhage, mass, or acute infarct. There are minimal scattered nonenhancing punctate foci of cerebral white matter T2 hyperintensity. There is a left cerebellar hemisphere developmental venous anomaly. The ventricles and basal cisterns are normal... | 1. Minimal scattered punctate foci of cerebral white matter T2 hyperintensity are nonspecific. Otherwise, no characteristic findings to suggest multiple sclerosis, for example. 2. Incidental left cerebellar hemisphere developmental venous anomaly. 3. No evidence of cervical spinal cord compression or demyelinating lesi... |
Generate impression based on findings. | 53-year-old male with lymphoma and persistent altered mental status. There is no evidence of intracranial hemorrhage or acute infarct. There is diffuse, mild, confluent, thin, high T2 signal along the bilateral ventricles, with a more focal area of increased T2 signal along the posterior horn of the left lateral ventri... | 1. Innumerable enhancing lesions throughout the skull are consistent with lymphoma.2. Small lesions in the left cerebellar hemisphere and left periventricular white matter are nonspecific, but may represent sequelae of treated central nervous system lymphoma, prior infection, or chronic ischemia.3. No evidence of intra... |
Generate impression based on findings. | Male; 64 years old. Reason: elevated psa History: elevated psa PELVIS:PROSTATE:Prostate Size: 3.4 x 4.6 x 4.6 cm (AP by transverse by craniocaudal)Peripheral Zone: Focus of restricted diffusion with low T2 signal and hazy, wedge-shaped appearance at the left apex, most likely due to scarring and/or inflammation.Focus o... | No definite prostate cancer is evident, but follow-up examination in 6 months is recommended given the above nonspecific findings.Findings discussed with the patient by Dr. Oto at the time of the examination. |
Generate impression based on findings. | Ms. Wesley is a 47-year-old female with known right breast IDC with lobular features/DCIS and a metastatic right axillary lymph node. She presents today for I-SPY research MRI (#4). Note that this exam is performed for her research protocol, as the necessary images were not obtained on the scan from earlier this week. ... | (1) Decreased enhancement of right breast cancer compared to the March study. No significant change comparing the two studies performed this week. (2) No MRI evidence of malignancy in the left breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Diagnosis: Malignant neoplasm of breast (female), unspecified site. Secondary malignant neoplasm of brain and spinal cord(198.3)Clinical question: metastatic breast cancer please assess brain mets There is redemonstration of multiple ring-enhancing lesions enhancing lesions throughout the brain parenchyma. One located ... | Since the prior exam multiple lesions scattered in the brain as detailed above have decreased in size and the associated vasogenic edema has regressed but not resolved. These are compatible with metastatic disease.. |
Generate impression based on findings. | Female; 26 years old. Reason: Ileal Crohn's disease, history of abscess, elevated CRP repeat to evaluate distal ileal disease, length, and for abscess History: abdominal pain ABDOMEN:LIVER, BILIARY TRACT: No significant abnormality noted.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality note... | Findings most compatible with active terminal ileitis superimposed over chronic disease as detailed above. |
Generate impression based on findings. | 70-year-old man with left knee pain. MENISCI: There is severe mucoid degeneration of the posterior horn of the medial meniscus with intrameniscal cyst formation and extensive degenerative tearing of the posterior horn. Intrasubstance degeneration extends into the body of the medial meniscus, with signal contacting the ... | 1. Tricompartmental osteoarthritis as described above.2. Severe mucoid degeneration of the medial meniscus with degenerative tearing as described above.3. Joint effusion and other findings as above. |
Generate impression based on findings. | There is status post resection of of meningioma with postsurgical changes seen in the right superior frontal gyrus and anterior aspect of the falx. There is high signal on T2 and FLAIR images with subtle enhancement within the resection cavity, likely representing postop scar and fibrous tissues. Tear drop shaped ante... | Post surgical changes of resected meningioma in the right superior frontal gyrus. Small residual or separated meningioma attached on anterior falx, measuring 15 x 5 mm, is seen on the posterior aspect of the resection cavity.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this ... |
Generate impression based on findings. | 36-year-old man with left hip pain, evaluate for labral tear. ACETABULAR LABRUM: There is abnormal linear signal intensity within the anterior superior labrum, compatible with a tear, extending from the 1 o’clock to the 2 o’clock position. The posterior labrum appears normal. ARTICULAR CARTILAGE AND BONE: There is mini... | Tear of the anterior superior labrum with borderline anterior cam deformity. Other findings as above. |
Generate impression based on findings. | GBM. There is redemonstration of postoperative changes from previous resection of the right anterior temporal lobe, portion of the right insula, and right inferior frontal lobe. Compared to the more recent 7/1/2016 exam, there is apparent increased conspicuity of slightly nodular appearing enhancement along the medial ... | 1.Allowing for differences in technique, stable appearance of the resection cavity.2.No significant change in scattered areas of nodular ependymal enhancement along the lateral ventricular margins when compared to 5/6/2016 exam, except for decreased degree of of nodular enhancement along the lateral margin of the anter... |
Generate impression based on findings. | Alignment is anatomic. There are no fractures or subluxations. There are degenerative changes at the inferior endplate of L5 and superior endplate of S1. The conus is normal in signal and morphology and terminates at the L2 level. The visualized intra-abdominal and paraspinal contents are unremarkable.T12/L1: There is... | Degenerative changes at L5-S1 with mild to moderate bilateral neural foraminal narrowing related to disc protrusion. No significant spinal canal stenosis. |
Generate impression based on findings. | Stage IV lung adenocarcinoma with brain metastasis. There are postoperative findings related to resection of a left occipital mass with decrease in size of the heterogeneously enhancing mass with areas of susceptibility effect along the margins of the resection cavity. There is also decreased confluent T2 hyperintensit... | 1. Postoperative findings in the left occipital lobe with decrease in size of the lesion in the resection cavity and associated surrounding vasogenic edema. 2. Unchanged right orbitofrontal and right postcentral gyrus metastases.3. New punctate lesion in the left middle frontal gyrus likely represents a metastasis.4. M... |
Generate impression based on findings. | 42-year-old female with no significant past medical history presenting with headache (left-sided frontal) and nausea. Please evaluate for sinus inflammation. There is no evidence of acute findings including intracranial hemorrhage, edema or midline shift. A left frontal hypodense mass lesion appears extra-axial and is ... | 1. Left frontal extra axial hypodense mass is of unclear etiology and an MRI is recommended for further evaluation. 2. No evidence of paranasal sinus inflammatory disease.3. Diffuse parenchymal volume loss considering the patient's age. |
Generate impression based on findings. | Contrast remained within the radiocarpal joint. Please refer to the subsequent MRI report for further information.Exposure time: 2:40 minutes | Successful arthrogram of the left radiocarpal joint as above. |
Generate impression based on findings. | Evaluate for progression of metastatic disease. Images through the skull base and including cavernous sinuses remain free of malignancy. Paranasal sinuses and mastoid air cells are unremarkable.Images through the soft tissues of the neck demonstrate a cluster of large nonenhancing mass is in the left supraclavicular re... | 1.Cluster of metastatic nodes in the left supraclavicular region as detailed above.2.Metastatic lesion to C6 with significant compression deformity and metastatic lesion to the posterior aspect of C7 vertebrae. There is extraosseous epidural spread of tumor at this level into the cervical spinal canal.3.Metastatic nodu... |
Generate impression based on findings. | Knee pain MENISCI: No significant abnormality noted.ARTICULAR CARTILAGE AND BONE: There is partial-thickness degeneration and fissuring of the articular cartilage of the patella, particularly involving the lateral facet. There is partial-thickness to near full-thickness fissuring of the articular cartilage of the femor... | Articular cartilage degeneration affecting the patellofemoral joint with other findings as above. There is no meniscal or ligamentous injury evident. |
Subsets and Splits
No community queries yet
The top public SQL queries from the community will appear here once available.