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Generate impression based on medical findings. | History of 1 cm right-sided prostate nodule on digital rectal examination. PSA most recently 1.69 ng/mL. The patient is seeking a second opinion regarding recommendation for MRI fusion biopsy. PELVIS:PROSTATE:Prostate Size: 4.7 x 3.6 x 4.7 cm.Peripheral Zone: There is diffusely decreased T2 signal within the peripheral... | 1.Area of signal abnormality within the right peripheral zone mid gland suspicious for neoplasm, with possible extraprostatic extension.2.Additional, smaller area of signal abnormality within the left peripheral zone mid gland may also reflect neoplasm. |
Generate impression based on medical findings. | Evaluate left renal mass. History of chronic kidney disease and hypertension. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in morphology, signal intensity and size. No focal suspicious lesion, or biliary ductal dilatation. Normally distended gallbladder without gallstones.SPLEEN: 9.6 x 9.5 cm homogeneously T2 weig... | 1.The left renal superior pole predominantly cystic 9.9 cm hemorrhagic lesion has equivocal wall enhancement and suspected enhancing mural nodularity.2.Additional large left inferior pole cystic lesion demonstrates no suspicious post-contrast enhancement.3.Additional bilateral simple cysts, minimally complex cysts and ... |
Generate impression based on medical findings. | Dizziness and giddiness Other convulsions. Please follow MRI STEALTH PROTOCOL for surgical planning. Thank you. There is a ring-enhancing lesion measuring 23 x 18 mm axial dimensions located in the right parietal lobe. It is associated with surrounding T2 and FLAIR signal hyperintensity. This T2 and FLAIR signal hyperi... | 1.Ring-enhancing lesion in the right parietal lobe in general appears to be stable compared to the prior exam.2.Examination was obtained for surgical planning |
Generate impression based on medical findings. | Pain, clicking in left knee. Evaluate for meniscal tear. MENISCI: The menisci appear normal. I see no tear.ARTICULAR CARTILAGE AND BONE: There is full-thickness degeneration of the articular cartilage of the femoral trochlea centrally and inferiorly extending along the anterior margin of the medial femoral condyle, wit... | Full-thickness cartilage degeneration involving the femoral trochlea and anterior margin of the medial femoral condyle. I see no meniscal tear. Other findings as above. |
Generate impression based on medical findings. | A 57 year old female hospitalized because of chest pain, positive troponin, ST segment elevation on the EKG, a left catheterization showed apical ballooning and no coronary artery disease. Referred to cardiac MRI for further evaluation. Left VentricleThe left ventricle is normal in size with mildly reduced systolic fun... | 1. The left ventricle is normal in size with mildly reduced systolic function, the LVEF is 45%. There is mild apical hypokinesis without late gadolinium enhancement to suggest the presence of an underlying fibrosing, infiltrative, or inflammatory process. These findings support the diagnosis of Takotsubo's cardiomyopat... |
Generate impression based on medical findings. | Reason: assess left foot dorsal first toe mass History: pain/swelling A marker was placed along the dorsal aspect of the skin surface dorsal to the first metatarsal head. There is a moderate hallux valgus deformity with mild to moderate osteoarthritis of the first MTP joint. There is enhancement of the first MTP joint ... | Hallux valgus deformity with osteoarthritis and synovitis of the first MTP joint. |
Generate impression based on medical findings. | This exam is degraded by motion artifact. There is a focus of decreased diffusion and T2 hyperintensity centered within the right hemi-pons. There are scattered additional foci of T2 hyperintensity throughout the supratentorial white matter. There is a fluid signal intensity well-defined lesion within the pineal ciste... | 1. Acute right brainstem infarct without evidence of hemorrhagic transformation, but the vertebrobasilar flow voids are relatively inconspicuous. Dedicated vascular imaging is recommended.2. Mild chronic small vessel ischemic disease. 3. Pineal cyst. |
Generate impression based on medical findings. | Clinical question: Evaluate for lesion. Signs and symptoms: Neuropathy. Pre and post enhanced brain MRI:Negative diffusion weighted series.There is no evidence of congenital anatomical anomaly of the brain.There is also normal signal intensity of brain parenchyma on all MRI sequences.There is however prominence of bila... | 1.Examination demonstrates generalized prominence of cortical sulci, ventricular system and mildly of the cerebellar/vermis folia for patient's stated age of 28 and concerning for underlying parenchymal volume loss.2.There is however no detectable signal abnormality of the brain on any of the MRI sequences and no detec... |
Generate impression based on medical findings. | Clinical question: Evaluate for etiology of seizure. Signs and symptoms: Suspected seizures, as is right temporal and parietal hypodensities on CT. Pre-and post-enhanced brain MRI:Negative diffusion weighted images.Examination demonstrates a chronic healed depressed right parietal calvarial fracture as was noted on pri... | 1.No acute intracranial process.2.Small focus of right parietal superficial hemorrhagic encephalomalacia under a chronic healed depressed skull fracture as detailed.3.Larger focus of nonhemorrhagic encephalomalacia along the inferior surface of right anterior/mid temporal lobe involving the white matter and the cortex.... |
Generate impression based on medical findings. | Low back pain x14 years. Patient has difficultly lying flat due to pain, but is willing to try for this test. The less time the better. 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 grossly intact.At L5-S1 ... | There is degenerative disk disease present in the lower lumbar spine which is worse at L5-S1 without significant compromise to the spinal canal or nerve roots as detailed above. |
Generate impression based on medical findings. | Patient with history of BPH and urinary symptoms, PSA on 11/29/2016 was 2.04, no pathology report available but does not appear to have prior biopsy based on medical records. PELVIS:PROSTATE:Prostate Size: 5.3 x 3.2 x 4.5 cmPeripheral Zone: Diffuse patchy T2 signal abnormality with mild restricted diffusion in the peri... | 1.Diffuse patchy T2 signal abnormality of the peripheral zone, likely representing areas of prostatitis.2.Benign prostatic hypertrophy. |
Generate impression based on medical findings. | Chiari malformation: headaches, choking on food, and back pain. The images are generally degraded by patient motion artifact. The cerebellar tonsils extend up to 12 mm inferior to the foramen magnum and have pointed morphologies. There is also impeded flow of cerebrospinal fluid across the foramen magnum. There appears... | 1. Findings compatible with Chiari type 1 malformation, including cerebellar tonsils that extend up to 12 mm inferior to the foramen magnum, with pointed morphologies, and impeded flow of cerebrospinal fluid across the foramen magnum. 2. Apparent very short segment 1 mm diameter syrinx in the upper cervical spinal cord... |
Generate impression based on medical findings. | 71 year old man with CAD s/p CABG in 1998 (LIMA-LAD, SVG-D1), with recent PCI to SVG in 11/15 and again in 2/16 for ISR, referred fo revaluation of chest pain. MEDICATIONS: ASA, PLavix, Cilostozol, lisinopril, metoprolol First Pass PerfusionDuring hyperemia, there is a perfusion defect in the basal anterior wall and an... | 1. During hyperemia, there is a large perfusion defect as described above. 2. No prior myocardial infarction. The entire myocardium is viable.3. Normal LV size and systolic function (LVEF 69%).4. Normal RV size and systolic function (RVEF 57%).I personally reviewed the Images and/or procedure with the Resident/Fellow a... |
Generate impression based on medical findings. | A 59 years old male with non-ischemic cardiomyopathy, severe systolic dysfunction, diabetes mellitus, hypertension, colon cancer with chemotherapy. Diagnosed on 12/2014 with a right atrial clot associated to a catheter that was removed and then the clot was not seen in the following echocardiography. Now referred to MR... | 1. The left ventricle is severely dilated with severe systolic dysfunction, LVEF 27%. There is a mid-wall stripe of late gadolinium enhancement involvement the interventricular septum. The finding is atypical for prior myocardial infarction and suggests the presence of underlying fibrosis as might be seen in dilated ca... |
Generate impression based on medical findings. | Unspecified cerebral artery occlusion with cerebral infarction The CSF spaces are appropriate for the patient's stated age with no midline shift. There is a mild degree of periventricular and subcortical punctate hyperintense white matter lesions present identified on the FLAIR and T2 images. This is stable compared to... | 1.The exam is stable compared to the July 2014 exam.2.Punctate periventricular and subcortical white matter as well as cerebellar and brainstem lesions of a mild degree are nonspecific. At this age they are most likely vascular related. 3.Old lacunar infarcts are present in the cerebellar hemispheres4.There are several... |
Generate impression based on medical findings. | Neck pain Alignment is anatomic without subluxation. The marrow signal is benign. Vertebral body heights are maintained. The cervicomedullary junction is normal. Spinal cord has a smooth contour and is without focal atrophy, edema, or myelomalacia. No intraspinal hematoma or mass. The visualized paraspinal contents are... | Multilevel degenerative spondylosis most severe at C6-7 level with mild-to-moderate spinal canal stenosis and severe left and moderate right foraminal narrowing. |
Generate impression based on medical findings. | Follow-up evaluation of mass. Evaluate for ventricles history of normal pressure hydrocephalus and mass anterior to pons. Implanted defibrillator. Status post VPS placement Nonenhanced CT of brain:There is revisualization of a left sided extra axial mass in the left cerebellopontine angle with extension across the midl... | 1.Stable extra-axial left cerebellopontine and prepontine mass to represent a meningioma.2.Slight interval decrease in the size of the supratentorial ventricular system.3.Better visualization of extra-axial CSF in the midpole hypodensity bilateral frontal -- parietal regions which suspect the extra-axial subdural nonhe... |
Generate impression based on medical findings. | Thigh pain. Look for narrow for impingement. There is a mild, broad-based leftward convex lumbar curvature. Alignment is also notable for minimal anterior subluxation of L4 relative to L5 associated with facet proliferative disease. The intervening disc shows moderate loss of height and decreased T2 signal. In addition... | 1.Multilevel degenerative disc disease and posterior element hypertrophy in the lower lumbar spine is most significant at L3-L4 (left sequestered paracentral disc fragment and left foraminal protrusion) and L4-L5 (central/right paracentral disc extrusion) and L5-S1 (foraminal stenoses) as described above.2.There is als... |
Generate impression based on medical findings. | There is no evidence of intracranial hemorrhage. There has been an interval increase in size of the confluent patchy regions of T2 hyperintensity and T1 hypointensity throughout the supratentorial white matter. In addition, there are more prominent and confluent regions of decreased diffusion throughout the supratento... | Finding most compatible with severe hypoxic ischemic injury with interval evolution since the prior exam. |
Generate impression based on medical findings. | Altered mental status. The exam is markedly degraded by patient motion. There appears to be a punctate focus of restricted diffusion in the left paracentral lobule. There is mild nonspecific periventricular white matter T2 hyperintensity. There is no evidence of intracranial hemorrhage or mass. The ventricles and basal... | The exam is markedly degraded by patient motion. Possible punctate focus of recent infarction in the left paracentral lobule versus artifact. |
Generate impression based on medical findings. | Previous MRI with possible left sided arteriovenous malformation: seizures. MRI: there is a subcentimeter curvilinear area of T2 hyperintensity, enhancement, and susceptibility effect in the posterior limb of left internal capsule. Otherwise, there is no evidence of acute intracranial hemorrhage or acute infarct. The v... | 1. A lesion in the posterior left internal capsule likely represents a small developmental venous anomaly.2. No evidence of arteriovenous malformation, within the limits of MRA. |
Generate impression based on medical findings. | 42 years Male (DOB:12/18/1973)Reason: 42 yo with hx of brain aneurysm s/p clipping and coils, admitted for w/u for retinal artery occlusion History: decreased visual acuity in R visualPROVIDER/ATTENDING NAME: VENKATESAN RAM KRISHNAMOORTHI VENKATESAN RAM KRISHNAMOORTHI MRI of the brainNo diffusion weighted abnormalities... | 1.No evidence for cerebrovascular occlusive disease to the extent of visualization. The distal right internal carotid artery, proximal right middle cerebral artery and proximal right anterior cerebral artery as well as the proximal right posterior cerebral artery are obscured by artifact. Please note that the exam was ... |
Generate impression based on medical findings. | There is redemonstration of relative ventral positioning of the thoracic spinal cord with no significant interval change in contour of the cord. Slight differential CSF pulsation is again suggested dorsal to the cord with visualization of traversing vessels and nerve roots along the anterior aspect of the area of diff... | 1. No significant interval change in appearance of ventral positioning of the thoracic cord with mild contour flattening, with again question of an intradural extramedullary CSF signal intensity collection. Differential remains unchanged, including idiopathic anterior spinal cord herniation/adhesion versus arachnoid cy... |
Generate impression based on medical findings. | 37-year-old female with suspicious enhancing focus within the left central breast on recent MRI study. Family history is positive for breast cancer in mother diagnosed in her late 30s. Patient presents for MRI directed ultrasound evaluation and biopsy. A targeted left ultrasound was performed for the patient’s area of ... | No sonographic evidence for malignancy. No sonographic correlate for suspicious finding on recent MRI breast study of 7/11/2016. Planned ultrasound-guided biopsy was therefore canceled. Findings discussed with the patient, MRI guided biopsy planned on 7/26/2016.BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on medical findings. | Brainstem lesion and post operative changes status post choroid plexus papilloma resection. There are postoperative findings related to suboccipital craniotomy. There is a persistent lobulated enhancing mass within the inferior portion of the fourth ventricle that measures up to 23 mm. There is confluent T2 hyperintens... | 1. Postoperative findings in the posterior fossa with residual fourth ventricular choroid plexus tumor with probable vasogenic edema in the surrounding cerebellum and brainstem, as well as scattered areas of blood products, hemostatic material, and probable granulation tissue along the surgical approach, but no evidenc... |
Generate impression based on medical findings. | Prior ACL repair 16 years ago now with instability. Evaluate ACL graft and meniscus. MENISCI: There is complex tearing of the posterior horn and body of the medial meniscus. Additionally, there is blunting of the anterior horn of the medial meniscus. There is a complex tear of the posterior horn/body junction of the la... | 1. Intact ACL graft.2. Complex tearing of the medial and lateral menisci.3. Loose body adjacent to the ACL graft. |
Generate impression based on medical findings. | Structural abnormality as well as birth HIE: diplegia + right hemiplegia. There is mild volume loss and high T2 signal in the white matter adjacent to the left lateral ventricle, which is asymmetrically enlarged. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The cerebellum and brainstem appea... | Findings suggestive of mild periventricular leukomalacia in the right cerebral hemisphere, but no evidence of acute intracranial hemorrhage, mass, or acute infarct. |
Generate impression based on medical findings. | Female, 59 years old, with bilateral hand and arm weakness. Alignment is anatomic. Vertebral body height and morphology are normal. Marrow signal characteristics are within normal limits. No pathologic marrow enhancement is seen.The visualized spinal cord demonstrates normal signal intensity and morphology except as di... | 1.Disk extrusion at C5-6 resulting in mild deformation of the ventral cord but no significant cord compression or evidence of cord edema. The left neural foramen is at least moderately narrowed at this level secondary to facet and uncovertebral hypertrophy.2.Mild disk osteophyte formation at C6-7 without significant sp... |
Generate impression based on medical findings. | Female, 33 years old, with multiple sclerosis and leg numbness. Spinal cord caliber and morphology are within normal limits. As on the prior examination, there remains some questionable vague T2 hyperintensity involving the central portion of the cord at mid to lower thoracic levels. It is unclear if this represents a ... | Questionable vague signal abnormality involving the central portion of the mid to lower thoracic spinal cord is redemonstrated. It is unclear if this represents a real finding or an imaging artifact, and in any event, there has been no significant change. If this were to represent a real finding, it would be atypical f... |
Generate impression based on medical findings. | 47 year old who is status post right lumpectomy at outside hospital. The reason for the surgery or the results were not provided. There is scattered fibroglandular tissue in both breasts.Mild parenchymal enhancement is noted bilaterally.In the right breast, there is a seroma cavity at posterior lower outer quadrant wit... | Probable post surgical changes in the right breast. Mild enhancement in the right breast is likely due to surgical changes. As the details of the right lumpectomy are unknown, precise interpretation cannot be made. No MR evidence for malignancy in the left breast.BIRADS: 3 - Probably benign finding.RECOMMENDATION: X - ... |
Generate impression based on medical findings. | 47 year old male with decreased LVEF on recent nuclear stress test and subsequent normal coronary angiogram, MRI done to evaluate etiology Left VentricleThe left ventricle is normal in size with mildly decreased function. The overall LV ejection fraction is 42%. The LVEDV is 230 ml (normal range 142+/-34), the LV end d... | 1. Mildly decreased left ventricular systolic function with LVEF of 43%2. Mildly decreased right ventricular systolic function with EF of 34%3. No late gadolinium enhancement is noted in the myocardium. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on medical findings. | Female, 16 years old, with diagnosis of PRES, lupus, with altered mental status and seizures, on steroid treatment. Previously seen areas of cortical and subcortical T2 hyperintensity along the cerebral watershed zones and the occipitotemporal regions have completely or nearly completely resolved. A few scattered foci ... | Complete or near complete resolution of scattered cortical and subcortical signal abnormality which was compatible with PRES. Small areas of residual periventricular signal abnormality may reflect pre-existing chronic lesions perhaps related to the patient's diagnosis of lupus. |
Generate impression based on medical findings. | 51-year-old with history of right breast excisional biopsy that showed mixed mammary carcinoma in situ. History of MR biopsy. There is heterogeneous amount of fibroglandular tissue in both breasts.Moderate parenchymal enhancement is noted bilaterally. There is globally increased enhancement within the right breast comp... | Asymmetric enhancement of the right breast compared to the left, most notably in the upper inner breast. Routine diagnostic mammogram and right breast MRI directed ultrasound for this area is recommended. If no suspicious correlate is seen sonographically, MRI guided biopsy should be performed. Note that additional foc... |
Generate impression based on medical findings. | 78-year-old man with history of chronic pancreatitis. ABDOMEN:LIVER, BILIARY TRACT: The liver is normal in signal and morphology. Mild extrahepatic biliary duct dilatation appears stable. There is no intrahepatic biliary duct dilatation. The gallbladder appears normal.SPLEEN: The spleen is normal.PANCREAS: The pancreat... | Findings compatible with chronic pancreatitis including main pancreatic duct dilatation, decreased compliance shown status post secretion administration, and ductal calcifications. No focal pancreatic mass identified. |
Generate impression based on medical findings. | 40 year-old male, distention, right lower quadrant pain, flank pain evaluate for appendicitis. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: Stable bilateral adre... | Metastatic renal cell cancer. New diverticulitis with small fluid collections in the pelvis. |
Generate impression based on medical findings. | A 59 year old male with personal history of tonsil carcinoma, s/p chemotherapy, dysphagia and recurrent aspirations, hypothyroidism, with progressive dyspnea and newly diagnosed heart failure with severely reduced systolic function and positive troponin. Referred to cardiac MRI for further evaluation MEDICATIONS: aspir... | Cardiac MRI study is most consistent with diagnosis of non-ischemic cardiomyopathy with a very small concomitant myocardial infarction. 1. No perfusion defects/ "ischemia" present during hyperemia. 2. There is mid-myocardial stripe of late gadolinium enhancement noted in the septum. This finding is atypical for prior m... |
Generate impression based on medical findings. | Clinical question: 70-year-old female is status post aortic valve replacement, here with recurrent syncopal episodes. Signs and symptoms: Hypoglycemia versus seizure. Pre and post enhanced brain MRI:No evidence of restricted diffusion.Examination demonstrates scattered periventricular and subcortical foci of FLAIR hype... | 1.No acute intracranial process.2.Moderate chronic small vessel ischemic strokes in the bilateral subcortical and periventricular white matter as well as pons with slight interval progression since 2014 exam.3.Bilateral small (R>L) chronic cerebellar ischemic strokes.4.No detectable abnormal enhancement. |
Generate impression based on medical findings. | History of grade 1 left breast IDC, status post lumpectomy and radiation therapy. BRCA carrier. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.No abnormal enhancement is seen in either breast. Post operative distortion and volume loss are note... | No MRI evidence for malignancy. Given her personal and genetic history, annual mammography and MRI follow up are both recommended. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on medical findings. | Clinical question: Evaluate for growth of AA. Status post surgery, RT/TMZ. Now off all treatment. Signs and symptoms:AA. Pre-and post-enhanced brain MRI:No diffusion weighted abnormalities.Diffuse focus of flair hyperintensity in the high convexity left posterior frontal and parietal region is again identified and exte... | Stable left hemispheric large focus of flair hyperintensity and internal irregular thin linear enhancement at the site of previously treated tumor. |
Generate impression based on medical findings. | 19 year-old female, with pain along third, fourth, and fifth metatarsals, evaluate for fracture Foot: There is mild soft tissue swelling and edema along the dorsum of the foot underlying the skin marker at the patient's site of symptoms. There is no significant bone marrow edema within the metatarsals to indicate a str... | 1. ATFL tear with marrow edema in the medial talus and medial malleolus, which may represent contusions as well as soft tissue swelling about the ankle.2. Soft tissue edema along the dorsum of the foot without evidence of fracture/bone marrow edema. |
Generate impression based on medical findings. | Female, 46 years old, with right temporal epilepsy. Presurgical planning exam. Sensorimotor cortical activity maps as expected along the pre- and post-central gyri. All tested language paradigms produced reliable language related activity with the exception of the object naming paradigm. Language is left dominant. Broc... | Successful functional MRI for surgical planning purposes. Sensorimotor cortical activity maps as expected along the pre- and post-central gyri. Language is left dominant with Broca's and Wernicke's areas mapping to their expected locations. |
Generate impression based on medical findings. | Clinical question: Newly diagnosed small cell cancer. Signs and symptoms: SOB. Discussion Pre and post enhanced brain MRI:Unremarkable diffusion weighted series.Examination demonstrates normal anatomical development, morphology and with normal signal intensity of brain parenchymal on all MRI sequences.Unremarkable cere... | Unremarkable pre and post enhanced brain MRI. |
Generate impression based on medical findings. | Clinical question: Patient has memory impairment, evaluate for brain atrophy. Signs and symptoms: Memory impairment. Nonenhanced brain MRI:Unremarkable diffusion weighted series.Examination demonstrates a few punctate nonspecific subcortical and periventricular low-attenuation white matter which are nonspecific. Consid... | 1.No acute intracranial process.2.Findings suggestive of very minimal chronic nonhemorrhagic small vessel ischemic strokes.3.Mild prominence of parietal cortical sulci which may be at the upper limits of normal and unremarkable brain MRI otherwise for patient's stated age |
Generate impression based on medical findings. | 78 years Female (DOB:6/5/1937)Reason: evaluate for radiculopathy History: right sciatica, chronic and severePROVIDER/ATTENDING NAME: REEM H JAN DAVID L PITRAK Five lumbar type vertebral bodies are presumed to be present which are appropriate in overall alignment. There is mild loss of vertebral body height at L2 and L1... | 1.There are multilevel degenerative changes present in the lumbar spine with moderate spinal stenosis at L4-5 and encroachment of the right-sided exiting nerve roots at L5-S1. There are subacute endplate reactive changes present at L5-S1.2.There is mild loss of vertebral body height at L2 and L3 which has been present ... |
Generate impression based on medical findings. | Evaluate lymph nodes in neck prior to scheduling surgery for lesion removal on right ear: mass to right ear in patient with history of angiosarcoma. There an exophytic nodule along the inferior right auricle that measures up to 15 mm. The tumor appears to be confined to the auricle, without evidence of invasion of the ... | Right auricle tumor. No evidence of significant cervical lymphadenopathy. |
Generate impression based on medical findings. | 13-year-old male with anterior hip pain overlying the proximal quadriceps. Evaluate for muscular injury. ACETABULAR LABRUM: Although this examination was not protocoled for evaluation of the acetabular labrum, the labrum appears intact.ARTICULAR CARTILAGE AND BONE: Note is made of linear increased signal abnormality tr... | Nondisplaced fracture/avulsion injury of the right AIIS at the insertion site of the rectus femoris. |
Generate impression based on medical findings. | There is no evidence of acute infarct. There are patchy foci of T2 hyperintensity throughout the supratentorial white matter in the subcortical and deep regions as well as a more prominent focus of T2 hyperintensity and volume loss in the right anterior temporal lobe that are unchanged compared with the 3/27/2012 exam... | 1.Multiple patchy regions of signal abnormality are unchanged dating back to March 2012. The enhancement within some of these lesions is either unchanged or less prominent (although this may be technical) dating back to June 2012. The differential diagnoses include again includes inflammatory or granulomatous lesions w... |
Generate impression based on medical findings. | Male; 24 years old. Reason: history of Crohn's disease s/p ileocecectomy. assess for stricture at anastomosis and active disease History: abdominal pain ABDOMEN:LIVER, BILIARY TRACT: Status post cholecystectomy.SPLEEN: No significant abnormality noted.PANCREAS: No significant abnormality noted.ADRENAL GLANDS: No signif... | Patent ileocecostomy anastomosis with findings equivocal for active inflammatory bowel disease of the neoterminal ileum. |
Generate impression based on medical findings. | Limited evaluation of the cervical spine with sagittal T1 and STIR sequences per cord compression protocol demonstrates evidence of diffuse metastatic disease. No compression fractures. No obvious epidural tumor. No evidence of cord compression.THORACIC SPINE | 1. Diffuse osseous metastatic disease in the cervical, thoracic, and lumbar spine. 2. There are multiple compression fractures throughout the thoracic and lumbar spine with osseous retropulsion and epidural tumor as detailed above. Findings are worst at the T6 level where there is impression and deformity of the thorac... |
Generate impression based on medical findings. | Reason: Hx of HCC post-resection History: hx of HCC ABDOMEN:LIVER, BILIARY TRACT: Postsurgical changes of a liver transplant. Portal and hepatic veins are patent. The hepatic artery is patent. Small saccular aneurysm at the hepatic artery anastomosis is not significantly changed, measuring 0.7 x 0.5 centimeters (series... | 1.Postsurgical changes of a liver transplant.2.Stable focal hepatic artery secondary aneurysm at the arterial anastomosis.3.No new or suspicious focal hepatic lesions. |
Generate impression based on medical findings. | Female 54 years old Reason: eval for lumbar spine abnormality History: Hx of Von Hippel Lindau w/ new right sided back pain There is mild kyphosis at the thoracolumbar junction. The vertebral body heights are preserved. Minimal disc desiccation and loss of height of L3-4 and L5-S1. The vertebral bone marrow signal is u... | 1.Multiple, greater than 10, enhancing nodules along the surface of the conus and along the bilateral cauda equina nerve roots which are consistent with multiple hemangioblastomas in the setting of vHL. The relatively larger nodules measuring up to 5 mm are similar to prior MRI from 2012 while some of the smaller punct... |
Generate impression based on medical findings. | 40yoF with congenital nystagmus, episodical tinnitus, history of 3.5 month prematurity presenting with dizziness episodes and has upper motor neuron signs on The ventricles and sulci are within normal limits. The cisterns remain patent. There is no midline shift or mass effect. There are no areas of abnormal signal or ... | 1. Normal non contrast brain MR.2. The meatal loop of the right anterior inferior cerebellar artery extends far into the right internal auditory canal.3. The pituitary stalk is at the upper limit of normal for thickness. |
Generate impression based on medical findings. | 48-year-old female with pain and weakness. ROTATOR CUFF: There is intermediate signal intensity within the supraspinatus indicating mild tendinosis. The infraspinatus muscle and tendon appear intact. The teres minor muscle and tendon appear intact. The subscapularis muscle and tendon appear intact.SUPRASPINATUS OUTLET:... | 1. Tendinosis of the supraspinatus without evidence of full-thickness rotator cuff tear.2. Findings consistent with a Hill-Sachs fracture deformity and osseous Bankart lesion as described above.3. Osteoarthritis of the acromioclavicular joint. Other findings as described above. |
Generate impression based on medical findings. | Malignant neoplasm of frontal lobe [C71.1], Reason for Study: ^Reason: 34 yo M with recurrent GBM s/p prior surgeries and chemoRT, planning scan for re-RT planning History: none Previously seen tissue defect on the left frontal lobe appears to be slightly shr inked since prior scan.Enhancing lesions on the left frontal... | Postoperative expected changes with residual enhancing lesions along the resection margin, no gross interval changes since prior scan. |
Generate impression based on medical findings. | Left sided proptosis; history of left eyelid melanoma excision. Orbit: There is mild left proptosis associated with bowing of the posterolateral wall of the orbit secondary to an arachnoid cyst in the anterior portion of the left middle cranial fossa. Otherwise, there is no evidence of intraorbital mass lesions and the... | Mild left proptosis associated with bowing of the posterolateral wall of the orbit secondary to an arachnoid cyst in the anterior portion of the left middle cranial fossa. No evidence of intraorbital or intracranial tumors otherwise. |
Generate impression based on medical findings. | Male 56 years old Reason: Right knee pain, medial and anterior evaluate for meniscus tear, chondral injury History: Right knee pain MENISCI: There is a thin longitudinal, vertically orientated tear through the peripheral fibers of the posterior horn of the medial meniscus near its root. This was not clearly evident on ... | Severe degenerative arthritic changes of the right knee with new tears of the posterior horn of the medial meniscus and posterior horn of the lateral meniscus and other findings as described above. |
Generate impression based on medical findings. | History of primary biliary cirrhosis. Evaluate for hepatocellular carcinoma or suspicious lesion. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic liver with nodular surface contour. There is a reticular pattern of increased T2 signal throughout the hepatic parenchyma indicating a component of fibrosis. There are a few scattere... | 1.Cirrhotic morphology of liver with dysplastic nodules, but no evidence of hepatocellular carcinoma.2.Stable mildly prominent perihepatic lymph nodes likely related to the patient's chronic liver disease.3.Cholelithiasis. |
Generate impression based on medical findings. | Diagnosis: Localization-related (focal) (partial) symptomatic epilepsy and epileptic syndromes with complex partial seizures, intractable, without status epilepticusClinical question: h/o intractable epilepsy; preop planning for depth electrodes The CSF spaces are appropriate for the patient's stated age with no midlin... | MRI of the brain is within normal limits to the extent of visualization. Please note that this is a limited exam performed for guidance during treatment. |
Generate impression based on medical findings. | Reason: abnormality History: spinal stenosis with radiculopathy Cervical spine:The cervical vertebral bodies are appropriate in overall alignment and height. The cervical spinal cord has normal signal characteristics and overall morphology.At C2-3 there is no significant compromise to the spinal canal or neural foramin... | 1.There are multilevel degenerative changes in the cervical spine with mild to moderate spinal stenosis at C3-4 and neural foramina encroachment of exiting nerve roots bilaterally at C5-6 and C6-7 , the left side at C4-5 and on the right side at C3-4.2.There are degenerative changes present in the lower lumbar spine wi... |
Generate impression based on medical findings. | Dizziness No evidence of acute ischemic or hemorrhagic lesion.Scattered patch high signal intensity lesions on bilateral periventricular white matter and brainstem on FLAIR imaging indicate minimal nonspecific small vessel ischemic disease.The ventricles, sulci and cisterns are symmetric and unremarkable. The gray-whit... | Minimal nonspecific small vessel ischemic disease as described above.No evidence of acute ischemic or hemorrhagic lesion. |
Generate impression based on medical findings. | 60 years Female (DOB:2/14/1956)Reason: back and leg pain History: back and leg painPROVIDER/ATTENDING NAME: MICHAEL J LEE MICHAEL J LEE 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 grossly intact.At L5-S1 ... | 1.There are degenerative changes present in the lower lumbar spine without significant compromise to the spinal canal or exiting nerve roots.2.No compromise to lumbar spinal canal or neural foramina. |
Generate impression based on medical findings. | Lower extremity weakness, concern for cord compression. Compared to 12/29/2014, there is interval increase in destructive changes at the C6-C7 disc level including the adjacent C6 and C7 vertebral bodies with loss of vertebral body height. T2 hyperintensity involving the disc space and bone marrow compatible with edema... | 1. Examination is compared to 12/29/2014. Again seen are endplate destructive changes with edema centered at the C6-C7 level with interval worsening of height loss of the C5 and C6 vertebral bodies and worsened osseous retropulsion. Associated spinal canal stenosis has also worsened and is now severe. There is also new... |
Generate impression based on medical findings. | Persistent neck pain not relieved by physical therapy Examination is mildly motion degraded. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is minimal anterolisthesis of C4 on C5 and minimal retrolisthesis of C5 on C6 and C6 on C7. There is also mil... | 1. Multilevel degenerative changes throughout the cervical spine with mild degree of spinal canal stenosis from the C3-C4 to the C7-T1 levels, relatively worse at the C3-C4, C6-C7 and C7-T1 levels. No cord signal abnormality. There is also significant multilevel neural foraminal stenoses as detailed above. 2. Diffuse o... |
Generate impression based on medical findings. | 24 years Female (DOB:2/16/1992)Reason: Eval tumor progression vs ischemia History: R sided numbness, changes in CT scan, ho anaplastic astrocytomaPROVIDER/ATTENDING NAME: MICHAEL ANDREW WARD SERVICES ANCILLARY There is redemonstration of a cystic appearing lesion centered in the left parietal lobe and measuring 31 x 32... | 1.Since the prior exam the area of diffusion restriction and the associated vasogenic edema located in the posterior aspect of the corpus callosum and in the deep white matter deep to the cystic cavity in the left parietal lobe has expanded. One possibility is that this is related to treatment effect. While another pos... |
Generate impression based on medical findings. | Ms. Racelis-Paradiso is a 52 year old female with recently diagnosed multicentric malignancy of the left breast (12:00 - IDC/ALH, 2:00 - ILC/LCIS). She presents for MRI evaluation. There is heterogeneous amount of fibroglandular tissue in both breasts. Mild background parenchymal enhancement is noted bilaterally.In the... | (1) Multicentric malignancy of the left breast. Biopsy marker clips are separated by approximately 5.7 cm in the AP oblique dimension.(2) No MRI evidence for malignancy in the right breast. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on medical findings. | 35-year-old with history of melanoma with focal nodular hyperplasia on prior exam. Evaluate for interval change. ABDOMEN:LIVER, BILIARY TRACT: Redemonstration of the patient's known left lobe mass which measures 6.3 x 5.6 cm (series 9 image 65), previously 6.5 x 6.0 cm. There is avid early arterial enhancement with del... | 1.Multiple foci of focal nodular hyperplasia which are not significantly changed from prior. No evidence of metastatic disease. |
Generate impression based on medical findings. | 72-year-old woman with history of right radicular leg pain. Five lumbar type vertebral bodies are present on this study. The vertebral body heights are within normal limits. There is slight exaggeration of the lumbar lordosis which may be positional. Lumbar spinal alignment is otherwise normal. Small, scattered foci of... | Mild multilevel degenerative changes without spinal canal stenosis or clear evidence of nerve root impingement. Please see comments above. |
Generate impression based on medical findings. | Migraine and bipolar disorder with an acutely worsened headache over the past month. History of DVT and weight issues. MRI: There is a partially empty sella. There is no evidence of intracranial hemorrhage, mass, or acute infarct. The brain parenchyma appears unremarkable. There is no abnormal intracranial enhancement.... | 1.Nonspecific partially empty sella, which may be a manifestation of pseudotumor cerebri, but no evidence of intracranial hemorrhage, mass, or acute infarct. 2.Enlarged right transverse sinus, sigmoid sinus and right proximal jugular vein with right transosseous venous collaterals likely related to narrowing of the rig... |
Generate impression based on medical findings. | Male, 57 years old, with benign neoplasm of the pituitary gland. The 2 mm hypoenhancing lesion seen on the prior examination within the anterior aspect of the pituitary gland is no longer clearly visualized. The pituitary is otherwise unchanged in appearance. No new mass lesions are suspected. No suprasellar abnormalit... | A small lesion seen previously in the anterior pituitary gland is no longer distinctly visualized. No new pituitary lesions are identified. |
Generate impression based on medical findings. | Pain In Right Leg [M79.604] / Dorsalgia, unspecified [M54.9], Reason for Study: ^Reason: R/O compressed or irritated nerve root History: Right lateral leg pain numbness, originally starting in the lower back now mostly involving the leg For the purpose of this dictation, the lowest visualized intervertebral disc space ... | 1. Grade 1 anterolisthesis of L4 on L5 with minimal to mild spinal canal stenosis at the level.2. Multilevel various degree degenerative changes of intervertebral discs and facet joints as described above including L45 right side synovial cyst. |
Generate impression based on medical findings. | Pain in left knee, evaluate meniscus MENISCI: There is blunting of the free edge of the body of the medial meniscus as well as the posterior horn near its root. There is also a defect of the undersurface of the inner half of the posterior horn of the medial meniscus. There is a small focus of low signal intensity situa... | Complex tear of the medial meniscus with displaced flap fragment and other findings as described above. |
Generate impression based on medical findings. | 9-year-old male with ALL on steroids, rule out AVN Right ankle: Confluent increased T2 and decreased T1 signal within the proximal aspect of the cuboid without discrete fracture line may represent a healing nondisplaced fracture or stress reaction. Multiple additional scattered foci of increased STIR signal within the ... | Signal abnormality involving the right cuboid, which may represent a healing nondisplaced fracture or stress reaction. Right foot radiographs may be considered to evaluate for healing if clinical warranted. |
Generate impression based on medical findings. | History of lumbar lipomyelomeningocele repair and hemangioma on the back. Assess for hydrocephalus and cord tethering. BRAIN: The ventricular system is not enlarged. There are foci of susceptibility effect in the posterior right inferior temporal sulcus, left collateral sulcus, and right cerebellar tonsil. There is no ... | 1.No hydrocephalus, acute intracranial hemorrhage, or acute infarct. Tiny foci of susceptibility effect involving the temporal lobes and the right cerebellar tonsil may represent cortical mineralization from previous ischemia, infection, or hemorrhage. 2.Postoperative findings related to repair of the lipomyelomeningoc... |
Generate impression based on medical findings. | 46-year-old male with posterior medial knee pain. Evaluate for meniscus or chondral injury. MENISCI: There is increased signal abnormality within the posterior horn of the medial meniscus consistent with intrasubstance degeneration. The medial meniscus appears intact. The lateral meniscus appears intact.ARTICULAR CARTI... | Articular cartilage degeneration most pronounced along the patellofemoral joint which has progressed slightly when compared to the prior study. |
Generate impression based on medical findings. | 55 year old with strong family history of breast cancer, brother with breast cancer at age 56, mother with breast cancer at age 84, and paternal grandmother with breast cancer. There is heterogeneous amount of fibroglandular tissue in both breasts.Minimal parenchymal enhancement is noted bilaterally.There are a few cys... | No MRI evidence for malignancy. BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on medical findings. | 47-year-old female with shoulder pain for weeks and limited range of motion. Evaluate for rotator cuff tear versus adhesive capsulitis. ROTATOR CUFF: There is increased signal abnormality within the supraspinatus indicating mild tendinosis. The supraspinatus muscle and tendon appear intact. The infraspinatus muscle and... | 1. Supraspinatus tendinosis without evidence of a full-thickness rotator cuff tear. 2. Findings suspicious for a posterosuperior labral tear. This could be further evaluated with a dedicated MRI arthrogram if clinically warrented. |
Generate impression based on medical findings. | Elevated PSA. No pathology available.October of 2015 was found to have a PSA of 36 ng/mL. In November it was repeated and found to be 41 ng/mL. In September of 2015, he underwent a transrectal ultrasound-guided biopsy which showed no evidence of cancer. Hesubsequently underwent an MRI on November 25, 2015, which sugges... | Dominant 2.1 cm lesion in the mid-portion of the right mid-gland with suspected right anterolateral extraprostatic extension. |
Generate impression based on medical findings. | Spinal stenosis lumbar region. Neurogenic claudication. Idiopathic scoliosis and kyphoscoliosis. There is straightening of lumbar lordosis. Five lumbar type vertebral bodies are presumed to be present. Vertebral body heights are within normal limits. There is moderate narrowing of the L2-L3 through L4-L5 discs with dis... | 1.Multilevel lumbar spondylotic changes with findings most conspicuous and minimally progressed at L3-L4 resulting in moderate central spinal canal stenosis as well as mild to moderate left and mild right foraminal stenosis.2.Rounded T2 hyperintense areas in the bilateral kidneys statistically representing cysts. Ultra... |
Generate impression based on medical findings. | Ataxia There is focal low signal intensity lesion on both T1 and T2 weighted images on the left cerebellar hemisphere with surrounding FLAIR high signal intensities indicating associated encephalomalacia. The gradient echo images were non diagnostic to characterize this lesion due to significant metallic artifacts. Com... | 1, Moderate to severe nonspecific small vessel ischemic disease, as described above.2, No evidence of acute ischemic or hemorrhagic lesion on this scan.3. Left cerebellar hemispheric lesion, either cavernoma or calcifications, no change since 2003.4, Benign appearing right parotid gland superficial lobe mass lesion mos... |
Generate impression based on medical findings. | History of hepatitis C. Multiple liver lesions previously characterized as multifocal hepatocellular carcinoma on imaging. ABDOMEN:LIVER, BILIARY TRACT: Cirrhotic nodular liver morphology.Since the prior study there has been significant increase in size of the previously measured liver mass and multiple new and enlargi... | Interval increase in the large lateral segment reference mass and increase in size and number of numerous additional liver masses compatible with progression of multifocal hepatocellular carcinoma.The portal vein is poorly demonstrated. If there is clinical concern for occlusion an ultrasound may be considered.Cholelit... |
Generate impression based on medical findings. | History of IPMN status post distal pancreatectomy and splenectomy. Evaluate for recurrence. 11/25/2009 Pathology demonstrated side-branch IPMN and chronic pancreatitis. ABDOMEN:LIVER, BILIARY TRACT: Lobular dilatation of the common bile duct is not significantly changed in caliber or morphology. No filling defect, stri... | 1. Interval increase in residual pancreatic ductal dilatation, now measuring up to 6 mm without a focal lesion evident. This may be related to chronic pancreatitis and worsening stricturing although a main duct IPMN cannot be entirely excluded. 2. Stable to decreased size of punctate cystic pancreatic parenchymal foci.... |
Generate impression based on medical findings. | Anaplastic oligodendroglioma, WHO grade III status post treatment: surveillance. There are postoperative findings related to subtotal right frontal tumor resection, with a 5 mm wide extra-axial residual fluid collection anteriorly. There is interval increase in size of heterogeneously enhancing tumor with punctate foci... | Postoperative findings related to subtotal right frontal tumor resection with interval increase in size of tumor along the surgical margins, as well as the extensive surrounding edema and/or non-enhancing tumor infiltration with approximately 10 mm of midline shift. |
Generate impression based on medical findings. | The thoracic spine is in normal alignment, with a normal thoracic kyphosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. The spinal cord is of normal caliber and signal.There is no significant disk bulge, herniation, spinal canal or foraminal ste... | 1. Stable lipomyelomeningocele within the spinal canal at L3-L5 levels.2. Unchanged cystic lesion along the right lateral spinal canal at L3-L4.3. Stable ventral motion of the thoracolumbar spinal cord at T11-L2, below which distal cord and conus is tethered.I personally reviewed the Images and/or procedure with the Re... |
Generate impression based on medical findings. | History of left temporal lobe from meningioma resection, auditory and visual hallucinations, suspicious for encephalitis. No evidence of acute ischemic or hemorrhagic lesion.There is about 4mm sized intensely enhancing area (series 901, image 113/300) on the right basal ganglia, likely globus pallidus on enhancement. H... | 1. No evidence of acute ischemic or hemorrhagic lesion. 2. Focal intensely enhancing area on the right basal ganglia which likely represent vascular structure such as dilated venous structure. 3. Post resection status of the left temporal area meningioma with post operative changes, no interval change since prior exam.... |
Generate impression based on medical findings. | The left face arm and leg weakness and paresthesia with rapid improvement. No evidence of acute ischemic or hemorrhagic lesion.Multifocal patchy high signal intensities on bilateral periventricular white matter indicate non specific small vessel disease.The ventricles, sulci and cisterns are symmetric and unremarkable.... | 1. No evidence of acute ischemic or hemorrhagic lesion on this scan.2. Multifocal intracranial arterial luminal stenosis, right MCA proximal M1 (less than 50% stenosis) and left distal ICA (more than 50% stenosis). 3. Normal extracranial craniocervical arterial system. Comment: although the patient appears to be asympt... |
Generate impression based on medical findings. | Right knee pain No fracture or malalignment. No joint space narrowing. Moderate to large joint effusion. Please see recent prior knee MRI for details. | No fracture or malalignment. |
Generate impression based on medical findings. | 10-week-old female with a history of nonaccidental trauma resulting in large subdural hematoma, parenchymal hemorrhage, and possibility of hypoxic ischemic follow-up. There are diffuse areas of T2 hyperintensity and gyriform T1 hyperintensity throughout much of the left cerebral hemisphere and in the right occipital an... | 1. Extensive areas of infarction involving the left greater than right cerebral hemispheres, which are likely late subacute to chronic, with associated cortical laminar necrosis and early Wallerian degeneration throughout the corpus callosum, along the left posterior internal capsule, and in the left temporal stem. The... |
Generate impression based on medical findings. | 55 year-old female. Knee pain, instability, falls. MENISCI: Complete radial tear of the medial meniscal body with 4 mm of medial extrusion . Globular signal abnormality within this meniscus consistent with underlying degeneration. Lateral meniscus is intact.ARTICULAR CARTILAGE AND BONE: Full thickness cartilage loss of... | 1. Complete radial tear of a degenerated medial meniscus with associated extrusion.2. Moderate osteoarthritis most severe in the medial tibiofemoral compartment with areas of full thickness cartilage loss.3. Moderate knee joint effusion. |
Generate impression based on medical findings. | Neck pain. Postop cervical laminoplasty. There are postsurgical changes of cervical laminoplasty, resulting in overall increase of caliber of the spinal canal from C3 to C7. Small pockets of air, fluid density, and soft tissue edema related to the recent surgery are noted.Residual degenerative disease with disk -osteop... | Expected postsurgical changes, and residual degenerative disease of cervical spine as described above. |
Generate impression based on medical findings. | 58 years Male (DOB:8/3/1958)Reason: AA. s/p resection in 2013, then RT/TMZ. History: AA.PROVIDER/ATTENDING NAME: RIMAS V. LUKAS RIMAS V. LUKAS The patient is status post right frontal lobe surgery for tumor removal. There is local gliosis and volume loss at the right frontal lobe surgical site which involves superior f... | There is no evidence for local recurrence of the patient's right frontal lobe neoplasm on the current exam. |
Generate impression based on medical findings. | Reason: Gall stone pancreatitis History: Pancreatitis ABDOMEN:LIVER, BILIARY TRACT: Subcentimeter T2 hyperintensity, likely a cyst. Common bile duct appears normal without stones.SPLEEN: No significant abnormality noted.PANCREAS: There is a multiloculated cystic lesion within the lesser sac along the lesser curvature w... | 1.Pseudocyst formation within the lesser sac, similar to the prior CT.2.Abnormal signal and adjacent edema in the pancreatic tail is suggestive of acute pancreatitis.3.Focal narrowing in the pancreatic head with associated ductal dilatation, likely representing a stricture. |
Generate impression based on medical findings. | Internuclear ophthalmoplegia. There are numerous, greater than 10, T2 hyperintense white matter and thalamic lesions, including a lesion in the posterior midbrain, around the midline, and left paramedial posterior pons. Many of the lesions display low T1 signal, but no associated enhancement. There is no evidence of in... | 1. Findings compatible with demyelinating lesions suggestive of multiple sclerosis with involvement of the medial longitudinal fasciculus, which could account for the internuclear ophthalmoplegia.2. Nonspecific flattening of the pituitary gland, which can be a manifestation of pseudotumor cerebri. |
Generate impression based on medical findings. | Chronic neck pain with intermittent numbness in the upper extremities. Follow-up cervical spondylosis. Craniovertebral junction appears within normal limits. The cervical vertebral bodies are appropriate in height. There is kyphosis of the cervical spine with apex at C5-C6 similar to prior. There is also minimal C4 on ... | 1. Mild to moderate multilevel degenerative changes throughout the cervical spine without high-grade spinal canal or high-grade neural foraminal stenosis at any level.2. Motion degradation on the current study somewhat limits assessment however there is no gross change since prior MRI from 6/7/2012.3. Additional detail... |
Generate impression based on medical findings. | Reason: sah. eval for aneursym History: sah . Diabetes, Chronic renal insufficiency, hypertension, peripheral vascular disease. patient states he has had issues with the LUE in terms of weakness. MRI of the brainSeveral foci of punctate sized diffusion restriction are present one is located in the right centrum semiova... | 1.There is a small right cavernous cave aneurysm present which originates below the level of the ophthalmic artery and is directed into the cavernous sinus.2.There are several punctate foci of cerebral infarction scattered in multiple territories as detailed above which includes left cerebellar hemisphere, left occipit... |
Generate impression based on medical findings. | Pituitary tumor surveillance and history of prior infarcts. Pituitary: There are postoperative findings related to transsphenoidal surgery. There is an enhancing mass arising from the pituitary that measures up to 19 mm in craniocaudal dimension, previously 16 mm. The tumor protrudes into the left cavernous sinus, but ... | 1. Interval increase in size of the pituitary macroadenoma.2. Chronic right pons, right cerebellar hemisphere, and right basal ganglia lacunar infarcts superimposed upon a background of chronic small vessel ischemic disease. |
Generate impression based on medical findings. | 49-year-old woman with history of recurrent urinary tract infections, please evaluate for urethral diverticula. PELVIS:UTERUS, ADNEXA: Retroverted, retroflexed uterus. The junctional zone is thickened measuring up to 18 mm. Small nabothian cysts noted (601/60).BLADDER: No significant abnormality noted. Specifically, th... | 1.No urethral diverticulum or finding to explain the patient's symptoms.2.Thickened uterine junctional zone which can be seen in adenomyosis. |
Generate impression based on medical findings. | Images are limited by extensive patient motion and areas of incomplete fat saturation on post contrast imaging. There is asymmetric thickened and enhancing posterior hypopharyngeal soft tissue from the upper C3 to C3-C4 levels more prominent to the right of midline, at the approximate level of the anterior hyoid bone.... | 1. Severely limited exam due to extensive patient motion and areas of incomplete fat saturation. Abnormal signal and enhancement within the right paracentral and midline posterior hypopharyngeal soft tissues extending to the mucosal surface at the C3 to C3-C4 level. This correlates with previous area of increased uptak... |
Generate impression based on medical findings. | 46-year-old female who had abdominal wound breakdown 4 months ago. Presenting with increasing pain. ABDOMEN:LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant a... | Interval resolution of postsurgical changes in the pelvis and anterior abdominal wall. There is some residual soft tissue density in the lower pelvic anterior abdominal wall. Pelvic MRI may be helpful for better characterization of this soft tissue density and to rule out endometrioma, if clinically indicated.Persisten... |
Generate impression based on medical findings. | SCLC s/p resection and WBRT. The images are degraded by patient motion. There are postoperative findings related to left occipital craniotomy and lesionectomy. There is newly apparent subcentimeter enhancement along the anterior medial aspect of the surgical cavity. There is persistent confluent high T2 signal surround... | Post-treatment findings with newly apparent subcentimeter enhancement along the anterior medial aspect of the surgical cavity, which may represent tumor recurrence or treatment effects. |
Generate impression based on medical findings. | Chiari malformation, concern for syrinx. The cerebellar tonsils have a pointed morphology and extend up to 20 mm inferior to the foramen magnum. There is interruption of cerebrospinal fluid flow across the foramen magnum. However, the spinal cord displays normal signal and morphology. The vertebral column alignment is ... | Low-lying cerebellar tonsils compatible with Chiari I malformation, but no evidence of cervical syrinx. |
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