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abdominal aorta The aorta tapers appropriately.
aortic calcifications Aortic and other vascular calcifications are noted.
appendicitis 1 There is fat stranding around thickened appendix. No evidence of periappendiceal abscess is demonstrated.
appendicitis 2 There is fat stranding around thickened appendix. Periappendiceal abscess is present.
appendix The appendix is unremarkable.
Bones The osseous structures are unremarkable.
Cholecystectomy bile 1 Mild extrahepatic biliary dilatation is consistent with patient's post cholecystectomy status.
Cholecystectomy bile 2 Mild intrahepatic and extrahepatic biliary dilatation is consistent with patient's post cholecystectomy status.
Circumaortic renal Circumaortic left renal veins are present.
diverticulitis sigmoid 1 There is fat stranding around the sigmoid colon, which contains diverticula. No evidence of pericolonic abscess is demonstrated.
diverticulitis sigmoid 2 There is fat stranding around the sigmoid colon, which contains diverticula. Pericolonic abscess is present.
diverticulosis no contrast There is diverticulosis of the colon. No gross evidence of acute diverticulitis is demonstrated.
diverticulosis There is diverticulosis of the colon. No evidence of acute diverticulitis is demonstrated.
Gallbladder out The patient is status post cholecystectomy. The liver, pancreas, spleen, and adrenal glands are unremarkable.
Large fecal Large amount of fecal material in the colon is present.
Large hiatal hernia Large hiatal hernia is noted.
lymph nodes No large or necrotic appearing lymph nodes are demonstrated.
mesentery reactive right Slightly prominent lymph nodes in the right lower mesentery are likely reactive.
moderate fecal Moderate amount of fecal material in the colon is present.
portal vein Portal vein is unremarkable.
post cholecystectomy Patient is status post cholecystectomy.
PSA abdomen The pancreas, spleen and adrenal glands are unremarkable.
renal vein aorta Retroaortic left renal vein is present.
severe fecal Large amount of fecal material in the colon is present.
Small inguinal fat bilateral Small, fat-containing bilateral inguinal hernias are noted.
Small inguinal fat left Small, fat-containing left inguinal hernia is present.
Small inguinal fat right Small, fat-containing right inguinal hernia is present.
soft tissues The soft tissues are unremarkable.
unremarkable bowel The bowel is unremarkable as visualized.
upper abdomen The liver, gallbladder, pancreas, spleen, and adrenal glands are unremarkable.
Vascular calcifications Vascular calcifications are noted.
adrenal adenoma left The imaging characteristics of small nodule in the left adrenal gland are consistent with a benign adenoma.
adrenal adenoma right The imaging characteristics of small nodule in the right adrenal gland are consistent with a benign adenoma.
adrenal hyperplasia bilateral Bilateral adrenal hyperplasia is noted.
the largest The largest of these measures
borderline heart The heart size is borderline.
chest upper abdomen The structures in the upper abdomen are unremarkable as visualized.
granulomatous hilum left There is evidence for previous granulomatous disease in the left hilum.
granulomatous hilum right There is evidence for previous granulomatous disease in the right hilum.
large pleural effusion left There is a large left pleural effusion.
large pleural effusion right There is a large right pleural effusion.
Large PVC Severe pulmonary vascular congestion is noted.
Mild PVC Mild pulmonary vascular congestion is noted.
moderate pleural effusion left There is a moderate left pleural effusion.
moderate pleural effusion right There is a moderate right pleural effusion.
Moderate PVC Moderate pulmonary vascular congestion is noted.
pacemaker left Left sided pacemaker is noted.
pulmonary hypertension Prominent central pulmonary arterial structures suggest possibility of pulmonary hypertension.
small pleural effusion left There is a small left pleural effusion.
small pleural effusion right There is a small right pleural effusion.
trauma mediastinum fat Fat stranding in the upper mediastinum is consistent with fat contusion. No evidence of active mediastinal hemorrhage is demonstrated.
trauma mediastinum young Fat stranding in the upper mediastinum may represent residual thymic tissue or fat contusion. No evidence of active mediastinal hemorrhage is demonstrated.
viral chest Bilateral perihilar peribronchial thickening is consistent with a viral process or reactive airway disease.
DJD anterolisthesis demonstrates Grade I anterolisthesis, which is most likely degenerative.
DJD posterolisthesis demonstrates Grade I posterolisthesis, which is most likely degenerative.
inferior stone mild left stone in the inferior left ureter results in mild left sided hydronephrosis.
inferior stone mild right stone in the inferior right ureter results in mild right sided hydronephrosis.
inferior stone mild to moderate left stone in the inferior left ureter results in mild to moderate left sided hydronephrosis.
inferior stone mild to moderate right stone in the inferior right ureter results in mild to moderate right sided hydronephrosis.
infrarenal triple A infrarenal abdominal aortic aneurysm demonstrates no evidence of acute rupture.
ovarian cyst is consistent with an ovarian cyst.
statistical multiple renal cysts statistically most likely represent renal cysts.
statistical renal cyst statistically most likely represents renal cyst.
Reverse shoulder Reverse shoulder arthroplasty hardware demonstrates no evidence of complications.
DJD first MCP degenerative changes in the first metacarpophalangeal joint.
DJD first MTP degenerative changes in the first metatarsophalangeal joint.
DJD hip left degenerative changes in the left hip.
DJD hip right degenerative changes in the right hip.
DJD hips bilateral degenerative changes in the hip joints.
DJD interphalangeal Scattered degenerative changes in the interphalangeal joints.
DJD multilevel There are multilevel degenerative disk changes.
DJD SI joint left Degenerative changes in the left sacroiliac joint are noted.
DJD SI joint right Degenerative changes in the right sacroiliac joint are noted.
DJD SI joints bilateral Degenerative changes in the sacroiliac joints are noted.
DJD spine There are multilevel degenerative changes in the spine.
DJD triscaphe Degenerative changes in the triscaphe joint are noted.
adenoids physical Non-specific prominence of nasopharyngeal adenoidal tissues. Please correlate with physical examination.
adenoids reactive Prominent, but symmetric nasopharyngeal adenoidal tissues are most likely reactive.
carotid calcifications bilateral Bilateral carotid calcifications are noted.
carotid calcifications left Left carotid calcifications are noted.
carotid calcifications right Right carotid calcifications are noted.
mandible Mandible is unremarkable.
nasal bones Nasal bones are unremarkable.
Nasal septum Nasal septum is unremarkable.
opacified mastoid bilateral Mastoid air cells are opacified bilaterally.
opacified mastoid left Left mastoid air cells are opacified.
opacified mastoid right Right mastoid air cells are opacified.
orbits Orbits are unremarkable.
Osseous orbits Osseous orbits are unremarkable.
paranasal sinus disease Mucosal thickening in the paranasal sinuses is noted.
Paranasal sinuses The paranasal sinuses are well aerated.
partially opacified mastoid bilateral Mastoid air cells are partially opacified bilaterally.
Partially opacified mastoid left Left mastoid air cells are partially opacified.
partially opacified mastoid right Right mastoid air cells are partially opacified.
retention cyst maxillary left Mucosal retention cyst in the left maxillary sinus.
retention cyst maxillary right Mucosal retention cyst in the right maxillary sinus.
skull base Skull base is unremarkable as visualized.
Small thyroid cyst or nodule left Small left thyroid cyst or nodule is noted.
Small thyroid cyst or nodule right Small right thyroid cyst or nodule is noted.
Small thyroid cysts or nodules bilateral Small bilateral thyroid cysts or hypodense nodules are present.
thick ethmoidal bilateral Mucosal thickening in the ethmoidal air cells is noted bilaterally.
thick ethmoidal left Mucosal thickening in the left ethmoidal air cells is noted.
thick ethmoidal right Mucosal thickening in the right ethmoidal air cells is noted.
thick frontal bilateral Mucosal thickening in the frontal sinuses is noted bilaterally.
thick frontal left Mucosal thickening in the left frontal sinus is noted.
thick frontal right Mucosal thickening in the right frontal sinus is noted.
thick maxillary bilateral Mucosal thickening in the maxillary sinuses is present bilaterally.
thick maxillary left There is mucosal thickening in the left maxillary sinus.
thick maxillary right There is mucosal thickening in the right maxillary sinus.
thick paranasal sinuses Mucosal thickening in the paranasal sinuses is present.
thick sphenoid Mucosal thickening in the sphenoid sinus is present.
TMJ Temporomandibular joints are unremarkable as visualized.
zygoma Zygoma are intact.
Basal ganglia calcium bilateral Bilateral basal ganglia calcifications are present.
Basal ganglia lacunes bilateral Prominent perivascular spaces or old lacunar infarcts in the basal ganglia bilaterally.
Basal ganglia lacunes left Prominent perivascular spaces or old lacunar infarcts in the left basal ganglia.
Basal ganglia lacunes right Prominent perivascular spaces or old lacunar infarcts in the right basal ganglia.
Brain arteries Internal carotid arteries; anterior, middle and posterior cerebral arteries; and basilar artery are patent and demonstrate no evidence of aneurysm or stenosis.
generalized brain atrophy The calibers of ventricles, sulci and basal cisterns are diffusely prominent.
gray-white Gray-white matter differentiation is preserved.
head soft tissues Extracranial soft tissues are unremarkable.
head ventricles The calibers of ventricles, sulci and basal cisterns are within normal limits.
microvascular white matter Bilateral hypodensities in the white matter are consistent with chronic microvascular ischemic changes.
vascular calcium brain Intracranial vascular calcifications are noted.
cardiomediastinal silhoutte The cardiomediastinal silhouette is unremarkable.
coronary calcifications Coronary arterial calcifications are present.
heart The heart and great vessels are unremarkable.
Large cardiomegaly Severe cardiomegaly is present.
Large pericardial effusion Large pericardial effusion is noted.
Mild cardiomegaly Mild cardiomegaly is present.
Mild pericardial effusion Small pericardial effusion is noted.
Moderate cardiomegaly Moderate cardiomegaly is present.
Moderate pericardial effusion Moderate pericardial effusion is noted.
Normal heart size The heart size is normal.
colon screening Correlation with colon screening studies will be needed after treatment as other etiologies may have similar appearance.
Critical finding The findings and impression for this study were discussed with <> at <>.
if pain persists If pain persists, follow up radiographs in 2 to 3 weeks should be obtained.
Impression Generalized brain atrophy Generalized brain atrophy.
Impression microvascular white matter Findings consistent with chronic microvascular ischemic changes in the white matter.
Impression no c spine fracture No evidence of acute cervical spine fracture.
Impression no facial fracture No evidence of acute facial fracture.
Impression no fracture No evidence of acute fracture or dislocation.
impression no head bleed No evidence of acute intracranial hemorrhage.
impression no large PE No evidence of large pulmonary embolus. The smaller pulmonary arterial branches are not well delineated.
Impression no PE No evidence of pulmonary embolus.
Impression patulous appendix Nonspecific relatively dilated appearance of the appendix. This may represent patulous appendix. However, possibility of early appendicitis can not be entirely excluded.
Impression transitional Transitional lumbosacral anatomy.
impression unremarkable brain CT Unremarkable CT appearance of the brain.
Incidental finding Incidental finding of
likelihood remote The likelihood that this represents significant pathology is extremely remote.
no abdomen injury No evidence of acute intra-abdominal injury.
no abdomen pelvis injury No evidence of acute intra-abdominal or intra-pelvic injury.
no chest abdomen pelvis injury No evidence of acute intra-thoracic, intra-abdominal or intra-pelvic injury.
no chest injury No evidence of acute intra-thoracic injury.
no pelvis injury No evidence of acute intra-pelvic injury.
other findings Other findings as detailed above.
other incidental Other incidental findings as detailed above.
other numerous Numerous other findings as detailed above.
Spine CT or MR Please note that CT and MRI are more sensitive modalities for detection of subtle spine injuries and other abnormalities.
stroke not excluded Please note that the possibility of acute ischemic event cannot be excluded by head CT.
unremarkable brain CT Unremarkable CT appearance of the brain.
kidneys contrast There is no evidence of hydronephrosis or renal mass.
kidneys no contrast There is no evidence of hydronephrosis or nephrolithiasis.
patulous renal pelvis left Left renal pelvis is somewhat patulous. No definitive evidence of hydronephrosis.
patulous renal pelvis right Right renal pelvis is somewhat patulous. No definitive evidence of hydronephrosis.
Perinephric fat stranding bilateral Bilateral perinephric fat stranding is noted.
small renal stone left Small left renal stone is present.
small renal stone right Small right renal stone is present.
small renal stones bilateral Small bilateral renal stones are present.
fatty liver There is diffuse fatty infiltration of the liver.
granulomatous liver There is evidence for previous granulomatous disease in the liver.
Mild fatty liver Mild diffuse fatty infiltration of the liver is noted.
Moderate fatty liver Moderate diffuse fatty infiltration of the liver is noted.
Severe fatty liver Severe diffuse fatty infiltration of the liver is noted.
Small hepatic cyst or hemangioma left Non-specific small hypodense left hepatic lesion statistically most likely represents cyst or hemangioma.
Small hepatic cyst or hemangioma right Non-specific small hypodense right hepatic lesion statistically most likely represents cyst or hemangioma.
Small hepatic cysts or hemangiomas There are non-specific small hypodensities in the liver parenchyma that statistically most likely represent cysts, hemangiomas or combination of both.
Dependent atelectasis bilateral Minimal posterior dependent atelectasis is present in both lung bases.
Dependent atelectasis left Minimal posterior dependent atelectasis is present in the left lung base.
Dependent atelectasis right Minimal posterior dependent atelectasis is present in the right lung base.
Lingula scarring Minimal atelectasis or scarring in the lingula is present.
lung bases The lung bases are unremarkable.
lungs The lungs are clear.
Mild pulmonary atelectasis bilateral Mild atelectasis in both lower lungs is present.
mild pulmonary atelectasis left Mild atelectasis in the left lower lung is present.
mild pulmonary atelectasis right Mild atelectasis in the right lower lung is present.
Pulmonary atelectasis bilateral Atelectasis in the lung bases is present bilaterally.
pulmonary atelectasis left Atelectasis in the left lung base is present.
pulmonary atelectasis right Atelectasis in the right lung base is present.
small peripheral nodule left Incidental nonspecific small peripheral left lung nodule.
small peripheral nodule right Incidental nonspecific small peripheral right lung nodule.
no contrast Please note that the fine details are not well delineated on this non contrast study.
No fracture There is no evidence of acute fracture or dislocation. The soft tissues are unremarkable.
no markers The exact area of clinical concern was not indicated.
No neuroforaminal narrowing No evidence of neuroforaminal narrowing is demonstrated.
No outside report This is a secondary interpretation of outside study as requested by clinician. The primary outside report is not available at the time of study review.
no appendix no contrast The appendix is not demonstrated.
No appendix The appendix is not demonstrated. No secondary signs of acute appendicitis are present.
no bowel obstruction There is no evidence of bowel obstruction.
No diverticulosis No colonic diverticulosis is demonstrated.
no free air There is no evidence of free intra abdominal air.
no gallbladder The liver, pancreas, spleen, and adrenal glands are unremarkable.
no hydronephrosis No evidence of right or left hydronephrosis is demonstrated.
no liver The gallbladder, pancreas, spleen, and adrenal glands are unremarkable.
no spleen The liver, gallbladder, pancreas, and adrenal glands are unremarkable.
No triple A No evidence of abdominal aortic aneurysm is demonstrated.
no acute chest No evidence of acute cardiopulmonary disease.
no aortic dissection No evidence of aortic dissection is demonstrated.
no consolidations No acute pulmonary consolidations are demonstrated.
no large PE There are no gross filling defects in the pulmonary arterial vessels to suggest presence of large pulmonary embolism. The smaller pulmonary arterial branches are not well delineated on this study due to suboptimal opacification by contrast material.
no PE There are no filling defects in the pulmonary arterial vessels to suggest presence of pulmonary embolism.
no pericardial effusion There is no evidence of pericardial effusion.
no pleural effusions There is no evidence of pleural effusions.
no pneumothorax No evidence of pneumothorax is demonstrated.
No pulmonary edema There is no evidence of pulmonary edema.
no head bleed No evidence of acute intracranial hemorrhage is demonstrated.
no mesial temporal sclerosis No evidence of mesial temporal sclerosis is demonstrated.
no midline shift There is no shift of midline intracranial structures.
No stroke No evidence of acute or subacute stroke.
no etiology No etiology to explain patient's symptoms is demonstrated on this study.
no free fluid There is no evidence of free pelvic fluid.
no ovarian torsion Vascular flow is demonstrated in both ovaries.
No ureteral stones No radiopaque ureteral stones are demonstrated.
Pancreas ultrasound The visualized portion of the pancreas is unremarkable.
pelvic phleboliths Pelvic phleboliths are noted.
physiologic fluid Small amount of free pelvic fluid is likely physiologic.
small pelvic fluid Small amount of free pelvic fluid is present.
prostate calcifications Prostatic calcifications are noted.
prostate large The prostate is prominent.
prostate The prostate and seminal vesicles are unremarkable.
prostatic calcifications Prostatic calcifications are noted.
CR Ankle
FINDINGS:
There is no evidence of acute fracture or dislocation.
Ankle mortise joint is unremarkable.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the ankle.
CR Acute abdominal series
FINDINGS:
There is no evidence of acute cardiopulmonary disease. 
No evidence of free intra abdominal air is demonstrated. 
The bowel gas pattern is non-obstructive. 
No radiopaque nephroliths are demonstrated.

IMPRESSION:
Non-obstructive bowel gas pattern.
CR Abdomen 1 view
FINDINGS:
There is no gross evidence of free intra abdominal air. 
The bowel gas pattern is non-obstructive.
No radiopaque nephroliths are demonstrated. 

IMPRESSION:
Non-obstructive bowel gas pattern.
CR C-spine
FINDINGS: 
Prevertebral soft tissues are unremarkable.
Vertebral body heights are maintained.
There is no evidence of spondylolisthesis.
Intervertebral disk spaces are unremarkable.
Posterior elements are unremarkable.

IMPRESSION:
Unremarkable radiographs of the cervical spine.
CR C-spine
FINDINGS: 
Prevertebral soft tissues are unremarkable.
Vertebral body heights are maintained.
There is no evidence of spondylolisthesis.
Intervertebral disk spaces are unremarkable.
Posterior elements are unremarkable.

IMPRESSION:
Unremarkable radiographs of the cervical spine.
CR Chest 1 view
FINDINGS:
Frontal view of the chest demonstrates no evidence of pneumothorax.
The cardiomediastinal silhouette and pulmonary vasculature are unremarkable.
No evidence of pulmonary edema.
No acute pulmonary consolidations are demonstrated.
No pleural effusions.
 
IMPRESSION:
No evidence of acute cardiopulmonary disease.
CR Chest 1 view baby
FINDINGS:
Frontal view of the chest demonstrates no evidence of pneumothorax.
The cardiothymic silhouette and pulmonary vasculature are unremarkable.
No evidence of pulmonary edema.
No acute pulmonary consolidations.
No pleural effusions.
 
IMPRESSION:
No evidence of acute cardiopulmonary disease.
CR Chest 2 views
FINDINGS:
Frontal and lateral views of the chest demonstrate no evidence of pneumothorax.
Cardiomediastinal silhouette and pulmonary vasculature are unremarkable.
No pulmonary edema.
No pleural effusions.
No acute pulmonary consolidations.
 
IMPRESSION:
No evidence of acute cardiopulmonary disease.
CR chest and abdomen baby
FINDINGS:
Frontal view of the chest demonstrates no evidence of pneumothorax.
The cardiothymic silhouette and pulmonary vasculature are unremarkable.
No evidence of pulmonary edema.
No acute pulmonary consolidations.
No pleural effusions.
No evidence of free intra abdominal air.
Non-obstructive bowel gas pattern.
No evidence of pneumatosis intestinalis.
 
IMPRESSION:
Unremarkable radiograph of chest and abdomen.
CR elbow
FINDINGS:
There is no evidence of acute fracture or dislocation.
No elbow joint effusion is demonstrated.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the elbow.
CR femur
FINDINGS:
There is no evidence of acute fracture or dislocation.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the femur.
CR foot
FINDINGS:
There is no evidence of acute fracture or dislocation.
The joints alignment is unremarkable.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the foot.
CR hand
FINDINGS:
There is no evidence of acute fracture or dislocation.
The joint spaces are unremarkable.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the hand.
CR Hip
FINDINGS:
There is no evidence of acute fracture or dislocation. 
The hip joint space is unremarkable.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the hip.
CR Knee
FINDINGS:
There is no evidence of acute fracture or dislocation. 
No evidence of chondrocalcinosis is demonstrated. 
No joint space narrowing is demonstrated.
No evidence of knee joint effusion.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the knee.
CR L-spine
FINDINGS: 
Vertebral body heights are maintained.
There is no evidence of spondylolisthesis.
Intervertebral disk spaces are unremarkable.
Posterior elements are unremarkable.
Paraspinal soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the lumbar spine.
CR Pelvis 1 view
FINDINGS:
There is no evidence of acute fracture.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiograph of the pelvis.
CR Ribs
FINDINGS:
No rib fractures are demonstrated.
No gross osseous lesions are demonstrated. 

IMPRESSION:
Unremarkable ribs x-ray.
CR Sacrum
FINDINGS:
No evidence of acute fracture.
No gross osseous lesions are demonstrated.
The sacroiliac joints are unremarkable.

IMPRESSION:
Unremarkable study.
CR Shoulder
FINDINGS:
No evidence of acute fracture.
There are no degenerative changes in the acromioclavicular joint.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the shoulder.
CR T-spine
FINDINGS: 
Vertebral body heights are maintained.
There is no evidence of spondylolisthesis.
Intervertebral disk spaces are normal.
Posterior elements are unremarkable.
Paraspinal soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the thoracic spine.
CR Tibia Fibula
FINDINGS:
No evidence of acute fracture.
No gross osseous lesions.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the tibia and fibula.
CR Wrist
FINDINGS:
There is no evidence of acute fracture or dislocation.
The joint spaces are unremarkable.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable radiographs of the wrist.
CT Abdomen and Pelvis Female with
TECHNIQUE: CT of the abdomen and pelvis was obtained after administration of intravenous contrast material.

FINDINGS: 
The lung bases are unremarkable.
There is no evidence of free intra abdominal air.
The aorta tapers appropriately. Portal vein is unremarkable.
The liver, gallbladder, pancreas, spleen, and adrenal glands are unremarkable.
There is no evidence of hydronephrosis or renal mass.
The urinary bladder is partially decompressed.
The uterus and adnexa are unremarkable.
There is no evidence of free pelvic fluid.
No colonic diverticulosis is demonstrated.
The appendix is normal.
There is no evidence of bowel obstruction.
No large retroperitoneal, pelvic, inguinal or mesenteric lymph nodes are demonstrated.
The osseous structures are unremarkable.

IMPRESSION:
Unremarkable CT of the abdomen and pelvis.
CT Abdomen and Pelvis Female without
TECHNIQUE: CT of the abdomen and pelvis was obtained without administration of intravenous contrast material.

FINDINGS: 
The lung bases are unremarkable.
There is no evidence of free intra abdominal air.
Please note that the details of solid organs, bowel, soft tissues and vascular structures are not well delineated on this non contrast study.
The aorta tapers appropriately.
The liver, gallbladder, pancreas, spleen, and adrenal glands are grossly unremarkable.
There is no evidence of hydronephrosis or nephrolithiasis.
The urinary bladder is partially decompressed.
The uterus and adnexa are grossly unremarkable.
There is no evidence of free pelvic fluid.
No colonic diverticulosis is demonstrated.
The appendix is unremarkable.
There is no evidence of bowel obstruction.
The osseous structures are unremarkable.

IMPRESSION:
Unremarkable CT of the abdomen and pelvis.
CT Abdomen and Pelvis Male with
TECHNIQUE: CT of the abdomen and pelvis was obtained after administration of intravenous contrast material.

FINDINGS: 
The lung bases are unremarkable.
There is no evidence of free intra abdominal air.
The aorta tapers appropriately. Portal vein is unremarkable. 
The liver, gallbladder, pancreas, spleen, and adrenal glands are unremarkable.
There is no evidence of hydronephrosis or renal mass.
The urinary bladder is partially decompressed.
The prostate and seminal vesicles are unremarkable.
There is no evidence of free pelvic fluid.
No colonic diverticulosis is demonstrated.
The appendix is normal.
There is no evidence of bowel obstruction.
No large retroperitoneal, pelvic, inguinal or mesenteric lymph nodes are demonstrated.
The osseous structures are unremarkable.

IMPRESSION:
Unremarkable CT of the abdomen and pelvis.
CT Abdomen and Pelvis Male without
TECHNIQUE: CT of the abdomen and pelvis was obtained without administration of intravenous contrast material.

FINDINGS: 
<>The lung bases are unremarkable.
There is no evidence of free intra abdominal air.
Please note that the details of solid organs, bowel, soft tissues and vascular structures are not well delineated on this non contrast study.
The aorta tapers appropriately.
The liver, gallbladder, pancreas, spleen, and adrenal glands are grossly unremarkable.
There is no evidence of hydronephrosis or nephrolithiasis.
The urinary bladder is partially decompressed.
The prostate and seminal vesicles are grossly unremarkable.
There is no evidence of free pelvic fluid.
No colonic diverticulosis is demonstrated.
The appendix is unremarkable.
There is no evidence of bowel obstruction.
The osseous structures are unremarkable.

IMPRESSION:
Unremarkable CT of the abdomen and pelvis.
CT C-spine
TECHNIQUE: Cervical spine CT was obtained and reconstructed into axial, coronal and sagittal projection images.

FINDINGS: 
Prevertebral soft tissues are unremarkable.
Vertebral body heights are maintained.
There is no evidence of spondylolisthesis.
No perched or locked facets are demonstrated.
Intervertebral disk spaces are unremarkable.
No evidence of acute fracture is demonstrated.

IMPRESSION: 
Unremarkable CT of the cervical spine.
CT C-spine DJD
TECHNIQUE: Cervical spine CT was obtained and reconstructed into axial, coronal and sagittal projection images.

FINDINGS:
Prevertebral soft tissues are unremarkable.
Vertebral body heights are maintained.
There is no evidence of spondylolisthesis.
No perched or locked facets are demonstrated.
There are multilevel degenerative changes in the cervical spine.
No evidence of acute fracture is demonstrated.

IMPRESSION: 
Multilevel degenerative changes in the cervical spine.
CT Chest Abdomen Pelvis with
TECHNIQUE: CT of the chest, abdomen, and pelvis was obtained after administration of intravenous contrast material.

FINDINGS: 
No large mediastinal, hilar or axillary lymph nodes are demonstrated.
The heart and great vessels are unremarkable.
The lungs are clear.
There is no evidence of pleural effusions.
No evidence of pneumothorax.
There is no evidence of free intra abdominal air.
The aorta tapers appropriately. 
The liver, gallbladder, pancreas, spleen, and adrenal glands are unremarkable.
The kidneys are unremarkable.
Urinary bladder is unremarkable.
There is no evidence of free pelvic fluid.
There is no evidence of bowel obstruction.
No large retroperitoneal, pelvic, inguinal or mesenteric lymph nodes are demonstrated.
The osseous structures are unremarkable.

IMPRESSION:
Unremarkable CT of the chest, abdomen and pelvis.
CT Chest with
TECHNIQUE: CT of the chest was obtained after administration of intravenous contrast material.

FINDINGS: 
The heart and great vessels are unremarkable. 
No large mediastinal, hilar or axillary lymph nodes are demonstrated. 
The lungs are clear.
There is no evidence of pleural effusions.
No evidence of pneumothorax. 
The osseous structures are unremarkable. 

IMPRESSION:
Normal CT of the chest.
CT Chest without
TECHNIQUE: CT of the chest without contrast was obtained.

FINDINGS: 
The heart and great vessels are unremarkable. 
The lungs are clear.
There is no evidence of pleural effusions.
No evidence of pneumothorax.
The osseous structures are unremarkable. 

IMPRESSION:
Normal CT of the chest.
CT face
TECHNIQUE: CT of the face was obtained.

FINDINGS:
The paranasal sinuses are well aerated.
Orbits are unremarkable.
Zygoma are intact.
Pterygoid plates are normal.
Mandible is unremarkable.
Temporomandibular joints are unremarkable as visualized.
Nasal bones and nasal septum are unremarkable.
Skull base is unremarkable as visualized.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable CT of the face.
CT head mild
The calibers of ventricles, sulci and basal cisterns are slightly diffusely prominent.
Minimal bilateral hypodensities in the white matter are consistent with chronic microvascular ischemic changes.
There is no shift of midline intracranial structures.
No evidence of acute intracranial hemorrhage is demonstrated.
The osseous structures are unremarkable.
Extracranial soft tissues are unremarkable.

IMPRESSION:
Mild generalized brain atrophy and findings consistent with mild chronic microvascular ischemic changes in the white matter.
CT head old
TECHNIQUE: Noncontrast head CT was obtained.

FINDINGS: 
The calibers of ventricles, sulci and basal cisterns are diffusely prominent.
Bilateral hypodensities in the white matter are consistent with chronic microvascular ischemic changes.
There is no shift of midline intracranial structures.
No evidence of acute intracranial hemorrhage is demonstrated.
The osseous structures are unremarkable.
Extracranial soft tissues are unremarkable.

IMPRESSION:
Generalized brain atrophy and findings consistent with chronic microvascular ischemic changes in the white matter.
CT head without
TECHNIQUE: Noncontrast head CT was obtained.

FINDINGS: 
The calibers of ventricles, sulci and basal cisterns are within normal limits.
Gray-white matter differentiation is preserved.
There is no shift of midline intracranial structures.
No evidence of acute intracranial hemorrhage is demonstrated.
The osseous structures are unremarkable.
Extracranial soft tissues are unremarkable.

IMPRESSION:
Unremarkable head CT.
CT L-spine
TECHNIQUE: Lumbar spine CT was obtained and reconstructed into axial, coronal and sagittal projection images.

FINDINGS: 
Vertebral body heights are maintained. 
There is no evidence of spondylolisthesis.
Intervertebral disk spaces are unremarkable. 
The posterior elements are unremarkable. 
Paravertebral soft tissues are unremarkable.

IMPRESSION: 
Unremarkable CT of the lumbar spine.
CT Neck With
TECHNIQUE: CT of the neck was obtained after administration of intravenous contrast material.

FINDINGS:

Nasopharynx, oropharynx, parapharyngeal fat planes, hypopharynx, larynx, vocal cords, and trachea are unremarkable.

No large or necrotic appearing cervical lymph nodes are demonstrated.

Thyroid gland is unremarkable.

Submandibular and parotid glands are unremarkable.

The major arterial and venous structures in the neck are unremarkable.

The lung apices are unremarkable.

The osseous structures are unremarkable.


IMPRESSION:
Unremarkable CT of the neck.
CT PE
FINDINGS: 
The heart is unremarkable. 
No gross evidence of aortic dissection is demonstrated.
There are no filling defects in the pulmonary arterial vessels to suggest presence of pulmonary embolism.
No large mediastinal, hilar or axillary lymph nodes are demonstrated. 
The lungs are unremarkable as visualized. 
There is no evidence of pleural effusions.
No evidence of pneumothorax. 
The osseous structures are unremarkable. 

IMPRESSION:
No evidence of acute pulmonary embolus.
CT Sinuses
TECHNIQUE: CT of the paranasal sinuses was obtained.

FINDINGS:
The paranasal sinuses are well aerated.
No evidence of periosteal thickening.
Nasal septum is unremarkable.
The osteomeatal complexes are patent.
Nasal concha are unremarkable.
The soft tissues are unremarkable.

IMPRESSION:
Unremarkable CT of the paranasal sinuses.
CT T-spine
TECHNIQUE: Thoracic spine CT was obtained and reconstructed into axial, coronal and sagittal projection images.

FINDINGS: 
Vertebral body heights are maintained.
There is no evidence of spondylolisthesis.
Intervertebral disk spaces are unremarkable.
The posterior elements are unremarkable.
No evidence of acute fracture is demonstrated.
Paravertebral soft tissues are unremarkable.

IMPRESSION: 
Unremarkable CT of the thoracic spine.
CT temporal bones
TECHNIQUE: CT of the temporal bones was obtained without administration of intravenous contrast material.

FINDINGS: 
Right ear:
External auditory canal is unremarkable.
Tympanic membrane, malleus, incus and stapes are unremarkable.
Middle ear cavity is well-aerated.
Cochlea, semicircular canals and internal auditory canal are unremarkable.
No evidence of semicircular canal dehiscence.
There is no evidence of aqueduct widening.
Facial nerve canal is unremarkable as visualized.

Left ear:
External auditory canal is unremarkable.
Tympanic membrane, malleus, incus and stapes are unremarkable.
Middle ear cavity is well-aerated.
Cochlea, semicircular canals and internal auditory canal are unremarkable.
No evidence of semicircular canal dehiscence.
There is no evidence of aqueduct widening.
Facial nerve canal is unremarkable as visualized.

IMPRESSION:
Unremarkable CT of the temporal bones.
MRA brain
Internal carotid; anterior cerebral, middle cerebral, posterior cerebral; and basilar artery are patent and demonstrate no evidence of narrowing or aneurysm.
MRI Ankle
FINDINGS: 
Tendons:
Achilles tendon is normal in size, shape and signal characteristics.
Flexor tendons are unremarkable.
Extensor tendons are unremarkable.
Peroneal tendons are unremarkable.

Plantar fascia:
Plantar fascia is normal in thickness and signal characteristics.

Ligaments:
Medial collateral ligaments are intact. Spring ligament is unremarkable.
Anterior talofibular ligament is unremarkable.
Posterior talofibular ligament is unremarkable.
The visualized portion of the calcaneofibular ligament is unremarkable.
Distal anterior tibiofibular ligament is unremarkable as visualized.
Distal posterior tibiofibular ligament is unremarkable as visualized.

Joint fluid:
There is no evidence of ankle or subtalar joint effusions.

Sinus tarsi:
Normal fat signal is demonstrated in the sinus tarsi.

Osseous structures and cartilage:
No osteochondral defects along the talar dome are demonstrated.

IMPRESSION:
Normal MRI of the ankle.
MRI C spine without
TECHNIQUE: MRI of the cervical spine without contrast was obtained.

FINDINGS:
The visualized portion of the spinal cord is unremarkable.
No evidence of spondylolisthesis. No disk height loss.
At the C2/C3 level, no spinal canal stenosis or neural foraminal narrowing.
At the C3/C4 level, no spinal canal stenosis or neural foraminal narrowing.
At the C4/C5 level, no spinal canal stenosis or neural foraminal narrowing.
At the C5/C6 level, no spinal canal stenosis or neural foraminal narrowing.
At the C6/C7 level, no spinal canal stenosis or neural foraminal narrowing.
At the C7/T1 level, no spinal canal stenosis or neural foraminal narrowing.
Paraspinal soft tissues are unremarkable.

IMPRESSION:
Unremarkable c-spine MRI.
MRI Elbow
TECHNIQUE: MRI of the elbow in various planes without contrast.
FINDINGS:
Tendons:
Triceps tendon is unremarkable.
Biceps tendon is unremarkable.
Brachialis tendon is unremarkable.
Common flexor tendons are unremarkable.
Common extensor tendons are unremarkable.

Ligaments:
Lateral ulnar collateral ligament is unremarkable.
Medial collateral ligament complex is unremarkable.

Joint:
There is no evidence of elbow joint effusion.

Bones and cartilage:
No osteochondral defects are demonstrated.

IMPRESSION:
Unremarkable MRI of the elbow.
MRI Hip
TECHNIQUE: MR images of the hip were obtained in various planes.
FINDINGS:
Joint:
There is no evidence of hip joint effusion.
Bursa:
No evidence of iliopsoas or greater trochanteric bursitis is demonstrated.
Tendons:
Proximal hamstring tendons are unremarkable.
Gluteal tendons are unremarkable.
Adductors are unremarkable.
Labrum:
The acetabular labrum is unremarkable as visualized on this non arthrogram study. 
Bones:
There is no evidence of avascular necrosis of the femoral heads. 
No evidence of fracture around hip joints is demonstrated.

Impression:
Unremarkable MRI of the hip.
MRI IAC
High-resolution images through the internal auditory canals demonstrate unremarkable seventh and eighth cranial nerves. 
Cochlea and semicircular canals are also unremarkable. 
No evidence of mass in the cerebellopontine angles or in the internal auditory canals is demonstrated.
MRI L spine without
TECHNIQUE: MRI of the lumbar spine without contrast was obtained.

FINDINGS:
The visualized portion of the spinal cord is unremarkable.
Vertebral body heights are maintained. 
There is no evidence of spondylolisthesis. 
Intervertebral disk heights are maintained.
Bone marrow signal is unremarkable.
At the L1-L2 level: no evidence of spinal canal narrowing or neural foraminal narrowing.
At the L2-L3 level: no evidence of spinal canal narrowing or neural foraminal narrowing.
At the L3-L4 level: no evidence of spinal canal narrowing or neural foraminal narrowing.
At the L4-L5 level: no evidence of spinal canal narrowing or neural foraminal narrowing.
At the L5-S1 level: no evidence of spinal canal narrowing or neural foraminal narrowing.

IMPRESSION:
Unremarkable MRI of the lumbar spine.
MRI Shoulder
TECHNIQUE: MRI of the shoulder without contrast in various planes.

FINDINGS:
Rotator cuff: The rotator cuff demonstrates unremarkable signal characteristics. There are no rotator cuff tears.
Tendon of the long head of the biceps: The long head of the biceps tendon is unremarkable.
Glenoid labrum: The labrum is unremarkable as visualized on this non-arthrogram study.
Acromion and acromioclavicular joint: There are no degenerative changes in the acromioclavicular joint. The lateral acromial undersurface is unremarkable.
Subacromial space: There is no evidence of abnormal fluid in the subacromial/subdeltoid bursa.
Joint fluid: There is no evidence of glenohumeral joint effusion.
Osseous structures: The bone marrow signal is unremarkable.

IMPRESSION:
Unremarkable MRI of the shoulder.
MRI T spine without
TECHNIQUE: MRI of the thoracic spine without contrast was obtained.

FINDINGS:
The visualized portion of the spinal cord is unremarkable. 
The bone marrow signal is unremarkable. 
Vertebral body heights are maintained. 
There is no evidence of spondylolisthesis. 
Intervertebral disk heights are maintained.
No central canal narrowing is demonstrated.
There is no evidence of neural foraminal narrowing. 
Paraspinal soft tissues are unremarkable.

IMPRESSION:
Unremarkable MRI of the thoracic spine.
MRI UBO
Scattered small T2 and FLAIR hyperintensities in the white matter are noted.
MRI wrist
TECHNIQUE: MR images of the wrist were obtained in various planes.

FINDINGS: 
Osseous structures: 
The osseous structures are unremarkable.
Ligaments and cartilage: 
Triangular fibrocartilage is unremarkable. 
The lunotriquetral is unremarkable.
Scapholunate ligament is maintained. 
Tendons: 
The flexor tendons demonstrate normal size, position, and signal characteristics. 
The extensor tendons demonstrate normal size, position, and signal characteristics. 
Carpal tunnel:
The flexor retinaculum and median nerve are unremarkable.

IMPRESSION:
Unremarkable MRI of the wrist.
MRV brain
Great cerebral veins, vein of Galen, and major dural sinuses are patent.
Biophysical profile
The biophysical profile is as follows:

Respiratory motion = 2,
Body movement = 2,
Fetal tone = 2,
AFV = 2.
cul-de-sac small fluid
Small amount of fluid in the cul-de-sac is present.
large subchorionic
Large subchorionic hemorrhage is present.
moderate subchorionic
Moderate subchorionic hemorrhage is present.
small subchorionic
Small subchorionic hemorrhage is present.
Ultrasound abdomen complete
ULTRASOUND OF THE ABDOMEN
CLINICAL HISTORY: <>
TECHNIQUE: Ultrasound images of the abdomen were obtained.

FINDINGS: 
Unremarkable abdominal aorta.
Unremarkable inferior vena cava.
The liver measures [ ] and demonstrates normal contour and echogenicity.
There is no evidence of intrahepatic biliary dilatation.
The common bile duct measures [ ] in diameter, which is normal.
The gallbladder wall measures [ ] in thickness, which is normal.
There is no evidence of presence of pericholecystic fluid.
No cholelithiasis is demonstrated.
The right kidney measures [ ].
The left kidney measures [ ].
There is no evidence of hydronephrosis.
Contour and echogenicity of the kidneys are unremarkable.
The spleen measures [ ] and demonstrates normal contour and echogenicity.

IMPRESSION: 
Unremarkable abdominal ultrasound.

Ultrasound aorta
ULTRASOUND OF ABDOMINAL AORTA
CLINICAL HISTORY: <>
TECHNIQUE: Ultrasound images of the abdominal aorta were obtained.

FINDINGS: 
The abdominal aorta is normal in size.
The proximal abdominal aorta measures [ ] cm.
The mid abdominal aorta measures [ ] cm.
The distal abdominal aorta measures [ ] cm.

IMPRESSION: 
Normal abdominal aortic ultrasound.
Ultrasound Carotid
BILATERAL CAROTID ULTRASOUND
CLINICAL HISTORY: <>
TECHNIQUE: Carotid arteries were evaluated using grey scale, color, and Doppler ultrasound imaging.

FINDINGS:
The peak systolic velocity in the right internal carotid artery is [ ], which is normal.
The right ICA to CCA ratio is [ ], which is normal.

The peak systolic velocity in the left internal carotid artery is [ ], which is normal.
The left ICA to CCA ratio is [ ], which is normal.

No significant plaques in the carotid arteries are demonstrated. 

Antegrade arterial flow is demonstrated in the right and left vertebral arteries.

IMPRESSION:
No evidence of hemodynamically significant carotid stenosis is demonstrated on this study.
Ultrasound DVT bilateral
BILATERAL LOWER EXTREMITY VENOUS ULTRASOUND
CLINICAL HISTORY: <>
TECHNIQUE: Deep venous ultrasound of the lower extremities was performed.

FINDINGS:
Appropriate compressibility, appropriate responses to augmentation maneuvers and appropriate venous waveforms in the deep veins of the lower extremities are demonstrated.

IMPRESSION:
No evidence of deep venous thrombosis is demonstrated.
Ultrasound DVT left
LEFT LOWER EXTREMITY VENOUS ULTRASOUND
CLINICAL HISTORY: <>
TECHNIQUE: Deep venous ultrasound of the lower extremity was performed.

FINDINGS:
Appropriate compressibility, appropriate responses to augmentation maneuvers and appropriate venous waveforms in the deep veins of the lower extremity are demonstrated.

IMPRESSION:
No evidence of deep venous thrombosis is demonstrated.
Ultrasound DVT right
RIGHT LOWER EXTREMITY VENOUS ULTRASOUND
CLINICAL HISTORY: <>
TECHNIQUE: Deep venous ultrasound of the lower extremity was performed.

FINDINGS:
Appropriate compressibility, appropriate responses to augmentation maneuvers and appropriate venous waveforms in the deep veins of the lower extremity are demonstrated.

IMPRESSION:
No evidence of deep venous thrombosis is demonstrated.
Ultrasound early pregnancy
OB ULTRASOUND, EARLY PREGNANCY
CLINICAL HISTORY: <>
TECHNIQUE: Ultrasound images of the uterus and adjacent structures were obtained.

FINDINGS: 
<>There is a fluid filled structure in the uterus that contains an echogenic structure, consistent with a fetal pole.
The crown to rump length is [ ]. 
The fetal heart rate is recorded at [ ] beats per minute.
Based on sonographic measurements, the fetal gestational age is [ ]. 
The right ovary is unremarkable.
The left ovary is unremarkable.

IMPRESSION: 
Single live intrauterine pregnancy at [ ] of gestational age based on sonographic measurements. The estimated date of delivery is [ ].
Ultrasound OB 2nd trimester
FINDINGS:

There is a single intrauterine pregnancy in [ ] position. 
There is regular cardiac activity with fetal heart rate of [ ] bpm. 
The placenta is [ ] without evidence for previa. 
A 3 vessel umbilical cord is identified. 
Cervix is long and closed, measuring [ ] cm. 
Amniotic fluid index is grossly within normal limits.

BIOMETRIC GROWTH PARAMETERS:
BPD (Hadlock) [ ] cm corresponding to a gestational age of [ ].
HC (Hadlock) [ ] cm corresponding to a gestational age of [ ].
AC(Hadlock) [ ] cm corresponding to a gestational age of [ ].
FL(Hadlock) [ ] cm corresponding to a gestational age of [ ].
Estimated gestational age by ultrasound: [ ].
Estimated fetal weight: [ ] grams 
HC/AC (Campbell) [ ] ([ ])

FETAL ANATOMY: 
Following structures visualized and unremarkable in appearance: 
[ ]


IMPRESSION:

Ultrasound biometric growth parameters correspond to gestational age of [], for an estimated date of confinement of [].
Ultrasound pelvis
PELVIC ULTRASOUND.
CLINICAL HISTORY: <>
TECHNIQUE: Ultrasound images of the pelvis were obtained.

FINDINGS: 
The uterus measures [ ], and demonstrates normal contour and echogenicity.
Endometrial stripe measures [ ] in thickness.
The right ovary measures [ ], and demonstrates normal contour and echogenicity.
The left ovary measures [ ], and demonstrates normal contour and echogenicity.

IMPRESSION: 
Unremarkable pelvic ultrasound.
Ultrasound renal
BILATERAL RENAL ULTRASOUND.
CLINICAL HISTORY: <>
TECHNIQUE: Ultrasound images of the kidneys were obtained.

FINDINGS: 
The right kidney measures [ ].
The left kidney measures [ ].
There is no evidence of hydronephrosis.
Contour and echogenicity of the kidneys are unremarkable.
The urinary bladder is unremarkable as visualized.

IMPRESSION: 
Unremarkable renal ultrasound.
Ultrasound right upper abdomen
ULTRASOUND OF THE RIGHT UPPER ABDOMEN
CLINICAL HISTORY: <>
TECHNIQUE: Ultrasound images of the right upper abdomen were obtained.

FINDINGS: 
The liver measures [ ] and demonstrates normal contour and echogenicity.
There is no evidence of intrahepatic biliary dilatation.
The common bile duct measures [ ] in diameter, which is normal.
The gallbladder wall measures [ ] in thickness, which is normal.
There is no evidence of pericholecystic fluid.
No cholelithiasis is demonstrated.

IMPRESSION: 
No evidence of cholelithiasis.
No evidence of acute cholecystitis.
Ultrasound scrotal
The right testis measures [ ] cm and demonstrates unremarkable contour and echogenicity.

The left testis measures [ ] cm and demonstrates unremarkable contour and echogenicity.

The right and left epididymides are unremarkable.

No evidence of hydrocele or varicocele is demonstrated. 

Vascular flow is demonstrated in both testes.

Impression:
Unremarkable scrotal ultrasound.
Ultrasound thyroid
THYROID ULTRASOUND.
CLINICAL HISTORY: <>
TECHNIQUE: Ultrasound images of the thyroid gland were obtained. 

FINDINGS: 
The right thyroid lobe measures [ ].
The left thyroid lobe measures [ ].
Contour and echogenicity of the thyroid gland are unremarkable.

IMPRESSION: 
Unremarkable thyroid ultrasound.
neck arteries
The visualized portions of the right common and internal carotid arteries are patent and demonstrate no evidence of narrowing using NASCET criteria.

The visualized portions of the left common and internal carotid arteries are patent and demonstrate no evidence of narrowing using NASCET criteria.

The visualized portions of the right and left vertebral arteries are patent and demonstrate no evidence of narrowing.
CR side-plate and screws
FINDINGS:
Side-plate and screws transfix [healing] [where?] fracture.
The alignment of the fracture fragments has not changed.
No evidence of hardware loosening or hardware fracture.
The soft tissues are unremarkable.

IMPRESSION:
Post traumatic and post surgical changes in the [].
CR rod and screws
FINDINGS:
Intra-medullary rod and locking screws transfix [healing] [where?] fracture.
The alignment of the fracture fragments has not changed.
No evidence of hardware loosening or hardware fracture.
The soft tissues are unremarkable.

IMPRESSION:
Post traumatic and post surgical changes in the [].
CR initial fracture
FINDINGS:
[Comminuted?] [Intra-articular?] [Impacted?] fracture of the [distal/mid/proximal?] [bone?].
The distal fracture fragment is displaced [medially/laterally/ant/post?] by [1/2 of bone width].
There is [medial/lateral/ant/post?] angulation of the fracture apex.
Adjacent soft tissue are prominent.

IMPRESSION:
[] fracture of the [distal/mid/proximal?] [bone?].
CR follow up fracture
FINDINGS:
Healing [or healed] fracture of [distal/mid/proximal?] [bone?].
Unchanged alignment of fracture fragments.
Adjacent soft tissue remain prominent. [The soft tissues are unremarkable.]
[Heterotopic ossification in the medial/lateral/ant/post? soft tissues?]


IMPRESSION:
Healing [or healed] fracture of the [distal/mid/proximal?] [bone?].
CR DJD joint
FINDINGS:
The [joint?] joint is [mildly/moderately/severely?] narrowed.
Peri-articular osteophytes are present.
Subchondral eburnation is noted.
The soft tissues are unremarkable.

IMPRESSION:
[Mild/moderate/severe?] primary [secondary?] osteoarthritis of [joint].
MRI Knee
TECHNIQUE: MR images of the knee were obtained in various planes.
FINDINGS: 
Medial meniscus: The medial meniscus is unremarkable.
Lateral meniscus: The lateral meniscus is unremarkable.
Anterior cruciate ligament: The anterior cruciate ligament is unremarkable. 
Posterior cruciate ligament: The posterior cruciate ligament is unremarkable. 
Medial collateral ligament: The medial collateral ligament is unremarkable. 
Lateral collateral ligament: The lateral collateral ligament is unremarkable. 
Popliteus tendon: The popliteus tendon is unremarkable. 
Extensor mechanism: The patellar tendon and quadriceps tendon are unremarkable.
Joint fluid: There is no knee joint effusion. There is no Baker's cyst.
Osseous structures and cartilage: No osteochondral lesions are demonstrated.

IMPRESSION:
Unremarkable MRI of the knee.
DJD facet left Degenerative changes in the left facet joint.
DJD facet right Degenerative changes in the right facet joint.
DJD facets bilateral Degenerative changes in the facet joints.
Lower facets Degenerative changes in the lower facet joints.
pars defects L5 bilateral Bilateral pars interarticularis defects in L5 vertebra are present.
spine lower Spondylosis and spondyloarthrosis in the lower lumbar spine.
spine multilevel Multilevel spondylosis and spondyloarthrosis.
transitional Transitional lumbosacral anatomy is noted.
granulomatous spleen There is evidence for previous granulomatous disease in the spleen.
analog xray single Analog radiograph was scanned into digital PACS. As such, quality of the image is suboptimal.
analog xray Analog radiographs were scanned into digital PACS. As such, quality of the images is suboptimal.
beam hardening pelvis Beam hardening artifact obscures portions of the anatomy in the lower pelvis.
beam hardening Beam hardening artifact obscures portions of the anatomy.
C7 - T1 The C7-T1 junction is obscured on the lateral view.
large patient Overlying soft tissues obscure fine details.
MBS header Modified Barium Swallow Study
motion artifacts Motion artifacts degrade quality of the study.
tubes and wires Tubes and wires project over the chest.
wires Wires project over the chest.
air and Foley Small amount of air and Foley catheter in the urinary bladder.
thick urinary bladder The walls of the urinary bladder are diffusely thickened.
urinary bladder The urinary bladder is unremarkable.
small involuting cyst left Probable small involuting left ovarian cyst is noted.
small involuting cyst right Probable small involuting right ovarian cyst is noted.
uterus out The uterus is not demonstrated.
uterus The uterus and adnexa are grossly unremarkable.
MRI prostate
MULTIPARAMETRIC PROSTATE MRI WITH AND WITHOUT CONTRAST

CLINICAL INDICATION:

TECHNIQUE: 
High resolution MR images of the prostate were obtained in various planes and sequences before administration of intravenous contrast material. Dynamic images of the prostate were obtained after administration of intravenous gadolinium contrast material. Post contrast axial images of the pelvis were also obtained.

FINDINGS:
The prostate measures  x x x cm with a calculated volume of cm^3.

There is nodular hyperplasia of the transitional zone.

Transitional zone demonstrated no suspicious lesions on T2 weighted images. There is no evidence of abnormal restricted diffusion in the transitional zone.

Peripheral zone demonstrates no suspicious areas of restricted diffusion. There is no evidence of abnormal early post contrast enhancement.

The osseous structures of the pelvis are unremarkable.
No large lymph nodes are demonstrated in the pelvis.


IMPRESSION:
PIRADS 1 – Very low (clinically significant cancer is highly unlikely to be present)
PIRADS 2 – Low (clinically significant cancer is unlikely to be present)
PIRADS 3 – Intermediate (the presence of clinically significant cancer is equivocal)
PIRADS 4 – High (clinically significant cancer is likely to be present)
PIRADS 5 – Very high (clinically significant cancer is highly likely to be present)
MRI brain with and without
TECHNIQUE: MR images of the brain were obtained before and after administration of intravenous contrast material.

FINDINGS:
The calibers of sulci and ventricles are normal for the patient's age.
No extra-axial fluid collections are demonstrated.
No evidence of mass effect or parenchymal edema.
No evidence of restricted diffusion is demonstrated.
No evidence of abnormal intracranial post contrast enhancement.
The orbits and paranasal sinuses are unremarkable as visualized.

IMPRESSION:
Unremarkable brain MRI.
MRI brain without
TECHNIQUE: MR images of the brain were obtained without administration of intravenous contrast material.

FINDINGS:
The calibers of sulci and ventricles are normal for the patient's age.
No extra-axial fluid collections are demonstrated.
No evidence of mass effect or parenchymal edema.
No evidence of restricted diffusion is demonstrated.
The orbits and paranasal sinuses are unremarkable as visualized.

IMPRESSION:
Unremarkable brain MRI.
DJD AC degenerative changes in the acromioclavicular joint.
Hip replacement Hip replacement hardware demonstrates no evidence of complications.
Spine intraop Intraoperative view of the lumbar spine demonstrates surgical hardware and external artifacts.
Gauze Gauze markers are noted.
Old non-united styloid Old, non-united ulnar styloid fracture.
Method of Cobb Using the method of Cobb,