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Generate impression based on findings. | 60 years old, Female, Reason: Abnormal nodules History: thyroid cancer MEASUREMENTS: Patient status post thyroidectomyRIGHT LOBE AREA: No significant abnormality noted.LEFT LOBE AREA: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No evidence of lymphadenopathy.OTHER: No significant abnormality noted. | No evidence of local recurrence or lymphadenopathy. |
Generate impression based on findings. | 20 years old, Male, Reason: s/p Right inguinal hernia repair, 1 day h/o right groin pain History: groin pain and bulgin reminiscent of inguinal hernia pain before repair No evidence of bowel or fat in an inguinal hernia. No evidence of other type of hernia in this area. Benign-appearing lymph nodes are noted within the inguinal area measuring up to 1.1 cm. Inguinal hernia was unable to be produced on standing and Valsalva. | No evidence of hernia sac despite valsalva and manipulation. No specific findings to account for the patient's symptoms. |
Generate impression based on findings. | 33 years old, Male, Reason: Vascularity to transplanted pancreas History: Hyperglycemia post op PANCREAS TRANSPLANT: Transplant pancreas is identified in the right lower quadrant of the abdomen. Pancreas demonstrates homogeneous echotexture. Vascular flow is evident within the parenchyma of the pancreas itself.PERITRANSPLANT TISSUES: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels. The SMA portion of the arterial graft demonstrates arterial waveforms with resistive index of 0.7 and a peak systolic velocity of 0.2 m/sec. Peak systolic velocity of the right internal iliac artery are 0.6 m/sec with a resistive index of 1.0. | Normal echotexture of the transplanted pancreas without evidence of vascular stenosis or thrombosis. |
Generate impression based on findings. | 67 years old, Female, Reason: evaluate for HCC History: cirrhosis LIVER: The liver measures 14.2 cm in length. Nodular contour of the liver is consistent with cirrhosis. No focal hepatic lesion identified. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.1 m/s. Perihepatic ascites is noted.BILIARY TRACT: There is no evidence of cholelithiasis. The gallbladder is thickened and edematous, nonspecific and likely reactive in setting of cirrhosis/related to hypoalbuminemia. Per ultrasound technologist, sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: Pancreas is not well visualized due to overlying bowel gas.SPLEEN: The spleen is enlarged measuring 17.8 cm in length. Splenule noted adjacent to the spleen measuring 2.3 x 2.0 by 2.0 cm.RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Mild hydronephrosis on the right without shadowing calculus delineated, entirety of right ureter not seen due to overlying bowel gas.LEFT KIDNEY: Kidney measures 8.9 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. Previously noted inferior pole cyst is not seen on this exam. | 1.Cirrhotic liver without evidence of focal hepatic lesion.2.Moderate amount of ascites and splenomegaly are present, likely secondary to cirrhosis. Thick-walled gallbladder as described. |
Generate impression based on findings. | 55 years old, Female, Reason: 55F with abdominal pain that awakes her at night History: abdominal pain LIVER: The liver measures 15.2 cm in length. Diffusely increased echogenicity of the liver is consistent with fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Per ultrasound technologist, the sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.5 cm in length. RIGHT KIDNEY: Kidney measures 12.6 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. LEFT KIDNEY: Kidney measures 12.2 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus. Left mid pole renal cyst measures 1.6 x 1.6 x 1.9 cm.OTHER: No significant abnormalities noted. | 1. Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2. Diffusely increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration. |
Generate impression based on findings. | 63 years old, Male, Reason: right testicular mass RIGHT TESTIS: There is a dominant solid lesion in the right testis which is heterogeneous and mostly isoechoic to background testicular tissue. This lesion has vascular flow and is highly suspicious for malignancy. There is normal vascularity and Doppler flow within the visualized normal tissue of the right testicle.LEFT TESTIS: Patient status post left orchiectomy with prosthesis.RIGHT EPIDIDYMIS: Right epididymal cyst measuring 1.0 x 0.7 cm.LEFT EPIDIDYMIS: No significant abnormalities noted. | Dominant solid right testicular lesion with vascularity, highly suspicious for malignancy. |
Generate impression based on findings. | 19 year old with history of left breast mass, biopsy proven as fibroadenoma. A targeted left ultrasound was performed for the area of concern. At the left breast 4 o'clock position, the known mass is slightly increased in size, today measuring 3.6 x 1.8 x 2.6 cm. Previous measurements from August were 3.2 x 1.6 x 2.5 cm. | Continued interval increase in the left breast mass. Surgical consultation is recommended and the patient will see Dr. Chhablani today.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 62 years old, Male, Reason: concern for cirrhosis History: anasarca LIVER: The liver measures 15.4 cm in length. Liver parenchyma is within normal limits. No surface nodularity to suggest cirrhosis. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: The gallbladder is sludge-filled without evidence of gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.6 cm in length. RIGHT NATIVE KIDNEY: Kidney measures 8.7 cm in length. Increased echogenicity consistent with known medical renal disease.TRANSPLANTED KIDNEY: Transplanted kidney in the right iliac fossa has normal echogenicity without evidence of significant hydronephrosis.LEFT KIDNEY: Kidney measures 9.5 cm in length. Increased echogenicity of the kidneys consistent with known medical renal disease. | 1.No sonographic evidence of hepatic cirrhosis. 2.Echogenic native kidneys, compatible with medical renal disease. Visualized transplanted kidney in right iliac fossa unremarkable. |
Generate impression based on findings. | 70 years old, Male, Reason: elevated conjugated bilirubin, abdominal pain, evaluate for acute cholecystitis and CBD dilatation LIVER: The liver measures 15.7 cm in length. Multiple hepatic cysts are present the largest of which measures 2.1 x 1.7 x 1.8 cm. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is sludge present within the gallbladder without evidence of gallbladder wall thickening or pericholecystic fluid. Per ultrasound technologist, negative sonographic Murphy's sign. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.7 cm in length. RIGHT KIDNEY: Kidney measures 10.4 cm in length. Mildly increased echogenicity of the kidney. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.7 cm in length. Mildly increased echogenicity of the kidneys. No evidence of hydronephrosis or shadowing calculus. | 1.Gallbladder sludge without evidence of acute cholecystitis. |
Generate impression based on findings. | 53 years old, Male, Reason: transaminitis. please evaluate for evidence of cirrhosis vs. fatty liver etc History: transaminitis LIVER: The liver is enlarged measuring 20.1 cm cm in length. Increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s. Hypoechoic area adjacent to the gallbladder likely represents focal fatty sparing. No surface nodularity of the liver to suggest cirrhosis.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Per ultrasound technologist, sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: Hypoechoic focus in region of pancreatic body is nonspecific on this ultrasound examination and may be further evaluated with dedicated cross-sectional imaging.SPLEEN: No significant abnormalities noted. The spleen measures 12.5 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 12.3 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus.OTHER: No evidence of ascites. | 1.Hepatomegaly with fatty infiltration of the liver. No definite evidence of cirrhosis.2.Nonspecific hypoechoic focus in the area of the body of the pancreas. Recommend dedicated cross-sectional imaging with IV contrast to further evaluate this lesion. |
Generate impression based on findings. | 65 years old, Female, Reason: HCV cirrhosis, evaluate for HCC History: HCV cirrhosis LIVER: The liver measures 16.6 cm in length. Coarse nodular liver consistent with cirrhosis. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s. A nonoccluding thrombus of the main portal vein is identified.BILIARY TRACT: Cholelithiasis and sludge are present within the gallbladder without evidence of gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.1 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.0 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus. | 1.Coarse nodular liver consistent with cirrhosis without evidence of focal hepatic mass.2.Nonoccluding thrombus of the main portal vein.3.Increased echogenicity of the kidneys, may reflect medical renal disease in the correct clinical context.4.Cholelithiasis and sludge present within the gallbladder without evidence of acute cholecystitis. |
Generate impression based on findings. | 67 years old, Female, Reason: evaluate for L and/or R femoral abscess History: previous central line access; fungemia No evidence of fluid collection or abscess at sites of clinical concern. | No evidence of soft tissue edema or abscess as clinically questioned. |
Generate impression based on findings. | 51 years old, Female, Reason: evaluate hydronephrosis History: h/o cervical cancer, h/o hydronephrosis, back pain RIGHT KIDNEY: Kidney measures 10.5 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus.BLADDER: The bladder is not completely distended. | No evidence of hydronephrosis. |
Generate impression based on findings. | 18 years old, Female, Reason: fluid retention, AKI History: fluid retention, AKI, bilateral back pain RIGHT KIDNEY: Kidney measures 11.7 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 12.8 cm in length. Increased echogenicity of kidneys consistent medical renal disease. No evidence of hydronephrosis or shadowing calculus.BLADDER: The bladder is not completely distended.OTHER: There is a small amount of free fluid in the pelvis, most likely physiologic given the patient's age. | 1.Increased echogenicity of the kidneys consistent with medical renal disease without evidence of hydronephrosis. |
Generate impression based on findings. | 65 years old, Male, Reason: evaluate for cirrhotic morphology History: HCV, prior HBV LIVER: The liver measures 14.1 cm in length. Echogenicity of the liver is within normal limits. No surface nodularity of the liver to suggest cirrhosis. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8 cm in length. RIGHT KIDNEY: Kidney measures 8.6 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 9.0 cm in length. Normal echotexture. No hydronephrosis shadowing calculus. Small cortical renal cyst measuring 0.7 x 0.5 x 0.5 cm. | No sonographic evidence of cirrhosis or focal hepatic lesion. |
Generate impression based on findings. | 31 years old, Female, Reason: Abdominal pain, bloating gas, no emesis, no stool, possible association with greasy foods LIVER: The liver measures 15.5 cm in length. Echogenicity of the hepatic parenchyma is within normal limits. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures two mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.3 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 35 years old, Male, Reason: jaundice LIVER: The liver is mildly enlarged measuring 17.6 cm in length. Coarse nodular contour the liver consistent with cirrhosis. There is a moderate to large amount of perihepatic ascites. No focal hepatic identified. The portal vein is patent demonstrating pulsatile hepatopetal flow, which may be seen in setting of CHF, with a velocity of 0.3 m/s.BILIARY TRACT: Edematous contracted gallbladder with a thickened wall measuring up to 0.6 cm is likely related to cirrhosis and congestive heart failure. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.3 cm in length. A small splenule is present.RIGHT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 12.0 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus.OTHER: Dilatation of the IVC is consistent with CHF. | 1.Cirrhotic liver morphology with a moderate to large amount of ascites. No focal hepatic lesion identified.2.Edematous contracted gallbladder likely related to cirrhosis and CHF.3.IVC dilatation and pulsatile flow in portal vein, likely reflecting underlying right-sided heart failure. |
Generate impression based on findings. | Ms. Martinez is a 60 year old female with known right breast cancer. On physical exam today, Dr. Chhablani felt a palpable node in the right axillary region. She presents today for an ultrasound examination of this area. Upon physical exam, no discrete masses were appreciated. The site has been marked by Dr. Chhablani.A targeted right axillary ultrasound was performed for the palpable area of concern. A normal lymph node is identified at the palpable area of concern, measuring 3 mm in cortical thickness and with normal hilar vascularity. There is no suspicious solid or cystic mass identified. | Benign lymph node in the right axilla. No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 75 years old, Female, Reason: evaluate for thyroid nodules History: history of thyroid nodules RIGHT LOBE MEASUREMENTS: 5.5 x 1.7 x 4.5 cmLEFT LOBE MEASUREMENTS: 8.3 x 2.8 x 2.6 cm.ISTHMUS MEASUREMENTS: 0.23RIGHT LOBE: Subcentimeter right thyroid nodule with heterogeneous appearance measuring 0.8 x 0.5 x 0.4 cm.LEFT LOBE: Large left thyroid nodule is solid and cystic in appearance with questionable microcalcifications measuring 4.2 x 2.9 x 2.1 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: Benign-appearing level 2 lymph node measuring 1.1 x 2.7 x 0.4 cm. | 1.Mixed solid/cystic left thyroid nodule measuring up to 4.2 cm, would be amenable to US-guided FNA/biopsy if not already performed.2.Bilateral subcentimeter thyroid nodules. |
Generate impression based on findings. | 48 years old, Male, Reason: assess for splenic sequestration History: thrombocytopenia Spleen is normal in echogenicity measuring 12.3 cm. | Unremarkable exam. |
Generate impression based on findings. | 49 years old, Male, Reason: screening into clinical trial History: none LIVER: The liver measures 12.7 cm in length. A nodular morphology of the liver is consistent with cirrhosis. Simple appearing cyst in the right hepatic lobe measures 1.6 x 1.6 x 1.5 cm. No hepatic lesion suspicious for HCC. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Patient status post cholecystectomy. Cystic structure in the gallbladder fossa appears similar to prior exam measuring 1.0 x 1.1 x 1.1 cm. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen is enlarged measuring 15.3 cm in length. RIGHT KIDNEY: Kidney measures 10.5 cm in length. Normal echotexture. No evidence of hydronephrosis or shadowing calculus. Superior pole simple-appearing cyst measures 0.8 x 1.2 x 0.9 cm.LEFT KIDNEY: Kidney measures 13.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: Mild amount of ascites is present. | 1.Cirrhotic morphology of the liver without any focal lesions to suggest HCC.2.Mild amount of ascites.3.Splenomegaly. |
Generate impression based on findings. | 55 years old, Female, Reason: 55 yo female with AKI, rule out obstruction History: AKI RIGHT KIDNEY: Kidney measures 8.9 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus. Simple appearing cyst in the superior pole of the right kidney measures 0.7 x 0.9 x 0.8 cm.LEFT KIDNEY: The left kidney is difficult to visualize due to patient's body habitus. Kidney measures 8.9 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.BLADDER: The bladder is incompletely distended. OTHER: No significant abnormalities noted. | 1.Increased echogenicity of the kidneys consistent with medical renal disease without evidence of hydronephrosis. |
Generate impression based on findings. | 50 year-old woman with thyroid nodules. Please assess RIGHT LOBE MEASUREMENTS: 5.2 x 1.8 x 1.7 cmLEFT LOBE MEASUREMENTS: 5.5 x 1.4 x 2.0 cmISTHMUS MEASUREMENTS: 0.3 cm.RIGHT LOBE: New subcentimeter nodule in the right measuring 7 mm in diameter.LEFT LOBE: Unchanged 5 x 4 x 2 mm hypoechoic nodule in the midportion of the gland.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Small bilateral lymph nodes measuring up to 0.9 cm in maximal diameter.OTHER: No significant abnormality noted. | Stable tiny left thyroid nodule. New subcentimeter right thyroid nodule. |
Generate impression based on findings. | 54 years old, Male, Reason: evaluate for cholelithiasis History: abd pain, pancreatitis LIVER: The liver is enlarged measuring 19.5 cm in length. Increased echogenicity of hepatic parenchyma is consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. Mild intrahepatic biliary duct dilatation. The proximal Common bile duct is dilated measuring 0.8 cm. the distal common bile duct measures up to 1 cm in diameter. No obstructing stone or mass is identified on this exam.PANCREAS: The pancreas is not well visualized in this exam. Visualized portions of the pancreas appear mildly hypoechoic and edematous consistent with pancreatitis. The pancreatic duct is not definitely identified on this exam.SPLEEN: No significant abnormalities noted. The spleen measures 11.0 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 13.0 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Mild Intra-and extrahepatic biliary ductal dilatation without obstructing stone or mass identified on this exam, please correlate with bilirubin levels.2.Normal gallbladder without evidence of cholelithiasis or cholecystitis.3.Hepatomegaly with fatty infiltration. |
Generate impression based on findings. | 39 years old, Female, Reason: hepatitis B, eval for HCC History: HBV LIVER: The liver measures 13.9 cm in length. Slightly coarsened liver echotexture. No nodularity of liver to suggest cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.5 cm in length. RIGHT KIDNEY: Kidney measures 9.1 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Slightly coarsened echotexture of the liver without focal hepatic lesion. 2.No nodularity to suggest cirrhosis. |
Generate impression based on findings. | 56 years old, Female, Reason: thyroid nodule seen on ct History: RIGHT LOBE MEASUREMENTS: 1.2 by 5.2 x 1.6 cmLEFT LOBE MEASUREMENTS: 1.4 by 4.7 x 1.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: The right lower lobe is normal in architecture and without nodules.LEFT LOBE: The left thyroid lobe contains multiple subcentimeter hypoechoic nodules. A single predominantly cystic nodule with internal complexity, without internal vascularity is present in the inferior pole measuring 1.0 x 0.5 x 0.9 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing level 2 lymph node measures 0.8 by 1.5 x 0.5 cm.OTHER: No significant abnormality noted. | Predominantly cystic nodule with internal complexity in the left lower pole of the thyroid. |
Generate impression based on findings. | 62 years old, Female, Reason: 62 yo female with history of mucinous cervical versus ovarian cancer, s/p chemotherapy, with single liver cyst on 1/5/15 CT A/P, further characterize liver lesion History: single liver cyst on 1/5/15 CT LIVER: The liver measures 14.2 cm in length. Echogenicity of the liver is within normal limits. Hyperechoic lesion measuring 1.3 x 1.8 x 1.5 cm which correlates to the lesion seen on most recent CT scan and likely represents a hemangioma given imaging characteristics on both studies. A small hepatic cyst is identified in the right hepatic lobe. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Small gallbladder polyp is identified measuring up to 0.3 cm. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.2 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Lower pole the right kidney is not identified due to overlying bowel gas. Normal echotexture. No hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.Hyperechoic lesion has imaging characteristics most compatible with a hemangioma.2.Very small gallbladder polyp. |
Generate impression based on findings. | 60 years old, Male, Reason: AKI, ? obstruction History: elevated Cr, fluid overload RIGHT KIDNEY: Kidney measures 10.5 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.2 cm in length. Increased echogenicity of the kidney consistent with medical renal disease. No hydronephrosis or shadowing calculus. Upper pole the left kidney is not well visualized due to overlying bowel gas.BLADDER: No significant abnormalities. OTHER: Incidental note is made of an echogenic liver and a moderate amount of ascites. | 1.Echogenic kidneys consistent with medical renal disease without evidence of hydronephrosis.2.Moderate amount of ascites. 3.Increased echogenicity of the liver is consist with fatty infiltration. |
Generate impression based on findings. | Ms. Veneris is a 35 year old female returning for a short-term follow-up for high probability benign area of fat necrosis in the left breast. Dr. Jaskowiak did an in-office FNA which was non-diagnostic. Per patient, she can no longer feel this area. A targeted left breast ultrasound was performed for the palpable area of concern. In the left breast 8:00 location, approximately 6 cm from the nipple, there is revisualization of a mixed echogenic lesion measuring 0.3 x 0.5 cm, compared to 0.7 x 0.9 cm. There is no new suspicious solid or cystic mass identified. | Interval decrease in size of fat necrosis in the left breast. No sonographic evidence for malignancy. The patient should follow up with Dr. Jaskowiak as clinically warranted.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Ms. Nesbit is a 15 year old female presenting with a focal area of intermittent right breast pain and a physician palpated mass-like area in the left breast. Upon physical exam of the right breast at the patient's area of concern, no discrete mass is appreciated. Targeted right breast ultrasound is performed for the patient's area of concern. No suspicious cystic or solid mass was identified. Upon physical exam of the left breast at the palpable area of abnormality, no discrete mass is appreciated. Targeted left breast ultrasound is performed for the physician-palpated area of concern. No suspicious cystic or solid mass was identified. However, there was dense fibroglandular tissue at this area. | No sonographic evidence for malignancy. Patient should follow-up with her primary care physician as clinically warranted. BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 22-year-old female looking for a shunt related pseudocyst /CSF-oma. History of prior pseudocyst. Presents with abdominal pain. Targeted ultrasound of the right and left upper and lower quadrants was performed. There is no discrete fluid collection identified to suggest pseudocyst formation.Note is made of the gastrojejunostomy tube balloon. | No fluid collection to suggest pseudocyst formation. |
Generate impression based on findings. | Ms. Meeks is a 23 year old female presenting with a self palpated lump in the right medial breast for the past one week. She denies any tenderness, history of trauma, overlying skin changes, or fevers. Upon physical exam at the palpable area of abnormality, a vague soft, nontender mass was appreciated.Targeted right breast ultrasound was performed at the patient's area of concern. No suspicious cystic or solid mass was identified. However, a slightly prominent fat lobule was noted, which may correlate to the palpable area of abnormality. | No sonographic evidence of malignancy. Patient should follow up with her primary care physician as clinically warranted.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 32 years old, Female, Reason: 32 y/o lady w/ a hx of renal transplant and w/ AKI History: AKI RENAL TRANSPLANT: The renal transplant is increased in echogenicity consistent with medical renal disease. No evidence of hydronephrosis, shadowing calculus, or mass. The renal transplant measures 11.6 cm in length and is similar in appearance to CT dated 6/20/14.LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: Trace peritransplant fluid.COLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: The bladder is incompletely distended.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels. No significant abnormality noted. Peak velocity at the anastomosis is 0.7 m/sec with resistive index of 0.7. Peak systolic velocity in the proximal renal artery is 0.5 m/sec. Peak systolic velocity in the mid renal artery 0.5 m/sec and in the distal renal arteries are 0.7 m/sec. Resistive indices in the renal artery ranges from 0.7 to 0.67. Peak velocities and resistive indices within the segmental and arcuate arteries are within normal limits.OTHER: No significant abnormality noted | Increased echogenicity of the transplanted kidney consistent with medical renal disease without evidence of hydronephrosis, shadowing calculus, or mass. No evidence of vascular complication of the transplanted kidney. |
Generate impression based on findings. | 63 years old, Male, Reason: eval for cirrhosis and platelet sequestration History: thrombocytopenia, NASH LIVER: The liver is enlarged measuring 19.2 cm in length. Increased echogenicity is consistent with fatty infiltration. Coarse nodular contour of the liver is consistent with cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Patient is status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is enlarged measuring 15.3 cm in length. RIGHT KIDNEY: Kidney measures 11 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.3 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Enlarged fatty liver with nodular contour consistent with cirrhosis.2.Splenomegaly. |
Generate impression based on findings. | 61 years old, Female, Reason: r/o growth of nodule History: h/o Graves'. Treated with RAI. Nowwith clcified thyroid nodule. RIGHT LOBE: Atrophic right thyroid lobe without evidence of nodule.LEFT LOBE: Atrophic left thyroid lobe with hypoechoic nodule with dense peripheral calcification abutting the Isthmus measures 0.7 x 0.6 x 0.6 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Right level 4 lymph node is unchanged in size measuring 0.6 x 0.5 x 0.5 cm.OTHER: No significant abnormality noted. | Atrophic thyroid with unchanged left thyroid nodule. |
Generate impression based on findings. | 58 years old, Female, Reason: papillary thyroid cancer History: thyroid cancer RIGHT LOBE MEASUREMENTS: 4.9 x 1.9 by 1.9 cmLEFT LOBE MEASUREMENTS: Patient status post left thyroidectomyISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Spongiform appearing nodule in the inferior pole the right thyroid lobe measures 0.9 x 1.1 x 1.0 cm, previously measuring 0.8 x 0.9 x 1.0 cm. Multiple sub-centimeter hypoechoic right thyroid nodules are identified, similar to prior exam.LEFT LOBE: Patient status post left thyroidectomyISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Right inferior pole spongiform nodule is not significantly changed from prior exam. |
Generate impression based on findings. | 45 years old, Female, Reason: eval for medical renal disease History: rising Cr, hematuria, protenuria RIGHT KIDNEY: Kidney measures 12.1 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. Mild pelvicaliectasis is present.LEFT KIDNEY: Kidney measures 11.2 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No hydronephrosis, shadowing calculus or mass.BLADDER: The bladder is incompletely distended. OTHER: Note is made of a mildly increased echogenicity to the liver which is consistent with fatty infiltration. | 1.Increased echogenicity of the kidneys consistent with medical renal disease. 2.Mild pelvicaliectasis on the right.3.Increased echogenicity of the liver is consistent with fatty infiltration. |
Generate impression based on findings. | 35 years old, Female, Reason: UTI, left sided flank and abdominal pain History: left sided pain, history of uti RIGHT KIDNEY: Kidney measures 9.4 cm in length. Normal echotexture. Mild pelvicaliectasis on the right. No evidence of shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.6 cm in length. Normal echotexture. Mild pelvic caliectasis on the left without evidence of shadowing calculus or mass.BLADDER: No significant abnormality pre-and postvoid. OTHER: No significant abnormalities noted. | 1.Bilateral mild pelvicaliectasis without evidence of shadowing calculus or mass. |
Generate impression based on findings. | 46 years old, Male, Reason: Rule out hydronephrosis History: Elevated Bun/Creatinine from time of transplant RENAL TRANSPLANT: Renal transplant is normal in echogenicity without significant perinephric fluid collection or hydronephrosis.LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedURINARY BLADDER: The urinary bladder is incompletely distended.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels Patent renal transplant vessels with mildly elevated peak systolic velocity of 2.1 m/sec in the area of the renal anastomosis with elevated resistive index of 0.9. The proximal transplanted renal artery, just distal to the anastomosis, also has an elevated peak systolic velocity of 2.1 with a resistive index of 0.9. The mid transplanted renal artery has an elevated peak systolic velocity of 2.4 with an elevated resistive index 0.87. Arcuate and segmental artery resistive indices are elevated ranging from 0.76 to 0.85.OTHER: No significant abnormality noted | 1.Increased peak systolic velocities and resistive indices in the area of the renal artery anastomosis which is suspicious for stenosis.2.Echogenicity of the renal parenchyma is within normal limits without evidence of hydronephrosis.Findings discussed with Dr. Khairi at time of dictation. |
Generate impression based on findings. | 79-year-old male with history of acute kidney injury. Evaluate for hydronephrosis. RIGHT KIDNEY: Slightly hyperechoic renal parenchyma, which may represent medical renal disease. Small, approximately 1 cm right superior pole renal cyst. No hydronephrosis or hydroureter.LEFT KIDNEY: Slightly hyperechoic renal parenchyma, which may represent medical renal disease. No hydronephrosis or hydroureter.OTHER: Bladder is within normal limits, and there is a Foley catheter in place. | Slightly hyperechoic renal parenchyma, which may represent medical renal disease. |
Generate impression based on findings. | Subclinical hyperthyroidism with a history of possible toxic nodular goiter. RIGHT LOBE MEASUREMENTS: 5.1 x 1.8 x 1.9 cm.LEFT LOBE MEASUREMENTS: 5.3 x 2.2 x 1.9 cm.ISTHMUS MEASUREMENTS: 4 mm.RIGHT LOBE: Heterogeneous and nodular echotexture with subcentimeter hypoechoic nodule in the posterior mid gland.LEFT LOBE: Heterogeneous and nodular echotexture with subcentimeter hypoechoic nodule in the posterior mid gland.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Heterogeneous echotexture with two subcentimeter nodules. |
Generate impression based on findings. | Female 52 years old Reason: elevated creatinine, hyperkalemia History: elevated creatinine, hyperkalemia RIGHT KIDNEY: The right kidney measures 10.6 cm. The renal cortex is hyperechoic. There is a 2.2-cm lower pole cyst. There is no hydronephrosis.LEFT KIDNEY: The left kidney is not clearly identified.URINARY BLADDER: The bladder is incompletely distended and poorly evaluated.OTHER: No significant abnormalities noted. | Hyperechoic right renal cortex consistent with medical renal disease. The left kidney is not clearly identified. |
Generate impression based on findings. | Female; 49 years old. Reason: 49 yo with HCV with GB polyps. LIVER: The liver measures 14.8 cm. Liver echogenicity is mildly increased. The liver capsule is smooth in contour. No mass lesion is identified within the liver. The main portal vein is patent with normal directional flow a peak velocity of 40 cm/sec.GALLBLADDER, BILIARY TRACT: Again seen is a small, echogenic, non-shadowing, non-mobile focus along the gallbladder wall which measures 5 x 5 x 4 mm.PANCREAS: Mild diffuse fatty infiltration the pancreas is again seen.SPLEEN: The spleen measures 9.5 cm in length.LEFT KIDNEY: Limited views of the left kidney show no hydronephrosis or shadowing renal calculus. The kidney measures 11.6 centimeters in length. At the superior pole of the left kidney is a 2.4 x 2.0 x 2.1 cm simple cyst.OTHER: No significant abnormalities noted. | Stable exam with no focal hepatic lesion. |
Generate impression based on findings. | Right breast mass, possible fibroadenoma with prior benign biopsy result. Recent mastitis treated effectively, currently asymptomatic. A targeted right ultrasound was performed for the area marked by the clinical service. At the right 9 o'clock position, there is a mixed echogenicity lesion measuring 1.6 x 1.5 cm. This has peripheral blood flow. | 1.6-cm mixed echogenicity lesion near the site of clinical concern. This could represent a recurrent galactocele or less likely an area of fat necrosis. Surgical consultation is recommended and the patient will be seeing Dr. Jaskowiak today.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Female 71 years old; Reason: Evaluate left thyroid nodules seen on CT scan. RIGHT LOBE MEASUREMENTS: 4.8 x 1.4 x 1.5 cmLEFT LOBE MEASUREMENTS: 3.7 x 1.7 x 1.1 cmISTHMUS MEASUREMENT: No significant abnormality noted. 0.4 cm AP.RIGHT LOBE: The background thyroid gland has a mildly coarse echotexture. Multiple, subcentimeter solid, hypoechoic nodules are seen throughout the right lobe of the thyroid. A dominant nodule in the inferior aspect of the right thyroid lobe measures 5 x 4 x 4 mm.LEFT LOBE: The background thyroid gland has a mildly coarse echotexture. There are multiple subcentimeter solid, hypoechoic nodules. The dominant nodule is predominantly hypoechoic with some isoechoic components and measures 4 x 5 x 3 mm.ISTHMUS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. | Bilateral subcentimeter thyroid nodules. |
Generate impression based on findings. | Male 38 years old; history of a left thyroid nodule biopsied in 2009 which showed possible colloid nodule. RIGHT LOBE MEASUREMENTS: 4.2 x 1.4 x 2.2 cmLEFT LOBE MEASUREMENTS: 4.5 x 1.5 x 1.7 cmISTHMUS MEASUREMENT: No significant abnormality noted. 0.4 cm AP.RIGHT LOBE: The small cystic nodule seen on the prior study is not visualized today. The right thyroid lobe is normal in appearance.LEFT LOBE: A solid, hypoechoic nodule in the lower pole of the left lobe measures 1.2 x 1.2 x 1.0 cm and contains internal vascularity. This previously measured 1.5 x 1.2 x 1.0 cm.ISTHMUS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. | Stable appearance of the left lower pole thyroid nodule. |
Generate impression based on findings. | Ms. Padilla is a 19 year old female with questionable lesion identified on outside ultrasound exam. She presents today for a repeat ultrasound study. Per patient, she has had a palpable lesion for the past 4 months, which has been decreasing in size. She denies any history of trauma, fever, chills. On physical exam at the palpable area of concern, dense nodular tissue is appreciated. No discrete mass is appreciatedA targeted right breast ultrasound was performed for the palpable area of concern. In the right breast 10:00 position, approximately 6 cm from the nipple, dense fibroglandular tissue is apparent. There is no suspicious cystic or solid mass identified. | No sonographic evidence for malignancy. Patient should follow-up with her primary physician as warranted. All results and recommendations were relayed to the patient and her mother.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Six month old male with history of hydronephrosis on outside ultrasound. KIDNEYS Cortical Echogenicity: Normal on right, left kidney not visualized. Medullary Echogenicity: Normal on right, left kidney not visualized. Pelvicaliceal System -- SFU Grade* Right: 0 Left: Not visualized Length*** Right: 6.2 cm Left: Not visualized Mean for age: 6 cm Range for age: 4.5 - 7.5 cmADDITIONAL OBSERVATIONS: Patient family reports left kidney was seen in a low position on ultrasound from Kuwait when patient was one month of age. Now, no left kidney is visualized in any of the 4 abdominal quadrants or pelvis. | Normal solitary right kidney. Nonvisualized left kidney likely secondary to involution of a multicystic dysplastic kidney.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calyces are seen. Grade 4: Grade 3 and parenchymal thinning.Fernbach SK, Maizels M, Conway JJ. Ultrasound Grading of Hydronephrosis: Introduction to the System used by the Society for Fetal Urology. Pediatric Radiology (1993) 23: 478-480.***Rosenbaum DM, Korngold E, Teele RL. Sonographic Assessment of Renal Length in Normal Children. AJR Am J. Roentgenol (1984) 142:467-469 |
Generate impression based on findings. | Right upper quadrant pain LIVER: No significant abnormalities noted. Liver length 12.4 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Right renal cyst. Right kidney 10 cm in lengthOTHER: Left kidney 11.2 cm in length. Spleen 9.2 cm in length. No ascites. | Negative right upper quadrant ultrasound. No hepatobiliary abnormality. No ascites. |
Generate impression based on findings. | Palpable goiter RIGHT LOBE MEASUREMENTS: 6 x 1.9 x 2.8 cmLEFT LOBE MEASUREMENTS: 6.2 x 1.4 x 2.2 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Dominant predominantly solid lower pole nodule measuring 2.8 x 2.3 x 3.1 cm.LEFT LOBE: Dominant predominantly solid lower pole module measuring 2.5 x 1.5 x 2.7 cmISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Dominant bilateral lower pole thyroid nodules. These lesions are amenable to ultrasound guided percutaneous biopsy. |
Generate impression based on findings. | Elevated creatinine RIGHT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. Right kidney .47 m in length.LEFT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. Left kidney 11.1 cm in length.OTHER: Bladder collapsed. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal function without mass, stone, or obstruction. |
Generate impression based on findings. | Acute renal failure RIGHT KIDNEY: Markedly echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Multiple cysts. Right kidney 9.9 cm in length.LEFT KIDNEY: Markedly echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Multiple cysts. Left kidney 9.7 cm in length.OTHER: Bladder nondistended. | Markedly echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction. |
Generate impression based on findings. | Mesothelioma with abdominal distention Moderate free-flowing ascites throughout the abdomen and pelvis | Moderate free-flowing ascites throughout the abdomen and pelvis. |
Generate impression based on findings. | Microhematuria RIGHT KIDNEY: No mass, stone, or hydronephrosis. Right kidney 12.7 cm in length.LEFT KIDNEY: No mass, stone, or hydronephrosis. Left kidney 13.3 cm in length.OTHER: Bladder nondistended | No renal mass, stone, or hydronephrosis. |
Generate impression based on findings. | 64 year old female with thyroid nodules, evaluate progression RIGHT LOBE MEASUREMENTS: 5.8 x 1.9 x 2.4 cmLEFT LOBE MEASUREMENTS: 5.6 x 1.6 x 1.7 cmISTHMUS MEASUREMENTS: 0.3 centimetersRIGHT LOBE: Mild diffuse heterogeneity. Right inferior pole hypoechoic nodule is stable measuring 0.6 x 0.4 x 0 .4 cm, previously 0.8 x 0.7 x 0.6 cm. Right midpole mixed solid and cystic nodule measures 0.6 x 0.4 x 0 .5 cm, previously 0.8 x 0.7 x 0.5 cm.LEFT LOBE: Mild diffuse heterogeneity. Left superior cystic nodule measures 0.5 x 0.6 x 0 .4 cm, previously 0.5 x 0.3 x 0.3 cm. Cystic nodule in the left inferior pole with a focus of colloid is minimally decreased measuring 0.8 x 0.7 x 0 .4 cm, previously 1.1 x 1.0 x 0.8 cm.ISTHMUS: Hypoechoic indeterminate nodule within the isthmus is unchanged measuring 0.9 by 0.8 x 0 .6 cm, previously 0.8 x 0.7 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Multinodular thyroid, not significantly changed. |
Generate impression based on findings. | Alcohol cirrhosis LIMITED ABDOMENLIVER: Cirrhotic morphology without mass. Liver length 18.1 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. Spleen length 14.9 cm RIGHT KIDNEY: No significant abnormalities noted. 10.9 cm in lengthOTHER: Left kidney 11.4 cm in length. Moderately severe ascites. | Cirrhotic morphology without mass or duct dilatation. Moderately severe ascites. Patent portal vessels with normal directional flow. |
Generate impression based on findings. | Left testicular lesion RIGHT TESTIS: 4.2 x 2.2 x 2.9 cm. No intratesticular mass. Bilaterally symmetric Doppler flow characteristicsLEFT TESTIS: 4.3 x 2.1 x 2.8 cm. Bilaterally symmetric Doppler flow characteristics.There is a 0.6 x 0.5 x 0.4 cm well circumscribed mixed cystic and solid lesion inseparable from the left inferior mediastinum. This lesion demonstrates no appreciable vascularity. This lesion has not changed in its appearance when compared to 7/14/2014.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Well-circumscribed mixed cystic and solid subcentimeter lesion inseparable from the left inferior mediastinum. This lesion demonstrates no appreciable vascularity and has not changed in appearance compared to 7/14/2014. An ultrasound report from 2002 provided by the patient documents the presence of a cystic lesion arising from the same left inferior mediastinum.Given this lesion's temporal stability from the prior study and a report from 2002 mentioning a cystic focus arising from the same the left inferior mediastinum location, a benign etiology is favored (such as a post inflammatory/fibrotic lesion.) The very minimal increase in size from 2002 and the presence of a complex mixed cystic and solid appearance compared to the cystic description in 2002 does not preclude a benign etiology and may represent expected evolution of a post inflammatory lesion. However, would recommend annual ultrasound surveillance monitoring of this lesion. |
Generate impression based on findings. | Epigastric abdominal pain LIVER: Unremarkable echogenicity without mass. 16.2 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis again noted without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 13.1 cm in lengthOTHER: Left kidney 11.7 cm in length. Spleen 9 cm in length. No ascites | Stable cholelithiasis without acute inflammation or ductal dilatation. Ascites. |
Generate impression based on findings. | Cirrhosis with nausea and vomiting LIMITED ABDOMENLIVER: Cirrhotic morphology without mass. Liver length 17.5 cmBILIARY TRACT: Gallbladder absent. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: 14.4 cm in length. RIGHT KIDNEY: No significant abnormalities noted. 10.2 cm in length.OTHER: Left kidney 11.7 cm in length. No ascites | Cirrhotic liver without mass or ductal dilatation. Patent hepatic vessels with normal directional flow. No ascites. |
Generate impression based on findings. | Thyroid storm RIGHT LOBE MEASUREMENTS: 7.4 x 3.5 x 3.1 cmLEFT LOBE MEASUREMENTS: 8.7 x 3.7 x 3.6 cmISTHMUS MEASUREMENTS: 1.3 cmRIGHT LOBE: Diffusely enlarged heterogeneous gland now with marked increased diffuse vascularity.. Dominant mid pole nodule has slightly increased in size now measuring 2.8 x 2.5 x 1.7 cm and now demonstrates diffuse hyper echogenicityLEFT LOBE: Diffusely enlarged heterogeneous gland now with marked increased diffuse vascularity. Multiple nodules unchanged.ISTHMUS: Enlarged heterogeneous gland with increased diffuse vascularityPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely enlarged heterogeneous thyroid gland now with marked increased diffuse vascularity consistent with suspected thyroid storm vs acute thyroiditis. Interval increase in size of dominant right midpole thyroid nodule. |
Generate impression based on findings. | Hematuria RIGHT KIDNEY: Normal echogenicity. No worrisome mass, stone, or hydronephrosis. Midpole benign-appearing cyst. 11.7 cm in length.LEFT KIDNEY: Normal echogenicity. No worrisome mass, stone, or hydronephrosis. Multiple benign-appearing cysts. 11.3 cm in lengthOTHER: Bladder trabeculation without distention. Enlarged prostate | Normal renal parenchyma echogenicity without worrisome mass, stone, or obstruction. Bladder trabeculation without distention. Enlarged prostate. |
Generate impression based on findings. | Cirrhosis LIVER: Cirrhotic morphology without mass. Liver length 16.6 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12.2 cm in length.OTHER: Left kidney 13.1 cm in length. Left upper pole benign-appearing cyst. Spleen 13.2 cm in length. Trace ascites. | Cirrhotic morphology without mass or ductal dilatation. Trace ascites. |
Generate impression based on findings. | Low-attenuation renal foci seen on prior CT RIGHT KIDNEY: Multiple benign appearing cysts corresponding to the low attenuation foci seen on the recent CT. A representative upper pole cyst measures 2.5 x 2.4 x 2 cm. No stone or hydronephrosis. Right kidney 9.5 cm in length.LEFT KIDNEY: Multiple benign appearing cysts corresponding to low-attenuation foci seen on the recent CT. A representative lower pole cyst measures 2.2 x 2.3 x 2.5 cm. No stone or hydronephrosis. Left kidney 10.1 cm in length.OTHER: Bladder nondistended | Multiple bilateral benign-appearing cysts corresponding to low-attenuation foci seen on the recent chest CT. No worrisome mass, stone, or obstruction. |
Generate impression based on findings. | Hyper bilirubinemia LIVER: Mildly coarse heterogeneous liver echotexture without mass. Liver length 19 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12.7 cm in length.OTHER: Left kidney 10 cm in length. Spleen 15 cm in length. Trace ascites. | Mildly coarse heterogeneous liver echotexture suggestive for parenchymal dysfunction/fatty infiltration without mass or ductal dilatation. Mild hepatomegaly. Cholelithiasis without acute inflammation. Trace ascites. |
Generate impression based on findings. | Recurrent pyelonephritis with CVA tenderness; pregnant RIGHT KIDNEY: Slight interval increase in degree of moderate hydronephrosis. No worrisome mass or stone. No perinephric collection. Right kidney 13.2 cm in length.LEFT KIDNEY: No significant abnormalities noted. 12.7 cm in lengthOTHER: Intrauterine pregnancy. Bladder nondistended. | Slight interval increase in degree of right moderate hydronephrosis. No worrisome mass, stone, or abscess. |
Generate impression based on findings. | Questionable thyroid uptake on recent radionuclide scan RIGHT LOBE MEASUREMENTS: 3.6 x 1.7 x 1.8 cmLEFT LOBE MEASUREMENTS: 0.8 x 1.9 x 1.5 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Unremarkable thyroid ultrasound without evidence for mass or regional adenopathy. |
Generate impression based on findings. | Multiple thyroid nodules RIGHT LOBE MEASUREMENTS: 3.7 x 1.6 x 1.6 cmLEFT LOBE MEASUREMENTS: 4.2 x 1.8 x 2.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely heterogeneous gland without discrete noduleLEFT LOBE: Diffusely heterogeneous gland. No change in multiple left thyroid nodules. Mid pole nodule measures 0.9 x 1.1 x 0.8 cm. Lateral midpole nodule measures 0.9 x 1 x 1.5 cm. Lower pole nodule measures 1.4 x 1.3 x 0.9 cm.ISTHMUS: Diffusely heterogeneous gland without discrete nodulePARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable examination. Diffusely heterogeneous gland unchanged. No change in multiple left thyroid nodules. |
Generate impression based on findings. | Colon carcinoma with bilateral hydronephrosis with ureteral stents with nausea vomiting and persistent diarrhea RIGHT KIDNEY: Echogenic renal parenchyma. Slight interval worsening of moderate right hydronephrosis. Right ureteral stent observed and in anatomic location. No worrisome renal mass or stone. Right kidney 12.6 in meters in length.LEFT KIDNEY: Echogenic renal parenchyma Stable mild left hydronephrosis. Ureteral stent in anatomic location. Stable left renal cyst. No worrisome mass or stone. Left kidney 12.1 cm in length.OTHER: Bladder nondistended. Questionable debris within the bladder noted. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction. Slight interval worsening of moderate right hydronephrosis. Stable left minimal hydronephrosis. Bilateral ureteral stents in anatomic location. Bladder not distended; questionable debris within the bladder. |
Generate impression based on findings. | Chronic renal disease RIGHT KIDNEY: Echogenic parenchyma again noted without worrisome mass, stone, or hydronephrosis. Stable right renal cyst. Right kidney 8.5 cm in length.LEFT KIDNEY: Echogenic parenchyma again noted without mass, stone, or hydronephrosis. Left kidney 8.7 cm in length.OTHER: Bladder nondistended | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction again noted without worrisome mass, stone, or obstruction. |
Generate impression based on findings. | Hemachromatosis LIVER: Coarse echogenic liver echotexture without mass. Liver length 17.9 cm GALLBLADDER, BILIARY TRACT: Gallbladder absent. No ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12.7 cm in lengthOTHER: Left kidney 12.1 cm in length. Spleen 13.2 cm in length. No ascites. | Coarse echogenic liver echotexture consistent with chronic liver disease without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | Right upper quadrant pain LIVER: Mildly coarsened heterogeneous liver echotexture without mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No change in mild to moderate right hydronephrosis. Right kidney 13.9 cm in lengthOTHER: No change in mild to moderate left hydronephrosis. Left kidney 12.6 cm in length. No ascites. Bladder nondistended. | Mildly coarsened heterogeneous liver echotexture suggestive of chronic liver disease/fatty infiltration without mass or ductal dilatation. Unremarkable gallbladder. No ascites.No change in bilateral mild to moderate hydronephrosis. |
Generate impression based on findings. | Status post hepatectomy with increasing LFTs LIVER: Status post partial hepatectomy. 5.3 x 6 x 2.8 cm complex inferior peri- hepatic loculated fluid collection not significantly changed. Mildly coarse liver echotexture without massGALLBLADDER, BILIARY TRACT: No ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 13 centimeters in length.OTHER: Moderate ascites again noted. | Mildly coarse liver echotexture suggestive for parenchymal dysfunction/fatty infiltration without mass or ductal dilatation. Stable complex inferior perihepatic loculated fluid collection and degree of ascites. |
Generate impression based on findings. | Elevated creatinine RIGHT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Right kidney 13.2 cm in length.LEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Left kidney 13.5 cm in length.OTHER: Bladder nondistended. Mild ascites. Moderate right pleural effusion. | Normal renal ultrasound. Unremarkable renal parenchymal echogenicity without mass, stone, or obstruction. Mild ascites. Moderate right pleural effusion. |
Generate impression based on findings. | History of NASH and hepatitis C cirrhosis, evaluate liver and biliary system. Exam limited due to body habitus. LIVER: The liver measures 16 cm in length. Coarse echotexture and nodular capsule consistent with cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s.BILIARY TRACT: Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen measures 15.2 cm in length. RIGHT KIDNEY: Kidney measures 9.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | Limited study due to patient's body habitus. Cirrhotic liver. Splenomegaly. |
Generate impression based on findings. | Left thyroid nodule detected on outside CT RIGHT LOBE MEASUREMENTS: 4.7 x 1.4 x 1.7 cmLEFT LOBE MEASUREMENTS: 5 x 1.5 x 1.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Diffusely heterogeneous gland without discrete nodule.LEFT LOBE: Diffusely heterogeneous gland. 2.1 x 1.1 x 1.1 cm solid hypoechoic nodule arising from the lower pole of thyroid gland.ISTHMUS: Diffusely heterogeneous gland without discrete nodulePARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Dominant solid hypoechoic nodule arising from the lower pole left thyroid gland. This lesion is amenable to ultrasound guided percutaneous biopsy |
Generate impression based on findings. | Hepatitis B LIVER: Normal parenchymal echogenicity without mass. 15.4 cm in lengthGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.2 cm in lengthOTHER: Left kidney 10.3 cm in length. Spleen 9.2 cm in length. No ascites. | Stable negative examination. No hepatic mass or ductal dilatation. No ascites. |
Generate impression based on findings. | Goiter RIGHT LOBE MEASUREMENTS: 7.7 x 3.4 by 3.6 cmLEFT LOBE MEASUREMENTS: 5.6 x 3.6 by 3.7 cmISTHMUS MEASUREMENTS: 2.8 cmRIGHT LOBE: Diffusely heterogeneous gland without discrete measurable noduleLEFT LOBE: Diffusely heterogeneous gland without discrete measurable noduleISTHMUS: Solid exophytic nodule arising from the isthmus measuring 2.5 x 4.7 x 2.9 cmPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous gland. Solid exophytic nodule arising from the isthmus. This lesion is amenable to ultrasound guided percutaneous biopsy. |
Generate impression based on findings. | Family history medullary renal cell carcinoma RIGHT KIDNEY: Normal echogenicity without mass, stone, or hydronephrosis. 10.8 cm in length.LEFT KIDNEY: Normal echogenicity without mass, stone, or hydronephrosis. 10.5 cm in length.OTHER: Bladder nondistended | Negative renal ultrasound. No evidence for mass, stone, or obstruction. |
Generate impression based on findings. | Elevated T3 and T4 with cardiac anomalies RIGHT LOBE MEASUREMENTS: 4.9 x 1.5 x 2 cmLEFT LOBE MEASUREMENTS: 4.2 x 1.6 x 2 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Diffusely heterogeneous gland with increased vascularity. No discrete mass.LEFT LOBE: Diffusely heterogeneous gland with increased vascularity. No discrete mass.ISTHMUS: Diffusely heterogeneous gland with increased vascularity. No discrete mass.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous gland with increased vascularity. No discrete mass. Findings suggestive for Graves' disease versus acute thyroiditis. |
Generate impression based on findings. | Right upper quadrant pain LIVER: Coarse echogenic liver parenchyma without mass. Liver length 21 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis with sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.1 cm in length.OTHER: Left kidney 10.7 cm in length. Spleen 13.3 cm in length. No ascites. | Cholelithiasis with sludge without acute inflammation or ductal dilatation. Hepatomegaly with coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass. No ascites. |
Generate impression based on findings. | Painful right submandibular mass RIGHT LOBE MEASUREMENTS: 5.4 x 1.4 x 2.6 cmLEFT LOBE MEASUREMENTS: 4.7 x 1.3 x 2.4 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Enlarged but morphologically normal appearing bilateral submandibular/level 1 lymph nodes bilaterally.OTHER: No significant abnormality noted. | Enlarged but morphologically normal appearing bilateral submandibular/level 1 lymph nodes bilaterally. Findings consistent with benign reactive adenopathy. No worrisome mass lesion or cyst. Normal thyroid gland. |
Generate impression based on findings. | Worsening urine output and renal function RIGHT KIDNEY: Echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Benign-appearing renal cyst. Right kidney 8.9 cm in length.LEFT KIDNEY: Echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Benign appearing renal cyst. Left kidney 11.8 cm in length.OTHER: Bladder collapsed. Mild ascites. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction. Mild ascites. |
Generate impression based on findings. | Pancreatic mass with right upper carted pain and fever LIVER: Diffusely heterogeneous liver with left lobe gas foci, possibly representing pneumobilia. No discrete mass. Liver length 16.5 cmGALLBLADDER, BILIARY TRACT: Diffuse gallbladder wall thickening with questionable pericholecystic fluid. Associated with cholelithiasis and sludge. Also associated with positive Murphy's sign. Questionable minimal intrahepatic ductal dilatation with mild prominence of the extrahepatic duct.PANCREAS: Not visualized due to overlying gas.RIGHT KIDNEY: No significant abnormalities noted. 8.9 cm in length.OTHER: Left kidney 13.1 cm in length. Spleen 10.9 cm in length. No ascites. | Diffuse gallbladder wall thickening with questionable pericholecystic fluid with cholelithiasis and sludge. Associated with positive Murphy sign. Findings suspicious for acute cholecystitis. Also associated with questionable minimal intrahepatic ductal dilatation with mild prominence of the extrahepatic duct.Diffusely heterogeneous liver without mass. Left lobe gas foci, possibly representing pneumobilia |
Generate impression based on findings. | Right upper quadrant pain and leukocytosis LIVER: Coarse echogenic liver echotexture without mass. Liver length 7.2 cm.GALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.8 cm in length.OTHER: 2.3 x 1.6 x 2.1 lesion arising from the midportion of the left kidney with heavily calcified rim. Left kidney 12.1 cm in length. Spleen not visualized. No ascites. | Echogenic liver suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Cholelithiasis without acute inflammation.Left renal lesion with heavily calcified rim of unclear significance. Given the patient's body habitus and inability to have a CT exam, would recommend surveillance follow-up via ultrasound. |
Generate impression based on findings. | Acute renal failure RIGHT KIDNEY: Echogenic renal parenchyma without worrisome mass or stone. Minimal hydronephrosis. Right kidney 12.4 cm in lengthLEFT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. Left kidney 12.7 cm in lengthOTHER: Bladder nondistended. Abdominal ascites. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass or stone. Minimal right hydronephrosis. Abdominal ascites. |
Generate impression based on findings. | 51 year-old woman with history of new mass in the left breast seen on screening mammography. An ML view and 3 spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. A round, circumscribed mass measuring approximately 3 x 1.9 cm is again seen in the left breast at approximately 3 cm depth and 5 o'clock position. There are no associated calcifications.ULTRASOUND | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Male 69 years old Reason: Patient has a AAA, and is a smoker. Please tell me if it's getting bigger History: AAA, asymptomatic ABDOMINAL AORTA: The proximal and mid aorta demonstrate a normal direction of flow without atherosclerotic changes. The distal aorta demonstrates a normal direction of flow. It is aneurysmally dilated (measurements below) with atherosclerotic plaques but stable in size compared to the prior study.Proximal: 2.2 x 3.0 x 2.4 cmMid: 2.3 x 2.6 x 2.3 cmDistal: 2.7 x 2.9 x 2.2 cmRight common iliac artery: 0.8 1.1 x 0.8 cmLeft common iliac artery: 0.9 x 1.1 x 1.0 cmOTHER: Note is made of a fatty liver. | 1.Stable infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | Evaluate for hydronephrosis. Acute kidney injury. RIGHT KIDNEY: The right kidney measures 11.2 cm in length. No evidence of hydronephrosis. The kidney Is mildly echogenic compatible with medical renal disease.LEFT KIDNEY: The left kidney measures 11.3 cm in length. No evidence of hydronephrosis. The kidney Is mildly echogenic compatible with medical renal disease.URINARY BLADDER: Bladder is collapsed around a Foley catheterOTHER: Moderate abdominal ascites which is new compared to prior. Liver appears nodular compatible with cirrhosis. | Medical renal disease; no evidence of hydronephrosis. Moderate ascites. |
Generate impression based on findings. | 69-year-old male patient with history of thyroid cancer. Evaluate for abnormal nodules, notes. Status post surgery and I-131. RIGHT LOBE MEASUREMENTS: Status post total thyroidectomy.LEFT LOBE MEASUREMENTS: Status post total thyroidectomy.ISTHMUS MEASUREMENTS: Status post total thyroidectomy.RIGHT LOBE: There is a heterogeneous soft tissue in the right thyroid bed that measures 0.7 x 0.7 x 1.0 cm.LEFT LOBE: No residual tissue or evidence of recurrence.ISTHMUS: No residual tissue or evidence of recurrence.PARATHYROID GLANDS: Not visualized.LYMPH NODES: No suspicious appearing lymph nodes.OTHER: No significant abnormality noted. | No change in heterogeneous soft tissue in the right thyroid bed thought to represent scarring. |
Generate impression based on findings. | 26 year old with palpable right breast masses. Per the patient, these do not feel different in size compared to the time of the prior outside ultrasound. A targeted right ultrasound was performed for the patient’s area of concern. Two solid masses and a cyst are seen. Near the right breast 12 o'clock position approximately 4 cm from the nipple, a 1.7 x 1.6 cm oval circumscribed mass is seen. Closer to the nipple and slightly more medially, a 1.4 x 1.0 cm mass with similar typically benign morphology is present. This is probably the mass labeled 12 o'clock on the prior outside ultrasound. Additionally, slightly lateral to the larger of the two solid masses is a 6-mm cyst. | Two likely benign masses in the right breast. The larger of the two solid masses is not seen on the images that were previously submitted. Surgical consultation is recommended. Palpably guided tissue sampling versus ultrasound guided biopsy can be considered to confirm a benign etiology, especially if there is a change detected on physical exam.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Female; 68 years old. Reason: Evaluate gallbladder sludge vs stones History: abdominal pain, not related to activity LIVER: The liver measures 16.5 cm the length. The contour is smooth and the parenchyma demonstrates normal echotexture. No focal lesions are identified. The main portal vein is patent and demonstrates normal direction of flow with a peak velocity 20 cm/sec.BILIARY TRACT: The gallbladder is contracted and not well visualized. It is filled with shadowing stones. The patient is tender when scanning over the gallbladder. The common bile duct measures 3 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: Pancreatic head is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: 10.2 cm in length.RIGHT KIDNEY: 9.5 cm in length. Several simple cysts are redemonstrated, the largest measures 3.6 x 4.0 x 4.1 cm . There is no hydronephrosis. The renal parenchyma is mildly echogenic.LEFT KIDNEY: 10.0 cm in length with a 2.1 x 2.2 x 1.7 cm simple cyst. There is no hydronephrosis. The renal parenchyma is mildly echogenic..OTHER: There is no ascites. | 1.Contracted gallbladder with multiple gallstones. No intra-or extrahepatic biliary ductal dilatation.2.Bilateral simple renal cysts. |
Generate impression based on findings. | Female 68 years old Reason: 68 y/o female w/ palpable "knot" in left upper extremity/arm/shoulder. History: Please Evaluate for Composition. Focused ultrasound performed over the dorsal left upper extremity in the region of the triceps muscle. No focal mass or other abnormality is identified. Symmetric appearance of the right and left triceps region. | No sonographic abnormality is identified in the area of clinical concern. |
Generate impression based on findings. | Ms. Crawl is a 20-year-old female presenting with a palpable lump in the right breast for the past two years. Per patient, this mass has increased in size of the past one month. She denies any history of trauma, fever/chills, or skin thickening. Upon physical exam at the patient's area of concern, a soft, mobile mass is appreciated in the right upper outer breast.A targeted right breast ultrasound was performed for the patient’s area of concern. In the right breast 10 o'clock location (approximately 2 cm from the nipple), there is a lobulated, hypoechoic solid mass measuring 3.0 x 1.3 x 2.3 cm. There is a moderate amount of vascularity associated with this lesion. Findings are highly suggestive of a fibroadenoma. | Sonographic findings highly suggestive of a fibroadenoma. However, due to the recent growth of this mass per patient, a surgical consultation is recommended. Patient is scheduled to see Dr. Chhablani after the radiology appointment.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Ms. Johnson is a 62-year-old female with a personal history of left breast lumpectomy in 2008 for DCIS status post adjuvant radiation therapy. In clinic today, Dr. Chhablani palpated a possible enlarged right axillary lymph node. She presents today for ultrasound evaluation. Upon physical exam at the area marked by Dr. Chhablani, no discrete mass is appreciated. There are several enlarged superficial veins identified in the axillary and upper arm area.A targeted right axillary ultrasound was performed for the palpable area of concern. Three normal axillary lymph nodes identified in the area marked by Dr. Chhablani. No suspicious cystic or solid mass is identified. | Normal axillary lymph nodes in the right axilla. No sonographic evidence of malignancy. All findings relayed to Dr. Chhablani in person at time of dictation.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 40 year old who is status post left mastectomy for malignancy, presents for ultrasound evaluation of a palpable abnormality in the left axilla. Focused ultrasound was performed for the marked area in the left axilla. There is a tube-like foreign body, measuring 17 x 5 mm. This could be a part of a drainage tube. | A tube-like foreign body was identified in the left axilla. Results were discussed with Dr. Chhablani. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male; 30 years old. Reason: Evaluate for gallstones. History: ruq pain LIVER: The liver measures 12.0 cm in length. The liver capsule is smooth and the liver parenchyma demonstrates normal echogenicity. Within the right lobe of the liver is a 10 x 9 x 7 mm solid, hyperechoic lesion with no flow on color Doppler.The main portal vein is patent and demonstrates a normal direction of flow with a peak velocity of 20 cm/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The common bile duct measures 3 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The visualized head of the pancreas is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 10.1 cm in length.RIGHT KIDNEY: The right kidney measures 10.7 cm in length. There is no hydronephrosis. OTHER: The left kidney measures 12.0 cm in length. There is no hydronephrosis. | 1.No cholelithiasis and no evidence of cholecystitis.2.1 cm hyperechoic liver lesion most compatible with hemangioma. |
Generate impression based on findings. | Female 44 years old Reason: Pain LUQ - Have been told she has hernia. History: Pain LUQ - Have been told she has hernia. No free likely than fluid. Lateral segment left lobe appears normal.Normal peristalsing stomach is seen.Prominent small bowel loop is seen dorsal to the stomach questionable clinical significance. On some images there is an appearance of transient intussusception which I could not reproduce when scanning myself.No evidence of abdominal wall hernia. | No evidence of abdominal wall hernia.Prominent jejunal loops in left upper quadrant of questionable clinical significance. Possible transient jejunal intussusception. Patient reported no nausea vomiting or postprandial symptoms. Correlate clinically. |
Generate impression based on findings. | Reason: 62 year-old female with elevated alkaline phosphatase. RUQ ultrasound requested to further evaluate. LIVER: The liver measures 16.1 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.4 cm in length. RIGHT KIDNEY: Kidney measures 9.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 7.6 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. 2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.3.Atrophy left kidney. |
Generate impression based on findings. | History of elevated alkaline phosphatase. Exam limited by positioning and patient body habitus. LIVER: The liver measures 15.5 cm in length. Numerous isoechoic hepatic lesions with hypoechoic halos are noted throughout the liver suspicious for metastases. An example lesion in the left lobe measures 3.4 x 4.8 x 3.3 cm. BILIARY TRACT: Cholelithiasis. No gallbladder wall thickening. The sonographic Murphy's sign is negative. The common bile duct measures 5 mm in diameter.PANCREAS: The pancreatic duct is mildly prominent measuring 4 mm in diameter. SPLEEN: No significant abnormalities noted. The spleen measures 9.3 cm in length. RIGHT KIDNEY: Kidney measures 10.9 cm in length. Multiple right calyceal calculi the largest of which measures 9mm. Resolved hydronephrosis.LEFT KIDNEY: Kidney measures 11.3 cm in length. Mild hydronephrosis with stent.OTHER: Ascites. | 1.Multiple bilobar hepatic lesions suspicious for metastases. Example lesion in left lobe measures 3.4 x 4.8 x 3.3 cm. 2.Cholelithiasis without evidence of cholecystitis.3.Multiple right calyceal calculi the largest of which measures 9mm. Resolved hydronephrosis on right. 4.Mild left hydronephrosis with stent.5.Ascites. Discussed findings with Dr. Akoegbe at 11:00 a.m. on 2/13/2015. |
Generate impression based on findings. | Female; 52 years old. Reason: critically ill patient with renal failure History: critically ill patient with renal failure RIGHT KIDNEY: The right kidney measures 10 cm in length. The renal cortex is echogenic. A 2 .2 cm simple cyst is again seen in the lower pole. There is no hydronephrosis.LEFT KIDNEY: The left kidney is not clearly seen.URINARY BLADDER: The bladder is decompressed by Foley catheter.OTHER: No significant abnormalities noted. | 1.Echogenic right kidney consistent with medical renal disease. The left kidney is not well visualized.2.No hydronephrosis on the right.3.Stable exam. |