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cp500
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ultrasound-samples

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Generate impression based on findings.	85-year-old male with known solid right renal mass for follow-up. RIGHT KIDNEY: Right kidney measures 9.3 cm in length. Cortex echotexture likely within normal limits. There is no hydronephrosis. There are multiple simple and complex cysts identified as seen on the prior exam, some of the cysts with septation and some with presumed internal debris. Arising from the upper pole of the right kidney is again noted an ovoid, exophytic solid mass. This measures 2.2 x 3.5 x 2.8 cm, unchanged from the prior study. Please note, measurements provided in prior report were incorrect and should be noted as 2.1 x 3.5 x 2.8 cm.LEFT KIDNEY: The left kidney measures 10.3 cm in length. Cortical echotexture likely within normal limits. There is no hydronephrosis. There are again noted multiple simple and mildly complex cysts. No solid mass is seen.OTHER: Prostate is markedly enlarged and protrudes and deforms the posterior bladder wall. Bladder is incompletely distended but appears somewhat thick-walled.	Stable examination. In particular, no significant change in the solid right renal mass. Please note replacement measurements for prior exam given above.
Generate impression based on findings.	Female 55 years old Reason: assess for biliary duct pathology, assess liver morphology LIVER: Mildly increased echogenicity of the liver, which is nonspecific and may be secondary to hepatic dysfunction. No focal hepatic lesion. Liver measures 14.1 cm in length. BILIARY TRACT: No intra or extrahepatic biliary ductal dilatation. Sludge is present in the gallbladder. No gallbladder wall thickening. Negative Murphy's sign.PANCREAS: Pancreas not well-visualized secondary to overlying bowel gas.SPLEEN: Spleen is difficult to visualize but measures 10.8 cm in length.KIDNEYS: Right native kidney measures 5.9 cm. Left native kidney measures 4.7 cm. Both native kidneys are atrophic. Left lower quadrant renal transplant is visualized, normal in echotexture, with a mildly prominent collecting system.OTHER: Trace free fluid.	1.No intra or extrahepatic biliary ductal dilatation. 2.Mild prominence of renal collecting system of the transplanted kidney.
Generate impression based on findings.	Female 51 years old Reason: assess right upper quadrant for abnormality History: elevated alk phos LIVER: Liver measures 17.5 cm. The liver is coarse and nodular, concerning for cirrhosis. Main portal vein is patent with normal directional flow and a peak velocity of 26 cm/s.BILIARY TRACT: Patient is postcholecystectomy. Common bile duct measures 4 mm. No intra or extra hepatic biliary ductal dilatation.PANCREAS: Pancreas is not well-visualized. Spleen is normal in appearance measuring 11.8 cm.SPLEEN: No significant abnormalities noted.KIDNEYS: Right kidney is echogenic measuring 7.9 cm in length. Left kidney measures 7.5 cm. No hydronephrosis.OTHER: Large volume ascites.	1.Coarse nodular liver, compatible with cirrhosis. No focal hepatic lesion or biliary abnormality.2.Large volume ascites.
Generate impression based on findings.	Asymptomatic female presents for whole breast ultrasound for dense breast screening. Family history of breast cancer in mother, diagnosed at the age of 63. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. No suspicious cystic or solid mass is identified.This exam was interpreted by two radiologists.	No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.
Generate impression based on findings.	35-year-old male with chronic kidney disease. RIGHT KIDNEY: The right kidney measures approximately 7.6 cm in length. The kidney is moderately to markedly echogenic consistent with parenchymal disease, and this has progressed in the interim. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures approximately 8.5 cm in length. The kidney is moderately to markedly echogenic consistent with parenchymal disease, and this has progressed in the interim. No hydronephrosis or shadowing calculus. The previously noted hypoechoic, lobulated region in the lower pole of the left kidney is not visualized on today's exam.OTHER: No significant abnormalities noted.	Progressive increased echogenicity of both kidneys which are atrophic.Previously noted questionable mass on the left is not visualized.
Generate impression based on findings.	58-year-old male with parathyroid cancer with multiple prior surgeries and radiation. Evaluate for mass. RIGHT LOBE MEASUREMENTS: 3.5 x 2 x 2.8 cmLEFT LOBE MEASUREMENTS: Post thyroidectomy.ISTHMUS MEASUREMENTS: Post thyroidectomy.RIGHT LOBE: No significant abnormality noted.LEFT LOBE: No massesISTHMUS: No massesPARATHYROID GLANDS: No extrathyroidal mass identified.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.	Post partial thyroidectomy. Normal-appearing right lobe. No extrathyroidal masses.
Generate impression based on findings.	25-year-old male with history of thyroid nodule. RIGHT LOBE MEASUREMENTS: 5.4 x 1.8 x 2.4 cmLEFT LOBE MEASUREMENTS: 4.9 x 1.6 x 2.1 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely and heterogeneously echogenic with associated linear foci of decreased attenuation as seen with thyroiditis. No dominant mass.LEFT LOBE: Diffusely and heterogeneously echogenic with associated linear foci of decreased attenuation as seen with thyroiditis. No dominant mass.ISTHMUS: Diffusely and heterogeneously echogenic with associated linear foci of decreased attenuation as seen with thyroiditis. No dominant mass.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.	Heterogeneous, echogenic gland consistent with thyroiditis. No dominant mass.
Generate impression based on findings.	72-year-old female for follow-up thyroid nodules. RIGHT LOBE MEASUREMENTS: 8.5 x 4 x 3.5 cmLEFT LOBE MEASUREMENTS: 9.1 x 4.4 x 3.9 cmISTHMUS MEASUREMENTS: 1.7 cmRIGHT LOBE: Mildly and heterogeneously echogenic with a suggestion of underlying hyperechoic nodules as is seen with thyroiditis. There is again noted in the midportion of the right lobe is a well circumscribed, solid nodule with cystic component that is mildly and heterogeneously echogenic. This measures 1.5 x by 2.1 x 2.4 cm. When remeasuring the prior study, this is unchanged, appearing better marginated on today's exam.LEFT LOBE: Mildly and heterogeneously echogenic with suggestion of underlying hyperechoic nodules. The appearance is overall unchanged in the interim.ISTHMUS: Within the isthmus, there is a heterogeneous, solid mass which is reasonably well demarcated measuring 0.7 x 0.8 x 0.8 cm without change.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.	Stable thyromegaly with stable nodules.
Generate impression based on findings.	51-year-old female with prior embolization of hemorrhagic left angiomyolipoma for follow-up. RIGHT KIDNEY: The right kidney measures 11.6 cm in length. Echotexture is normal. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 11.6 cm in length. There is no hydronephrosis or shadowing calculus. There is again noted a complex mass arising from the upper pole which is predominantly echogenic with a hypoechoic portion. This measures 3.1 x 3.5 x 4.3 cm, unchanged or slightly decreased in the interim. The appearance of the mass is quite similar. No perirenal abnormality.OTHER: No significant abnormalities noted.	Stable to slight decrease in left renal angiomyolipoma.
Generate impression based on findings.	64-year-old female with question thyroid nodule. RIGHT LOBE MEASUREMENTS: 5.6 x 1 x 1.7 cmLEFT LOBE MEASUREMENTS: 6.7 x 2.2 x 1.5 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Homogeneous in echotexture. Arising from the lower pole is a predominantly solid, isoechoic mass with some internal cystic change in small punctate echogenic foci. This measures approximately 0.6 x 0.7 x 1.3 cm with a somewhat lobulated margin on transverse imaging.LEFT LOBE: Homogeneous in echotexture. Presumably arising from the lower pole of the left lobe is a very large, solid, well-defined and heterogeneous mass measuring 2.1 x 2.3 x 3.2 cm. Portions of this are hyperechoic.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.	Bilateral thyroid masses with an indeterminate appearance.
Generate impression based on findings.	44-year-old male with right scrotal mass. RIGHT TESTIS: Normal in size, contour and echogenicity. Normal vascularity by color and spectral DopplerLEFT TESTIS: Left testicle is smaller than the right, and slightly hypoechoic and heterogeneous. There is a 2 mm focus of increased echogenicity in the left testicle without definite shadowing to suggest calcification. This could also represent an area of focal fibrosis. There is no associated mass identified.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: 5 mm cyst.OTHER: Superior to the right testicle in the region of palpable abnormality as described by the patientThere is a 1.5 cm ovoid, simple cyst consistent with spermatic cord cyst. Also is a small supratesticular varicocele.	Small and mildly hypoechoic left testicle. Patient provides history of nondistended testis. Focal internal echogenicity without appreciable mass effect could be related to calcification or scar.Cyst of the right spermatic cord with small varicocele.
Generate impression based on findings.	Ms. Lara is a 33-year-old woman with a 0.5 cm palpable nodule within the outer left breast who presents for additional evaluation. Physical examination demonstrates a subcentimeter palpable nodule within the upper outer left breast.A targeted left ultrasound was performed for the palpable area of concern. Within the left breast at the 2:00 position approximately 6 cm from the nipple, no solid or cystic masses are identified.	No sonographic evidence for malignancy. Palpable concern should be managed clinically. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually beginning at the age of 40.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed.
Generate impression based on findings.	Male 67 years old Reason: r/o acalculous cholecystitis History: sepsis, abdominal discomfort, c/f gallbladder dilation on CT abdomen LIVER: Increased echogenicity of the liver compatible with fatty infiltration. Liver is enlarged. Liver measures 18.6 cm.BILIARY TRACT: Gallbladder is significantly distended. There is gallbladder wall thickening. Sludge is present within the gallbladder. These findings are compatible with acute cholecystitis. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: 2 x 2.4 cm hypoechoic lesion within the left kidney. This study is limited for optimal evaluation of this lesion. Right kidney is unremarkable measuring 11.9 cm. Left kidney measures 12.3 cm. OTHER: No significant abnormalities noted.	Sonographic findings compatible with acute cholecystitis. Diffuse fatty infiltration of the liver. Hepatomegaly. Left renal cyst.Dr. Wali was notified and acknowledged about the above findings at the time of dictation.
Generate impression based on findings.	7 day old male with encephalocele and meningomyelocele status post repair on 6/11; patient now has seizure like activity in the upper extremities. Patient needs head CT. There is no evidence of intracranial hemorrhage, mass or edema. Panventricular dilatation that is stable when compared to ultrasound obtained 6/13/2008.Wavy contour of the inner table of the calvarium consistent with Luckenschadel skull.Interdigitation of the interhemispheric fissure.Corpus callosum present.The visualized paranasal sinuses are normally pneumatized.	1. Imaging features associated with Chiari malformation including Luckenschadel skull and interdigitation of the cerebral hemispheres.2. Stable panventricular dilatation compared to ultrasound obtained 6/13/2008.
Generate impression based on findings.	Two month old male with hydrocephalus seen on serial head ultrasounds from baseline CT. There is no evidence of intracranial hemorrhage, mass or edema. The lateral ventricles are markedly enlarged, most noted in the occipital horn of the left lateral ventricle, which contains an external drainage catheter. The third ventricle is mildly enlarged, and the fourth ventricle demonstrates normal volume. Ventricular volumes are grossly stable from recent ultrasound exams, given differences in imaging technique. The ventricles remain midline. The basal cisterns are normal in size and configuration. The myelination pattern is within normal limits. There is mild encephalomalacia left parietal lobe near the enlarged occipital horn of the left lateral ventricle.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.	Stable hydrocephalus and associated left parietal encephalomalacia as described.
Generate impression based on findings.	Ventriculomegaly, seizure. There is moderate prominence of the lateral ventricles bilaterally. Cortical sulci are also prominent and there is relative lucency in the periventricular white matter. There is no gross hemorrhage or mass. Subtle scalp swelling is incidentally noted in the frontal region.	Immature appearance with prominent ventricles and sulci especially in the frontal region and decreased attenuation white matter with no hemorrhage.
Generate impression based on findings.	Mass in tail of right carotid and Rathke's cyst or tumor pituitary. New fullness involving the anterior chest wall.IMAGE ACQUISITIONS: Enhanced CT performed of the head. Enhanced CT performed of the neck. See separate report for chest CT. Evaluation of the brain shows no evidence of abnormality of the ventricles or basal cisterns. There is an expansile cystic lesion in the sella turcica that correlates with the lesion noted on MR imaging. Allowing for differences in modality. This does not appear to have changed significantly from the prior study. There is 1 cm nodule within the tail of right parotid gland that is nonspecific, but may represent pleomorphic adenoma. Evaluation of the remainder of the neck soft tissues shows a normal appearance of the nasopharynx and parapharyngeal spaces. No other nodules are seen within the parotid glands. The submandibular glands show bilateral submandibular stones as well as a calcification in the right sublingual space that likely represents a stone as well. There are multiple low-attenuation nodules also seen in the thyroid gland with more pronounced nodularity identified on the left. The largest measures 1.3-cm. Correlation with ultrasound or biopsy may be helpful as warranted clinically. The larynx and hypopharynx are unremarkable. There is no evidence of significant lymphadenopathy identified involving the neck soft tissues.	Stable cystic mass involving sella turcica and extending into the skull base. Approximately 1 cm nodule right parotid gland. Bilateral submandibular and right sublingual stones. Multiple nodules identified in the thyroid gland, most pronounced involving left lobe. See separate report for chest CT.
Generate impression based on findings.	Neck pain and snapping when turning head. The parotid and submandibular glands are clear. Patient is edentulous. Dystrophic calcifications are identified in the tonsils. The carotid arteries are tortuous but there is no focal stenotic lesion identified. Small shotty lymph nodes are present, none are enlarged by size criterion. Small lucencies are present in the thyroid gland, this may be further evaluated with ultrasound if warranted clinically.There are mild degenerative findings present in the cervical spine with decreased disk height and spurs, this is most marked at C6-7 and this results in mild central and foraminal stenosis. Note is also made of a small sclerotic focus in the T2 or vertebral body on the left side. This has a benign appearance suspicious for a bone island, if there is history of neoplasm follow up bone scan is suggested. There are nonspecific patchy opacities probably scarring at the lung apices.	Unremarkable CT study of the soft tissues of the neck. There are mild degenerative findings present in the cervical spine which could be better described as a dedicated study. There is sclerotic focus in the T4 vertebral body on the left side and although the appearance is benign a follow up bone scan may be helpful if warranted clinically.
Generate impression based on findings.	26 day old female neonate with apnea. History of ventriculomegaly. Please evaluate for ventriculomegaly/any mass effect. There is mild asymmetric enlargement of the left lateral ventricle on comparison to the right; however this finding is within normal limits and was seen on prior head ultrasound. There is no evidence of intracranial hemorrhage, mass or edema. No evidence of ventriculomegaly; the basal cisterns are normal in appearance.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses are normally pneumatized; the mastoid air cells are partially opacified.	No evidence of ventriculomegaly or other acute abnormality.
Generate impression based on findings.	Weakness Prominent partial fusion is noted at the C2 and C3 vertebrae. There is mild grade 1 subluxation in the C3-C4 level with minimal retrolisthesis at C6-C7. Prominent endplate degenerative irregularities are also present at C6-C7 and to a lesser degree at C5-C6. There is no acute appearing compression deformity.The axial images show prominent disk/spur complex at the C3-C4 level resulting in mild central canal and moderate left-sided foraminal stenosis. Mild stenotic findings are present at C4-C5 and C5-C6 although there is moderate right sided foraminal stenosis. C6-C7 shows mild central canal and bilateral foraminal stenosis. C7-T1 has milder degenerative findings without significant stenosis. Incidental note is made of prominent enlargement with heterogeneous attenuation of the thyroid gland including dystrophic calcification with deviation of the trachea to the right side of midline. This may be further evaluated with ultrasound performed clinically.	Moderate degenerative changes with partial fusion C2-C3 and no acute fracture.Prominent enlargement of heterogeneous appearing thyroid possibly goiter. This would be better evaluated with ultrasound if warranted clinically.
Generate impression based on findings.	29-year-old female. Evaluate kidney stones. ABDOMEN: Exam is not sensitive for solid organs or bowel to the lack of intravenous and oral contrast.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Single 3-mm focus of nephrolithiasis midright kidney. No calcification seen along the course of the ureters. Kidney contour is normal. Perinephric fat is normal. No hydronephrosis.Left kidney is normal. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: Small soft tissue focus exophytic off anterior uterus abutting the abdominal wall, may represent a small fibroid in and much less likely portion of a urachal remnant.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted	Single punctate calcification right kidney. Uterine finding as above.
Generate impression based on findings.	61-year-old male with history of microhematuria and 1.4-cm echogenic renal mass ABDOMEN:LUNG BASES: Subcentimeter nonspecific nodule in image number 5, series number 7 in the left lower lobe. Subsegmental atelectasis in the left lower lobe.Small right sided pleural effusion.LIVER, BILIARY TRACT: Multiple cysts throughout the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multiple stones within the left kidney, predominantly in the lower pole largest measuring 1.1-cm. No hydronephrosis. No stones in the right kidney. No evidence of ureteral stones.1.3-cm enhancing mass in the lower pole of the right kidney. This mass measures 53 HU on the noncontrast and measures 80 HU on the delayed phase images. This is suspicious for a renal cell carcinoma such as papillary variant. Subcentimeter lesion in the midpole of the right kidney, on image number 48, series number 9 measures 8 mm and demonstrates possibly 30 this enhancement.2.2 x 1.2 cm hypodense lesion in the upper pole of the left kidney likely representing a simple cyst. There are multiple other small hypodense lesions which are too small to adequately characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Mildly enlarged prostate.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted	Left nephrolithiasis.Right lower lobe enhancing lesion suspicious for renal cell carcinoma. Another subcentimeter lesion within the right kidney, too small to accurate characterize but likely demonstrates heterogeneous enhancement.Left renal cyst. Multiple other subcentimeter lesions in both kidneys which are too small to characterize.Multiple hepatic cysts.
Generate impression based on findings.	Pleuritic chest pain Nondiagnostic exam secondary to contrast extravasation. Limited images through the level of the superior mediastinum.	Incomplete exam secondary to contrast extravasation. Nondiagnostic for pulmonary embolism. Limited images through the level of the superior mediastinum.
Generate impression based on findings.	7 day old male with encephalocele and meningomyelocele status post repair on 6/11; patient now has seizure like activity in the upper extremities. Patient needs head CT. There is no evidence of intracranial hemorrhage, mass or edema. Panventricular dilatation that is stable when compared to ultrasound obtained 6/13/2008.Wavy contour of the inner table of the calvarium consistent with Luckenschadel skull.Interdigitation of the interhemispheric fissure.Corpus callosum present.The visualized paranasal sinuses are normally pneumatized.	1. Imaging features associated with Chiari malformation including Luckenschadel skull and interdigitation of the cerebral hemispheres.2. Stable panventricular dilatation compared to ultrasound obtained 6/13/2008.
Generate impression based on findings.	Two month old male with hydrocephalus seen on serial head ultrasounds from baseline CT. There is no evidence of intracranial hemorrhage, mass or edema. The lateral ventricles are markedly enlarged, most noted in the occipital horn of the left lateral ventricle, which contains an external drainage catheter. The third ventricle is mildly enlarged, and the fourth ventricle demonstrates normal volume. Ventricular volumes are grossly stable from recent ultrasound exams, given differences in imaging technique. The ventricles remain midline. The basal cisterns are normal in size and configuration. The myelination pattern is within normal limits. There is mild encephalomalacia left parietal lobe near the enlarged occipital horn of the left lateral ventricle.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses and mastoid air cells are normally pneumatized.	Stable hydrocephalus and associated left parietal encephalomalacia as described.
Generate impression based on findings.	Ventriculomegaly, seizure. There is moderate prominence of the lateral ventricles bilaterally. Cortical sulci are also prominent and there is relative lucency in the periventricular white matter. There is no gross hemorrhage or mass. Subtle scalp swelling is incidentally noted in the frontal region.	Immature appearance with prominent ventricles and sulci especially in the frontal region and decreased attenuation white matter with no hemorrhage.
Generate impression based on findings.	Mass in tail of right carotid and Rathke's cyst or tumor pituitary. New fullness involving the anterior chest wall.IMAGE ACQUISITIONS: Enhanced CT performed of the head. Enhanced CT performed of the neck. See separate report for chest CT. Evaluation of the brain shows no evidence of abnormality of the ventricles or basal cisterns. There is an expansile cystic lesion in the sella turcica that correlates with the lesion noted on MR imaging. Allowing for differences in modality. This does not appear to have changed significantly from the prior study. There is 1 cm nodule within the tail of right parotid gland that is nonspecific, but may represent pleomorphic adenoma. Evaluation of the remainder of the neck soft tissues shows a normal appearance of the nasopharynx and parapharyngeal spaces. No other nodules are seen within the parotid glands. The submandibular glands show bilateral submandibular stones as well as a calcification in the right sublingual space that likely represents a stone as well. There are multiple low-attenuation nodules also seen in the thyroid gland with more pronounced nodularity identified on the left. The largest measures 1.3-cm. Correlation with ultrasound or biopsy may be helpful as warranted clinically. The larynx and hypopharynx are unremarkable. There is no evidence of significant lymphadenopathy identified involving the neck soft tissues.	Stable cystic mass involving sella turcica and extending into the skull base. Approximately 1 cm nodule right parotid gland. Bilateral submandibular and right sublingual stones. Multiple nodules identified in the thyroid gland, most pronounced involving left lobe. See separate report for chest CT.
Generate impression based on findings.	Neck pain and snapping when turning head. The parotid and submandibular glands are clear. Patient is edentulous. Dystrophic calcifications are identified in the tonsils. The carotid arteries are tortuous but there is no focal stenotic lesion identified. Small shotty lymph nodes are present, none are enlarged by size criterion. Small lucencies are present in the thyroid gland, this may be further evaluated with ultrasound if warranted clinically.There are mild degenerative findings present in the cervical spine with decreased disk height and spurs, this is most marked at C6-7 and this results in mild central and foraminal stenosis. Note is also made of a small sclerotic focus in the T2 or vertebral body on the left side. This has a benign appearance suspicious for a bone island, if there is history of neoplasm follow up bone scan is suggested. There are nonspecific patchy opacities probably scarring at the lung apices.	Unremarkable CT study of the soft tissues of the neck. There are mild degenerative findings present in the cervical spine which could be better described as a dedicated study. There is sclerotic focus in the T4 vertebral body on the left side and although the appearance is benign a follow up bone scan may be helpful if warranted clinically.
Generate impression based on findings.	26 day old female neonate with apnea. History of ventriculomegaly. Please evaluate for ventriculomegaly/any mass effect. There is mild asymmetric enlargement of the left lateral ventricle on comparison to the right; however this finding is within normal limits and was seen on prior head ultrasound. There is no evidence of intracranial hemorrhage, mass or edema. No evidence of ventriculomegaly; the basal cisterns are normal in appearance.The calvaria and skull base are radiographically normal. The visualized paranasal sinuses are normally pneumatized; the mastoid air cells are partially opacified.	No evidence of ventriculomegaly or other acute abnormality.
Generate impression based on findings.	Weakness Prominent partial fusion is noted at the C2 and C3 vertebrae. There is mild grade 1 subluxation in the C3-C4 level with minimal retrolisthesis at C6-C7. Prominent endplate degenerative irregularities are also present at C6-C7 and to a lesser degree at C5-C6. There is no acute appearing compression deformity.The axial images show prominent disk/spur complex at the C3-C4 level resulting in mild central canal and moderate left-sided foraminal stenosis. Mild stenotic findings are present at C4-C5 and C5-C6 although there is moderate right sided foraminal stenosis. C6-C7 shows mild central canal and bilateral foraminal stenosis. C7-T1 has milder degenerative findings without significant stenosis. Incidental note is made of prominent enlargement with heterogeneous attenuation of the thyroid gland including dystrophic calcification with deviation of the trachea to the right side of midline. This may be further evaluated with ultrasound performed clinically.	Moderate degenerative changes with partial fusion C2-C3 and no acute fracture.Prominent enlargement of heterogeneous appearing thyroid possibly goiter. This would be better evaluated with ultrasound if warranted clinically.
Generate impression based on findings.	29-year-old female. Evaluate kidney stones. ABDOMEN: Exam is not sensitive for solid organs or bowel to the lack of intravenous and oral contrast.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Single 3-mm focus of nephrolithiasis midright kidney. No calcification seen along the course of the ureters. Kidney contour is normal. Perinephric fat is normal. No hydronephrosis.Left kidney is normal. RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:UTERUS, ADNEXAE: Small soft tissue focus exophytic off anterior uterus abutting the abdominal wall, may represent a small fibroid in and much less likely portion of a urachal remnant.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted	Single punctate calcification right kidney. Uterine finding as above.
Generate impression based on findings.	61-year-old male with history of microhematuria and 1.4-cm echogenic renal mass ABDOMEN:LUNG BASES: Subcentimeter nonspecific nodule in image number 5, series number 7 in the left lower lobe. Subsegmental atelectasis in the left lower lobe.Small right sided pleural effusion.LIVER, BILIARY TRACT: Multiple cysts throughout the liver.SPLEEN: No significant abnormality notedPANCREAS: No significant abnormality notedADRENAL GLANDS: No significant abnormality notedKIDNEYS, URETERS: Multiple stones within the left kidney, predominantly in the lower pole largest measuring 1.1-cm. No hydronephrosis. No stones in the right kidney. No evidence of ureteral stones.1.3-cm enhancing mass in the lower pole of the right kidney. This mass measures 53 HU on the noncontrast and measures 80 HU on the delayed phase images. This is suspicious for a renal cell carcinoma such as papillary variant. Subcentimeter lesion in the midpole of the right kidney, on image number 48, series number 9 measures 8 mm and demonstrates possibly 30 this enhancement.2.2 x 1.2 cm hypodense lesion in the upper pole of the left kidney likely representing a simple cyst. There are multiple other small hypodense lesions which are too small to adequately characterize.RETROPERITONEUM, LYMPH NODES: No significant abnormality noted.BOWEL, MESENTERY: No significant abnormality noted.BONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality notedPELVIS:PROSTATE, SEMINAL VESICLES: Mildly enlarged prostate.BLADDER: No significant abnormality notedLYMPH NODES: No significant abnormality notedBOWEL, MESENTERY: No significant abnormality notedBONES, SOFT TISSUES: No significant abnormality notedOTHER: No significant abnormality noted	Left nephrolithiasis.Right lower lobe enhancing lesion suspicious for renal cell carcinoma. Another subcentimeter lesion within the right kidney, too small to accurate characterize but likely demonstrates heterogeneous enhancement.Left renal cyst. Multiple other subcentimeter lesions in both kidneys which are too small to characterize.Multiple hepatic cysts.
Generate impression based on findings.	Pleuritic chest pain Nondiagnostic exam secondary to contrast extravasation. Limited images through the level of the superior mediastinum.	Incomplete exam secondary to contrast extravasation. Nondiagnostic for pulmonary embolism. Limited images through the level of the superior mediastinum.