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Generate impression based on findings. | 62-year-old male with history of thyroid cancer, status post thyroidectomy. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Within the superior left thyroidectomy bed there is a 5 x 4 x 4 mm ... | 1. Indeterminate 5-mm focus within the superior left thyroidectomy bed, not noted on the immediate prior study, but may correspond to a 2012 study finding although the anatomic location cannot be confirmed with certainty. Attention to this area on subsequent follow-up ultrasound is recommended.2. 9-mm hypoechoic focus ... |
Generate impression based on findings. | 20 year-old male with acute pancreatitis and right upper quadrant pain. Evaluate for biliary duct stone or biliary ductal dilatation. LIVER: The liver is normal in morphology, echogenicity and size, measuring 18 cm in craniocaudal dimension. Normal hepatopetal portal venous blood flow with velocity measuring 20 cm/sec.... | No biliary ductal dilatation or other specific finding to account for the patient's right upper quadrant pain. Limited evaluation of the pancreas due to overlying bowel gas. |
Generate impression based on findings. | 61-year-old male with a reported history of papillary thyroid carcinoma in 2011, status post thyroidectomy and non-Hodgkin's lymphoma diagnosed in 2013 during lymph node dissection. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recu... | 1. Non-specific hypoechoic focus in the inferior left thyroidectomy bed may represent small lymph nodes, as seen on the outside CT exam, however this is equivocal. Attention to this region on subsequent imaging is recommended.2. Increased size and number of bilateral cervical lymph nodes, some of which demonstrate abno... |
Generate impression based on findings. | 32-year-old female with history of papillary thyroid carcinoma status post thyroidectomy in 2011. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of... | No evidence of tumor recurrence or suspicious lymphadenopathy. |
Generate impression based on findings. | 64-year-old female with a history of recurrent ovarian cancer and abdominal distention. Evaluate for ascites. Targeted ultrasound was performed of the 4 abdominal quadrants to assess for ascites. There is a very small amount of fluid in the abdomen and at least small bilateral pleural effusions. | Minimal ascites and at least small bilateral pleural effusions partially seen. |
Generate impression based on findings. | 34-year-old with history of left breast carcinoma and left axillary lymph node metastases. Patient additionally has right breast DCIS. Now with palpable right axillary lymph node. Ultrasound obtained for further characterization. A targeted right ultrasound was performed of the right axilla for the palpable area of con... | No abnormal lymph nodes in the right axilla.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 60 year-old female with a history of thyroid cancer. Status post total thyroidectomy. Evaluate for evidence of tumor recurrence and the previously seen lesion. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT TH... | 1. The previously described right level IV lymph node has either resolved or corresponds to a vessel as described above. No evidence of tumor recurrence or suspicious lymphadenopathy. 2. Left thyroidectomy bed focus suggestive of a scar. |
Generate impression based on findings. | 87 year-old female with tachycardia and abnormal thyroid function tests. Evaluate for multinodular goiter. RIGHT LOBE MEASUREMENTS: 3.3 x 2.4 x 5.2 cmLEFT LOBE MEASUREMENTS: 2.3 x 2.3 x 5.9 cmISTHMUS MEASUREMENTS: 3 mm.RIGHT LOBE: There is a 2.1 x 2.4 x 2.7 cm hypoechoic interpolar solid nodule with small cystic compon... | 1. Indeterminate dominant 2.7 cm right thyroid nodule. Given the large size of the right thyroid nodule, further evaluation with fine needle aspiration may be considered. 2. Numerous other smaller nodules seen bilaterally. |
Generate impression based on findings. | 24 year old female with neurofibromatosis Type I with abdominal pain and nausea. LIVER: The liver is normal in morphology, echogenicity and size, measuring 15.6 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. There is normal hepatopetal portal venous blood ... | No specific findings to account for the patient's right upper quadrant pain. Please note that the pancreas is obscured by overlying bowel gas. |
Generate impression based on findings. | 68 year old female with abnormal alkaline phosphatase and lipase. History of cholecystectomy and lupus on steroids. The study was limited due to the patient's body habitus and bowel gas shadowing.LIVER: The liver parenchyma is coarse and mildly hyperechoic. The liver measures 13.9 cm in craniocaudal dimension. No intra... | 1. Limited study as described above without biliary ductal dilatation.2. Heterogeneous and coarse liver parenchyma likely related to steatosis/diffuse parenchymal dysfunction.3. Trace ascites and bilateral pleural effusions. |
Generate impression based on findings. | 76 year old female with history of metastatic lung cancer. Elevation of LFTs. Evaluate for obstruction. LIVER: The liver is minimally coarsened. No discrete mass lesion is identified; this may be better characterized with CT/MRI as clinically warranted, given the presence of metastatic lesions on the CT from 05/16/2014... | 1. Common bile duct dilatation up to 10 mm is decreased compared to the prior CT from 12/5/2014. No intrahepatic biliary ductal dilatation is evident.2. No discrete liver mass lesion is identified; this may be better characterized with CT/MRI as clinically warranted, given the presence of metastatic lesions on the CT f... |
Generate impression based on findings. | 68-year-old male with hepatitis C presenting for hepatocellular carcinoma screening. LIVER: The hepatic parenchyma is mildly coarse and the liver capsule is nodular consistent with cirrhosis. No focal lesion is identified. The liver measures 15 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation. Th... | Cirrhotic liver morphology without a discrete hepatic lesion. |
Generate impression based on findings. | 21-year-old with history of bilateral breast fibroadenomas. Interval follow up exam to assess for stability. History of breast cancer in the patient's mother diagnosed at age 51 and the patient's maternal grandmother. A whole breast ultrasound was performed for the palpable areas of concern. In the 11 o'clock position ... | Stable bilateral masses most likely are presenting fibroadenomata. Continued follow-up with repeat bilateral breast ultrasound in one year is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 34-year-old male with a history of hepatitis B and a gallbladder polyp. Presents for HCC screening. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16.2 cm in length. No discrete lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20... | No focal hepatic lesion. Stable subcentimeter gallbladder polyp. |
Generate impression based on findings. | RIGHT LOBE MEASUREMENTS: 5.8 x 2.0 x 1.8 cmLEFT LOBE MEASUREMENTS: 6.0 x 2.6 x 4.5 cmISTHMUS MEASUREMENTS: 7 mmRIGHT LOBE: Multiple predominantly subcentimeter nodules are present. Spongiform 7 x 5 x 8 mm interpolar nodule is unchanged. Within the inferior pole in the posterior aspect of the gland is a 1.3 x 1.1 x 0.7... | 1.Multinodular goiter. The dominant left nodule was reportedly previously biopsied and confirmed to be a colloid nodule. The dominant right 1.3 cm nodule has a spongiform appearance and is felt to most likely represent a colloid nodule.2.Attempted ultrasound guided fine needle aspiration of the dominant left 1.3 cm nod... |
Generate impression based on findings. | 72 old female with thyroid nodules. RIGHT LOBE MEASUREMENTS: 1.8 x 2.0 x 5.8 cmLEFT LOBE MEASUREMENTS: 1.4 x 2.5 x 5.0 cmISTHMUS MEASUREMENTS: 4 mmRIGHT LOBE: There are numerous right thyroid lobe nodules. Most of these are nearly completely cystic with small echogenic peripheral foci compatible with colloid cysts. The... | 1. Coarsely calcified 1.9-cm left thyroid lobe nodule, stable to slightly decreased in size compared to 2003, benignity is favored. 2. Multiple bilateral colloid cysts. |
Generate impression based on findings. | 25-year-old male with a history of hepatitis B. Evaluate for evidence of cirrhosis. LIVER: The liver is normal in morphology, echogenicity and size, measuring 18 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. The liver capsule is smooth. Normal hepatopetal... | The spleen is top-normal in size which is non-specific. Otherwise, no sonographic evidence of advanced liver disease, as clinically questioned. No focal hepatic lesion. |
Generate impression based on findings. | 84 year old male with hyperbilirubinemia. The study was very limited as the patient did not want to lie flat and resisted the exam.LIVER: The liver is normal in morphology, echogenicity and size, measuring 13.2 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified... | 1. Limited examination as described above without biliary ductal dilatation. 2. Biliary sludge without specific evidence of acute cholecystitis.3. At least moderate right pleural effusion.4. No right hydronephrosis. Non-visualized left kidney. |
Generate impression based on findings. | 74 year old female with asymmetric swelling and tenderness of the right lower portion of the neck. Evaluate for thyroid enlargement. RIGHT LOBE MEASUREMENTS: 3.0 x 1.2 x 1.3 cmLEFT LOBE MEASUREMENTS: 3.6 x 1.5 x 1.2 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: The right thyroid lobe is normal in morphology, echogenicity, an... | Normal thyroid examination. |
Generate impression based on findings. | 51-year-old male with hepatitis C. Evaluate for HCC. LIVER: The liver parenchyma is mildly increased and coarsened in echogenicity. No discrete lesion is identified. It measures 17.8 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY... | Mild hepatic parenchymal hyper-echogenicity suggesting underlying hepatic steatosis and/or parenchymal dysfunction. No discrete liver lesion. |
Generate impression based on findings. | 41 year old female with right upper quadrant and epigastric pain. LIVER: The liver is minimally coarse in echogenicity. There is normal hepatopetal portal venous blood flow at 20 cm/sec. The common bile duct is normal in caliber at the porta hepatis, measuring 2.5 mm. The liver is normal in size, measuring 16.6 cm in t... | No specific findings to account for the patient's right upper quadrant pain. |
Generate impression based on findings. | 86-year-old male with urinary retention presents for suprapubic bladder catheter placement. Ultrasound was provided during and for confirmation of suprapubic catheter placement. Preprocedural images demonstrate predominantly anechoic urine with small, echogenic foci representing debris in a normally distended bladder. ... | Imaging was provided for successful suprapubic urinary bladder catheter placement. |
Generate impression based on findings. | 51 year-old female with right upper quadrant pain. LIVER: The liver is normal in morphology, echogenicity and size, measuring 13.3 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: ... | No gallstones or evidence of acute cholecystitis. |
Generate impression based on findings. | 69-year-old female with history of hepatitis C. Presents for HCC screening. LIVER: The liver capsule is smooth. The liver is normal in morphology and size, measuring 15.6 cm in craniocaudal dimension. There is mild coarsening of the hepatic parenchyma. No intrahepatic biliary ductal dilatation or focal hepatic lesion i... | Mildly coarsened liver may represent diffuse parenchymal dysfunction. No discrete hepatic lesion. |
Generate impression based on findings. | 79-year-old male with history of childhood radiation. RIGHT LOBE MEASUREMENTS: 3.4 x 1.9 x 1.6 cmLEFT LOBE MEASUREMENTS: 3.3 x 1.9 x 1.2 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: The right thyroid lobe is normal in morphology, echogenicity, and size without a discrete nodule.LEFT LOBE: The left thyroid lobe is normal in ... | Normal appearing thyroid. |
Generate impression based on findings. | 23-year-old female with a large right thyroid goiter. RIGHT LOBE MEASUREMENTS: 5.3 x 3.2 x 4.2 cmLEFT LOBE MEASUREMENTS: 4.8 x 1.3 x 1.5 cmISTHMUS MEASUREMENTS: 6 mmRIGHT LOBE: The right thyroid lobe is replaced by a 2.8 x 4.6 x 4.3 cm isoechoic solid nodule with small cystic components. The nodule is vascular without ... | 1. 4.6-cm right thyroid lobe solid nodule is amenable to FNA if clinically warranted. 2. Numerous sub-5 mm hypoechoic left thyroid nodules. |
Generate impression based on findings. | 59-year-old male with hepatitis C and ascites. Evaluate for cirrhosis. LIVER: The liver parenchyma is mildly coarsened. The liver measures 18.3 cm in craniocaudal dimension. The liver capsule is nodular consistent with cirrhosis. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. There is ... | 1. Cirrhotic liver morphology without a discrete focal lesion.2. Diffuse gallbladder wall thickening is nonspecific in the setting of chronic liver disease and without associated specific findings of acute cholecystitis.3. Findings consistent with chronic medical renal disease. |
Generate impression based on findings. | 74-year-old female with history of coagulopathy, and abnormal LFTs. LIVER: The liver is mildly coarse and increased in echogenicity. There may be mild liver capsule nodularity. No focal hepatic lesion or intrahepatic biliary ductal dilatation is evident. The liver measures 12.7 cm in craniocaudal dimension. Normal hepa... | 1. Mildly coarse and echogenic liver parenchyma may represent diffuse fatty infiltration and/or parenchymal dysfunction. Possibly nodular liver contour raises the possibility of cirrhosis.2. Small volume ascites.3. Findings compatible with medical renal disease. |
Generate impression based on findings. | 71 year old female with history of primary hyperparathyroidism and thyroid nodules. RIGHT LOBE MEASUREMENTS: 3.4 x 1.4 x 1.4 cm.LEFT LOBE MEASUREMENTS: 3.7 x 1.1 x 0.9 cmISTHMUS MEASUREMENTS: 2 mmRIGHT LOBE: There is a 1.0 x 0.7 x 1.0 cm mildly hypoechoic, solid, interpolar nodule without increased vascularity or assoc... | Stable right 1 cm solid nodule. No additional significant interval change. |
Generate impression based on findings. | 55 year-old female with abdominal discomfort and nausea. LIVER: The liver parenchyma is mildly heterogeneous and increased in echogenicity. The liver is mildly increased in size measuring 21.2 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. There is normal ... | Mildly coarsened heterogeneous liver parenchyma compatible with diffuse fat infiltration and/or parenchymal dysfunction. No focal hepatic lesion or biliary ductal dilatation. |
Generate impression based on findings. | 58 year-old female with anemia. Mildly prominent renal collecting systems on prior study. A targeted ultrasound was performed of the 4 quadrants of the abdomen and midline. There is a moderate volume of ascites. Small effusions. | Moderate volume ascites. Ultrasound is inadequate for evaluation of a retroperitoneal bleed; CT is recommended when feasible if there is continued clinical concern of a retroperitoneal bleed. |
Generate impression based on findings. | 32 year-old female with goiter. RIGHT LOBE MEASUREMENTS: 5.6 x 2.0 x 1.7 cmLEFT LOBE MEASUREMENTS: 6.0 x 1.9 x 1.5 cmISTHMUS MEASUREMENTS: 5 mmRIGHT LOBE: The right thyroid lobe is heterogeneous in echotexture with multiple sub-5 mm hypoechoic nodules with no discrete dominant nodule. LEFT LOBE: The left thyroid lobe i... | Heterogeneous thyroid gland with numerous sub-5 mm hypoechoic nodules with no discrete dominant nodule. Adjacent to the inferior left thyroid lobe there is an 8-mm focus which may represent an exophytic nodular extension of the thyroid gland or a parathyroid adenoma; correlate with serum calcium and PTH. |
Generate impression based on findings. | 58-year-old male with HCV cirrhosis. Evaluate for HCC. LIVER: The liver contour is nodular and the parenchyma is moderately coarsened, consistent with cirrhosis. No discrete mass or intrahepatic biliary ductal dilatation evident. Normal hepatopetal portal venous blood flow is present at 20 cm/sec.BILIARY TRACT: The com... | Cirrhotic liver morphology, mild splenomegaly, and small volume ascites. No discrete liver lesion or biliary ductal dilatation. |
Generate impression based on findings. | 59-year-old female with history of kidney stones. RIGHT KIDNEY: The right kidney measures 13.1 cm in length without hydronephrosis or shadowing calculus. There is a 4.7 x 3.4 x 5.0 cm interpolar mildly complex cyst, unchanged accounting for differences in technique.LEFT KIDNEY: The left kidney measures 12.9 cm in lengt... | Persistent non-obstructing left nephrolithiasis the largest of which measures 1.7 cm. Bilateral simple to minimally complex cysts. |
Generate impression based on findings. | 56-year-old male with upper abdominal pain. Elevated lipase consistent with pancreatitis. Evaluate for cholelithiasis. LIVER: The liver parenchyma is mildly coarsened. No intrahepatic biliary ductal dilatation is evident. The liver measures 15 cm in craniocaudal dimension. Note is made of a 2.7-cm right hepatic lobe si... | 1. The pancreas is obscured by overlying bowel gas shadowing. 2. No evidence of cholelithiasis or acute cholecystitis as clinically questioned. 3. Stable prominence of the common bile duct. 4. Mildly coarsened hepatic parenchyma suggesting diffuse fatty infiltration and/or parenchymal dysfunction. |
Generate impression based on findings. | 76 year-old female with primary hyperparathyroidism. RIGHT LOBE MEASUREMENTS: 5.2 x 1.5 x 1.9 cmLEFT LOBE MEASUREMENTS: 4.4 x 2.1 x 1.4 cmISTHMUS MEASUREMENTS: 2 mmRIGHT LOBE: The right thyroid lobe is heterogeneous in appearance with several spongiform nodules and sub-centimeter hypoechoic nodules. In the superior pol... | 1. Hyperechogenic foci immediately caudal to the right and left thyroid lobes are non-specific and can represent focal fat; the appearance would be atypical for parathyroid adenomas. Correlation with a nuclear medicine parathyroid scan is suggested.2. Coarsely calcified 1.1-cm right superior pole nodule. Fine needle as... |
Generate impression based on findings. | Male 61 years old Reason: hydronephrosis History: hydronephrosis RIGHT KIDNEY: Kidney measures 10.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass. 1.4 x 1.4 x 1.0 cm exophytic anechoic lesion arising from a superior pole consistent with a simple renal cyst, unchanged from the prior CT e... | 1.Mild/moderate hydronephrosis of the left kidney, with associated hydroureter extending into the pelvis, the etiology of which is uncertain.2.Nonobstructing stone in the proximal left ureter as well as the left superior pole collecting system as detailed above.3.Normal renal cortical echogenicity bilaterally. |
Generate impression based on findings. | 75-year-old female with a right-sided thyroid nodule incidentally seen on a PET/CT. RIGHT LOBE MEASUREMENTS: 4.0 x 0.9 x 1.2 cmLEFT LOBE MEASUREMENTS: 2.7 x 0.8 x 0.9 cmISTHMUS MEASUREMENTS: 2 mmRIGHT LOBE: There is a 5 x 5 x 8 mm isoechoic solid nodule in the interpolar region with a thin hypoechoic rim and mild vascu... | 8mm right thyroid solid nodule without specific suspicious sonographic features. |
Generate impression based on findings. | Ms. Alston is a 69 year old female status post bilateral mastectomy in August 2014. She now presents with a palpable lump in the left lateral reconstructed breast. The physician palpated area of concern in the left lateral breast is marked. Upon physical exam, there is a palpable superficial mobile mass present.A targe... | Sonographic findings compatible with fat necrosis in the left lateral reconstructed breast. No sonographic evidence for malignancy. Patient may continue to follow-up with surgery as clinically warranted. All results and recommendations were relayed to the patient and Sarah Petraitis at the time of dictation.BIRADS: 2 -... |
Generate impression based on findings. | 33-year-old female with abdominal pain. Unclear history of kidney stones. RIGHT KIDNEY: The right kidney measures 13.9 cm in length with no hydronephrosis, shadowing calculus or discrete lesion evident. Note is made of a prominent column of Bertin, symmetric bilaterally. Color Doppler demonstrates hilar blood flow.LEFT... | 1. No hydronephrosis or shadowing nephrolithiasis. 2. Nonspecific 1.4-cm left interpolar hyperechoic lesion could represent an angiomyolipoma or fat. CT could help further characterize this lesion. |
Generate impression based on findings. | 48 male with history of focal gallbladder wall thickening. LIVER: The liver is normal in morphology, echogenicity and size measuring 18 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. The liver capsule is smooth. Normal hepatopetal portal venous blood flow at ... | 1. Cholelithiasis without focal tenderness, pericholecystic fluid or diffuse wall thickening.2. Nonspecific gallbladder fundus focal thickening. Re-evaluation in 6 months is recommended to assure stability.3. Probable bilateral nonobstructive non-shadowing calculi.4. Trace ascites. |
Generate impression based on findings. | 74-year-old female with right upper quadrant and epigastric pain. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16.6 cm in craniocaudal dimension. Note is made of a 1 x 1 x 0.7 cm right hepatic lobe echogenic lesion without posterior shadowing or enhanced through transmission. No additional... | 1. No specific findings to account for the patient's right upper quadrant and epigastric pain, accounting for the incomplete visualization of the pancreas. 2. Incidental 1 cm right hepatic lobe lesion likely represents a benign hemangioma in the absence of chronic liver disease. If there is a history of chronic liver d... |
Generate impression based on findings. | 36-year-old male with history of NASH. LIVER: The liver parenchyma is moderately coarse and echogenic. It is normal in size, measuring 15.5 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal lesion is identified. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRA... | Coarse and echogenic liver parenchyma compatible with diffuse fatty infiltration without a focal lesion evident. |
Generate impression based on findings. | 47-year-old male status post LVAD with drainage around the drive line. Evaluate for fluid collection. A targeted portable ultrasound was performed of the left lower quadrant along the course of the LVAD drive line. There is no discrete fluid collection. | No discrete fluid collection. |
Generate impression based on findings. | 48-year-old male status post LVAD with drainage around the drive line. Evaluate for fluid collection. A targeted portable ultrasound was performed of the left lower quadrant along the course of the LVAD drive line. There is no discrete fluid collection. | No discrete fluid collection. |
Generate impression based on findings. | 22 year old female with left flank pain and frequency. RIGHT KIDNEY: The right kidney measures 11 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow.LEFT KIDNEY: The left kidney measures 10.7 cm in length without hydronephrosis, shadowing calc... | Normal sonogram of the kidneys and bladder. |
Generate impression based on findings. | 29-year-old male with abdominal distention. Evaluate for liver pathology. LIVER: The liver is normal in morphology, and echogenicity. It is borderline enlarged, measuring 20 cm in the craniocaudal dimension. No intrahepatic biliary dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous... | 1. The liver is borderline enlarged, otherwise there are no specific findings of liver disease. 2. Moderate volume ascites.3. Atrophic right kidney. |
Generate impression based on findings. | 66 year old female with a right lobe nodule. Previously biopsied and showed a follicular lesion of uncertain significance. RIGHT LOBE MEASUREMENTS: 2.3 x 2.7 x 4.9 cmLEFT LOBE MEASUREMENTS: 1.1 x 1.4 x 3.5 cmISTHMUS MEASUREMENTS: 2 mmRIGHT LOBE: The right lobe is nearly completely replaced by a 3.5 x 2.3 x 2.7 cm isoec... | 3.5-cm solid right thyroid lobe nodule. 5-mm left superior pole hypoechoic nodule with no specific suspicious sonographic features. |
Generate impression based on findings. | Elevated LFTs LIVER: Mildly coarse echogenic liver echotexture without worrisome mass. 1.9 x 2.3 x 2.4 benign cystic focus right lobe of liver. Liver length 17.5 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities note... | Mildly coarse echogenic liver echotexture suggestive for fatty infiltration without worrisome mass or ductal dilatation. No ascites. |
Generate impression based on findings. | 42 year-old female with new onset right upper quadrant pain with history of acute hepatic failure secondary to Tylenol overdose. LIVER: The liver parenchyma is coarse. There is a focal hyperechogenic geographic region measuring 5.7 cm without mass effect, compatible with focal fatty infiltration. The remainder of the l... | 1. Gallbladder sludge, moderate yet improved diffuse gallbladder wall thickening without focal tenderness; overall, these findings are not specific for acute cholecystitis. 2. Coarse hepatic parenchyma with suspected focus of focal fatty infiltration is compatible with diffuse parenchymal dysfunction. 3. Trace ascites.... |
Generate impression based on findings. | 68 year-old male with a history of cholestasis and TPN. LIVER: The liver parenchyma is mildly coarsened. It is normal in size, measuring 19 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous blood flow at 20 cm/sec.BILIAR... | Dilated gallbladder with cholelithiasis and biliary sludge without specific findings of acute cholecystitis. |
Generate impression based on findings. | 32-year-old female with right upper quadrant pain and nausea. History of lung cancer and prior liver metastases. LIVER: The liver parenchyma is moderately coarsened and hyperechogenic. It is normal in length, measuring 14.8 cm in length. No intrahepatic biliary ductal dilatation or focal hepatic lesion is identified. N... | 1. Findings suggesting diffuse fatty infiltration and/or parenchymal hepatic dysfunction.2. No specific findings to account for the patient's right upper quadrant pain.2. Trace ascites and a small right pleural effusion. |
Generate impression based on findings. | 68 year old female with HCV. Evaluate for cirrhosis or HCC. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16 cm in the craniocaudal dimension. The liver capsule is smooth. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. There is normal hepatopetal portal venous... | No focal hepatic lesion or specific stigmata of cirrhosis. |
Generate impression based on findings. | 57-year-old female with a history of stem cell transplant. Now with transaminitis. LIVER: The liver is minimally coarsened. It measures a 18.8 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic ductal dilatation is evident. There is normal hepatopetal portal venous blood flow at 30 cm/sec.BILIARY TRA... | 1. Coarse echogenic liver echotexture suggests chronic liver disease/parenchymal dysfunction without a discrete mass or biliary ductal dilatation.2. Small adherent gallstone versus subcentimeter gallbladder polyp.3. Marked splenomegaly. |
Generate impression based on findings. | 40 year old female with history of cervical cancer. Elevated creatinine and history of hydronephrosis. RIGHT KIDNEY: The right kidney measures 14.5 cm in length. There is moderate hydronephrosis, increased from the prior studies. No shadowing calculus or discrete lesion is evident. Color Doppler demonstrates hilar bloo... | Moderate right hydronephrosis has slightly progressed and minimal left collecting system prominence is similar to the prior study.These findings were relayed to the ordering service (Dr. Hassenfritz) at 1010 on 01/07/2015. |
Generate impression based on findings. | 74-year-old male with a family history of abdominal aortic aneurysm. The proximal, mid, and distal aorta measure 1.9, 1.8 and 1.6 cm in AP dimension. The right and left common iliac arteries measure 1.1 and 1.3 cm in AP dimension.Atherosclerotic calcification is noted. | No evidence of aneurysmal dilatation of the aorta. |
Generate impression based on findings. | 43 year-old male with obesity and transaminitis. LIVER: The liver is mildly coarsened and increased in echogenicity. It is normal in size, measuring 15 cm in the craniocaudal attention with no intrahepatic biliary ductal dilatation or focal hepatic lesion evident. The liver capsule is smooth. Normal hepatopetal portal ... | Coarse echogenic liver parenchyma most commonly seen in diffuse fatty infiltration without a discrete lesion or biliary ductal dilatation. |
Generate impression based on findings. | 32 year-old female with right upper quadrant pain. Evaluate for abscess underneath right upper quadrant incision. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16 7 cm in craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. There is normal he... | Cholelithiasis without evidence of acute cholecystitis. No fluid collection at the site of the patients right upper quadrant incision. |
Generate impression based on findings. | 55-year-old male with a history of brain cancer in remission. Smoking. Presents with left neck palpable abnormality. Targeted ultrasound was performed of the patient's left neck palpable abnormality. The abnormality corresponds to an asymmetric prominence of the tubercle of the left greater cornu of the hyoid bone when... | The palpable abnormality corresponds to an asymmetric prominence of the tubercle of the greater cornu of the hyoid bone; of no clinical significance. No soft tissue mass or lymphadenopathy. |
Generate impression based on findings. | 73 year-old female with right lower quadrant pain. Evaluate for fluid. The study was limited by the patient's body habitus. Targeted evaluation of the 4 abdominal quadrants demonstrates no significant fluid. | No significant peritoneal fluid. |
Generate impression based on findings. | 51 year old female with elevated PTH and calcium. RIGHT LOBE MEASUREMENTS: 1.5 x 2.5 x 5.9 cmLEFT LOBE MEASUREMENTS: 1.2 x 2.5 x 5.4 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: The right thyroid lobe is normal in morphology, echogenicity and size without a discrete dominant nodule.LEFT LOBE: The left thyroid lobe backgroun... | 1. 1.4 cm lesion immediately dorsal to the inferior pole of the left thyroid lobe may represent a parathyroid adenoma; correlate with nuclear medicine study.2. 1.4 cm left thyroid lobe solid indeterminate nodule. |
Generate impression based on findings. | 57-year-old male with HCV cirrhosis. Evaluate for HCC. LIVER: The liver parenchyma is moderately coarsened and nodular in contour. It is normal in size, measuring 19.4 cm in the craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. Normal hepatopetal portal venous blood f... | 1. Cirrhotic liver morphology, and mild splenomegaly. No biliary ductal dilatation or focal hepatic lesion.2. Partially contracted gallbladder filled with gallstones. |
Generate impression based on findings. | 70 year-old male with acute kidney injury and possible urinary tract infection. RIGHT KIDNEY: The right kidney measures 12.6 cm in length. There is moderate hydronephrosis and moderate proximal hydroureter. The middle and distal ureter is not visualized. No shadowing calculus or focal renal lesion is evident. Color Dop... | Moderate right hydroureteronephrosis of uncertain chronicity and etiology.Findings were relayed to primary service (Anderson @ pager 6918) at 1415 on 01/07/2015. |
Generate impression based on findings. | 35 year old female with right upper quadrant pain. The examination is limited and suboptimal due to the patient's body habitus.LIVER: The liver parenchyma is moderately coarse. The liver measures 20 cm in the craniocaudal length. No focal hepatic lesion or intrahepatic biliary ductal dilatation is evident. Normal hepat... | Slightly limited study with no specific findings to account for the patient's right upper quadrant pain. Coarsened hepatic parenchyma may represent diffuse fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | 52-year-old female with history of thyroid nodule. RIGHT LOBE MEASUREMENTS: 1.6 x 1.8 x 4.0 cmLEFT LOBE MEASUREMENTS: 0.9 x 1.5 x 3.7 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: 5-mm hypoechoic solid inter-polar nodule without specific suspicious sonographic features. Otherwise, the background thyroid gland is minimally co... | Relatively stable 1.9-cm right Isthmus complex solid and cystic lesion is amenable to FNA if clinically warranted. |
Generate impression based on findings. | 47 year old female with acute on chronic kidney disease. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney measures 9.9 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. The renal cortex is moderately hyperechogenic. Color Doppler demonstrates hilar blood flow.LEFT KIDNEY: Th... | No hydronephrosis. Findings compatible with medical renal disease. |
Generate impression based on findings. | 65-year-old male with gram-negative rod sepsis. Evaluate for biliary cause. LIVER: The liver is mildly coarse in echogenicity. It is normal in size measuring 15.8 cm in the craniocaudal dimension. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. Normal hepatopetal portal venous blood flow a... | 1. Biliary sludge and possible gallstone without other specific findings of acute cholecystitis, given the limited evaluation for focal tenderness in the patient's current state.2. Mild pancreatic ductal dilatation and possible peripancreatic fluid. Correlate with lipase.3. No biliary ductal dilatation.4. Bilateral ple... |
Generate impression based on findings. | Ms. Rush is a 20 year old female presenting with a physician-detected a "mole" in the right breast. She has a family history of breast cancer in her mother (diagnosed at age of 29). Upon physical examination, a small mole is seen in the right inferior breast. No discrete mass is appreciated underneath this mole.A targe... | No sonographic evidence for malignancy. Patient should follow-up with her primary physician as clinically warranted. In addition, given the strong family history, a consideration into initiating surveillance mammography and MRI starting at the age of 25 should be made. All results and recommendations were relayed to th... |
Generate impression based on findings. | 28-year-old male with hepatitis B. Evaluate for cirrhosis and HCC. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16.5 cm in length. The liver capsule is smooth. No focal lesion or intrahepatic biliary ductal dilatation is evident. Normal hepatopetal portal venous blood flow at 30 cm/sec.BIL... | No focal hepatic lesion or specific stigmata of cirrhosis. |
Generate impression based on findings. | 73 year-old male with renal insufficiency. RIGHT KIDNEY: The right kidney measures 9.1 cm in length without hydronephrosis or shadowing calculus. Note is made of a 9 mm simple appearing interpolar cyst. Color Doppler demonstrates hilar blood flow. The renal cortex is moderately echogenic.LEFT KIDNEY: The left kidney me... | 1. No hydronephrosis.2. A compatible medical renal disease.3. Presumed Foley is poorly visualized; correlate clinically with appropriate functioning. |
Generate impression based on findings. | 87-year-old male with acute on chronic kidney disease. RIGHT KIDNEY: The right kidney measures 10.4 cm in length without hydronephrosis, shadowing calculus or discrete lesion. Color Doppler demonstrates hilar blood flow. The renal cortex is thinned and echogenic.LEFT KIDNEY: The left kidney measures 9.9 cm in length wi... | No hydronephrosis. Medical renal disease. Probable septated left renal cyst. |
Generate impression based on findings. | 70 year-old female with autoimmune hepatitis and cirrhosis, evaluate for HCC. LIVER: The liver parenchyma is coarsened and mildly nodular, compatible with cirrhosis. No focal hepatic lesion is evident. It is normal in size, measuring 18 cm in the craniocaudal dimension. There is normal hepatopetal portal venous blood f... | 1. Cirrhotic liver morphology without definite focal lesion. 2. Gallbladder sludge without specific evidence of acute inflammation. |
Generate impression based on findings. | 58 year old female with a history of abdominal pain, evaluate for gallstones. LIVER: The liver parenchyma is minimally coarse. The liver capsule is smooth. It is normal in size, measuring 15 cm in the craniocaudal dimension. No focal lesion or intrahepatic biliary ductal dilatation. There is normal hepatopetal portal v... | 1. No gallstones or other specific findings to account for the patient's right upper quadrant pain.2. Minimally coarse liver parenchyma, may reflect diffuse fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | 32-year-old male with a provided history of left-sided thyroid nodule and papillary thyroid cancer. RIGHT LOBE MEASUREMENTS: 1.9 x 2.1 x 5.6 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.9 x 5.1 cmISTHMUS MEASUREMENTS: 1 mmRIGHT LOBE: The right thyroid parenchyma is normal in morphology, echogenicity, and size.LEFT LOBE: Seen agai... | 1. 1.5 cm left thyroid nodule with features consistent with provided history of papillary thyroid carcinoma. Additional left indeterminate subcentimeter nodules. 2. Left level 4 lymph node is suspicious for nodal metastatic disease. 3. Right sided lymph nodes, with benign-favoring appearance, see above. |
Generate impression based on findings. | 47-year-old female with hematuria. RIGHT KIDNEY: The right kidney measures 9.5 cm in length without hydronephrosis or shadowing calculus. No discrete lesion is evident.LEFT KIDNEY: The left kidney measures 10.2 cm in length without hydronephrosis or shadowing calculus. No discrete lesion is evident.URINARY BLADDER: The... | 1. No hydronephrosis or shadowing calculus.2. Incidental note is made of a 2.8 cm right hepatic lobe hyperechoic rounded lesion. Although this likely represents a benign hemangioma in the absence of chronic liver disease, confirmation with a dedicated liver CT exam or MRI is suggested. |
Generate impression based on findings. | Ms. Williams is a 19 year old female presenting with a palpable mass in the right breast. Per patient, she has felt it for the past one week. No history of trauma or pain. Upon physical exam at the patient's area of concern, a vague mobile nodular mass is appreciated. A targeted right breast ultrasound was performed fo... | No sonographic evidence for malignancy. The patient should follow up with her primary care physician as clinically warranted. All results and recommendations were relayed to the patient.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 50 year-old male with increasing liver function tests and right upper quadrant pain. Evaluate for gallstones and cholecystitis. LIVER: The liver is mildly coarse in echogenicity without a focal hepatic lesion or intrahepatic biliary ductal dilatation evident. Liver measures 18.8 cm in craniocaudal dimension. There is a... | 1. Gallbladder sludge and mild diffuse gallbladder wall thickening is nonspecific in the setting of ascites, and focal tenderness over the gallbladder fossa is also nonspecific in the setting of reportedly diffuse abdominal tenderness. If there is continued clinical concern for acute cholecystitis, a nuclear medicine H... |
Generate impression based on findings. | History of poorly differentiated invasive ductal carcinoma of the left breast. Patient received neoadjuvant chemotherapy. Palpable mass in the left breast has recently increased in size. Please evaluate. Note is made that the patient is on Lovenox with marked bruising of the abdomen. History of breast cancer in 3 mater... | Interval increase in the size of biopsy proven carcinoma at the 6 o'clock position of the left breast. Given the history of Lovenox and overlying bruising, a portion of the size increase may be due to internal hematoma. Results were discussed with the patient and her daughter.BIRADS: 6 - Known cancer.RECOMMENDATION: T ... |
Generate impression based on findings. | Biopsy proven left breast invasive ductal carcinoma and DCIS. Patient has been treated with an aromatase inhibitor. Please evaluate for interval changes. On physical examination, no palpable masses were present of the left breast. A targeted left breast ultrasound was performed for the area of clinical concern. At the ... | Interval decrease in the size of left breast biopsy proven cancer. Results were discussed with the patient and her daughter.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 34 year old male with right anterior cervical enlarged lymph node. A targeted ultrasound exam was performed of the patient's right anterior neck, at the site of palpable abnormality. In the right neck, at level 1, there is a corresponding 2.0 x 1.5 x 0.6 cm lymph node with a normal oval morphology and a fatty hilum. No... | Slightly prominent but morphologically normal appearing right level 1 lymph node. Benign etiology is favored as lymph nodes at this level may normally be prominent. Alternatively, node may be reactive in etiology. |
Generate impression based on findings. | 45 year-old male with persistently mildly elevated LFTs. LIVER: The liver is coarse, echogenic with decreased through transmission, limiting evaluation for a focal lesion. Given this limitation, there is no focal lesion or intrahepatic biliary ductal dilatation. Liver measures 21.4 cm in craniocaudal dimension. Normal ... | 1. Hepatomegaly and findings compatible with severe diffuse fatty infiltration of the liver. 2. Mild splenomegaly. |
Generate impression based on findings. | 57-year-old female with a history of thyroidectomy many years prior for goiter, uncertain if partial or complete. Evaluate for residual thyroid tissue. RIGHT LOBE MEASUREMENTS: 2.2 x 2.7 x 5.6 cmLEFT LOBE MEASUREMENTS: Status post left thyroidectomy.ISTHMUS MEASUREMENTS: NoneRIGHT LOBE: The right thyroid lobe echotextu... | Status post left thyroidectomy. The right thyroid lobe contains a 1.1-cm cystic nodule, most likely benign. |
Generate impression based on findings. | 82-year-old female with sepsis. Evaluate the liver and gallbladder. LIVER: The liver measures 14.2 cm in length. It is mildly coarse and echogenic. No intrahepatic biliary ductal dilatation or focal hepatic lesion is evident. Normal hepatopetal portal venous blood flow at 23 cm/sec.GALLBLADDER, BILIARY TRACT: A normall... | 1. Normally distended gallbladder with mild diffuse wall thickening/pericholecystic fluid. Evaluation for focal tenderness was unreliable given the patient's decreased awareness. Overall, there is no specific evidence of acute cholecystitis. If there is continued clinical concern, a HIDA scan may be considered.2. Coars... |
Generate impression based on findings. | 39-year-old male with right testicular cyst. RIGHT TESTIS: The right testis is normal in morphology, echogenicity and size, measuring 2.5 x 2.9 x 5.2 cm. Spectral Doppler evaluation demonstrates normal flow. There are a few microliths without a discrete parenchymal lesion. LEFT TESTIS: The left testis is normal in morp... | 1. Bilateral varicoceles as above.2. Scattered testicular microlithiasis without a discrete focal soft tissue lesion. |
Generate impression based on findings. | 48-year-old male status post LVAD with drainage around the drive line. Evaluate for fluid collection. A targeted portable ultrasound was performed of the left lower quadrant along the course of the LVAD drive line. There is no discrete fluid collection. | No discrete fluid collection. |
Generate impression based on findings. | 77-year-old male with elevated LFTs and renal failure. LIVER: The liver measures 18.2 cm in the craniocaudal dimension. There appears to be periportal cuffing. The liver contour is relatively smooth. The parenchyma is mildly coarsened. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normally oriented... | 1. Hydropic gallbladder with nonspecific gallbladder wall thickening in the setting of ascites. If there is continued clinical concern for acute cholecystitis, a HIDA scan may be considered. 2. Heterogeneous liver parenchyma may represent diffuse fatty infiltration/parenchymal dysfunction.3. Echogenic renal cortices, c... |
Generate impression based on findings. | 68 year-old female with history of hepatitis C and right upper quadrant pain. The study was limited and suboptimal due to the patient's body habitus.LIVER: The liver is coarse, echogenic and has decreased through transmission, limiting evaluation for a focal lesion. Given this limitation, no focal lesion or intrahepati... | 1. Findings compatible with diffuse fatty infiltration/parenchymal dysfunction, limiting evaluation for a focal lesion. Within this limitation, no focal lesion is evident. If there is continued clinical concern, a dedicated liver CT/MRI should be considered.2. Liver morphology suggestive of early cirrhosis.3. No eviden... |
Generate impression based on findings. | 25 year old female with a history of lower quadrant abdominal wall mass previously characterized as lipoma on ultrasound. Targeted ultrasound of the patient's right lower quadrant superficial soft tissues demonstrates an echogenic lobulated malleable mass with well-defined margins and minimal vascularity compatible wit... | Findings compatible with a lipoma, appearing similar to the prior study. |
Generate impression based on findings. | 84 year old female with abdominal pain. Evaluate lesion seen on same day CT exam. The study is limited by the patient's reported contracted state.RIGHT KIDNEY: The right kidney is atrophic and echogenic, measuring 8.4 cm in length. There is a 2.0 x 1.8 x 2.2 cm inferior pole hypoechoic complex lesion corresponding to t... | Limited study as described above.1. 2.2-cm right inferior pole hypoechoic complex mass, again suspicious for a renal cell carcinoma. Additional left renal findings as above.2. Given the patient's contracted state, future follow up of the aforementioned lesions may be better achieved with dedicated CT imaging. |
Generate impression based on findings. | 52 year-old male with chronic hepatitis C and cirrhosis. Evaluate for HCC. LIVER: The liver is moderately coarse in echogenicity and nodular in contour. It measures 12.9 cm in length without a focal lesion or intrahepatic biliary ductal dilatation evident. Normal hepatopetal portal venous blood flow at 22 cm/sec.BILIAR... | Cirrhotic liver morphology, without a discrete lesion. Splenomegaly. |
Generate impression based on findings. | 72 year old female with acute kidney injury. RIGHT KIDNEY: The right kidney measures 10.6 cm in length without hydronephrosis or shadowing calculus. There is a 3.2 x 8.3 x 3.3 cm inferior pole septated cyst. There is mild cortical thinning. LEFT KIDNEY: The left kidney measures 10.1 cm in length without hydronephrosis ... | No hydronephrosis. Simple and minimally complex cysts as above. |
Generate impression based on findings. | 66-year-old male with bladder cancer and impaired renal function. RIGHT KIDNEY: The right kidney measures 11.5 cm in length without hydronephrosis or discrete lesion evident. There is an echogenic shadowing focus in the interpolar region without a recent CT correlate which may be a nonobstructing stone but is nonspecif... | No hydronephrosis. |
Generate impression based on findings. | 30 year-old female right upper quadrant pain. The study is slightly limited due to the patient's body habitus and resulting poor ultrasound penetration.LIVER: The liver parenchyma is mildly coarse and echogenic without a discrete lesion or definite intrahepatic biliary ductal dilatation. It is normal in size, measuring... | No cholelithiasis or other specific findings to account for the patient's symptoms. Mildly coarse liver parenchyma may represent diffuse fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | 81 year-old female who is recalled from screening for further evaluation of focal asymmetry with calcifications in the retroareolar right breast. No current breast complaints. RIGHT BREAST DIGITAL DIAGNOSTIC MAMMOGRAM: Right breast ML and two spot compression views were performed digitally and reviewed with the aid of ... | High probability benign focal asymmetry in the right retroareolar region. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Fo... |
Generate impression based on findings. | Ultrasound guidance for biopsy. Proteinuria and renal insufficiency Ultrasound guidance was provided for Dr. Stakus to perform a biopsy of the right kidney. | Sound guidance provided for kidney biopsy. |
Generate impression based on findings. | Male 65 years old Reason: assess for cholecystitis History: rising lft, septic shock now in ards LIVER: The liver measures 17.5 cm in length. There is mildly coarsened echogenicity. The main portal vein is patent, demonstrating hepatopetal flow at 0.2 m/sec. The hepatic artery is patent.BILIARY TRACT: There is a small ... | 1. Biliary sludge and possible non-shadowing gallstones within the gallbladder neck, without evidence of cholecystitis.2. Stable bilateral pleural effusions and new moderate volume ascites. |
Generate impression based on findings. | 48 years old, Male, Reason: S/p DDRT. now with progressive oliguria History: oliguria TECHNIQUE: Grey scale sonography of the renal transplant; Color/spectral doppler of the renal transplant inflow and outflow vasculature. | Elevated velocity at the anastomosis measuring up to 2.9 meters per second. This would meet the Doppler criteria for narrowing however, intrarenal resistive indices are normal. This may represent postsurgical edema and a full sonography is suggested.Findings discussed with Dr. Bryan at the time of dictation.I personall... |
Generate impression based on findings. | 27 day old male with right duplex kidney and hydronephrosis. Evaluate for interval change. BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: Not Identified Left: Not Identified Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Nor... | Duplex right kidney with grade 2 hydronephrosis of both the upper and lower moieties. Grade 1 left-sided hydronephrosis.*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 a... |
Generate impression based on findings. | 72-year-old male with recurrent hyperparathyroidism after two prior parathyroid operations. Status post partial thyroidectomy. Please evaluate for adenoma. RIGHT LOBE MEASUREMENTS: Again seen are changes consistent with the patient's history of right lobe thyroidectomy. There is interval development of a focus of hypoe... | Heterogenous left lobe of the thyroid with interval development of a 6 mm hypoechoic focus along the inferior margin of the surgical bed of the right lobe of the thyroid gland which may represent a parathyroid adenoma candidate. Further evaluation with a parathyroid nuclear medicine scintigraphic examination could be c... |
Generate impression based on findings. | 37 years old, Female, Reason: History of cholecystitis 2012, now w/ recurrent RUQ pain History: RUQ pain, cramping, nausea/vomiting LIVER: The liver measures 13.6 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal ... | Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. |
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