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Generate impression based on findings. | 56 years old, Female, Chronic Kidney Disease, Stage IV. CKD IV. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Increased echogenicity of the right kidney cortex. Moderate right hydronephrosis. No renal stone identified. No perinephric fluid.LEFT KIDNEY: Kidney measures 10.6 cm in length. Increased parenchymal echogen... | Moderate right hydronephrosis and mild left caliectasis without clear etiology. |
Generate impression based on findings. | 86 years old, Male, Reason: 86 yo with cirrhosis please screen for HCC History: none LIVER: The liver has a cirrhotic morphology. No focal hepatic lesions or masses are identified. No significant ascites is present. The liver measures 8.6 cm in length. The portal vein is patent demonstrating normal hepatopetal flow wit... | 1.Cirrhotic morphology of the liver without focal hepatic lesion identified.2.Mild intra-and extra hepatic biliary ductal dilatation is present. |
Generate impression based on findings. | 56 years old, Female, Reason: Have thyroid nodules grown? Exam in February 2014 is scanned into EPIC for comparison. RIGHT LOBE MEASUREMENTS: The right lobe measures 4 x 2 x 2 cmLEFT LOBE MEASUREMENTS: Left lobe measures 4 x 1.5 x 1 cm.ISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Multiple simple cystic appearing cysts in th... | Multiple cysts in the right thyroid lobe. Colloid nodule in the left thyroid lobe is favored to have a benign etiology. |
Generate impression based on findings. | 62 years old, Female, Reason: pt with known secondary hyperparathyroidism and thyroid nodule, pls identify any thyroid nodules and possible parathyroid adenomas History: secondary hyperparathyroidism, thyroid nodule RIGHT LOBE MEASUREMENTS: 7.8 x 3.7 x 2.9 cmLEFT LOBE MEASUREMENTS: 5.3 x 2.6 x 2.1 cmISTHMUS MEASUREMENT... | 1.Large heterogeneous right thyroid nodule amenable to biopsy, which will be performed today.2.Hypoechoic focus inferior to the left thyroid lobe likely secondary to known parathyroid hyperplasia or parathyroid adenoma3.Multiple bilateral subcentimeter benign-appearing colloid cysts. |
Generate impression based on findings. | 55 year old female with multiple right breast masses and right axillary adenopathy who was recalled from interpretation of outside examination for left breast asymmetry. History of ovarian cancer in sister diagnosed at age 45. LEFT UNILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: A ML view and 3 spot compression views of the l... | Ill-defined hypoechoic 0.4 cm mass at the 3 o'clock position of the left breast. While this may represent benign lesion, fine-needle aspiration with possible ultrasound guided core needle biopsy is recommended for definitive histologic diagnosis. Results and recommendations were discussed with the patient.BIRADS: 4 - S... |
Generate impression based on findings. | 59 years old, Male, Reason: Liver cysts; gallstones History: elevated bilirubin LIVER: The liver measures 19.7 cm in length consistent with mild hepatomegaly. There is heterogeneous echotexture of the liver consistent with partial fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is... | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. 2.Mild hepatomegaly. No focal liver lesions or masses. |
Generate impression based on findings. | Renal stones; history partial right nephrectomy for resection of papillary renal cell carcinoma RIGHT KIDNEY: Contour defect again noted consistent with partial nephrectomy. No worrisome mass. Benign inferior pole cyst unchanged. No stone or hydronephrosis. Right kidney 11 cm in length.LEFT KIDNEY: Stable mid/lower pol... | At least two nonobstructing left renal stones. Stable left renal angiomyolipoma. Stable contour defect right kidney consistent with partial nephrectomy without worrisome mass, stone, or hydronephrosis on the right. |
Generate impression based on findings. | 68 years old, Male, Reason: pt with elevated liver enzymes new from 2 wks ago; please eval for acute obstruction/pathology LIVER: The liver measures 17 cm in length. Increased echogenicity of the liver consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demon... | 1.Diffuse fatty infiltration of the liver. No hepatic mass2.No intrahepatic or extra hepatic biliary ductal dilatation. |
Generate impression based on findings. | History renal stones RIGHT KIDNEY: Normal parenchymal echogenicity without mass, stones, or hydronephrosis. Right kidney 10.4 cm in lengthLEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Left kidney 11.2 cm in length.OTHER: Bladder nondistended | Negative renal ultrasound. No evidence for mass, stone, or obstruction. |
Generate impression based on findings. | 73 year old female who was recalled from outside screening mammogram for left breast asymmetry. MAMMOGRAM: An ML view and two spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in patte... | Dense fibroglandular tissue in the upper central left breast corresponding to the asymmetry on mammogram. Right simple breast cyst. 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... |
Generate impression based on findings. | 52 year old female with history of thyroid gland malignancy and metastases. Evaluate amount of abdominal ascites, possible paracentesis. LIVER: Limited evaluation of the liver reveals a nodular contour and heterogeneous appearance, similar to prior.OTHER: Minimal abdominal free fluid, likely not amenable to future para... | Heterogeneous/nodular liver, similar to prior, and minimal ascites. |
Generate impression based on findings. | HCV cirrhosis LIVER: Coarse echogenic liver echotexture without mass. Liver length 13 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.8 cm in lengthOTHER: Stable left renal cyst. Left kidney 12.3 cm in le... | Stable examination. Coarse echogenic liver echotexture again noted consistent with chronic liver disease without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | Renal stones RIGHT KIDNEY: Normal parenchymal echogenicity without worrisome mass or hydronephrosis. Benign renal cyst. Right kidney 11 cm in length.Multiple subcentimeter echogenic foci within the lower pole of the right kidney with posterior shadowing consistent with nonobstructing subcentimeter renal stonesLEFT KIDN... | Multiple subcentimeter nonobstructing lower pole right renal stones. No worrisome mass or obstruction. Left kidney absent. Enlarged prostate. |
Generate impression based on findings. | History of hydronephrosis status post drainage of obstructing pelvic cyst RIGHT KIDNEY: Normal parenchymal echogenicity without mass or stone. Interval resolution of hydronephrosis. Right kidney 10.4 cm in length.LEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Left kidney 10.1 cm in... | Interval resolution of right hydronephrosis. |
Generate impression based on findings. | History of pancreatitis with abdominal pain nausea and vomiting CT performed 5/ LIVER: Coarse echogenic liver without mass. Liver length 18.9 cmGALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No ductal dilatationPANCREAS: Abnormal heterogeneous pancreas with multiple calcifications again noted consistent with ... | Echogenic liver parenchyma again noted consistent with chronic liver disease/fatty infiltration without mass or ductal dilatation. Mild hepatomegaly. Status post cholecystectomy. No ascites.Abnormal heterogeneous pancreas with multiple calcifications again noted consistent with chronic pancreatitis; cannot assess for p... |
Generate impression based on findings. | Acute renal failure with rising creatinine RIGHT KIDNEY: Echogenic renal parenchyma again noted without mass, stone, or hydronephrosis. Right kidney 9.8 cm in lengthLEFT KIDNEY: Echogenic renal parenchyma again noted without mass, stone, or hydronephrosis. Left kidney 11.8 cm in length.OTHER: Bladder nondistended | Echogenic renal parenchyma again noted consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | Precardiac transplant evaluation LIVER: Echogenic liver parenchyma without mass. Liver length 19.6 cmGALLBLADDER, BILIARY TRACT: No significant abnormality noted.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted.KIDNEYS: No significant abnormality noted. Right renal cyst. Right kidney ... | Echogenic liver parenchyma with mild hepatomegaly suggestive for chronic liver disease/congestion without mass or ductal dilatation. No ascites.Mid and distal aorta not visualized due to overlying gas. |
Generate impression based on findings. | Cardiac patient; evaluate hepatic vasculature LIMITED ABDOMENLIVER: Mildly coarse and echogenic liver echotexture without mass. Liver length 19.8 cm.BILIARY TRACT: Gallbladder contracted. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 10.4 cm in length. RIG... | Mild hepatomegaly associated with coarse echogenic liver parenchyma consistent with chronic liver disease without mass or ductal dilatation. Gallbladder collapsed. Mild ascites.Patent hepatic vessels with normal directional flow.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction wi... |
Generate impression based on findings. | Alcoholic cirrhosis LIVER: Cirrhotic morphology without mass. Liver length 13 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without ductal dilatation or acute inflammationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 8.3 centimeters in lengthOTHER: Left kidney 8.5 cm in l... | Cirrhotic morphology without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | History of renal stones RIGHT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Right kidney 10.1 cm in lengthLEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Left kidney 11.3 cm in lengthOTHER: Bladder nondistended | Negative renal ultrasound. Normal parenchymal echogenicity without mass, stone, or obstruction. |
Generate impression based on findings. | 76-year-old male with history of equivocal left renal lesion on CT. Hematuria. RIGHT KIDNEY: The right kidney is within normal limits.LEFT KIDNEY: Although the left kidney is normal in size, there are several small tiny cysts. Additionally, there is an approximately 1 cm hypoechoic focus with internal echoes in the upp... | 1.Left renal upper pole complex cystic focus may represent a hemorrhagic/complex cyst, although this is nonspecific and should be followed up in 6 months with ultrasound.2.Prostate enlargement. |
Generate impression based on findings. | Hepatitis C with right lobe mass LIVER: Coarse echogenic liver texture again noted. Liver length is 16.5 cm. Slight interval increase in size of right lobe peripheral echogenic mass now measuring 1.6 x 1.7 x 1.6 cm; this is in comparison to 1.5 x 1.4 cm on 10/1/2014.GALLBLADDER, BILIARY TRACT: No significant abnormalit... | Slight interval increase in size of peripheral right lobe hepatic echogenic focus. A neoplasm including hepatocellular carcinoma must be considered; would strongly suggest correlation with dedicated MR.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstr... |
Generate impression based on findings. | History Graves' disease RIGHT LOBE MEASUREMENTS: 2.4 x 1.9 x 4.9 cmLEFT LOBE MEASUREMENTS: 1.6 x 1.9 x 5.9 cmISTHMUS MEASUREMENTS: 0.7 cmRIGHT LOBE: Diffusely heterogeneous gland without discrete nodule. No increased vascularity.LEFT LOBE: Diffusely heterogeneous gland without discrete nodules. No increased vascularity... | Diffusely heterogeneous gland without discrete nodules. No increased vascularity. |
Generate impression based on findings. | History hyper thyroidism RIGHT LOBE MEASUREMENTS: 6.4 x 3.3 x 2.3 cmLEFT LOBE MEASUREMENTS: 6.1 x 3.6 x 1.8 cmISTHMUS MEASUREMENTS: 1.1 cmRIGHT LOBE: Diffusely heterogeneous gland. Two midpole mixed cystic and solid nodules. A representative midpole nodule measures 1 x 0.7 x 0.9 cm.LEFT LOBE: Diffusely heterogeneous gl... | Diffusely heterogeneous gland. Multiple bilateral subcentimeter nodules as described.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Right-sided abdominal pain LIVER: Numerous confluent bilobar mass lesions consistent with metastatic disease again noted. GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney 11.8 cm in length.OTHER: Le... | Numerous confluent bilobar hepatic lesions consistent with metastatic disease. No ascites. Collapsed gallbladder without ductal dilatation. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. 14.1 cm in length.LEFT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. 14.7 cm in lengthOTHER: Fatty infiltration of the liver. Trace ascites. Bladder nondistended. | Unremarkable echogenicity without mass, stone, or obstruction. Fatty infiltration of the liver. Trace ascites. |
Generate impression based on findings. | Painful nodule posterior right thigh No evidence for mass or loculated fluid collection | No evidence for mass or loculated fluid collection. |
Generate impression based on findings. | Transaminitis LIVER: Mildly coarse and echogenic liver parenchyma without mass. Liver length 14.6 cm. GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney 10.4 cm in leng... | Mildly coarse and echogenic liver parenchyma suggestive for fatty infiltration/chronic liver disease without mass or ductal dilatation. Mild ascites.Abnormally enlarged endometrial cavity; recommend correlation with GYN ultrasound. |
Generate impression based on findings. | Abdominal pain and elevated white count LIVER: Mildly coarse echogenic liver parenchyma without mass. Liver length 17.3 cm.GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic renal parenchyma without worrisom... | Mildly coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Gallbladder sludge without acute inflammation. Echogenic kidneys consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. Mild ascites. |
Generate impression based on findings. | Evaluate for fluid surrounding LVAD drive line No evidence for loculated fluid collection associated with LVAD drive line | No evidence for loculated fluid collection associated with LVAD drive line |
Generate impression based on findings. | Rising bilirubin and jaundice LIVER: Coarse echogenic liver parenchyma without mass. Liver length 25.6 cmGALLBLADDER, BILIARY TRACT: Gallbladder absent. No ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.1 cm in length.OTHER: Left kidney 11.8 cm in len... | Moderately severe hepatomegaly associated with coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Mild splenomegaly. No ascites. |
Generate impression based on findings. | Abnormal LFTs LIVER: Coarse echogenic liver parenchyma without mass. Liver length 15.4 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 10.4 cm in length.OTH... | Coarse echogenic liver parenchyma consistent with fatty infiltration/parenchyma dysfunction without mass or ductal dilatation. Cholelithiasis without acute inflammation. Trace ascites. Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | 68 years, Female. Reason: Evaluate for increased free air, intraabdominal process History: New abdominal pain and vomiting, known hx of free air. Distended small and large bowel, new from earlier exam. Stable to mild interval increase in pneumoperitoneum, may be postprocedural, correlation with patient's clinical histo... | Persistent free air, see above, including smaller locules of pneumoperitoneum (versus possible pneumatosis) along lateral wall of centrally located bowel. Correlation with patient's clinical history and interval surgery recommended. |
Generate impression based on findings. | There remains a T1 isointense, T2 hyperintense minimally expansile intramedullary lesion within the cervical cord extending from the lower level of C2 to C4. The lesion is largest within the midportion measuring 9 x 6 mm in the AP and transverse dimensions (series 11, image 18), compared to 7 x 5 previously, suggestin... | 1. There has been interval return of enhancement of the intramedullary lesion extending from C4 to C6. There may also be a subtle increase in the size of the signal abnormality within the cord. The recurrence of these findings may reflect changes in steroid dosing. The differential diagnosis continues to include demyel... |
Generate impression based on findings. | Left thyroid nodule RIGHT LOBE MEASUREMENTS: 1.9 x 1.3 x 4.4 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.4 x 4.7 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: 1.2 x 0.8 x 1.5 cm mixed cystic and solid inferior left thyroid noduleISTHMUS: No significant abnormality noted.PARATHYROID GLANDS:... | Mixed cystic and solid inferior left thyroid nodule. This nodule will be biopsied today. |
Generate impression based on findings. | 31-year-old male with history of acute kidney injury. Evaluate for hydronephrosis. RIGHT KIDNEY: Right kidney measures 10.8 cm. No hydronephrosis or hydroureter. Slightly hyperechoic renal parenchyma, similar to prior.LEFT KIDNEY: Left kidney measures 10.7 cm. No hydronephrosis or hydroureter. Slightly hyperechoic rena... | Hyperechoic renal parenchyma, suggestive of medical renal disease/parenchymal dysfunction, without additional abnormality. |
Generate impression based on findings. | 59-year-old male with history of viral hepatitis B, evaluate for liver cancer. LIVER: No focal hepatic lesions or biliary dilatation. The liver is normal in size, measuring approximately 11 cm.GALLBLADDER, BILIARY TRACT: Several mobile gallstones are seen.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No si... | Cholelithiasis without findings of cholecystitis. No focal hepatic masses. |
Generate impression based on findings. | 48 year old female with history of right upper quadrant pain. Evaluate for gallbladder pathology. LIVER: Hepatic steatosis, without focal abnormality.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No sig... | Hepatic steatosis, without additional abnormality. |
Generate impression based on findings. | 73 years old, Female, Reason: r/o thyroid enlargement History: neck enlargement RIGHT LOBE MEASUREMENTS: 4.4 x 2.4 x 2 cm.LEFT LOBE MEASUREMENTS: 5.7 x 2.1 x 3 cm.ISTHMUS MEASUREMENTS: 1.1 cm.RIGHT LOBE: No evidence of thyroid nodules. The size of the thyroid is within normal limits. Echogenicity of the thyroid is homo... | Normal ultrasound evaluation of the thyroid without evidence of enlargement or nodules. |
Generate impression based on findings. | 51 years old, Male, Reason: cyst? right tibial mass, enlarging and tender to palpation, no erythema/warmth, contingous with scar of 20 year old acl recontruction History: cyst? right tibial mass, enlarging and tender to palpation, no erythema/warmth, contiguos with scar of 20 year old acl reconstruction Right lower ext... | 1.Nonvascular cystic appearing mass in the right tibial area. |
Generate impression based on findings. | 55 years old, Female, Reason: Primary HPT please assess for parathyroid adenoma. RIGHT LOBE MEASUREMENTS: 5.6 x 2.5 x 2 cmLEFT LOBE MEASUREMENTS: 6.2 x 2.1 x 1.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Multiple subcentimeter cysts and nodules are seen in the right thyroid lobe the largest of which measures 0.9 x 0.8 ... | 1.No evidence of parathyroid adenoma or hyperplasia.2.Multiple bilateral subcentimeter thyroid nodules and cysts |
Generate impression based on findings. | 61 years old, Female, Reason: concern for ascites History: increase in abdominal size/cirrhosis Large amount of perihepatic ascites is present. There is a significant amount of free fluid within the left upper quadrant, right and left lower quadrants, as well as the pelvis. Incidental note is made of a cirrhotic liver ... | Four quadrant ascites. |
Generate impression based on findings. | 51 years old, Male, Reason: recurrent pancreatitis eval for gallstones History: pancreatitis LIVER: The liver measures 16.8 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4... | 1.No evidence of cholelithiasis, choledocholithiasis, or cholecystitis.2.No evidence of pancreatic mass. |
Generate impression based on findings. | 66 years old, Male, Reason: rising creatinine History: rising creatinine ULTRASOUND KIDNEYSRIGHT KIDNEY: No evidence of hydronephrosis or nephrolithiasis.LEFT KIDNEY: No evidence of hydronephrosis or nephrolithiasis.OTHER:No significant abnormalities noted. | Max velocity in the right renal artery is at the upper limits of normal. The velocity left renal artery is not significantly higher than that of the aorta. |
Generate impression based on findings. | 66 years old, Male, Reason: Periumbilical abd pain History: Please check GB, liver, pancreas LIVER: The liver is mildly enlarged measuring 20 cm in length. Increased parenchymal echogenicity is is suggestive of fatty infiltration. Focal hypoechoic hepatic lesion may represent focal fatty sparing although is indetermina... | 1.Focal hypoechoic lesion may represent focal fatty sparing although is indeterminate on this ultrasound examination. Dedicated MRI is recommended for further characterization of this lesion.2.Fatty infiltration of the liver.3.No evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 43 years old, Female, Reason: concern for cholangitis History: as above LIVER: The liver measures 19.6 cm in length. Echogenicity of the liver is within normal limits. 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 TR... | Cholelithiasis and gallbladder sludge in a nondistended gallbladder without evidence of biliary dilatation or cholecystitis. |
Generate impression based on findings. | 68 years old, Male, Reason: evaluate size of renal masses and characterize cysts RIGHT KIDNEY: Kidney measures 11.3 cm in length. Right renal cyst measures 2.3 x 2.8 x 2.1 cm. Previously noted mid kidney right renal mass is not well visualized on this exam. Right lower pole mass is not significantly changed in size mea... | 1.Right lower pole renal mass not significantly changed in size since CT dated 7/17/14. Previously noted enhancing mass in the right mid kidney is not well visualized on this ultrasound examination.2.Right-sided hydronephrosis. |
Generate impression based on findings. | 54 years old, Female, Reason: eval for liver dz History: RUQ pain, elevated ALT, ALP. Pt has no gallbladder. LIVER: The liver measures 20 cm in length. There is diffusely increased echogenicity of the liver suggestive of diffuse hepatic steatosis. No focal hepatic lesions or masses are identified. The portal vein is pa... | Hepatic steatosis without evidence of biliary ductal dilatation or focal hepatic mass lesion. No evidence of ascites. |
Generate impression based on findings. | Left upper quadrant pain and shortness of breath. Further history obtained upon discussion with the patient reveals progressively worsening intermittent sharp left chest pain, which on occasion "takes her breath away". LIVER: The liver measures 15 cm in length. Mildly increased parenchymal echogenicity is suggestive of... | 1.Left pleural effusion.2.Increased echogenicity of the liver suggest hepatic steatosis.These findings were discussed with the ordering service at time of dictation who agreed to order chest x-ray while patient is in radiology department. |
Generate impression based on findings. | 39 years old, Male, Reason: Patient with old AV graft with acute swelling after trying to start line. Pleaes evaluate.for hematoma History: As above Ultrasound evaluation of the left mid arm swelling this was a heterogeneous collection consistent with hematoma measuring 4.8 x 1.2 x 4.9 cm. | Left mid arm hematoma measuring up to 4.9 cm in length. |
Generate impression based on findings. | 71 years old, Female, Reason: assess left renal cyst History: assess left renal cyst RIGHT KIDNEY: Kidney measures 9.5 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Previously described left renal mass in the upper/mid kidney is not visualized on this ultrasound examination... | Previously described left renal mass or cyst is not well visualized on this ultrasound examination. |
Generate impression based on findings. | 72 years old, Female, Reason: hyperparathyroidism, adenoma in left inferior position on sestamibi please correlate History: hyperpara RIGHT LOBE MEASUREMENTS: 4.5 x 1.6 x 1.8 cmLEFT LOBE MEASUREMENTS: 3.9 x 1.4 x 1.3 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: The right thyroid lobe is diffusely heterogeneous without evi... | Inferior to the left lower pole of the thyroid there is a oval hypoechoic mass consistent with a parathyroid adenoma which is medially located and partially overlapping the trachea. |
Generate impression based on findings. | 57 year old female who was recalled from screening mammogram for right breast mass. No family history of breast cancer. Right Breast Diagnostic Mammogram: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneou... | Clustered cyst at the two o'clock position in the right breast, corresponding to the mass visualized on prior mammogram. Left unilateral diagnostic mammogram and ultrasound is recommended in 6 months to assess stability. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECO... |
Generate impression based on findings. | 80 years old, Female, Reason: AKI History: As above RIGHT KIDNEY: Kidney measures 9.6 cm in length. Minimally hyperechoic. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.0 cm in length. Minimally hyperechoic kidney. Nohydronephrosis, shadowing calculus or mass.OTHER: A significant amount of... | 1.Generalized abdominal ascites.2.Kidneys are minimally hyperechoic consistent with medical renal disease. |
Generate impression based on findings. | 57 years old, Female, Reason: 57 yo F with intermittent RLQ abdominal pain x weeks with CT showing concerns for cholecystitis. Pls aid in eval of acute vs. chronic cholecystitis. History: intermittent RLQ pain LIVER: The liver measures 14.1 cm in length. Mildly increased hepatic parenchymal echogenicity is consistent w... | Cholelithiasis without definite evidence of acute cholecystitis. However findings may represent chronic cholecystitis. |
Generate impression based on findings. | 74 years old, Female, Reason: Eval thyromegaly, masses History: hx of hyperthyroidism, etiology unknown RIGHT LOBE MEASUREMENTS: 6.5 x 3.2 x 3.7 cmLEFT LOBE MEASUREMENTS: 5.0 x 2.6 x 1.3 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Multiple nodules and cysts throughout the right thyroid lobe. Most of these cysts and nodul... | Single dominant solid left thyroid nodule which is isoechoic with a hypoechoic rim and echogenic foci which are present microcalcifications. |
Generate impression based on findings. | 77 years old, Female, Reason: left hand and wrist swelling, concern for splinter ( foreign body) History: pain and swelling No echogenic foreign body identified. No significant abnormality. | No echogenic foreign body identified. |
Generate impression based on findings. | 42 years old, Female, Reason: hx of UTIs and hydroneprhosis History: utis RIGHT KIDNEY: Kidney measures 11.5 cm in length. Proximal hydroureter is present on the right just not extend the length of the entire ureter to the level of the bladder. Mild hydronephrosis on the right. Normal echotexture. No shadowing calculus... | 1.Proximal right hydroureter with mild right hydronephrosis. |
Generate impression based on findings. | 53 years old, Female, Reason: 53 yr old female with Stage IIIC Ovarian Cancer; known gastohepatic, mesenteric, periaortic, and retroperitoneal lymph nodes. Assess for cancer related symptoms vs. other GI etiology History: Upper abdominal fullness, acid reflux, LUQ pain, along with elevated LFT's and rising CA125. LIVER... | 1.Hepatic steatosis.2.No specific findings to account for the patient's left upper quadrant pain. |
Generate impression based on findings. | 48-year-old female with left breast palpable area, presents for follow-up ultrasound. On physical examination, there is a firm palpable area at the two o'clock position of the left breast, 5 cm from the nipple.A targeted left ultrasound was performed for the palpable area of concern, as marked by Dr. Chhablani. Focal a... | Focus of dense breast tissue at the site of palpable abnormality in the left breast. The patient was instructed to discuss the need for any further follow up with Dr. Chhablani.If the patient's physical exam remains unchanged, bilateral screening mammogram is recommended annually, for which the patient will be due in J... |
Generate impression based on findings. | 36 years old, Female, Reason: nontender goiter on exam, eval for nodules History: asymptomatic RIGHT LOBE MEASUREMENTS: 5.5 x 2.3 x 1.9 cmLEFT LOBE MEASUREMENTS: 5.2 x 1.9 x 1.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Single hypovascular right thyroid nodule measures 2.1 x 1.0 x 1.4 cm. This nodule is hypoechoic to n... | Single hypovascular right thyroid nodule measuring up to 2 cm which is hypoechoic to normal thyroid tissue and has heterogeneous echotexture. |
Generate impression based on findings. | 41 years old, Female, Reason: history of cervical cancer /p robotic radical hysterectomy/LND and pelvic radiation in 2010 with urinary retention requiring intermitent self catheterization, now with bilateral flank pain History: bilateral flank pain, worsening urinary retention RIGHT KIDNEY: Kidney measures 10.8 cm in l... | Normal ultrasound examination of the kidneys. |
Generate impression based on findings. | 63 years old, Female, Reason: hx anaplastic thyroid cancer, eval for recurrence in surgical bed History: dysphagia Patient is status post thyroidectomy.RIGHT LOBE Area: No definite suspicious mass lesions within the surgical bed.LEFT LOBE Area: No definite suspicious mass lesions within the surgical bed.ISTHMUS Area: N... | No definite suspicious mass lesions within the thyroidectomy bed. Continued follow-up is advised if clinically warranted. |
Generate impression based on findings. | History of rising creatinine over the past 6 months to one year. RIGHT KIDNEY: Kidney measures 11.3 cm in length. Heterogeneous echotexture of the right kidney. Numerous cysts within the right kidney. No definite solid lesions are identified. No hydronephrosis. Calcifications are present in the right kidney.LEFT KIDNEY... | 1.Kidneys have increased echogenicity and calcifications bilaterally consistent with medical renal disease.2.Numerous bilateral renal cysts. No focal solid mass lesions. |
Generate impression based on findings. | 52 year old female with history of cirrhosis, evaluate for HCC. LIVER: The liver has coarse echogenicity, and subtle contour nodularity. Liver measures approximately 13 cm. No biliary dilatation. No pain during exam. No discrete mass identified.BILIARY TRACT: No biliary dilatation.PANCREAS: No significant abnormalities... | Cirrhotic liver morphology, without evidence of mass or other significant abnormality. |
Generate impression based on findings. | 61 year old female with right upper quadrant pain. The patient was mildly tender to palpation during exam.LIVER: Findings of cholecystectomy. No biliary dilatation or other acute abnormality. Liver demonstrates subtle coarse echogenicity.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnorma... | Findings of cholecystectomy, without acute abnormality. Mild epigastric tenderness during exam. |
Generate impression based on findings. | 40 year-old female with history of abdominal pain, vomiting and elevated lipase. Acute pancreatitis. The patient was not tender during exam.LIVER: No biliary dilatation or significant abnormalities noted.BILIARY TRACT: No cholelithiasis, gallbladder wall thickening or significant abnormalities noted.PANCREAS: No fluid ... | No significant abnormality to explain the patient's symptoms. |
Generate impression based on findings. | 19 year-old female with history of urinary frequency, and feelings of incomplete voiding. Evaluate for urinary retention. Bladder:Pre-void bladder volume was 270 mL, and postvoid bladder volume was 3 mL. No significant retention. | No significant abnormal urinary retention. |
Generate impression based on findings. | 21-year-old male with history of left varicocele and pain. RIGHT TESTIS: Right testes measures 2.6 x 2.3 x 6.0 cm parenchymal texture is normal.LEFT TESTIS: Left testes measures 3.2 x 2.2 x 5.8 cm parenchymal echotexture is normal.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: Subcentimeter left ... | Bilateral varicocele and small left hydrocele. |
Generate impression based on findings. | Left testicular pain. RIGHT TESTIS: Right testis measures 4.1 x 2.7 x 2 cm. no focal lesions. Normal vascularity. Testicular microlithiasis.LEFT TESTIS: Left testis measures 3.9 x 2.3 x 2 cm. normal vascularity. Testicular microlithiasis. No focal lesions.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDID... | Left varicocele. Bilateral testicular microlithiasis. Follow-up testicular imaging in one year is recommended. Mild nonspecific scrotal wall thickening. |
Generate impression based on findings. | Male 35 years old Reason: eval for torsion History: 2 d h/o R testicular pain/swelling RIGHT TESTIS: Right testis measures 4.2 x 2.5 x 2.4 cm. right testis is heterogeneous. Vascularity is slightly increased. These findings are compatible with mild orchitis.LEFT TESTIS: This measures 3.8 x 3.9 x 2.3 centimeters. No foc... | Ultrasound findings compatible with right epididymoorchitis. Possible left epididymal cyst. |
Generate impression based on findings. | 43 years old, Male, Reason: RUQ pain History: RUQ pain LIVER: The liver measures 23 cm in length. The liver parenchymal echotexture is borderline. 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 choleli... | 1.No cholelithiasis or acute cholecystitis, no biliary duct dilatation.2.Apparent increased size of organs may be within normal limits. |
Generate impression based on findings. | 58 years old, Female, Reason: RUQ US exam to evaluate biliary tree History: Abdominal distention in patient with HCV/EtOH cirrhosis, HIV LIVER: The liver measures 19 cm in length. The liver has a nodular contour with widened fissures. No definite focal liver lesion. The liver parenchyma is diffusely echogenic. Echogeni... | 1.Cirrhotic liver without definite focal hepatic lesion.2.Hydropic gallbladder with circumferential wall thickening as above, nonspecific in setting of chronic liver disease and ascites. Correlation with patient's clinical history/physical exam recommended and if there is continued clinical concern, a HIDA scan may be ... |
Generate impression based on findings. | 31 years old, Female, Reason: Evaluate for gallstones History: RUQ pain occ associated with meals LIVER: The liver measures 15.1 cm in length. Increased parenchymal echogenicity is suggestive of fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with ... | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Increased hepatic parenchymal echogenicity is consistent with fatty infiltration. |
Generate impression based on findings. | 77 years old, Female, Reason: Thyroid nodules History: Pt is having dysphagia RIGHT LOBE MEASUREMENTS: 3.9 x 1.3 x 0.8 cmLEFT LOBE MEASUREMENTS: 3.7 x 1.9 x 1.8 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: There is heterogeneity of the right lobe of the thyroid. The largest thyroid nodule in the right is solid and slightl... | 1. Left thyroid lobe mixed solid/cystic nodule with questionable microcalcifications. This nodule is indeterminate by ultrasound and would be amenable to future biopsy/FNA.2. Solid appearing inferior isthmus nodule which is amenable to future biopsy/FNA. |
Generate impression based on findings. | 25 year-old female with right upper quadrant pain, nausea, and vomiting. Evaluate for cholelithiasis versus cholecystitis versus liver abnormality. LIVER: The liver is homogeneous in echotexture and measures 15 cm in length. No focal hepatic lesions. Main portal vein is patent with hepatopedal flow and peak velocity of... | 1.No evidence of cholelithiasis or specific findings to suggest cholecystitis. 2.Liver is normal in echotexture and size without evidence of focal hepatic lesions. |
Generate impression based on findings. | 55 -Year-old female with history of hepatitis C. Evaluate for hepatocellular carcinoma. Limited evaluation due to poor penetration of ultrasound.LIVER: The patient is status post cholecystectomy. Normal appearing liver parenchyma, without focal masses or significant intrahepatic biliary dilatation.BILIARY TRACT: No sig... | No focal masses or significant intrahepatic biliary dilatation. |
Generate impression based on findings. | 18 year-old male with history of sickle cell disease and proteinuria RIGHT KIDNEY: The right kidney measures 10.4 cm, and does not demonstrate hydronephrosis or other significant abnormality.LEFT KIDNEY: The left kidney measures approximately 10 cm, and does not demonstrate hydronephrosis or other significant abnormali... | Normal-appearing kidneys and bladder as above. |
Generate impression based on findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. There is no solid or cystic mass identified. | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 22 years old, Male, Reason: evaluate gallbladder, ducts History: RUQ pain LIVER: The liver measures 17.3 cm in length. Echogenicity of the liver is borderline increased. No focal hepatic lesion identified. The main portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Gal... | 1.Gallbladder sludge and possible small gallstones without evidence of acute cholecystitis.2.Distal common bile duct not well assessed, as above. |
Generate impression based on findings. | 45 years old, Female, Reason: PBC evaluate for HCC History: PBC LIVER: The liver measures 19.0 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Small gallbladder polyp ... | 1.Unchanged small gallbladder polyp with no evidence of cholelithiasis or acute cholecystitis.2.The liver parenchymal echotexture is normal. No focal hepatic lesion identified. 3.Unchanged left renal cyst. |
Generate impression based on findings. | 57 years old, Female, Reason: abdominal pain History: Pt c/o abdominal pain (L-sided). Please look at kidney, liver, pancreas and spleen. Liver: The liver measures 15.2 cm in length. Mildly increased parenchymal echogenicity suggestive of fatty infiltration. Subcentimeter hypoechogenicity measuring up to 1.3 cm may rep... | 1.Mildly increased parenchymal echogenicity suggestive of fatty infiltration.2.Subcentimeter hepatic hypoechogenicity may represent focal fatty sparing although it is indeterminate on this ultrasound examination. Further evaluation with dedicated contrast enhanced CT or MRI may be pursued if clinically indicated. |
Generate impression based on findings. | 22 years old, Male, Reason: Evaluate liver and biliary tract History: 22 yo M with hx of MCTD, tricuspid regurgitation, R knee infection, new transaminitis LIVER: The liver measures 16.6 cm in length. The parenchymal echogenicity of the liver is normal. No focal hepatic lesion identified. IVC and hepatic veins are dist... | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.The parenchymal echogenicity of the liver is normal. No focal hepatic lesion identified. 3.IVC and hepatic veins are distended, suggesting rightsided heart failure. |
Generate impression based on findings. | 55 years old, Male, Reason: 55 y/o male hx of AML with worsening right-sided and radiating abdominal pain x 5 days, question of gallstones History: Right sided and radiating abdominal pain upon palpation and with movement Suboptimal ultrasound evaluation to patient's body habitus.LIVER: The liver is mildly increased in... | 1.Limited examination due to body habitus. Increased echogenicity of the hepatic parenchyma suggestive of fatty infiltration. 2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis. |
Generate impression based on findings. | 72 years old, Female, Reason: evaluation for parathyroid location and any abnormality History: secondary hyperparathyroidism RIGHT LOBE MEASUREMENTS: 4.8 x 1.8 x 1.1 cm.LEFT LOBE MEASUREMENTS: 4.1 x 1.8 x 1.1 cm.ISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormali... | Parathyroid adenoma adjacent to the left lower pole of the thyroid. Please refer to concomitant scintigraphic imaging from same day for additional findings. |
Generate impression based on findings. | 27 years old, Female, Reason: Please evaluate RUQ, especially liver and biliary tree, given elevated LFTs. Please assess area around ileostomy to evaluate for abscess History: elevated liver enzymes LIVER: The liver measures 18 cm in length. The parenchyma is normal in appearance. No focal hepatic lesion identified. Th... | 1.Gallbladder sludge without evidence of acute cholecystitis.2.Bilateral mild hydronephrosis, which is likely physiologic given known pregnancy.3.No evidence of subcutaneous abscess or fluid collection in the area of the ileostomy as clinically questioned. |
Generate impression based on findings. | 60 years old, Female, Reason: Assess size of nodule. Cystic vs solid? Any microcalcifications? Evaluate for adenopathy History: Left inferior nodule at least since 7/12 (1.2cm- mostly cystic, but with calcifications). Most recent US 7/14 (1.4 cm). This is 6 month follow up study, first study at UC RIGHT LOBE MEASUREMEN... | Left lower pole thyroid nodule with peripheral coarse calcifications. Please correlate with outside imaging and pathology results. |
Generate impression based on findings. | 38 years old, Female, Reason: evaluate GB History: RUQ pain Exam is limited due to patient's body habitus.LIVER: The liver measures 18.5 cm in length. Increased echogenicity of the liver suggestive of fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow... | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Increased echogenicity of the liver is consistent with fatty infiltration. |
Generate impression based on findings. | 66 years old, Female, Reason: evaluate for residual thyroid cancer RIGHT LOBE MEASUREMENTS: Status post thyroidectomy. No definite soft tissue echogenicity seen to suggest tumor recurrence.LEFT LOBE MEASUREMENTS: Status post thyroidectomy. No definite soft tissue echogenicity seen to suggest tumor recurrence.ISTHMUS ME... | No evidence of recurrent disease or lymphadenopathy. |
Generate impression based on findings. | 60 years old, Female, Reason: abdominal abscess pocket History: cellulitis, pain, erythema In the right lower quadrant there is a complex area of subcutaneous heterogeneous echogenicity measuring approximately 3.4 x 2.6 x 3.3 cm. Curvilinear hypoechoic component of this complex likely represents fluid measuring up to 5... | Complex subcutaneous area of heterogeneous echogenicity with scattered small loculated fluid may represent a severe focal cellulitis or developing abscess, only small amount of internal fluid seen. |
Generate impression based on findings. | 54 years old, Male, Reason: 54yo M with significant etoh abuse and abnormal labs concerning for cirrhosis. History: etoh use, hepatomegaly LIVER: The liver size is within normal limits measuring 15.4 cm in length. Increased echogenicity of the liver is consistent with fatty infiltration. No significant nodularity of th... | 1.Increased echogenicity of the liver is consistent with fatty infiltration. No definite capsular nodularity of the liver or widening of the fissures to suggest cirrhosis.2.Echogenic focus in the right kidney with posterior shadowing is favored to represent a renal calculus. |
Generate impression based on findings. | 41 years old, Female, Reason: 41 yo with HCV History: none LIVER: The liver measures 14.8 cm in length. The liver parenchymal echotexture is heterogeneous. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s. No evidence of ascites.BILIARY TRACT... | 1.No focal hepatic lesion identified. |
Generate impression based on findings. | 75 years old, Female, Reason: Elevated LFTs History: nausea/vomiting Exam is significantly limited by patient's body habitus.LIVER: The liver measures 12 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a ... | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Hepatic parenchymal echotexture is within normal limits.3.Trace left pleural effusion. |
Generate impression based on findings. | 64 years old, Female, Reason: stones History: stones RIGHT KIDNEY: Kidney measures 9.3 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus. Simple appearing right renal cyst measures 0.9 x 0.8 x 1 cm.LEFT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. Nohydronephrosis or shadowing c... | 1.No definite evidence of renal calculus.2.Simple appearing right renal cyst. |
Generate impression based on findings. | 67 years old, Male, Reason: renal mass History: renal mass RIGHT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. Complex renal lesion measures slightly smaller than on the prior study now measuring 1.5 x 1.4 x 1.5 cm, previously measuring 1.8 x 1.6 x 1.7 cm.LEFT KIDNEY: Kidney measures 11 cm in length. N... | 1.Stable complex lesion in the right kidney which can be further characterized with dedicated kidney CT or MRI. Continued follow-up imaging is recommended.2.Markedly enlarged prostate. |
Generate impression based on findings. | 70 years old, Female, Reason: Evaluate hypoechoic masses seen on CT A/P 1/16 History: Renal transplant Transplanted KIDNEY: Kidney measures 13.5 cm in length. Normal echotexture. Nohydronephrosis. Multiple simple appearing renal cysts the largest of which measures 1.7 x 1.6 x 1.7cm. The vascularity to the transplanted ... | Multiple simple appearing renal cysts within the transplanted kidney without evidence of hydronephrosis. |
Generate impression based on findings. | 45 years old, Female, Reason: assess for causes of RUQ pain radiating to back History: NAFLD LIVER: The liver is enlarged measuring 22.5 cm in length. Increased liver parenchymal echotexture suggestive of fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating norm... | 1.Hepatomegaly and increased hepatic parenchymal echogenicity consistent with fatty infiltration of the liver. |
Generate impression based on findings. | 56 years old, Female, Reason: HBV evalaute for HCC History: HBV LIVER: The liver measures 12.0 cm in length. Mildly coarse echogenicity of the liver. Unchanged small right liver cyst measuring 5 mm. No evidence of nodularity to the liver. The portal vein is patent demonstrating normal hepatopetal flow with a velocity o... | 1.No evidence of cirrhosis or hepatic mass. 2.Unchanged right hepatic 5-mm cyst.3.Subcentimeter gallbladder polyp is unchanged in size and appearance. |
Generate impression based on findings. | 54 years old, Female, Reason: hx pancreatis/ abdominal pain. per pt previuos u/s OSH stones History: abdominal pain LIVER: The liver measures 16.4 cm in length. Coarse echogenicity of the liver. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a vel... | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. Coarse liver parenchyma suggestive of chronic liver disease/fatty infiltration without mass.2.Pancreas is not fully evaluated on this ultrasound examination due to overlying bowel gas. The visualized portion of the pancreas is h... |
Generate impression based on findings. | 74-year-old male with history of right adrenal mass and bilateral renal cysts. RIGHT KIDNEY: The right kidney measures approximately 10.4 cm, and demonstrates no hydronephrosis or shadowing stones. Several small cysts are seen. No internal vascularity, and no significant interval change.LEFT KIDNEY: Left kidney measure... | Multiple bilateral renal cysts and right adrenal myolipoma, unchanged. |
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