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Generate impression based on findings. | 85-year-old male with known solid right renal mass for follow-up. RIGHT KIDNEY: Right kidney measures 9.3 cm in length. Cortex echotexture likely within normal limits. There is no hydronephrosis. There are multiple simple and complex cysts identified as seen on the prior exam, some of the cysts with septation and some ... | Stable examination. In particular, no significant change in the solid right renal mass. Please note replacement measurements for prior exam given above. |
Generate impression based on findings. | Female 55 years old Reason: assess for biliary duct pathology, assess liver morphology LIVER: Mildly increased echogenicity of the liver, which is nonspecific and may be secondary to hepatic dysfunction. No focal hepatic lesion. Liver measures 14.1 cm in length. BILIARY TRACT: No intra or extrahepatic biliary ductal di... | 1.No intra or extrahepatic biliary ductal dilatation. 2.Mild prominence of renal collecting system of the transplanted kidney. |
Generate impression based on findings. | Female 51 years old Reason: assess right upper quadrant for abnormality History: elevated alk phos LIVER: Liver measures 17.5 cm. The liver is coarse and nodular, concerning for cirrhosis. Main portal vein is patent with normal directional flow and a peak velocity of 26 cm/s.BILIARY TRACT: Patient is postcholecystectom... | 1.Coarse nodular liver, compatible with cirrhosis. No focal hepatic lesion or biliary abnormality.2.Large volume ascites. |
Generate impression based on findings. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. Family history of breast cancer in mother, diagnosed at the age of 63. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. No suspicious cystic or solid mass is identified.... | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 35-year-old male with chronic kidney disease. RIGHT KIDNEY: The right kidney measures approximately 7.6 cm in length. The kidney is moderately to markedly echogenic consistent with parenchymal disease, and this has progressed in the interim. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney mea... | Progressive increased echogenicity of both kidneys which are atrophic.Previously noted questionable mass on the left is not visualized. |
Generate impression based on findings. | 58-year-old male with parathyroid cancer with multiple prior surgeries and radiation. Evaluate for mass. RIGHT LOBE MEASUREMENTS: 3.5 x 2 x 2.8 cmLEFT LOBE MEASUREMENTS: Post thyroidectomy.ISTHMUS MEASUREMENTS: Post thyroidectomy.RIGHT LOBE: No significant abnormality noted.LEFT LOBE: No massesISTHMUS: No massesPARATHY... | Post partial thyroidectomy. Normal-appearing right lobe. No extrathyroidal masses. |
Generate impression based on findings. | 25-year-old male with history of thyroid nodule. RIGHT LOBE MEASUREMENTS: 5.4 x 1.8 x 2.4 cmLEFT LOBE MEASUREMENTS: 4.9 x 1.6 x 2.1 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely and heterogeneously echogenic with associated linear foci of decreased attenuation as seen with thyroiditis. No dominant mass.LEFT LOBE:... | Heterogeneous, echogenic gland consistent with thyroiditis. No dominant mass. |
Generate impression based on findings. | 72-year-old female for follow-up thyroid nodules. RIGHT LOBE MEASUREMENTS: 8.5 x 4 x 3.5 cmLEFT LOBE MEASUREMENTS: 9.1 x 4.4 x 3.9 cmISTHMUS MEASUREMENTS: 1.7 cmRIGHT LOBE: Mildly and heterogeneously echogenic with a suggestion of underlying hyperechoic nodules as is seen with thyroiditis. There is again noted in the m... | Stable thyromegaly with stable nodules. |
Generate impression based on findings. | 51-year-old female with prior embolization of hemorrhagic left angiomyolipoma for follow-up. RIGHT KIDNEY: The right kidney measures 11.6 cm in length. Echotexture is normal. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 11.6 cm in length. There is no hydronephrosis or shadowing ca... | Stable to slight decrease in left renal angiomyolipoma. |
Generate impression based on findings. | 64-year-old female with question thyroid nodule. RIGHT LOBE MEASUREMENTS: 5.6 x 1 x 1.7 cmLEFT LOBE MEASUREMENTS: 6.7 x 2.2 x 1.5 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Homogeneous in echotexture. Arising from the lower pole is a predominantly solid, isoechoic mass with some internal cystic change in small punctate ... | Bilateral thyroid masses with an indeterminate appearance. |
Generate impression based on findings. | 44-year-old male with right scrotal mass. RIGHT TESTIS: Normal in size, contour and echogenicity. Normal vascularity by color and spectral DopplerLEFT TESTIS: Left testicle is smaller than the right, and slightly hypoechoic and heterogeneous. There is a 2 mm focus of increased echogenicity in the left testicle without ... | Small and mildly hypoechoic left testicle. Patient provides history of nondistended testis. Focal internal echogenicity without appreciable mass effect could be related to calcification or scar.Cyst of the right spermatic cord with small varicocele. |
Generate impression based on findings. | Ms. Lara is a 33-year-old woman with a 0.5 cm palpable nodule within the outer left breast who presents for additional evaluation. Physical examination demonstrates a subcentimeter palpable nodule within the upper outer left breast.A targeted left ultrasound was performed for the palpable area of concern. Within the le... | No sonographic evidence for malignancy. Palpable concern should be managed clinically. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually beginning at the age of 40.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Male 67 years old Reason: r/o acalculous cholecystitis History: sepsis, abdominal discomfort, c/f gallbladder dilation on CT abdomen LIVER: Increased echogenicity of the liver compatible with fatty infiltration. Liver is enlarged. Liver measures 18.6 cm.BILIARY TRACT: Gallbladder is significantly distended. There is ga... | Sonographic findings compatible with acute cholecystitis. Diffuse fatty infiltration of the liver. Hepatomegaly. Left renal cyst.Dr. Wali was notified and acknowledged about the above findings at the time of dictation. |
Generate impression based on findings. | 7 day old male with encephalocele and meningomyelocele status post repair on 6/11; patient now has seizure like activity in the upper extremities. Patient needs head CT. There is no evidence of intracranial hemorrhage, mass or edema. Panventricular dilatation that is stable when compared to ultrasound obtained 6/13/200... | 1. Imaging features associated with Chiari malformation including Luckenschadel skull and interdigitation of the cerebral hemispheres.2. Stable panventricular dilatation compared to ultrasound obtained 6/13/2008. |
Generate impression based on findings. | Two month old male with hydrocephalus seen on serial head ultrasounds from baseline CT. There is no evidence of intracranial hemorrhage, mass or edema. The lateral ventricles are markedly enlarged, most noted in the occipital horn of the left lateral ventricle, which contains an external drainage catheter. The third ve... | Stable hydrocephalus and associated left parietal encephalomalacia as described. |
Generate impression based on findings. | Ventriculomegaly, seizure. There is moderate prominence of the lateral ventricles bilaterally. Cortical sulci are also prominent and there is relative lucency in the periventricular white matter. There is no gross hemorrhage or mass. Subtle scalp swelling is incidentally noted in the frontal region. | Immature appearance with prominent ventricles and sulci especially in the frontal region and decreased attenuation white matter with no hemorrhage. |
Generate impression based on findings. | Mass in tail of right carotid and Rathke's cyst or tumor pituitary. New fullness involving the anterior chest wall.IMAGE ACQUISITIONS: Enhanced CT performed of the head. Enhanced CT performed of the neck. See separate report for chest CT. Evaluation of the brain shows no evidence of abnormality of the ventricles or bas... | Stable cystic mass involving sella turcica and extending into the skull base. Approximately 1 cm nodule right parotid gland. Bilateral submandibular and right sublingual stones. Multiple nodules identified in the thyroid gland, most pronounced involving left lobe. See separate report for chest CT. |
Generate impression based on findings. | Neck pain and snapping when turning head. The parotid and submandibular glands are clear. Patient is edentulous. Dystrophic calcifications are identified in the tonsils. The carotid arteries are tortuous but there is no focal stenotic lesion identified. Small shotty lymph nodes are present, none are enlarged by size cr... | Unremarkable CT study of the soft tissues of the neck. There are mild degenerative findings present in the cervical spine which could be better described as a dedicated study. There is sclerotic focus in the T4 vertebral body on the left side and although the appearance is benign a follow up bone scan may be helpful if... |
Generate impression based on findings. | 26 day old female neonate with apnea. History of ventriculomegaly. Please evaluate for ventriculomegaly/any mass effect. There is mild asymmetric enlargement of the left lateral ventricle on comparison to the right; however this finding is within normal limits and was seen on prior head ultrasound. There is no evidence... | No evidence of ventriculomegaly or other acute abnormality. |
Generate impression based on findings. | Weakness Prominent partial fusion is noted at the C2 and C3 vertebrae. There is mild grade 1 subluxation in the C3-C4 level with minimal retrolisthesis at C6-C7. Prominent endplate degenerative irregularities are also present at C6-C7 and to a lesser degree at C5-C6. There is no acute appearing compression deformity.Th... | Moderate degenerative changes with partial fusion C2-C3 and no acute fracture.Prominent enlargement of heterogeneous appearing thyroid possibly goiter. This would be better evaluated with ultrasound if warranted clinically. |
Generate impression based on findings. | 29-year-old female. Evaluate kidney stones. ABDOMEN: Exam is not sensitive for solid organs or bowel to the lack of intravenous and oral contrast.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | Single punctate calcification right kidney. Uterine finding as above. |
Generate impression based on findings. | 61-year-old male with history of microhematuria and 1.4-cm echogenic renal mass ABDOMEN:LUNG BASES: Subcentimeter nonspecific nodule in image number 5, series number 7 in the left lower lobe. Subsegmental atelectasis in the left lower lobe.Small right sided pleural effusion.LIVER, BILIARY TRACT: Multiple cysts througho... | Left nephrolithiasis.Right lower lobe enhancing lesion suspicious for renal cell carcinoma. Another subcentimeter lesion within the right kidney, too small to accurate characterize but likely demonstrates heterogeneous enhancement.Left renal cyst. Multiple other subcentimeter lesions in both kidneys which are too small... |
Generate impression based on findings. | Pleuritic chest pain Nondiagnostic exam secondary to contrast extravasation. Limited images through the level of the superior mediastinum. | Incomplete exam secondary to contrast extravasation. Nondiagnostic for pulmonary embolism. Limited images through the level of the superior mediastinum. |
Generate impression based on findings. | 7 day old male with encephalocele and meningomyelocele status post repair on 6/11; patient now has seizure like activity in the upper extremities. Patient needs head CT. There is no evidence of intracranial hemorrhage, mass or edema. Panventricular dilatation that is stable when compared to ultrasound obtained 6/13/200... | 1. Imaging features associated with Chiari malformation including Luckenschadel skull and interdigitation of the cerebral hemispheres.2. Stable panventricular dilatation compared to ultrasound obtained 6/13/2008. |
Generate impression based on findings. | Two month old male with hydrocephalus seen on serial head ultrasounds from baseline CT. There is no evidence of intracranial hemorrhage, mass or edema. The lateral ventricles are markedly enlarged, most noted in the occipital horn of the left lateral ventricle, which contains an external drainage catheter. The third ve... | Stable hydrocephalus and associated left parietal encephalomalacia as described. |
Generate impression based on findings. | Ventriculomegaly, seizure. There is moderate prominence of the lateral ventricles bilaterally. Cortical sulci are also prominent and there is relative lucency in the periventricular white matter. There is no gross hemorrhage or mass. Subtle scalp swelling is incidentally noted in the frontal region. | Immature appearance with prominent ventricles and sulci especially in the frontal region and decreased attenuation white matter with no hemorrhage. |
Generate impression based on findings. | Mass in tail of right carotid and Rathke's cyst or tumor pituitary. New fullness involving the anterior chest wall.IMAGE ACQUISITIONS: Enhanced CT performed of the head. Enhanced CT performed of the neck. See separate report for chest CT. Evaluation of the brain shows no evidence of abnormality of the ventricles or bas... | Stable cystic mass involving sella turcica and extending into the skull base. Approximately 1 cm nodule right parotid gland. Bilateral submandibular and right sublingual stones. Multiple nodules identified in the thyroid gland, most pronounced involving left lobe. See separate report for chest CT. |
Generate impression based on findings. | Neck pain and snapping when turning head. The parotid and submandibular glands are clear. Patient is edentulous. Dystrophic calcifications are identified in the tonsils. The carotid arteries are tortuous but there is no focal stenotic lesion identified. Small shotty lymph nodes are present, none are enlarged by size cr... | Unremarkable CT study of the soft tissues of the neck. There are mild degenerative findings present in the cervical spine which could be better described as a dedicated study. There is sclerotic focus in the T4 vertebral body on the left side and although the appearance is benign a follow up bone scan may be helpful if... |
Generate impression based on findings. | 26 day old female neonate with apnea. History of ventriculomegaly. Please evaluate for ventriculomegaly/any mass effect. There is mild asymmetric enlargement of the left lateral ventricle on comparison to the right; however this finding is within normal limits and was seen on prior head ultrasound. There is no evidence... | No evidence of ventriculomegaly or other acute abnormality. |
Generate impression based on findings. | Weakness Prominent partial fusion is noted at the C2 and C3 vertebrae. There is mild grade 1 subluxation in the C3-C4 level with minimal retrolisthesis at C6-C7. Prominent endplate degenerative irregularities are also present at C6-C7 and to a lesser degree at C5-C6. There is no acute appearing compression deformity.Th... | Moderate degenerative changes with partial fusion C2-C3 and no acute fracture.Prominent enlargement of heterogeneous appearing thyroid possibly goiter. This would be better evaluated with ultrasound if warranted clinically. |
Generate impression based on findings. | 29-year-old female. Evaluate kidney stones. ABDOMEN: Exam is not sensitive for solid organs or bowel to the lack of intravenous and oral contrast.LUNG BASES: No significant abnormality notedLIVER, BILIARY TRACT: No significant abnormality notedSPLEEN: No significant abnormality notedPANCREAS: No significant abnormality... | Single punctate calcification right kidney. Uterine finding as above. |
Generate impression based on findings. | 61-year-old male with history of microhematuria and 1.4-cm echogenic renal mass ABDOMEN:LUNG BASES: Subcentimeter nonspecific nodule in image number 5, series number 7 in the left lower lobe. Subsegmental atelectasis in the left lower lobe.Small right sided pleural effusion.LIVER, BILIARY TRACT: Multiple cysts througho... | Left nephrolithiasis.Right lower lobe enhancing lesion suspicious for renal cell carcinoma. Another subcentimeter lesion within the right kidney, too small to accurate characterize but likely demonstrates heterogeneous enhancement.Left renal cyst. Multiple other subcentimeter lesions in both kidneys which are too small... |
Generate impression based on findings. | Pleuritic chest pain Nondiagnostic exam secondary to contrast extravasation. Limited images through the level of the superior mediastinum. | Incomplete exam secondary to contrast extravasation. Nondiagnostic for pulmonary embolism. Limited images through the level of the superior mediastinum. |
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