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Generate impression based on findings. | Right groin possible abscess status post cardiac catheterization complicated by hematoma. In the area of concern in the right groin there is a small loculated subcutaneous fluid collection without diffuse vascularity. This is irregularly shaped and measures 3.9 cm x 1.0 cm. There is also diffuse edema of the soft tissue. | Small loculated non vascular subcutaneous fluid collection in the area of concern of the right groin. Diffuse edema is seen in the surrounding area. |
Generate impression based on findings. | Ms. Martin is a 22-year-old woman presenting for short-term follow-up of high probability right breast mass. On physical exam, there is a palpable firm mobile mass in the lateral right breast near the 10:00 position.A targeted right grayscale and color Doppler ultrasound was performed for the palpable area of concern. In the right breast 9:00 position, approximately 3 cm from the nipple, there is redemonstration of a parallel, lobulated well-circumscribed hypoechoic mass measuring 1.9 x 0.6 x 1.4 cm, not significantly changed since the previous exam given differences in technique when it measured 1.9 x 0.6 x 0.9 cm. Internal vascularity is present. Sonographic features favor a benign fibroadenoma. | Sonographically stable 1.9-cm mass at 9:00 position of the right breast, with features favoring a benign fibroadenoma. Continued clinical management is recommended. Result and recommendations were discussed with the patient at the time of the exam.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | History of cirrhosis. Evaluate for HCC. LIVER: Nodular coarsely echogenic liver compatible with cirrhosis. It measures 17.5 cm in length. No discrete lesion is identified. No intrahepatic biliary ductal dilatation. Patent hepatopedal portal venous blood flow at 29 cm/s.BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 1 mm. Normally distended gallbladder without cholelithiasis, gallbladder wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The visualized portions of the pancreatic head and body are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 12 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 12.3 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates color blood flow.OTHER: The left kidney measures 11.3 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates color blood flow. | Cirrhosis without a discrete liver lesion. |
Generate impression based on findings. | Reason: RUQ pain, eval for acute cholecystitis History: RUQ pain LIVER: The liver measures 17.3 cm in length. Cirrhotic liver morphology. The portal vein is patent with normal portal venous hepatopedal blood flow, 28.1 cm/s. GALLBLADDER, BILIARY TRACT: The gallbladder is mildly distended without stones or sludge. The gallbladder wall measures 0.4 cm and the common bile duct measures 0.3 cm. No pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation. PANCREAS: Obscured by bowel gas.OTHER: No significant abnormalities noted. | Cirrhotic liver morphology and distended gallbladder without evidence of cholecystitis. |
Generate impression based on findings. | Female 46 years old Reason: eval for cholelithiasis History: abdominal pain, elevated Tbili and alk phos Exam is limited by patient's inability to change position.LIVER: Coarsened echogenicity of the liver, which can be seen in the setting of fatty infiltration. Liver capsule appears smooth. Liver measures 18.3 cm in length. Main portal vein is patent with normal directional flow and peak velocity of 27.8 cm/s. Hypoechoic area adjacent to the gallbladder may be an area of focal fat sparingBILIARY TRACT: No intra or extra hepatic biliary ductal dilatation. Common bile duct measures up to 2 mm. Gallbladder wall is within normal limits measuring up to 3 mm. No shadowing stones are present in the gallbladder.PANCREAS: Head of the pancreas is normal in appearance without pancreatic ductal dilatation. Body and tail of the pancreas are obscured by overlying bowel gas.SPLEEN: Spleen is within normal limits measuring 9.2 cm.KIDNEYS: Normal cortical medullary differentiation. No hydronephrosis, shadowing calculi, or mass. Right kidney measures 10.1 cm. Left kidney measures 9.3 cm. OTHER: No significant abnormalities noted. | 1.No evidence of cholelithiasis or abnormal biliary ductal dilatation.2.Coarsened echogenicity of the liver is nonspecific but can suggest fatty infiltration or be seen in diffuse hepatic dysfunction. |
Generate impression based on findings. | Acute kidney failure. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney measures 9.1 cm in length. Cortical echogenicity again may be mildly increased. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures approximately 8.9 cm in length. The upper pole is not well visualized due to position of the kidney. Cortical echogenicity again may be mildly increased. No hydronephrosis, shadowing calculus or mass.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Stable examination. Mildly echogenic kidneys without hydronephrosis. |
Generate impression based on findings. | 41-year-old male patient with history of cirrhosis. Evaluate for HCC. LIVER: The liver measures 17.6 cm in length. No focal hepatic lesion is identified. The liver is nodular in contour with coarsened echotexture. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There is cholelithiasis. No pericholecystic fluid is identified. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.7 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11.1 cm in length. No evidence of hydronephrosis.The spleen measures 16.3 cm in length. | 1. Cirrhotic morphology of the liver without focal lesion.2. Splenomegaly.3. Cholelithiasis without sonographic evidence of acute cholecystitis. |
Generate impression based on findings. | Female; 45 years old. Reason: history of stage IC3 ovarian cancer, now thyroid nodule seen on recent CT scan History: none RIGHT LOBE MEASUREMENTS: 5.5 x 1.8 x 1.4 cmLEFT LOBE MEASUREMENTS: 4.4 x 1.9 x 1.2 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: Arising from the left aspect of the isthmus is a 4.1 x 3.9 x 2.0 cm nodule. This is predominantly solid with small cystic areas during it is somewhat spongiform appearance. Punctate hyperechoic foci appear to have ring down artifact.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: 1.5 x 0.7 x 0.3 cm right level 3 lymph node has a fatty hilum and benign appearance.OTHER: No significant abnormality noted. | Predominately solid 4.1 cm isthmus nodule is amenable to biopsy. |
Generate impression based on findings. | 63 years old, Male, Reason: urinary retention, place intraop SP tube History: urinary retention Ultrasound guidance was performed for intraoperative placement of suprapubic catheter. | Ultrasound guidance performed for intraoperative placement of suprapubic catheter. |
Generate impression based on findings. | Male; 61 years old. Reason: Hepatitis B, eval for HCC History: HBV LIVER: Coarsely echogenic. Measures 14 cm. Right hepatic lobe simple cyst measuring up to 1.2-cm. No suspicious lesion. No intrahepatic biliary ductal dilation. Patent portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: Gallbladder is normally distended. No gallstones/sludge. No pericholecystic fluid or abnormally increased wall thickness. Stable echogenic focus with ringdown artifact in the gallbladder wall, again suggestive of cholesterolosis or adenomyomatosis. Common bile duct measures 3 mm. PANCREAS: Visualized portion of the pancreatic head is unremarkable. Pancreatic tail is obscured by overlying bowel gas.SPLEEN: No significant abnormality. KIDNEYS: Right kidney measures 10.5 cm, left measures 10.3 cm. Echogenicity is within normal limits. No focal lesions, shadowing calculi, or hydronephrosis.OTHER: No ascites. | 1. Coarse echogenic liver, compatible with diffuse fatty alteration or chronic liver disease.2. No suspicious hepatic lesion.3. Gallbladder adenomyomatosis versus cholesterolosis. |
Generate impression based on findings. | Ms. Goodman is a 21 year old female presenting with bilateral palpable masses. Patient has had prior FNA of the left breast revealing fibroadenoma in 2013. She currently states that these masses have decreased in size since compared to prior examination. Upon physical exam of the right breast, at least 3 palpable masses are identified, the largest of which is in the right lower inner breast.Targeted right breast ultrasound is performed for the patient's areas of concerns.- 5 o'clock location: 3.0 x 1.6 x 2.4 cm, compared to 3.1 x 1.6 x 2.2 cm.- 9 o'clock location: 1.6 x 1.2 x 1.7 cm, compared to 1.6 x 1 .0 x 1.7 cm.- 10 o'clock location: 0.8 x 0.5 x 0.9 cm, compared to 1.0 by 0.4 x 1.2 cmUpon physical exam of left breast, at least for palpable masses are identified, the largest of which is in the left lower inner breast.Targeted left breast ultrasound is performed for the patient's area of concerns.- 7 o'clock location: 3.4 x 1.5 x 3.4 cm, compared to 3.2 x 1.2 x 3.6 cm.- 3 o'clock location: 1.0 x 0.7 x 1.2, compared to 1.1 x 0.7 x 1.2 cm- 12 o'clock location: 2.4 x 1.6 x 1.5 cm, compared to 0.9 x 0.8 cm.- 12 o'clock location: 1.8 x 1.6 x 1.8 cm, compared to 1.1 x 0.6 cm. | Interval increase in size of two left breast masses. Multiple additional bilateral masses are relatively unchanged in size, all of which likely represent fibroadenomata. Continued surgical observation is recommended for this patient. All results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Female 58 years old; Reason: Change in nodules History: Multinodular goiter RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 4.9 x 1.8 x 1.3 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 6.4 x 3.0 x 2.7 cm.ISTHMUS MEASUREMENT: The isthmus measures 0.5 cm.RIGHT LOBE: The right lobe is heterogeneous. There is a dominant nodule in the inferior portion of the right lobe. This appears hypoechoic and heterogeneous to the thyroid. No microcalcifications or internal vascularity are seen. This nodule measures 1.5 cm x 1.4 cm x 0.9 cm and is similar in appearance to prior ultrasound. LEFT LOBE: The left lobe is heterogeneous. A dominant nodule is identified in the inferior portion of the left lobe. This appears heterogeneous and iso to hyperechoic to the thyroid. No internal microcalcifications are seen. This nodule measures 3.6 cm x 2.4 cm x 2.4 cm and is similar in appearance to prior ultrasound.ISTHMUS: No significant abnormality noted.LYMPH NODES: No suspicious adenopathy noted. | Stable thyroid exam from prior ultrasound in 2014. Again noted is a right dominant complex nodule measuring 1.5 cm x 1.4 cm x 0.9 cm and left dominant complex nodule measuring 3.6 cm x 2.4 cm x 2.4 cm that are both stable in size and appearance. No suspicious adenopathy is visualized. |
Generate impression based on findings. | 66-year-old female presents for evaluation of her liver after recent CT examination. LIVER:Measures 18.3 cm. There is markedly increased echogenicity, limiting the penetration of the sound beam through the liver and limiting the sensitivity of the examination. No ascites or intrahepatic biliary dilation. No definite masses. Portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: Gallbladder is poorly visualized given limited penetration of the sound beam through the liver. Appears to be nondistended with an anechoic lumen. No definite stones or sludge. No pericholecystic fluid.PANCREAS: Evaluation the pancreas limited due to overlying bowel gas.SPLEEN: Measures 7.3 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 10.9 cm. Left kidney measures 10.4 cm. Normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass. OTHER: No significant abnormality noted. | 1. Markedly increased echogenicity of the liver consistent with fatty infiltration and chronic liver disease/parenchymal dysfunction. Increased echogenicity limits sensitivity for detection of masses. If a mass is clinically suspected, then dedicated cross sectional imaging is recommended. |
Generate impression based on findings. | Reason: elevated creatinine Limited exam due to suboptimal patient positioning and movement.RIGHT KIDNEY: The right kidney measures 11.3 cm in length. Normal renal parenchymal echogenicity. No lesions, masses, or shadowing stones are identified.LEFT KIDNEY: The left kidney measures 12.2 cm in length. Normal renal parenchymal echogenicity. No lesions, masses, or shadowing stones are identified, however the lower pole is not well visualized.OTHER: The bladder is decompressed by a Foley catheter. | No acute renal abnormality. |
Generate impression based on findings. | Goiter. Assess nodules. RIGHT LOBE MEASUREMENTS: 8.0 x 4.7 x 3.6 cm, previously 8.2 x 3.3 x 3.1 cm.LEFT LOBE MEASUREMENTS: 9.4 x 3.5 x 3.1 cm, previously 10.0 x 3.9 x 3.5 cm.ISTHMUS MEASUREMENTS: 0.9 cm in AP dimension.RIGHT LOBE: The heterogeneous nodule in the inferior pole measures 4.9 x 3.1 x 4.0 cm, previously 3.6 x 3.2 x 2.6 cm, with a spongiform appearance. No new or suspicious features.LEFT LOBE: The heterogeneous nodule in the inferior pole measures 4.6 x 2.8 x 4.0 cm, previously 4.9 x 2.7 x 3.4 cm, with a spongiform appearance. No new or suspicious features. A cystic nodule in the midpole measures 1.4 x 1.0 x 1.1 cm, previously 1.2 x 0.8 x 1.2 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Not visualizedLYMPH NODES: No lymphadenopathy identified. | Multinodular goiter, with slight interval increased size of the nodules since 2012. Some of these nodules are spongiform, compatible with colloid nodules. |
Generate impression based on findings. | ATN with high urine output RIGHT KIDNEY: Mildly echogenic kidney without mass, stone, or hydronephrosis. Right kidney 13.1 cm in lengthLEFT KIDNEY: Mildly echogenic kidney without mass, stone, or hydronephrosis. The kidney 12.8 cm in length.OTHER: Bladder collapsed | Mildly echogenic kidneys consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | Male 69 years old Reason: Patient has a AAA, and is a smoker. Please tell me if it's getting bigger History: AAA, asymptomatic ABDOMINAL AORTA: The proximal and mid aorta demonstrate a normal direction of flow without atherosclerotic changes. The distal aorta demonstrates a normal direction of flow. It is aneurysmally dilated (measurements below) with atherosclerotic plaques but stable in size compared to the prior study.Proximal: 2.2 x 3.0 x 2.4 cmMid: 2.3 x 2.6 x 2.3 cmDistal: 2.7 x 2.9 x 2.2 cmRight common iliac artery: 0.8 1.1 x 0.8 cmLeft common iliac artery: 0.9 x 1.1 x 1.0 cmOTHER: Note is made of a fatty liver. | 1.Stable infrarenal abdominal aortic aneurysm. |
Generate impression based on findings. | Renal stone RIGHT KIDNEY: Normal parenchymal echogenicity. Renal cyst. No worrisome mass, stone, or hydronephrosis. Right kidney 12.7 cm in lengthLEFT KIDNEY: Normal parenchymal echogenicity. 0.4 x 0.6 x 0.4 cm nonobstructing lower pole stone. No worrisome mass or hydronephrosis. Left kidney 11.2 cm in length.OTHER: Bladder nondistended. | Subcentimeter nonobstructing left lower pole renal stone. No worrisome mass or hydronephrosis. |
Generate impression based on findings. | Reason: 50-year-old male elevated Cr with unknown baseline, assess for acute vs chronic injury Technically very limited study secondary to patient's body habitus and thus renal parenchymal echogenicity cannot be assessed.RIGHT KIDNEY: The right kidney measures 12.7 cm in length. No significant hydronephrosis.LEFT KIDNEY: The left kidney measures 13.9 cm in length. No significant hydronephrosis.OTHER: The urinary bladder is not visualized. | Within the limits of a technically limited study renal echogenicity cannot be assessed however there is no evidence of significant hydronephrosis. |
Generate impression based on findings. | Reason: History of renal cyst, evaluate for change RIGHT KIDNEY: The right kidney measures 9.6 cm in length. Echogenic renal parenchyma. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 9.7 cm in length. Echogenic renal parenchyma. Left lower pole anechoic cyst measures 7.2 x 5.1 x 6.9 cm, previously 6.1 x 6.4 x 6.6 cm. Prominent renal column is noted more superiorly. No shadowing stones or hydronephrosis.OTHER: The urinary bladder is nondistended, precluding its evaluation. | Simple left renal cyst without significant interval change. |
Generate impression based on findings. | 29-year-old female. Metastatic brain mass and mediastinal/retroperitoneal/pelvic lymphadenopathy. Evaluate for a primary breast malignancy. A nodular enhancing focus was seen in the right inferior breast on recent MRI. A whole bilateral breast ultrasound was performed. In the right inferior breast at the 5 o'clock position 7 cm from the nipple, there is a hypoechoic solid mass with internal vascularity, suspicious for malignancy. It measures 1.3 x 1.3 x 1.5 cm. No solid or cystic mass is identified in the left breast. | Right breast hypoechoic solid mass, suspicious for malignancy and for which ultrasound guided percutaneous biopsy is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Male; 68 years old. Reason: evaluate liver for portal venous flow and biliary tree patentcy History: transaminitis LIVER: The liver measures 18.3 cm in length. The liver contour is smooth. The parenchyma is increased in echogenicity with coarse echotexture. Within the left lobe of the liver is a 2.5 x 2.5 x 1.9 cm simple cyst. No worrisome masses identified. There is no ascites.The main portal vein is patent with a peak velocity of 0.3 m/sec.BILIARY TRACT: The gallbladder is normal in appearance. The common duct measures 5 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas is not well visualized due to overlying bowel gas.SPLEEN: The spleen measures 9.5 cm in length.RIGHT KIDNEY: The right kidney measures 13.2 cm in length. The cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, or worrisome mass. OTHER: The left kidney measures 13.4 cm in length. The cortex is normal in echogenicity. No hydronephrosis, shadowing stone, or worrisome mass.Small right pleural effusion. | 1.Mild hepatomegaly. Course and echogenic liver compatible with parenchymal dysfunction.2.Patent main portal vein. No biliary ductal dilatation.3.Simple liver cyst. |
Generate impression based on findings. | Reason: BP 200's/100's, Cr 11.3 History: asymptomatic RIGHT KIDNEY: The right kidney measures 10.8 cm in length. Echogenic renal parenchyma. No hydronephrosis, masses, or stones.LEFT KIDNEY: The left kidney measures 11.7 cm in length. Echogenic renal parenchyma. No hydronephrosis, masses, or stones.OTHER: Moderate ascites. The urinary bladder is decompressed, limiting evaluation. | 1. Echogenic renal parenchyma, consistent with medical renal disease/parenchymal dysfunction without mass or obstruction.2. Moderate volume ascites. |
Generate impression based on findings. | 48-year-old male with history of ascites. There is trace to mild ascites which contains loculations and debris. | Trace to mild complex ascites. |
Generate impression based on findings. | Family history medullary renal cell carcinoma RIGHT KIDNEY: Normal echogenicity without mass, stone, or hydronephrosis. 10.8 cm in length.LEFT KIDNEY: Normal echogenicity without mass, stone, or hydronephrosis. 10.5 cm in length.OTHER: Bladder nondistended | Negative renal ultrasound. No evidence for mass, stone, or obstruction. |
Generate impression based on findings. | 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 hepatopetal portal venous blood flow is present at 30 cm/sec.BILIARY TRACT: A partially distended gallbladder is present with a mildly prominent wall thickness of 3.2 mm, which is likely in part due to underdistention. No pericholecystic fluid, gallstones or focal tenderness. The common bile duct is normal in caliber for the patient's age, measuring up to 7 mm.PANCREAS: Evaluation of the pancreas is limited by overlying bowel gas shadowing.SPLEEN: The spleen measures 7.2 cm in length without a focal lesion evident.RIGHT KIDNEY: The right kidney measures 8.6 cm in length without hydronephrosis. There is decreased corticomedullary differentiation. OTHER: The left kidney is decreased in size, measuring 8.2 cm in length without hydronephrosis or shadowing calculus. There is decreased of corticomedullary differentiation. Small volume ascites. | 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. | 33-year-old female with generalized abdominal pain. LIVER: Measures 21.0 in length. Hyperechoic focus in the liver thought to represent calcified malignant. Otherwise unremarkable hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: Increased renal echogenicity. No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted. | 1. Mildly enlarged liver without evidence of focal lesion or biliary obstruction.2. Mild gallbladder sludge versus small stones without evidence of cholecystitis.3. Increased renal echogenicity suggestive of medical renal disease. |
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 hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.2 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.4 cm in length. RIGHT KIDNEY: Kidney measures 10 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 25-year-old female presenting for ultrasound evaluation of a right periareolar palpable lump, first detected approximately 1 month ago. Targeted ultrasound at the area of palpable concern as indicated by the patient, 3:00 position 2 cm from the nipple, reveals no suspicious solid or cystic mass. | No sonographic evidence for malignancy. The patient should follow up with her primary care physician as clinically warranted, presuming these results are concordant with the physical exam findings. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Patient presents with left upper quadrant. LIVER: The liver is mildly coarse measuring 12 cm in length without a focal lesion or biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 17 cm/s. BILIARY TRACT: No extrahepatic biliary ductal dilatation. Cholelithiasis without gallbladder wall thickening, pericholecystic fluid or focal tenderness.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 6.3 cm.RIGHT KIDNEY: The right kidney is atrophic and lobular in contour without hydronephrosis or discrete lesion. It measures 6 cm in length, similar to prior CT. OTHER: The left kidney measures 10.7 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion. Color Doppler demonstrates hilar blood flow. | No specific findings to account for the patient's left upper quadrant pain. Chronic findings appearing similar to prior CT. |
Generate impression based on findings. | Female, 73 years old. AKI, LE edema, diastolic dysfunction, elevated transaminitis. LIVER: The liver measures 20.8 cm, with homogeneous echotexture. A right hepatic lobe mass measures 9.5 x 11.5 x 12.5 cm, heterogeneous with peripheral vascularity and a somewhat stellate central echotexture.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.4 cm. Shadowing gallstones are noted. The gallbladder is contracted with normal wall thickness.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: 11.8 cm in length, with increased cortical echogenicity. A solid-appearing lesion in the upper pole measures proximally 2 cm in diameter. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 10.2 cm in length with increased cortical echogenicity. No shadowing stones or hydronephrosis.SPLEEN: 7.0 cm in length, without focal lesion.ABDOMINAL AORTA: The abdominal aorta is normal in caliber throughout its course with extensive atherosclerotic calcification.INFERIOR VENA CAVA: The IVC is patent with normal directional flow, but is markedly narrowed by the large right hepatic mass.OTHER: No significant abnormality noted. | 1.A large right hepatic lobe mass is indeterminate, and MRI is recommended for further evaluation. Associated displacement/narrowing of the IVC and hepatic veins.2.Solid-appearing right renal lesions are nonspecific and may represent heterogeneous renal parenchyma or a focal lesion, and can be further evaluated on MR imaging.3.Increased renal cortical echogenicity compatible with medical renal disease. No hydronephrosis.4.Cholelithiasis without evidence of acute cholecystitis. |
Generate impression based on findings. | Female; 59 years old. Reason: unexplained left side/flank pain since right chest tube for empyema last monrh. 59F CLL/SLL on clinical trial chemo. high risk for tumor lysis History: deep pain left side/flank Right pleural effusion, partially visualized. No abdominal ascites. Left kidney appears grossly normal. The spleen was not well visualized. | 1. Right pleural effusion, partially visualized.2. No abdominal ascites. |
Generate impression based on findings. | 80 year old female patient with a thyroid nodule. RIGHT LOBE MEASUREMENTS: 4.6 x 1.9 x 1.5 cm.LEFT LOBE MEASUREMENTS: 3.2 x 1.4 x 1.6 cm. ISTHMUS MEASUREMENTS: 0.2 cm in thickness. RIGHT LOBE: The right thyroid lobe is heterogeneous in echogenicity. There is a 1.1 x 1.0 x 1.0 cm solid right lower pole thyroid nodule with an hypoechoic rim. LEFT LOBE: The left thyroid lobe is heterogeneous in echogenicity. There is a 0.4 x 0.6 x 0.6 cm solid, hyperechoic nodule with irregular borders within the left lower pole.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Bilateral thyroid nodules which are amenable to biopsy. |
Generate impression based on findings. | History of liver abscess LIVER: No significant abnormalities noted. Specifically, no evidence for hepatic mass lesion or abscess. Liver length 16 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: Pancreatic head mass again noted.RIGHT KIDNEY: Large upper pole right renal mass measuring 5 x 4.6 x 5.3 cm again noted. Right kidney 10.3 cm in lengthOTHER: Lower pole left renal mass measuring 1.7 x 1.7 x 2 cm again noted. Left kidney 9.6 cm in length. Spleen 8 cm in length. No ascites. | No evidence for liver mass or abscess. No ductal dilatation. No ascites. Bilateral renal masses and pancreatic mass again noted. |
Generate impression based on findings. | 57 year old female with thyroid cancer status post surgery, I-131. Evaluate for masses, abnormal nodes. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: No suspicious nodules or masses noted in the thyroidectomy bed.LEFT LOBE: No suspicious nodules or masses noted in the thyroidectomy bed.ISTHMUS: No suspicious nodules or masses noted in the thyroidectomy bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Left neck level 4 benign appearing lymph node measuring 1.4 cm x 0.5 cm x 0.3 cm. OTHER: No significant abnormality noted. | No residual or recurrent disease in the thyroidectomy bed. |
Generate impression based on findings. | Hematuria. RIGHT KIDNEY: The right kidney measures 11.2 cm in length without hydronephrosis, shadowing nephrolithiasis or solid mass. Note is made of a 1.2 cm exophytic inferior pole cyst.LEFT KIDNEY: The left kidney measures 10.9 cm in length without hydronephrosis, shadowing nephrolithiasis or solid mass.URINARY BLADDER: Normal distended urinary bladder.OTHER: Large prostate. | Prostatomegaly. No hydronephrosis or suspicious liver lesion.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 60 year-old female with a history of complex cyst in the inferior pole of the right kidney, seen on recent CT scan in October. Follow-up ultrasound examination recommended in April of 2015. RIGHT KIDNEY: There is a 1.0 x 1.2 x 1.1 cm cyst with posterior acoustic enhancement along the inferior pole of the right kidney, corresponding to the finding seen on recent CT examination. There is no internal vascularity, peripheral nodularity or septation identified. The previously described simple cyst in the superior pole of the right kidney, seen on prior ultrasound examination dated 6/19/2009 is not visualized on today's examination.LEFT KIDNEY: No significant abnormalities noted.OTHER: The bladder is incompletely distended, limiting evaluation. | Benign appearing cyst in the inferior pole of the right kidney corresponding to the finding on recent CT examination. |
Generate impression based on findings. | 59-year-old female with prior thyroidectomy for thyroid cancer. Evaluate for recurrent disease. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: In the right bed there is again noted a small, rounded hypoechoic nodule measuring 0.4 x 0.2 x 0.3 cm without change.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable examination. |
Generate impression based on findings. | 64-year-old female with abnormal liver function. Evaluate for NASH. LIVER: Liver is normal in size but is highly echogenic. Presumably this is due to severe fatty liver, but other causes of hepatic dysfunction cannot be excluded. No obvious hepatic mass although penetration to the depth of the liver is limited.BILIARY TRACT: Gallbladder is normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliberPANCREAS: The head and body are normal. The tail is obscured by bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted. | Highly echogenic liver, presumably fatty liver. |
Generate impression based on findings. | 28-year-old male with left pain. Evaluate for Achilles tendon tear. There is perhaps mild thickening of the distal Achilles tendon with a small focus of hypoechogenicity which may represent minimal focal insertional tendinosis. We see no findings to suggest a tear of the Achilles tendon. We see no evidence of a retrocalcaneal bursitis. | Minimal insertional tendinosis of the left Achilles tendon without evidence of a tear. |
Generate impression based on findings. | Reason: U/S of posterior Thoracic Soft Tissue Mass - Back, Tiny in Size - ? Lipoma Well-defined hypoechoic lesion with internal striations measures 5.2 x 1.6 x 5.7 cm. Several nonspecific nodular hypoechoic components are noted in deep aspect of the lesion. No internal vascularity or microcalcifications. | Findings suggestive of lipoma with mild heterogeneity. If of clinical concern, follow-up ultrasound can be obtained as indicated. |
Generate impression based on findings. | Right upper quadrant pain LIVER: Coarse echogenic liver parenchyma without mass. Liver length 21 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis with sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.1 cm in length.OTHER: Left kidney 10.7 cm in length. Spleen 13.3 cm in length. No ascites. | Cholelithiasis with sludge without acute inflammation or ductal dilatation. Hepatomegaly with coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass. No ascites. |
Generate impression based on findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. Family history of breast cancer in mother, diagnosed at the age of 77. 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. | 61-year-old female patient with history of thyroid nodules on staging CT for colon cancer. Evaluate for quality. RIGHT LOBE MEASUREMENTS: 5.8 x 1.6 x 3.1 cm.LEFT LOBE MEASUREMENTS: 7.1 x 2.7 x 2.4 cm.ISTHMUS MEASUREMENTS: 1.2 cm in thickness.RIGHT LOBE: Multiple nodules are noted within the right thyroid gland, many which have imaging features of colloid nodules. The largest nodule with a spongiform appearance measures 1.7 x 1.4 x 1.4 cm in the right lower pole.LEFT LOBE: The left thyroid gland is heterogeneous containing multiple nodules many which have imaging features of colloid nodules. ISTHMUS: A nondescript, solid, heterogeneous nodule without significant internal vascularity within the isthmus measures 2.7 x 1.8 x 2.9 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: Plaque is noted within the left carotid artery near the bifurcation. | Multinodular goiter as above. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are mammogram dated 12/23/2014, ultrasound dated 12/23/2014 performed at Advocate South Suburban. No comparisons are available. Mammogram: Three standard views of the left breast and two standard views of the right breast were obtained. The breast parenchyma is composed of scattered fibroglandular elements.In the left upper outer breast, there is a large diffuse area of increased density containing pleomorphic calcifications spanning a distance of approximately 10 cm which are highly suspicious. Additionally, there is diffuse skin thickening of the left breast.Ultrasound: A targeted left breast ultrasound was performed. There was diffuse skin thickening measuring up to 1.2 cm. No discrete masses were identified. | Diffuse increased density in the left upper outer breast spanning a distance of 10 cm with suspicious appearing calcifications and skin thickening. This area is biopsy-proven to represent carcinoma involving dermal lymphatic spaces.BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 55-year-old female with palpable left thyroid mass. RIGHT LOBE MEASUREMENTS: 5.6 x 1.6 x 1.8 cmLEFT LOBE MEASUREMENTS: 5.7 x 2.3 x 2.7 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Overall echotexture is homogeneous. There is 0.4 x 0.4 x 0.7 cm spongiform-appearing nodule in the upper pole. Small, benign cystic lesion in the lower pole.LEFT LOBE: Echotexture is homogeneous. There is a 2.3 x 2.7 x 3.7 cm predominantly cystic mass in the left lobe corresponding to the palpable abnormality. There are 2 focal areas of nodular wall thickening, the largest measuring 0.4 burs x 0.8 cm without obvious flow by color Doppler. Wall is otherwise smooth without significant thickening. Slightly cephalad there is a smaller cystic area without definite solid component. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Small, likely colloid nodules right lobe. Dominant complex cystic mass left lobe. Given the large size of the cystic component and small nodular components, this likely represents a complex colloid cyst. Biopsy was not performed due to the high likelihood of a nondiagnostic sample. If aspiration is desired, patient can easily be rescheduled. This was discussed with the patient. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 12 cm in lengthLEFT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis of 11.7 cm in lengthOTHER: Bladder nondistended. Large fibroid uterus again noted | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or hydronephrosis. |
Generate impression based on findings. | 26 year old male with rising LFTs, cholestasis, history of Crohn's disease. Evaluate for hepatic clot, portal vein thrombosis, bile duct obstruction. LIMITED ABDOMENLIVER: Mild coarse echogenicity of the liver measuring 18.7 cm in length. No focal hepatic lesions.BILIARY TRACT: Contracted gallbladder making assessment for wall thickening difficult. No pericholecystic fluid. Common bile that measures 3 mm in caliber. No intra-or extrahepatic delayed ductal dilatation.PANCREAS: Distal tail of the pancreas is obscured by overlying bowel gas. The visualized portions are unremarkable.SPLEEN: Measures 14.8 cm in length.RIGHT KIDNEY: Measures 11.9 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 12.5 cm in length. No hydronephrosis or shadowing calculi are noted.Incompletely imaged bilateral pleural effusions. | 1. Mild coarse echogenicity of the liver suggestive of parenchymal dysfunction. Mild hepatosplenomegaly. 2. Patent hepatic vasculature. 3. Incompletely imaged bilateral pleural effusions. |
Generate impression based on findings. | 68-year-old female patient with hypertension and persistent hypokalemia. Question of renal artery stenosis. ULTRASOUND KIDNEYSRIGHT KIDNEY: The right kidney measures 9.5 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: The left kidney measures 8.6 cm in length. No evidence of hydronephrosis. | 1. Patent renal vasculature without specific evidence of stenosis and intrarenal indices within normal limits.2. No evidence of hydronephrosis. |
Generate impression based on findings. | 70-year-old female with acute kidney failure and polycythemia vera with hypertension. Ultrasound guidance was provided for biopsy of the patient's native right kidney. | Ultrasound guidance |
Generate impression based on findings. | 50-year-old female presents with acute kidney injury. Evaluate for hydronephrosis. RIGHT KIDNEY: Measures 10.7 cm. Unremarkable echogenicity. No hydronephrosis or shadowing calculi. Simple cyst measuring 2.7 x 2.2 x 2.6 cm appears unchanged in comparison to the prior study.LEFT KIDNEY: Measures 9.3 cm. Unremarkable echogenicity. No hydronephrosis or shadowing calculi.URINARY BLADDER: The bladder is nondistended.OTHER: No significant abnormalities noted. | 1. Unremarkable study. Benign simple renal cyst as above. |
Generate impression based on findings. | Female, 66 years old. Assess for RP bleed after cardiac cath in a woman with hgb drop and abdominal pain. The lower quadrants are suboptimally evaluated by overlying bowel gas. No definite large collection is seen in the lower quadrants. No fluid collection is identified in the upper quadrants. | No fluid collection is identified in the upper quadrants. The lower quadrants are not well visualized. |
Generate impression based on findings. | 30-year-old female patient with mild hepatomegaly and mottled appearance of right hepatic lobe of uncertain etiology on outside hospital CT with concern for Budd-Chiari versus hepatic venoocclusive disease. LIMITED ABDOMENLIVER: The liver measures 17.9 cm in length. Hepatic parenchyma echogenicity is mildly increased. No focal hepatic lesion is identified.BILIARY TRACT: No gallstones, pericholecystic fluid, or gallbladder wall thickening is identified. There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 3 mm in diameter.PANCREAS: The head of the pancreas has normal echogenicity. The body and tail is obscured by overlying bowel gas.SPLEEN: The spleen measures 8.5 cm in length. RIGHT KIDNEY: The right kidney measures 9.3 cm and the left kidney measures 10.4 cm in length. No evidence of hydronephrosis.OTHER: No significant abnormalities noted. | Patent hepatic vasculature. |
Generate impression based on findings. | Left upper quadrant pain LIVER: Mildly coarse echogenic liver echotexture again noted without mass. Liver length 19 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 9 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 11.8 cm in lengthOTHER: Left kidney 10.6 cm in length. No ascites. | Mildly coarse echogenic liver echotexture associated with mild hepatomegaly consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | 65 year old male with diminished urine output. Transplant kidney. Evaluate for obstruction. RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Transplanted kidney measures 12.2 cm in length. No parenchymal abnormality.COLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: Poorly distendedOTHER: No significant abnormality noted | No hydronephrosis. No change from prior exam. |
Generate impression based on findings. | Thyroid nodules RIGHT LOBE MEASUREMENTS: 7.7 x 4.6 x 3.6 cmLEFT LOBE MEASUREMENTS: 6.2 x 1.7 x 1.6 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Diffusely heterogeneous gland again noted and unchanged.LEFT LOBE: Stable discrete mixed cystic and solid nodules. Upper pole nodule measures 1.8 x 0.8 x 1.3 cm. Mid pole nodule measures 1 x 0.9 x 0.7 cm. More medially located mid pole nodule measures 0.9 x 0.8 x 0.9 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable thyroid nodules and heterogeneous thyroid gland. No regional adenopathy. |
Generate impression based on findings. | 65-year-old male with history of hepatitis C. LIVER: Increased hepatic echogenicity without discrete focal lesion.BILIARY TRACT: Cholelithiasis with stones in the gallbladder neck. No gallbladder wall thickening, sonographic Murphy's sign, or pericholecystic fluid. No biliary ductal dilation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.KIDNEY: Echogenic atrophic kidneys without hydronephrosis. 2.2 cm left renal cyst without septation or suspicious nodular component.OTHER: No significant abnormalities noted. | 1. Increased hepatic echogenicity consistent with hepatic steatosis or diffuse parenchymal disease. 2. Cholelithiasis. 3. Atrophic echogenic kidneys consistent with medical renal disease. |
Generate impression based on findings. | Elevated creatinine RIGHT KIDNEY: Echogenic renal parenchyma without stone or hydronephrosis. Multiple cystic foci some demonstrating internal increased echogenicity and complexity. Right kidney 10.2 cm in length.LEFT KIDNEY: Echogenic renal parenchyma without stone, worrisome mass, or hydronephrosis. Left kidney 7.9 cm in length.OTHER: Bladder nondistended | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without stone or obstruction. Multiple cystic foci involving the right kidney some with increased internal echogenicity and complexity. Would pay special attention to these lesions on future surveillance scans as clinically relevant. |
Generate impression based on findings. | Male 26 years old; Reason: 26 yo M with hx of L epididymal cyst and enlarging R epididymal cyst History: Right posterior testicular cyst RIGHT TESTIS: Right testes measures 2.7 x 4.1 x 1.9 cm. Normal color Doppler flow. No focal intratesticular lesion.LEFT TESTIS: Left testes measures 2.7 x 2.7 x 1.9 cm. Normal color Doppler flow. No focal intratesticular lesion.RIGHT EPIDIDYMIS: Right epididymis measures 0.9 x 1.2 x 1.0 cm.LEFT EPIDIDYMIS: Left epididymis measures 1.0 x 1.0 x 1.5 cm. A small anechoic cyst within the epididymis measures 8 x 6 mm representing a small epididymal head cyst. This previously measured 8 x 6 mm and is unchanged.OTHER: No hydrocele. | No evident right epididymal head cyst.Stable 8 mm left epididymal head cyst.No evident intratesticular mass. |
Generate impression based on findings. | 23 year-old female with a history of hypothyroidism. RIGHT LOBE MEASUREMENTS: 1.7 x 1.3 x 5 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.3 x 4.9 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: The thyroid lobe parenchyma is heterogeneous compatible with history of hypothyroidism. No discrete suspicious nodule is evident.LEFT LOBE: The left thyroid lobe parenchyma is heterogeneous in echotexture compatible with history of hypothyroidism. No discrete suspicious nodule is evident.ISTHMUS: Heterogeneous echotexture, without discrete suspicious nodule.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: There is a 5 x 5 x 6 mm hypoechoic nodule inferior to the left thyroid lobe, which may reflect a small lymph node or parathyroid adenoma. | Heterogeneous thyroid parenchyma compatible with history of hypothyroidism without a discrete suspicious nodule evident. 6-mm hypoechoic nodule inferior to the left thyroid lobe may reflect a small lymph node or parathyroid adenoma; correlate with PTH/calcium. |
Generate impression based on findings. | 62 year old female presents for follow-up and possible aspiration of a right lower axillary cyst. Personal history of left lumpectomy in 1997 for DCIS. No current breast complaints. A targeted right axillary ultrasound was performed for the imaging area of concern. Within the right mid to lower axilla there is redemonstration of a oval, parallel, anechoic lesion which is smaller than on prior examination, today measuring 0.6 x 0.1 x 0.3 cm, suggesting resorbing cyst. | High probability benign right axillary cyst. Given the interval decrease in size and the benign appearance, follow-up right axillary ultrasound is recommended in 6 months to further assess stability. Additionally, right breast mammogram should also be performed at this time to assess stability of high probability benign calcifications in the right breast, as recommended on prior study dated March 25, 2015. Results and recommendations were discussed with the patient the time of her examination.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | Abdominal pain. Loose screening stool. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. An 8 mm hyperechoic focus in the right hepatic lobe, favoring benign etiology such as an hemangioma. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney is 10.7 cm in length, with a 2.5 cm simple appearing cyst. The renal parenchymal echogenicity is increased. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: Not visualized.OTHER: Ectatic aorta noted. | 1. No specific findings to account for the patient's symptoms.2. Echogenic renal parenchyma without hydronephrosis, compatible with medical renal disease. |
Generate impression based on findings. | 60 year-old male with alcohol withdrawal and abnormal liver function. LIVER: Liver is highly echogenic which may be due to fatty infiltration or other parenchymal disease. Mildly nodular contour but appearance is not grossly cirrhotic. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal veinBILIARY TRACT: Gallbladder appears normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: Relatively small and echogenicSPLEEN: Mild splenomegaly without focal abnormalityRIGHT KIDNEY: No significant abnormalities noted. OTHER: No ascites | Echogenic and mildly nodular liver.Splenomegaly. |
Generate impression based on findings. | 14-year-old female patient with history of fibroadenoma removal of the left breast presents with bilateral irregular breast tissue and pain. A targeted bilateral breast ultrasound was performed for the patient’s area of concern. Normal appearing dense breast tissue was seen in the right breast at the 10 and 9 o'clock positions as well as in the left breast at the 2 o'clock position. There is no solid or cystic mass identified. | Normal appearing dense breast tissue in the area of patient's pain in right breast 9 and position and left breast two o'clock position. Recommend continued clinical management.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Status post liver transplant with portal vein stenosis status post stent placement LIMITED ABDOMENLIVER: Status post left hepatic lobe liver transplant. No mass. Liver length 15.2 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: Splenomegaly again noted. Spleen length 18.9 cm RIGHT KIDNEY: No significant abnormalities noted. 9.7 cm in lengthOTHER: Stable left renal cyst. Left kidney 11.4 cm in length. | Status post left lobe hepatic transplant. Patent hepatic vessels with normal directional flow. Portal venous stent again noted and unchanged. No ascites. |
Generate impression based on findings. | 74 year old female who was recalled from screening mammogram for a developing mass in the left breast at anterior upper outer aspect. Mammogram: An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Spiculated 10-mm mass persist on spot compression views. No associated calcifications within the mass. Few loosely scattered calcifications posterior to the mass are mostly unchanged dating back to 2007.Ultrasound: Targeted left upper outer quadrant Ultrasound is performed. Irregular hypoechoic mass with blood flow measures 1.1 x 0.6 x 0.8 cm corresponding to the mammographic abnormality at 2 to 2:30 o'clock position. Located 2 cm posterior and slightly superior is a second taller than wide hypoechoic small lesion with micro-lobulations that measures 4 x 3 mm which probably corresponds to a oval asymmetry, slightly superior and posterior to the spiculated mass in the ML full-field view. | Two suspicious masses in the left breast two o'clock position, need further evaluation with ultrasound guided core biopsy. Findings and recommendations were discussed with the patient in detail.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Left flank pain and dysuria RIGHT KIDNEY: Normal parenchymal echogenicity without mass, stone or hydronephrosis. No perinephric collection. 14.2 cm in length.LEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. No perinephric collection. 12.9 cm in length.OTHER: Debris within bladder. Bladder nondistended. | Debris within bladder. Normal renal parenchymal echogenicity without mass, stone, hydronephrosis, or perinephric collection. |
Generate impression based on findings. | 32-year-old male with history of nausea and vomiting. LIVER: No hepatic lesions identified. Mild increased echogenicity of the hepatic parenchyma. The liver measures 17.9 cm in length. The main portal vein demonstrates normal hepatopedal flow.BILIARY TRACT: No evidence for gallstones or wall thickening. The common bile duct measures 3 mm in diameter.PANCREAS: Normal echogenicity of the pancreatic head and body. The tail is obscured due to overlying bowel gas.SPLEEN: The spleen measures 8.6 cm in length.RIGHT KIDNEY: The right kidney measures 10.9 cm in length. No hydronephrosis. OTHER: The left kidney measures 10.1 cm in length. No hydronephrosis. There is a 1.8 x 1.9 x 2.2 cm parapelvic cyst of the left upper renal pole. | 1. No acute abnormality of the right upper quadrant.2. Mild increased echogenicity of the hepatic parenchyma. Consider fatty infiltration. |
Generate impression based on findings. | 63-year-old female with thyroid nodules. Please evaluate for changes. RIGHT LOBE MEASUREMENTS: 4.0 x 1.3 x 1.9 cm.LEFT LOBE MEASUREMENTS: 2.5 x 4.1 x 2.1 cm.ISTHMUS MEASUREMENTS: 0.4 cm in thickness.RIGHT LOBE: No significant abnormality noted.LEFT LOBE: Hyperechoic nodule of the left mid thyroid measuring 1.8 x 2.3 x 1.8 cm (prior 1.8 x 2.4 x 1.5 cm). Additional hyperechoic nodule of the anterior lower pole and measures 0.8 x 0.8 x 0.8 cm (prior 0.9 x 0.9 x 1.2 cm).ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable left-sided hyperechoic nodules. |
Generate impression based on findings. | Altered mental status with hyperbilirubinemia LIVER: Coarse echogenic liver parenchyma without mass. Liver length 15.8 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.6 cm in length OTHER: Left kidney 9.3 cm in length. Spleen 7.3 cm in length. Moderate ascites. | Coarse echogenic liver parenchyma consistent with fatty liver/parenchymal dysfunction without mass or ductal dilatation. Moderate ascites. Limited Doppler interrogation of the main portal vein demonstrates a patent portal vein with normal directional flow. |
Generate impression based on findings. | male presenting with right breast mass, evaluate for cyst versus abscess Adjacent to the area of the right nipple, there is an approximately 2.2 cm subcutaneous area of hypoechogenicity likely representing edema, without definite evidence of collection or abscess formation. | Subcutaneous area of hypoechogenicity adjacent to the nipple, likely representing edema without definite evidence of abscess formation. Follow-up ultrasound can be performed as clinically indicated to ensure resolution. |
Generate impression based on findings. | 76-year-old female patient with left-sided nodule. Prior surgery. RIGHT LOBE MEASUREMENTS: Status post partial right thyroidectomy. Remaining thyroid tissue measures approximately 1.7 x 1.0 x 1.2 cm.LEFT LOBE MEASUREMENTS: 4.8 x 2.7 x 2.3 cm.ISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: The residual right thyroid lobe tissue is heterogeneous in echogenicity.LEFT LOBE: Left thyroid lobe is predominantly replaced by 2.6 x 1.9 x 4.2 cm cystic and solid thyroid nodule which contains colloid.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign morphology lymph nodes are noted within the right level two and left level three lymph node stations.OTHER: No significant abnormality noted. | 1. Status post partial right thyroidectomy.2. Dominant left thyroid nodule which is likely benign in etiology. |
Generate impression based on findings. | Male 50 years old Reason: please assess bladder and kidney History: poor urine output RIGHT KIDNEY: 14.3 cm in length. Normal echogenicity. No hydronephrosis or hydroureter.LEFT KIDNEY: 14.4 cm in length. No hydronephrosis or hydroureter.OTHER: Collapsed urinary bladder.Limited color Doppler shows blood flow to both kidneys. | Normal exam. |
Generate impression based on findings. | Cirrhosis LIVER: Stable cirrhotic morphology. Benign right hepatic cyst unchanged. No worrisome mass lesion. Liver length 11.6 cm. Limited Doppler interrogation of main portal vein demonstrates a patent portal vein with normal directional flow. Main portal vein velocity 14 cm second.GALLBLADDER, BILIARY TRACT: Mildly prominent, bile duct with maximal diameter of 0.7 cm unchanged. Stable cholelithiasis without acute inflammation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.6 cm in length.OTHER: Left kidney 10.2 cm in length. Spleen is 18 cm in length. No ascites. | Stable cirrhotic morphology without worrisome mass or worsening ductal dilatation. Stable cholelithiasis without acute inflammation. No ascites. Stable moderate spinal megaly. |
Generate impression based on findings. | 76-year-old male with history of abdominal aortic aneurysm. Evaluate No significant change in the tortuous and aneurysmal abdominal aorta. Maximal mid aortic AP dimension measures 2.8 cm, previously measuring 2.8 cm. Stable mid aneurysmal dilatation of both common iliac arteries with maximal AP diameter of 1.1 on the right and 1.2 on the left. The abdominal aorta is patent with normal arterial waveform. | Stable abdominal aortic aneurysm and mid aneurysmal dilation of the common iliac arteries bilaterally. |
Generate impression based on findings. | 65-year-old female patient with mildly elevated LFTs. Patient is mildly overweight and also on Lipitor. Serologies negative. LIVER: The liver measures 14.3 cm in length. Hepatic parenchymal echogenicity is increased. There is a region of hypoechogenicity adjacent to the gallbladder fossa which is in the typical location of fatty sparing. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 10.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 10.3 cm in length. No evidence of hydronephrosis.The spleen measures 7.5 cm in length. | Hepatic steatosis with focal fatty sparing. |
Generate impression based on findings. | 60 year-old female with history of thyroid cancer. Follow-up. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: There is again noted a hyperechoic focus in the right thyroid bed which appears stable measuring 0.5 x 0.5 x 0.8 cm.LEFT LOBE: There is again noted in the left thyroidectomy bed an ovoid hypoechoic focus measuring 0.3 x 0.3 x 0.6 cm which may represent lymph nodeISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable ultrasound of the thyroid. |
Generate impression based on findings. | Thyroid nodules RIGHT LOBE MEASUREMENTS: 4.5 x 1.6 x 1.6 cmLEFT LOBE MEASUREMENTS: 3 x 1.4 x 1.6 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Stable solid right lobe nodule measuring 1.3 x 0.8 x 1.1 cmLEFT LOBE: Slight interval decrease in size of predominantly solid left thyroid nodule measuring 0.8 x 0.7 x 1.1 cm; this is comparison to 1.3 x 1.1 x 0.9 cm on 10/23/2012. This smaller nodule now demonstrates coarse, probably dystrophic internal calcificationsISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable dominant right thyroid nodule. Slight interval decrease in size of left thyroid nodule. No regional adenopathy. |
Generate impression based on findings. | 82-year-old female with history of thyroid cyst on remote ultrasound. RIGHT LOBE MEASUREMENTS: 1.4 x 1.3 x 3.8 cmLEFT LOBE MEASUREMENTS: 1.3 x 1 x 4 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Echotexture is normal. Posterior to the right lobe is a rounded, hypoechoic 0.3 x 0.4 x 0.4 cm nodule which appears likely to be extrathyroidal. No other mass identified.LEFT LOBE: Echotexture is normal without mass.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: See above. Cannot exclude right parathyroid adenoma posterior to the midportion of the gland.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Small extrathyroidal mass on the right. Differential considerations would include parathyroid adenoma or atypical small lymph node. This does not appear to be intrathyroidal in nature. |
Generate impression based on findings. | 49-year-old female with history of thrombosis of a right mid lateral quadrant superficial vein, now with recurrent symptoms. Right-sided abdominal pain. Grayscale and color ultrasound of the right upper quadrant subcutaneous soft tissues in the area of the patient's complaint demonstrates no significant abnormalities. No abnormal blood vessels are identified. There are no fluid collections or inflammatory changes in this location. | No evidence of thrombosed superficial vessel or other findings to account for the patient's symptoms. |
Generate impression based on findings. | Male; 71 years old. Reason: 71 yo with bladder cancer and AKI - on anti PD-1 agent and steady rise in creatinine since then - creatinine baseline of 1.4 in November and now 4.8 needs kidney biopsy Ultrasound guidance and technical assistance was provided for a right native kidney biopsy by the nephrology service. Images demonstrate moderate hydronephrosis. | Biopsy of right native kidney by nephrology service.Hydronephrosis. |
Generate impression based on findings. | 59 years old, Female, Reason: Acute kidney injury, unclear etiology History: Increased creatinine RIGHT KIDNEY: Patient is status post right nephrectomy.LEFT KIDNEY: Kidney measures 12.8 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. Small left renal cyst in the inferior pole measuring 1.3 x 1.5 cm.Bladder: The bladder is collapsed and not well-visualized. | No evidence of hydronephrosis or shadowing calculus. |
Generate impression based on findings. | 77-year-old female with enlarged left thyroid seen on CT, possible cause of dysphagia. RIGHT LOBE MEASUREMENTS: 5.3 x 2.2 x 2.0 cmLEFT LOBE MEASUREMENTS: 7.9 x 5.1 x 4.0 cmISTHMUS MEASUREMENTS: 0.3 cm.RIGHT LOBE: 0.7 x 0.6 x 0.5 cm mixed cystic and solid nodule in the right upper pole and 0.9 x 0.9 x 0.6 cm nodule in the right lower pole, favor benign.LEFT LOBE: Dominant large primarily solid nodule in the left thyroid with coarse calcifications and small cystic spaces measures 5.5 x 3.5 x 3.4 cm. A superior adjacent hypoechoic nodule with somewhat ill-defined margins as well as both micro and macro calcifications measures 1.7 x 1.4 x 1.6 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Multinodular thyroid as described above. The smaller more superior hypoechoic nodule on the left in particular is amenable to biopsy as warranted clinically. |
Generate impression based on findings. | 20-year-old female patient with papillary thyroid cancer at age 16. Left posterior high cervical lymph node, soft palpated. RIGHT LOBE: Status post thyroidectomy without residual tissue identified.LEFT LOBE: Status post thyroidectomy without residual tissue identified.ISTHMUS: Status post thyroidectomy without residual tissue identified. A 0.3 x 0.4 cm benign morphology lymph node is noted within the thyroidectomy bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There is a right level 3 benign morphology lymph node. In the left posterior auricular region corresponding to the patient's palpable abnormality, there are two prominent benign morphology lymph nodes with fatty hila measuring up to 1.3 cm in the largest dimension. OTHER: No significant abnormality noted. | 1. No specific evidence of disease recurrence.2. Left posterior auricular prominent lymph nodes with benign morphology are likely reactive in etiology. |
Generate impression based on findings. | Hypertension RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: No significant abnormality noted. 9.2 cm in lengthCOLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessel. Patent renal vasculature without evidence for inflow or outflow compromise.OTHER: No significant abnormality noted | Unremarkable right iliac fossa renal transplant without evidence for abnormal mass or hydronephrosis. Patent inflow and outflow vasculature. |
Generate impression based on findings. | 31-year-old male with prior left thyroidectomy. Evaluate for recurrent neoplasm. RIGHT LOBE MEASUREMENTS: 4.8 x 1.4 x 2 cmLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: No massesLEFT LOBE: No mass in the thyroidectomy bedISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | No evidence recurrent mass post left lobectomy. |
Generate impression based on findings. | Reason: HBV, on entecavir, evaluate for HCC History: HBV LIVER: Heterogeneous, echogenic liver parenchyma. The liver measures 15.2 cm in length. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity is 17.1 cm/s. No focal mass.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The gallbladder wall measures 0.2 cm. The common hepatic duct measures 0.2 cm. No biliary ductal dilatation. Negative sonographic Murphy's sign.PANCREAS: Pancreatic duct measures 0.3 cm.RIGHT KIDNEY: The right kidney measures 10.4 cm in length. No hydronephrosis, masses, or shadowing stones.LEFT KIDNEY: The left kidney measures 11.5 cm in length. No hydronephrosis, masses, or shadowing stones.OTHER: No ascites. | Heterogeneous, echogenic liver parenchyma, consistent with hepatic parenchymal dysfunction, hepatic steatosis, or chronic liver disease. |
Generate impression based on findings. | Right upper quadrant pain LIVER: Coarse echogenic liver echotexture again noted without mass. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Liver length 14.8 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 7.7 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 11.2 cm in lengthOTHER: Left kidney 12.4 cm in length. No ascites. | Coarse echogenic liver echotexture again noted consistent with fatty infiltration without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | 60-year-old male with SIRS. There is clinical concern for acute cholecystitis. LIVER:The liver measures approximately 14.2 cm. Hepatic parenchyma has normal echotexture. There is a hyperechoic lobulated well-defined focus in the left liver that respects the anterior aspect liver capsule measuring approximately 5.7 x 1.7 x 2.3 cm. No calcifications or internal vascularity. No intrahepatic biliary dilation or ascites. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended. No stone or sludge. Negative sonographic Murphy's sign. No pericholecystic fluid. Gallbladder wall measures 4.5 mm. The common bile duct measures approximately 3.7 mm.PANCREAS: Pancreas is obscured by overlying bowel gas.SPLEEN: The spleen measures approximately 8.6 cm without specific radiographic abnormality.KIDNEYS: The right kidney measures approximately 12.8 cm. The left kidney measures approximately 11.8 cm. There is a shadowing hyperechoic focus in the pelvis of the left kidney measuring approximately 1.1 x 0.9 x 1.3 cm, consistent with a renal stone. It is nonobstructing. Mild hydronephrosis on the right without shadowing calculi. OTHER: No significant abnormality noted. | 1. No evidence of acute cholecystitis.2. Echogenic focus in the left lobe of the liver may represent a hemangioma however dedicated CT or MRI would be helpful for better characterization of this lesion.3. Mild hydronephrosis of the right kidney.4. Nonobstructive nephrolithiasis of the left kidney. No hydronephrosis. |
Generate impression based on findings. | Congestive heart failure with abnormal LFTs LIMITED ABDOMENLIVER: No significant abnormalities noted. Liver length is 15.6 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 7.6 cm in length. RIGHT KIDNEY: No significant abnormalities noted. 8.5 cm in length.OTHER: Left kidney 8.3 cm in length. | No obvious hepatobiliary abnormality. Patent hepatic vessels with normal directional flow. |
Generate impression based on findings. | Alcohol cirrhosis LIMITED ABDOMENLIVER: Cirrhotic morphology without mass. Liver length 18.1 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. Spleen length 14.9 cm RIGHT KIDNEY: No significant abnormalities noted. 10.9 cm in lengthOTHER: Left kidney 11.4 cm in length. Moderately severe ascites. | Cirrhotic morphology without mass or duct dilatation. Moderately severe ascites. Patent portal vessels with normal directional flow. |
Generate impression based on findings. | Hepatitis C. Evaluate for hepatocellular carcinoma. LIVER: Non-cirrhotic liver morphology. Coarsened parenchymal echogenicity. 15 cm in length. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladderPANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 9.3 cm in length. The left kidney is 10.0 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 8.6 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites. | Coarsened hepatic echogenicity compatible with parenchymal dysfunction, without suspicious hepatic lesion identified. |
Generate impression based on findings. | 57-year-old male with worsening proteinuria. Ultrasound guidance provided for biopsy of transplanted kidney. Biopsy needle is seen traversing the renal parenchyma. | Ultrasound guidance provided for biopsy of transplanted kidney which was performed by the nephrology team. |
Generate impression based on findings. | 45-year-old with history of left mastectomy. Routine right mammogram was normal earlier today. A palpable area of concern was felt in the right outer breast at posterior depth. Targeted ultrasound was performed for the palpable area which was marked by the clinical service. No suspicious solid or cystic mass is apparent. A few prominent fat lobules were noted. | No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended annually. Clinical correlation is recommended for the palpable area of concern as further workup may be warranted if the area is highly suspicious on physical exam. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 25-year-old male with history of thyroid nodule. RIGHT LOBE MEASUREMENTS: 5.4 x 1.8 x 2.4 cmLEFT LOBE MEASUREMENTS: 4.9 x 1.6 x 2.1 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely and heterogeneously echogenic with associated linear foci of decreased attenuation as seen with thyroiditis. No dominant mass.LEFT LOBE: Diffusely and heterogeneously echogenic with associated linear foci of decreased attenuation as seen with thyroiditis. No dominant mass.ISTHMUS: Diffusely and heterogeneously echogenic with associated linear foci of decreased attenuation as seen with thyroiditis. No dominant mass.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Heterogeneous, echogenic gland consistent with thyroiditis. No dominant mass. |
Generate impression based on findings. | 20-year-old male patient with mononucleosis infection with hepatitis and thrombocytopenia. Evaluate for splenomegaly. The liver measures 18.3 cm in length. The spleen measures 20.6 cm in length. There is a 2.3 x 2.2 x 2.1 cm ill-defined hypoechoic. solid lesion within the lateral spleen. | 1. Splenomegaly.2. Single hypoechoic lesion within the spleen is likely benign in etiology, but non-specific; this may be re-imaged with ultrasound in 6 months to confirm stability. |
Generate impression based on findings. | 67 year old male patient with transaminitis. Question of liver disease. LIVER: The liver measures 16.5 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thickening, or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The pancreas is poorly visualized on this examination.RIGHT KIDNEY: The right kidney measures 9.2 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 9.7 cm in length. No evidence of hydronephrosis.The spleen measures 8.6 cm in length.Trace right pleural effusion. | 1. No specific findings to account for the patient's symptoms.2. Trace right pleural effusion. |
Generate impression based on findings. | History of cirrhosis. Evaluate for HCC. LIVER: Heterogeneously coarse liver parenchyma with nodular contour compatible with cirrhosis. No focal lesion is evident. Normal hepatopedal portal venous blood flow at 30 cm/s.BILIARY TRACT: Large gallstone within a normally distended gallbladder without pericholecystic fluid or focal tenderness. The gallbladder wall measures 4 mm which is nonspecific.No intra or extra hepatic biliary ductal dilatation with the common duct measuring 3 to 4 mm.PANCREAS: The visualized pancreatic body is unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 17 cm in length without a focal lesion.RIGHT KIDNEY: The right kidney measures 11.7 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. OTHER: The left kidney measures 13.5 cm in length without hydronephrosis, shadowing nephrolithiasis or discrete lesion. | Cirrhotic liver without a focal lesion or biliary ductal dilatation. Borderline splenomegaly.Cholelithiasis without cholecystitis. |
Generate impression based on findings. | 70-year-old female with history of left breast cancer, with prior imaging performed at outside hospital. Bilateral Mammogram: Spot compression views of the right upper outer breast and spot magnification views of the left upper outer breast, as well as standard bilateral ML views, were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Within the right upper outer breast there is a well circumscribed 8mm focal asymmetry, probably representing a normal lymph node. An additional focal asymmetry within the right upper outer breast did not persist on spot compression views. Benign calcifications, including arterial calcifications, are present.Within the left breast there is a group of amorphous calcifications spanning 3 mm. Additional scattered benign-appearing calcifications, including arterial calcifications, are present. A lock clip is identified within the left upper outer breast at site of biopsy-proven breast cancer.Left breast ultrasound: A targeted left ultrasound was performed at site of calcifications within the left breast 12:00 location, 5cm from the nipple. There is no solid or cystic mass identified. | Grouped calcifications within the left breast 12:00, approximately 5 cm from the nipple. Given known left breast cancer, further evaluation is recommended with stereotactic biopsy. Results were discussed with Dr. Bao.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 59-year-old female presents for 6 month follow-up of high probability benign right breast asymmetries. Personal history of endometrial carcinoma. No family history of breast cancer. MAMMOGRAM: Three standard views of the right breast, additional right CC view, and multiple spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Multiple circumscribed masses are again noted in the lower inner right breast, unchanged. A focal asymmetry is present within the upper outer right breast, posterior depth, which persists on spot compression imaging. ULTRASOUND: On physical examination, no palpable abnormality is identified. Targeted right ultrasound was performed for the mammographic area of concern. A 0.7 x 0.5 x 0.5 cm circumscribed, hypoechoic lesion is present at the 11:00 position of the right breast, 10 cm from the nipple, without increased vascularity. This is felt to represent a cyst. | High probability benign cyst at the 11 o'clock position of the right breast. Follow up mammogram and ultrasound is recommended in 6 months to assess stability. The patient will be due for annual bilateral mammogram at this time. Results recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |