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Generate impression based on findings. | 56 years old, Female, Chronic Kidney Disease, Stage IV. CKD IV. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Increased echogenicity of the right kidney cortex. Moderate right hydronephrosis. No renal stone identified. No perinephric fluid.LEFT KIDNEY: Kidney measures 10.6 cm in length. Increased parenchymal echogenicity. Mild left caliectasis. No perinephric fluid. No renal stone identified.OTHER: No significant abnormalities noted. | Moderate right hydronephrosis and mild left caliectasis without clear etiology. |
Generate impression based on findings. | 86 years old, Male, Reason: 86 yo with cirrhosis please screen for HCC History: none LIVER: The liver has a cirrhotic morphology. No focal hepatic lesions or masses are identified. No significant ascites is present. The liver measures 8.6 cm in length. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s.BILIARY TRACT: There is minimal intra-and mild extrahepatic ductal dilatation. There is a stone or sludge in the area of the neck of the gallbladder without gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: 1 cm hypodensity in the spleen is again noted and unchanged since CT dated 6/7/14. The spleen measures 9.5 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Cirrhotic morphology of the liver without focal hepatic lesion identified.2.Mild intra-and extra hepatic biliary ductal dilatation is present. |
Generate impression based on findings. | 56 years old, Female, Reason: Have thyroid nodules grown? Exam in February 2014 is scanned into EPIC for comparison. RIGHT LOBE MEASUREMENTS: The right lobe measures 4 x 2 x 2 cmLEFT LOBE MEASUREMENTS: Left lobe measures 4 x 1.5 x 1 cm.ISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Multiple simple cystic appearing cysts in the right lobe.LEFT LOBE: There is a colloid nodule in the left which is favored to have a benign etiology.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Multiple cysts in the right thyroid lobe. Colloid nodule in the left thyroid lobe is favored to have a benign etiology. |
Generate impression based on findings. | 62 years old, Female, Reason: pt with known secondary hyperparathyroidism and thyroid nodule, pls identify any thyroid nodules and possible parathyroid adenomas History: secondary hyperparathyroidism, thyroid nodule RIGHT LOBE MEASUREMENTS: 7.8 x 3.7 x 2.9 cmLEFT LOBE MEASUREMENTS: 5.3 x 2.6 x 2.1 cmISTHMUS MEASUREMENTS: 1.3 cmRIGHT LOBE: In the right lobe of the thyroid there is a very large heterogeneous appearing nodule measuring 3.9 x 2.5 x 3.4 cm which is amenable to biopsy. Biopsy will be performed. Additional subcentimeter benign-appearing colloid cysts are also present.LEFT LOBE: Multiple subcentimeter colloid nodules on the left which are favored to have a benign etiology.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: There is an extra thyroidal hypoechoic focus inferior to the left thyroid lobe likely representing the known parathyroid hyperplasia or parathyroid adenoma. | 1.Large heterogeneous right thyroid nodule amenable to biopsy, which will be performed today.2.Hypoechoic focus inferior to the left thyroid lobe likely secondary to known parathyroid hyperplasia or parathyroid adenoma3.Multiple bilateral subcentimeter benign-appearing colloid cysts. |
Generate impression based on findings. | 55 year old female with multiple right breast masses and right axillary adenopathy who was recalled from interpretation of outside examination for left breast asymmetry. History of ovarian cancer in sister diagnosed at age 45. LEFT UNILATERAL DIGITAL DIAGNOSTIC MAMMOGRAM: A ML view and 3 spot compression views of the 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. There is redemonstration of a 1 cm mass in the the medial central left breast, which persists on compression imaging.LEFT BREAST ULTRASOUND: A targeted left ultrasound was performed for the mammographic area of concern. At the 9 o'clock position of the left breast, 3 cm from the nipple, there is a benign morphology intramammary lymph node measuring 0.7 cm, with normal color flow, corresponding to the finding on mammogram. At the 3 o'clock position of the left breast, 4 cm from the nipple, there is a 0.4 x 0.4 x 0.2 cm hypoechoic mass with ill-defined margins. | Ill-defined hypoechoic 0.4 cm mass at the 3 o'clock position of the left breast. While this may represent benign lesion, fine-needle aspiration with possible ultrasound guided core needle biopsy is recommended for definitive histologic diagnosis. Results and recommendations were discussed with the patient.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 59 years old, Male, Reason: Liver cysts; gallstones History: elevated bilirubin LIVER: The liver measures 19.7 cm in length consistent with mild hepatomegaly. There is heterogeneous echotexture of the liver consistent with partial fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is 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 0.3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.8 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.3 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. 2.Mild hepatomegaly. No focal liver lesions or masses. |
Generate impression based on findings. | Renal stones; history partial right nephrectomy for resection of papillary renal cell carcinoma RIGHT KIDNEY: Contour defect again noted consistent with partial nephrectomy. No worrisome mass. Benign inferior pole cyst unchanged. No stone or hydronephrosis. Right kidney 11 cm in length.LEFT KIDNEY: Stable mid/lower pole angiomyolipoma measuring 2.5 x 2.7 x 2.8 cm. At least two nonobstructing renal stones. An upper pole stone measures 0.9 x 0.6 x 1 cm; a lower pole stone measures 0.9 x 1.2 x 1.1 cm. No hydronephrosis. Left kidney 11.6 cm in length.OTHER: Bladder non-distended | At least two nonobstructing left renal stones. Stable left renal angiomyolipoma. Stable contour defect right kidney consistent with partial nephrectomy without worrisome mass, stone, or hydronephrosis on the right. |
Generate impression based on findings. | 68 years old, Male, Reason: pt with elevated liver enzymes new from 2 wks ago; please eval for acute obstruction/pathology LIVER: The liver measures 17 cm in length. Increased echogenicity of the liver consistent with fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Patient is status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 12.4 cm in length. RIGHT KIDNEY: Kidney measures 13.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The patient is status post left nephrectomy.OTHER: No significant abnormalities noted. | 1.Diffuse fatty infiltration of the liver. No hepatic mass2.No intrahepatic or extra hepatic biliary ductal dilatation. |
Generate impression based on findings. | History renal stones RIGHT KIDNEY: Normal parenchymal echogenicity without mass, stones, or hydronephrosis. Right kidney 10.4 cm in lengthLEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Left kidney 11.2 cm in length.OTHER: Bladder nondistended | Negative renal ultrasound. No evidence for mass, stone, or obstruction. |
Generate impression based on findings. | 73 year old female who was recalled from outside screening mammogram for left breast asymmetry. MAMMOGRAM: An ML view and two spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Within the left breast, 12 o'clock position, the previously visualized asymmetry partially disperses on spot compression imaging, suggesting superimposition of fibroglandular tissues.Within the right breast, upper outer quadrant, there is a new 0.8-cm mass which persists on spot compression imaging.ULTRASOUND: A targeted left ultrasound was performed for the mammographic area of concern. A dense band of fibroglandular tissue is noted. There is no solid or cystic mass identified.A targeted right ultrasound was subsequently performed for the mammographic area of concern. At the 10 o'clock position of the right breast, 5 cm from the nipple, there is a well-circumscribed anechoic cyst mild posterior acoustic enhancement measuring 0.5 x 0.4 x 0.5 cm, likely corresponding to the finding on mammogram. | Dense fibroglandular tissue in the upper central left breast corresponding to the asymmetry on mammogram. Right simple breast cyst. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 52 year old female with history of thyroid gland malignancy and metastases. Evaluate amount of abdominal ascites, possible paracentesis. LIVER: Limited evaluation of the liver reveals a nodular contour and heterogeneous appearance, similar to prior.OTHER: Minimal abdominal free fluid, likely not amenable to future paracentesis given the small amount. | Heterogeneous/nodular liver, similar to prior, and minimal ascites. |
Generate impression based on findings. | HCV cirrhosis LIVER: Coarse echogenic liver echotexture without mass. Liver length 13 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.8 cm in lengthOTHER: Stable left renal cyst. Left kidney 12.3 cm in length. Spleen 10.1 cm in length. No ascites. | Stable examination. Coarse echogenic liver echotexture again noted consistent with chronic liver disease without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | Renal stones RIGHT KIDNEY: Normal parenchymal echogenicity without worrisome mass or hydronephrosis. Benign renal cyst. Right kidney 11 cm in length.Multiple subcentimeter echogenic foci within the lower pole of the right kidney with posterior shadowing consistent with nonobstructing subcentimeter renal stonesLEFT KIDNEY: AbsentOTHER: Bladder nondistended. Enlarged prostate | Multiple subcentimeter nonobstructing lower pole right renal stones. No worrisome mass or obstruction. Left kidney absent. Enlarged prostate. |
Generate impression based on findings. | History of hydronephrosis status post drainage of obstructing pelvic cyst RIGHT KIDNEY: Normal parenchymal echogenicity without mass or stone. Interval resolution of hydronephrosis. Right kidney 10.4 cm in length.LEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Left kidney 10.1 cm in length.OTHER: Bladder nondistended | Interval resolution of right hydronephrosis. |
Generate impression based on findings. | History of pancreatitis with abdominal pain nausea and vomiting CT performed 5/ LIVER: Coarse echogenic liver without mass. Liver length 18.9 cmGALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No ductal dilatationPANCREAS: Abnormal heterogeneous pancreas with multiple calcifications again noted consistent with chronic pancreatitis.RIGHT KIDNEY: No significant abnormalities noted. 12 cm in length.OTHER: Left kidney 12.9 cm in length. Spleen 13.8 cm in length. No ascites. | Echogenic liver parenchyma again noted consistent with chronic liver disease/fatty infiltration without mass or ductal dilatation. Mild hepatomegaly. Status post cholecystectomy. No ascites.Abnormal heterogeneous pancreas with multiple calcifications again noted consistent with chronic pancreatitis; cannot assess for presence of acute pancreatitis |
Generate impression based on findings. | Acute renal failure with rising creatinine RIGHT KIDNEY: Echogenic renal parenchyma again noted without mass, stone, or hydronephrosis. Right kidney 9.8 cm in lengthLEFT KIDNEY: Echogenic renal parenchyma again noted without mass, stone, or hydronephrosis. Left kidney 11.8 cm in length.OTHER: Bladder nondistended | Echogenic renal parenchyma again noted consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | Precardiac transplant evaluation LIVER: Echogenic liver parenchyma without mass. Liver length 19.6 cmGALLBLADDER, BILIARY TRACT: No significant abnormality noted.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted.KIDNEYS: No significant abnormality noted. Right renal cyst. Right kidney 11.8 cm in length. Left kidney 11.2 cm in length.ABDOMINAL AORTA: Proximal aorta unremarkable. The mid and distal aorta not visualized due to overlying gas.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites | Echogenic liver parenchyma with mild hepatomegaly suggestive for chronic liver disease/congestion without mass or ductal dilatation. No ascites.Mid and distal aorta not visualized due to overlying gas. |
Generate impression based on findings. | Cardiac patient; evaluate hepatic vasculature LIMITED ABDOMENLIVER: Mildly coarse and echogenic liver echotexture without mass. Liver length 19.8 cm.BILIARY TRACT: Gallbladder contracted. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 10.4 cm in length. RIGHT KIDNEY: Echogenic renal parenchyma without mass or stone. Mild hydronephrosis. Right kidney 11 cm in lengthOTHER: Left kidney demonstrates echogenic renal parenchyma without mass or stone. Mild left hydronephrosis. Left kidney 11.5 cm in length. Mild ascites. | Mild hepatomegaly associated with coarse echogenic liver parenchyma consistent with chronic liver disease without mass or ductal dilatation. Gallbladder collapsed. Mild ascites.Patent hepatic vessels with normal directional flow.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction with mild bilateral hydronephrosis. |
Generate impression based on findings. | Alcoholic cirrhosis LIVER: Cirrhotic morphology without mass. Liver length 13 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without ductal dilatation or acute inflammationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 8.3 centimeters in lengthOTHER: Left kidney 8.5 cm in length. Spleen 9.2 cm in length. No ascites. | Cirrhotic morphology without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | History of renal stones RIGHT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Right kidney 10.1 cm in lengthLEFT KIDNEY: Normal parenchymal echogenicity without mass, stone, or hydronephrosis. Left kidney 11.3 cm in lengthOTHER: Bladder nondistended | Negative renal ultrasound. Normal parenchymal echogenicity without mass, stone, or obstruction. |
Generate impression based on findings. | 76-year-old male with history of equivocal left renal lesion on CT. Hematuria. RIGHT KIDNEY: The right kidney is within normal limits.LEFT KIDNEY: Although the left kidney is normal in size, there are several small tiny cysts. Additionally, there is an approximately 1 cm hypoechoic focus with internal echoes in the upper pole that may represent a hemorrhagic/complex cyst. No definite internal vascularity.OTHER: No hydronephrosis, no hydroureter. Bilateral renal jets are seen. Prostate enlargement. | 1.Left renal upper pole complex cystic focus may represent a hemorrhagic/complex cyst, although this is nonspecific and should be followed up in 6 months with ultrasound.2.Prostate enlargement. |
Generate impression based on findings. | Hepatitis C with right lobe mass LIVER: Coarse echogenic liver texture again noted. Liver length is 16.5 cm. Slight interval increase in size of right lobe peripheral echogenic mass now measuring 1.6 x 1.7 x 1.6 cm; this is in comparison to 1.5 x 1.4 cm on 10/1/2014.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma again noted without mass, stone, or hydronephrosis. 9.3 cm in lengthOTHER: Echogenic left kidney without mass, stone, or hydronephrosis. Left kidney 11 cm in length. Spleen 10 cm in length. No ascites. | Slight interval increase in size of peripheral right lobe hepatic echogenic focus. A neoplasm including hepatocellular carcinoma must be considered; would strongly suggest correlation with dedicated MR.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | History Graves' disease RIGHT LOBE MEASUREMENTS: 2.4 x 1.9 x 4.9 cmLEFT LOBE MEASUREMENTS: 1.6 x 1.9 x 5.9 cmISTHMUS MEASUREMENTS: 0.7 cmRIGHT LOBE: Diffusely heterogeneous gland without discrete nodule. No increased vascularity.LEFT LOBE: Diffusely heterogeneous gland without discrete nodules. No increased vascularityISTHMUS: Diffusely heterogeneous gland without discrete nodules. No increased vascularityPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous gland without discrete nodules. No increased vascularity. |
Generate impression based on findings. | History hyper thyroidism RIGHT LOBE MEASUREMENTS: 6.4 x 3.3 x 2.3 cmLEFT LOBE MEASUREMENTS: 6.1 x 3.6 x 1.8 cmISTHMUS MEASUREMENTS: 1.1 cmRIGHT LOBE: Diffusely heterogeneous gland. Two midpole mixed cystic and solid nodules. A representative midpole nodule measures 1 x 0.7 x 0.9 cm.LEFT LOBE: Diffusely heterogeneous gland. Lower pole subcentimeter predominately solid nodule measuring 0.7 x 0.8 x 0.7 cm.ISTHMUS: Diffusely heterogeneous gland.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous gland. Multiple bilateral subcentimeter nodules as described.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Right-sided abdominal pain LIVER: Numerous confluent bilobar mass lesions consistent with metastatic disease again noted. GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney 11.8 cm in length.OTHER: Left kidney 11.2 cm in length. No ascites. | Numerous confluent bilobar hepatic lesions consistent with metastatic disease. No ascites. Collapsed gallbladder without ductal dilatation. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. 14.1 cm in length.LEFT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. 14.7 cm in lengthOTHER: Fatty infiltration of the liver. Trace ascites. Bladder nondistended. | Unremarkable echogenicity without mass, stone, or obstruction. Fatty infiltration of the liver. Trace ascites. |
Generate impression based on findings. | Painful nodule posterior right thigh No evidence for mass or loculated fluid collection | No evidence for mass or loculated fluid collection. |
Generate impression based on findings. | Transaminitis LIVER: Mildly coarse and echogenic liver parenchyma without mass. Liver length 14.6 cm. GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney 10.4 cm in length.OTHER: Left kidney 9.5 cm in length. Spleen 9.6 cm in length. Mild ascites. Abnormally enlarged endometrial cavity. | Mildly coarse and echogenic liver parenchyma suggestive for fatty infiltration/chronic liver disease without mass or ductal dilatation. Mild ascites.Abnormally enlarged endometrial cavity; recommend correlation with GYN ultrasound. |
Generate impression based on findings. | Abdominal pain and elevated white count LIVER: Mildly coarse echogenic liver parenchyma without mass. Liver length 17.3 cm.GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Right renal cyst. Right kidney 13.4 cm in lengthOTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. Left kidney 14.1 cm in length. Spleen 17.1 cm in length. Mild ascites. | Mildly coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Gallbladder sludge without acute inflammation. Echogenic kidneys consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. Mild ascites. |
Generate impression based on findings. | Evaluate for fluid surrounding LVAD drive line No evidence for loculated fluid collection associated with LVAD drive line | No evidence for loculated fluid collection associated with LVAD drive line |
Generate impression based on findings. | Rising bilirubin and jaundice LIVER: Coarse echogenic liver parenchyma without mass. Liver length 25.6 cmGALLBLADDER, BILIARY TRACT: Gallbladder absent. No ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.1 cm in length.OTHER: Left kidney 11.8 cm in length. Spleen is 15.4 cm in length. No ascites. | Moderately severe hepatomegaly associated with coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Mild splenomegaly. No ascites. |
Generate impression based on findings. | Abnormal LFTs LIVER: Coarse echogenic liver parenchyma without mass. Liver length 15.4 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 10.4 cm in length.OTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. Left kidney 9 cm in length. Trace ascites. | Coarse echogenic liver parenchyma consistent with fatty infiltration/parenchyma dysfunction without mass or ductal dilatation. Cholelithiasis without acute inflammation. Trace ascites. Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | 68 years, Female. Reason: Evaluate for increased free air, intraabdominal process History: New abdominal pain and vomiting, known hx of free air. Distended small and large bowel, new from earlier exam. Stable to mild interval increase in pneumoperitoneum, may be postprocedural, correlation with patient's clinical history/physical exam recommended. Alongside left lateral aspect of centrally located bowel are possible small locules of air, while may reflect pneumoperitoneum, underlying pneumatosis not entirely excluded. Redemonstration of pelvic drain, bilateral common iliac stents, and subcutaneous emphysema of the right abdominal and pelvic wall. Please refer to concomitant chest radiography from same day for additional findings. | Persistent free air, see above, including smaller locules of pneumoperitoneum (versus possible pneumatosis) along lateral wall of centrally located bowel. Correlation with patient's clinical history and interval surgery recommended. |
Generate impression based on findings. | There remains a T1 isointense, T2 hyperintense minimally expansile intramedullary lesion within the cervical cord extending from the lower level of C2 to C4. The lesion is largest within the midportion measuring 9 x 6 mm in the AP and transverse dimensions (series 11, image 18), compared to 7 x 5 previously, suggesting that the lesion may be minimally larger. The lesion is unchanged in the craniocaudal dimension where it measures 22 mm (series 6, image 7). There has been interval recurrence of the associated enhancement which had seemingly resolved on the prior exam. On the axial images, the enhancement is not as discrete as it was on the first examination, but on the sagittal images, the enhancement is at least as conspicuous as on the first study. No other areas of enhancement are noted within the spinal cord. The cervical spine is in normal alignment, with a normal cervical lordosis. The vertebral body and disk heights are well-maintained. No worrisome focal marrow signal abnormality is appreciated. There is developmental narrowing of the cervical spine and possible thickening of the posterior longitudinal ligament through much of the cervical spine.C2-C3: Shallow disc protrusion without spinal canal stenosis or neuroforaminal narrowing. C3-C4: Posterior disc-osteophyte complex with mild to moderate spinal canal stenosis. Mild bilateral facet hypertrophy and neuroforaminal narrowing.C4-C5: Posterior disc bulge with mild spinal canal stenosis and a superimposed left paracentral disc protrusion. Mild to moderate left neuroforaminal narrowing.C5-C6: Mild developmental spinal canal narrowing and mild right neuroforaminal narrowing due to uncovertebral hypertrophy.C6-C7: Left paracentral disc protrusion with mild left neuroforaminal narrowing. Two oval left thyroid T2 hyperintense lesions are noted, the largest measures 8 x 14 mm. If clinically warranted, further evaluation with ultrasound may be considered along with correlation with laboratory values. | 1. There has been interval return of enhancement of the intramedullary lesion extending from C4 to C6. There may also be a subtle increase in the size of the signal abnormality within the cord. The recurrence of these findings may reflect changes in steroid dosing. The differential diagnosis continues to include demyelination, inflammation including granulomatous disease, potentially lymphoma, and less likely primary cord tumor.2. Unchanged, developmentally narrowed cervical spinal canal with mild to moderate multilevel cervical spondylosis. |
Generate impression based on findings. | Left thyroid nodule RIGHT LOBE MEASUREMENTS: 1.9 x 1.3 x 4.4 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.4 x 4.7 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: 1.2 x 0.8 x 1.5 cm mixed cystic and solid inferior left thyroid noduleISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Mixed cystic and solid inferior left thyroid nodule. This nodule will be biopsied today. |
Generate impression based on findings. | 31-year-old male with history of acute kidney injury. Evaluate for hydronephrosis. RIGHT KIDNEY: Right kidney measures 10.8 cm. No hydronephrosis or hydroureter. Slightly hyperechoic renal parenchyma, similar to prior.LEFT KIDNEY: Left kidney measures 10.7 cm. No hydronephrosis or hydroureter. Slightly hyperechoic renal parenchyma, similar to prior.URINARY BLADDER: Bladder is distended, within normal limits.OTHER: A small hepatic cyst. | Hyperechoic renal parenchyma, suggestive of medical renal disease/parenchymal dysfunction, without additional abnormality. |
Generate impression based on findings. | 59-year-old male with history of viral hepatitis B, evaluate for liver cancer. LIVER: No focal hepatic lesions or biliary dilatation. The liver is normal in size, measuring approximately 11 cm.GALLBLADDER, BILIARY TRACT: Several mobile gallstones are seen.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Cholelithiasis without findings of cholecystitis. No focal hepatic masses. |
Generate impression based on findings. | 48 year old female with history of right upper quadrant pain. Evaluate for gallbladder pathology. LIVER: Hepatic steatosis, without focal abnormality.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Hepatic steatosis, without additional abnormality. |
Generate impression based on findings. | 73 years old, Female, Reason: r/o thyroid enlargement History: neck enlargement RIGHT LOBE MEASUREMENTS: 4.4 x 2.4 x 2 cm.LEFT LOBE MEASUREMENTS: 5.7 x 2.1 x 3 cm.ISTHMUS MEASUREMENTS: 1.1 cm.RIGHT LOBE: No evidence of thyroid nodules. The size of the thyroid is within normal limits. Echogenicity of the thyroid is homogeneous. No significant abnormality noted.LEFT LOBE: No evidence of thyroid nodules. The size of the thyroid is within normal limits. Homogeneous echogenicity of the thyroid. 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. | Normal ultrasound evaluation of the thyroid without evidence of enlargement or nodules. |
Generate impression based on findings. | 51 years old, Male, Reason: cyst? right tibial mass, enlarging and tender to palpation, no erythema/warmth, contingous with scar of 20 year old acl recontruction History: cyst? right tibial mass, enlarging and tender to palpation, no erythema/warmth, contiguos with scar of 20 year old acl reconstruction Right lower extremity: In the right tibial area there is a cystic-appearing mass measuring 4.0 x 1.1 x 2.2 cm. Mass is nonvascular and is favored to represent a complex cyst. | 1.Nonvascular cystic appearing mass in the right tibial area. |
Generate impression based on findings. | 55 years old, Female, Reason: Primary HPT please assess for parathyroid adenoma. RIGHT LOBE MEASUREMENTS: 5.6 x 2.5 x 2 cmLEFT LOBE MEASUREMENTS: 6.2 x 2.1 x 1.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Multiple subcentimeter cysts and nodules are seen in the right thyroid lobe the largest of which measures 0.9 x 0.8 x 0.7 cm. No evidence of parathyroid adenoma or parathyroid hyperplasia.LEFT LOBE: Multiple subcentimeter cysts and nodules are also seen in the left thyroid lobe. Largest of these nodules measures 0.7 x 0.8 x 0.4 cm. No evidence of parathyroid adenoma or parathyroid hyperplasia.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No evidence of parathyroid adenoma or parathyroid hyperplasia.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.No evidence of parathyroid adenoma or hyperplasia.2.Multiple bilateral subcentimeter thyroid nodules and cysts |
Generate impression based on findings. | 61 years old, Female, Reason: concern for ascites History: increase in abdominal size/cirrhosis Large amount of perihepatic ascites is present. There is a significant amount of free fluid within the left upper quadrant, right and left lower quadrants, as well as the pelvis. Incidental note is made of a cirrhotic liver as seen on prior examinations. | Four quadrant ascites. |
Generate impression based on findings. | 51 years old, Male, Reason: recurrent pancreatitis eval for gallstones History: pancreatitis LIVER: The liver measures 16.8 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The patient had a lot of epigastric pain during the exam. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct is dilated measuring 8 mm in diameter.PANCREAS: No identified focal mass within the pancreas. The pancreas appears mildly edematous. Ultrasound is insensitive for specific findings of pancreatitis.SPLEEN: No significant abnormalities noted. The spleen measures 7.6 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.No evidence of cholelithiasis, choledocholithiasis, or cholecystitis.2.No evidence of pancreatic mass. |
Generate impression based on findings. | 66 years old, Male, Reason: rising creatinine History: rising creatinine ULTRASOUND KIDNEYSRIGHT KIDNEY: No evidence of hydronephrosis or nephrolithiasis.LEFT KIDNEY: No evidence of hydronephrosis or nephrolithiasis.OTHER:No significant abnormalities noted. | Max velocity in the right renal artery is at the upper limits of normal. The velocity left renal artery is not significantly higher than that of the aorta. |
Generate impression based on findings. | 66 years old, Male, Reason: Periumbilical abd pain History: Please check GB, liver, pancreas LIVER: The liver is mildly enlarged measuring 20 cm in length. Increased parenchymal echogenicity is is suggestive of fatty infiltration. Focal hypoechoic hepatic lesion may represent focal fatty sparing although is indeterminate on this ultrasound examination. Further characterization with MRI is recommended. 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 CBD is mildly enlarged measuring 10 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.7 cm in length. RIGHT KIDNEY: Kidney measures 9.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Focal hypoechoic lesion may represent focal fatty sparing although is indeterminate on this ultrasound examination. Dedicated MRI is recommended for further characterization of this lesion.2.Fatty infiltration of the liver.3.No evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 43 years old, Female, Reason: concern for cholangitis History: as above LIVER: The liver measures 19.6 cm in length. Echogenicity of the liver is within normal limits. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is sludge within the gallbladder and a small stone. The gallbladder wall is mildly thickened secondary to nondistention. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures two mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.4 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass. Simple cysts are seen in the right kidney, similar to prior exam.LEFT KIDNEY: Kidney measures 11.5 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass. Simple cysts are seen in the left kidney, similar to prior exam.OTHER: No significant abnormalities noted. | Cholelithiasis and gallbladder sludge in a nondistended gallbladder without evidence of biliary dilatation or cholecystitis. |
Generate impression based on findings. | 68 years old, Male, Reason: evaluate size of renal masses and characterize cysts RIGHT KIDNEY: Kidney measures 11.3 cm in length. Right renal cyst measures 2.3 x 2.8 x 2.1 cm. Previously noted mid kidney right renal mass is not well visualized on this exam. Right lower pole mass is not significantly changed in size measuring 4.7 x 5.2 x 4.4 cm, previously measuring 5.3 x 4.2 cm on most recent CT dated 7/17/14. Evidence of right-sided hydronephrosis.LEFT KIDNEY: Kidney measures 11.4 cm in length. Normal echotexture. Nohydronephrosis. Left renal cysts.OTHER: Distal tips of nephroureteral stents are noted with urinary bladder. No significant abnormality within the bladder. | 1.Right lower pole renal mass not significantly changed in size since CT dated 7/17/14. Previously noted enhancing mass in the right mid kidney is not well visualized on this ultrasound examination.2.Right-sided hydronephrosis. |
Generate impression based on findings. | 54 years old, Female, Reason: eval for liver dz History: RUQ pain, elevated ALT, ALP. Pt has no gallbladder. LIVER: The liver measures 20 cm in length. There is diffusely increased echogenicity of the liver suggestive of diffuse hepatic steatosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of .3 m/s. No evidence of ascites.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 7.8 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.1 cm in length. RIGHT KIDNEY: Kidney measures 12 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | Hepatic steatosis without evidence of biliary ductal dilatation or focal hepatic mass lesion. No evidence of ascites. |
Generate impression based on findings. | Left upper quadrant pain and shortness of breath. Further history obtained upon discussion with the patient reveals progressively worsening intermittent sharp left chest pain, which on occasion "takes her breath away". LIVER: The liver measures 15 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of .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 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 7 cm in length. RIGHT KIDNEY: Kidney measures 9.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: Evidence of a left pleural effusion. Superficial evaluation of the left chest wall reveals no abnormalities | 1.Left pleural effusion.2.Increased echogenicity of the liver suggest hepatic steatosis.These findings were discussed with the ordering service at time of dictation who agreed to order chest x-ray while patient is in radiology department. |
Generate impression based on findings. | 39 years old, Male, Reason: Patient with old AV graft with acute swelling after trying to start line. Pleaes evaluate.for hematoma History: As above Ultrasound evaluation of the left mid arm swelling this was a heterogeneous collection consistent with hematoma measuring 4.8 x 1.2 x 4.9 cm. | Left mid arm hematoma measuring up to 4.9 cm in length. |
Generate impression based on findings. | 71 years old, Female, Reason: assess left renal cyst History: assess left renal cyst RIGHT KIDNEY: Kidney measures 9.5 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Previously described left renal mass in the upper/mid kidney is not visualized on this ultrasound examination. Kidney measures 9.3 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus.OTHER: No significant abnormalities noted. | Previously described left renal mass or cyst is not well visualized on this ultrasound examination. |
Generate impression based on findings. | 72 years old, Female, Reason: hyperparathyroidism, adenoma in left inferior position on sestamibi please correlate History: hyperpara RIGHT LOBE MEASUREMENTS: 4.5 x 1.6 x 1.8 cmLEFT LOBE MEASUREMENTS: 3.9 x 1.4 x 1.3 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: The right thyroid lobe is diffusely heterogeneous without evidence of nodule, parathyroid hyperplasia or parathyroid adenoma.LEFT LOBE: The left lobe is also diffusely heterogeneous. No discrete nodules or masses. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Inferior to left lower pole of the thyroid there is a hypoechoic oval shaped mass medially located and partially overlapping the trachea consistent with parathyroid tissue measuring 1.0 by 0.4 x 0.7 cm. This is consistent with recent nuclear medicine study findings suspicious for parathyroid adenoma inferior to the left lower pole of the thyroid.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Inferior to the left lower pole of the thyroid there is a oval hypoechoic mass consistent with a parathyroid adenoma which is medially located and partially overlapping the trachea. |
Generate impression based on findings. | 57 year old female who was recalled from screening mammogram for right breast mass. No family history of breast cancer. Right Breast Diagnostic Mammogram: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Within the medial slightly upper right breast, there is redemonstration of a circumscribed mass measuring approximately 0.4 cm which persists on spot compression imaging.Right Breast Ultrasound: On physical examination, no palpable abnormality is identified.A targeted right ultrasound was performed for the mammographic area of concern. At the two o'clock radian of the right breast, 4 cm from the nipple, there is a clustered cyst measuring 0.5 x 0.4 x 0.9 cm, corresponding to the mass visualized on mammogram. | Clustered cyst at the two o'clock position in the right breast, corresponding to the mass visualized on prior mammogram. Left unilateral diagnostic mammogram and ultrasound is recommended in 6 months to assess stability. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 80 years old, Female, Reason: AKI History: As above RIGHT KIDNEY: Kidney measures 9.6 cm in length. Minimally hyperechoic. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.0 cm in length. Minimally hyperechoic kidney. Nohydronephrosis, shadowing calculus or mass.OTHER: A significant amount of ascites is present consistent with findings on recent CT scan. | 1.Generalized abdominal ascites.2.Kidneys are minimally hyperechoic consistent with medical renal disease. |
Generate impression based on findings. | 57 years old, Female, Reason: 57 yo F with intermittent RLQ abdominal pain x weeks with CT showing concerns for cholecystitis. Pls aid in eval of acute vs. chronic cholecystitis. History: intermittent RLQ pain LIVER: The liver measures 14.1 cm in length. Mildly increased hepatic parenchymal echogenicity is consistent with fatty infiltration. 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: Multiple gallstones are present within the gallbladder. Gallbladder wall is hypovascular is mildly thickened measuring 5 mm. The sonographic Murphy's sign is negative. No intrahepatic biliary ductal dilatation is present. The common bile duct measures 8 mm in diameter. No evidence of pericholecystic fluid.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.7 cm in length. RIGHT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture of the right kidney. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | Cholelithiasis without definite evidence of acute cholecystitis. However findings may represent chronic cholecystitis. |
Generate impression based on findings. | 74 years old, Female, Reason: Eval thyromegaly, masses History: hx of hyperthyroidism, etiology unknown RIGHT LOBE MEASUREMENTS: 6.5 x 3.2 x 3.7 cmLEFT LOBE MEASUREMENTS: 5.0 x 2.6 x 1.3 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Multiple nodules and cysts throughout the right thyroid lobe. Most of these cysts and nodules are subcentimeter. There is a solid 1 cm right isoechoic nodule with hypoechoic rim.The largest of these right thyroid nodules is hypovascular with multiple echogenic foci within the and measures 1.0 x 1.1 x 1.7 cm.LEFT LOBE: Multiple nodules and cysts are present in the left lower lobe, most of which appear subcentimeter in size. Single largest solid thyroid nodule which is isoechoic to thyroid tissue with microcalcifications and hypoechoic rim measuring 3.0 x 1.3 x 1.9 cm. Another mixed density hypoechoic lesion in the left thyroid lobe measures 1.5 x 1.0 x 1.5 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Single dominant solid left thyroid nodule which is isoechoic with a hypoechoic rim and echogenic foci which are present microcalcifications. |
Generate impression based on findings. | 77 years old, Female, Reason: left hand and wrist swelling, concern for splinter ( foreign body) History: pain and swelling No echogenic foreign body identified. No significant abnormality. | No echogenic foreign body identified. |
Generate impression based on findings. | 42 years old, Female, Reason: hx of UTIs and hydroneprhosis History: utis RIGHT KIDNEY: Kidney measures 11.5 cm in length. Proximal hydroureter is present on the right just not extend the length of the entire ureter to the level of the bladder. Mild hydronephrosis on the right. Normal echotexture. No shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Proximal right hydroureter with mild right hydronephrosis. |
Generate impression based on findings. | 53 years old, Female, Reason: 53 yr old female with Stage IIIC Ovarian Cancer; known gastohepatic, mesenteric, periaortic, and retroperitoneal lymph nodes. Assess for cancer related symptoms vs. other GI etiology History: Upper abdominal fullness, acid reflux, LUQ pain, along with elevated LFT's and rising CA125. LIVER: The liver measures 19.1 cm in length. The liver parenchyma is mildly echogenic suggesting fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of .3 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 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: History of splenectomy.RIGHT KIDNEY: Kidney measures 12.7 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. | 1.Hepatic steatosis.2.No specific findings to account for the patient's left upper quadrant pain. |
Generate impression based on findings. | 48-year-old female with left breast palpable area, presents for follow-up ultrasound. On physical examination, there is a firm palpable area at the two o'clock position of the left breast, 5 cm from the nipple.A targeted left ultrasound was performed for the palpable area of concern, as marked by Dr. Chhablani. Focal area of dense breast tissue is identified subjacent to the area of palpable concern. There is no solid or cystic mass identified. | Focus of dense breast tissue at the site of palpable abnormality in the left breast. The patient was instructed to discuss the need for any further follow up with Dr. Chhablani.If the patient's physical exam remains unchanged, bilateral screening mammogram is recommended annually, for which the patient will be due in June 2015.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 36 years old, Female, Reason: nontender goiter on exam, eval for nodules History: asymptomatic RIGHT LOBE MEASUREMENTS: 5.5 x 2.3 x 1.9 cmLEFT LOBE MEASUREMENTS: 5.2 x 1.9 x 1.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Single hypovascular right thyroid nodule measures 2.1 x 1.0 x 1.4 cm. This nodule is hypoechoic to normal thyroid tissue with heterogeneous echotexture.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. | Single hypovascular right thyroid nodule measuring up to 2 cm which is hypoechoic to normal thyroid tissue and has heterogeneous echotexture. |
Generate impression based on findings. | 41 years old, Female, Reason: history of cervical cancer /p robotic radical hysterectomy/LND and pelvic radiation in 2010 with urinary retention requiring intermitent self catheterization, now with bilateral flank pain History: bilateral flank pain, worsening urinary retention RIGHT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | Normal ultrasound examination of the kidneys. |
Generate impression based on findings. | 63 years old, Female, Reason: hx anaplastic thyroid cancer, eval for recurrence in surgical bed History: dysphagia Patient is status post thyroidectomy.RIGHT LOBE Area: No definite suspicious mass lesions within the surgical bed.LEFT LOBE Area: No definite suspicious mass lesions within the surgical bed.ISTHMUS Area: No significant abnormality noted.LYMPH NODES: No significantly enlarged lymph nodes.OTHER: No significant abnormality noted. | No definite suspicious mass lesions within the thyroidectomy bed. Continued follow-up is advised if clinically warranted. |
Generate impression based on findings. | History of rising creatinine over the past 6 months to one year. RIGHT KIDNEY: Kidney measures 11.3 cm in length. Heterogeneous echotexture of the right kidney. Numerous cysts within the right kidney. No definite solid lesions are identified. No hydronephrosis. Calcifications are present in the right kidney.LEFT KIDNEY: Kidney measures 10.0 cm in length. Heterogeneous echotexture and numerous cysts are noted within the left kidney without evidence of solid mass lesion. No hydronephrosis. Calcifications are present in the left kidney.OTHER: No significant abnormalities noted. | 1.Kidneys have increased echogenicity and calcifications bilaterally consistent with medical renal disease.2.Numerous bilateral renal cysts. No focal solid mass lesions. |
Generate impression based on findings. | 52 year old female with history of cirrhosis, evaluate for HCC. LIVER: The liver has coarse echogenicity, and subtle contour nodularity. Liver measures approximately 13 cm. No biliary dilatation. No pain during exam. No discrete mass identified.BILIARY TRACT: No biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: Small left renal cyst is unchanged in size or appearance. | Cirrhotic liver morphology, without evidence of mass or other significant abnormality. |
Generate impression based on findings. | 61 year old female with right upper quadrant pain. The patient was mildly tender to palpation during exam.LIVER: Findings of cholecystectomy. No biliary dilatation or other acute abnormality. Liver demonstrates subtle coarse echogenicity.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted. | Findings of cholecystectomy, without acute abnormality. Mild epigastric tenderness during exam. |
Generate impression based on findings. | 40 year-old female with history of abdominal pain, vomiting and elevated lipase. Acute pancreatitis. The patient was not tender during exam.LIVER: No biliary dilatation or significant abnormalities noted.BILIARY TRACT: No cholelithiasis, gallbladder wall thickening or significant abnormalities noted.PANCREAS: No fluid collections or significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No hydronephrosis or significant abnormalities noted. OTHER: No significant abnormalities noted. | No significant abnormality to explain the patient's symptoms. |
Generate impression based on findings. | 19 year-old female with history of urinary frequency, and feelings of incomplete voiding. Evaluate for urinary retention. Bladder:Pre-void bladder volume was 270 mL, and postvoid bladder volume was 3 mL. No significant retention. | No significant abnormal urinary retention. |
Generate impression based on findings. | 21-year-old male with history of left varicocele and pain. RIGHT TESTIS: Right testes measures 2.6 x 2.3 x 6.0 cm parenchymal texture is normal.LEFT TESTIS: Left testes measures 3.2 x 2.2 x 5.8 cm parenchymal echotexture is normal.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: Subcentimeter left epididymal simple cysts.OTHER: Bilateral varicocele, with small left hydrocele. | Bilateral varicocele and small left hydrocele. |
Generate impression based on findings. | Left testicular pain. RIGHT TESTIS: Right testis measures 4.1 x 2.7 x 2 cm. no focal lesions. Normal vascularity. Testicular microlithiasis.LEFT TESTIS: Left testis measures 3.9 x 2.3 x 2 cm. normal vascularity. Testicular microlithiasis. No focal lesions.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: Subcentimeter epididymal cyst.OTHER: Small left varicocele. Mild scrotal wall thickening, nonspecific. | Left varicocele. Bilateral testicular microlithiasis. Follow-up testicular imaging in one year is recommended. Mild nonspecific scrotal wall thickening. |
Generate impression based on findings. | Male 35 years old Reason: eval for torsion History: 2 d h/o R testicular pain/swelling RIGHT TESTIS: Right testis measures 4.2 x 2.5 x 2.4 cm. right testis is heterogeneous. Vascularity is slightly increased. These findings are compatible with mild orchitis.LEFT TESTIS: This measures 3.8 x 3.9 x 2.3 centimeters. No focal lesions. Normal vascularity.RIGHT EPIDIDYMIS: Right epididymis is diffusely thickened with increased vascularity compatible with right epididymitis.LEFT EPIDIDYMIS: Possible 3.5 x 2.4 cm left epididymal cyst versus localized varicocele.OTHER: No significant abnormalities noted. | Ultrasound findings compatible with right epididymoorchitis. Possible left epididymal cyst. |
Generate impression based on findings. | 43 years old, Male, Reason: RUQ pain History: RUQ pain LIVER: The liver measures 23 cm in length. The liver parenchymal echotexture is borderline. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Per ultrasound technologist, the sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present, the common bile duct measures 4 mm in diameter.PANCREAS: Partially obscured by bowel gas but visualized portions unremarkable.SPLEEN: No significant abnormalities noted. The spleen measures 16 cm in length. RIGHT KIDNEY: Kidney measures 13 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 14 cm in length. Normal echotexture. No hydronephrosis. | 1.No cholelithiasis or acute cholecystitis, no biliary duct dilatation.2.Apparent increased size of organs may be within normal limits. |
Generate impression based on findings. | 58 years old, Female, Reason: RUQ US exam to evaluate biliary tree History: Abdominal distention in patient with HCV/EtOH cirrhosis, HIV LIVER: The liver measures 19 cm in length. The liver has a nodular contour with widened fissures. No definite focal liver lesion. The liver parenchyma is diffusely echogenic. Echogenic material consistent with a thrombus is again noted at the confluence of the splenic vein and SMV. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s. There is trace ascites present.BILIARY TRACT: The gallbladder is hydropic, there is increased distention of the gallbladder since the prior study, now measuring 5 cm. There is sludge within the gallbladder and small cholelithiasis. The gallbladder wall is mildly diffusely thickened measuring 5 mm, which is nonspecific in the setting of cirrhosis and ascites. Per the ultrasound technologist, the sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11 cm in length. RIGHT KIDNEY: Kidney measures 12 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 13 cm in length. Normal echotexture. No hydronephrosis. | 1.Cirrhotic liver without definite focal hepatic lesion.2.Hydropic gallbladder with circumferential wall thickening as above, nonspecific in setting of chronic liver disease and ascites. Correlation with patient's clinical history/physical exam recommended and if there is continued clinical concern, a HIDA scan may be considered for further evaluation.3.Thrombus at the confluence of the splenic vein and SMV is similar in appearance to prior study. |
Generate impression based on findings. | 31 years old, Female, Reason: Evaluate for gallstones History: RUQ pain occ associated with meals LIVER: The liver measures 15.1 cm in length. Increased parenchymal echogenicity is suggestive of fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s. There is likely a small calcified granuloma within the hepatic parenchyma.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 2 mm in diameter.PANCREAS: The pancreas is not well seen due to overlying bowel gas.SPLEEN: No significant abnormalities noted. The spleen measures 9 cm in length. RIGHT KIDNEY: Kidney measures 9.2 cm in length. Normal echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture. No hydronephrosis. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Increased hepatic parenchymal echogenicity is consistent with fatty infiltration. |
Generate impression based on findings. | 77 years old, Female, Reason: Thyroid nodules History: Pt is having dysphagia RIGHT LOBE MEASUREMENTS: 3.9 x 1.3 x 0.8 cmLEFT LOBE MEASUREMENTS: 3.7 x 1.9 x 1.8 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: There is heterogeneity of the right lobe of the thyroid. The largest thyroid nodule in the right is solid and slightly hypoechoic to thyroid tissue measuring 0.8 x 0.5 cm.LEFT LOBE: The largest left thyroid nodule has components of cystic and solid nature, most of which is slightly hypoechoic to the thyroid tissue with punctate hyperechoic foci which are suspicious for microcalcifications. This nodule measures 1.6 x 1.2 cm. No apparent vascular flow within this nodule.ISTHMUS: In the inferior portion of the isthmus there is a solid appearing nodule measuring 1.9 x 0.9 cm which is slightly hypoechoic to the thyroid tissue.LYMPH NODES: No significant abnormality noted. | 1. Left thyroid lobe mixed solid/cystic nodule with questionable microcalcifications. This nodule is indeterminate by ultrasound and would be amenable to future biopsy/FNA.2. Solid appearing inferior isthmus nodule which is amenable to future biopsy/FNA. |
Generate impression based on findings. | 25 year-old female with right upper quadrant pain, nausea, and vomiting. Evaluate for cholelithiasis versus cholecystitis versus liver abnormality. LIVER: The liver is homogeneous in echotexture and measures 15 cm in length. No focal hepatic lesions. Main portal vein is patent with hepatopedal flow and peak velocity of 0.3 m/sec.BILIARY TRACT: No cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Common bile duct measures 0.3 cm in diameter. No intra-or extrahepatic biliary ductal dilatation. Sonographic negative Murphy's sign.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen is homogeneous in echotexture and measures 8.2 cm in length. No focal splenic lesions.RIGHT AND LEFT KIDNEY: Right kidney is homogeneous in echotexture and measures 10 cm in length. Left kidney is normal in echotexture and measures 10 cm in length. No hydronephrosis bilaterally.OTHER: No significant abnormalities noted. | 1.No evidence of cholelithiasis or specific findings to suggest cholecystitis. 2.Liver is normal in echotexture and size without evidence of focal hepatic lesions. |
Generate impression based on findings. | 55 -Year-old female with history of hepatitis C. Evaluate for hepatocellular carcinoma. Limited evaluation due to poor penetration of ultrasound.LIVER: The patient is status post cholecystectomy. Normal appearing liver parenchyma, without focal masses or significant intrahepatic biliary dilatation.BILIARY TRACT: No significant biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted. | No focal masses or significant intrahepatic biliary dilatation. |
Generate impression based on findings. | 18 year-old male with history of sickle cell disease and proteinuria RIGHT KIDNEY: The right kidney measures 10.4 cm, and does not demonstrate hydronephrosis or other significant abnormality.LEFT KIDNEY: The left kidney measures approximately 10 cm, and does not demonstrate hydronephrosis or other significant abnormality.OTHER: Bladder is within normal limits. No shadowing stones appreciated. | Normal-appearing kidneys and bladder as above. |
Generate impression based on findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. There is no solid or cystic mass identified. | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 22 years old, Male, Reason: evaluate gallbladder, ducts History: RUQ pain LIVER: The liver measures 17.3 cm in length. Echogenicity of the liver is borderline increased. No focal hepatic lesion identified. The main portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Gallbladder sludge and possible small gallstones are present. Per ultrasound technologist, negative sonographic Murphy's sign. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct is mildly prominent measuring 7 mm in diameter. There is minimal tapering of the common bile duct at the midportion. The distal common bile duct is not well assessed on this exam and choledocholithiasis at this level cannot be entirely excluded.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9 cm in length. RIGHT KIDNEY: Kidney measures 10.7 cm in length. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.3 cm in length. No hydronephrosis. | 1.Gallbladder sludge and possible small gallstones without evidence of acute cholecystitis.2.Distal common bile duct not well assessed, as above. |
Generate impression based on findings. | 45 years old, Female, Reason: PBC evaluate for HCC History: PBC LIVER: The liver measures 19.0 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Small gallbladder polyp is unchanged in size measuring 0.3 cm. 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 two mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.1 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.6 cm in length. No evidence of hydronephrosis. There is a cyst in the left kidney measuring 1.7 x 1.7 x 2.4 cm. There is nonspecific peripheral echogenicity of this cyst which may be related to septation. | 1.Unchanged small gallbladder polyp with no evidence of cholelithiasis or acute cholecystitis.2.The liver parenchymal echotexture is normal. No focal hepatic lesion identified. 3.Unchanged left renal cyst. |
Generate impression based on findings. | 57 years old, Female, Reason: abdominal pain History: Pt c/o abdominal pain (L-sided). Please look at kidney, liver, pancreas and spleen. Liver: The liver measures 15.2 cm in length. Mildly increased parenchymal echogenicity suggestive of fatty infiltration. Subcentimeter hypoechogenicity measuring up to 1.3 cm may represent focal fatty sparing, although is indeterminate on this ultrasound examination. 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 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen cannot be evaluated due to overlying bowel gas.RIGHT KIDNEY: Kidney measures 9.7 cm in length. No hydronephrosis.LEFT KIDNEY: Kidney measures 10 cm in length. No hydronephrosis.ABDOMINAL AORTA: No evidence of aneurysmal dilatation.INFERIOR VENA CAVA: No significant abnormality noted. | 1.Mildly increased parenchymal echogenicity suggestive of fatty infiltration.2.Subcentimeter hepatic hypoechogenicity may represent focal fatty sparing although it is indeterminate on this ultrasound examination. Further evaluation with dedicated contrast enhanced CT or MRI may be pursued if clinically indicated. |
Generate impression based on findings. | 22 years old, Male, Reason: Evaluate liver and biliary tract History: 22 yo M with hx of MCTD, tricuspid regurgitation, R knee infection, new transaminitis LIVER: The liver measures 16.6 cm in length. The parenchymal echogenicity of the liver is normal. No focal hepatic lesion identified. IVC and hepatic veins are distended, may be seen in the setting of rightsided heart failure. The portal vein is patent with pulsatile hepatopetal flow and a velocity of 0.3 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 5.5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 9.2 cm in length. No evidence of hydronephrosis. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.The parenchymal echogenicity of the liver is normal. No focal hepatic lesion identified. 3.IVC and hepatic veins are distended, suggesting rightsided heart failure. |
Generate impression based on findings. | 55 years old, Male, Reason: 55 y/o male hx of AML with worsening right-sided and radiating abdominal pain x 5 days, question of gallstones History: Right sided and radiating abdominal pain upon palpation and with movement Suboptimal ultrasound evaluation to patient's body habitus.LIVER: The liver is mildly increased in size measuring 19.1 cm in length. Increased parenchymal echogenicity suggestive of fatty infiltration. The main 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. Per the ultrasound technologist, the sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: Pancreas is not well visualized on the study.SPLEEN: No significant abnormalities noted. The spleen measures 14.8 cm in length. RIGHT KIDNEY: Kidney measures 13.7 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 15.2 cm in length. No evidence of hydronephrosis. | 1.Limited examination due to body habitus. Increased echogenicity of the hepatic parenchyma suggestive of fatty infiltration. 2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis. |
Generate impression based on findings. | 72 years old, Female, Reason: evaluation for parathyroid location and any abnormality History: secondary hyperparathyroidism RIGHT LOBE MEASUREMENTS: 4.8 x 1.8 x 1.1 cm.LEFT LOBE MEASUREMENTS: 4.1 x 1.8 x 1.1 cm.ISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Inferior to lower pole of the left thyroid lobe is a hypoechoic nodule with peripheral vascular flow measuring 1.8 x 1.4 x 1.6 cm, appearance consistent with parathyroid adenoma.LYMPH NODES: No significant abnormality noted. | Parathyroid adenoma adjacent to the left lower pole of the thyroid. Please refer to concomitant scintigraphic imaging from same day for additional findings. |
Generate impression based on findings. | 27 years old, Female, Reason: Please evaluate RUQ, especially liver and biliary tree, given elevated LFTs. Please assess area around ileostomy to evaluate for abscess History: elevated liver enzymes LIVER: The liver measures 18 cm in length. The parenchyma is normal in appearance. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: There is gallbladder sludge without evidence of gallbladder wall thickening or peri-cholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 0.3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 13.5 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Mild hydronephrosis.LEFT KIDNEY: Kidney measures 10 cm in length. Mild hydronephrosis.OTHER: The bladder is collapsed and not well visualized. No evidence of subcutaneous abscess or fluid collection in the area of the ileostomy. Note is made of incompletely imaged fetus. | 1.Gallbladder sludge without evidence of acute cholecystitis.2.Bilateral mild hydronephrosis, which is likely physiologic given known pregnancy.3.No evidence of subcutaneous abscess or fluid collection in the area of the ileostomy as clinically questioned. |
Generate impression based on findings. | 60 years old, Female, Reason: Assess size of nodule. Cystic vs solid? Any microcalcifications? Evaluate for adenopathy History: Left inferior nodule at least since 7/12 (1.2cm- mostly cystic, but with calcifications). Most recent US 7/14 (1.4 cm). This is 6 month follow up study, first study at UC RIGHT LOBE MEASUREMENTS: 4.3 x 1.1 x 1.6 cmLEFT LOBE MEASUREMENTS: 4.6 x 1.2 x 1.5 cmISTHMUS MEASUREMENTS: 0.1 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: Left lower pole thyroid nodule with peripheral coarse calcifications and internal hypoechogenicity measures 1.3 x 1.0 x 1.0 cm.ISTHMUS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. | Left lower pole thyroid nodule with peripheral coarse calcifications. Please correlate with outside imaging and pathology results. |
Generate impression based on findings. | 38 years old, Female, Reason: evaluate GB History: RUQ pain Exam is limited due to patient's body habitus.LIVER: The liver measures 18.5 cm in length. Increased echogenicity of the liver suggestive of fatty infiltration. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 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 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.6 cm in length. RIGHT KIDNEY: Kidney measures 11.3 cm in length. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.6 cm in length, kidney not well visualized. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Increased echogenicity of the liver is consistent with fatty infiltration. |
Generate impression based on findings. | 66 years old, Female, Reason: evaluate for residual thyroid cancer RIGHT LOBE MEASUREMENTS: Status post thyroidectomy. No definite soft tissue echogenicity seen to suggest tumor recurrence.LEFT LOBE MEASUREMENTS: Status post thyroidectomy. No definite soft tissue echogenicity seen to suggest tumor recurrence.ISTHMUS MEASUREMENTS: Status post thyroidectomy. No definite soft tissue echogenicity seen to suggest tumor recurrence.LYMPH NODES: Single subcentimeter benign-appearing level 2 lymph node on the left, with a fatty hilum. | No evidence of recurrent disease or lymphadenopathy. |
Generate impression based on findings. | 60 years old, Female, Reason: abdominal abscess pocket History: cellulitis, pain, erythema In the right lower quadrant there is a complex area of subcutaneous heterogeneous echogenicity measuring approximately 3.4 x 2.6 x 3.3 cm. Curvilinear hypoechoic component of this complex likely represents fluid measuring up to 5 mm in greatest dimension (image time stamped 2:13:18). Skin thickening is present. Wound draining pus during ultrasound examination. | Complex subcutaneous area of heterogeneous echogenicity with scattered small loculated fluid may represent a severe focal cellulitis or developing abscess, only small amount of internal fluid seen. |
Generate impression based on findings. | 54 years old, Male, Reason: 54yo M with significant etoh abuse and abnormal labs concerning for cirrhosis. History: etoh use, hepatomegaly LIVER: The liver size is within normal limits measuring 15.4 cm in length. Increased echogenicity of the liver is consistent with fatty infiltration. No significant nodularity of the liver. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s. No evidence of ascites.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 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.6 cm in length. RIGHT KIDNEY: Kidney measures 10.6 cm in length. No evidence of hydronephrosis. Echogenic focus in the right kidney with posterior shadowing likely represents a renal calculus.LEFT KIDNEY: Kidney measures 10.8 cm in length. No evidence of hydronephrosis. | 1.Increased echogenicity of the liver is consistent with fatty infiltration. No definite capsular nodularity of the liver or widening of the fissures to suggest cirrhosis.2.Echogenic focus in the right kidney with posterior shadowing is favored to represent a renal calculus. |
Generate impression based on findings. | 41 years old, Female, Reason: 41 yo with HCV History: none LIVER: The liver measures 14.8 cm in length. The liver parenchymal echotexture is heterogeneous. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s. No evidence of ascites.BILIARY TRACT: 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 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.5 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. No hydronephrosis. LEFT KIDNEY: Kidney measures 11.5 cm in length. No evidence of hydronephrosis. | 1.No focal hepatic lesion identified. |
Generate impression based on findings. | 75 years old, Female, Reason: Elevated LFTs History: nausea/vomiting Exam is significantly limited by patient's body habitus.LIVER: The liver measures 12 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a 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 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.2 cm in length. RIGHT KIDNEY: Kidney measures 7.9 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: Kidney measures 6.9 cm in length. No evidence of hydronephrosis.OTHER: Trace left pleural effusion. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or acute cholecystitis.2.Hepatic parenchymal echotexture is within normal limits.3.Trace left pleural effusion. |
Generate impression based on findings. | 64 years old, Female, Reason: stones History: stones RIGHT KIDNEY: Kidney measures 9.3 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus. Simple appearing right renal cyst measures 0.9 x 0.8 x 1 cm.LEFT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.Bladder: No evidence of calculus within the bladder. | 1.No definite evidence of renal calculus.2.Simple appearing right renal cyst. |
Generate impression based on findings. | 67 years old, Male, Reason: renal mass History: renal mass RIGHT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. Complex renal lesion measures slightly smaller than on the prior study now measuring 1.5 x 1.4 x 1.5 cm, previously measuring 1.8 x 1.6 x 1.7 cm.LEFT KIDNEY: Kidney measures 11 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.Other: The prostate is markedly enlarged and lobulated measuring 8.1 x 5.0 x 6.5 cm. | 1.Stable complex lesion in the right kidney which can be further characterized with dedicated kidney CT or MRI. Continued follow-up imaging is recommended.2.Markedly enlarged prostate. |
Generate impression based on findings. | 70 years old, Female, Reason: Evaluate hypoechoic masses seen on CT A/P 1/16 History: Renal transplant Transplanted KIDNEY: Kidney measures 13.5 cm in length. Normal echotexture. Nohydronephrosis. Multiple simple appearing renal cysts the largest of which measures 1.7 x 1.6 x 1.7cm. The vascularity to the transplanted kidney appears patent.OTHER: The bladder is nearly empty around Foley catheter. | Multiple simple appearing renal cysts within the transplanted kidney without evidence of hydronephrosis. |
Generate impression based on findings. | 45 years old, Female, Reason: assess for causes of RUQ pain radiating to back History: NAFLD LIVER: The liver is enlarged measuring 22.5 cm in length. Increased liver parenchymal echotexture suggestive of fatty infiltration. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Patient has history of cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.2 cm in length. RIGHT KIDNEY: Kidney measures 12.8 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.5 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.Hepatomegaly and increased hepatic parenchymal echogenicity consistent with fatty infiltration of the liver. |
Generate impression based on findings. | 56 years old, Female, Reason: HBV evalaute for HCC History: HBV LIVER: The liver measures 12.0 cm in length. Mildly coarse echogenicity of the liver. Unchanged small right liver cyst measuring 5 mm. No evidence of nodularity to the liver. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. Patient's known 4-mm polyp is unchanged in size and appearance. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 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 10.0 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 9.6 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.No evidence of cirrhosis or hepatic mass. 2.Unchanged right hepatic 5-mm cyst.3.Subcentimeter gallbladder polyp is unchanged in size and appearance. |
Generate impression based on findings. | 54 years old, Female, Reason: hx pancreatis/ abdominal pain. per pt previuos u/s OSH stones History: abdominal pain LIVER: The liver measures 16.4 cm in length. Coarse echogenicity of the liver. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 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 4 mm in diameter.PANCREAS: Pancreas is not fully evaluated on this ultrasound examination to overlying bowel gas. The visualized portion of the pancreas is heterogeneous without ductal dilatation and may be a sequela of known pancreatitis. SPLEEN: No significant abnormalities noted. The spleen measures 12.8 cm in length. RIGHT KIDNEY: Kidney measures 12.2 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 11.5 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. Coarse liver parenchyma suggestive of chronic liver disease/fatty infiltration without mass.2.Pancreas is not fully evaluated on this ultrasound examination due to overlying bowel gas. The visualized portion of the pancreas is heterogeneous without ductal dilatation. |
Generate impression based on findings. | 74-year-old male with history of right adrenal mass and bilateral renal cysts. RIGHT KIDNEY: The right kidney measures approximately 10.4 cm, and demonstrates no hydronephrosis or shadowing stones. Several small cysts are seen. No internal vascularity, and no significant interval change.LEFT KIDNEY: Left kidney measures approximately 11.8 cm, without renal calculus or hydronephrosis. Several small cysts are again noted. No internal vascularity, and no significant interval change.OTHER: Urinary bladder is within normal limits, unchanged.Right adrenal nodule measures approximately 3.8 x 3 x 2.6 centimeters, nonspecific but likely myelolipoma and is unchanged. | Multiple bilateral renal cysts and right adrenal myolipoma, unchanged. |