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Generate impression based on findings. | 54-year-old male with metastatic esophageal carcinoma with severe abdominal pain and abnormal liver function. LIVER: Liver is heterogeneous in echotexture and normal in size. Discrete mass is not seen with certainty. There is now thrombosis of the portal venous system, progressive from the prior CT.GALLBLADDER, BILIARY TRACT: There appears to represent gallbladder is filled with echogenic material. The wall is not easily separated from internal material but is likely mildly thickened which is not specific in the face of ascites. No shadowing gallstones. There is now significant and diffuse biliary tract dilatation with the common duct measuring 1.7 cm in greatest diameter extending to the patient's known mass which infiltrates the porta hepatis.PANCREAS: Not discretely visualized. Large midline mass.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Significant ascites. Pleural effusions. | Biliary tract dilatation likely due to obstruction in the porta by metastatic disease. Portal venous thrombosis.Gallbladder sludge without shadowing stones.Diffuse, moderate ascites. Pleural effusions. |
Generate impression based on findings. | 59 years old, Female, Reason: Please evaluate for cirrhosis, splenomegaly, ascites or masses History: 59 yo F with hepatitis C, elevated fibrospect. LIVER: The liver measures 16.3 cm in length. Hepatic parenchyma is within normal limits. No nodularity of the liver to suggest cirrhosis. 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 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 9.3 cm in length. RIGHT KIDNEY: Kidney measures 11.3 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. In the inferior pole of the left kidney there is a round anechoic structure favored to be a simple cyst. Adjacent to this cyst there is a smaller anechoic structure which also likely represents a cyst.OTHER: No evidence of ascites. | 1.No evidence of nodularity or widening of the fissures to suggest cirrhosis.2.Left kidney cysts. |
Generate impression based on findings. | 57 years old, Female, Reason: eval for parathyroid adenomas/hyperplasia, plan for possible parathyroidectomy History: primary hyperparathyroidism (hypercalemia, hyperparathyroidism), fatigue, renal stones, nausea RIGHT LOBE MEASUREMENTS: 5.4 x 2.9 x 3.4 cmLEFT LOBE MEASUREMENTS: The inferior aspect of the left thyroid lobe is below the field of view and appears to extend retrosternally. Measurements are approximately 9.5 x 2.4 x 2.8 cm.ISTHMUS MEASUREMENTS: 1.5 cmRIGHT LOBE: Right spongiform nodule, most consistent with a colloid nodule measuring 2.6 x 1.8 x 2.4 cm.LEFT LOBE: Left lower lobe spongiform nodule measures 3.1 x 2.7 by 3.4 cm. and likely represents a colloid nodule. Inferior portion of the left lower lobe appears nodular and extends retrosternally and is therefore incompletely visualized. We cannot exclude an extrathyroidal mass.ISTHMUS: Spongiform thyroid nodule likely representing a colloid nodule measuring 1.7 x 1.1 x 1.7 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.Inferior portion of the left thyroid lobe appears nodular and extends retrosternally beyond the field-of-view on this ultrasound examination. We cannot exclude an extrathyroidal mass or adenoma.2.Multiple bilateral thyroid nodules the largest of which is on the left measuring up to 3.4 cm. |
Generate impression based on findings. | 66-year-old male with history of hemachromatosis. Evaluate liver. No current symptoms. LIVER: The liver measures 14.2 cm in diameter. Note is made of a diffusely heterogenous echotexture affecting the liver. No focal mass lesion identified. No intra- or extra-hepatic biliary ductal dilation. GALLBLADDER, BILIARY TRACT: No gallstones are identified. The common duct measures 5 mm in diameter. PANCREAS: The pancreas is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.6 cm in length.OTHER: The spleen measures 11.7 cm in diameter. | Diffusely heterogeneous echotexture of the liver is nonspecific but may be seen in setting of hepatic steatosis/parenchymal dysfunction. No evidence of focal masslesion. |
Generate impression based on findings. | Female 49 years old; Reason: cyst posterior left neck, TTP, x2 weeks, RA/sarcoid - eval etiology History: as above Within the subcutaneous tissues there is a relatively encapsulated isoechoic mass measuring 3.2 x 0.9 x 3.9 cm. it does not have any cystic foci of vascularity. | 1.Findings compatible with a subcutaneous lipoma. |
Generate impression based on findings. | 76-year-old male with a history of hyperparathyroidism. RIGHT LOBE MEASUREMENTS: 3.2 x 1.7 x 1.7 cmLEFT LOBE MEASUREMENTS: 3.7 x 1.3 x 1.3 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: Note is made of a 5 x 5 x 3 mm anechoic nodule along the inferior pole of the left lobe of the thyroid without internal vascularity, suggestive of a cyst.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: There is a 1.0 x 1.0 x 1.0 cm heterogeneous, but predominantly hypoechoic nodule along the posterior aspect of the inferior pole of the left lobe of the thyroid with associated internal vascularity.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.0-cm nodule along the inferior pole of the left lobe of the thyroid, which may represent a parathyroid adenoma candidate.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Abdominal distention, acute liver failure history of chemotherapy LIVER: Liver parenchyma is mildly echogenic. No focal hepatic lesions.. No intrahepatic biliary ductal dilation. The portal vein is patent with normal directional flow. Moderate perihepatic ascites.GALLBLADDER, BILIARY TRACT: Nonspecific gallbladder wall thickening in the setting of ascites it measures 11 mm. Gallbladder sludge is noted.PANCREAS: The pancreas is obscured.RIGHT KIDNEY: Measures 11 cm. No mass or hydronephrosis.OTHER: Spleen measures 8.5 cm. left kidney measures 10.4 cm without hydronephrosis or mass. | Heterogeneous hepatic echotexture with perihepatic ascites. The main portal vein is patent.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Acute kidney failure RIGHT KIDNEY: Left kidney measures 10.3 cm. Cortex is echogenic. No hydronephrosis or mass.LEFT KIDNEY: Right kidney measures 10.9 cm. Cortex is echogenic No hydronephrosis or mass.OTHER: Foley catheter in a collapsed bladder. Large volume pelvic ascites. | No sonographic findings of nephrolithiasis or hydronephrosis.AscitesI personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 68-year-old with a history of left mastectomy in 2008 for DCIS. Three standard views of the right breast were performed digitally with spot compression views 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. A focal asymmetry with distortion in the right upper breast at the 12:00 position persists on spot compression images, more suspicious on the CC view. Repeat mammograms after placement of a BB over the site of the below-mentioned sonographic abnormality corresponds to this focal asymmetry. ULTRASOUND | Indeterminate 12 mm mass in the right upper breast at the 12:00 position. Ultrasound guided biopsy is recommended. Findings were discussed with the patient. Clip placement will be especially important in order to determine correlation between the sonographic finding for biopsy and the mammographic distortion. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Female 60 years old Reason: microscopic hematuria for many years, h/o renal cysts 2011 History: microscopic hematuria RIGHT KIDNEY: The right kidney measures 11.0 cm. There is no hydronephrosis or shadowing stones. No convincing renal cyst identified on today's study.LEFT KIDNEY: The left kidney measures 11.4 cm. There is no hydronephrosis or shadowing stones. No convincing renal cyst identified on today's study.URINARY BLADDER: Bladder is poorly distended.OTHER: No significant abnormalities noted. | Unremarkable appearance of the kidneys. No specific cause for hematuria is identified. |
Generate impression based on findings. | Palpable mass in the lateral right breast. Personal history of Ewings sarcoma and acute lymphocytic leukemia. On physical examination, a 2 cm soft mobile palpable mass is present in the lateral right breast. A bilateral whole breast ultrasound was performed. At the 9 o'clock position of the right breast, 3 cm from the nipple, a 2.6 x 1.6 x 2.6 cm lobulated hypoechoic parallel mass is present with minimal internal vascularity. At the 6 o'clock position of the right breast, 2 cm from the nipple, a 1.2 x 0.9 x 1.5 cm lobulated hypoechoic mass is present with mild internal vascularity. No additional masses are present in either breast. | Two similarly appearing masses in the right breast, one at 9 o'clock and one at 6 o'clock. Statistically, these are most likely fibroadenomata. However, given the patient's clinical history, referral to the breast clinic for possible FNA based on palpability is recommended. Results and recommendations were discussed with the patient. BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 64 year-old female with incidental finding of a thyroid nodule on CT of the neck. RIGHT LOBE MEASUREMENTS: 4.0 x 1.4 x 1.5 cm.LEFT LOBE MEASUREMENTS: 5.7 x 1.7 x 1.8 cm.ISTHMUS MEASUREMENTS: 0.5 cm.RIGHT LOBE: Note is made of a 3 x 4 x 2 mm anechoic collection with a punctate focus of increased echogenicity and associated comet tail artifact, without internal vascularity or microcalcification, consistent with a colloid cyst. LEFT LOBE: 9 x 8 x 9 mm spongiform nodule in the superior pole of the left lobe of the thyroid without internal vascularity or microcalcification.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Bilateral benign morphology thyroid nodules, as detailed above. |
Generate impression based on findings. | 59 year old female with history of viral hepatitis C, cirrhosis. LIVER: Cirrhotic morphology with coarse heterogeneous echogenic liver parenchyma, unchanged. No identifiable mass lesion. Liver length 18.5 cm. Main portal vein is patent, with flow at approximately 0.2 m/secGALLBLADDER, BILIARY TRACT: Stable cholelithiasis without findings of cholecystitis or biliary obstruction.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Increased echogenicity of renal parenchyma unchanged without mass, stone, or hydronephrosis. 8.8 cm in lengthOTHER: Increased echogenicity of left renal parenchyma, unchanged without obstruction. Left kidney 9 cm in length. Spleen 10.7 cm in length. Worsening moderate ascites. | 1.Cirrhotic liver morphology, without mass or ductal dilatation. 2.Improved mild abdominal ascites. 3.Hyperechoic renal parenchyma, consistent with medical renal disease/parenchymal dysfunction without obstruction. |
Generate impression based on findings. | 21-year-old female with history of right quadrant pain. Concern for biliary dilatation or acute ischemia of the liver. Status post cholecystectomy. LIVER: The liver measures approximately 18 cm in length. Gallbladder is surgically absent. No significant intrahepatic biliary dilatation.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy.PANCREAS: Limited evaluation of the pancreas reveals no significant abnormality. RIGHT KIDNEY: The right kidney measures 10.5 cm in length, without hydronephrosis or hydroureter.OTHER: Left kidney measures 10.4 cm in length, without hydronephrosis or hydroureter. The spleen is autoinfarcted, with internal calcifications. Equivocal node in the hepatic hilum, may represent hepatic parenchyma, nonspecific. | Status post cholecystectomy, with autoinfarcted spleen. No additional significant abnormality. |
Generate impression based on findings. | 56 year old male with history of cirrhosis, evaluate for any concerning lesions. LIVER: Coarse liver echotexture, with subtle nodularity of the contour consistent with history of cirrhosis. No identifiable masses. Main portal vein is patent, with peak flow approximately 0.2 m/sec.GALLBLADDER, BILIARY TRACT: No significant biliary dilatation, with the common bile duct measuring approximately 0.4 cm. Gallbladder within normal limits.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures approximately 11 cm in length. No hydronephrosis or other significant abnormality.OTHER: Left kidney measures approximately 11.6 cm in length, without hydronephrosis or other significant abnormality. Spleen is slightly enlarged, at 16 cm, unchanged. | Cirrhotic liver morphology without identifiable mass, and unchanged splenomegaly. |
Generate impression based on findings. | 22-year-old with history of palpable area of concern in the right breast. The patient presented for ultrasound 6 months ago and findings at that time were compatible with a prominent fat lobule versus fibroadenoma. A targeted right ultrasound was performed for the palpable area of concern. There is no suspicious solid or cystic mass identified. A mixed echogenicity area in the right breast 5 o'clock position measures 1.7 x 0.9 cm. On these images, it is more compatible with a prominent fat lobule rather than a fibroadenoma. | Finding at the site of palpable concern is probably a prominent fat lobule. The patient will follow-up with Dr. Jaskowiak today. As long as physical exam findings are not concerning, routine clinical follow-up would be recommended thereafter until she begins normal screening mammography.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Female 58 years old Reason: evaluating for ascites History: weight gain in cirrhosis patient, also abdominal distention and DOE Four quadrant ultrasound demonstrates no evidence of ascites. | No evidence of ascites. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Benign appearing subcentimeter cyst. Right kidney 9.6 cm in length.LEFT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 9.7 cm in lengthOTHER: Bladder nondistended | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction. |
Generate impression based on findings. | Elevated creatinine RIGHT KIDNEY: Mildly echogenic renal parenchyma without worrisome mass or stone. Minimal hydronephrosis. Right kidney 12.4 cm in lengthLEFT KIDNEY: Mildly echogenic renal parenchyma without worrisome mass or stone. Benign-appearing renal cyst. Minimal hydronephrosis. Left kidney 11.8 cm in length.OTHER: Mildly distended bladder with significant postvoid residual. Minimal hydronephrosis does not resolve post void. | Mildly echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass or stone. Minimal bilateral hydronephrosis which does not resolve postvoid. Significant postvoid bladder residual. |
Generate impression based on findings. | Hyperthyroidism RIGHT LOBE MEASUREMENTS: 2.4 x 2 x 5.5 cmLEFT LOBE MEASUREMENTS: 1.9 x 1.8 x 5.3 cm ISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Diffusely heterogeneous gland with increased vascularity. Numerous predominately solid nodules. The largest within the midpole measures 1.2 x 0.8 x 1.3 cm.LEFT LOBE: Diffusely heterogeneous gland with increased vascularity. Numerous predominately solid nodules. A representative midpole nodule measures 1.5 x 1.2 x 1.4 cm.ISTHMUS: Diffuse heterogeneous gland with increased vascularityPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous gland with increased vascularity suggestive for Graves' disease or acute thyroiditis. Numerous bilateral thyroid nodules. |
Generate impression based on findings. | 67 years old, Female, Reason: abnormal lfts need vascular imaging History: abnormal LFTs need vascular imaging to r/o liver thrombosis. Ultrasound exam is extremely limited due to patient body habitus.LIVER: The liver measures 19.8 cm in length. Increased hepatic parenchyma echogenicity is consistent with fatty infiltration. No focal hepatic lesions or masses are definitely identified. BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. The common bile duct is not well visualized.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is not well visualized. No significant abnormalities noted. The spleen measures 9.6 cm in length. RIGHT KIDNEY: No hydronephrosis or shadowing calculus.LEFT KIDNEY: No hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.Exam is limited due to patient body habitus. Within these limitations the portal vein appears patent with an increased peak systolic velocity. No definite thrombus is identified. Recommend dedicated CT to evaluate vascular patency. 2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | Hepatitis C LIVER: Coarse echogenic liver without mass. Liver length 14.9 cmGALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation. Mild bilobar intrahepatic as well as mild extrahepatic biliary dilatation. Maximal CBD diameter 0.9 cm. The distal bile duct cannot be assessed due to overlying gas.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right renal cyst. 9.6 cm in length.OTHER: Echogenic focus within the spleen; favor benign etiology such as hemangioma. Spleen length 10.2 cm. Left kidney 10.6 cm in length. Left renal cyst. No ascites. | Echogenic liver parenchyma consistent with chronic liver disease without mass lesion. Gallbladder sludge without acute inflammation. Mild bilobar intrahepatic and mild extra hepatic biliary dilatation. The distal bile duct cannot be assessed due to overlying gas and a distal obstructing lesion cannot be excluded on this study. Would recommend correlation with CT or M.R.C.P. No ascites. |
Generate impression based on findings. | Male 68 years old Reason: Concern for cyst History: Asx Focused ultrasound performed over the patient's palpable lump in the left upper back demonstrated 9.5 x 8.9 x 2.7 cm well-circumscribed, solid lesion, hypoechoic with linear undulating hyperechoic foci. The lesion is larger in length than width and demonstrates posterior acoustic enhancement. | Superficial mass in the left back which does not have the appearance of cyst. Lipoma is a differential consideration. |
Generate impression based on findings. | Female 33 years old . Query anterior abdominal wall hernia? Focused ultrasound performed over the site of patient's clinical concern superior to the umbilical area. An approximately a 1.3-cm defect in the ventral abdominal wall musculature was identified with herniated abdominal content which reduced during the examination. | Reducible ventral wall hernia. |
Generate impression based on findings. | 66 year old female with history of altered mental status and possible biliary obstruction. Evaluate for portal thrombosis in the setting of hyperkalemia. LIVER: The liver measures 17.3 cm, and has no biliary dilatation. Small amount of abdominal ascites. Portal vein is patent, with velocity measured at 14 cm/sec.BILIARY TRACT: Cholelithiasis, without evidence of cholecystitis. No biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Hyperechoic renal parenchyma, which may be seen in medical renal disease. No hydronephrosis or hydroureter. Small right renal cyst, measuring approximately 2.4 cm.OTHER: Pleural effusions and abdominal ascites. | 1.Ascites and pleural effusions as above.2.Cholelithiasis, without findings of cholecystitis.3.No biliary dilatation or portal vein thrombosis. |
Generate impression based on findings. | 50 year-old male with history of acute kidney failure. Evaluate for renal obstruction. RIGHT KIDNEY: No hydronephrosis or hydroureter. The right kidney measures approximately 11 cm in length.LEFT KIDNEY: No hydronephrosis or hydroureter. The left kidney measures approximately 11.4 cm in length.OTHER: Small amount of abdominal ascites. The bladder is within normal limits, and there is a Foley catheter in place. | No hydronephrosis or hydroureter, or other findings of urinary obstruction. |
Generate impression based on findings. | 70 year-old male with history of kidney injury. Evaluate for hydronephrosis. RIGHT KIDNEY: No hydronephrosis or perinephric fluid collections. The right kidney measures 9.5 cm. Mild hyperechoic renal parenchyma, raising the suspicion of medical renal disease.LEFT KIDNEY: No hydronephrosis or perinephric fluid collections. The left kidney measures 10.9 cm. Mild hyperechoic renal parenchyma, raising the suspicion of medical renal disease.OTHER: The bladder is decompressed, with Foley in place. | No hydronephrosis or findings of obstruction. Mild hyperechoic renal parenchyma, raising the suspicion of medical renal disease. |
Generate impression based on findings. | Female 66 years old Reason: R knee pain/fullness - evaluate for Baker's cyst History: pain Focused ultrasound performed over the right popliteal fossa at the site of patient's symptoms. No evidence of Baker's cyst. No significant fluid to suggest Baker's cyst rupture. | No evidence of Baker's cyst. |
Generate impression based on findings. | 50 year-old male with history of worsening liver failure. Evaluate hepatic vaso-occlusive disease. LIMITED ABDOMENLIVER: Mildly hyperechoic liver parenchyma, unchanged. No biliary dilatation is appreciated.BILIARY TRACT: Not well assessed on this nondedicated study.PANCREAS: Not well assessed on this nondedicated study.RIGHT KIDNEY: Not well assessed on this nondedicated study. | Patent hepatic vasculature as above. Redemonstration of echogenic liver parenchyma, with ascites and right pleural effusion incompletely imaged. |
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. | 51-year-old male with a history of thyroid cancer. RIGHT LOBE MEASUREMENTS: Surgically absent.LEFT LOBE MEASUREMENTS: Surgically absent.ISTHMUS MEASUREMENTS: Surgically absent.RIGHT LOBE: Surgically absent.LEFT LOBE: Surgically absent.ISTHMUS: Surgically absent.LYMPH NODES: Note is made of a 2.2 x 0.6 centimeter lymph node, corresponding to the patient's palpable area of concern. There is preservation of the normal fatty hilum without evidence of increased cortical vascularity. Multiple additional benign morphology left and right level 2 cervical lymph nodes are identified | 2.2 cm benign morphology lymph node corresponding to the patient's palpable area of concern in the soft tissues of the left neck adjacent to the left ear. While a benign etiology is favored, follow up examination may be considered to establish stability/resolution. I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | 26-year-old female with a history of papillary carcinoma thyroid status post resection RIGHT LOBE: Status post thyroidectomy without massLEFT LOBE: Status post thyroidectomy without massISTHMUS: Status post thyroidectomy without massPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal appearing lymph nodes are identified in the right neck, superior to the surgical bed, not significantly changed.OTHER: No significant abnormality noted. | Stable negative examination. No evidence for recurrence or regional adenopathy. |
Generate impression based on findings. | 35-year-old female with history of renal stones. RIGHT KIDNEY: Right kidney measures 12 cm, and has mild pelvic caliectasis. No significant cortical thinning. There is an approximately 1 cm renal calculus in the pelvis.LEFT KIDNEY: The left kidney measures approximately 12.4 cm, and there is no hydronephrosis on the left. No left renal calculus are seen.OTHER: Bladder is within normal limits, and both ureteral jets are seen. The uterus presses against the wall of the bladder, causing some mass effect. Likely uterine fibroid. | Mild right pelvic caliectasis and renal pelvic calculus as above. |
Generate impression based on findings. | Male 74 years old Reason: hematuria History: hematuria RIGHT KIDNEY: The right kidney measures 11.1 cm. There is a heterogeneous, vascular, solid mass arising from the midpole of the right kidney with deformity of the renal contour. This measures 3.1 x 3.1 x 3.6 cm and is suspicious for renal cell carcinoma.LEFT KIDNEY: The left kidney measures 12.1 cm. There is no hydronephrosis. URINARY BLADDER: The bladder is poorly distended.OTHER: No significant abnormalities noted. | Solid 3.6 cm renal mass, suspicious for renal cell carcinoma. Further evaluation with renal protocol CT is recommended.Findings discussed by myself Dr. Ward with Dr. Christopher Riedinger 01/30/15. |
Generate impression based on findings. | 60 year-old male with history of cardiomyopathy, requires baseline exam for heart transplant. LIVER: The liver measures approximately 15.3 cm in length. No focal liver lesions or intrahepatic biliary dilatation.GALLBLADDER, BILIARY TRACT: Cholelithiasis, without findings of cholecystitis.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted.KIDNEYS: Right kidney measures approximately 10 cm. Normal echogenicity, and there is no hydronephrosis. Left kidney measures approximately 10.5 cm. Simple left renal cyst measures approximately 3.7 x 2.7 cm, unchanged.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Limited visualization of the bladder is within normal limits. | Cholelithiasis, without cholecystitis. Otherwise, no significant abnormality. |
Generate impression based on findings. | Two focal asymmetries seen in the right breast and two focal asymmetries seen in the left breast on screening mammogram. Family history of breast cancer in paternal grandmother and two maternal great aunts. Three standard views of both breasts 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. The two circumscribed masses in the right lateral and retroareolar breast persist on spot compression images. The two focal asymmetries in the left upper outer breast partially disperse on spot compression images.ULTRASOUND | 1. 9 mm indeterminate left lateral breast mass. Ultrasound guided biopsy is recommended.2. Bilateral simple breast cystsBIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 67 years old, Male, History: amyloidosis c/b ESRD on HD and instetinal involvement requiring TPN, p/w GNR bacteremia, trying to find source LIVER: The liver measures 14.2 cm in length. Echogenicity of the liver parenchyma is within normal limits. No focal hepatic lesions to suggest abscess or other abnormality. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Patient status post cholecystectomy. The common bile duct measures 4 mm in diameter.PANCREAS: The pancreas is not well visualized. No significant abnormalities noted in the visualized area of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.2 cm in length. RIGHT KIDNEY: Kidney measures 10.5 cm in length. Increased echogenicity of the renal parenchyma is consistent with known renal disease. No focal lesion to suggest abscess. No perinephric fluid collection. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.1 cm in length. Increased echogenicity of the renal parenchyma is consistent with known renal disease. No focal lesion to suggest abscess. No perinephric fluid collection. No evidence of hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.No focal lesion to suggest abscess or visualized fluid collection to indicate a source of infection.2.Echogenic kidneys consistent with known medical renal disease. |
Generate impression based on findings. | 68 years old, Male, Reason: micro hematuria History: hematuria RIGHT KIDNEY: Kidney measures 11.3 cm in length. Normal echotexture. Nohydronephrosis, or shadowing calculus. No definite evidence of renal mass.LEFT KIDNEY: Kidney measures 11.7 cm in length. Normal echotexture. Nohydronephrosis, or shadowing calculus. Simple appearing left renal cyst measuring 2.6 x 2.7 x 2.6 cm.BLADDER: The bladder is not well distended precluding complete evaluation.OTHER: No significant abnormalities noted. | 1.No evidence of hydronephrosis or shadowing calculus. No specific findings to explain patient's symptoms.2.Simple appearing left renal cyst without evidence of suspicious mass. |
Generate impression based on findings. | 59 year old with newly diagnosed right IDC grade 3. Recent CT demonstrated abnormal lymph node in the right axilla. History of left lumpectomy and sentinel lymph node biopsy in 2011 for IDC and DCIS. She completed radiation and chemotherapy and is currently on Arimidex. History of right lumpectomy for carcinoma in 1997. Ultrasound of the right axilla is performed. There are multiple abnormally enlarged lymph nodes with effaced hila in the level 1 of right axilla. The largest one measures 22 x 11 mm, locating upper part of the right axilla. | Multiple suspicious lymph nodes in the right axilla, level 1BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 61 years old, Female, Reason: eval for cholecystisis History: RUQ pain LIVER: The liver is enlarged measuring 18.6 cm in length. Mildly increased echogenicity of the liver 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 0.5 m/s.BILIARY TRACT: The gallbladder is filled with sludge and stones. There is thickening of the gallbladder wall measuring up to 5 mm. Trace pericholecystic fluid is present. A stone is seen in the neck of the gallbladder which may be obstructing. The sonographic Murphy's sign is positive. The gallbladder itself is enlarged measuring up to 12.9 cm. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4.4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 6.5 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Findings suggestive of acute cholecystitis in the appropriate clinical setting.These findings were discussed with ordering physician Dr. Turk at 11 a.m. who agreed patient should be sent to the emergency room. Discussed this with the patient who agreed to go straight to emergency room. |
Generate impression based on findings. | 55 years old, Male, Reason: r/o cholecystitis History: sepsis of unclear source with elevated bilirubin LIVER: The liver measures 16.6 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 0.4 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. Mild intrahepatic biliary ductal dilatation which is nonspecific but may be further evaluated with MRCP if clinically warranted. The common bile duct measures 3 mm in diameter. Focus of adenomyomatosis or cholesterolosis is noted in the anterior portion of the gallbladder.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 11.8 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 9.8 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Gallbladder sludge without evidence of cholecystitis.2.Mild intrahepatic ductal dilatation which can be further evaluate MRCP if further evaluation is clinically warranted. |
Generate impression based on findings. | 44 years old, Male, Reason: Status post biliary drain; rule out hematoma gallbladder. History: abdominal pain/tenderness, obstipation, constipation LIVER: The liver measures 15.1 cm in length. 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: Percutaneous cholecystostomy tube is noted with tip in the gallbladder. Echogenic material within the gallbladder appears somewhat more organized than on prior exam and still may represent sludge or hematoma. There is increased pericholecystic echogenic material which may represent pericholecystic fluid or hematoma. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.5 cm in length. RIGHT KIDNEY: Kidney measures 9.6 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Echogenic material within the gallbladder appears somewhat more organized than on prior exam and still may represent sludge or hematoma.2.Increased pericholecystic echogenic material which may represent pericholecystic fluid or hematoma. 3.Stable percutaneous cholecystostomy tube is noted with tip in the gallbladder. |
Generate impression based on findings. | 59 years old, Male, Reason: Hx of stem cell transplant with new complaints of trouble urinating and starting stream History: trouble starting stream, no dysuria. Abdominal discomfort RIGHT KIDNEY: Kidney measures 9.9 cm in length. Diffusely echogenic kidney consistent with medical renal disease. No hydronephrosis or shadowing calculus. Subcentimeter right renal cyst is too small to characterize on this examination.LEFT KIDNEY: Kidney measures 11.6 cm in length. Diffusely echogenic kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus. Simple appearing left renal cyst measures 2.4 x 2.3 x 2.6 cm.BLADDER: No significant abnormalities. OTHER: Incidental note is made of gallbladder sludge without evidence of cholecystitis. | 1.Echogenic kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing stone.2.Gallbladder sludge without evidence of cholecystitis. |
Generate impression based on findings. | 61 years old, Female, Reason: evaluate ruq for biliary stones, patient presented with pancreatitis History: pancreatitis LIVER: The liver is mildly enlarged measuring 19.4 cm in length. Increased echogenicity of the liver is consistent with fatty infiltration. Small hepatic cyst is again identified similar appearance recent CT of the abdomen. No suspicious 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 5 mm in diameter.PANCREAS: Increased heterogeneity of the pancreas is consistent with known pancreatitis.SPLEEN: No significant abnormalities noted. The spleen measures 7.6 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis or shadowing calculus. Mildly complex bilobed renal cyst seen on this ultrasound is not definitely seen on the prior CT.OTHER: No significant abnormalities noted. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2.Mildly complex bilobed renal cyst seen on this ultrasound is not definitely identified on the prior CT. Follow-up is recommended at 6 months to ensure stability.3.Fatty infiltration of the liver. Stable hepatic cysts. |
Generate impression based on findings. | Ms. Jones is a 55 year old female presenting for a short-term follow-up for a high probability benign morphology mass in the right breast. A targeted right breast ultrasound was performed at the right breast, 12:30 position, approximately 2 cm from the nipple. There is reidentification of a oval, hypoechoic mass measuring 0.3 x 0.3 cm, compared to 0.4 x 0.2 cm. This mass appears very similar in appearance to the sonographic images of 12/18/2012 and 5/14/2014. There is no new solid or cystic mass identified. | Stable benign morphology mass in the right breast. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually, due next in April 2015.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 28 years old, Male, Reason: r/u infectious process in liver History: elevated transaminases, distended abdomen, severe immunocompromise Ultrasound evaluation is somewhat limited due to patient being unable to lay in a decubitus position.LIVER: The liver measures 14.5 cm in length. Diffusely increased echogenicity of the liver 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 0.4 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: Spleen is not well visualized. The visualized portion of the spleen measures 9.15 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Normal echotexture. Nohydronephrosis or shadowing calculus.LEFT KIDNEY: The left kidney is not well visualized. Kidney measures 12 cm in length. Normal echotexture. Left renal cyst which is difficult to fully characterize due to limited visualization measures 3.8 x 3.3 x 4.1 cm.OTHER: No significant abnormalities noted. | 1.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis.2.Diffusely increased echogenicity of the liver is consistent with fatty infiltration. |
Generate impression based on findings. | 42 years old, Male, Reason: screning for aaa, pre-OHT History: PRE-CARDIAC TRANSPLANT evaluation LIVER: The liver is slightly enlarged measuring 17.7 cm. Focus of increased echogenicity in the liver measuring 0.8 x 0.7 x 0.7 cm may represent a hemangioma although is incompletely characterized on this ultrasound examination. This lesion may be further characterized by MRI if clinically warranted. The portal vein is patent with hepatic pedal flow at 0.3 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is somewhat contracted without evidence of cholelithiasis or cholecystitis. The common bile duct measures 0.3 cm.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: The spleen measures 9.3 cm in length. No significant abnormalities are noted.KIDNEYS: The right kidney measures 11.5 centimeters in length. Left kidney measures 8.8 cm Increased echogenicity of the kidneys bilaterally is consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus. ABDOMINAL AORTA: No evidence of focal dilatation of the abdominal aorta. The abdominal aorta is mildly tortuous with a focus of wall calcification of the mid aorta. The proximal aorta measures 1.1 x 1.5 x 1.4 cm. The mid aorta measures 1.5 x 1.4 x 1.3 cm. The distal aorta measures 1.3 x 1.1 x 1.3 cm. Right iliac artery measures 0.9 cm. The left iliac artery measures up to 1.1 cm.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: The bladder is not completely distended. There is a hypoechoic focus in the anterior portion of the visualized prostate, best seen on image time stamped 10:58:34 which is nonspecific on this ultrasound examination which can be correlated with patient's PSA. | 1. Subcentimeter focus of increased echogenicity within the liver is incompletely characterized on this ultrasound examination. This maybe further characterized with dedicated MRI if clinically warranted, but statistically favors a hemangioma.2. No evidence of focal dilatation of the abdominal aorta.3. Hypoechoic focus in the anterior portion of the visualized prostate is nonspecific on this ultrasound examination. Please correlate with patient's PSA. |
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 suspicious solid mass identified. Numerous bilateral simple and complicated cysts are present.Screening ultrasound exams are optimally performed when prior breast imaging studies are available to compare. If the patient's prior studies can be submitted, then an addendum to this report will be made. | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 67 years old, Female, Reason: 67yo F with abnl LFTs, eval for stone or other abnl LIVER: The liver is mildly enlarged measuring 18.1 cm. No focal hepatic lesions. Increased echogenicity of the liver is consistent with fatty infiltration. Portal vein is patent with a patent flow measuring 0.4 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder sludge and stones are present without evidence of gallbladder wall thickening or peri-cholecystic fluid. The common hepatic duct measures 0.4 centimeters.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 9 cm. No significant abnormalities noted.KIDNEYS: The right kidney measures 12.8-cm. The left kidney measures 13 cm. Echogenicity of the kidneys is within normal limits. No evidence of hydronephrosis or shadowing calculus. ABDOMINAL AORTA: No significant dilatation of the abdominal aorta. The proximal aorta measures up to 2.5 cm in diameter. The mid aorta measures up to 1.7 cm in diameter. The distal aorta measures up to 1.4 cm in diameter.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: The bladder is collapsed around the Foley catheter precluding full characterization. | 1. Mild hepatomegaly.2. Increased echogenicity of the liver is consistent with fatty infiltration.3. Sludge and stones are noted within the gallbladder without evidence of cholecystitis.4. No evidence of abdominal aortic aneurysm. |
Generate impression based on findings. | 66 years old, Male, Reason: renal failure History: AKI in post renal cell ca. RIGHT KIDNEY: Kidney measures 12.7 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The patient is status post left nephrectomy. No definite abnormality identified in the nephrectomy bed.BLADDER: The bladder is incompletely distended around a Foley catheter precluding complete evaluation. OTHER: No significant abnormalities noted. | 1.Normal echogenicity of the right kidney without evidence of hydronephrosis or shadowing calculus. |
Generate impression based on findings. | 54 years old, Male, Reason: ?AKI vs CKD, eval for obstruction History: see above RIGHT KIDNEY: Kidney measures 13.2 cm in length. The right kidney is diffusely echogenic indicating medical renal disease. Simple appearing right renal cyst is present measuring 1.2 x 1.2 x 1.3 cm.LEFT KIDNEY: Kidney measures 12.2 cm in length. Increased echogenicity of the left kidney is consistent with medical renal disease. No hydronephrosis, shadowing calculus or mass.BLADDER: No significant abnormalities. OTHER: No significant abnormalities noted. | 1.No evidence of hydronephrosis or shadowing calculus.2.Diffusely increased echogenicity of the kidneys bilaterally is consistent with medical renal disease. |
Generate impression based on findings. | 75 years old, Female, Reason: 75yo F with metabolic acidosis, eval for obstruction RIGHT KIDNEY: Kidney measures 9.4 cm in length. Increased echogenicity of the kidney is consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus. Right renal cyst measures 1.0 x 1.0 x 0.6 cm.LEFT KIDNEY: Kidney measures 8.0 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No hydronephrosis, shadowing calculus or mass.BLADDER: Bladder is incompletely distended around a Foley catheter and appears unremarkable. OTHER: Mild to moderate amount of ascites is present within the pelvis. | 1.No evidence of hydronephrosis or shadowing calculus.2.Increased echogenicity of the kidneys bilaterally is consistent with medical renal disease.3.Mild to moderate amount of ascites is present within the pelvis. |
Generate impression based on findings. | 21 years old, Male, Reason: Hx of stem cell transplant with new AKI of unknown cause RIGHT KIDNEY: Kidney measures 9.9 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass. Subcentimeter hypoechoic focus in the inferior pole of left kidney is too small to accurately characterize on this examination but most likely represents a cyst. BLADDER: No significant abnormalities. OTHER: No significant abnormalities noted. | 1.No evidence of hydronephrosis or nephrolithiasis to account for the patient's symptoms. |
Generate impression based on findings. | 68 years old, Male, Reason: s/p esophagectomy check for abdominal free fluid History: s/p esophagectomy check for abdominal free fluid Limited evaluation shows mild to moderate amount of ascites is noted throughout the abdomen most of which is located in the right lower quadrant. | Mild to moderate amount of ascites is noted throughout the abdomen, most of which is located in the right lower quadrant. |
Generate impression based on findings. | 65 years old, Female, Reason: eval for obstruction, medical renal disease History: AKI (cr 2.1 up from baseline 1) RIGHT KIDNEY: Kidney measures 12.2 cm in length. Increased echogenicity kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.6 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.BLADDER: No significant abnormalities. A Foley is visualized in the bladder.OTHER: Bilateral pleural effusions are present. A mild amount of ascites is noted within the pelvis. | 1.Increased echogenicity of the kidneys consistent with medical renal disease without evidence of hydronephrosis or shadowing calculus.2.Bilateral pleural effusions and a mild amount of ascites is present. |
Generate impression based on findings. | 62 years old, Male, Reason: cirrhosis History: HCV LIVER: The liver measures 17.8 cm in length. Echogenicity of the liver parenchyma 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. No nodularity to the liver capsule or widening of the fissures to suggest cirrhosis.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 is enlarged measuring 16.8 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.No definite evidence of cirrhosis. No nodularity or of the liver capsule or widening of the fissures to suggest cirrhosis.2.Splenomegaly is present.3.Liver size is at the upper limits of normal. |
Generate impression based on findings. | 77 years old, Male, Reason: Masses, abnormal nodes? History: Thyroid cancer s/p thyroidectomy MEASUREMENTS: Patient status post thyroidectomy.RIGHT LOBE AREA: No definite mass within the right thyroidectomy bed.LEFT LOBE: No definite mass within the left thyroidectomy bed.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Redemonstrated is a right level 3 benign appearing lymph node with a fatty hilum measuring 1.1 x 0.7 x 0.7 cm. Left level 3 benign appearing lymph node with a fatty hilum and measuring 2.0 x 1.0 x 0.8 cm. An adjacent to this larger left level 3 lymph node there is a smaller level 3 lymph node measuring 0.5 x 0.3 x 0.5 cm.OTHER: No significant abnormality noted. | 1.No definite evidence of local recurrence.2.Multiple benign appearing lymph nodes are redemonstrated. Follow up of lymph nodes is recommended to ensure stability. |
Generate impression based on findings. | 77 years old, Male, Reason: hx of pancreatic ca and AAA now w/ fever, chills, RUQ pain, leukocytosis; eval for acute cholecystitis History: fever, RUQ pain LIVER: The liver is enlarged measuring 19.7 cm in length. Parenchymal echogenicity 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: Gallbladder stones and sludge are present. Marked gallbladder wall thickening and pericholecystic fluid with surrounding inflammatory changes. Findings compatible with acute cholecystitis. Mild intrahepatic biliary ductal dilatation. The common bile duct measures 6 mm in diameter. Biliary stent is not well visualized on this exam.PANCREAS: Marked pancreatic ductal dilatation measuring up to 9 mm. Patient's pancreatic tumor is not well visualized, please refer to abdominal CT of the same date.SPLEEN: No significant abnormalities noted. The spleen measures 12.6 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.5 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | 1.Findings consistent with acute cholecystitis.2.Marked pancreatic ductal dilatation related to known pancreatic cancer.3.Mildly increased echogenicity of the kidneys consistent with medical renal disease. |
Generate impression based on findings. | 50 years old, Female, Reason: cholecystitis History: RUQ pain, vomiting LIVER: The liver measures 17.7 cm in length. Mildly increased echogenicity of the hepatic parenchyma 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 0.3 m/s.BILIARY TRACT: Multiple shadowing gallstones are present within a collapsed gallbladder which likely accounts for the concentric gallbladder wall thickening. No pericholecystic fluid or sonographic Murphy's sign to suggest active inflammation. 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: No significant abnormalities noted. The spleen measures 9.1 cm in length. RIGHT KIDNEY: Kidney measures 10.9 cm in length. Normal echotexture. Mild hydronephrosis without evidence of shadowing calculus.LEFT KIDNEY: Kidney measures 10.3 cm in length. Normal echotexture. Mild hydronephrosis without evidence of shadowing calculus.OTHER: No significant abnormalities noted. | 1.Cholelithiasis in a contracted gallbladder without evidence of cholecystitis.2.Bilateral mild hydronephrosis without clear etiology on this ultrasound examination.3.Increased hepatic parenchymal echogenicity is consistent with fatty infiltration. |
Generate impression based on findings. | 44 years old, Female, Reason: 44 year-old female with low albumin for 20 years, RUQ u/s requested to evaluate for imaging findings of liver disease LIVER: The liver measures 18.5 cm in length. The parenchyma 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 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 8.8 cm in length. RIGHT KIDNEY: Kidney measures 11.8 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.The liver parenchyma and contours are normal in appearance. 2.Normal gallbladder and biliary tract with no evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 47 years old, Female, Reason: r/o growth of nodules, adenopathy. compare to US 1 year ago History: multinodular goiter. Some subjective increase in size of thyroid RIGHT LOBE MEASUREMENTS: 2.2 x 1.9 x 6.1 cmLEFT LOBE MEASUREMENTS: 3.0 x 3.0 x 7.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Right mid nodule measures 1.3 x 1.0 x 1.5 cm, previously measuring 1.0 x 0.8 x 1.2 cm. Another spongiform nodule adjacent to the isthmus measures 1.2 x 0.5 x 1.0 cm, previously measuring 0.8 x 0.6 1.0 cm.LEFT LOBE: Dominant partially cystic lower pole nodule measures 2.8 x 2.4 x 3.6 cm, previously measuring 2.3 x 2.1 x 2.9 cm. Posterior mid left thyroid nodule measures 0.8 x 0.5 x 1 .1 cm, previously measuring 0.8 x 0.8 x 0.5 cm.ISTHMUS: Isthmus nodule which appears partially cystic measures 1.2 x 1.0 x 1 .3 cm, previously measuring 1.2 x 0.8 x 1.2 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Slight interval increase in size of multiple bilateral thyroid nodules. |
Generate impression based on findings. | 29 years old, Female, Reason: kidney injury, assess for hydronephrosis History: cr 3.3 RIGHT KIDNEY: Kidney measures 16.6 cm in length. Increased echogenicity of the right kidney is consistent with medical renal disease. There is moderate right hydronephrosis. Multiple right nonobstructing renal calculi the largest of which measuring up to 1.9 cm. A proximal dilated ureter is noted, however the distal ureter is not well visualized because of overlying bowel gas.LEFT KIDNEY: Kidney measures 13.6 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. Mildly complex cyst measuring up to 1.7 cm noted in the left renal parenchyma. No evidence of hydronephrosis on the left.BLADDER: Incompletely distended. OTHER: No significant abnormalities noted. | 1.Moderate right hydronephrosis with a dilated proximal ureter. Please note that the distal ureter is not visualized due to overlying bowel gas.2.Increased echogenicity of the kidneys bilaterally is consistent with medical renal disease.3. Nonobstructing right nephrolithiasis |
Generate impression based on findings. | 49-year-old female with history of biliary cirrhosis now with pulmonary hypertension. Evaluate for ascites. Moderate volume ascites is present in all 4 quadrants. Liver is noted to be coarse in echotexture and nodular in contour consistent with known cirrhosis.Spleen is enlarged. | Moderate volume ascites. |
Generate impression based on findings. | 54 years old, Male, Reason: neck mass, L History: L neck mass tender to palpation Complex lesion of mixed cystic and solid nature in the left mid level 5 region is identified with mildly increased vascularity. This lesion is indeterminate on this examination. Inflammatory/infectious etiology is favored however a neoplastic etiology should also be considered. | Complex lesion of mixed cystic and solid nature in the left mid level 5 region with mildly increased vascularity is favored to be of inflammatory/infectious etiology, however a neoplastic etiology cannot be excluded. |
Generate impression based on findings. | 69-year-old with personal history of breast cancer presenting with enlarged right supraclavicular lymph nodes. Ultrasound is requested. Targeted ultrasound is performed for the right supraclavicular region and right neck. There are numerous abnormal enlarged lymph nodes in this region. The largest and most superficial node measures 1.8 x 1.5 cm. Adjacent to the right jugular vein, at least two abnormal morphology are also seen, measuring about 9 mm each. | Multiple abnormal right supraclavicular and jugular lymph nodes. Surgical consultation is recommended, and the patient will be seeing Dr. Jaskowiak today.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 65 years old, Male, Reason: Left thyroid mass on MRI and CT History: as above Technically difficult examRIGHT LOBE MEASUREMENTS: 6.6 x 2.2 x 2.5 cmLEFT LOBE MEASUREMENTS: 4.6 x 2.6 x 2.4 cmISTHMUS MEASUREMENTS: 0.7 cmRIGHT LOBE: Multiple subcentimeter hypoechoic nodules in the right thyroid lobe.LEFT LOBE: Left predominantly solid hypoechoic thyroid nodule measures 1.9 x 1.7 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. | 1.Predominantly solid left thyroid nodule measuring up to 1.9 cm.2.Multiple subcentimeter hypoechoic nodules in the right thyroid lobe. |
Generate impression based on findings. | Renal stones RIGHT KIDNEY: Normal echogenicity without mass. Lower pole nonobstructing stone measuring 1.4 x 1 x 1.2 cm. Minimal hydronephrosis. Right kidney 11.9 cm in lengthLEFT KIDNEY: Normal echogenicity without mass, stone, or hydronephrosis. Left kidney 13.4 cm in length.OTHER: Bladder collapsed. Coarse echogenic liver parenchyma again noted consistent with known chronic liver disease. | Nonobstructing right lower pole renal stone. Minimal right hydronephrosis. |
Generate impression based on findings. | 43 years old, Female, Reason: primary hyperparathyroidism, please eval for enlarged parathryroids History: as above RIGHT LOBE MEASUREMENTS: 5.1 x 2.1 x 1.3 cmLEFT LOBE MEASUREMENTS: 5.0 x 2.0 x 1.5 cmISTHMUS MEASUREMENTS: 0.8 cmRIGHT LOBE: Hypoechoic subcentimeter right thyroid nodule measuring 0.4 x 0.3 x 0.4 cm.LEFT LOBE: Left thyroid lobe is without significant abnormality.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Very hypoechoic nodule posterior inferior to the right thyroid lobe is favored to represent a parathyroid adenoma measuring 1.3 x 0.7 x 0.7 cm.LYMPH NODES: No significant abnormality noted.OTHER: Posterior to the left internal jugular vein and definitely separate from the left thyroid lobe is a focus that is slightly hypoechoic to normal thyroid tissue and may represent a hematoma. Special attention to this area should be paid on future scans. | 1.Right posterior inferior extrathyroidal nodule consistent with clinically suspected parathyroid adenoma.2.Slightly hypoechoic to normal thyroid tissue and posterior to the left internal jugular vein focus which may represent a hematoma although is indeterminate on this examination. Special attention to this area should be paid on future scans. |
Generate impression based on findings. | 45 years old, Male, Reason: elevated liver enzymes LIVER: The liver is mildly enlarged measuring 17.5 cm in length. Increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration. Questionable minimal contour irregularity raises the possibility of early cirrhosis. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 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 11.5 cm in length. RIGHT KIDNEY: Kidney measures 12.5 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 12.1 cm in length. Normal echotexture. No evidence of hydronephrosis. Nonobstructing nephrolithiasis with a stone measuring up to .7 cm.OTHER: No significant abnormalities noted. | 1.Questionable minimal contour irregularity raises the possibility of early cirrhosis.2.Diffusely increased echogenicity of the liver is consistent with fatty infiltration.3.Nonobstructing left nephrolithiasis. |
Generate impression based on findings. | 68 years old, Female, Reason: abnormal masses History: thyroid cancer MEASUREMENTS: Patient status post thyroidectomyRIGHT LOBE AREA: No significant abnormality noted. No evidence of local recurrence.LEFT LOBE AREA: No significant abnormality noted. No evidence of local recurrenceISTHMUS AREA: No significant abnormality noted. No evidence of local recurrencePARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing right level 2 lymph node with a fatty hilum is identified measuring 1.5 x 0.4 x 0.8 cm. benign appearing left level 2 lymph node with a fatty hilum is identified measuring 1.7 x 0.3 x 1.0 cm.OTHER: No significant abnormality noted. | No evidence of local recurrence in the thyroidectomy bed or lymphadenopathy. |
Generate impression based on findings. | 31 years old, Female, Reason: Needs U/S of Thyroid - Rule Out Thyromegaly vs. Other. History: Dysphagia. Sticking Sensation in Throat. RIGHT LOBE MEASUREMENTS: 3.7 x 1.1 x 1.7 cmLEFT LOBE MEASUREMENTS: 3.7 x 1.1 x 1.5 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted. Homogeneous echotexture of the thyroid lobe without evidence of nodules.LEFT LOBE: No significant abnormality noted. Homogeneous echotexture thyroid lobe without evidence of nodules.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | No evidence of thyromegaly or thyroid nodules. |
Generate impression based on findings. | HCC status post resection LIVER: Severely coarse and echogenic liver parenchyma. Interval appearance of multiple subcentimeter right lobe low-attenuation foci. The previously noted hypoechoic region adjacent to the resection site is un-changed consistent with postoperative finding. Liver length 19 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 9.8 cm in lengthOTHER: Left kidney 10.8 cm in length. Left renal cyst. Spleen 11.2 cm in length. No ascites. | Interval appearance of multiple subcentimeter right lobe hypoechoic foci. It is unclear whether or not this represents focal sparing from the patient's fatty infiltration or new neoplastic foci. Would strongly recommend correlation with dedicated liver CT.Markedly echogenic and coarse liver echotexture consistent with chronic liver disease/fatty infiltration. No ductal dilatation. No ascites. |
Generate impression based on findings. | 27 years old, Female, Reason: AKI, assess for hydro, obstructing stone History: as above Technically difficult exam due to patient's body habitus.RIGHT KIDNEY: Kidney measures 14.3 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 13.2 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.BLADDER: Incompletely distended with no significant abnormalities. OTHER: No significant abnormalities noted. | 1.Normal echotexture of the kidneys bilaterally without evidence of hydronephrosis or shadowing calculus. |
Generate impression based on findings. | Recently treated for epididymitis RIGHT TESTIS: 5.2 x 2.2 x 3.6 cm. No intratesticular mass. Bilateral symmetric Doppler flow characteristicsLEFT TESTIS: 4.6 x 2.4 x 3.3 cm. No intratesticular mass. Bilaterally symmetric Doppler flow characteristicsRIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: Small right hydrocele | Negative scrotal ultrasound. No evidence for intratesticular mass or acute inflammatory process. Bilaterally symmetric Doppler flow characteristics. |
Generate impression based on findings. | 24 year old with self palpated masses in the left breast. Areas for ultrasound are marked by the clinical service. A targeted left ultrasound was performed for the patient’s areas of concern. There is no solid or cystic mass identified. Dense fibroglandular elements are seen, as is the patient's left breast implant. | No sonographic evidence for malignancy. Clinical follow-up is recommended. The patient will be seeing Dr. Jaskowiak today.BIRADS: 1 - Negative.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Renal stones RIGHT KIDNEY: Normal parenchymal echogenicity without mass or hydronephrosis. Right kidney 12.6 cm in length. Multiple nonobstructing stones. The largest within the lower pole measures 1.5 x 0.6 x 0.9 cm.LEFT KIDNEY: Normal parenchymal echogenicity without mass or hydronephrosis. Left kidney 12.6 cm in length. Multiple nonobstructing renal stones. The largest within the upper pole measures 0.5 x 0.5 x 0.3 cm.OTHER: Bladder nondistended. | Bilateral nonobstructing renal stones. Normal parenchymal echogenicity without mass or hydronephrosis. |
Generate impression based on findings. | 41 years old, Female, Reason: rule out change in nodules or worrisome features RIGHT LOBE MEASUREMENTS: 2.0 x 3.2 x 5.2 cm.LEFT LOBE MEASUREMENTS: 2.2 x 2.0 x 5.8 cm.ISTHMUS MEASUREMENTS: 0.44 cm.RIGHT LOBE: There are at least two right thyroid nodules more anterior of which is at least partially solid and has increased vascularity and measures 1.1 x 0.7 by 1.7 cm, which is increased from prior exam when it measured 0.8 x 0.5 x 0.8 cm. The larger right thyroid nodule is heterogeneous in appearance and is slightly increased in size measuring 1.8 x 2.8 x 3.2 cm. No definite microcalcifications are seen within these nodules.LEFT LOBE: Subcentimeter left thyroid nodule is not significantly changed in size measuring 0.7 x 0.6 x 0.7 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. OTHER: No significant abnormality noted. | 1.Hypervascular, at least partially solid right thyroid nodule which has increased in size. Recommend further evaluation with biopsy.2.The larger right thyroid nodule has also slightly increased in size. |
Generate impression based on findings. | 27 years old, Female, Reason: goiter History: goiter RIGHT LOBE MEASUREMENTS: 4.3 x 1 1.7 x 1.6 cmLEFT LOBE MEASUREMENTS: 4.4 x 1.6 x 1.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: The right thyroid lobe is diffusely heterogeneous without nodules.LEFT LOBE: The left thyroid lobe is diffusely heterogeneous without nodules.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous thyroid which can be seen in chronic thyroiditis. |
Generate impression based on findings. | 47 years old, Male, Reason: r/o cause for renal failure History: renal failure RIGHT KIDNEY: Kidney measures 11.5 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No hydronephrosis or shadowing calculus. Hypoechoic right lower pole renal cyst measures 1.7 x 1.7 x 1.5 cm. LEFT KIDNEY: The left kidney is very difficult to visualize due to patient's body habitus. Kidney measures 9.0 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No hydronephrosis, shadowing calculus or mass. Left lower pole renal cyst measures 3.8 x 3.1 x 4 cm.Bladder: The bladder is nondistended. | 1.Bilateral diffusely increased echogenicity of the kidneys consistent with medical renal disease.2.No evidence of hydronephrosis or shadowing calculus.3.Bilateral renal cysts. |
Generate impression based on findings. | 63 years old, Female, Reason: 63 yo female with abnmormlity seen on neck CT History: abnormal neck CT RIGHT LOBE MEASUREMENTS: 6.4 x 1.9 x 2.3 centimetersLEFT LOBE MEASUREMENTS: 6.2 x 1.6 x 2.2 cmISTHMUS MEASUREMENTS: 0.7 cmRIGHT LOBE: Right thyroid lobe at least two nodules in the more superior of which is partially solid and cystic measuring 1.3 x 0.9 x 1.4 cm. A more inferior right thyroid nodule contains calcifications and measures approximately 0.8 x 1.3 x 0.4 cm and is amenable biopsy. LEFT LOBE: Two subcentimeter hypoechoic nodules with a spongiform appearance on the left. Another hyperechoic nodule measures 0.6 x 0.5 x 0.9 cm.ISTHMUS: Large midline Isthmus nodule has a mixed solid cystic appearance with questionable microcalcifications and measures 2.1 x 1.1 x 2.6 centimeters and is amenable to biopsy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Multiple thyroid nodules bilaterally, some of which are mixed solid-cystic in appearance containing calcifications and are amenable to biopsy. |
Generate impression based on findings. | 59 years old, Male, Reason: 59M with rectal ca s/p right hepatectomy now with GI bleeding. Evaluate portal vein. History: Evaluate portal vein patency LIVER: The liver measures approximately 10.3 cm in length. Echogenicity of the liver parenchyma is within normal limits.No focal hepatic lesions or masses are identified. Loculated perihepatic fluid collection is present. | 1.Perihepatic loculated fluid collection.2.Mild amount of ascites is present.3.Extrahepatic main portal vein appears patent with normal hepatopedal flow without visualization of intrahepatic vessels due to the technically difficult exam. |
Generate impression based on findings. | 54 years old, Male, Reason: r/o masses, cirrhosis History: abdominal pain LIVER: The liver is enlarged measuring 21.6 cm in length. Coarse heterogeneous liver could be indication of chronic liver disease. 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: Patient is status post cholecystectomy. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: The spleen is difficult to visualize on this exam. The visualized spleen measures approximately 6.6 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Echogenic right kidney indicating medical renal disease without evidence of hydronephrosis. Simple appearing right renal cyst measures 1.2 x 1.2 x 1.3 cm.LEFT KIDNEY: Kidney measures 13.0 cm in length. Increased echogenicity of the left kidney is consistent medical renal disease. No evidence of hydronephrosis. Left renal cyst measures 1.5 x 1.4 x 1.0 cm.OTHER: No significant abnormalities noted. | 1.Hepatomegaly with coarse heterogeneous liver which can be consistent with chronic liver disease. No hepatic mass.2.Increased echogenicity of the kidneys without hydronephrosis is consistent with medical renal disease. |
Generate impression based on findings. | 47 years old, Female, Reason: possible thyromegaly on exam History: weight gain, HTN RIGHT LOBE MEASUREMENTS: 5.5 x 1.7 by 1.5 cm.LEFT LOBE MEASUREMENTS: 5.1 x 1.3 by 2.2 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted. Thyroid lobe parenchyma is slightly heterogeneous. There are no nodules identified.LEFT LOBE: No significant abnormality noted. Thyroid lobe parenchyma slightly heterogeneous. There are no nodules identified.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1.No evidence of thyromegaly or thyroid nodules.2.Heterogeneous thyroid echotexture can be consistent with chronic thyroiditis in the correct clinical setting. |
Generate impression based on findings. | 86 years old, Female, Reason: rising cr, poor UO RIGHT KIDNEY: Kidney measures 12.5 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus.LEFT KIDNEY: Left kidney only partially visualized due to obscuration by gas. Patient is unable to lay in the decubitus position. Kidney measures 9.8 cm in length. Increased echogenicity of the kidneys consistent with medical renal disease. No hydronephrosis, shadowing calculus. No mass seen in the visualized portions of the kidney.BLADDER: No significant abnormalities. OTHER: No significant abnormalities noted. | 1.Bilateral increased echogenicity of the kidneys consistent with medical renal disease. No evidence of hydronephrosis or shadowing calculus. |
Generate impression based on findings. | 47 years old, Male, Reason: heavy alcohol -- liver and spleen appear ULN History: none LIVER: The liver size is within normal limits measuring 15.2 cm in length. Diffuse coarse increased echogenicity of the hepatic parenchyma is consistent with fatty infiltration. No definite nodularity of the liver to suggest cirrhosis. 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 5 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 10.8 cm in length. RIGHT KIDNEY: Kidney measures 11.7 cm in length. Normal echotexture. Nodular echogenic focus in the superior pole of the right kidney without posterior shadowing measures 1.6 x 1.8 x 1.8 cm and is favored to represent a angiomyolipoma. No hydronephrosis or shadowing calculus.LEFT KIDNEY: Kidney measures 10.9 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Diffusely coarsened increased echogenicity of the liver is consistent with fatty infiltration.2.Nodular echogenic focus in the superior pole of the right kidney likely represents an angiomyolipoma.3.No evidence of hepatosplenomegaly. |
Generate impression based on findings. | Questionable right thyroid nodule RIGHT LOBE MEASUREMENTS: 6.3 x 2.7 x 3.7 cmLEFT LOBE MEASUREMENTS: 9 x 3.5 x 4 cmISTHMUS MEASUREMENTS: 2.4 cmRIGHT LOBE: Enlarged diffusely heterogeneous gland without discrete nodule. No increased vascularity.LEFT LOBE: Enlarged diffusely heterogeneous gland without discrete nodule. No increased vascularity.ISTHMUS: Enlarged diffusely heterogeneous gland without discrete nodule. No increased vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Enlarged diffusely heterogeneous gland without discrete nodule. No increased vascularity. No regional adenopathy. |
Generate impression based on findings. | Bilateral breast tenderness. A whole breast ultrasound was performed bilaterally for the patient’s areas of concern. The breast parenchyma and subcutaneous soft tissues are sonographically normal. No solid or cystic mass is identified. | No sonographic abnormality evident. Breast pain should managed clinically.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Male 53 years old Reason: rule out hydronephrosis History: right ureteral stricture RIGHT KIDNEY: The right kidney measures 11.0 cm. There is mild right hydronephrosis and proximal hydroureter.LEFT KIDNEY: The left kidney measures 11.8 cm. There is minimal left hydronephrosis, not significantly changed compared to prior study.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | 1. Mild right hydronephrosis and proximal hydroureter. 2. Minimal left hydronephrosis is not significantly changed compared to prior study. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Echogenic parenchyma again noted without worrisome mass, stone, or hydronephrosis. Right kidney 15 cm in length.LEFT KIDNEY: Echogenic parenchyma again noted without mass, stone, or hydronephrosis. Left kidney 11 cm in length.OTHER: Bladder nondistended | Echogenic renal parenchyma again noted consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction. |
Generate impression based on findings. | Chronic kidney disease RIGHT KIDNEY: Echogenic parenchyma. Questionable 5.7 x 5.4 x 5.9 cm complex mass lesion arising from the lower pole of the right kidney. No stone. Minimal hydronephrosis. Right kidney 9.9 cm in length.LEFT KIDNEY: Echogenic parenchyma. Benign appearing cyst. No stone or hydronephrosis. Left kidney 9.3 cm in length.OTHER: Bladder nondistended. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without significant obstruction or stone.Questionable right lower pole complex mass lesion versus partial duplication. The degree of echogenicity of the right kidney makes it difficult to differentiate between a mass lesion or partial duplication; noncontrast CT may be helpful for further characterization. |
Generate impression based on findings. | 22-year-old male with hyperthyroidism/Graves' disease. Suboptimal examination secondary to motion artifact. RIGHT LOBE MEASUREMENTS: 6.1 x 2.1 x 2.3 cmLEFT LOBE MEASUREMENTS: 5.3 x 2.6 x 2.5 cmISTHMUS MEASUREMENTS: Unable to accurately measure due to patient inability to cooperate with the examination.RIGHT LOBE: Diffusely enlarged and heterogenous but predominately hyperechoic with associated increased vascularity. No definitive nodules are identified. LEFT LOBE: Diffusely enlarged and heterogenous but predominately hyperechoic with associated increased vascularity. No definitive nodules are identified. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Findings consistent with the stated history of Grave's disease, as detailed above. |
Generate impression based on findings. | 45-year-old male with hepatitis B. Evaluate for HCC. LIVER: Heterogenous echotexture is nonspecific but can be seen in cirrhosis. Normal liver contour without evidence of nodularity. The liver measures 14.7 cm in length. No suspicious liver mass is identified. The main portal vein is patent.BILIARY TRACT: Normal gallbladder. No biliary ductal dilatation. Common bile duct measures 2 mm in diameter.PANCREAS: Pancreatic duct is again noted measuring 2 mm in diameter. No mass detected.SPLEEN: 9.1 cm in length. Normal echogenicity.RIGHT KIDNEY: 11.1 cm in length. There are no shadowing stones, hydronephrosis, or suspicious renal masses.OTHER: Left kidney measures 10.0 cm in length. There are no shadowing stones, hydronephrosis, or suspicious renal masses. | No lesions suspicious for HCC. |
Generate impression based on findings. | Recently passed right ureteral stone RIGHT KIDNEY: Normal echogenicity without worrisome mass, stone, or hydronephrosis. Benign appearing lower pole cyst. Right kidney 12.3 cm in length.LEFT KIDNEY: Echogenicity without worrisome mass, stone, or hydronephrosis. Left kidney 12.3 cm in length.OTHER: Nondistended | Negative renal ultrasound. Normal parenchymal echogenicity without worrisome mass, stone, or obstruction. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Mildly echogenic parenchyma without mass, stone, or hydronephrosis. Right kidney 10.6 cm in length.LEFT KIDNEY: Mildly echogenic parenchyma without mass, stone, or hydronephrosis. Left kidney 10.6 cm in length.OTHER: Bladder nondistended | Mildly echogenic renal parenchyma suggestive for medical renal disease/parenchyma dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | 76 years old, Male, Reason: evaluate biliary tree for obstruction; evaluate pancreas for abscess/pseuodocyst History: sepsis, elevated liver enzymes Technically difficult exam, especially in the left upper quadrant, due to patient's inability to lay decubitus and large body habitus.LIVER: The liver is enlarged measuring 22.1 cm in length. Innumerable confluent hypoechoic masses within the hepatic parenchyma are suspicious for metastatic malignancy. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.15 m/s.BILIARY TRACT: The gallbladder is collapsed without definite evidence of cholelithiasis. No evidence of cholecystitis. No evidence of intrahepatic or extra hepatic biliary ductal dilatation. The common bile duct measures 6 mm in diameter.PANCREAS: The pancreas is not well-visualized on this exam.SPLEEN: The spleen is not well visualized on this exam. RIGHT KIDNEY: Kidney measures 13.9 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney is not well visualized.OTHER: No significant abnormalities noted. | 1.Innumerable confluent hypoechoic masses in the liver are consistent with metastatic malignancy. 2.The gallbladder appears contracted without evidence of cholecystitis. |
Generate impression based on findings. | Epigastric pain LIVER: Normal echogenicity. 1 x 0.9 x 1.1 cm echogenic focus within the right lobe of the liver. Liver 13.5 cm in length.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.5 cm in length.OTHER: Left kidney 11.1 cm in length. Spleen 8.7 cm in length. No ascites. | Echogenic focus within the right lobe of the liver. While this may represent a hemangioma, correlation with dedicated CT would be helpful for further characterization. Otherwise negative right upper quadrant ultrasound. |
Generate impression based on findings. | 73 years old, Male, Reason: evaluate firm extratesticular mass History: see above RIGHT TESTIS: No suspicious masses. No significant abnormalities noted.LEFT TESTIS: No significant abnormalities noted. No masses.RIGHT EPIDIDYMIS: Multiple right epididymal cysts the largest of which measures up to 1.2 cm.LEFT EPIDIDYMIS: Very large left epididymal cyst or spermatocele is near the midline and measures 3.5 x 3.4 x 7.4 cm. OTHER: Vascularity and waveforms of the testicles bilaterally are within normal limits. | 1.Very large left epididymal cyst or spermatocele is situated near the midline and measures up to 7.4 cm.2.No suspicious masses. |
Generate impression based on findings. | 73 years old, Male, Reason: pt with +HepC Ab but negative RNA viral load. Looking for features of cirrhosis or splenomegaly History: none, just +Hepc Ab LIVER: The liver measures 17.3 cm cm in length. A coarse echogenic liver is consistent with fatty infiltration. No nodularity of the capsule to suggest cirrhosis. 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 4 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 8.9 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.2 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | 1.Coarse echogenic liver is consistent with fatty infiltration.2.No nodularity or widening of the fissures to suggest cirrhosis. |
Generate impression based on findings. | 17 y/o female with acute left breast pain and calcification vs. cysts on exam A whole breast ultrasound was performed for the patient’s area of concern. Dense breast tissue is noted. There is no solid or cystic mass identified. | No sonographic evidence of infection or mass.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Bilateral soft breast masses. Known fibroadenolipoma in both breasts. Patient felt a mass in the right breast at upper outer quadrant, and two masses in the left breast; at 12:00 and 2:00 position.Targeted bilateral breast ultrasound examinations were performed for the palpable areas of concern. In the right breast at the 10:00 position 6 cm from the nipple, there is a large encapsulated heterogeneous fat-containing mass over 4 cm in size and compatible with a fibroadenolipoma and seen on the prior mammogram. This large mass is difficult to fully measure by ultrasound.In the left breast at the 2:00 position 5 cm from the nipple, there is a large encapsulated heterogeneous fat-containing mass over 3 cm in size and compatible with a fibroadenolipoma and seen on the prior mammogram. This large mass is difficult to fully measure by ultrasound. At 12:00 position, there are no abnormal sonographic findings.No suspicious masses are identified in either breast. | Bilateral breast masses compatible with fibroadenolipomas. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |