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Generate impression based on findings.
Cirrhosis LIVER: Stable cirrhotic morphology without mass. Liver length 11.7 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent portal vein with normal directional flow but diminished velocity of approximately 11 cm/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: ...
Stable cirrhotic morphology without mass or ductal dilatation. Limited Doppler interrogation of the main portal vein demonstrates a patent portal vein with normal directional flow but diminished velocity. Mild ascites.
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Known right breast cancer. Right axillary fullness on clinical exam. Also, left breast focal asymmetry for which ultrasound is requested. A targeted bilateral ultrasound was performed. The known malignancy at the right breast 4:00 position measures 3.6 x 2.9 x 2.8 cm. In the right axilla, several small lymph nodes with...
1. Known right breast malignancy with current measurements as above, which are similar to outside hospital measurements.2. No sonographically suspicious right axillary lymph nodes.3. No correlate for the focal asymmetry in the left breast. Six-month follow-up is recommended.BIRADS: 6 - Known cancer.RECOMMENDATION: T - ...
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Reason: elevated liver enzymes LIVER: Normal liver echogenicity and echotexture. The portal vein is patent. Normal hepatopedal portal venous blood flow, 34.7 cm/s. The liver measures 17.6 cm in length.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. Negative sonographic Murphy sign. The gallbladder wall ...
Echogenic kidneys may reflect medical renal disease/parenchymal dysfunction.
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27-year-old male presents with a history of pain in the left axillary region for approximately two months. No known trauma history. Family history of breast cancer. Targeted ultrasound of the left axillary region was performed in the area of the patient's pain. No abnormal findings were identified to account for his sy...
Normal examination. No sonographic abnormalities to account for the patient's pain.BIRADS: 1 - Negative.RECOMMENDATION: X - No Letter.
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55-year-old female with thyroid nodules. Evaluate for calcification. RIGHT LOBE MEASUREMENTS: 1.9 x 1.8 x 5.5 cmLEFT LOBE MEASUREMENTS: 1.9 x 1.6 x 5.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: There again noted multiple nodules which are predominantly cystic, many with evidence for colloid comet tail artifact which ar...
Stable appearance of the thyroid with multiple nodules, most characteristic of colloid nodules. Comet tail artifact may be seen with calcification, but in this patient findings are consistent with colloid.
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Reason: assess for liver dysfunction. Examination somewhat limited by ventilator status and limitations positioning patient.LIVER: The liver measures 23.3 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identifie...
1.Hepatomegaly and coarse hepatic echotexture suggestive of parenchymal dysfunction. 2.Moderate abdominopelvic ascites.3.Cholelithiasis. Gallbladder wall thickening which is nonspecific in the setting of liver disease and ascites, though cholecystitis not entirely excluded.4.Diminished flow and possible filling defects...
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1 year status post islet cell transplant; evaluate portal venous flow LIVER: Normal parenchymal echogenicity. Well-circumscribed subcentimeter echogenic foci within the right lobe of the liver; favor benign etiology. Liver length 15.3 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main ...
Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Well-circumscribed subcentimeter echogenic foci within the right lobe of the liver; favor benign etiology. No ascites.Subcentimeter nonobstructing right renal stone.
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62-year-old male with alcoholism. Evaluate for cirrhosis. LIVER: Liver parenchyma is homogeneous without focal abnormality. There is no gross morphologic change to suggest cirrhosis.BILIARY TRACT: Multiple shadowing gallstones within the gallbladder without wall thickening or pericholecystic fluid. The visualized bilia...
Normal-appearing liver.Gallstones.Echogenic kidneysRight pleural effusion.
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The patient submitted outside mammogram dated 8/7/12. Submitted outside study was compared to the current mammogram dated 12/18/15. Focal asymmetry in the right upper outer breast appears new and additional spot compression views and possibly ultrasound are recommended.
New focal asymmetry in the right upper outer breast, for which additional spot compression views and possibly ultrasound are recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required.
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Female 37 years old; Reason: enlarged nontender thyroid gland RIGHT LOBE MEASUREMENTS: 4.8 x 2.0 x 1.2 cmLEFT LOBE MEASUREMENTS: 5.1 x 1.8 x 0.1 cmISTHMUS MEASUREMENT: 0.4 cmRIGHT LOBE: Slight heterogeneity of the gland with no dominant nodule.LEFT LOBE: Slight heterogeneity of the gland no dominant nodule.ISTHMUS: No ...
1.Slight heterogeneity of the thyroid gland which is nonspecific but can be seen as a sequela of thyroiditis.2.No dominant nodule.
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39-year-old female with renal transplant and acute kidney failure. RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Transplant kidney measures 12.9 cm in length. Echotexture is normal. No evidence for mass.COLLECTING SYSTEM/URETER: No hydronephrosis.URINARY BL...
No hydronephrosis.
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41-year-old male patient with right upper quadrant abdominal pain, positive Murphy. Evaluate for fatty liver disease. LIVER: The liver measures 19.3 cm in length and has increased echogenicity. No focal hepatic lesion is identified. The main portal vein flow is hepatopetal and measures 0.4 m/sec.GALLBLADDER, BILIARY TR...
1. Hepatic steatosis.2. No cholelithiasis or sonographic evidence of acute cholecystitis.3. Left renal cyst.
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Reason: elevated LFTs in mixed picture, r/o biliary obstruction History: nausea, vomiting LIVER: The liver measures 18.1 cm in length, upper limits of normal. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow w...
No evidence of acute cholecystitis or biliary ductal dilatation.
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History of poorly differentiated invasive ductal carcinoma of the left breast. Patient received neoadjuvant chemotherapy. Palpable mass in the left breast has recently increased in size. Please evaluate. Note is made that the patient is on Lovenox with marked bruising of the abdomen. History of breast cancer in 3 mater...
Interval increase in the size of biopsy proven carcinoma at the 6 o'clock position of the left breast. Given the history of Lovenox and overlying bruising, a portion of the size increase may be due to internal hematoma. Results were discussed with the patient and her daughter.BIRADS: 6 - Known cancer.RECOMMENDATION: T ...
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79-year-old male with chronic kidney disease RIGHT KIDNEY: Measures 11.9 cm in length. Three right renal cysts measuring up to 5 cm in diameter without septation or nodular component. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. LEFT KIDNEY: Measures 12.3 cm in length. Two left renal c...
1. Increased renal echogenicity consistent with medical renal disease and bilateral simple cysts as detailed above. 2. No nephrolithiasis, hydronephrosis, or suspicious mass lesion.
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Male 47 years old Reason: r/o hydronephrosis, pyelonephriits History: AKI, leukocytosis LIVER:Echogenic liver, compatible with fatty infiltration. Liver is enlarged measuring 18 cm. No focal liver lesions.GALLBLADDER, BILIARY TRACT: No significant abnormality noted. No evidence of intra or extrahepatic biliary dilatati...
Mild hepatomegaly and echogenic liver. Bilateral echogenic kidneys.Normal Doppler findings.
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78-year-old female with goiter. RIGHT LOBE MEASUREMENTS: Incompletely measured due to substernal component. 7.7 x 3.2 x 5.4 cmLEFT LOBE MEASUREMENTS: Incompletely measured due to substernal component. 7.1 x 2.6 x 3.6 cmISTHMUS MEASUREMENTS: 1.6 cmRIGHT LOBE: Diffusely heterogeneous. Small cystic colloid nodule measurin...
Large goiter with substernal thyroid. Multiple solid and cystic nodules. Coarse calcification in the left lobe and isthmus.
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64-year-old female with acute kidney injury, decreased oral intake. RIGHT KIDNEY: Measures 10.3 cm in length. Small bilateral echogenic foci in the kidneys without twinkling or posterior acoustic shadowing most likely represent renal sinus fat or small angiomyolipomas. No hydronephrosis.LEFT KIDNEY: Measures 10.3 cm in...
1. Small echogenic renal foci bilaterally may represent renal sinus fat or small angiomyolipomas, and do not have typical sonographic features of calculi. 2. No hydronephrosis.
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67 year old female with physician palpated left breast area. Recent, unremarkable screening mammogram. On physical examination, a ridge of dense breast tissue is noted at the approximate 12 to one o'clock position of the left breast. No further palpable abnormality is identified.A targeted left ultrasound of the upper ...
No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram.
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Reason: mixed cardiogenic/septic shock with rising LFTs and WBC, eval gall bladder for e/o cholecystitis, eval hepatic and portal vein for clot History: worsening shock Very limited examination due to patient positioning/body habitus.LIVER: The liver appears demonstrates increased echogenicity and coarse echotexture. N...
1.Very limited examination as above, with patient's left portal vein, hepatic arteries, right hepatic vein, splenic vein and artery, left kidney, and spleen not visualized.2.Increase in hepatic parenchymal echogenicity with coarsened echotexture consistent with fatty liver/hepatic parenchymal dysfunction. No hepatic ma...
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75-year-old female with right upper quadrant pain. Evaluate for biliary pathology. Of note, the exam is limited by patient's inability to hold breath during the exam and due to bowel gas.LIVER:The liver measures approximate 14.7 cm. There is coarse, increased, and heterogeneous echotexture of the parenchyma. No mass or...
1. Coarse and echogenic liver consistent with chronic liver disease/parenchymal dysfunction. No ductal dilatation, mass, or ascites.2. Atrophic kidneys consistent with chronic medical renal disease/parenchymal dysfunction.3. No evidence of cholelithiasis or gallbladder disease.
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Callback from screening for left breast calcifications and a right breast mass. Bilateral ML views, right spot compression views and left magnification views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B)...
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.
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52-year-old female with right upper quadrant pain. Evaluate gallbladder. LIVER: Increased echogenicity of the liver measuring 20.4 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity the ga...
1. Hepatomegaly with increased echogenicity suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. Non obstructing right nephrolithiasis appears similar to CT dated 4/22/2014. 3. No evidence of cholecystitis.
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Septic shock. LIVER: Non-cirrhotic liver morphology. Increased hepatic echogenicity, compatible with parenchymal dysfunction. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Biliary sludge and subcentimeter gallstones noted, without evidenc...
1. Biliary sludge and subcentimeter gallstones, without cholecystitis.2. Echogenic liver, compatible with parenchymal dysfunction.3. Echogenic renal parenchyma, compatible with medical renal disease.4. Small amount of ascites and small right pleural effusion.
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Angiomyolipoma RIGHT KIDNEY: 11.2 cm in length. The hyperechoic mass in the superior pole measures 5.3 x 3.7 x 5.3 cm. This mass was previously measured as 5.1 x 3.7 x 6.5 cm, however is likely unchanged when measured similarly and accounting for differences in technique. No hydronephrosis is present.LEFT KIDNEY: 11.5 ...
Right renal angiomyolipoma, without significant interval change. This lesion meets size criteria for interventional radiology consultation and possible embolization.
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30 year old female patient with palpable left breast mass and prior ultrasound demonstrating a fibroadenoma. A targeted left ultrasound was performed in the area of palpable abnormality at the 2:00 position 3 cm from the nipple. Dense glandular tissue was seen without solid or cystic mass identified.Separate from the p...
1.Dense glandular tissue in the area of palpable abnormality without cyst or mass at this location.2.Findings compatible with a fibroadenoma in the left breast at the 2:00 position 1 cm from the nipple, separate from the site of palpable abnormality.3.No cyst or mass in the right breast.BIRADS: 2 - Benign finding.RECOM...
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BPH RIGHT KIDNEY: Atrophic echogenic parenchyma without mass or stone. Associated with moderate to severe hydronephrosis and proximal hydroureter. Right kidney 11.9 cm in lengthLEFT KIDNEY: No significant abnormalities noted. Left kidney 12.4 cm in length. OTHER: Enlarged prostate. Distended bladder. The patient could ...
Atrophic echogenic right renal parenchyma associated with moderate to severe hydronephrosis and proximal hydroureter. Enlarged prostate with a distended bladder. The patient could not void; accordingly post void images and evaluation of right hydronephrosis post void could not be obtained.
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Reason: rule out thyroid nodules, history of XRT for Hodgkin's lymphoma, ? lymph node on right RIGHT LOBE MEASUREMENTS: 1.7 x 0.9 x 0.9 cm.LEFT LOBE MEASUREMENTS: 1.4 x 0.6 x 0.9 cm.ISTHMUS MEASUREMENTS: 0.1 cm.RIGHT LOBE: 0.7 x 0.5 x 0.6 cm solid hyperechoic right mid pole nodule demonstrates internal vascularity howe...
Solid right thyroid nodule as described above is indeterminate, although echogenic nodules are highly likely benign. However, if biopsy is desired in this high risk patient, the nodule is amenable.
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Cirrhosis with history of TIPS LIVER: Cirrhotic morphology again noted. No mass. Liver length 12.1 cm. Limited Doppler interrogation of the TIPS demonstrates a patent TIPS. Patent main portal vein with normal directional flow. Main portal vein velocity 48 cm/s. GALLBLADDER, BILIARY TRACT: Cholelithiasis again noted. Mo...
Technically limited study. Patent main portal vein with normal directional flow. Patent TIPS. Cirrhotic morphology without obvious mass. Moderate bilobar and hepatic ductal dilatation again noted. No ascites.
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31 year old female with rising liver function tests, evaluate for mass. LIVER: Enlarged measuring 22.1 cm in length. Increased echogenicity consistent with diffuse fatty infiltration. Focal fatty sparing noted adjacent to the gallbladder fossa. No discrete hepatic lesions identified. BILIARY TRACT: No significant abnor...
Hepatomegaly and increased echogenicity consistent with hepatic steatosis. No discrete liver masses or biliary ductal dilation.
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37-year-old female, 13 weeks pregnant presents to the diagnostic clinic to evaluate left breast palpable mass. Family history of breast cancer in 2 maternal aunts. Recent mammogram in February 2015 was within normal limits. A targeted left axillary ultrasound was performed for the patient’s area of pain. Patient indica...
Area of pain in the left lower axillary region corresponds to normal glandular tissue. A Normal axillary lymph node is identified in the vicinity.Patient is due in April 2016. Annual screening mammogram is recommended after April 2016.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.
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77-year-old female with weight loss, Nash LIVER: Measures 18.3 in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Cholelithiasis without gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is ...
1. Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease, without discrete focal lesion. 2. Cholelithiasis.
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38-year-old male post thyroidectomy for cancer. Follow-up for recurrent disease. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: There is again noted in the inferior right bed extending to midline a hypoechoic ovoid mass measuring ...
Stable hypoechoic mass in the inferior right bed extending to midline.Second right bed abnormality no longer visualized.
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70 year-old female. Her quadrant tenderness, liver distention, low platelets. Ultrasound for hepatomegaly, biliary disease, cirrhosis? LIVER: Normal echogenicity and echotexture of the liver. No focal hepatic mass. The liver is 15.9 cm in length. Hepatopetal portal venous flow with undulation of the waveform and dilate...
1. Cholelithiasis without evidence of acute cholecystitis. No biliary ductal dilatation. Liver length is at the upper limits of normal. Small amount of perihepatic ascites.2. Findings consistent with right heart failure.
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66 year old male, evaluation for heart transplant. Baseline exam LIVER: Coarse echogenicity of the liver measuring 17.2 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladde...
1. Hepatomegaly with coarse echotexture suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. Non obstructing right nephrolithiasis.3. Small amount of ascites and incompletely imaged bilateral pleural effusions.
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26-year-old female patient with fullness in neck, increased unilateral blood vessel appearance on neck exam. Evaluate for thyromegaly. RIGHT LOBE MEASUREMENTS: 1.8 x 1.3 x 4.5 cm.LEFT LOBE MEASUREMENTS: 1.8 x 1.7 x 4.8 cm.ISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: The right thyroid lobe is homogeneous in echog...
1. No dominant thyroid lesion identified.2. Possible parathyroid adenoma inferior to the right thyroid lobe; correlate with serum calcium levels.
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Acute renal sufficiency RIGHT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. 13 cm in length.LEFT KIDNEY: Left kidney absent.OTHER: Bladder nondistended
Echogenic right renal parenchyma suggestive for medical renal disease/parenchymal dysfunction without mass, stone, or hydronephrosis. Left kidney absent.
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Reason: Assess for Kidney stones. Patient with Primary HPT. RIGHT KIDNEY: The right kidney measures 9.3 cm in length. 0.6 x 0.4 x 0.5 cm hyperechoic parenchymal stone in the mid right kidney. No evidence of obstruction or hydronephrosis.LEFT KIDNEY: Left kidney measures 9.2 cm in length. No shadowing stones or hydronep...
Focal right parenchymal calcification without evidence of obstruction or nephrolithiasis.
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20-year-old male with abnormal liver function. LIVER: The liver is normal in size but is moderately echogenic, progressive when compared to prior exams. Presumably this is related to fatty infiltration although other causes of parenchymal dysfunction cannot be excluded. No focal hepatic abnormality. Portal vein is pate...
Progressively echogenic liver.
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History of thyroid cancer and ovarian cancer, rule out adenopathy or recurrence. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy. No abnormal soft tissue nodules identified within t...
No evidence of local recurrence or suspicious lymphadenopathy.
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Elevated creatinine RIGHT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. 12 cm in lengthLEFT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. 11.9 cm in lengthOTHER: Bladder nondistended
Negative renal ultrasound without evidence for mass, stone, or obstruction.
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Acute renal failure RIGHT KIDNEY: Normal appearing parenchyma without worrisome mass, stone, or hydronephrosis. Benign-appearing cyst. Right kidney 10.7 cm in lengthLEFT KIDNEY: Normal appearing parenchyma without worrisome mass, stone, or hydronephrosis. Benign-appearing cyst. Left kidney 10.7 cm in length.OTHER: Blad...
Normal parenchymal echogenicity without worrisome mass, stone, or hydronephrosis.
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69-year-old female undergoing renal biopsy. Ultrasound guidance was provided for a renal biopsy performed by nephrology service.
Ultrasound guidance was provided for renal biopsy performed by nephrology service. 3 passes were attempted.
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Reason: 45 yo with PSC please evaluate gallbladder LIVER: The liver measures 15.9 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19...
Increased hepatic echogenicity raising the possibility of chronic liver disease. Normal sonographic appearance of the gallbladder. No sonographic evidence of biliary ductal dilatation.
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Ms. Gee is an 18 year old female who reports a right breast lump. No family history of breast cancer. Focused right breast ultrasound showed normal breast tissue in the area of palpable concern in the right breast 4:00 position 3 cm from the nipple. There is no solid or cystic mass identified.
Normal breast tissue corresponding to the area of palpable concern in the right breast. No sonographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually starting at age 40. Results and recommendations were discussed with the patie...
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Ms. Rich is a 20-year-old female with palpable masses in the left upper outer breast presenting for follow-up ultrasound evaluation. History of right breast fibroadenoma status post excision. Family history of breast cancer in maternal grandmother diagnosed at 62 years of age. On physical examination, two palpable firm...
Stable to minimal increase in size of two presumed fibroadenomas of the left breast. Recommend follow-up with breast surgery as clinically warranted. All results and recommendations were discussed with the patient. BIRADS: 3 - Probably benign finding.RECOMMENDATION: C - Clinical Correlation Needed.
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Papillary thyroid carcinoma status post resection with palpable lymph nodes 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: Stable benign-appearing cervical...
Hypoechoic normal sized lymph node within the subcutaneous tissues left level 5 periarticular region corresponding to the clinically palpable focus. Its appearance favors a benign reactive etiology over metastatic focus. Would recommend special attention to this lymph node on future surveillance scans. Otherwise stable...
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No retroperitoneal neuroendocrine tumor with chronic renal disease RIGHT KIDNEY: Mildly echogenic parenchyma without mass, stone, or hydronephrosis. 10.2 cm in lengthLEFT KIDNEY: Mildly echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Stable left renal cyst. Left kidney 8.7 cm in lengthOTHER: Blad...
Mildly echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or hydronephrosis. Retroperitoneal mixed cystic and solid mass again noted.
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38-year-old female presents for short-term follow-up of right breast fibroadenoma. A targeted right ultrasound was performed for the patient’s area of concern. At the 11 o'clock position of the right breast, 9 cm from the nipple, there is redemonstration of an oval, circumscribed, parallel oriented hypoechoic mass meas...
Stable benign morphology mass at 11 o'clock position of the right breast, compatible with benign fibroadenoma. The lungs the patient's physical examination remains normal, bilateral diagnostic mammogram and right unilateral ultrasound is recommended in 6 months to confirm stability of the fibroadenoma. Result and recom...
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History of microhematuria. RIGHT KIDNEY: The right kidney is normal in size measuring 11.5 cm in length. No hydronephrosis. Normal echogenicity. No shadowing nephrolithiasis. No suspicious lesion.LEFT KIDNEY: The left kidney is normal in size measuring 11.3 cm in length without hydronephrosis, shadowing nephrolithiasis...
No hydronephrosis, shadowing nephrolithiasis or suspicious lesion.
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Male 65 years old Reason: baseline exam as part of heart transplant evaluation LIVER:Liver measures 15.7 cm. Mildly echogenic liver appearance which is nonspecific. No focal mass. Main portal vein is patent with normal directional flow and velocity 15 cm/s.GALLBLADDER, BILIARY TRACT: No intra or extrahepatic biliary du...
Appearance of the abdominal viscera is within normal limits.
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Mass in tail of right carotid and Rathke's cyst or tumor pituitary. New fullness involving the anterior chest wall.IMAGE ACQUISITIONS: Enhanced CT performed of the head. Enhanced CT performed of the neck. See separate report for chest CT. Evaluation of the brain shows no evidence of abnormality of the ventricles or bas...
Stable cystic mass involving sella turcica and extending into the skull base. Approximately 1 cm nodule right parotid gland. Bilateral submandibular and right sublingual stones. Multiple nodules identified in the thyroid gland, most pronounced involving left lobe. See separate report for chest CT.
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Enlarged thyroid RIGHT LOBE MEASUREMENTS: 6.5 x 2.5 x 2.6 cmLEFT LOBE MEASUREMENTS: 6.6 x 2.5 x 2.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: 0.5 x 0.8 x 0.6 cm spongiform nodule lower poleLEFT LOBE: 0.5 x 0.3 x 0.5 cm spongiform nodule lower poleISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No signific...
Bilateral subcentimeter benign-appearing spongiform nodules. No regional adenopathy.
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49-year-old female with spinal cord compression/neurogenic bladder and AKI. RIGHT KIDNEY: Increased echogenicity, consistent with prior examination.LEFT KIDNEY: Increased echogenicity, consistent with prior examination.OTHER: Foley catheter in place.
Increased renal echogenicity consistent with medical renal disease. Foley catheter in place.
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41-year-old female with right renal biopsy earlier in the day, now with dizziness and hematuria. RIGHT KIDNEY: The right kidney measures 8.1 cm in length. Cortex is echogenic. No hydronephrosis, shadowing calculus or mass. There is a trace of perinephric fluid. No significant hematoma identified.LEFT KIDNEY: The left k...
Trace perirenal fluid on the right. No significant hematoma identified.Mildly echogenic kidneys with asymmetric size.
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55 year-old female with Hashimoto's, left lobe slightly more prominent. RIGHT LOBE MEASUREMENTS: 3.7 cm x 1.2 cm x 1.2 cm.LEFT LOBE MEASUREMENTS: 3.7 cm x 1.3 cm x 0.7 cm.ISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: Minimally heterogeneous echotexture with no discrete nodule identified.LEFT LOBE: Minimally heter...
Unremarkable examination.
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62-year-old female with multiple known gallstones, now with persistent right upper quadrant pain for past week. Evaluate for cholecystitis LIVER: Multiple hepatic hypoechoic lesions are identified. The largest of these measures 1.8 x 1.9 x 2.1 cm with posterior acoustic enhancement and no internal vascularity. Addition...
1.Cholelithiasis without specific findings to suggest cholecystitis.2.Multiple indeterminate hepatic hypoechoic lesions. Further evaluation with dedicated liver protocol CT or MR examination is recommended.
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28-year-old female with history of acute cholecystitis treated with antibiotics, now with recurrent abdominal pain. LIVER: No significant abnormalities noted. Limited spectral and color Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder contains m...
Findings consistent with acute cholecystitis given history.
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Cirrhosis; HCC screen LIVER: Stable cirrhotic morphology without mass. Liver length 13.1 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.BILIARY TRACT: Gallbladder absent. No ductal dilatationPANCREAS: No significant abnormalities noted.SPLEE...
Stable cirrhotic morphology without mass or ductal dilatation. No ascites. Mild splenomegaly again noted.
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Male 84 years old Reason: Liver pathology History: new transaminitis, history of non-hodgkin's lymphoma, rheumatoid arthritis LIVER: Coarse echotexture of the liver. No focal liver lesions. Liver measures 17.7 cm, slightly increased in size.GALLBLADDER, BILIARY TRACT: No evidence of cholelithiasis. No evidence of intra...
Coarse echotexture of the liver. Mild hepatomegaly.
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44-year-old male with right scrotal mass. RIGHT TESTIS: Normal in size, contour and echogenicity. Normal vascularity by color and spectral DopplerLEFT TESTIS: Left testicle is smaller than the right, and slightly hypoechoic and heterogeneous. There is a 2 mm focus of increased echogenicity in the left testicle without ...
Small and mildly hypoechoic left testicle. Patient provides history of nondistended testis. Focal internal echogenicity without appreciable mass effect could be related to calcification or scar.Cyst of the right spermatic cord with small varicocele.
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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 mas...
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.
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Hyperparathyroidism RIGHT LOBE MEASUREMENTS: 5.1 x 1.7 x 1.7 cmLEFT LOBE MEASUREMENTS: 5.4 x 1.2 x 1.6 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: No significant change in multiple subcentimeter predominantly cystic nodules. The largest nodule is within the superior pole measuring 0.8 x 0.5 x 0.6 cm.LEFT LOBE: Relatively...
Stable bilateral thyroid nodules. No convincing extrathyroidal focus identifiable as a parathyroid lesion.
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Renal stones RIGHT KIDNEY: Normal echogenicity without mass, stone, or hydronephrosis. 9.8 cm in lengthLEFT KIDNEY: Normal echogenicity without mass, stone, or hydronephrosis. 9.7 cm in lengthOTHER: Bladder nondistended
Negative renal ultrasound. No evidence for mass, stone, or hydronephrosis.
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45-year-old female patient with epigastric pain, lipase greater than 3000. Evaluate for gallstones. LIVER: The liver measures 15.7 cm in length. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: There are no gallstones, gallbladder wall thicke...
1. Hypoechoic pancreas which can be seen with inflammation/pancreatitis. 2. No evidence of cholelithiasis.
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59-year-old female with uptrending AST/ALT. Evaluate for hepatic abnormalities. LIVER: Coarse echogenicity of the liver measuring 25.6 cm in length. No focal hepatic lesions. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Sludge within the gall...
1. Sludge within the gallbladder with small amount of pericholecystic fluid however no definite evidence of cholecystitis.2. Hepatomegaly with coarse echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration.
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74-year-old female with history of pancreatitis, gallstones. Concern for ductal obstruction. Limited examination due to patient body habitus and presence of bowel gas.LIVER: No significant abnormalities noted.GALLBLADDER, BILIARY TRACT: Cholelithiasis with gallbladder wall measuring upper limits of normal. No perichole...
1.Cholelithiasis without specific evidence of acute cholecystitis.2.Increased hepatic echogenicity consistent with diffuse parenchymal disease or hepatic steatosis.3.Limited evaluation of the pancreas secondary to patient's bowel gas. Please see recent prior CT from 8/23/2015.4.Increased renal echogenicity consistent w...
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Female 32 years old; Reason: 32 y/o 7 weeks pregant with right breast Ca, need ultrasound of thyroid for further eval History: 32 y/o 7 weeks pregnant with right breast Ca, need ultrasound of thyroid for further eval RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 4.6 x 2.0 x 1.7 cm.LEFT LOBE MEASUREMENTS: The...
1.Multinodular thyroid as above. Background heterogenicity could be due to thyroiditis. Please correlate with laboratory values.
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Male 58 years old Reason: Evaluate for patency of previous TIPS procedure History: GI bleeding, bright red blood per rectum LIVER: Cirrhotic liver morphology. Unchanged simple appearing cyst measuring 1 x 0.9 x 0.8 cm. TIPS stent is patent. Main portal vein is patent with peak velocity of 52 cm/s. It is somewhat tortuo...
1.Patent TIPS stent and a patent main portal vein. 2.Cirrhotic morphology of the liver and trace perihepatic ascites.3.Splenomegaly
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62-year-old male with fever, abdominal pain. Evaluate for up quadrant from gallbladder pathology. Limited exam as patient unable to lie in the decubitus position or check for Murphy's sign. Midline bandage partially obscures the left liver and pancreas.LIVER: Increased echogenicity of the liver measuring 21.4 cm in len...
1. Cholelithiasis with trace pericholecystic fluid. Findings may represent early cholecystitis.2. Hepatomegaly with increased echogenicity of the liver compatible with fatty infiltration.3. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. No hydronephrosis.
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History oncocytoma and right renal lesion RIGHT KIDNEY: 3.1 x 2.3 x 3.3 cm solid mass arising from the lower pole the right kidney again noted and relatively unchanged from the recent CT. No stone or hydronephrosis. Right kidney 10.1 cm in lengthLEFT KIDNEY: 7.5 x 7.5 x 7.2 cm solid mass arising from the upper pole the...
No change in bilateral solid renal masses. No hydronephrosis or stone.
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Male; 33 years old. Reason: eval for obstruction, reason for AKI History: AKI RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: Continued decrease in size of the complex fluid collection along the posterior portion of the transplanted kidney. This currently measures 1.8 x 1.9 x 0.8 cm (previously 2....
1.Mild hydronephrosis not significantly changed compared to the prior ultrasound.2.Patent transplant renal vasculature.3.Continued decrease in size of perinephric hematoma.
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Elevated creatinine Ultrasound guidance was provided for biopsy of a transplant kidney in the right iliac fossa by the nephrology service.
Ultrasound guidance provided for transplant renal biopsy.
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Nodular goiter RIGHT LOBE MEASUREMENTS: 7.1 x 4.4 x 9.3 cm. Large in size with heterogeneous background echotexture. Unremarkable vascularity.LEFT LOBE MEASUREMENTS: 4.7 x 3.8 x 8.8 cm. Large in size with heterogeneous background echotexture. Unremarkable vascularity.RIGHT LOBE: Diffusely heterogeneous background gland...
Heterogeneous goiter with benign-appearing nodules.
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Thyroid nodule seen on CT scan. RIGHT LOBE MEASUREMENTS: 5.1 x 2.0 x 1.8 cmLEFT LOBE MEASUREMENTS: 4.3 x 1.4 x 1.4 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: The parenchyma is normal in echogenicity. In the inferior pole there is a 2.1 x 1.6 x 1.9 cm well-defined isoechoic solid nodule.LEFT LOBE: The parenchyma is norma...
Bilateral thyroid nodules with the largest being a solid 2.1 cm on the right. No specific suspicious sonographic features, however it is amenable to FNA sampling as clinically indicated.
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32-year-old female with Papillary thyroid cancer. Assess lateral lymph nodes. RIGHT LOBE MEASUREMENTS: 5.5 cm x 1.6 cm x 2.2 cmLEFT LOBE MEASUREMENTS: 4.8 cm x 1.7 cm x 1.5 cmISTHMUS MEASUREMENTS: 7 mm in thicknessRIGHT LOBE: No discrete nodules identifiedLEFT LOBE: No discrete nodules identifiedISTHMUS: Conglomerate m...
Dominant Isthmus mass as described above. No sonographic evidence of nodal metastases.
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Patient with ischemic cardiomyopathy and acute kidney injury. Evaluate for obstruction. RIGHT KIDNEY: Right kidney measures 12.1 cm in length. A 3.7 cm septated cyst is redemonstrated and unchanged compared to prior. There is no evidence of hydronephrosis. Kidneys mildly echogenic.LEFT KIDNEY: Left kidney measures 11.2...
No hydronephrosis of either kidney. Stable septated cyst in the right kidney. Medical renal disease.
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History of cirrhosis. Evaluate for HCC. LIVER: The liver is shrunken and nodular compatible with cirrhosis. The parenchyma is coarse and moderately echogenic. No focal lesion is evident. It measures 13.7 cm in craniocaudal dimension.Normal hepatopedal portal venous blood flow at 0.2 m/s.BILIARY TRACT: No intra or extra...
Cirrhotic morphology without a suspicious focal lesion. Moderate volume ascites.
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58 year-old female with ascites and elevated lipase, evaluate for cholelithiasis or infection. LIVER: The liver measures 15.5 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...
1.No evidence of cholelithiasis or cholecystitis.2.Abdominal ascites and bilateral pleural effusions. 3.Mild righter greater than left hydronephrosis.
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60-year-old female patient with elevated liver enzymes. LIVER: The liver measures 19.9 cm in length and demonstrates increased parenchymal echogenicity with focal hypoechogenicity near the gallbladder. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIAR...
1. Increased hepatic echogenicity consistent with hepatic steatosis with focal areas of sparing.2. Cholelithiasis without sonographic evidence of acute cholecystitis.
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65-year-old male with acute on chronic pancreatitis and abdominal pain. Evaluate for gallstones. LIVER: Mildly echogenic without focal abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder contains deep tendon ...
Gallbladder sludge without stones.Pseudocysts.Trace ascites.
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Evaluate for pathology, renal disease, advanced heart failure workup LIVER:Liver measures 16.9 cm with mildly increased echotexture. No intrahepatic biliary ductal dilatation. No focal lesion noted. Portal vein demonstrates normal flow directionality and patency.GALLBLADDER, BILIARY TRACT: Mildly distended gallbladder ...
No findings suggestive of acute cholecystitis.Trace ascites in the abdomenRight kidney could not be visualized in the abdomen, correlate with history of nephrectomy or concerned for agenesis.
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37-year-old male with acute kidney failure. Evaluate for hydronephrosis. Abnormal liver function. LIVER:There is hepatomegaly with the liver measuring at least 20 cm in length. The hepatic parenchyma is echogenic which is nonspecific. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency...
Hepatosplenomegaly with echogenic liver.No evidence for hydronephrosis. Kidneys may be mildly echogenic.
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Ms. Mukhopadhyay is a 24 year old female presenting with a palpable abnormality in the left breast for the past 6 months. She denies any tenderness or history of trauma. Upon physical exam at the patient's area of concern, no discrete mass is appreciated.A targeted left breast ultrasound was performed for the palpable ...
Dense fibroglandular tissue without sonographic evidence for malignancy. Patient should follow-up with her primary care physician as clinically warranted. All results and recommendations were relayed to the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.
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Cirrhosis with nausea and vomiting LIMITED ABDOMENLIVER: Cirrhotic morphology without mass. Liver length 17.5 cmBILIARY TRACT: Gallbladder absent. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: 14.4 cm in length. RIGHT KIDNEY: No significant abnormalities noted. 10.2 cm in length.OTHER: Left ...
Cirrhotic liver without mass or ductal dilatation. Patent hepatic vessels with normal directional flow. No ascites.
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Hepatitis B LIVER: Coarse echogenic liver echotexture without mass. Liver length 16.8 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.7 cm in lengthOTHER: Left kidney 11.6 cm in length. Spleen 11.4 cm in l...
Coarse echogenic liver suggestive for parenchymal dysfunction/fatty infiltration without mass or ductal dilatation. No ascites.
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Male 65 years old with left inguinal area mass Well-circumscribed heterogeneously echogenic nodule measuring 5.6 x 4.9 x 2.0 cm. No abnormal vascularity.
Correlating the ultrasound findings with CT, this most likely represents a lipoma.
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63-year-old male with thyroid nodule on MR exam. RIGHT LOBE MEASUREMENTS: 4.9 x 1.8 x 2.3 cmLEFT LOBE MEASUREMENTS: 4.2 by 2 x 1.9 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Homogeneous in echotexture. LEFT LOBE: Homogeneous in echotexture. In the mid portion of the left lobe there is a rounded, solid nodule measuring a...
Solitary 1 cm solid left thyroid nodule the appearance is nondescript by ultrasound and in this age range could be followed.
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Elevated creatinine RIGHT KIDNEY: Echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Lower pole cyst. Right kidney 9.8 cm in lengthLEFT KIDNEY: Echogenic parenchyma without worrisome mass or hydronephrosis. Possible subcentimeter nonobstructing renal stone. Left kidney 9.9 cm in lengthOTHER: Bladder...
Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass or obstruction. Possible nonobstructing left subcentimeter renal stone
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Reduced urine output acute renal insufficiency RIGHT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. 11.7 cm in length.LEFT KIDNEY: Echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Left hepatic cyst. 10.4 cm in length.OTHER: Bladder nondistended.
Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or hydronephrosis.
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49 year-old asymptomatic female presents for whole breast ultrasound for dense breast screening. Patient has history of right breast invasive ductal carcinoma and DCIS status post mastectomy with reconstruction and implant in August 2013. 3-D whole breast ultrasound was performed for the left breast and images were rev...
No sonographic evidence for malignancy in the left breast.BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram.
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Male 77 years old; Reason: history of thyroid nodule, please evaluate for interval change History: left thyroid nodule Multiple nodules identified within the right and left lobes of the thyroid as noted previously without substantial change.RIGHT LOBE MEASUREMENTS: 5.3 x 2.5 x 2.3 cm, not substantially changedLEFT LOBE...
Multiple nodules are redemonstrated throughout the thyroid gland, not substantially changed compared to prior.
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Multinodular goiter. RIGHT LOBE MEASUREMENTS: 4.8 x 2.1 x 2.5 cm, similar to prior. Normal background vascularity.LEFT LOBE MEASUREMENTS: 4.2 x 2.4 x 2.1 cm, similar to prior. Normal background vascularity.ISTHMUS MEASUREMENTS: 3 mm in AP dimension.RIGHT LOBE: Multiple predominantly solid nodules with minimal cystic el...
Multinodular goiter, without significant interval change.
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Call back from screening mammogram for multiple focal asymmetric density in the right breast. DIAGNOSTIC MAMMOGRAM OF THE RIGHT BREAST: Three standard views with spot compression of right breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is composed of scattered fibroglandu...
A small focal asymmetry in the upper outer posterior right breast without sonographic correlate or abnormal finding on physical exam, probably a benign process. Other benign findings as described above. As long as the patient's physical examination remains unremarkable, right unilateral diagnostic mammogram is recommen...
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46-year-old male with cirrhosis and on autoimmune hepatitis. Evaluate for hepatocellular carcinoma. LIVER: Mildly and coarsely echogenic without focal abnormality. Overall size within normal limits. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TR...
Stable examination without hepatic mass.
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19-year-old female patient with history of right lumpectomy for fibroadenoma. Patient complains of new/increasing right breast mass immediately inferior to the nipple. A targeted right ultrasound was performed for the palpable area of concern. Physical examination demonstrated a small palpable lump in the inferior righ...
No significant interval change in inferior right breast benign morphology mass, likely representing a fibroadenoma. Recommend continued surgical consultation follow-up.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.
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Reason: evaluate right renal mass History: 25lb weight loss, stage IV Chronic renal disease, renal mass seen on non contrast CT RIGHT KIDNEY: Exophytic predominantly anechoic mass arising from the right kidney measuring 4.2 cm x 4.2 cm x 3.6 cm with internal septation and questionable solitary mural nodule seen dorsal ...
Exophytic predominantly cystic mass with internal septation and questionable mural nodule. Continued follow-up in 4 months is recommended to ensure no increase in size of the mural nodule.
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48 year old female with history of right upper quadrant pain. Evaluate for gallbladder pathology. LIVER: Hepatic steatosis, without focal abnormality.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No sig...
Hepatic steatosis, without additional abnormality.
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67-year-old female patient with pain, tingling on right side. RIGHT LOBE MEASUREMENTS: 4.6 x 1.4 x 1.7 cm.LEFT LOBE MEASUREMENTS: 4.8 x 1.5 x 1.7 cm.ISTHMUS MEASUREMENTS: 4 mm in thickness.RIGHT LOBE: The right thyroid lobe is homogeneous in echogenicity without dominant thyroid lesion.LEFT LOBE: The left thyroid lobe ...
1. No specific findings to account for the patient's symptoms.2. No dominant thyroid nodule.
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Female; 47 years old. Reason: r/o adenopathy, recurrence History: h/o thyroid cancer, 1 year follow up study RIGHT LOBE MEASUREMENTS: Status post thyroidectomyLEFT LOBE MEASUREMENTS: Status post thyroidectomyISTHMUS MEASUREMENTS: Status post thyroidectomyRIGHT LOBE: No residual thyroid tissue. No suspicious lesion.LEFT...
1.No evidence of recurrence in the thyroid bed. 2.A few prominent bilateral lymph nodes have a normal appearing fatty hila and are likely benign reactive nodes.
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