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Generate impression based on findings.
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Elevated LFTs LIVER: Coarse echogenic liver parenchyma without mass. Liver length 13.6 cm. Limited Doppler interrogation the main portal vein demonstrates a patent main portal vein with normal directional flow.BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 10.6 cm in lengthRIGHT KIDNEY: Absent OTHER: Left kidney 13.5 cm in length. No ascites. Right pleural effusion
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Coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Gallbladder sludge without acute inflammation. Right pleural effusion. No ascites.
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Generate impression based on findings.
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33 year old female with a history of von Hippel-Lindau disease status post right partial nephrectomy in 2009 for clear cell renal cell carcinoma. Evaluate for cysts or masses in both kidneys. RIGHT KIDNEY: Note is made of postsurgical changes consistent with the stated history of partial nephrectomy. The right kidney measures 11.9 cm in length. There is a 3.1 x 3.0 x 3.6 cm complex cystic lesion with internal echogenicity and mild peripheral vascularity in the superior pole of the right kidney. There is a 0.9 x 1.2 x 1.2 cm, complex, cystic lesion in the superior pole of the right kidney, without internal vascularity.LEFT KIDNEY: There is an 8.7 x 7.7 x 8.3 cm, complex cystic lesion in the inferior pole of the left kidney, with associated thick septation. There is no internal vascularity. Multiple additional complex cysts with thin septation identified in the inferior pole of the left kidney.OTHER: The bladder is incompletely distended, limiting evaluation.
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Multiple bilateral complex renal cystic lesions, the largest of which measures 8.7 cm in the inferior pole of the left kidney. Submission of prior examinations for comparison is recommended. If prior examinations are not available, further evaluation with a dedicated renal CT examination is recommended to better characterize cystic renal lesions described.
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Generate impression based on findings.
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Palpable axillary lesion. Recent normal mammography and MRI. A targeted right ultrasound was performed for the patient’s area of concern. A normal size and morphology lymph node is present at the patient's site of concern. There is no suspicious solid or cystic mass identified.
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Normal size and morphology lymph node in the right axillary region at the site of patient's concern.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.
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Generate impression based on findings.
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52-year-old female. CHF presenting with right upper quadrant abdominal pain, back pain, positive UA from OSH. Evaluate for pyelonephritis, liver/gallbladder, biliary tree. LIVER: Diffusely increased echogenicity of the liver consistent with hepatic steatosis/dysfunction. The liver is 19.7 cm in length. No focal lesion is identified. Hepatoportal venous flow.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation. The common duct is 7 mm in caliber, at the upper limits of normal. Status post cholecystectomy.PANCREAS: Visualized portions of the pancreatic head are normal echogenicity. The remainder of the pancreas is obscured by bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: Right kidney is 12.2 cm. Left kidney is 13.9 cm. Normal echogenicity of both kidneys. No hydronephrosis. No evidence of an abscess.ABDOMINAL AORTA: Aorta is patent. 3.3 cm in caliber in the proximal aorta, 2.6 cm in the mid aorta, 1.8 cm in the distal aorta.INFERIOR VENA CAVA: Patent.OTHER: Bladder is underdistended.
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Findings consistent with hepatic steatosis/dysfunction and hepatomegaly. No hydronephrosis or evidence of a renal abscess. Mildly ectatic proximal abdominal aorta.
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Generate impression based on findings.
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34-year-old female s/p thyroidectomy presents with a feeling of enlarging neck masses. RIGHT LOBE, ISTHMUS: The thyroid has been surgically removed.LEFT LOBE: The thyroid has been surgically removed. There are two nodules noted in the left thyroid bed.Nodule 1 is well defined, oval, and hypoechoic, measuring approximately 0.6 x 0.2 x 0.3 cm and appears stable when compared to the prior exam.Nodule 2 is oval, hypoechoic, measuring 0.3 x 0.2 x 0.2 cm and appears stable when compared to the prior exam. LYMPH NODES: There are two lymph nodes seen in level III of the right .The first is oblong and measures approximately 1.7 x 0.3 x 0.5 cm and is favored to be reactive.The other is well defined and hypoechoic measuring approximately 1.4 x 0.5 x 1.0 cm and is stable since the prior examination. OTHER: No significant abnormality noted.
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1. Stable nodules in the left thyroid bed as described above.2. Favor reactive node right level III node however special attention on subsequent examinations is recommended.
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Generate impression based on findings.
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Male 44 years old Reason: s/p renal transplant-evaluate for rejection History: elevated Cr Ultrasound guidance and technical assistance was provided for a renal transplant in right iliac fossa The procedure was successfully completed. 3 18-gauge passes were performed by Dr. Cunningham.
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Successful ultrasound guided biopsy of the renal allograft in the right iliac fossa.
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Generate impression based on findings.
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80 year-old male with thyroid nodule. Evaluate for interval change. RIGHT LOBE MEASUREMENTS: 3.4 cm x 1.1 cm x 0.9 cmLEFT LOBE MEASUREMENTS: 3.5 cm x 1.5 cm x 1.8 cmISTHMUS MEASUREMENTS: 2 mm in thicknessRIGHT LOBE: No discrete nodules or masses are seen.LEFT LOBE: Hypoechoic solid nodule at the inferior pole is again seen measuring 1.9 cm x 1.6 cm x 1.0 cm, previously 1.9 cm x 1.1 cm x 1.4 cm. There is some internal vascularity; no definite microcalcifications are noted. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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No significant interval change in solid left thyroid nodule. This has been biopsied previously.
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Generate impression based on findings.
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59-year-old male with acute kidney injury. RIGHT KIDNEY: The right kidney measures 10.6 cm in length. No hydronephrosis. Mildly echogenic renal parenchyma. No discrete lesions.LEFT KIDNEY: The left kidney measures 12.6 cm in length. No hydronephrosis. Mildly echogenic renal parenchyma. No discrete lesions.URINARY BLADDER: Partially distended urinary bladder without acute abnormality.OTHER: No significant abnormalities noted.
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Mildly echogenic renal parenchyma suggesting chronic renal disease. No hydronephrosis or discrete lesions.
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Generate impression based on findings.
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Follicular and papillary thyroid carcinoma status post resection. Outside ultrasound suggests worrisome lesion right thyroid bed RIGHT LOBE: Status post thyroidectomy. Vague hyperechoic region and right thyroid bed without increased vascularity unchanged from 11/1/2013.LEFT LOBE: Status post thyroidectomy. Subcentimeter hypoechoic foci within the left thyroid bed. The largest measures 0.8 x 0.3 x 0.7 cm. Given differences in transducer acquisition parameters, it is unclear whether not these foci have significantly changed from the prior studies.ISTHMUS: Status post thyroidectomyPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional adenopathy.OTHER: No significant abnormality noted.
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Status post thyroidectomy. Echogenic focus within the right thyroid bed unchanged from 2013; favor benign etiology such as scar. Accordingly, no biopsy was performed.Subcentimeter hypoechoic foci within left thyroid bed. Given differences in transducer acquisition parameters, it is unclear whether not these foci have significantly changed from prior studies. While these may represent benign residual thyroid tissue, would recommend follow-up scan in 4 months to document temporal stability.
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Generate impression based on findings.
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Reason: Evaluate for choledocholithiasis, cholecystitis History: hyperbilirubinemia Examination limited by patient body habitus.LIVER: The liver measures 19.9 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.43 m/s.BILIARY TRACT: The gallbladder is contracted with diffuse gallbladder wall thickening measuring up to 6 mm. Debris/sludge is present within the gallbladder lumen. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: Not visualized.RIGHT KIDNEY: Kidney measures 13.0 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Not visualized.OTHER: No significant abnormalities noted.
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1.Limited exam.2.Hepatomegaly. Diffusely coarse and echogenic liver, compatible with fatty infiltration/parenchymal dysfunction.3.Contracted gallbladder which contains sludge. No biliary duct dilatation.
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Generate impression based on findings.
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Status post renal transplant. Guidance for Biopsy Ultrasound guidance was provided for a transplant renal biopsy. Transplant is located in the right iliac fossa
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Ultrasound guidance for transplant renal biopsy
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Generate impression based on findings.
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Reason: ? Outflow obstruction History: hepatomegaly LIVER: The liver measures 22.9 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 0.42 m/s.BILIARY TRACT: Cholelithiasis without associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.7 cm in length. RIGHT KIDNEY: Kidney measures 13.6 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted.
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1.Persistent hepatomegaly. 2.Cholelithiasis without sonographic evidence of cholecystitis.
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Generate impression based on findings.
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40-year-old female with abdominal distention. Elevated bilirubin. LIVER: The liver is highly echogenic which decreases penetration and visualization. This is likely due to severe fatty liver.There is again noted a non--- specific lobulated hypoechoic 2 cm mass in the right lobe which is stable. No other abnormality. Color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: Gallbladder is collapsed and mildly thick walled. No gallstones or pericholecystic fluid. The biliary tract is normal in caliber. PANCREAS: Not visualized due to body habitus and bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Right pleural effusion.
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Collapsed gallbladder without stones or pericholecystic fluid.Highly echogenic liver likely due to fatty infiltration.Stable lobulated hepatic mass.Right pleural effusion.
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Generate impression based on findings.
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27 years old, Female, Reason: Please evaluate RUQ, especially liver and biliary tree, given elevated LFTs. Please assess area around ileostomy to evaluate for abscess History: elevated liver enzymes LIVER: The liver measures 18 cm in length. The parenchyma is normal in appearance. No focal hepatic lesion identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: There is gallbladder sludge without evidence of gallbladder wall thickening or peri-cholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 0.3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 13.5 cm in length. RIGHT KIDNEY: Kidney measures 11.2 cm in length. Mild hydronephrosis.LEFT KIDNEY: Kidney measures 10 cm in length. Mild hydronephrosis.OTHER: The bladder is collapsed and not well visualized. No evidence of subcutaneous abscess or fluid collection in the area of the ileostomy. Note is made of incompletely imaged fetus.
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1.Gallbladder sludge without evidence of acute cholecystitis.2.Bilateral mild hydronephrosis, which is likely physiologic given known pregnancy.3.No evidence of subcutaneous abscess or fluid collection in the area of the ileostomy as clinically questioned.
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Generate impression based on findings.
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Metastatic small cell carcinoma with liver abnormalities LIVER: Diffusely heterogeneous liver with multiple bilobar confluent hypoechoic mass lesions. Liver length 27.2 cmDoppler interrogation of hepatic vessels demonstrate a possible filling defect in the main portal vein. Main portal vein flow remains pedal with a velocity 15.8 cm/s. Hepatic artery and hepatic veins appear patent.GALLBLADDER, BILIARY TRACT: No significant abnormality noted.PANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted. 8.1 cm in length KIDNEYS: Right kidney 12 cm in length Left kidney 11.6 cm in length ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Porta hepatis adenopathy. No ascites. Right pleural effusion.
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Diffusely heterogeneous liver with bilobar confluent mass lesions worrisome for metastatic disease. No ductal dilatation. While the hepatic vessels appear patent with normal directional flow, there may be a nonobstructing filling defect within the main portal vein. No ascites.
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Generate impression based on findings.
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25-year-old male with right upper quadrant pain, elevated LFTs LIVER: Echogenic hepatic parenchyma without discrete focal lesion.GALLBLADDER, BILIARY TRACT: Nondistended gallbladder without cholelithiasis. Mild nonspecific edema of the surrounding hepatic parenchyma.PANCREAS: No significant abnormalities noted.KIDNEYS: Partially imaged circumscribed hyperechoic lesion in the mid polar left kidney. No hydronephrosis.OTHER: Small pleural effusion
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1.Nondistended gallbladder with normal wall thickness. No evidence of cholelithiasis or acute cholecystitis. 2.Partially imaged hyperechoic lesion in the mid polar left kidney is incompletely characterized and may represent a angiomyolipoma, though nonspecific.3.Small pleural effusions.
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Generate impression based on findings.
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41-year-old male complains of right upper quadrant pain. Evaluate for cholelithiasis. LIVER:Measures 19.0 cm. The parenchyma is echogenic. Difficult to penetrate sound beam. No masses, ascites, intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder is nondistended with an anechoic lumen. Wall measures 0.2 cm. No stones, sludge, or pericholecystic fluid. The common bile duct measures 0.2 cm. Negative sonographic Murphy's sign.PANCREAS: Evaluation of the pancreas is limited due to overlying bowel gas.SPLEEN: Measures 11.4 cm without sonographic abnormalities.KIDNEYS: Right kidney measures 9.8 cm. Left kidney measures 12.9 cm. Normal echogenicity. No hydronephrosis, shadowing calculi, or focal mass. OTHER: No significant abnormality noted.
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1. Echogenic liver parenchyma consistent with fatty infiltration and chronic liver disease/parenchymal dysfunction. No mass or ascites.2. No sonographic evidence of cholelithiasis or cholecystitis.
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Generate impression based on findings.
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45-year-old female with a history of Crohn's disease presents for evaluation of hydronephrosis. RIGHT KIDNEY: The right kidney measures 12.7 cm. The cortex has normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass.LEFT KIDNEY: The left kidney measures 11.1 cm. The cortex has normal echogenicity. No shadowing calculi, hydronephrosis, or focal mass.OTHER: There is a diverticula of the wall of the bladder; a benign variant.
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1. Normal ultrasound of the kidneys without evidence of nephrolithiasis or hydronephrosis.
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Generate impression based on findings.
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Congestive heart failure with suspected thyrotoxicosis RIGHT LOBE MEASUREMENTS: 2.1 x 5.3 x 2 cm.LEFT LOBE MEASUREMENTS: 2.2 x 5 x 2.9 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely heterogeneous gland without increased vascularity. 0.6 cm hypoechoic mid gland nodule.LEFT LOBE: Diffusely heterogeneous gland without increased vascularity. Benign subcentimeter colloid nodules. The largest measures 0.7 x 0.4 cm.ISTHMUS: Diffusely heterogeneous gland without increased vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Diffusely heterogeneous gland without increased vascularity raises the possibility of chronic thyroiditis. Bilateral subcentimeter nodules. No regional adenopathy.
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Generate impression based on findings.
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62-year-old male patient with history of hepatitis C and hepatitis B infection. Question of any virally induced damage to liver. Transplant evaluation for emphysema. LIVER: The liver measures 15.3 cm in length. There is a 1.3 x 0.7 x 0.8 cm anechoic lesion within the left hepatic lobe consistent with a cyst. GALLBLADDER, BILIARY TRACT: There are a few subcentimeter non-shadowing echogenic foci within the gallbladder but no gall bladder wall thickening or pericholecystic fluid. Common tail artifact within gallbladder wall is consistent with adenomyomatosis. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 2 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.1 cm in length. No evidence of hydronephrosis. A 0.7 x 0.5 x 0.7 right lower pole renal cyst is noted.OTHER: The left kidney measures 10.1 cm in length. No evidence of hydronephrosis.The spleen measures 8.4 cm in length.
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1. Left hepatic cyst and right renal cyst.2. Subcentimeter non-shadowing echogenic foci within the gallbladder may represent small polyps or non-shadowing gallstones. Adenomyomatosis of the gallbladder.
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Generate impression based on findings.
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61-year-old female with incidental finding of left thyroid nodule on carotid ultrasound. RIGHT LOBE MEASUREMENTS: 4.7-cm x1.6 cm x 1.6 cm.LEFT LOBE MEASUREMENTS: 4.4 cm x 1.2 cm x 1.3 cm.ISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: Complex nodule in the lower pole measures 1.1-cm x 1.0 cm x 1.0 cm. LEFT LOBE: Complex nodule in the midpole measures 1.5-cm x 0.7 cm x 0.9 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing right neck lymph node measures 1.2 cm x 1.1 cm x 0.4 cm.OTHER: No significant abnormality noted.
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Bilateral complex thyroid nodules, more heterogeneous on the right which would be amenable to biopsy if clinically warranted.
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Generate impression based on findings.
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72-year-old male with urinary retention. Assist with a suprapubic tube placement in operating room. Sonographic guidance was used intraoperatively for placement of a suprapubic catheter. Postprocedural images demonstrate catheter retention balloon within the urinary bladder.
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Sonographic guidance was used intraoperatively for placement of a suprapubic catheter. Postprocedural images demonstrate catheter retention balloon within the urinary bladder.
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Generate impression based on findings.
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60-year-old male patient with recurrent cirrhosis status post OLT. Evaluate for HCC and vascular patency. LIMITED ABDOMENLIVER: The liver measures 17.8 cm in length, demonstrates increased parenchymal echogenicity, and is nodular in contour. No focal hepatic lesion is identified.BILIARY TRACT: The gallbladder is absent. There is no intra or extrahepatic biliary ductal dilatation. The common duct measures 3 mm in diameter.PANCREAS: The head of the pancreas demonstrates normal echogenicity. The remaining pancreas is not visualized secondary to overlying bowel gas.SPLEEN: The spleen measures 15.0 cm in length. RIGHT KIDNEY: The right kidney measures 8.3 cm in length. No evidence of hydronephrosis.OTHER: The left kidney measures 10.0 cm in length. No evidence of hydronephrosis. There is a 9 mm left lower pole renal stone.No ascites.
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1. Cirrhotic morphology of the liver with patent hepatic vasculature. 2. Mild splenomegaly.3. Non-obstructing left nephrolithiasis.
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Generate impression based on findings.
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Kidney failure RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 10.7 cm in length.LEFT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 11.3 cm in length.OTHER: Bladder nondistended. Trace ascites. Bilateral pleural effusions.
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Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction.
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Generate impression based on findings.
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25-year-old female with a painful palpable mass in the right breast near the areola presents for right breast ultrasound A targeted right breast ultrasound was performed for the palpable area of concern. On physical examination, a 1 cm palpable, tender mass is noted at the 9 o'clock position of the right areola. Patient indicates interval increase in size of the mass in last 10 days. Ultrasound demonstrates a complex cystic mass with internal echoes and increased blood flow measuring 2.3 x 1.2 by 1.6 cm most likely representing an abscess.
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Palpable mass right breast 9 o'clock position most likely corresponds to an abscess. Findings conveyed to Donna Christian, Dr. Chhablani's nurse at the time of the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.
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Generate impression based on findings.
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61-year-old female with history of hepatitis C and cirrhosis. Evaluate for HCC. LIVER: The liver is nodular with a coarse echotexture compatible with cirrhosis. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: A large gallstone is noted within a normally distended gallbladder. The gallbladder wall measures 3 mm in thickness without focal tenderness or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: The right kidney measures 9.1 cm in length without hydronephrosis or shadowing nephrolithiasis.OTHER: The left kidney measures 10.6 cm in length without hydronephrosis or shadowing nephrolithiasis. The spleen is normal in size measuring 7 cm.
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1. Cirrhosis without a discrete liver lesion or biliary ductal dilatation.2. Cholelithiasis without evidence of acute gallbladder inflammation.
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Generate impression based on findings.
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Female 47 years old Reason: r/o growth of nodules, adenopathy History: thyroid nodules. 1 year follo wup study RIGHT LOBE MEASUREMENTS: 6.0 x 1.7 x 1.0 cmLEFT LOBE MEASUREMENTS: 5.3 x 1.4 x 1.1 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Unchanged appearance of a heterogeneous, solid right lower pole nodule with coarse internal calcifications. Nodule measures 1.8 x 1.0 x 1.2 cm, previously 2.1 x 1.0 x 1.2 cm. This nodule has been previously biopsied.LEFT LOBE: The left thyroid lobe there is a hypoechoic nodule measuring 0.4 x 0.3 x 0.3 cm, previously 0.4 x 0.2 x 0.5 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Unchanged dominant right thyroid nodule with internal calcifications. This nodule has been previously biopsied.
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Generate impression based on findings.
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79-year-old female with left thyroid lobe cystic nodule, previously measured as 1.4 x 1.4 x 1.6 cm. RIGHT LOBE MEASUREMENTS: 4.6 x 1.3 x 1.7 cm.LEFT LOBE MEASUREMENTS: 4 x 1.4 x 1.7 cm.ISTHMUS MEASUREMENTS: 0.16 cm.RIGHT LOBE: The right thyroid lobe has a mildly heterogenous echotexture. In the posterior right mid thyroid lobe, there is a 0.8 x 0.5 x 0.7 cm predominantly isoechoic nodule with a benign spongiform appearance. There are a few small scattered thyroid cysts.LEFT LOBE: The left thyroid lobe has a mildly heterogenous echotexture. In the lateral inferior left thyroid lobe, there is a 0.7 x 0.7 x 1 cm complex cystic nodule.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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1. Minimally enlarged thyroid gland with benign appearing bilateral thyroid nodules. A 0.7 x 0.7 x 1 cm complex cystic nodule is noted in the inferior-lateral left thyroid lobe.
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Generate impression based on findings.
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Male 55 years old with acute kidney injury of unclear cause. Evaluate for obstructive uropathy. RIGHT KIDNEY: The right kidney measures 10.0 cm in length. There is no hydronephrosis, shadowing renal stone or suspicious renal mass. The renal parenchyma is normal in echogenicity.LEFT KIDNEY: The left kidney measures 9.8 cm in length. There is no hydronephrosis, shadowing renal stone or suspicious renal mass. The renal parenchyma is normal in echogenicity.OTHER: The bladder is mildly distended and without sonographic abnormality.
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Slightly atrophic kidneys. No hydronephrosis.
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Generate impression based on findings.
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Female, 36 years old. Acute kidney failure. RIGHT KIDNEY: The right kidney measures 11.4 cm in length, with normal cortical echogenicity. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.3 cm in length, with normal cortical echogenicity. No shadowing stones or hydronephrosis.OTHER: The bladder is distended without significant wall thickening. An approximately 1 cm echogenic structure is noted in the right hepatic lobe along the margin of the right kidney, may represent a small hemangioma.
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1. No hydronephrosis.2. An echogenic structure in the right hepatic lobe may represent a hemangioma, and can be followed up on continued sonographic imaging or with cross-sectional imaging.
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Generate impression based on findings.
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Reason: RUQ pain with elevated LFTs, assess for cholecystitis LIVER: The liver measures approximately 15.2 cm in length. Pneumobilia and intrahepatic biliary ductal dilation again seen, similar to recent CT. The main portal vein is patent with apparently elevated hepatopetal flow, peak velocity 164.2 cm/s. Echogenic internal biliary stent is partially visualized.GALLBLADDER, BILIARY TRACT: Echogenic sludge within the dependent portion of the gallbladder. No shadowing stones are identified. No pericholecystic fluid or inflammation. Negative sonographic Murphy's sign. The gallbladder wall measures 0.2 cm and the common bile duct measures 0.2, although the common bile duct stent is not visualized.PANCREAS: No significant abnormalities noted.KIDNEYS: The right kidney measures 11.4 cm in length. The left kidney measures 12.1 cm in length. Bilaterally echogenic renal parenchyma. The proximal portions of bilateral nephroureteral stents are visualized with mild residual hydronephrosis bilaterally. No shadowing renal calculi.OTHER: Mild to moderate volume ascites. The spleen measures 11.6 cm in length.
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1. Gallbladder sludge without evidence of acute inflammation. Negative sonographic Murphy's sign.2. Persistent pneumobilia and intrahepatic biliary ductal dilatation, similar to prior CT.3. Bilateral echogenic renal parenchyma, consistent with medical renal disease.4. Mild bilateral hydronephrosis.5. Mild to moderate volume ascites.
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Generate impression based on findings.
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Febrile, hypotensive, rule out gallbladder pathology LIVER: Liver measures 17.6 cm with increased echogenicity compatible with fatty liver. No focal lesions noted. No intrahepatic biliary ductal dilatation noted. BILIARY TRACT: Gallbladder is markedly distended with sludge layering within it. Few hyperechoic small stones could be noted within the gallbladder. No evidence of gallbladder wall thickening. Patient cannot lie injected disposition therefore limited evaluation as per the technologist.On bile duct at the porta hepatis measures 1.5 cm.PANCREAS: Limited evaluation due to overlying bowel gas.SPLEEN: Spleen measures 10 cm without any focal lesions.KIDNEY: Right kidney measures 13 cm and left kidney measures 13.4 cm. Both kidneys demonstrate increased echogenicity compatible with chronic medical renal disease. No hydronephrosis or focal lesions.OTHER: Ascites noted
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Hepatic steatosisDistended gallbladder with sludge and small stones without acute cholecystitisIncreased echogenicity of the kidneys consistent with chronic medical renal disease.Ascites
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Generate impression based on findings.
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59 years old, Female, Reason: HBV, eval for HCC History: HBV LIVER: The liver measures 15.3 cm in length. Coarsened echotexture of the hepatic parenchyma. 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 status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted in the visualized portions of the pancreas. SPLEEN: No significant abnormalities noted. The spleen measures 7.3 cm in length. RIGHT KIDNEY: Kidney measures 10.7 centimeters and is located within the pelvis, similar to prior exam. Normal echotexture. No hydronephrosis or shadowing calculus. Subcentimeter renal cyst.LEFT KIDNEY: Kidney measures 11.1 cm in length. Normal echotexture. Nohydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
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Coarsened echotexture of the hepatic parenchyma without focal hepatic lesions or evidence of cirrhosis.
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Generate impression based on findings.
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Asymptomatic female 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. No suspicious cystic or solid mass is identified.This exam was interpreted by two radiologists.
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No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram.
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Generate impression based on findings.
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30-year-old female with a known right breast fibroadenoma presents for follow-up A targeted right ultrasound was performed for the palpable area of concern. On physical examination a pea sized palpable nontender mass identified in the right breast 1:00 position. Ultrasound demonstrates benign morphology homogeneous oval circumscribed mass compatible with a fibroadenoma measuring 1.5 x 0.8 x 1.7 cm, mostly unchanged from prior study when it measured 1.7 x 1 x 1.7 cm.
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Stable known fibroadenoma in the right breast.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter.
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Generate impression based on findings.
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16-year-old female at 28 weeks gestation with palpable left breast lump. On physical examination, there is a pea-sized mobile mass along the medial inframammary fold. A targeted left ultrasound was performed for the palpable area of concern. A 0.4 x 0.3 x 0.3 cm cyst is present subjacent to the area of palpable concern at the 8:00 position, 10 cm from the nipple. This cyst has a tail extending to the cutaneous surface, compatible with a sebaceous cyst.
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Sebaceous cyst corresponding to the area of palpable concern in the left breast. No sonographic evidence for malignancy. The patient was instructed to return to her referring physician for clinical management.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.
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Generate impression based on findings.
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Right upper quadrant pain LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. No focal hepatic lesions. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Subcentimeter gallstones. No gallbladder wall thickening, pericholecystic fluid, or sonographic Murphy's sign.PANCREAS: No sonographic abnormality evident in the visualized pancreatic head and neck. The body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.9 cm in length. The left kidney is 12.1 cm in length. No suspicious renal lesions are evident. No hydronephrosis is present.SPLEEN: 11.1 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted.
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Cholelithiasis without evidence of cholecystitis.
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Generate impression based on findings.
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32-year-old female with history of papillary thyroid carcinoma status post thyroidectomy in 2011. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. ISTHMUS BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LYMPH NODES: Bilateral morphologically unremarkable and normal-sized lymph nodes are identified, including a right level 2 lymph node measuring 0.9 x 0.3 x 1.5 cm, compared to 0.9 x 0.4 x 1.9 cm previously and a left level 4 lymph node measuring 1.0 x 0.6 x 2.1 cm, compared to 0.6 x 0.5 x 2.1 cm previously, with a prominent fatty-hilum.
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No evidence of tumor recurrence or suspicious lymphadenopathy.
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Generate impression based on findings.
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Reason: Epigastric pain, exclude pancreaticobiliary abnormalities History: Epigastric pain, exclude pancreaticobiliary abnormalities LIVER: The liver measures 18.5 cm in length, enlarged. Heterogeneous, hyperechoic hepatic parenchyma. The portal vein is patent with normal directional hepatopedal flow, peak velocity 47.1 cm/s. The portal venous waveform is pulsatile and the hepatic veins appear dilated. No focal masses.GALLBLADDER, BILIARY TRACT: Small polyp on the nondependent aspect of the gallbladder body. No shadowing stones or sludge. No significant biliary ductal dilatation. The gallbladder wall measures 0.3 cm. The common bile duct measures 0.2 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 12.5 cm in length. The left kidney measures 12.6 cm in length. No hydronephrosis or shadowing stones.OTHER: No ascites. The spleen measures 14.2 cm.
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1. Findings consistent with hepatic steatosis or parenchymal dysfunction. 2. Dilated hepatic veins and pulsatile portal venous waveform are suggestive of hepatic congestion or some degree of congestive heart failure.3. Gallbladder polyp should be followed up with repeat ultrasound in 3-6 months.
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Generate impression based on findings.
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Renal stones RIGHT KIDNEY: Echogenic parenchyma again noted. New mild right hydronephrosis. 0.4 x 0.3 cm lower pole stone. Stable lower pole renal cyst. Right kidney 10.3 cm in length.LEFT KIDNEY: Echogenic renal parenchyma again noted. No worrisome mass or hydronephrosis. Questionable punctate echogenic foci. Left kidney 12.1 cm in length.OTHER: Bladder nondistended
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New mild right hydronephrosis. Subcentimeter right lower pole stone again noted. Questionable left punctate renal stone without left hydronephrosis. Stable echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass.
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Generate impression based on findings.
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52 year-old male with chronic hepatitis C and cirrhosis. Evaluate for HCC. LIVER: The liver is moderately coarse in echogenicity and nodular in contour. It measures 12.9 cm in length without a focal lesion or intrahepatic biliary ductal dilatation evident. Normal hepatopetal portal venous blood flow at 22 cm/sec.BILIARY TRACT: The gallbladder is partially contracted. No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.SPLEEN: Moderate splenomegaly, measuring 15.1 cm without a discrete lesion.RIGHT KIDNEY: The right kidney measures 9.6 cm in length without hydronephrosis. OTHER: The left kidney measures 10.1 cm in length without hydronephrosis.
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Cirrhotic liver morphology, without a discrete lesion. Splenomegaly.
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Generate impression based on findings.
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85-year-old female with elevated alkaline phosphatase. LIVER: Mildly heterogeneous hepatic echotexture without discrete focal lesion.BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilation.PANCREAS: The pancreas is not well-visualized due to bowel gas.SPLEEN: The spleen is partially visualized due to bowel gas, measures 7.7 cm. RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted.
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Mild increased hepatic echogenicity may represent hepatic steatosis or parenchymal disease. No additional findings to account for the patient's symptoms.
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Generate impression based on findings.
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51 year old female with hepatic steatosis evaluate progression. LIVER: Increased hepatic echogenicity without significant interval change since the prior study. Subcentimeter hepatic cysts. No new or suspicious lesions. BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.KIDNEY: Bilateral renal cysts, including a simple left renal cyst measuring 3.6 cm and a 2.8 cm left renal cyst with thin internal septations, without acute interval change. No hydronephrosis. OTHER: No significant abnormalities noted.
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1. Increased hepatic echogenicity compatible with hepatic steatosis or parenchymal disease, without significant interval change. 2. Bilateral renal cysts without significant change.
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Generate impression based on findings.
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Female 68 years old Reason: assess enlarged L cervical node, plan for FNA History: tender enlarged L cervical node No abnormality or enlarged lymph nodes are noted in the site that the patient previously felt a lump.
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No abnormality or enlarged lymph nodes are noted in the site that the patient previously felt a lump.
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Generate impression based on findings.
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Left medial thigh fluid collection. Soft tissue appears edematous without evidence of discrete fluid collection.
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Soft tissue swelling without discrete fluid collection.
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Generate impression based on findings.
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25 year old female with a history of lower quadrant abdominal wall mass previously characterized as lipoma on ultrasound. Targeted ultrasound of the patient's right lower quadrant superficial soft tissues demonstrates an echogenic lobulated malleable mass with well-defined margins and minimal vascularity compatible with a lipoma. On today's examination it measures approximately 6 x 1.7 x 3.9 cm compared to 4.6 x 1.7 x 4.2 cm previously; essentially unchanged given the differences in technique.
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Findings compatible with a lipoma, appearing similar to the prior study.
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Generate impression based on findings.
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Left sided mass. Possible varicocele. RIGHT TESTIS: 4.1 x 1.9 x 2.5 cm. Normal parenchymal echogenicity and vascularity, without focal lesions.LEFT TESTIS: 3.9 x 1.7 x 2.5 cm. Normal parenchymal echogenicity and vascularity, without focal lesions.RIGHT EPIDIDYMIS: 3.9 x 0.9 x 0.9 cm, with normal vascularity.LEFT EPIDIDYMIS: 3.6 x 0.8 x 0.8 cm, with normal vascularity.OTHER: Left-sided varicocele is identified.
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Left varicocele. No intratesticular mass identified.
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Generate impression based on findings.
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49 year old male with pancreatitis, epigastric abdominal pain. Evaluate for gallstones. LIVER: Measures 24.1 cm in length. No focal hepatic lesion. Main portal vein is patent with appropriate directional flow; peak velocity measures 0.4 m/s. GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. Gallbladder wall measures 4 mm in thickness. No pericholecystic fluid. Common duct measures 8 mm in caliber which tapers distally to 6 mm. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Right kidney measures 13.9 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Spleen measures 14.8 cm in length.Left measures 13.9 cm in length. No hydronephrosis or shadowing calculi are noted.
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1. Hepatosplenomegaly with heterogeneous echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesion. 2. No evidence of cholelithiasis.
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Generate impression based on findings.
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89-year-old male with history of elevated BUN/Cr, incontinence. RIGHT KIDNEY: Measures 7.0 cm in length. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. LEFT KIDNEY: Measures 9.2 cm in length. Increased echogenicity without hydronephrosis, nephrolithiasis, or solid mass. URINARY BLADDER: Incompletely distended without focal abnormality. OTHER: No significant abnormalities noted.
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1. Atrophic kidneys with increased echogenicity consistent with medical renal disease. 2. No nephrolithiasis, hydronephrosis, or suspicious mass.
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Generate impression based on findings.
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26-year-old male with history of HBV, evaluate for HCC structural disease. LIVER: Normal echogenicity of the liver measuring 15.9 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: Gallbladder is contracted limiting evaluation for wall thickening. No pericholecystic fluid. Common duct measures 2 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.1 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 9.3 cm in length.Normal echogenicity of the left kidney measuring 9.2 cm in length. No hydronephrosis or shadowing calculi are noted.
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Unremarkable examination.
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Generate impression based on findings.
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Male 55 years old Reason: pre liver transplant work up; assess vasculature liver, inflow/outflow studies of vessels, ascites, portal vein thrombosis, lesions, masses History: cirrhosis, partial PVT, ascites LIVER: Extremely limited evaluation of the liver. Visualized portions are coarse.BILIARY TRACT: Cannot be evaluated on this examPANCREAS: No significant abnormalities noted.SPLEEN: The visualized portions of the spleen are normal in appearance measuring 13.8 cm. KIDNEYS: Kidneys are also not well visualized. Unchanged cystic lesion in the left kidney measures 3.3 x 5.9 x 7.2 cm.OTHER: No significant abnormalities noted.ABDOMINAL DOPPLER: Color and spectral Doppler were performed on inflow and outflow vessels.PORTAL VENOUS: Portal vasculature is not well visualized, however the there is suggestion of normal directional flow in the region of the portal vein. Splenic vein and artery are patent with normal directional flow.HEPATIC ARTERIES: Not well visualized. HEPATIC VEINS: Not well visualizedINFERIOR VENA CAVA: No significant abnormalities noted.
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Extremely limited evaluation of the hepatic inflow and outflow vessels, which appear grossly patent. Very limited evaluation of the hepatic parenchyma. If further evaluation is clinically warranted, cross-sectional imaging with CT or MRI is recommended.
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Generate impression based on findings.
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43-year-old female with history of dense breasts. For technical repeat. A targeted right breast ultrasound was performed at the 8:00 position, and redemonstrated a known benign-appearing oval hypoechoic well circumscribed mass measuring 2.0 x 0.5 x 1.7 cm. There is no associated internal vascularity.Targeted right breast ultrasound was also performed at the 1:00- 2:00 position, and demonstrated no solid or cystic mass.
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No sonographic evidence for malignancy. Stable benign-appearing mass within the right lateral breast. As long as the patient's physical examination remains normal, bilateral screening mammogram, with possible additional bilateral whole breast ultrasound examination given patient's heterogeneously dense fibroglandular tissue, is recommended annually. Results and recommendation were discussed with the patientBIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram.
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Generate impression based on findings.
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History of goiter RIGHT LOBE MEASUREMENTS: 7.8 x 3.2 x 3.6 cmLEFT LOBE MEASUREMENTS: 7.8 x 3 x 3 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely heterogeneous gland with reticular background. Multiple benign-appearing colloid nodules. The largest within the mid gland measures 1 x 0.5 x 0.6 cm.LEFT LOBE: Diffusely heterogeneous gland with reticular background. Multiple benign-appearing colloid nodules. The largest within the upper pole measures 1.2 x 0.8 x 1.2 cm. ISTHMUS: Diffusely heterogeneous gland with reticular backgroundPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Diffusely mildly enlarged heterogeneous gland with reticular background suggestive for chronic thyroiditis. Multiple bilateral benign-appearing colloid nodules. No regional adenopathy.
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Generate impression based on findings.
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26 years old, Female, Reason: elevated Cr History: elevated Cr Transplanted kidney: Renal transplant is identified in the right iliac fossa. Echogenic renal parenchyma is consistent with medical renal disease. No hydronephrosis is identified. No focal mass or shadowing calculus. No perinephric fluid collection.Doppler exam:Color and spectral Doppler were performed on inflow and outflow vessels. No significant abnormality noted. Peak velocities and resistive indices appear similar to the prior exam.Peak systolic velocities are as follows:Right iliac artery: 1.0 m/sec.Anastomosis: 0.8 m/sec, resistive index of 0.8Renal arteryproximal: 0.6 m/secmid: 0.6 m/secdistal: 0.5 m/secIntrarenal resistive indices measure from 0.5 to 0.68Urinary bladder: No significant abnormalities noted.
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1.Increased parenchymal echogenicity of the kidneys consistent with medical renal disease.2.No evidence of hydronephrosis or evidence of stenosis within the transplant vasculature.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. Additional right MLO view was performed. The breast parenchyma is composed of scattered fibroglandular density. Benign intramammary lymph nodes in bilateral upper quadrants are noted. Small partially circumscribed mass measuring 5 mm in the right upper outer quadrant requires further evaluation with spot compression views and possible ultrasound (annotated on pacs).
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Small partially circumscribed mass in the right upper outer quadrant requires further evaluation with spot compression views and possible ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required.
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Generate impression based on findings.
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50 year-old woman with thyroid nodules. Please assess RIGHT LOBE MEASUREMENTS: 5.2 x 1.8 x 1.7 cmLEFT LOBE MEASUREMENTS: 5.5 x 1.4 x 2.0 cmISTHMUS MEASUREMENTS: 0.3 cm.RIGHT LOBE: New subcentimeter nodule in the right measuring 7 mm in diameter.LEFT LOBE: Unchanged 5 x 4 x 2 mm hypoechoic nodule in the midportion of the gland.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Small bilateral lymph nodes measuring up to 0.9 cm in maximal diameter.OTHER: No significant abnormality noted.
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Stable tiny left thyroid nodule. New subcentimeter right thyroid nodule.
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Generate impression based on findings.
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Hepatitis C LIVER: Coarse echotexture again noted. No mass. Liver length 16 cmGALLBLADDER, BILIARY TRACT: Stable gallbladder subcentimeter polyps. The largest measures 0.3 x 0.4 x 0.2 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic renal parenchyma again noted with multiple cysts. No hydronephrosis. Right kidney 9.1 cm in length.OTHER: Echogenic left renal parenchyma again noted with multiple cysts. Left kidney 11.9 cm in length. Spleen 11.2 cm in length. No ascites.
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Stable coarse liver echotexture consistent with chronic liver disease without mass or ductal dilatation. No ascites. Stable gallbladder subcentimeter polyps. No change in echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without obstruction.
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Generate impression based on findings.
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Male; 65 years old. Reason: Nodules History: Thyroid cancer s/p thyroidectomy RIGHT LOBE MEASUREMENTS: Status post thyroidectomyLEFT LOBE MEASUREMENTS: Status post thyroidectomyISTHMUS MEASUREMENTS: Status post thyroidectomyRIGHT LOBE: No evidence of recurrence in the thyroid bed.LEFT LOBE: No evidence of recurrence in the thyroid bed.ISTHMUS: No evidence of recurrence in the thyroid bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No suspicious lymphadenopathy.OTHER: No significant abnormality noted.
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Status post thyroidectomy with no evidence of recurrent disease.
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Generate impression based on findings.
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89-year-old male with history of thyroid cancer status post thyroidectomy. RIGHT LOBE MEASUREMENTS: Status post thyroidectomyLEFT LOBE MEASUREMENTS: Status post thyroidectomyISTHMUS MEASUREMENTS: Status post thyroidectomyRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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No evidence of recurrent or metastatic disease.
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Generate impression based on findings.
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Reason: RUQ, rule out obstruction History: new elevated bilirubin LIVER: Coarse, echogenic hepatic parenchyma. The liver measures 17.5 cm in length. The portal vein is patent with normal directional hepatopedal portal venous blood flow, peak velocity 25.6 cm/s.GALLBLADDER, BILIARY TRACT: Shadowing mobile echogenic stone is seen in the gallbladder neck along with layering sludge. No evidence of pericholecystic inflammation or fluid. The gallbladder wall measures up to 3 mm. The common bile duct measures 0.2 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 9.9 cm in length. No hydronephrosis, masses, or stones.LEFT KIDNEY: The left kidney measures 10.47 m in length. No hydronephrosis, masses, or stones.OTHER: No ascites. The spleen measures 9.5 cm in length.
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1. Single stone in the gallbladder neck and layering sludge without evidence of cholecystitis.2. Coarse, echogenic hepatic parenchyma, consistent with hepatic steatosis or parenchymal dysfunction.
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Generate impression based on findings.
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Reason: cholecystitis? History: RUQ pain, elevated white blood cell count LIVER: The liver measures 17.4 cm in length. Mildly coarse echotexture and. No intrahepatic or extrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow. Portal venous flow = 34.1 cm/second.GALLBLADDER, BILIARY TRACT: The gallbladder is mildly distended. Cholelithiasis, one of which is within the gallbladder neck (measures 24 mm), with possible small volume layering sludge. The gallbladder wall measures 1 mm. The common bile duct measures 7 mm, borderline dilated. No intrahepatic biliary duct dilatation appreciated. No pericholecystic fluid or gallbladder wall thickening. Negative sonographic Murphy's sign.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 12.6 cm in length. No hydronephrosis.LEFT KIDNEY: The left kidney measures 11.3 cm in length. No hydronephrosis.SPLEEN: The spleen measures 8.6 cm in length.OTHER: No significant abnormalities noted.
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1. Mildly distended gallbladder with cholelithiasis, one located in the gallbladder neck measures 24 mm, no evidence of acute cholecystitis.
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Generate impression based on findings.
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36-year-old female with increase in creatinine and potassium. Limited examination secondary to patient body habitus and surgical bandages.RIGHT KIDNEY: Measures 9.1 cm in length. No hydronephrosis. No nephrolithiasis identified.LEFT KIDNEY: Measures 9.6 cm in length. No hydronephrosis. No nephrolithiasis identified.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted.
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Limited study as detailed above. No hydronephrosis or evidence of nephrolithiasis.
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Generate impression based on findings.
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Male 47 years old Reason: any ischemia/necrosis observed, renal perfusion History: s/p cardiac arrest, renal failure, anuria RIGHT KIDNEY: 10.9 cm in length. Mild increased echogenicity. No hydronephrosis or hydroureter.LEFT KIDNEY: 11.2 cm length. Mild increased echogenicity. No hydronephrosis or hydroureter.OTHER: Limited color Doppler shows blood flow to both kidneys.Urinary bladder is collapsed with Foley catheter in place.Well-demarcated echogenic lesion in the right lobe of the liver is identified measuring 1.8 x 1.6 cm consistent with hemangioma.
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Mildly echogenic kidneys suggesting medical renal disease. No hydronephrosis. Incidental small echogenic lesion in the liver likely hemangioma.
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Generate impression based on findings.
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47-year-old male with prior thyroidectomy for thyroid cancer. Follow-up exam. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: No massesLEFT LOBE: Previously described heterogeneous region in the left thyroid bed is visualized, but cannot be measured in 3 dimensions. Clearly this is unchanged from prior exams and likely represents an area of scarring rather than discrete mass.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Stable postoperative appearance post thyroidectomy.
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Generate impression based on findings.
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A patient submitted outside study for review. Submitted for review are ultrasound 5/27/2016; ultrasound biopsy 6/6/2016 performed at North Shore University Health System. No comparisons are available. Right Ultrasound 5/27/2016: 3 lesions were identified on ultrasound. A right 12:00 circumscribed benign appearing lobulated mass measures 1.6 x 0.8 x 1.5 cm. At site of palpable concern, adjacent to this mass (12:00) there is an irregular hypoechoic mass with acoustic shadowing involving the right upper central breast. A second area of palpable concern (6:00), appear similars, with an irregular hypoechoic area with acoustic shadowing.Right breast ultrasound 6/6/2016: Limited images demonstrate core needle biopsy of the right breast 6:00 hypoechoic shadowing mass, identified on 5/27/2016. Additional images demonstrate biopsy of the hypoechoic shadowing mass in the upper right breast. A third biopsy was performed of the 12:00 circumscribed 1.6 cm mass identified 5/27/2016. Pathology results: 1. Right breast 6:00 core needle biopsy: Invasive lobular carcinoma.2. Right breast upper central invasive lobular carcinoma. 3. Right breast 12:00 invasive lobular carcinoma and fibroadenoma.
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1. Hypoechoic shadowing mass 6:00 right breast, invasive lobular carcinoma, concordant. 2. Hypoechoic shadowing mass involving the upper central and 12:00 right breast, invasive lobular carcinoma, concordant. 3. Right breast 12:00 circumscribed lobulated mass, fibroadenoma, concordant.BIRADS: 6 - Known cancer.RECOMMENDATION: B - Surgical Consultation.
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Generate impression based on findings.
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Reason: please evaluate liver to assess for liver disease/cirrhosis History: elevated INR, low albumin LIVER: The liver measures 16.5 cm in length. Echogenic hepatic parenchyma with smooth peripheral contour. The portal vein is patent with normal directional hepatopedal flow, peak velocity 32.4 cm/s. The hepatic veins appear dilated. No focal mass.GALLBLADDER, BILIARY TRACT: Echogenic debris in the dependent aspect of the gallbladder may represent sludge. No shadowing stones. The gallbladder wall measures 0.2 cm. The common bile duct measures 0.2 cm. No biliary ductal dilatation.PANCREAS: Obscured by bowel gas.KIDNEYS: The right kidney measures 12.7 cm in length. The left kidney measures 9.9 cm in length. Echogenic renal parenchyma. No shadowing stones or hydronephrosis.OTHER: The spleen measures 8.5 cm in length. Trace ascites. Bilateral pleural effusions.
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1. Echogenic liver, consistent with parenchymal dysfunction or chronic liver disease.2. Bilateral pleural effusions and trace ascites.3. Dilated hepatic veins, suggestive of CHF.4. Echogenic debris in the dependent portion of the gallbladder may represent sludge.
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Generate impression based on findings.
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Abnormal LFTs LIVER: Coarse echogenic liver echotexture without mass. Liver length 17.5 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 9.6 cm in lengthOTHER: Spleen 7.9 cm in length. No ascites
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Coarse echogenic liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascites.
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Generate impression based on findings.
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Palpable area of concern in the left upper outer breast marked by the clinical service. History of right breast cancer. A targeted left ultrasound was performed for the area marked by the clinical service. There is no solid or cystic mass identified. Dense parenchymal elements are noted, similar to the stable dense tissue seen on multiple mammograms.
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No sonographic evidence for malignancy. Clinical correlation is recommended to ensure that these findings are concordant with physical exam. If that is the case, then a routine diagnostic mammogram would be due in March 2017.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram.
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Generate impression based on findings.
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Thyroid nodule RIGHT LOBE MEASUREMENTS: 4.8 x 1.6 x 1.6 cm. Reticular background echotexture and increased vascularity.LEFT LOBE MEASUREMENTS: 5.1 x 2.2 x 1.6 cm. Reticular background echotexture and increased vascularity.ISTHMUS MEASUREMENTS: 7 mm in AP dimensionRIGHT LOBE: No discrete nodules identified.LEFT LOBE: 1.8 cm hyperechoic solid nodule identified.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Not visualized.LYMPH NODES: Small cervical lymph nodes identified.OTHER: No significant abnormality noted.
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1. Reticular background thyroid gland with increased vascularity, suggestive of thyroiditis.2. 1.8 cm left thyroid nodule. This is amenable to percutaneous biopsy.
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Generate impression based on findings.
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74-year-old male with abdominal pain and leukocytosis. Evaluate for cholecystitis. LIVER: Liver appears 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 is adequately visualized without wall thickening, pericholecystic fluid or definite gallstones. However, the patient was unable to turn for decubitus views which limits this exam.PANCREAS: Not adequately visualized due to bowel gas.RIGHT KIDNEY: Limited without hydronephrosis.OTHER: Left upper quadrant could not be evaluated due to patient's inability to cooperate
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No gallbladder abnormality on limited exam.
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Generate impression based on findings.
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21-year-old male with fever of unknown origin. LIVER: Echogenicity of the hepatic parenchyma is diffusely increased. The liver measures 23.6 centimeters in length. No dilatation or cystic changes are noted of the intrahepatic or extrahepatic biliary ducts.The main portal vein is patent with normal hepatopedal flow and velocity of 24.9 cm/s.GALLBLADDER, BILIARY TRACT: A subcentimeter gallbladder stone or polyp is noted. There is no pericholecystic fluid, gallbladder wall thickening or cholelithiasis. The common bile duct measures 0.3 cm in diameter. PANCREAS: The head and proximal body of the pancreas are normal. The tail is obscured by bowel gas.RIGHT KIDNEY: The right kidney measures 17.3 cm in length and shows normal echotexture. No mass, stone or hydronephrosis.OTHER: There is no free or loculated fluid.
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Moderate hepatomegaly and fatty infiltration of the liver. A subcentimeter gallbladder stone or polyp is noted. No evidence of cholecystitis.
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Generate impression based on findings.
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68-year-old male. Abdominal pain, fevers. Evaluate for hydronephrosis or fluid collection. RIGHT KIDNEY: Increased echogenicity. No focal mass, shadowing stone, or hydronephrosis.LEFT KIDNEY: Increased echogenicity. No focal mass, shadowing stone, or hydronephrosis.OTHER: Dependent debris in the bladder. Moderate bilateral pleural effusions. Limited images of the liver demonstrate increased echogenicity suggestive of fatty infiltration.
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Echogenic kidneys consistent with medical renal disease. No hydronephrosis. Moderate bilateral pleural effusions.
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Generate impression based on findings.
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83-year-old female with urinary sepsis. Acute kidney injury. Evaluate for hydronephrosis/pyelonephritis. The exam is limited by patient motion and breathing.RIGHT KIDNEY: The right kidney measures approximately 11.4 cm in length. The kidney is moderately echogenic consistent with parenchymal disease. There is no hydronephrosis. Arising from the lower pole is a renal sinus and cortical cysts measuring 4.1 cm in greatest diameter. Trace of perirenal fluid.LEFT KIDNEY: Not adequately visualized due to shadowing bowel gas and patient motion.URINARY BLADDER: Collapsed with Foley catheter.OTHER: No significant abnormalities noted.
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Echogenic right kidney with cyst and no hydronephrosis.Inadequate visualization of the left kidney.
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Generate impression based on findings.
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Ms. Johnson is a 48 year old female with a personal history of right breast mastectomy with implant-based reconstruction in 03/2014 for IDC/DCIS. She presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for the left breast and images were reviewed on an independent workstation. In the left inferior breast, there is a lobulated hypoechoic mass identified measuring approximately 0.8 x 0.4 cm. Left breast implant partially visualized.
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Incompletely characterized 0.8 cm mass in the left inferior breast. Additional imaging, including spot compression views and dedicated ultrasound, are recommended for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: E - Additional Mammo/Ultrasound Workup Required.
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Generate impression based on findings.
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Idiopathic aplastic anemia. Other disorders of bilirubin metabolism. Evaluate for etiology of conjugated hyperbilirubinemia. LIVER: Diffusely hyperechoic liver suggestive of hepatic steatosis. The liver measures 17.4 cm in the longitudinal plane. Normal portal venous flow.GALLBLADDER, BILIARY TRACT: Several hyperechoic stones are seen along with intraluminal sludge. The largest stone in the gallbladder neck is mobile and measures 1.65 cm. The common hepatic duct measures 0.4 cm and common bile duct measures 0.5 cm. The gallbladder wall measures up to 2 mm. No gallbladder wall thickening or pericholecystic fluid. PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic kidneys, suggestive of medical renal disease.OTHER: No significant abnormalities noted.
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1. 1.6 cm mobile gallstone in the gallbladder neck and without evidence of cholecystitis.2. Echogenic liver and kidneys, suggestive of hepatic steatosis and medical renal disease.
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Generate impression based on findings.
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Elevated LFTs and right upper quadrant pain. LIVER: Mildly echogenic liver. The liver is normal in morphology and size, measuring 12.8 cm in craniocaudal dimension. No focal lesion or intrahepatic biliary ductal dilatation. Normal hepatopedal portal venous blood flow at 25 cm/s.BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 6 mm.PANCREAS: The visualized portions of the pancreatic body and head are unremarkable. The remainder is obscured by overlying bowel gas shadowing.SPLEEN: The spleen measures 7.6 cm without a focal lesion.RIGHT KIDNEY: The right kidney measures 10.1 cm in length without hydronephrosis.OTHER: The left kidney measures 10.3 cm in length without hydronephrosis.
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Mildly echogenic liver may represent fatty infiltration. Otherwise, no specific findings to account for the patient's right upper quadrant pain. Trace pleural effusion.
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Generate impression based on findings.
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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. Benign morphology mass in the right lower inner breast is compatible with the previously noted biopsy proven fibroadenoma. A few scattered subcentimeter cysts are present as well. There is no suspicious solid or cystic mass identified. Exam was double read by 2 attending breast radiologists.
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No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram.
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Generate impression based on findings.
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20-year-old with history of left breast mass for the last 11 months. A targeted left ultrasound was performed for the palpable area of concern. In the left breast 4:00 position, an oval circumscribed mass measuring 1.9 x 1.8 cm is present.
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Left breast mass measuring 1.9 cm at the site of palpable concern is probably a fibroadenoma. Surgical consultation is recommended for consideration of palpably guided FNA and further management. The patient has already scheduled an appointment for surgical consultation.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation.
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Generate impression based on findings.
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Hyperparathyroidism RIGHT LOBE MEASUREMENTS: 3.6 x 1 x 1.9 cmLEFT LOBE MEASUREMENTS: 4 x 1.2 x 1.3 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Mildly heterogeneous gland without nodule.LEFT LOBE: Mildly heterogeneous gland. 0.4 x 0.2 x 0.2 hyperechoic nodule inferiorlyISTHMUS: Mildly heterogenous gland without nodulePARATHYROID GLANDS: 0.6 x 0.5 x 0.4 hypoechoic extrathyroidal focus projecting posterior and inferior to the left thyroid gland.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Subcentimeter hypoechoic extrathyroidal focus projecting posterior and inferior to the left thyroid gland consistent with parathyroid adenoma candidate.Mildly heterogeneous gland; subcentimeter hyperechoic left thyroid nodule
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Generate impression based on findings.
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Elevated creatinine RIGHT KIDNEY: Mildly echogenic parenchyma without mass, stone, or hydronephrosis. Right kidney 9.1 cm in lengthLEFT KIDNEY: Mildly echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Left renal cyst. Left kidney 9.6 cm in lengthOTHER: Bladder nondistended
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Mildly echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction.
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Generate impression based on findings.
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46-year-old female with history of thyroid nodules. Rule out growth of nodules, adenopathy. If nodule is growing, is it amenable to FNA? RIGHT LOBE MEASUREMENTS: 6 x 1.9 x 2 cmLEFT LOBE MEASUREMENTS: 5 x 1.8 x 1.7 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Heterogenous echotexture. In the right lower pole, a 1.8 x 0.8 x 1.2 cm isoechoic nodule with a hypoechoic rim is stable in size and appearance since the 1/18/2016 exam.LEFT LOBE: Heterogenous echotexture. In the left upper pole, a 1.8 x 1 x 1.2 cm isoechoic nodule is stable in size and appearance. A 1 x 0.6 x 1.1 cm hypoechoic nodule of the posterior left mid pole was not specifically measured on the prior exam but is not significantly changed.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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1. Mildly enlarged thyroid gland with stable bilateral nodules.
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Generate impression based on findings.
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40-year-old recalled from screening for focal asymmetry in the right upper-outer breast An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses(BiRads Density Category C), unchanged in pattern and distribution. ML view redemonstrates an asymmetry in the right upper breast posterior depth identified on screening mammogram. Spot compression views persistence of the mass with obscured margins. Targeted ultrasound of the right breast was then performed at the site of the patient's mammographic abnormality. In the right upper outer breast 10:00 radian 4 cm from the nipple there is a simple cyst which measures 6 x 5 x 8 mm. No suspicious mass lesions were identified.
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Simple cyst corresponding to the site of the patient's mammographic abnormality. 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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Generate impression based on findings.
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48-year-old male status post LVAD with drainage around the drive line. Evaluate for fluid collection. A targeted portable ultrasound was performed of the left lower quadrant along the course of the LVAD drive line. There is no discrete fluid collection.
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No discrete fluid collection.
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Generate impression based on findings.
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48-year-old female with bilateral breast pain and areas of palpable concern for a few months. History of bilateral benign core breast biopsies. Personal history of renal cancer diagnosed at age 45. Family history of breast cancer in mother and three maternal great aunts. DIAGNOSTIC MAMMOGRAM
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Patient's palpable areas of concern in the upper outer quadrants of the right and left breast correspond to dense parenchymal tissue with a benign cyst in the left upper quadrant. No sonographic or 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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Generate impression based on findings.
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Reason: History of nephrolithiasis History: HTN RIGHT KIDNEY: The right kidney measures 11.1 cm in length. Small echogenic stone in the inferior pole of the right kidney measures 0.4 x 0.3 x 0.4 cm. No hydronephrosis.LEFT KIDNEY: The left kidney measures 12.5 cm in length. Small echogenic stone in the inferior pole of the left kidney measures 0.3 x 0.3 x 0.2 cm. No hydronephrosis.OTHER: No significant abnormalities noted. Renal jets visualized.
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Small bilateral renal calculi without hydronephrosis.
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Generate impression based on findings.
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89-year-old male with decreased appetite, abnormal LFTs, weight loss LIVER: Liver is normal in size and is mildly heterogeneously echogenic which may be due to irregular fatty infiltration. There is no focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Gallbladder contains small amount of dependent sludge. No shadowing gallstones are identified. Although the gallbladder wall is mildly thickened, there is ascites associated and therefore the finding is not specific. Visualized portions of the biliary tract are normal in caliber.PANCREAS: Limited due to bowel gas. Body appears normal.SPLEEN: No significant abnormalities noted.KIDNEY: Right kidney is highly echogenic and small on limited views. Small right renal cyst. Limited views of the left kidney demonstrates likely mild increased echogenicity without hydronephrosis. Left kidney appears relatively small as well. OTHER: Mild ascites.
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Mildly heterogeneous increased liver echogenicity which may be due to fatty infiltration.Small amount of gallbladder sludge. Mild wall thickening associated with ascites. No stones.Highly echogenic right kidney and mildly echogenic left kidney. Both kidneys appear small.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report.
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Generate impression based on findings.
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42-year-old with history of excisional biopsy of papilloma in the right breast in 2010. BILATERAL DIGITAL DIAGNOSTIC MAMMOGRAPHY: Three standard views of both breasts and 2 spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Stable postsurgical changes in the right retroareolar region. There are 3 new clustered asymmetries in the left upper outer quadrant, which persist on spot compression. No suspicious microcalcifications in either breast. TARGETED LEFT BREAST ULTRASOUND: Targeted left upper outer quadrant ultrasound demonstrated a cluster of circumscribed anechoic to hypoechoic foci measuring up to 7 x 5 x 5 mm without internal vascularity; findings compatible with multiple simple cysts.
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Findings consistent with left upper outer quadrant multiple simple cysts. 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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Generate impression based on findings.
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History of bilateral breast masses. Currently 5 months pregnant. Previous left breast surgery for a fibroadenoma. A targeted bilateral ultrasound was performed for the areas where the patient states she has known masses. Numerous bilateral typically benign morphology masses are present. In the left breast, multiple masses are seen at the 10:00, 3:00 and 1:00 positions. The largest masses are located near 3:00, with measurements of up to 2.2 cm. Within the right breast, multiple benign morphology masses are also present, at the 6:00, 7:00, 9:00 and 12:00 positions. The largest of these measures up to about 2.4 cm.
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Numerous bilateral benign morphology masses measuring up to several centimeters in size. These are highly likely to represent fibroadenomas. Correlation with physical examination is recommended. Biopsy or surgical intervention could be considered for the largest masses based on symptoms. If no tissue is obtained, then a 6 month ultrasound follow-up is suggested.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed.
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Generate impression based on findings.
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Male; 31 years old. Reason: 31 y/o M with unexplained nausea, vomiting, RUQ u/s requested to rule out gallstones or other etiology History: as above LIVER: The liver has a smooth contour, the parenchyma is normal in echogenicity. It measures 17.7 cm in length. The main portal vein is patent and demonstrates normal direction of flow with a peak velocity of 20 cm/sec.BILIARY TRACT: The gallbladder is unremarkable with no cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The common bile duct measures 2 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The visualized head of the pancreas is unremarkable. The body and tail of the pancreas obscured by overlying bowel gas.SPLEEN: The spleen measures 13.2 cm in length.RIGHT KIDNEY: Right kidney measures 10.6 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis. OTHER: The left kidney measures 10.8 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis.
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No cholelithiasis or other ultrasound finding to explain the patient's symptoms.
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Generate impression based on findings.
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66-year-old female with prior left thyroidectomy for cancer. Evaluate for recurrent disease. RIGHT LOBE MEASUREMENTS: 4.6 x 1.8 x 1.8 cmLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: Heterogeneous in echotexture without focal mass.LEFT LOBE: Post thyroidectomy. No mass identified within the surgical bed.ISTHMUS: Post thyroidectomyPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal-appearing cervical lymph nodes bilaterally.OTHER: No significant abnormality noted.
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No evidence for right thyroid mass. No recurrent disease identified in the left thyroid bed or nodal chains.
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Generate impression based on findings.
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Goiter with growth, evaluate with thyroid ultrasound RIGHT LOBE MEASUREMENTS: 8 x 3.4 x 3.2 cm, heterogenous, mostly unchanged from prior exam when it measured 8.5 x 3.1 x 2.7 cmLEFT LOBE MEASUREMENTS: 10.1 x 4 x 5.6 cm, heterogenous and increased in size from prior examination when it measured 9.2 x 5.8 x 3.7 cm.ISTHMUS MEASUREMENTS: 2 cmRIGHT LOBE: 2 adjacent solid hypoechoic nodules identified in the right lobe, upper pole nodule measures 4.4 x 2.6 x 3 cm previously measured 3.5 x 3.2 x 2.2 cm. The lower/inferior pole nodule has infraclavicular extension and cannot be completely visualized by ultrasound, now measures 4.6 x 4 cm, previously measured 3.4 x 3.2 x 2.2 cmLEFT LOBE: At least 2 enlarged nodules identified in the left lobe, the upper to midpole nodule has multiple increased microcalcifications in the further evaluation with tissue sampling. It has increased from prior examination, currently measures 5.5 x 3.4 x 4.9 cm, previously measured 5.2 x 5.8 x 3.7 cm. The second solid nodule along the inferior pole measures 4.6 x 4 x 4.3 cm, previous measured 5 x 3.9 x 2.3 cm. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal morphology bilateral neck lymph nodes level 3 noted. Largest lymph node in the right lateral neck measures 2.3 x 0.3 x 1.2 cm.OTHER: No significant abnormality noted.
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1. Multinodular goiter with interval increase in size and microcalcifications within the left upper pole nodule, consider tissue sampling.
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Generate impression based on findings.
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60-year-old female with hepatitis C. Evaluate for hepatocellular carcinoma. LIVER: Mildly and coarsely echogenic. Morphologically normal. No focal hepatic abnormality.BILIARY TRACT: The biliary tract is normal in caliber. Color appears unremarkablePANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
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Mildly echogenic liver without mass.
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Generate impression based on findings.
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30-year-old female with pancreatitis evaluation for gallstone pancreatitis or biliary obstruction. LIVER: The liver measures 15.2 cm in length. There are some areas of coarse increased echogenicity within the liver. There are no dilated ducts within the liver seen. The portal vein is patent with hepatopedal flow measuring 27.8 cm/s. BILIARY TRACT: The gallbladder is visualized without stones or significant sludge. The gallbladder wall measures 0.3 cm. The common bile duct measures 0.3 cm. PANCREAS: No obvious complications of acute pancreatitis are seen, such as fluid collections or pancreatic duct dilatation.SPLEEN: The spleen measures 9.5 cm. No significant abnormalities are noted.KIDNEY: The right kidney measures 9.95 cm. The renal cortex is normal in echogenicity. No worrisome masses, hydronephrosis, or stones are seen. The left kidney measures 11.3 cm. The cortex of the left kidney is normal echogenicity, there is no any masses, hydronephrosis, or stones seen in the left kidney.
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1. No obvious complications of acute pancreatitis are noted on this study. There are no peripancreatic fluid collections and no dilation of the pancreatic duct. The common bile duct is within normal caliber, and no gallstones are seen.2.There are some areas of mild coarse increased echogenicity within the liver which may represent possible fatty infiltration/parenchymal dysfunction.
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Generate impression based on findings.
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62-year-old female presents with evaluation of thyroid nodule. RIGHT LOBE MEASUREMENTS: 2.1 x 1.8 x 4.9 cm.LEFT LOBE MEASUREMENTS: 2.2 x 2.0 x 5.2 cm.ISTHMUS MEASUREMENTS: 0.2 cm.RIGHT LOBE: Multiple benign-appearing nodules in the right thyroid the largest of which measures approximately 0.6 x 0.4 x 0.6 cm, appear unchanged since the prior exam.LEFT LOBE: A nodule measuring approximate 1.2 x 1.3 x 2.0 cm is "taller than it is wide". It has a mixed echogenicity. There are well-defined borders. It appears unchanged since the prior examination, though given this morphology would recommend biopsy.ISTHMUS: Benign-appearing nodule measuring approximately 1.3 x 0.8 x 1.1 cm, appears unchanged since the prior examination.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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1. Suspicious nodule in the left thyroid. Recommend biopsy.
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Generate impression based on findings.
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55-year-old male with acute renal failure. Tubular necrosis. Ultrasound guidance was provided for biopsy of the patient's left kidney.
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Ultrasound guidance.
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Generate impression based on findings.
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Reason: History of left lobectomy. Now with fullness neck sensation. Assess Right lobe. RIGHT LOBE MEASUREMENTS: 2.3 x 1.3 x 4.9 cm.LEFT LOBE MEASUREMENTS: Status post left lobectomy.ISTHMUS MEASUREMENTS: 0.1 cm in AP diameter.RIGHT LOBE: The right thyroid lobe appears diffusely heterogeneous. There is a mixed cystic and solid subcentimeter nodule in the mid pole measuring 0.5 x 0.4 x 0.5 cm without calcifications, favored benign.LEFT LOBE: Status post left lobectomy without evidence of disease recurrence.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There is no regional lymphadenopathy.OTHER: No significant abnormality noted.
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1. Diffusely heterogeneous right thyroid with a subcentimeter mixed cystic and solid nodule which is favored to be benign.2. Status post left lobectomy without evidence of disease recurrence or regional lymphadenopathy.
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Generate impression based on findings.
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Thigh hematoma. Downtrending hemoglobin. Low GFR. Increasing BUN. RIGHT KIDNEY: 10.3 cm in length. Lobular renal cortex, suggestive of scarring. No suspicious lesions are evident. No renal stones or hydronephrosis.LEFT KIDNEY: 9.7 cm in length. Lobular renal cortex, suggestive of scarring. No suspicious lesions are evident. No renal stones or hydronephrosis.BLADDER: Collapsed. Foley catheter identified.OTHER: No significant abnormality noted. No perinephric collection identified.
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1. Lobular renal cortices, compatible with scarring.2. No perinephric collection identified to suggest hematoma.
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Generate impression based on findings.
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Female 57 years old; Reason: Evaluate for etiology of nausea with RUQ ultrasound History: Constant nausea LIVER: The liver measures 16.5 cm in length. There is increased echogenicity of the liver parenchyma. In the left lobe hepatic cyst is seen measuring 1.9 cm x 1.5 cm x 1.6 cm. A hepatic cyst is seen in the right lobe of the liver on the periphery measuring 3.0 cm x 3.7 cm x 3.4 cm. Another smaller hepatic cysts seen in the right lobe measuring 1.0 cm x 1.1 cm x 1.2 cm. The main portal vein is patent with normal hepatopetal flow measured at 25.9 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.0 mm. Multiple shadowing stones are seen. No sonographic Murphy sign. No pericholecystic fluid. The common bile duct measures 5.0 mm in diameter. No intrahepatic ductal dilation is seen.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 9.1 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 10.6 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 10.5 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.
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1. Cholelithiasis is seen without evidence of acute cholecystitis.2. The liver is increased echogenicity compatible with hepatocellular dysfunction/fatty infiltration. Focal hepatic cysts are seen in the right and left lobes.
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Generate impression based on findings.
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Right upper quadrant pain LIVER: Coarse echogenic liver without mass. Liver length 18.6 cmGALLBLADDER, BILIARY TRACT: Moderate bilobar intrahepatic ductal dilatation associated with extrahepatic ductal dilatation. Maximal diameter of common bile duct 1 cm. The distal common bile duct is obscured by gas. Status post cholecystectomy.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 9.9 cm in lengthOTHER: Left kidney 10.4 cm in length. Spleen 8.3 cm in length
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Coarse echogenic liver echotexture suggestive for fatty infiltration/parenchymal dysfunction without mass. Status post cholecystectomy. Moderate bilobar intrahepatic ductal dilatation associated with extra hepatic biliary dilatation. The distal bile duct is obscured by gas; cannot evaluate for the presence of the distal obstructing lesion. Would recommend correlation with dedicated cross sectional imaging as clinically warranted.
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Generate impression based on findings.
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Reason: US of liver, evaluate for radiographic evidence of cirrhosis History: hepatitis C LIVER: The liver measures 15.3 cm in length and smooth in contour. 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 0.21 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen is mildly prominent measuring 12.3 cm in length. RIGHT KIDNEY: Kidney measures 10.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.5 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites.
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Mildly increased hepatic echogenicity suggestive of chronic liver disease without focal lesions identified.
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