Reason: evaluate mass over L upper extremity fistula History: mass over L upper extremity fistula, fistula functioning appropriately Immediately adjacent to the fistula is a large hypoechoic mass measuring 4.0 cm x 3.2 cm x 3.5 cm with internal vascularity in a swirling pattern demonstrating irregular waveforms with suggestion of arterial flow. This appears to be connected with the patient's known fistula.
Findings suspicious for pseudoaneurysm arising for the left upper extremity fistula as described above.Findings were discussed with Dr. Chandni Patel by phone on 9/24/2015 at 4:00 PM. 