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Generate impression based on findings.
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Sickle cell disease in crisis Moderate splenomegaly with spleen length 18 cm. Homogeneous parenchyma without evidence for perisplenic fluid collection or infarction. Incidental note made of subcentimeter nonobstructing left renal stone. Liver length 18 cm in length.
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Moderate splenomegaly without evidence for perisplenic fluid collection or infarction. Nonobstructing left renal stone.
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Generate impression based on findings.
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Chronic renal disease RIGHT KIDNEY: Echogenic renal parenchyma again noted without mass, stone, or hydronephrosis. Right kidney 8.3 cm in length.LEFT KIDNEY: Echogenic renal parenchyma again noted without mass, stone, or hydronephrosis. Left kidney 7.5 cm in length.OTHER: Bladder nondistended
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Echogenic renal parenchyma again noted 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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84-year-old female with known substernal goiter RIGHT LOBE MEASUREMENTS: 5.6 x 2.8 x 1.4 cm, previously 6.5 x 3.0 x 1.4 cm.LEFT LOBE MEASUREMENTS: 6.9 x 5.7 x 4.3 cm, previously 10 x 5.6 x 7.3 cm.ISTHMUS MEASUREMENTS: 4 mm, previously 4 mm.RIGHT LOBE: Multinodular goiter. Reference nodule measures 1.2 x 1.3 x 0.7 cm, previously 1.2 x 1.3 x 0.7 cm.LEFT LOBE: Dominant hyperechoic nodule replaces the left lobe.ISTHMUS: Nodule superior and left aspect of the isthmus measures 2.4 x 1.8 x 1.2 cm, previously 1.9 x 1.5 x 0.9 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: Color Doppler demonstrates hypervascularity of bilateral thyroid lobes.
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Multinodular goiter with measurements as detailed above.
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Generate impression based on findings.
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Right upper quadrant pain LIVER: Echogenic coarse liver parenchyma without mass. Liver length 20.8 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or duct dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.8 cm in length OTHER: Left kidney 11.7 cm in length. Spleen 13.9 cm in length. No ascites.
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Hepatomegaly with echogenic coarse liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Cholelithiasis without acute inflammation. No ascites.
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Generate impression based on findings.
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Acute renal failure RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. Right kidney 9 cm in lengthLEFT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. Left kidney 10.4 cm in lengthOTHER: Bladder nondistended
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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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Acute renal failure RIGHT KIDNEY: Mildly echogenic renal parenchyma without mass, stone, or hydronephrosis. Ureteral stent present. Right kidney 10 cm in length.LEFT KIDNEY: Mildly echogenic renal parenchyma without mass, stone, or hydronephrosis. Ureteral stent present. Left kidney 12.6 cm in length.OTHER: Bladder nondistended.
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Mildly echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. Bilateral ureteral stents.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Mother and aunt diagnosed with breast cancer. Two standard digital views of both breasts were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Best seen on the left MLO view is focal asymmetry in the upper outer breast for which further evaluation with spot compression views and possibly ultrasound is recommended. Small tight cluster of calcifications in the right upper outer breast for which further evaluation with spot magnification views is recommended. A few loosely scattered calcifications in the left breast.
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1. Focal asymmetry in the left upper outer breast for which further evaluation with spot compression views and possibly ultrasound is recommended. 2. Small tight cluster of calcifications in the right upper outer breast for which further evaluation with spot magnification views is recommended.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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History gallbladder polyps LIVER: Coarse echogenic liver parenchyma again noted without mass. Liver length 18.2 cmGALLBLADDER, BILIARY TRACT: No significant interval change in multiple gallbladder polyps. The largest near the gallbladder neck measures 1 x 0.7 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.8 cm in length.OTHER: Left kidney 10.7 cm in length. Spleen 8.3 cm in length. No ascites.
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No significant interval change in multiple gallbladder polyps. Coarse echogenic liver parenchyma again noted consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation.
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Generate impression based on findings.
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Precardiac transplant LIVER:Mildly heterogeneous liver echotexture without mass. Liver length 14.4 cmGALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormality noted.SPLEEN: No significant abnormality noted. 10.6 cm in lengthKIDNEYS: No significant abnormality noted. Right kidney 11.5 cm in length; left kidney 10.8 cm in lengthABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No significant abnormality noted. No ascites
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Mildly heterogeneous liver echotexture suggestive for chronic liver disease without mass or ductal dilatation. Gallbladder sludge without acute inflammation. No ascites.
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Generate impression based on findings.
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Congestive heart failure with ascites LIVER: Unremarkable parenchymal echogenicity without mass. Liver length 15.7 cmGALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No ductal dilatation.PANCREAS: 1.9 x 1.9 x 1.8 cm cystic lesion arising from the pancreatic body.RIGHT KIDNEY: Echogenic parenchyma again noted without mass, stone, or hydronephrosis. Right kidney 8.3 cm in lengthOTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. Left kidney 8 cm in length. Spleen 8.1 cm in length. Mild ascites.
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Unremarkable hepatic parenchyma without mass or ductal dilatation. Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without obstruction. Mild ascites.Pancreatic body cyst.
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Generate impression based on findings.
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Increasing LFTs with shock LIVER: Coarse echogenic liver parenchyma without mass. Liver length 16.3 cm. Limited evaluation of the main portal vein demonstrates a patent main portal vein with normal directional flow.GALLBLADDER, BILIARY TRACT: Possible cholelithiasis without acute inflammation or ductal dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11 cm in lengthOTHER: Left kidney 10.6 cm in length. Spleen 9.9 cm in length. No ascites.
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Coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without worrisome mass or ductal dilatation. Possible cholelithiasis without acute inflammation.
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Generate impression based on findings.
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Hepatitis C LIVER: Unremarkable echogenicity without mass. Liver length 16.9 cmGALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11 cm in lengthOTHER: Left kidney 10.1 cm in length. Spleen 8.2 cm in length. No ascites.
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Unremarkable liver without mass or ductal dilatation. Gallbladder sludge without acute inflammation. No ascites.
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Generate impression based on findings.
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1 year status post islet cell transplant; evaluate portal venous flow LIVER: Normal parenchymal echogenicity. Well-circumscribed subcentimeter echogenic foci within the right lobe of the liver; favor benign etiology. Liver length 15.3 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Main portal vein velocity 20 cm/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Subcentimeter nonobstructing right renal stone. Right kidney 10.5 cm in lengthOTHER: Left kidney 9.4 cm in length. Spleen 9.6 cm in length. No ascites.
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Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Well-circumscribed subcentimeter echogenic foci within the right lobe of the liver; favor benign etiology. No ascites.Subcentimeter nonobstructing right renal stone.
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Generate impression based on findings.
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Elevated LFTs LIVER: Mildly echogenic liver echotexture without mass. Liver length 22 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Atrophic right kidney with echogenic parenchyma without hydronephrosis. Right kidney 10.1 cm in lengthOTHER: Echogenic left renal parenchyma without worrisome mass. Left renal cyst. Left kidney 10 cm in length. Spleen 14.7 cm in length. No ascites.
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Hepatosplenomegaly with mildly echogenic liver echotexture suggestive for parenchymal dysfunction/fatty infiltration without mass or ductal dilatation. No ascites.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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History right renal cysts RIGHT KIDNEY: 3 x 3.7 x 3.5 cm solid exophytic mass arising from the upper pole of the right kidney. Additional subcentimeter right renal cysts. Echogenic renal parenchyma without hydronephrosis. Right kidney 8.7 cm in length.LEFT KIDNEY: Multiple cysts. Echogenic renal parenchyma. Nonobstructing subcentimeter renal stone. No hydronephrosis. Right kidney 10.7 cm in length.OTHER: Bladder nondistended
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Solid exophytic mass arising from the upper pole of the right kidney. This lesion does not fill the criteria for a benign lesion and a malignancy must be considered.Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without obstruction.Nonobstructing subcentimeter left renal stone.
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Generate impression based on findings.
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Female 66 years old; Reason: r/o adenopathy, increased size of nodules, concerning features. Are nodes concerning and should be biopsied? History: h/o thyroid nodules, s/p lobectomy. Has nodes that are felt to be indeterminate. This is 9 month follow up study; please compare to prior ultrasounds. LEFT LOBE MEASUREMENTS: 5.1 x 2.3 x 1.9 cmISTHMUS MEASUREMENT: 0.4 cmRIGHT LOBE: Patient is status post right thyroidectomy.LEFT LOBE: There are multiple hyperechoic nodules, the largest of which measures 0.9 x 0.9 x 0.8 cm and the inferior pole and is stable.ISTHMUS: Nodule measuring 0.7 x 0.5 x 0.3 cm is stable.LYMPH NODES: Normal lymph nodes seen.OTHER: No significant abnormality noted.
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No significant change in thyroid nodules and lymph nodes without suspicious features.
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Generate impression based on findings.
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Right upper quadrant pain LIVER: Normal echogenicity without mass. Liver length 16 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.3 cm in lengthOTHER: Left kidney 11.3 cm in length. Spleen 8 cm in length. No ascites.
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Cholelithiasis without acute inflammation or ductal dilatation.
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Generate impression based on findings.
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Prior history of renal infection RIGHT KIDNEY: Lower pole benign-appearing cyst. No significant scarring or mass. No stone. No hydronephrosis. Right kidney 9.87 m in length.LEFT KIDNEY: No significant scarring or mass. No stone. No hydronephrosis. Left kidney 9.8 cm in length.OTHER: Bladder nondistended
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No significant renal scarring or mass. No stone or obstruction.
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Generate impression based on findings.
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Transaminitis LIVER: Normal echogenicity without mass. Liver length 15.8 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12.3 cm in lengthOTHER: Left kidney 12.5 cm in length. Spleen 11.3 cm in length. No ascites.
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Negative right upper quadrant ultrasound. No hepatobiliary abnormality.
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Generate impression based on findings.
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High creatinine RIGHT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. 10.8 cm in length.LEFT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. 9.9 cm in lengthOTHER: Bladder nondistended.
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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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History thyroid cancer RIGHT LOBE: Status post thyroidectomy without massLEFT LOBE: Status post thyroidectomy without massISTHMUS: Status post thyroidectomy without massPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Status post thyroidectomy without mass or regional adenopathy.
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Generate impression based on findings.
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48-year-old male with hepatitis B. LIVER:Cirrhotic liver morphology. A 1.2 x 1.1 x 0.9 cm hypoechoic nodule along the left liver capsule is new since the prior study. Patent portal vein.GALLBLADDER, BILIARY TRACT: 0.5 cm echogenic focus along the gallbladder wall may represent a small stone or polyp.PANCREAS: No significant abnormality noted.SPLEEN: Splenomegaly. The spleen measures 12.3 cm in length.KIDNEYS: No significant abnormality noted. OTHER: No significant abnormality noted.
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New 1.2 cm hypoechoic hepatic nodule on a background of cirrhosis is suspicious for malignancy. Cross-sectional imaging is recommended for further evaluation.
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Generate impression based on findings.
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51-year-old male with history of cystic lesion seen on cervical spine MRI. RIGHT LOBE MEASUREMENTS: 5.0 x 2.7 x 1.2 cmLEFT LOBE MEASUREMENTS: 5.4 x 2.1 x 1.2 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT 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: A 1.6 x 1.1 x 0.7 cm cystic lesion is noted posteriorly and inferiorly to the right thyroid lobe. There is a clear fat plane separating this structure from the thyroid. The lesion is completely cystic without internal solid components or significant internal vascularity.
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Cystic lesion posterior and inferior to the right thyroid lobe without internal solid component or internal vascularity. Differential considerations include simple cyst vs cystic parathyroid adenoma.
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Generate impression based on findings.
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84-year-old female with right upper quadrant pain. LIVER: In the left hepatic lobe (segment 5) is a circumscribed cystic structure with a peripheral hyperechoic rim and shadowing internal calcifications or possibly internal stones which appears intrahepatic and separate from the adjacent gallbladder. The portal vein is patent.GALLBLADDER, BILIARY TRACT: The gallbladder is somewhat patulous in morphology, but no discrete gallbladder stone is identified. The gallbladder wall is normal in thickness.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: A right kidney cyst with thin internal septations measures 2.1 x 1.9 x 1.8 cm. There is no hydronephrosis.OTHER: No significant abnormalities noted.
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1.Cystic lesion in segment 5 as described above, for which differential considerations include a hepatic cyst with peripheral calcifications, focal intrahepatic biliary ductal dilation with stones, or less likely an accessory gallbladder.2.Otherwise, no evidence of cholelithiasis or acute cholecystitis.
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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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74-year-old male with abscess. Again seen is diffuse edema in skin thickening of the subcutaneous tissues of the inner thigh. A small phlegmon/abscess measuring 1.0 x 0.7 x 0.4 cm is not significant change since the prior study.
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No significant interval change in small abscess/phlegmon and subcutaneous edema.
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Generate impression based on findings.
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58-year-old female with enlarged thyroid. RIGHT LOBE MEASUREMENTS: 4.8 x 1.5 x 1.8 cm.LEFT LOBE MEASUREMENTS: 4.9 x 1.2 x 1.7 cm.ISTHMUS MEASUREMENTS: 0.3 cm.RIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Scattered small cervical lymph nodesOTHER: No significant abnormality noted.
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No thyroid nodules
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Generate impression based on findings.
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72-year-old female with HCV, cirrhosis. LIVER: Cirrhotic hepatic morphology with coarse hepatic echotexture. The liver is 16.9 cm in length. No new discrete hepatic mass lesions.BILIARY TRACT: Status post cholecystectomy. Prominence of the common bile duct unchanged.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
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Cirrhosis without focal hepatic mass.
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Generate impression based on findings.
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62 year old with biopsy proven right breast cancer. Ultrasound was performed to check the marker clip placement of the proven cancer. Focused ultrasound confirmed the proven cancer in the right breast at 1:00 position, without significant changes. A marker clip is identified within the cancer.
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Biopsy proven right breast cancer BIRADS: 6 - Known cancer.RECOMMENDATION: X - No Letter.
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Generate impression based on findings.
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29-year-old male with hepatitis B, gallbladder polyps. LIVER: Again seen are 3 hepatic lesions as follows:2 circumscribed hyperechoic lesions in the right hepatic lobe measure 1.7 x 1.6 x 1.2 cm and 1.4 x 1.3 x 1.1 cm and are consistent with hepatic hemangiomas and unchanged. The third lesion, which is slightly hypoechoic with a hyperechoic rim and peripheral vascularity measures 2.0 x 1.7 x 1.6 cm, also does not appear acutely changed compared with prior examinations. No new discrete lesions are identified.BILIARY TRACT: Again seen are numerous gallbladder wall polyps measuring up to 0.7 cm. There is no evidence of cholelithiasis.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
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1.Stable appearance of hepatic lesions corresponding to lesions characterized as hemangiomas on prior studies.2.Numerous gallbladder polyps measuring up to 0.7 cm. Continued follow-up is recommended.
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Generate impression based on findings.
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55-year-old male with acute kidney injury. RIGHT KIDNEY: Measures 11.8 cm. Echogenic renal parenchyma without discrete focal lesion or hydronephrosis.LEFT KIDNEY: Measures 11.5 cm. Echogenic renal parenchyma without discrete focal lesion or hydronephrosis.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted.
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Echogenic renal parenchyma consistent with medical renal disease. No hydronephrosis.
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Generate impression based on findings.
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61-year-old female with hard thyroid on exam. RIGHT LOBE MEASUREMENTS: 4.9 x 1.7 x 1.6 cmLEFT LOBE MEASUREMENTS: 5.2 x 1.4 x 1.3 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Predominantly solid right lower pole nodule with areas of increased echogenicity measures 1.6 x 0.9 x 1.2 cm.LEFT LOBE: Left upper pole predominantly solid nodule with scattered small echogenic foci measures 1.0 x 0.6 x 1.0 cm. More inferiorly, a smaller nodule in the mid polar left thyroid has mixed solid and cystic components.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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Bilateral predominately solid thyroid nodules as described above are amenable to biopsy.
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Generate impression based on findings.
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49-year-old female with history of neck tightness, thyroid nodules. RIGHT LOBE MEASUREMENTS: 5.3 x 1.4 x 1.8 cmLEFT LOBE MEASUREMENTS: 4.7 x 1.3 x 1.5 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Prominently solid right lower pole thyroid nodule with small echogenic foci measuring 1.7 x 1.1 x 0.9 cm is not significantly changed compared with prior studies. The previously described lower pole 5 mm nodule is less conspicuous compared with the prior study but grossly unchanged. No new thyroid nodules are present.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 significant interval change in previously biopsied right lower lobe thyroid nodule.
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Generate impression based on findings.
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61-year-old female with right upper quadrant pain LIVER: 15 cm in length. No focal hepatic lesions.BILIARY TRACT: Gallbladder is partially collapsed with normal wall thickness. No evidence of cholelithiasis.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.KIDNEY: No significant abnormalities noted. OTHER: Peripherally calcified lesion adjacent to the right hepatic lobe measures 5.9 x 4.7 x 4.3 cm, not significantly changed since 2006 most compatible with prior infection or hematoma.Previously identified right adrenal lesion not clearly visualized on current examination, possibly due to adjacent bowel gas.
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1.No acute abnormalities to account for the patient's right upper quadrant pain. No evidence of cholelithiasis or acute cholecystitis. 2.Other findings as described above.
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Generate impression based on findings.
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52-year-old male with lymphoma, anemia, thrombocytopenia. Right-sided back pain and dropping hemoglobin. Limited abdominal ultrasound demonstrates no evidence of hematoma or dependent blood product to suggest retroperitoneal bleed. The partially visualized spleen is enlarged consistent with the patient's history of lymphoma.
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1. No evidence of retroperitoneal hematoma. If there is continued high clinical suspicion, CT is recommended for further evaluation.2. Hepatosplenomegaly.
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Generate impression based on findings.
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41-year-old female with history of thyroid cancer status post thyroidectomy RIGHT LOBE MEASUREMENTS: Surgically absentLEFT LOBE MEASUREMENTS: Surgically absentISTHMUS MEASUREMENTS: Surgically absentRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: 1.9 x 1.5 x 0.7 cm right mid level 3 lymph node with internal echogenic foci is suspicious for nodal metastatic disease.OTHER: No significant abnormality noted.
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Right mid-level 3 lymph node suspicious for nodal metastatic disease.
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Generate impression based on findings.
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53-year-old female with tertiary hyperparathyroidism. RIGHT LOBE MEASUREMENTS: 5.5 x 2.2 x 1.5 cmLEFT LOBE MEASUREMENTS: 5.4 x 1.7 x 2.1 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: 0.5 x 0.3 x 0.3 cm cystic nodule with peripheral hyperechoic focus most likely colloid.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Hypoechoic solid nodule posterior and inferior to the left thyroid lobe measures 1.2 x 1.2 x 0.9 cm.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Hypoechoic solid nodule posterior and inferior to the left thyroid is suspicious for parathyroid adenoma. Correlate with same day nuclear medicine examination.
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Generate impression based on findings.
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Difficulty swallowing RIGHT LOBE MEASUREMENTS: 3.4 x 1.9 x 1.8 cmLEFT LOBE MEASUREMENTS: 5.2 x 2 x 0.8 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: 0.6 x 0.3 x 0.5 cm lower pole hypoechoic noduleISTHMUS: 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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Normal sized thyroid gland. Subcentimeter hypoechoic lower pole left thyroid nodule. No regional adenopathy.
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Generate impression based on findings.
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56-year-old female with history of goiter. RIGHT LOBE MEASUREMENTS: 5.1 x 2.4 x 2.2 cmLEFT LOBE MEASUREMENTS: 7.0 x 3.2 x 3.5 cmISTHMUS MEASUREMENTS: 1.6 cmRIGHT LOBE: Heterogeneous multinodular thyroid. Cystic and solid nodule in the right lower pole measures 1.6 x 1.1 x 1.2 cm.LEFT LOBE: Heterogeneous multinodular thyroid. Cystic and solid nodule in the left lower pole measures 2.0 x 1.5 x 1.4 cm.ISTHMUS: Cystic and solid nodule in the isthmus measures 2.0 x 1.9 x 1.6 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Multinodular thyroid as detailed above.
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Generate impression based on findings.
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7-year-old female with pancreatic cancer and recent ERCP with stent placement, right upper quadrant pain LIVER: No significant abnormalities noted.BILIARY TRACT: Air in the gallbladder lumen partially limits evaluation. The visualized portions of the gallbladder are not significantly distended. There is sludge in the gallbladder lumen. The gallbladder wall measures 3 mm in thickness. There is no discrete pericholecystic fluid. A biliary stent is visualized.PANCREAS: Redemonstration of a pancreatic head mass measuring 4.0 x 2.1 x 2.3 cm consistent with the patient's known neoplasm. Mild pancreatic ductal dilation. SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted.
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1. Limited evaluation of the gallbladder as described above demonstrates no specific evidence of acute cholecystitis.2. Pancreatic head mass consistent with the patient's known neoplasm3. Interval placement of a common bile duct stent.
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Generate impression based on findings.
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77-year-old female with recurrent UTIs. RIGHT KIDNEY: 11.9 cm in length. No hydronephrosis or focal lesion.LEFT KIDNEY: 13.37 m in length. No hydronephrosis or focal lesion.URINARY BLADDER: Partially collapsed which limits evaluation.OTHER: No significant abnormalities noted.
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No evidence of abscess, stone, or hydronephrosis.
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Generate impression based on findings.
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66-year-old female with abnormality noted on carotid ultrasound RIGHT LOBE MEASUREMENTS: 2.0 x 1.7 x 4.9 cmLEFT LOBE MEASUREMENTS: 1.3 x 1.7 x 5.2 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: 0.7 x 0.5 x 0.8 cm nodule in the right mid polar region with mixed solid and cystic components and a hypoechoic halo. No microcalcifications.LEFT LOBE: 0.6 x 0.4 x 0.8 cm mixed solid/cystic nodule in the left isthmus/left lower lobe.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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Subcentimeter thyroid nodules.
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Generate impression based on findings.
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29-year-old male with history of hepatitis B. LIVER: Measures 14.1 cm in length. Echogenic hepatic parenchyma without discrete focal lesion. Patent portal vein.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.KIDNEY: Small renal cysts without significant interval change.OTHER: No significant abnormalities noted.
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Echogenic hepatic parenchyma without discrete focal lesion.
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Generate impression based on findings.
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56-year-old male with pain and edema. Evaluate for Baker cyst. Grayscale and color ultrasound of the posterior left knee soft tissues demonstrate no evidence of Baker's cyst or other findings to account for the patient's symptoms.
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No evidence of Baker's cyst.
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Generate impression based on findings.
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35 year old female with right upper quadrant pain. LIVER: The liver measures 18.6 cm in length. It demonstrates normal echotexture without focal lesions or biliary ductal dilatation. The main portal vein is patent and demonstrates hepatopedal flow with velocity of 0.3 m/s.GALLBLADDER, BILIARY TRACT: No shadowing gallstones or sonographic evidence of cholecystitis. No sonographic Murphy sign.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 12.1 cm.OTHER: Left kidney measures 11.9 cm. No focal lesions or evidence of hydronephrosis. Spleen measures 10.6 cm and exhibits normal echotexture. No ascites.
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Normal examination without specific findings to account for the patient's pain.
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Generate impression based on findings.
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23 year old male with collection near gallbladder on prior CT. Complains of recurrent abdominal pain. LIVER: The liver measures 16.6 cm in length. It demonstrates normal echotexture without focal lesions or biliary ductal dilatation. The main portal vein is patent and demonstrates hepatopedal flow with velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: There is wall thickening of the gallbladder fundus, with numerous associated echogenic foci along the gallbladder wall. The region of abnormality measures 5.1 x 1.5 x 2.5 cm. Findings likely represent fundal adenomyomatosis. No evidence of fluid collection/abscess. No shadowing gallstones. No sonographic Murphy sign.PANCREAS: No significant abnormalities noted.OTHER: No ascites.
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Findings compatible with focal fundal adenomyomatosis as described above.
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Generate impression based on findings.
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71 year old male with bleeding and elevated INR. Evaluate liver for cirrhosis or amyloid involvement. LIVER: The liver measures 17.6 cm in length. Mildly coarsened and echogenic parenchyma is compatible with fatty infiltration. No significant capsular nodularity to suggest cirrhosis. No focal lesions or biliary ductal dilatation. The main portal vein is patent and demonstrates hepatopedal flow with velocity of 0.4 m/s.GALLBLADDER, BILIARY TRACT: No shadowing gallstones or sonographic evidence of cholecystitis. No sonographic Murphy sign.PANCREAS: Not visualized due to overlying bowel gas.NATIVE KIDNEYS: Bilateral atrophic native kidneys are present.OTHER: Transplant kidney in right iliac fossa measures 13.4 cm with normal echotexture. No peritransplant fluid collection or evidence of hydronephrosis. Spleen measures 13.6 cm and exhibits normal echotexture. No ascites.
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1.Unremarkable transplant kidney in right iliac fossa with bilateral atrophic native kidneys.2.Mild fatty liver infiltration. No sonographic evidence of cirrhosis or suspicious focal hepatic lesions.
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Generate impression based on findings.
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57-year-old female with recent pancreatitis and elevated LFTs. LIVER: The liver measures 17.2 cm. Parenchyma is mildly echogenic, compatible with fatty infiltration. The main portal vein is patent and exhibits hepatopedal flow with velocity of 0.2 m/s. No suspicious hepatic lesions or biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: No shadowing gallstones or sonographic evidence of cholecystitis.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Right kidney measures 11.2 cm. Increased cortical echogenicity is suggestive of medical renal disease. Right renal midpole cyst measures 1.4 x 1.6 x 1.2 cm. No hydronephrosis.OTHER: The spleen measures 12.2 cm and is within normal limits. The left kidney measures 10.0 cm. Increased cortical echogenicity is suggestive of medical renal disease. Midpole cyst measures 1.8 x 1.4 x 1.4 cm. No hydronephrosis. No ascites.
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1.Findings compatible with fatty liver infiltration. 2.Echogenic renal cortices, consistent with medical renal disease. No hydronephrosis.
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Generate impression based on findings.
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36-year-old female with protruding palpable mass in epigastric region. Sonographic images of the subcutaneous tissues underlying the epigastric region show no focal mass in the area of palpable concern. Specifically, no cystic or solid lesion is identified. There is prominent subcutaneous fat. Underlying tissues are within normal limits. No free fluid.
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No specific findings to account for the patient's symptoms in the area of palpable concern.
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Generate impression based on findings.
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52-year-old female with acute liver failure. LIMITED ABDOMENLIVER: The liver measures 19.6 cm. Coarse echotexture and nodular margin is compatible with chronic liver disease. Weakly echogenic lesion in segment 7 with subtle hypoechoic halo measures 1.4 x 1.5 x 1.6 cm.BILIARY TRACT: No shadowing gallstones or pericholecystic fluid. Gallbladder wall measures 6 mm in thickness, which may represent chronic liver disease. No biliary ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. Spleen measures 9.9 cm. KIDNEYS: Right kidney measures 12.0 cm. No focal renal lesions or hydronephrosis. Left kidney measures 10.3 cm. No focal renal lesions or hydronephrosis.OTHER: No ascites.
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1.Chronic liver disease with weakly echogenic lesion seen in segment 7 as described above. While imaging features could represent a hemangioma in a noncirrhotic liver, HCC should be excluded given the patient's chronic liver disease.2.Patent hepatic vasculature.3.Nonspecific gallbladder wall thickening in the setting of chronic liver disease.
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Generate impression based on findings.
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Acute kidney injury. Evaluate for obstruction. RIGHT KIDNEY: Right kidney is normal in size measuring 8.8 cm in length. The renal parenchymal echotexture is mildly increased suggestive of medical renal disease. No hydronephrosis. No nephrolithiasis.LEFT KIDNEY: Left kidney is normal in size measuring 9.1 cm in length. The renal parenchymal echotexture is mildly increased suggestive of medical renal disease. No hydronephrosis. No nephrolithiasis.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted.
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Echogenic renal parenchyma compatible with medical renal disease. No hydronephrosis.
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Generate impression based on findings.
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26 year old with history of surgical excision of a right breast fibroadenoma in June 2012, and biopsy proven fibroadenoma in both breasts. Whole breast ultrasound was performed for both breasts. There is a proven fibroadenoma at 11:00 position in the left breast measuring 19 x 11 x 14 mm (previously 22 x 12 x 17 mm), and at 6:00 position in the right breast measuring 19 x 19 x 16 mm (previously 18 x 10 x 19 mm). There are additional benign appearing masses in both breasts, at least 8 masses in right breast and 5 masses in the left breast in total. All masses appear to be fibroadenomata.
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Stable biopsy proven fibroadenoma in both breasts with multiple fibroadenomata. BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter.
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Generate impression based on findings.
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Elevated liver enzymes and acute kidney injury. LIVER:Mild hepatomegaly with the liver measuring 19.2 cm in length. The parenchymal echotexture is echogenic and coarsened compatible with steatosis. No intrahepatic or extrahepatic biliary ductal dilatation. The main portal vein is patent with hepatopedal flow velocity of 30 cm/s.GALLBLADDER, BILIARY TRACT: No cholelithiasis. The gallbladder is unremarkable. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormality noted.SPLEEN: The spleen is mildly enlarged measuring 13.5 cm in length.KIDNEYS: Right kidney is normal in size and echotexture measuring 11.7 cm. No hydronephrosis. Left kidney is normal in size measuring 11.1 cm in length. No hydronephrosis.ABDOMINAL AORTA: The proximal abdominal aorta is normal in size. The maximum diameter of 2.0 cm. Linear echogenic focus within the aorta compatible with an ECMO catheter. The mid and distal aorta are obscured by bowel gas.INFERIOR VENA CAVA: The inferior vena cava is patent with normal multiphasic flow. Linear echogenic focus within the inferior vena cava compatible with an ECMO catheter.OTHER: Left pleural effusion. No ascites.
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1.Echogenic hepatic parenchyma compatible with hepatic steatosis. No biliary ductal dilatation. Normal-appearing gallbladder.2.Left pleural effusion. No ascites.3.ECMO catheters in the normally sized abdominal aorta and inferior vena cava.
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Generate impression based on findings.
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Left renal mass noted on outside hospital CT. A cortically based exophytic mass is partially visualized arising from the superior pole of the left kidney. Due to limited visualization, after discussion with the patient, the decision was made to proceed with a CT-guided biopsy. No biopsy was performed as part of the ultrasound examination.
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Limited images obtained of the left kidney as part of an aborted biopsy procedure. CT-guided biopsy will now be performed.
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Generate impression based on findings.
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Acute kidney injury. Ultrasound guidance was provided to the clinical service for performance of a renal biopsy. 3 passes with an 18-gauge core biopsy device were made of the left iliac fossa transplant graft. Postbiopsy images show no evidence of hematoma or other complication.
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Ultrasound guidance was provided to the clinical service for performance of a renal biopsy.
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Generate impression based on findings.
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History of BPH. Rule out hydronephrosis. RIGHT KIDNEY: Right kidney is normal in size measuring 10.6 cm in length. There is normal parenchymal thickness and echotexture. New moderate hydronephrosis. Simple superior pole cyst measuring 8 mm in maximum dimension.LEFT KIDNEY: Left kidney is normal in size measuring 10.2 cm in length there is normal parenchyma thickness and echotexture.New moderate to severe hydronephrosis.URINARY BLADDER: Bladder is moderately distended. The bladder wall is nontrabeculated.OTHER: No significant abnormalities noted.
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New bilateral moderate to severe hydroureteronephrosis.Findings were communicated to Blake Alberts, urology resident on call.
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Generate impression based on findings.
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48-year-old man with diverting ileostomy. History of ascites. Evaluate for ascites. Moderate ascites in all 4 quadrants. Small amount of sludge in the gallbladder noted incidentally.
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Moderate ascites.
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Generate impression based on findings.
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73 year old female who was recalled from screening mammogram for 7 mm focal asymmetry in the right upper outer quadrant. Patient on estradiol for the past 2 years. Mammogram: An ML view and four spot compression views of the right 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. Focal asymmetry in the right upper-outer quadrant persist only on the ML and MLO view. It is not definitely seen on the cc view. A benign morphology partially circumscribed slightly hyperdense mass is identified in the central breast on CC spot magnification view.Ultrasound: Targeted superior right breast ultrasound was performed. Multiple simple, complex and septated cysts with milk of calcium identified in the superior right breast, largest simple cyst measuring 7 x 5 mm. No suspicious solid mass noted.
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High probability benign morphology asymmetry in the superior right breast and multiple simple and complex cysts in the superior right breast. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram and ultrasound is recommended in 6 months. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months).
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Generate impression based on findings.
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23-year-old female with palpable lump in the left breast for 3 months presents for evaluation. Family history of breast cancer in her maternal grandmother, great grandmother and great grandfather. A targeted left ultrasound was performed for the patient’s area of concern. On physical examination, a 2 cm mobile nontender mass is palpated in the left breast 3:00 position. Ultrasound demonstrates an oval parallel oriented mixed echogenic mass that measures 2.6 x 1.5 x 1.9 cm with peripheral blood flow.
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Palpable abnormality in the left breast 3:00 position most likely represents a benign fibroadenoma however surgical consultation with a possible fine-needle aspiration for confirmation is recommended.Patient is scheduled for a breast augmentation surgery next week and also plans to travel for the next couple of months. She will attempt to get a surgical consult with possible FNA before the augmentation.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation.
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Generate impression based on findings.
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Evaluate for nephrolithiasis RIGHT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. Right kidney 11.4 cm in lengthLEFT KIDNEY: Unremarkable echogenicity without mass, stone, or hydronephrosis. The left kidney 11 cm in lengthOTHER: Bladder nondistended
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Negative renal ultrasound. No evidence for mass, stone, or obstruction.
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Generate impression based on findings.
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Elevated LFTs LIVER: Diffusely heterogeneous parenchyma with new contour nodularity. While no discrete measurable lesion is clearly identified, the possibility of widespread mass lesions should be considered. Liver length 20 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or duct dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12 cm in lengthOTHER: Left kidney 9.9 cm in length.
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Diffusely heterogeneous liver echotexture with new contour nodularity. While no discrete measurable lesion is clearly identifiable, the possibility of widespread mass lesions should be considered. Would recommend correlation with contrast cross sectional imaging.
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Generate impression based on findings.
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Palpable right scrotal mass RIGHT TESTIS: 2.9 x 1.9 x 4 cm. No intratesticular mass. Bilaterally symmetric Doppler flow characteristics.LEFT TESTIS: 3.9 x 1.8 x 3 cm. No intratesticular mass. Bilaterally symmetric Doppler flow characteristicsRIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: 0.8 x 0.6 x 0.6 cm left epididymal cyst/spermatoceleOTHER: No significant abnormalities noted.
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No intratesticular mass, acute inflammation, or torsion. Subcentimeter left epididymal cyst/spermatocele.
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Generate impression based on findings.
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Flank pain; end-stage renal disease RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 11.4 cm in length LEFT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 12.6 cm in lengthOTHER: Bladder nondistended
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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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39-year-old female with history of microscopic papillary carcinoma status post lobectomy. Evaluate for nodules in the contralateral lobe. RIGHT LOBE MEASUREMENTS: The right lobe measures 5.7 x 1.9 x 1.5 cm.LEFT LOBE MEASUREMENTS: Status post left lobectomy.ISTHMUS MEASUREMENTS: Status post left lobectomy.RIGHT LOBE: The right lobe is homogeneous in echotexture without evidence of a focal nodule.LEFT LOBE: Surgically absent.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing bilateral level 3 lymph nodes.OTHER: No significant abnormality noted.
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Postoperative changes of left lobectomy without evidence of a nodule in the right thyroid lobe.
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Generate impression based on findings.
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81-year-old male with new onset renal failure. Evaluate perfusion to kidneys. RIGHT KIDNEY: Status post partial nephrectomy compared to the previous ultrasound examination. Normal cortical echogenicity and corticomedullary differentiation. The longest dimension measures 12.2 cm. No calculus, hydronephrosis, or other evidence of obstruction.Right lower pole hypoechoic lesion measuring 0.9 x 0.7 x 1.0 cm and demonstrates a possible blood vessel coursing at the periphery; this lesion corresponds to a hyperdense cyst measuring 55 Hounsfield units on the CT 6/10/2015 (series 4, image 56).LEFT KIDNEY: Normal cortical echogenicity and corticomedullary differentiation. The longest dimension measures 15.6 cm. There are multiple hypoechoic lesions in the left kidney with the largest measuring 4.1 x 3.1 x 2.8 cm, likely benign cyst.OTHER: No significant abnormalities noted.
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1.No evidence of abnormal perfusion or obstruction as clinically questioned.2.Subcentimeter right lower pole hypoechoic lesion as detailed above is present on the recent CT examination and may represent a proteinaceous cyst; however, close interval follow-up is recommended.
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Generate impression based on findings.
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57-year-old male with history of cirrhosis and sclerosing cholangitis who presents for baseline examination prior to heart transplant. LIVER:The liver is coarse and heterogeneous in echotexture with nodular contour and possible underlying hypoechoic lesions which are difficult to evaluate on this sonographic evaluation. The liver measures 21 cm in length. The main portal vein is patent with peak systolic velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: Gallbladder wall measures 0.3 cm with the common bile duct measuring 0.7 cm in diameter.PANCREAS: No significant abnormality noted.SPLEEN: The spleen measures 18.4 cm in length and is homogeneous in echotextureKIDNEYS: The cortices of both kidneys are echogenic with the right kidney measuring 11.6 cm and the left kidney measuring 11.6 cm in length. There is a hypoechoic lesion in the right upper pole measuring 1.1 x 0.9 x 0.9 cm, likely a cyst.ABDOMINAL AORTA: Abdominal aorta is patent with the proximal abdominal aorta measuring 3.1 x 3.3 x 3.3 cm and the mid abdominal aorta measuring 2.2 x 2.3 x 2.3 cm.INFERIOR VENA CAVA: Inferior vena cava is patent.OTHER: Moderate volume ascites.
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1.Cirrhotic liver morphology with possible underlying hypoechoic lesions. Further evaluation with dedicated liver MRI examination is recommended.2.Moderate volume ascites. 3.Echogenic renal cortices compatible with medical renal disease.
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Generate impression based on findings.
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71-year-old male with elevated LFTs. Evaluate for hepatic process Examination is limited given overlying bandages, per technologist. LIVER: Liver is normal in echogenicity and measures 19.9 cm in length. Main portal vein is patent with peak systolic velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: Gallbladder wall measures 0.3 cm and the common bile duct measures 0.2 cm in diameter.PANCREAS: Not visualized.KIDNEY: Kidneys are normal in echogenicity with the right kidney measuring 11.4 cm and left kidney measuring 9.7 cm in length.OTHER: No significant abnormalities noted.
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Given limited examination, no sonographic evidence of hepatic abnormality.
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Generate impression based on findings.
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82-year-old male with acute rise in lactate. Evaluate portal venous system LIVER: Coarse liver echotexture with the liver measuring 19 cm in length. Main portal vein is patent with peak systolic velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.KIDNEY: Mildly echogenic kidneys with a hypoechoic left lower pole lesion measuring 1.9 x 1.8 x 2.0 cm, likely a benign cyst. Left kidney measures 11.8 cm in length and the right kidney measures 11.5 cm in length.OTHER: Moderate volume ascites and bilateral pleural effusions
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1.Patent main portal vein.2.Moderate volume ascites and bilateral pleural effusions.
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Generate impression based on findings.
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88-year-old male with history of cholecystitis. Evaluate for cholecystitis LIVER: The liver is normal in echotexture and measures 16.1 cm in length.GALLBLADDER, BILIARY TRACT: Layering gallbladder debris consistent with sludge. Gallbladder wall measures 0.3 cm without evidence of pericholecystic fluid. Negative sonographic Murphy's sign.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Kidneys are normal in echotexture with the right kidney measuring 10.6 and the left kidney measuring 9.1 cm in length.OTHER: No significant abnormalities noted.
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Gallbladder sludge without sonographic evidence of cholecystitis.
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Generate impression based on findings.
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79-year-old male with elevated LFTs and history of alcohol abuse. Evaluate liver for portal hypertension and cirrhosis LIVER: The liver is normal in echotexture without evidence of nodular contour or other specific findings to suggest cirrhosis. Portal vein is patent with peak systolic velocity of 0.2 m/s.GALLBLADDER, BILIARY TRACT: Gallbladder wall measures 0.2 cm with the common bile duct measuring 0.2 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Kidneys are normal in echotexture with the right kidney measuring 9.4 cm and left kidney measuring 10.4 cm in length.OTHER: Small bilateral pleural effusions, right greater than left
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1.No sonographic evidence of cirrhosis or portal hypertension as clinically questioned.2.Small bilateral pleural effusions, right greater than left.
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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. There is no suspicious solid or cystic mass identified. This examination was also double-read by Dr. Kulkarni.
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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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89-year-old male with acute renal failure. Evaluate RIGHT KIDNEY: The right kidney is normal in echotexture and measures 9.1 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: The left kidney is normal in echotexture and measures 9.5 cm in length. Mild hydronephrosis.OTHER: No significant abnormalities noted.
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Mild left hydronephrosis.Findings relayed to Dr. Nikhil Narang over the phone at approximately 10:35 AM
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Generate impression based on findings.
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33-year-old male with right upper quadrant pain. Evaluate for gallstone or cholecystitis LIVER: The liver is normal in echotexture and measures 13.4 cm in length. Main portal vein is patent with peak systolic velocity measuring 0.2 m/s.GALLBLADDER, BILIARY TRACT: Gallbladder wall measures 0.2 cm without evidence of pericholecystic fluid or cholelithiasis. Sonographic negative Murphy's sign. Common bile duct measures 0.2 cm in diameter.PANCREAS: No significant abnormalities noted.KIDNEY: Right kidney is normal in echotexture and measures 12.3 cm in length without evidence of hydronephrosis.Left kidney is normal in echotexture and measures 12.8 cm in length without evidence of hydronephrosis.OTHER: No significant abnormalities noted.
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No findings to suggest cholecystitis.
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Generate impression based on findings.
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59-year-old male with worsening renal failure. Evaluate for hydronephrosis. RIGHT KIDNEY: The right kidney is markedly echogenic and measures 8.9 cm in length. No evidence of hydronephrosis.LEFT KIDNEY: Nonvisualization of the left kidney.OTHER: No significant abnormalities noted.
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1.Markedly echogenic right kidney compatible with medical renal disease without evidence of hydronephrosis. 2.Nonvisualization of left kidney.
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Generate impression based on findings.
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66-year-old male with history of chronic kidney disease, hypertension, CAD who presented with hypertensive emergency. Evaluate RIGHT KIDNEY: Right kidney is markedly echogenic and measures 10.2 cm in length. There is a hypoechoic right mid pole lesion measuring 3.1 x 2.3 x 2.8 cm, likely benign cyst. No evidence of hydronephrosis or obstruction. LEFT KIDNEY: Nonvisualization of the left kidney.OTHER: No significant abnormalities noted.
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1.Markedly echogenic right kidney consistent with medical renal disease. 2.Nonvisualization of the left kidney.
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Generate impression based on findings.
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20-year-old female with a history of thyroid cancer with indeterminate, possibly new node. Patient presents for 6 month follow-up examination RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: No suspicious lesions in the right thyroid bed.LEFT LOBE: No suspicious lesions in the left thyroid bedISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant interval change in benign-appearing right level 3 lymph node measuring 0.5 x 0.4 x 1.2 cm, previously measuring 0.6 x 0.1 x 2.1 cm.No significant interval change in left level 3 lymph node measuring 0.7 x 0.5 x 0.4 cm, previously measuring 0.7 x 0.5 x 0.3 cm.No significant interval change in the left level 4 lymph node measuring 1.4 x 0.5 x 0.2 cm, previously measuring 1.1 x 0.6 x 0.4 cm.OTHER: No significant abnormality noted.
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Stable bilateral level 3 and left level 4 lymph nodes.
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Generate impression based on findings.
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44-year-old male with acute kidney injury. Evaluate for hydronephrosis RIGHT KIDNEY: Right kidney is normal in echogenicity and measures 12.3 cm in length without evidence of hydronephrosis. LEFT KIDNEY: Left kidney is normal in echotexture and measures 13.5 cm in length without evidence of hydronephrosis.OTHER: No significant abnormalities noted.
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No evidence of hydronephrosis.
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Generate impression based on findings.
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69-year-old female with enlarged thyroid. Evaluate RIGHT LOBE MEASUREMENTS: 7.8 x 3.9 x 3.4 cmLEFT LOBE MEASUREMENTS: 8.1x 3.2 x 3.4 cmISTHMUS MEASUREMENTS: 0.8 cmRIGHT LOBE: Both thyroid lobes are diffusely enlarged with coarse echotexture consistent with patient's known thyroiditis. Vascularity is also increased.LEFT LOBE: Both thyroid lobes are diffusely enlarged with coarse echotexture consistent with patient's known thyroiditis. Vascularity is also increased.ISTHMUS: Coarse echotexture. On the left side of the isthmus there is a predominantly solid nodule measuring 2.8 x 2.6 x 1.6 cm; although this nodule is more solid compared of the previous examination, there has been no significant interval change in the size of this nodule.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted.
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Stable enlarged thyroid with diffuse coarse echotexture and stable left isthmic solid nodule.
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Generate impression based on findings.
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37-year-old female with history of myelofibrosis. Evaluate for hepatosplenomegaly. LIVER: Liver is mildly coarse in echotexture and measures 19.6 cm in length. Mean portal vein is patent with peak systolic velocity measuring 0.4 m/s.GALLBLADDER, BILIARY TRACT: Cholelithiasis. Gallbladder wall measures 0.2 cm and the common hepatic duct measures 0.2 cm in diameter.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Kidneys are normal in echotexture with the right kidney measuring 10.6 cm and left kidney measuring 12.3 cm in lengthOTHER: Spleen measures 20.6 cm in length and is homogeneous in echotexture.
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Findings consistent with hepatosplenomegaly.
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Generate impression based on findings.
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31-year-old female with new self palpated left breast lumps. Two paternal aunts diagnosed with breast cancer. A targeted left ultrasound was performed for the palpable areas of concern at 6:00, 2 cm from the nipple and 1:00, 2 cm from the nipple.. Normal glandular tissue was identified. There is no solid or cystic mass identified.
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No sonographic evidence for malignancy corresponding to palpable area of concern.2 masses identified in the right breast on 6/5/2015 for which surgical consultation is recommended.BIRADS: 1 - Negative.RECOMMENDATION: T - Take Appropriate Action - No Letter.
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Generate impression based on findings.
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57-year-old male with superficial abscess of the right scrotum with surrounding cellulitis. Evaluate for testicular abscess versus scrotal abscess RIGHT TESTIS: The right testis is normal in echotexture and vascularity and measures 3.2 x 1.7 x 4.2 cm.LEFT TESTIS: The left testis is normal in echotexture and vascularity measures 3.2 x 2.2 x 4.2 cmRIGHT EPIDIDYMIS: The right epididymis measures 1.2 x 0.8 x 3.3 cm and is normal in vascularity.LEFT EPIDIDYMIS: The left epididymis measures 1.3 x 0.8 x 2.4 cm and is normal in vascularity. Left epididymal hypoechoic lesion measures 0.2 x 0.2 x 0.3 cm, most likely a cyst.OTHER: There is mild right scrotal subcutaneous echogenicity consistent with edema.
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1.Superficial right scrotal edema, consistent with stated history of cellulitis. 2.No evidence of testicular abscess as clinically questioned.
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Generate impression based on findings.
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62-year-old female with multiple known gallstones, now with persistent right upper quadrant pain for past week. Evaluate for cholecystitis LIVER: Multiple hepatic hypoechoic lesions are identified. The largest of these measures 1.8 x 1.9 x 2.1 cm with posterior acoustic enhancement and no internal vascularity. Additional hypoechoic hepatic lesions with questionable peripheral vascularity. Main portal vein is patent with peak systolic velocity of 0.3 m/s. GALLBLADDER, BILIARY TRACT: Cholelithiasis with gallbladder wall measuring 0.3 cm without evidence of pericholecystic fluid. Common hepatic duct measures 0.5 cm in diameter.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The kidneys are normal in echotexture with the right kidney measuring 11.1 cm and left kidney measuring 11.4 cm in length.OTHER: No significant abnormalities noted.
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1.Cholelithiasis without specific findings to suggest cholecystitis.2.Multiple indeterminate hepatic hypoechoic lesions. Further evaluation with dedicated liver protocol CT or MR examination is recommended.
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Generate impression based on findings.
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68-year-old female with acute kidney injury. Evaluate for hydronephrosis. Limited examination.RIGHT KIDNEY: The right kidney is moderately echogenic and measures 10.1 cm without evidence of hydronephrosis.LEFT KIDNEY: The left kidney is echogenic and measures 8 cm without evidence of hydronephrosis.OTHER: No significant abnormalities noted.
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Findings consistent with medical renal disease without evidence of hydronephrosis.
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Generate impression based on findings.
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A patient submitted outside study for review. Submitted for review are screening mammogram dated 3/30/2015 and diagnostic mammogram and ultrasound dated 4/2/2015 performed at Franciscan Healthcare-Munster. Screening mammogram 3/30/2015: Two standard views of both breasts were obtained. The breast parenchyma is mostly fatty replaced, distributes fairly symmetrically in both breasts. The patient was recalled for an ovoid circumscribed asymmetry measuring 4 mm in the medial right breast seen only on the CC view with no definite correlate is seen on MLO view. Diagnostic mammogram and ultrasound dated 4/2/2015:Mammogram: The asymmetry in the medial breast persists on spot compression views and has benign morphology. On the MLO full field view a correlate is identified in the inferior breast. Ultrasound: A possible pseudolesion was identified in the inferior right breast at 6:00.
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Repeat right breast ultrasound is recommended to evaluate the benign morphology asymmetry seen on mammography and evaluate for a correlate for the questionable lesion seen on prior ultrasound at 6:00 position.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: T - Take Appropriate Action - No Letter.
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Generate impression based on findings.
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56 years Female with history of chronic thyroiditis and enlarged thyroid. RIGHT LOBE MEASUREMENTS: 3.7 x 1.2 x 1.1 cmLEFT LOBE MEASUREMENTS: 3.3 x 0.9 x 0.9 cmISTHMUS MEASUREMENTS: 0.1 cm in thickness. RIGHT LOBE: Heterogenous echotexture and increased vascularity without discrete nodules. Single hyperechoic focus with posterior shadowing in the mid lobe measures 0.5 x 0.3 x 0.4 cm and is compatible with a coarse calcification.LEFT LOBE: Heterogenous echotexture and increased vascularity without discrete nodules. ISTHMUS: Heterogenous echotexture without discrete nodules. PARATHYROID GLANDS: No significant abnormalities.LYMPH NODES: A few normal-appearing lymph nodes are noted. For example, a right level 2 lymph node measures 1.2 x 0.2 x 0.8 cm.OTHER: No significant abnormalities.
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Small, heterogenous thyroid compatible with history of chronic thyroiditis. Single coarse calcification in the right lobe.
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Generate impression based on findings.
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69 years Female with history of endometrial carcinoma now with back pain and elevated creatinine, evaluate for hydronephrosis. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.9 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.BLADDER: Not well distended, but no gross abnormalities.OTHER: No significant abnormalities.
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No hydronephrosis.
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Generate impression based on findings.
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38 year old male with rising LFTs and abdominal pain, evaluate for hepatic pathology/cholecystitis. LIVER: The liver is enlarged measuring 18.8 cm in length. The liver parenchyma is again markedly heterogenous. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s.BILIARY TRACT: Gallbladder sludge, thickened gallbladder wall, nonspecific in setting of ascites. No additional signs of acute cholecystitis. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameterPANCREAS: Nonvisualization of pancreas secondary to overlying bowel gas.SPLEEN: The spleen is markedly heterogenous, new from the prior examination.RIGHT KIDNEY: Kidney measures 8.0 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Not visualized. OTHER: Incompletely imaged pleural effusions and complex ascites. Right iliac fossa transplant kidney with mild caliectasis appearing similar to to 5/22/2015 vascular ultrasound.
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1.New marked heterogeneity of the spleen which could be related to infarctions and/or hematoma. In the appropriate clinical setting, contrast-enhanced CT recommended for further evaluation.2.Hepatomegaly and marked heterogeneity of the liver which may be related to underlying steatosis/parenchymal dysfunction but underlying mass cannot be excluded. In the appropriate clinical setting, could be further evaluated with dedicated cross-sectional imaging.3.Mild caliectasis of the transplant kidney appearing grossly similar to recent vascular ultrasound.4.Gallbladder sludge. Gallbladder wall thickening which is nonspecific in the setting of ascites.5.Pleural effusions.Findings discussed with MARTIN, ELIZABETH at 4:24 p.m. on 6/12/2015.
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Generate impression based on findings.
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68 years Male with history of chronic kidney disease now with worsening creatinine and shortness of breath. RIGHT KIDNEY: Kidney measures 10.3 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis or shadowing calculus. Multiple simple appearing cysts.LEFT KIDNEY: Kidney measures 10.6 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis or shadowing calculus. Multiple simple appearing cysts. Largest left renal cyst measures 3.8 x 3.2 x 3.9 cm, similar to prior.BLADDER: No significant abnormalities. OTHER: No ascites visualized.
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1.Echogenic kidneys suggesting medical renal disease.2.No hydronephrosis.3.Multiple renal cysts which demonstrate simple appearance on this examination.
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Generate impression based on findings.
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30 years Female with left flank pain and dysuria, evaluate for pyelonephritis. RIGHT KIDNEY: Kidney measures 13.4 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 14 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.BLADDER: No significant abnormalities. OTHER: No significant abnormalities.
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Normal examination.
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Generate impression based on findings.
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39-year-old with right upper quadrant pain and nausea. LIVER: The liver measures 17.6 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 0.5 m/s.BILIARY TRACT: Numerous small mobile stones are present within the gallbladder. The gallbladder wall is mildly thickened measuring up to 4 mm. There is tenderness over the gallbladder. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.5 mm in diameterPANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.The spleen measures 9.7 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 11.4 cm in length. Increased parenchymal echogenicity is suggestive of medical renal disease/parenchymal dysfunction. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
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1.Findings suspicious for early acute cholecystitis.2.Echogenic kidneys suggesting medical renal disease. Findings communicated with WYNNE, JOSEPH at 4:05 p.m. on 6/12/2015.
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Generate impression based on findings.
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53-year-old with history of abnormal liver function tests and hepatic steatosis. LIVER: The liver measures 16.9 cm in length. Mildly increased parenchymal echogenicity is suggestive of fatty infiltration/parenchymal dysfunction. Region of focal sparing is again present adjacent to the gallbladder fossa. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameterPANCREAS: No significant abnormalities noted in visualized portions.SPLEEN: The spleen measures 10.4 cm in length. RIGHT KIDNEY: Kidney measures 10.6 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal echotexture. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted.
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Hepatic steatosis, similar to prior. No new abnormalities.
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Generate impression based on findings.
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History of Hurthle Cell cancer, please evaluate for change in thyroid bed s/p total thyroidectomy and radiation therapy. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy. Subcentimeter hypoechoic focus in the right thyroid bed is unchanged allowing for slight differences in technique.LEFT LOBE: Status post thyroidectomy. No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: A few small normal morphology lymph nodes are identified in the neck.OTHER: No significant abnormality noted.
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Stable examination with no interval change in subcentimeter hypoechoic focus in the right thyroid bed.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Sister diagnosed with breast cancer at age 74. Two standard digital views of both breasts and additional left MLO view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. There is a new focal symmetry in the left central inferior breast for which additional spot compression views and possibly ultrasound are recommended. Extensive vascular calcifications and scattered benign calcifications are redemonstrated.
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New focal asymmetry in the left central inferior breast for which spot compression views and possibly ultrasound are recommended for further evaluation.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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53-year-old with benign-appearing mass in the right breast seen on the outside screening mammogram presents for repeat ultrasound study of the right breast. Focused ultrasound was performed for the right breast lower inner quadrant. There are no solid or cystic lesions in the right breast.
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No sonographic evidence for malignancy in the right breast. As the mammographic findings of the right breast are benign-appearing, follow-up right unilateral diagnostic mammogram in 6 months is recommended. BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram.
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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 and additional left MLO, additional right CC view were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. 12 mm lobulated asymmetry in the right inferior breast seen only on the right MLO for which further evaluation with spot compression views and ultrasound is recommended. Multiple benign scattered calcifications in each breast.
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12 mm lobulated asymmetry in the right inferior breast seen only on the right MLO for which further evaluation with spot compression views and ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required.
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Generate impression based on findings.
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Female 36 years old; Reason: soft tissue US of epigastric History: unusual protuberance of the epigastric area with out any tenderness over the past few months. zero obv lipoma as such and does not have features of hernia. Please help evaluate this further. ? localizedPLEASE NOTE: THIS REPORT HAS BEEN ADDENDED FOR CHANGE IN ORDERED EXAMINATION. THE REPORT IS CORRECT AS DICTATED.Report Electronically Signed: 6/16/2015 6:20 PM Stephen Thomas, MDAddended on 6/16/2015 6:20:30 PM by Stephen Thomas, MD.US SOFT TISSUE CHEST WALL/UPPER BACK, 6/9/2015 10:45 AM Sonographic images of the subcutaneous tissues underlying the epigastric region show no focal mass in the area of palpable concern. Specifically, no cystic or solid lesion is identified. There is prominent subcutaneous fat. Underlying tissues are within normal limits. No free fluid.
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No specific findings to account for the patient's symptoms in the area of palpable concern.
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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 and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Focal asymmetry in the left upper outer breast appears more conspicuous on prior exams with distortion seen on tomosynthesis and further evaluation with spot compression views and ultrasound is recommended.No microcalcifications.
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Focal asymmetry in the left upper outer breast appears more conspicuous on prior exams with distortion seen on tomosynthesis and further evaluation with spot compression views and ultrasound is recommended.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required.
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Generate impression based on findings.
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Asymptomatic female presents for routine screening mammography. Grandmother diagnosed with breast cancer at age 78. Two standard digital views of both breasts and tomosynthesis were performed and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. Clustered small masses in the left upper outer quadrant best seen on the CC view needs comparison with prior mammograms and if not available further evaluation with spot compression and ultrasound.
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Clustered small masses in the left upper outer quadrant best seen on the CC view needs comparison with prior mammograms and if not available further evaluation with spot compression and ultrasound.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: OA - OLD FILM FOR COMPARISON
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Generate impression based on findings.
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38-year-old female with history of benign right breast biopsy, new left palpable lump. A targeted left ultrasound was performed for the patient’s area of concern at 12:00 in the left breast. There is no solid or cystic mass identified.
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No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed.
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Generate impression based on findings.
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43-year-old female with right upper quadrant and flank pain. Evaluate LIVER: Liver is homogeneous in echotexture and measures 20 cm in length. Main portal vein is patent with hepatopetal flow and peak systolic velocity of 0.2 m/s.BILIARY TRACT: No evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid to suggest cholecystitis. Negative sonographic Murphy's sign. Common bile duct measures 0.3 cm in diameter.PANCREAS: No significant abnormalities noted.SPLEEN: Spleen is homogeneous in echotexture and measures 14 cm in length.RIGHT KIDNEY: No evidence of hydronephrosis bilaterally. The right kidney measures 12.7 cm and the left kidney measures 14.2 cm in length. OTHER: No significant abnormalities noted.
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1.No evidence of cholecystitis or hydronephrosis. 2.No specific sonographic findings to account for patient's symptoms.
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