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Generate impression based on findings. | 84-year-old female with HCV, cirrhosis. Evaluate for HCC LIVER: Cirrhotic liver morphology. Liver measures 14.8 cm in length. Focal echogenic focus along the anterior aspect of the right hepatic lobe measures 5 mm x 4 mm x 5 mm. Additional hepatic cyst measures 6 mm x 6 mm x 6 mm. Portal vein is patent with appropriate directional flow.BILIARY TRACT: Contracted gallbladder containing multiple shadowing stones. No pericholecystic fluid. No gallbladder wall thickening. The common bile duct measures 9 mm in caliber, pancreatic duct measures 4 mm in caliber. PANCREAS: Visualized portions of pancreas are normal in caliber.SPLEEN: Normal echogenicity of the spleen measuring 7.1 cm in length.RIGHT KIDNEY: Status post right nephrectomy.OTHER: No significant abnormality noted. | 1. Cirrhotic liver morphology. Stable hyperechoic focus in the right hepatic lobe not significantly changed and may represent a hemangioma or fat within a fissure. Continued follow up recommended. Additional subcentimeter hepatic cyst is noted. 2. Stable prominence of the common bile duct. 3. Contract gallbladder containing stones with no evidence of cholecystitis. |
Generate impression based on findings. | 16 year old with palpable lump in right breast. With physical exam, a mobile mass was palpated near the nipple in right breast. Whole breast ultrasound was performed for both breast, by patient's mother's request. In the right breast, there is a circumscribed mass, measuring 19 x 10 mm, at 3 o'clock position, 1 cm from nipple, at the site of palpable lump. Color Doppler study shows a peripheral blood flow. This mass is likely a fibroadenoma. Elsewhere, no solid or cystic mass is present in either breast. | A palpable lump in the right breast, likely a fibroadenoma. Clinical correlation is recommended. If imaging follow up is clinically indicated, follow up ultrasound in 6 months is recommended. Results and recommendations were discussed with the patient and her mother.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Male 62 years old Reason: Evaluate soft tissue mass on midline back of neck (C5-8) History: Painless, soft lump on neck for over a year High and medium frequency grayscale and color Doppler ultrasound the region of the lump the back of the neck fails to reveal discrete measurable mass. Soft tissues and muscle planes appear normal. | No mass visible by ultrasound. Consider re-evaluation of MRI of the head and neck of 2/28/15 in light of this clinical finding. |
Generate impression based on findings. | 71-year-old female with left thyroid nodule. Evaluate for growth. RIGHT LOBE MEASUREMENTS: 4.6 cm x 1.4 cm x 1.6 cmLEFT LOBE MEASUREMENTS: 5.4 cm x 1.7 cm x 1.6 cmISTHMUS MEASUREMENTS: 3 mm in thicknessRIGHT LOBE: Heterogeneous echotexture which limits evaluation for discrete nodules, however there appears to be a heterogeneous nodule at the lower pole measuring 1.0-cm x 1.0 cm x 0.5 cm. There is some internal vascularity with no definite microcalcifications.LEFT LOBE: Heterogeneous echotexture. In the midpole there is a mixed solid cystic nodule measuring 1.1-cm x 0.7-cm x 0.8-cm with internal cystic degeneration and containing colloid. There is some internal vascularity with no definite microcalcifications. Additional mixed solid cystic nodule at the lower pole measures 2.3 cm x 1.3 cm x 1.2 cm with internal echogenic foci with comet tail artifact consistent with colloid as well as additional echogenic foci likely microcalcifications. There is some internal vascularity as well. These do not appear to be significantly changed. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Right neck level 3 lymph node measures 1.0 cm x 0.7 cm x 0.3 cm. Left level 3 lymph node measures 0.3 cm x 0.4 cm x 0.3 cm.OTHER: No significant abnormality noted. | Diffusely heterogeneous thyroid gland. Bilateral thyroid nodules with dominant nodule in the left lower pole does not appear to be significantly changed when compared to outside hospital thyroid ultrasound dated 5/27/2014. |
Generate impression based on findings. | 29 year old female with right upper quadrant pain. LIVER: Normal echogenicity of the liver measuring 16.1 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow.BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are normal echogenicity.SPLEEN: Normal echogenicity of the spleen measuring 11.9 cm in length.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 12.1 cm in length. No hydronephrosis or shadowing calculi are noted. OTHER: Normal echogenicity of the left kidney measuring 11.6 cm in length. No hydronephrosis or shadowing calculi are noted. | Unremarkable examination. |
Generate impression based on findings. | 64 year-old female with primary hyperparathyroidism, osteopenia. Evaluate for parathyroid adenoma. RIGHT LOBE MEASUREMENTS: 4.5 cm x 1.3 cm x 1.5 cmLEFT LOBE MEASUREMENTS: 4.7 cm x 1.1 cm x 1.4 cm.ISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: Normal homogeneous echotexture. Cystic nodule at the lower pole measures 6 mm x 5 mm x 6 mm with no internal vascularity or definite microcalcifications.LEFT LOBE: Normal homogeneous echotexture.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1. Subcentimeter cyst in the right thyroid lobe. 2. No evidence of parathyroid adenoma. |
Generate impression based on findings. | 27-year-old female with urinary frequency Pre-void volume of the bladder is 45.4 ml. Post void residual volume is 1.5 ml. | Normal postvoid residual volume. |
Generate impression based on findings. | 52 year old female with enlarged thyroid RIGHT LOBE MEASUREMENTS: 4.8 cm x 1.5 cm x 1.7 cmLEFT LOBE MEASUREMENTS: 3.8 cm x 1.3 cm x 1.6 cmISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: Normal echogenicity of the right thyroid lobe. Mixed predominantly solid cystic nodule at the mid to upper pole measures 5 mm x 3 mm x 3 mm with no internal vascularity or definite microcalcifications.LEFT LOBE: Normal echogenicity of the left thyroid lobe. There is inferior extension of the thyroid measuring 1.0 cm x 0.3 cm x 0.6 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Left neck it is level 2 lymph node measures 2.0 cm x 0.8 cm x 1.0 cm. Additional left neck level 5 lymph node measures 1.4 cm x 0.3 cm x 0.8 cm.OTHER: No significant abnormality noted. | Benign appearing subcentimeter nodule in the right thyroid lobe. Inferior extension of the left thyroid lobe is noted. |
Generate impression based on findings. | 66 year old female with coagulopathy, elevated LFTs. History of aortic dissection and surgery with acute renal and hepatic failure. Evaluate hepatic blood flow. Limited exam as patient has midline bandage, unable to visualize left liver and pancreas.LIMITED ABDOMENLIVER: Increased echogenicity of the liver measuring 19.7 cm in length. No focal hepatic lesion.BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Pancreas is not well assessed.SPLEEN: Normal echogenicity of the spleen measuring 10.2 cm in length. RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 9.0 cm in length. No hydronephrosis or shadowing calculi.OTHER: Normal echogenicity of the left kidney measuring 10.4 cm in length. No hydronephrosis or shadowing calculi. | 1. Patent hepatic vasculature.2. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. 3. Small amount of upper abdominal ascites. |
Generate impression based on findings. | 53-year-old female status post lung transplant now with liver failure, coagulopathy, elevated LFTs. Evaluate liver blood flow. LIMITED ABDOMENLIVER: Increased echogenicity of the liver measuring 17.8 cm in length. No focal hepatic lesions. BILIARY TRACT: Gallbladder is filled with sludge. No gallbladder wall thickening. No pericholecystic fluid. No intra-or extrahepatic biliary ductal dilatation. PANCREAS: Visualized pancreas is normal in echogenicity. SPLEEN: Not well visualized. RIGHT KIDNEY: Normal echogenicity measuring 9.6 cm in length. No hydronephrosis or shadowing calculi. OTHER: Normal echogenicity of the left kidney measuring 9.6 cm in length. No hydronephrosis or shadowing calculi. Perihepatic ascites. | 1. Partial thrombus in main portal vein. No flow is seen in the common hepatic artery, left hepatic artery, and left portal vein. 2. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. Perihepatic ascites. 3. Gallbladder sludge. Findings were discussed with Dr. Todd Dodick by phone on 3/12/2015 at 3:25 PM. |
Generate impression based on findings. | 59 year old female who was recalled from screening mammogram for left breast asymmetry. No family history of breast cancer. MAMMOGRAM: An ML view and 3 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. There is redemonstration of asymmetry within the upper slightly inner left breast, which partially resolves on spot compression imaging. This area is further evaluated with ultrasound.ULTRASOUND: On physical examination, no palpable abnormality is appreciated in the upper inner left breast. A targeted left ultrasound was performed for the mammographic area of concern. There is no solid or cystic mass identified. | No mammographic or sonographic 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: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 37-year-old male with HBV. HCC screening. LIVER: Increased echogenicity of the liver measuring 14.9 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized pancreas is normal in echogenicity.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 9.5 centimeters in length. Incidental cyst is noted at the upper pole measuring 1.3 cm x 1.3 cm x 1.6 cm. No hydronephrosis or shadowing calculi.OTHER: Normal echogenicity the spleen measures 11.4 the liver cm in length. Normal echogenicity of the left kidney measuring 10.3 cm in length. | 1. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions. 2. Incidental benign right renal cyst is noted. |
Generate impression based on findings. | 32-year-old male with likely right varicocele RIGHT TESTIS: Measures 4.1 cm x 2.4 cm x 1.8 cm. Microcalcifications are again seen within the testicle. Arterial and venous flow are demonstrated in the right testis upon Doppler exam. LEFT TESTIS: Measures 3.6 cm x 3.0 cm x 1.7 cm. Microcalcifications are again seen within the testicle. Arterial and venous flow are demonstrated in the left testis upon Doppler exam. RIGHT EPIDIDYMIS: Measures 2.9 cm x 1.0 cm x 0.9 cm. Epididymal cyst is again noted measuring 4 mm x 3 mm x 4-mm.LEFT EPIDIDYMIS: Measures 3.2 cm x 1.6 cm x 0.8 cm. OTHER: Bilateral varicoceles, left greater than right however improved from prior study. Bilateral trace hydroceles. | 1. Bilateral varicoceles, left greater than right however improved from prior study. 2. Bilateral testicular microcalcifications are again noted. |
Generate impression based on findings. | 26 year old male with lower abdominal pain extending into inguinal area and extending into testicles. RIGHT TESTIS: Normal homogeneous echotexture measuring 4.7-cm x 2.5 cm x 3.3 cm. Few foci of microcalcifications are noted. Arterial and venous blood flow was visualized upon Doppler exam.LEFT TESTIS: Normal homogeneous echotexture measuring 4.6 cm x 2.6 cm x 3.1 cm. Few foci of microcalcifications are noted. Arterial and venous blood flow was visualized upon Doppler exam.RIGHT EPIDIDYMIS: 3.9 cm x 1.0 cm x 1.2 cm. No significant abnormality noted. LEFT EPIDIDYMIS: 2.6 cm x 1.0 cm x 1.0 cm. No significant abnormality noted. OTHER: Right inguinal lymph node measures 1.6 cm x 0.4 cm x 1.0 cm. An additional lymph node measures 1.5 cm x 0.4 cm x 2.5 cm.Bilateral mild to moderate hydroceles. | 1. Bilateral mild to moderate hydroceles. 2. Few foci of testicular microcalcification bilaterally. 3. Right sided inguinal lymph nodes are noted. |
Generate impression based on findings. | 63 year old female who was recalled from screening mammogram for right breast calcifications. Family history of breast carcinoma in her mother at age 63 a maternal aunt at age 62. RIGHT DIAGNOSTIC MAMMOGRAM: An ML view and two spot magnification 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 densities. There is redemonstration of pleomorphic, branching calcifications within the upper outer right breast, a middle depth associated with a persistent, partially obscured mass. RIGHT BREAST ULTRASOUND: A targeted right ultrasound was performed for the mammographic area of concern. At the 11 o'clock position, approximately 3 cm from the nipple, there is an irregular hypoechoic mass with internal echogenic foci, and an echogenic halo measuring 1.3 x 1.2 x 2.1 cm. Mild internal vascularity is present. | Suspicious 2.1 cm mass with associated calcifications at the 11 o'clock position of the right breast for which ultrasound guided core needle biopsy is recommended. Findings and recommendations were discussed with the patient, and all questions were answered.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Call back from screening mammogram for a new mass in the left breast. An ML view and three spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD, 9.3. An irregularly shaped mass is again identified at far medial left breast. The mass persists with spot compression. No calcifications are associated with this mass.Focused ultrasound was performed for left medial breast. There is an irregularly shaped hypoechoic mass at 9 o'clock position, 12 cm from nipple, in the left breast. Marked blood flow is observed within this mass. There is a tubular shaped hypoechoic lesion extending medially from the mass toward the sternum. Overall size of this lesion is 35 x 10 x 12 mm. | Highly suspicious mass in the left far medial 9 o'clock position. Ultrasound guided biopsy is recommended. Results and recommendations were discussed with the patient.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 67 year old female with physician palpated left breast area. Recent, unremarkable screening mammogram. On physical examination, a ridge of dense breast tissue is noted at the approximate 12 to one o'clock position of the left breast. No further palpable abnormality is identified.A targeted left ultrasound of the upper outer quadrant was performed for the palpable area of concern. There is no solid or cystic mass identified. A band of dense parenchymal tissue is noted at the approximate one o'clock position, 2 cm from the nipple. No abnormal vascularity is associated with this area. | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 1-year-old female with thyromegaly and subclinical hyperthyroidism. RIGHT LOBE MEASUREMENTS: 5.5 x 1.8 x 1.8 cmLEFT LOBE MEASUREMENTS: 5.7 x 2.1 x 1.6 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: Diffusely heterogeneous in echotexture with small hypoechoic area in the upper pole measuring 0.4 x 0.5 x 0.6 cm which is not specific in appearance.LEFT LOBE: Diffusely heterogeneous in echotexture with ill-defined focal region in the mid left lobe which has a spongiform type appearance..ISTHMUS: Heterogeneous in echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There are prominent but morphologically normal lymph nodes in the neck bilaterally. Patient complains of upper respiratory infection.OTHER: No significant abnormality noted. | Diffusely heterogeneous thyroid with small right nodule and ill-defined , spongiform appearing left nodule. |
Generate impression based on findings. | 36 female with abdominal distention and primary biliary cirrhosis. Evaluate for ascites. Limited evaluation of the abdomen and pelvis demonstrates no evidence for ascites.. | No ascites identified. |
Generate impression based on findings. | 39 year old female. Thyroid nodules check for change. Also examine high left level 2 nodes/scar for stability. RIGHT LOBE MEASUREMENTS: 4.1 x 1.2 x 1.3 cm.LEFT LOBE MEASUREMENTS: 4.3 x 1.8 x 2.4 cm.ISTHMUS MEASUREMENTS: 0.2 cm in AP dimension.RIGHT LOBE: Nodule 1: Mid pole, spongiform, 2.4 x 0.8 x 1 cm (previously 2.3 x 0.6 x 0.9 cm), not significantly changed and most suggestive of a colloid nodule.Nodule 2: Upper pole, mixed echogenicity, 1.3 x 0.5 x 0.4 cm, likely present on prior though not measured, hyperechogenic focus with suggestion of comet tail artifact, most likely a colloid nodule.LEFT LOBE: Nodule 1: Lower pole, 3.4 x 1.8 x 2.2 cm (previously 3.2 x 1.5 x 1.8 cm), solid, no calcifications. Indeterminate.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign appearing right cervical lymph nodes. No left cervical lymphadenopathy. OTHER: No significant abnormality noted. | Mild increased size of solid left thyroid nodule, which is indeterminate, amenable to biopsy if clinically warranted. |
Generate impression based on findings. | 63 year old female with right upper quadrant pain. Evaluate for biliary or hepatic pathology. LIVER: Coarse echogenicity of the liver measuring 19.4 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow.GALLBLADDER, BILIARY TRACT: Sludge and small echogenic foci likely stones within the gallbladder. Gallbladder wall thickening of the 4 mm nonspecific in the setting of ascites. No pericholecystic fluid. Sonographic Murphy's sign is negative. No intra-or extrahepatic delayed ductal dilatation.PANCREAS: Visualized portions of the pancreas are normal in echogenicity. No pancreatic ductal dilatation.RIGHT KIDNEY: Not well assessed with diffusely increased echogenicity. Cyst at the upper pole measures 3.8 cm x 3.3 cm x 3.0 cm.OTHER: Left kidney not well seen, however is increased in echogenicity. Normal echogenicity of the spleen measuring 11.47 m in length. | 1. Sludge and likely small stones within the gallbladder with gallbladder wall thickening which is nonspecific in the setting of ascites. Sonographic Murphy's sign is negative.2. Diffusely increased echogenicity of the kidneys which are difficult to visualize suggestive of parenchymal dysfunction. Right renal cyst not significantly changed. 3. Enlarged and coarse echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. |
Generate impression based on findings. | Male; 63 years old. Reason: elevated LFTs and concern for acute hepatitis History: see above LIVER: Hepatomegaly with the right lobe of the liver measuring 25-cm. Echogenic heterogeneous liver parenchyma. No intrahepatic biliary ductal dilation. Portal vein is patent with appropriate flow and velocity.BILIARY TRACT: Single shadowing gallstone measuring 1.5-cm. No gallbladder wall thickening or pericholecystic fluid to suggest acute cholecystitis. Normal common bile duct diameter measuring 5 mm.PANCREAS: Not visualized due to overlying bowel gas.SPLEEN: Spleen measures 13.6-cm in length. No focal splenic lesions.RIGHT KIDNEY: Right kidney measures 10-cm. Cortical thinning of the right kidney. No hydronephrosis. OTHER: Left kidney measures 9.3-cm. Cortical thinning of the left kidney. No hydronephrosis.Small amount of upper abdominal ascites. | 1. Hepatomegaly with nonspecific echogenic, heterogeneous liver parenchyma, which may be due to diffuse fatty infiltration or chronic liver disease.2. Cholelithiasis.3. Ascites. |
Generate impression based on findings. | 73 year old male with history of cholelithiasis, choledocholithiasis, isolated gastric varices. Evaluate liver vasculature. LIMITED ABDOMENLIVER: Slightly coarse echogenicity of the liver measuring 16.9-cm in length. No focal hepatic lesions.BILIARY TRACT: Gallbladder is contracted containing stones and sludge with mild gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct is not well visualized in its entirety, however there is no evidence of biliary ductal dilatation or choledocholithiasis of the visualized portion.PANCREAS: Visualized portions of the pancreas are normal in echogenicity. No pancreatic ductal dilatation.SPLEEN: Normal echogenicity of the spleen measuring 11.47 m in length. RIGHT KIDNEY: Right kidney measures 12.9 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 14.6 cm in length. No hydronephrosis or shadowing calculi are noted. | 1. Slight coarse echogenicity of the liver suggestive of parenchymal distortion/fatty infiltration.2. Common bile duct not well visualized in its entirety, however no evidence of choledocholithiasis or ductal dilatation is noted. 3. Contracted gallbladder containing stones and sludge with mild gallbladder wall thickening. Sonographic Murphy's sign is negative. 4. Patent inflow and outflow hepatic vasculature. |
Generate impression based on findings. | Male; 63 years old. Reason: eval transplanted kidney; hydronephrosis per OSH report History: see above RENAL TRANSPLANT: LOCATION: Left iliac fossa.PERITRANSPLANT TISSUES: No peritransplant collections. KIDNEY: Transplant kidney measures 11.9-cm. Normal cortical echotexture.COLLECTING SYSTEM/URETER: No hydronephrosis.URINARY BLADDER: Decompressed with Foley catheter in place.VASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels Peak systolic velocity in the adjacent iliac artery of 70 cm/sec.Left iliac artery-transplant artery anastomosis is patent. Normal arterial and venous flow to and from the transplant kidney with velocity measurements below. Few nonspecific mild parvus tardus arterial waveforms within the transplant kidney, but otherwise, waveforms were within normal limits.Transplant renal artery:Anastomosis: Peak systolic velocity 1.2 m/sec, RI 0.9Mid: Peak systolic velocity 0.7 m/sec, RI 0.91Hilum: Peak systolic velocity 0.4 m/sec, RI 0.89Transplant kidney segmental and arcuate arteries with resistive indices ranging from 0.61 to 0.86.OTHER: Lower abdominal ascites. | 1. Few nonspecific mild parvus tardus waveforms within the transplant kidney, but no other findings to suggest a transplant renal artery stenosis.2. No hydronephrosis.3. Ascites. |
Generate impression based on findings. | 50 year-old female with hematuria. Ultrasound guidance was provided for biopsy of left kidney | Ultrasound guidance |
Generate impression based on findings. | 75 year old female with history of thyroidectomy for papillary carcinoma with metastatic disease to lung and positive PET scan in right paratracheal region. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: No massesLEFT LOBE: No massesISTHMUS: No massesPARATHYROID GLANDS: Not identifiedLYMPH NODES: There are scattered, small and morphologically normal -- appearing lymph nodes involving levels two through 4 bilaterally. There are no enlarged or morphologically abnormal lymph nodes identifiedOTHER: A mass corresponding to focal area of increased activity on the PET scan in the right paratracheal region is not identified. | No mass or abnormal lymph node.Results were discussed with the patient and her daughter. |
Generate impression based on findings. | 71 year-old female with weight loss, enlarged thyroid. RIGHT LOBE MEASUREMENTS: 6.3 cm x 2.1 cm x 1.8 cmLEFT LOBE MEASUREMENTS: 6.4 cm x 2.7 cm x 2.5 cmISTHMUS MEASUREMENTS: 5 mm in thickness.RIGHT LOBE: Predominately solid nodule with small cystic components at the lower pole measures 1.6 cm x 1.5 cm x 1.8 cm. No evidence of internal vascularity or definite microcalcifications.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Left neck level 2 benign-appearing lymph node measures 1.1 cm x 0.7 cm x 0.4 cm.OTHER: No significant abnormality noted. | Predominantly solid nodule with small cystic components at the lower pole of the right thyroid lobe measuring 1.8 cm in longest dimension. Benign appearing left neck lymph node. |
Generate impression based on findings. | Female; 59 years old. Reason: unexplained left side/flank pain since right chest tube for empyema last monrh. 59F CLL/SLL on clinical trial chemo. high risk for tumor lysis History: deep pain left side/flank Right pleural effusion, partially visualized. No abdominal ascites. Left kidney appears grossly normal. The spleen was not well visualized. | 1. Right pleural effusion, partially visualized.2. No abdominal ascites. |
Generate impression based on findings. | 78-year-old male with tender left testicular mass, leukocytosis, fever, pyuria and hematuria. Evaluate left testicular mass. RIGHT TESTIS: Measures 3.6 cm x 2.1 cm x 2.0 cm and is normal in echogenicity. Right testicular cyst measures 3 mm x 3 mm x 3 mm. Arterial and venous flow is visualized on Doppler exam. LEFT TESTIS: Measures 3.5 cm x 2.4 cm x 2.8 cm and is normal in echogenicity. Arterial and venous flow was visualized on Doppler exam.RIGHT EPIDIDYMIS: Measures 1.9 cm x 1.4 cm x 2.3 cm and contains several cysts, the largest of which is in the epididymal head measuring 1.8 cm x 0.9 cm x 1.5 cm. Appropriate flow is visualized on Doppler exam. LEFT EPIDIDYMIS: Enlarged measuring 1.9 cm x 1.8 cm x 3.5 cm and is heterogeneous in echotexture and hyperemic. Extending from the left epididymis is a the complex cystic structure measuring 5.7 cm x 2.5 cm x 2.8 cm with peripheral vascularity.OTHER: Moderate left hydrocele. | 1. Findings compatible with acute left epididymitis with associated abscess. Moderate left hydrocele. 2. Right testicular and epididymal cysts. |
Generate impression based on findings. | 64-year-old female with history of thyroid cancer with nodules in right thyroid bed. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: In the inferior right bed there are again noted to hypoechoic nodular densities, measuring 0.4 x 0.4 x 0.6 cm and 0.4 x 0.6 x 0.4 cm. These measurements are unchanged from the prior study.LEFT LOBE: No massesISTHMUS: No massesPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No morphologically normal lymph nodes.OTHER: No significant abnormality noted. | Stable soft tissue nodules right thyroid bed. |
Generate impression based on findings. | 48 year old female with right upper quadrant pain. Evaluate for cholecystitis, cholelithiasis LIVER: Slight coarse echotexture of the liver measuring 17.0 cm in length. No focal hepatic lesions. Portal vein is patient with appropriate directional flow; peak velocity measures 0.3 m/s. GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No shadowing calculi are noted. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. No intra or extrahepatic biliary ductal dilatation. PANCREAS: Visualized portions of the pancreas are normal in echogenicity. No pancreatic ductal dilatation.RIGHT KIDNEY: Normal echogenicity measuring 11.2 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 8.0 cm in length.Left kidney measures 11.5 cm in length. Upper pole of the left kidney is not visualized however the remaining visualized kidney appears normal in echogenicity. No hydronephrosis or shadowing calculi are noted. | Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 94-year-old female with tachycardia. Evaluate for goiter. RIGHT LOBE MEASUREMENTS: 5.1-cm x 1.8-cm x 1.9-cmLEFT LOBE MEASUREMENTS: 5.7-cm x 2.3 cm x 1.8 cm.ISTHMUS MEASUREMENTS: Occupied by a complex cystic nodule. See below. RIGHT LOBE: Multiple spongiform and complex cystic nodules are present most containing echogenic foci with comet tail artifact consistent with colloid nodules. The largest of these nodules is located in the lower pole measuring 5 mm x 4 mm x 3 mm with no internal vascularity or definite microcalcifications. LEFT LOBE: As in the right thyroid lobe there are multiple spongiform and complex cystic nodules are present most containing echogenic foci with comet tail artifact consistent with colloid nodules. The largest of these nodules is located in the lower pole measuring 1.7 cm x 1.4 cm x 1.5 cm with no internal vascularity or definite microcalcifications. ISTHMUS: Complex predominantly cystic nodule in the isthmus measuring 2.5 cm x 1.4 cm x 3.1 cm with no internal vascularity or definite microcalcifications. PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Multinodular goiter with features consistent with colloid nodules. |
Generate impression based on findings. | 77 year-old male with complex right renal cyst for follow-up. RIGHT KIDNEY: The right kidney measures approximately 11 cm in length. Echotexture is normal. There is no hydronephrosis or shadowing calculus. The patient's known mildly complex and exophytic cyst is not well-visualized but measures approximate 1.4 x 1.4 cm in transverse which is unchanged from prior CT.LEFT KIDNEY: The left kidney measures approximately 12.5 cm in length. Echotexture is normal. There is no hydronephrosis, shadowing calculus or mass.OTHER: Bladder is incompletely distended | Stable complex cyst, right kidney. |
Generate impression based on findings. | 63-year-old female with thyroid nodules on prior ultrasound RIGHT LOBE MEASUREMENTS: 5.3 by 1.6 x 1.8 cmLEFT LOBE MEASUREMENTS: 4.2 x 1.9 x 1.3 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Scattered, small hypoechoic nodules identified with at least one with a comet tail artifact suggestive colloid nodule.LEFT LOBE: Spongiform -- appearing nodule in the midportion of the left lobe, also demonstrating comet tail artifact and measuring 0.4 x 0.7 x 0.9 cm.In the inferior left lobe there is an ovoid, mildly hypoechoic nodule with a complete hypoechoic rim measuring 0.7 x 0.7 x 1.2 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Bilateral thyroid nodules. Majority appear benign. Non-descript nodule left lower pole. |
Generate impression based on findings. | 62 year old female with pancreatitis evaluate for biliary dilatation, gallstones or ascites. LIVER: Liver is normal in size and echotexture without gross cirrhotic morphology. No focal mass.GALLBLADDER, BILIARY TRACT: The gallbladder contains dependent gallstones and sludge without gross wall thickening or pericholecystic fluid. The gallbladder is not distended. The common bile duct is normal in caliber although not cannot be followed beyond the porta. There is no gross intrahepatic delayed tract dilatation on today's studyPANCREAS: Pancreas is grossly abnormal and enlarged with central hypoechoic area consistent with necrosis versus abscess. Internal gas is identified. There is infiltrative change in the adjacent fat.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Limited views of the left kidney demonstrate no abnormality.Mild splenomegaly with focus of accessory splenic tissue.Right pleural effusion. | Findings of acute pancreatitis without ascites. Pancreatic necrosis.Gallstones without gross biliary dilatation or stone. |
Generate impression based on findings. | 33-year-old male with erythema, pain in left groin. Evaluate for abscess. There is infiltrating fluid and edema of the subcutaneous soft tissues in the left groin compatible with cellulitis. There is a slightly more focal hypoechoic collection measuring 4 mm x 5 mm which could represent a small amount of complex fluid with apparent tract extending to the skin. | Left groin cellulitis with what may represent a small complex fluid collection with apparent tract extending to the skin. |
Generate impression based on findings. | 69-year-old male with hyperbilirubinemia LIVER: Mildly echogenic liver measuring 13.2 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity at 0.3 m/sec.BILIARY TRACT: Normal echogenicity the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well assessed due to overlying bowel gas.SPLEEN: Normal echogenicity of the spleen measuring 11.8 cm in length.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.8 cm in length. No hydronephrosis or shadowing calculi are noted. OTHER: Normal echogenicity of the left kidney measuring 11.1 cm in length. No hydronephrosis or shadowing calculi are noted. | Mild increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. |
Generate impression based on findings. | 56-year-old female with cholangiocarcinoma, now with abnormal renal function. RIGHT KIDNEY: Right kidney measures 11 cm in length. Echotexture is mildly increased and heterogeneous. The hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 10.7 cm in length. Echotexture is mildly increased and heterogeneous. The hydronephrosis, shadowing calculus or mass.OTHER: Collateral vessels seen near the liver hilum consistent with cavernous transformation. Patient's known liver masses not evaluated.Bladder appears unremarkable. | Mildly echogenic kidneys without hydronephrosis. |
Generate impression based on findings. | 59-year-old male with hepatitis C. Evaluate for cirrhosis. LIVER: Course echotexture of the liver measuring 13.5 cm in length. No focal hepatic lesions. Portal vein is patient with appropriate directional flow; peak velocity measures 0.2 m/s. GALLBLADDER, BILIARY TRACT: 1.2 cm shadowing stone within the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Not well-visualized due to overlying bowel gas.RIGHT KIDNEY: Normal echogenicity measuring 9.4 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 11.7 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 12.1 cm in length. | 1. Coarse echotexture of the liver suggestive of parenchymal dysfunction/fatty infiltration. No focal hepatic lesions.2. Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | 21-year-old male with right testicular pain to palpation. Evaluate for torsion. RIGHT TESTIS: Measures 5.7 cm x 2.3 cm x 3.6 cm. Normal homogeneous echotexture. No hydrocele. There is appropriate arterial and venous flow present on Doppler exam. LEFT TESTIS: Measures 5.6 cm x 2.6 cm x 3.6 cm. Normal homogeneous echotexture. No hydrocele. There is appropriate arterial and venous flow present on Doppler exam. RIGHT EPIDIDYMIS: Measures 3.9 cm x 1.0 cm x 1.0 cm. Normal echotexture with appropriate flow.LEFT EPIDIDYMIS: Measures 4.9 cm x 1.2 cm x 1.2 cm. Normal echotexture with appropriate flow.OTHER: No significant abnormalities noted. | Unremarkable examination. |
Generate impression based on findings. | 67 year old female with history of thyroid cancer status post surgery, I-131. Evaluate for abnormal masses/nodes. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: No evidence of nodules masses in the thyroidectomy bed.LEFT LOBE: No evidence of nodules masses in the thyroidectomy bed.ISTHMUS: No evidence of nodules masses in the thyroidectomy bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Bilateral neck benign appearing lymph nodes, for example in the left neck a lymph node measures 5 mm x 4 mm x 9 mm.OTHER: No significant abnormality noted. | No evidence of residual or recurrent disease in the thyroidectomy bed. |
Generate impression based on findings. | 54 year old female with right upper quadrant pain. Evaluate for liver mass, cholelithiasis. LIVER: Normal echogenicity of the liver measuring 14.4 cm in length. Multiple cysts are again seen, the largest in the right lobe lobe measures 3.0 cm x 2.6 cm x 2.9 cm not significantly changed. No suspicious hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity at 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct measures 4 mm in caliber with no intra-or extrahepatic biliary ductal dilatation.PANCREAS: Normal echogenicity of the visualized pancreas. No pancreatic ductal dilatation.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 up to 9.0 cm in length. An adjacent isoechoic round lesion measures 1.8 cm x 1.6 cm x 1.8 cm likely a splenule.Normal echogenicity of the left kidney measuring 10.8 cm in length. No hydronephrosis or shadowing calculi are noted. | Liver cysts not significantly changed. No evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 21-year-old female presents for short-term follow-up of right breast mass. On physical examination, there is a 1.5 cm lobulated, firm, mobile mass at the approximate 9 o'clock position of the right breast, 3 cm from the nipple.A targeted right ultrasound was performed for the patient’s area of concern. The 9 o'clock position of the right breast, 3 cm from the nipple, there is redemonstration of a parallel, hypoechoic, lobulated circumscribed mass measuring 1.9 x 0.6 x 0.9 cm, not significantly changed from prior examination (previously 2.1 x 0.6 x 1.1 cm). Internal vascularity is present. | Sonographically stable 1.9-cm hypoechoic, lobulated mass at the 9 o'clock position of the right breast, likely representing fibroadenoma. Clinical management as per Dr. Jaskowiak. Result and recommendation were discussed with the patient and her mother. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 62-year-old male with fever, abdominal pain. Evaluate for up quadrant from gallbladder pathology. Limited exam as patient unable to lie in the decubitus position or check for Murphy's sign. Midline bandage partially obscures the left liver and pancreas.LIVER: Increased echogenicity of the liver measuring 21.4 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Multiple shadowing stones within the gallbladder. Trace pericholecystic fluid. Gallbladder wall measures up to 3 mm in thickness. Unable to check for sonographic Murphy sign. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Normal echogenicity of the visualized pancreas.RIGHT KIDNEY: Increased echogenicity of the right kidney measuring 11.0 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 14.4 cm in length.Left kidney measures 12.0 cm in length and is increased in echogenicity. No hydronephrosis or shadowing calculi are noted. | 1. Cholelithiasis with trace pericholecystic fluid. Findings may represent early cholecystitis.2. Hepatomegaly with increased echogenicity of the liver compatible with fatty infiltration.3. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. No hydronephrosis. |
Generate impression based on findings. | A patient submitted outside study for review. Submitted for review are digital mammographic images of left breast (3/9/15), ultrasound images of left breast and left axilla (3/9/15), images from ultrasound guided biopsy of left breast and post procedural left mammographic images (3/10/15) performed at Diagnostic Imaging Specialist of Chicago. DIGITAL MAMMOGRAPHIC IMAGES OF LEFT BREAST (3/9/15):Four spot views of left breast are submitted. No standard views of left breast or no mammographic images of right breast are submitted.The breast parenchyma is heterogeneously dense. Saline implant is present.There are segmentally distributed fine linear calcifications, measuring 49 x 28 mm on CC view, in the left breast at upper outer quadrant.ULTRASOUND IMAGES OF LEFT BREAST AND LEFT AXILLA (3/9/15):There is an irregularly shaped mass, measuring 26 x 13 mm, with marked blood flow at 1 o'clock position, 1 cm from nipple, in the left breast. Two separate oval and round masses, measuring 10 mm and 4 mm, are present adjacent to the main mass. These masses are located within the area of segmental calcifications on mammogram. A lymph node with abnormally thickened cortex is visualized in the left axilla.IMAGES FROM ULTRASOUND GUIDED BIOPSY OF LEFT BREAST AND POST PROCEDURAL LEFT MAMMOGRAPHIC IMAGES (3/10/15):Ultrasound guided biopsy for left 1 o'clock mass and left axillary lymph node (FNA) is performed with appropriate needle placement. Post-procedural mammographic images show that a marker clip placed within the area of calcifications in the left upper outer quadrant.Although the pathology results are not available, the left breast mass and calcifications are highly suggestive of malignancy. | Highly suspicious lesion in the left breast on mammogram and ultrasound, with suspicious left axillary lymph node.MRI is recommended for assessment of the lesion.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | 38 year old female with right upper quadrant pain, history of breast cancer. Evaluate for cholelithiasis or other etiology of abdominal pain. LIVER: Increased echogenicity of the liver measuring 16.0 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation. PANCREAS: Normal echogenicity of the visualized pancreas.RIGHT KIDNEY: Normal echogenicity measuring 10.3 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 11.7 cm in length. No hydronephrosis or shadowing calculi are noted. | Increased echogenicity of the liver compatible with fatty infiltration. No sonographic evidence of cholelithiasis. |
Generate impression based on findings. | Female 45 years old Reason: Thyroid nodule History: hx of thyroid nodule RIGHT LOBE MEASUREMENTS: 6.3 x 2.3 x 2.0 cmLEFT LOBE MEASUREMENTS: 6.3 x 1.9 x 1.7 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Diffusely heterogeneous thyroid echotexture. Within the superior/midpole of the right thyroid lobe there is a 1.1 x 1.1 x 1.2 cm predominantly solid hypoechoic nodule.LEFT LOBE: Diffusely heterogeneous thyroid echotexture. No discrete measurable thyroid nodule.ISTHMUS: Diffusely heterogeneous echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous echotexture throughout a mildly enlarged thyroid gland with a predominantly solid 1.2-cm hypoechoic nodule within the superior/mid pole of the right thyroid lobe. The appearance is suggestive a dominant nodule within a diffuse multinodular goiter. Correlation with previous outside hospital imaging would be helpful to ensure stability. No significant lymphadenopathy. |
Generate impression based on findings. | Female 78 years old Reason: evaluate kidney History: renal insuffiencey. RIGHT KIDNEY: The right kidney measures 8.2 cm. The renal cortex is hyperechoic. There is no hydronephrosis. There is a 3.7 x 3.2 x 3.0 cm simple cyst at the upper pole of the right kidney.LEFT KIDNEY: The left kidney measures 8.3 cm. The renal cortex is hyperechoic. There is no hydronephrosis. There is a mildly complex cystic lesion at the mid/lower pole of the left kidney which measures 1.0 x 1.0 x 1.0 cm. There is a thin septation at the superior portion and a suggestion of a small calcification dependently within the lesion. This is stable/minimally increased compared to a prior CT 08/05/12.OTHER: The bladder is incompletely distended. | 1. No hydronephrosis.2. Hyperechoic renal cortex bilaterally suggestive of medical renal disease. 3. Mildly complex left renal cyst, stable/mildly increased compared to prior CT 08/05/12. This remains nonspecific but warrants ongoing imaging follow-up.4. Stable right upper pole simple cyst. |
Generate impression based on findings. | 75 year-old female with hypertension, history of stenosis of right main renal artery. ULTRASOUND KIDNEYSRIGHT KIDNEY: Increased echogenicity of the right kidney measuring 8.7 cm in length. No hydronephrosis or shadowing calculi are noted. LEFT KIDNEY: Increased echogenicity of the left kidney measuring 9.0 cm in length. No hydronephrosis or shadowing calculi are noted. At the upper pole there is a hypoechoic lesion measuring 1.2 cm x 1.3 cm x 1.4 cm which does not have the classic appearance of a cyst.OTHER: No significant abnormalities noted. | 1. No Doppler evidence of renal artery stenosis.2. Bilateral increased renal echogenicity suggestive of parenchymal dysfunction. Hypoechoic lesion in the upper pole of the left kidney does not have the classic appearance of a cyst, recommend CT for further evaluation. |
Generate impression based on findings. | 84 year-old female with dyspnea on exertion, chronic. Evaluate for change in size of nodules. RIGHT LOBE MEASUREMENTS: 2.1-cm x 3.8 cm x 2.0 cm.LEFT LOBE MEASUREMENTS: 5.4 cm x 3.5 cm x 2.5 cmISTHMUS MEASUREMENTS: 6 mm in thickness. RIGHT LOBE: Multiple colloid nodules are noted, the largest of which measures 1.1 cm x 0.9 cm x 1.6 cm containing an internal septation not significantly changed.LEFT LOBE: Multiple colloid nodules which overall not significantly changed. Additional heterogeneous predominantly solid nodule in the lower pole is more conspicuous on today's exam measuring 3.0 cm x 3.2 cm x 3.4 cm which is not significantly changedISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: Calcification is noted in the left common carotid artery with turbulent flow proximal and distal to the thrombus noted. | 1. Bilateral colloid nodules not significantly changed. Heterogeneous predominantly solid nodule in the left lower pole not significantly changed.2. Calcification is noted in the left common carotid artery with narrowing. Recommend dedicated duplex sonogram further evaluation. |
Generate impression based on findings. | 77-year-old male with shortness of breath. Evaluate for ascites, liver congestion. LIVER: Normal echogenicity of the liver measuring 16.4 cm in length. There is a subcentimeter calcified granuloma. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.BILIARY TRACT: Thickened gallbladder wall measuring 6 mm in thickness. There is a shadowing stone measuring up to 1.4 cm. No pericholecystic fluid. Sonographic Murphy sign is negative. Mild intrahepatic biliary ductal dilatation is noted. Common bile duct measures 3 mm in caliber.PANCREAS: Normal echogenicity of the visualized pancreas.SPLEEN: Normal echogenicity of the spleen measuring 13.7 cm. Accessory splenule is noted measuring 1.4 cm x 1.5 cm x 1.3 cm.RIGHT KIDNEY: Enlarged measuring 18.4 cm in length. Renal parenchyma is replaced by innumerable cysts, some of which are complex appearing with internal debris.OTHER: Left kidney is also enlarged measuring 16.5 cm in length. Renal parenchyma is also replaced by innumerable cysts, some of which are complex appearing with internal debris.Left pleural effusion. | 1. Gallbladder wall thickening cholelithiasis with no pericholecystic fluid. This may be related to heart disease or renal failure.2. Mild intrahepatic biliary ductal dilatation, with normal caliber of the common bile duct however.3. Left pleural effusion. 4. Bilateral innumerable renal cysts, some of which are complex and contain internal debris. |
Generate impression based on findings. | 38 year old female palpable left axillary abnormality. Patient is 22 weeks pregnant. Family history of breast carcinoma in her maternal grandmother at age 75. On physical examination, there is a dense ridge of tissue along the left axillary ridge. A targeted left axillary ultrasound was performed for the patient’s area of concern. There is no solid or cystic mass identified. Mild increased vascularity is noted, suggesting mild, nonspecific inflammation. | Mildly increased vascularity in the left axilla, without discrete solid or cystic mass. The findings are suggestive of inflammatory process. No sonographic evidence for malignancy. The patient should return to her primary physician for continued clinical management.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 22 year old female with right-sided constant abdominal pain, per patient in the right upper quadrant, no right lower quadrant pain. LIVER: Normal echogenicity of the liver measuring 15.3 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity at 35.9 cm/sec.BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening or pericholecystic fluid. No shadowing stones or sludge. Sonographic Murphy sign is negative. Common bile duct measures 2 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Normal echogenicity of the visualized pancreas.SPLEEN: Normal echogenicity of the spleen measuring 11.8 cm in length.RIGHT KIDNEY: The right kidney is rotated anteriorly measuring 12.6 cm in length. No hydronephrosis or shadowing calculi.OTHER: Left kidney measures 12.1 cm in length and is normal in echogenicity. No hydronephrosis or shadowing calculi. | Unremarkable examination. |
Generate impression based on findings. | 41 year-old female with right upper quadrant pain with history of RYGB and lap band placement. Evaluate for cholelithiasis, cholecystitis. LIVER: Normal echogenicity of the liver measuring 18.3 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate direction of flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening or pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are normal in echogenicity.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 11.2 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 11.1 cm in length. No hydronephrosis or shadowing calculi noted.Normal echogenicity of the spleen measuring 10.6 cm. | No sonographic findings of cholelithiasis. |
Generate impression based on findings. | 46 year old male with cirrhosis. Evaluate for HCC. LIVER: Cirrhotic liver morphology measuring 14.7 m in length. No focal hepatic lesions. Portal vein is patent with appropriate direction of flow; peak velocity measures 0.5 m/sec.GALLBLADDER, BILIARY TRACT: Several small shadowing stones within the gallbladder. No gallbladder thickening. No pericholecystic fluid. Common bile that measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are normal in echogenicity.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 12.5 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 12.4 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 14.8 cm in length. | 1. Cirrhotic liver morphology with no focal hepatic lesions.2. Cholelithiasis with no evidence of cholecystitis. |
Generate impression based on findings. | 59 year-old female with hepatitis C. Evaluate for HCC. LIVER: Normal echogenicity of the liver measuring 16.7 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate direction of flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder is distended. No pericholecystic fluid. No gallbladder wall thickening. Intra-and extrahepatic biliary ductal dilatation is noted. Common bile duct measures 1.2 cm in caliber. No evidence of choledocholithiasis.PANCREAS: Visualized portions of the pancreas are normal in echogenicity.RIGHT KIDNEY: Normal echogenicity measuring 10.7 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 10.8 cm in length.Normal echogenicity of the left kidney measuring 9.2 cm in length. No hydronephrosis or shadowing calculi are noted. | Intra-and extrahepatic biliary ductal dilatation suspicious for obstruction in the distal common bile duct. Recommend MRI/MRCP for further evaluation. |
Generate impression based on findings. | 64 year-old female with abdominal pain. Evaluate for pancreatitis, cholelithiasis/common bile duct dilatation/obstruction. LIVER: Increased echogenicity of the liver measuring 13.3 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. No intra-or extra hepatic biliary ductal dilatation. Common bile measures 6 mm in caliber.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Increased echogenicity of the right kidney measuring 10.1 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Increased echogenicity of the left kidney measuring 9.1 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 8.97 m in length. | 1. Increased echogenicity of the liver suggestive of fatty infiltration. 2. Increased echogenicity of the kidneys suggestive of cortical dysfunction.3. No evidence of cholelithiasis or cholecystitis. |
Generate impression based on findings. | 63-year-old male with elevated bilirubin. Evaluate for gallstones common ascites. LIVER: Increased echogenicity of the liver measuring 18.0 cm in length. No hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder is contracted containing stones. Gallbladder wall is mildly thickened measuring 4 mm in thickness. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct is normal in caliber measuring 4 mm. No intra-extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are normal in echogenicity.RIGHT KIDNEY: Increased echogenicity of the right kidney measuring 11.5 cm in length. Focal echogenic focus in the lower pole is noted.OTHER: Normal echogenicity of the spleen measuring 13.9 cm in length. Increased echogenicity of the left kidney measuring 12.2 cm in length. Non obstructing 5-mm calculus is noted in the mid to upper pole.Abdominal ascites.Bilateral pleural effusions. | 1. Increased echogenicity of the liver compatible with fatty infiltration.2. Contracted gallbladder with cholelithiasis. Mild thickening of the gallbladder wall is nonspecific in the setting of ascites. No pericholecystic fluid. Sonographic Murphy's sign is negative.3. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. Nonspecific echogenic focus in the lower pole of the right kidney may be a small AML or non shadowing stone. Nonobstructing calculus in the left kidney.4. Abdominal ascites and bilateral pleural effusions. |
Generate impression based on findings. | 26-year-old male with elevated bilirubin and alkaline phosphatase. LIVER: Nodular contour of the liver with coarse echotexture measuring 14.5 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measuring 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Gallbladder is not visualized. Mild prominence of the common bile duct measuring 6 mm in caliber. No intrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.8 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the spleen measuring 23.1 cm in length.Normal echogenicity of the left kidney measures 12.5 cm in length.Bilateral pleural effusions. | 1. Cirrhotic liver morphology. Recommend CT for further evaluation. 2. Mild prominence of the common bile duct. No intrahepatic biliary ductal dilatation. No choledocholithiasis. 3. Splenomegaly. 4. Bilateral pleural effusions. |
Generate impression based on findings. | 27-year-old female with hyperthyroidism, outside hospital uptake and scan consistent with possible toxic nodule and left lobe. Assess for left lobe nodule. RIGHT LOBE MEASUREMENTS: 4.4 cm x 1.8 cm x 1.6 cmLEFT LOBE MEASUREMENTS: 5.0 cm x 1.8 cm x 1.3 cmISTHMUS MEASUREMENTS: 1 mm thicknessRIGHT LOBE: Hypervascular with multiple subcentimeter hypoechoic nodules are noted.LEFT LOBE: Hypervascular with multiple subcentimeter hypoechoic nodules are noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Findings suggestive of thyroiditis. |
Generate impression based on findings. | 77 year-old female with right kidney cancer status post right partial nephrectomy. Evaluate for recurrent disease. RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 9.4 cm in length. No hydronephrosis or shadowing calculi are noted.LEFT KIDNEY: Normal echogenicity of the left kidney measuring 9.2 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Distended bladder. | No sonographic evidence of recurrent disease. |
Generate impression based on findings. | 62 year-old male with right upper quadrant abdominal pain. Evaluate for cholecystitis. LIVER: Normal echogenicity of the liver measuring 16.7 cm in length. No focal hepatic lesion. Portal vein is patent with appropriate directional flow; peak velocity measures 0.4 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. Gallbladder wall thickening measuring 6 mm in thickness. No pericholecystic fluid. Common bile duct measures 4 mm in caliber. No intra-or extrahepatic delayed ductal dilatation.PANCREAS: Visualized portions of the pancreas are normal in echogenicity.RIGHT KIDNEY: The visualized portions of the right kidney unremarkable.OTHER: No significant abnormalities noted. | Nonspecific Gallbladder wall thickening. No peri-cholecystic fluid, no cholelithiasis or sludge. No intra or extrahepatic biliary ductal dilatation. |
Generate impression based on findings. | 49 year-old female with pancreatitis. Evaluate for gallbladder stones. LIVER: Increased echogenicity of the liver measuring 14.3 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No evidence of cholelithiasis. No gallbladder wall thickening. No pericholecystic fluid. Common bile that measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Atrophic echogenic native right kidney.OTHER: Right lower quadrant transplant kidney is normal in echogenicity measuring 11.9 cm in length. No hydronephrosis or shadowing calculi are noted. | Increased echogenicity of the liver compatible with fatty infiltration. No evidence of cholelithiasis. |
Generate impression based on findings. | 57 year old female with thyroid cancer status post surgery, I-131. Evaluate for masses, abnormal nodes. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: No suspicious nodules or masses noted in the thyroidectomy bed.LEFT LOBE: No suspicious nodules or masses noted in the thyroidectomy bed.ISTHMUS: No suspicious nodules or masses noted in the thyroidectomy bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Left neck level 4 benign appearing lymph node measuring 1.4 cm x 0.5 cm x 0.3 cm. OTHER: No significant abnormality noted. | No residual or recurrent disease in the thyroidectomy bed. |
Generate impression based on findings. | 71-year-old male with CT scan nodule liver, increased INR. Evaluate for liver changes in architecture, cause for increased INR. LIVER: Nodular contour of the liver with coarse echotexture. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Sludge noted within the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Sonographic Murphy's sign is negative. Common bile duct measures 3 mm in caliber. No intra or extrahepatic biliary ductal dilatation. PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Increased echogenicity of the right kidney measuring 13.2 cm. No hydronephrosis or shadowing calculus are noted. Right renal cyst measures 3.9 cm x 3.7 cm x 3.0 cm.OTHER: Increased echogenicity of the right kidney measuring 12.6 cm. no hydronephrosis or shadowing calculus are noted. Renal cyst measures 1.9 cm x 2.3 cm x 3.5 cm.Spleen is large measuring 18.6 m in length.Perihepatic ascites and bilateral pleural effusions. | 1. Findings compatible chronic liver disease and cirrhotic liver morphology.2. Splenomegaly. 3. Increased renal echogenicity suggestive of parenchymal dysfunction. Bilateral renal cysts. 4. Perihepatic ascites and bilateral pleural effusions. |
Generate impression based on findings. | 55 year old female with ascites. Assess patency of TIPS. LIMITED ABDOMENLIVER: Cirrhotic liver morphology measuring 13.6 cm in length. No focal hepatic lesions. BILIARY TRACT: Status post cholecystectomy. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of pancreas are unremarkable.SPLEEN: Normal echogenicity of the spleen measuring 11.3 cm in length. RIGHT KIDNEY: Measures 10.0 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 10.5 cm in length. No hydronephrosis or shadowing calculi are noted. | Cirrhotic liver morphology. Patent TIPS. |
Generate impression based on findings. | 58-year-old male with cardiogenic shock. Screening for LVAD work. LIVER: Increased echogenicity of the liver measuring 16.9 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Spleen measures 9.6 cm in length.KIDNEYS: Increased echogenicity of the right kidney measuring 11.8 cm in length. No hydronephrosis or shadowing calculi are noted. Increased echogenicity of the left kidney measuring 11.6 cm in length. No hydronephrosis or shadowing calculi are noted. ABDOMINAL AORTA: The visualized abdominal aorta is normal in caliber with appropriate directional flow. The proximal aorta measures 1.9-cm x 1.8 cm x 1.8 cm.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: Foley within a decompressed bladder limiting evaluation. | 1. Increased echogenicity of the liver compatible with fatty infiltration2. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. |
Generate impression based on findings. | 79-year-old male with elevated bilirubin, AKI. Evaluate for causes of elevated LFTs and AKI. LIVER: Normal echogenicity of the liver measuring 18.3 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 14.7 cm/sec.GALLBLADDER, BILIARY TRACT: Sludge within the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Normal echogenicity of the spleen measuring 10.5 cm in length.KIDNEYS: Thinned echogenic right kidney measuring 10.1 cm in length. No hydronephrosis or shadowing calculus are noted.Thinned echogenic left kidney measuring 9.9 cm in length. No hydronephrosis or shadowing calculus are noted.ABDOMINAL AORTA: The midabdominal aorta measures 2.2-cm x 2.9 cm x 2.5 cm. No evidence of aneurysm.INFERIOR VENA CAVA: The visualized IVC is normal in caliber with appropriate directional flow.OTHER: Foley catheter within a decompressed bladder limits evaluation. | 1. Thinned echogenic kidneys bilaterally suggestive of parenchymal dysfunction. 2. Sludge within the gallbladder. No evidence of cholecystitis. |
Generate impression based on findings. | 20-year-old male with fullness, discomfort the testicles left greater than right. RIGHT TESTIS: Measures 3.8 cm x 1.8 cm x 2.6 cm. normal homogeneous echotexture.Normal arterial and venous flow is visualized on Doppler exam.LEFT TESTIS: Measures 4.8 cm x 2.3 cm x 2.9 cm. Normal homogeneous echotexture.Normal arterial and venous flow is visualized on Doppler exam.RIGHT EPIDIDYMIS: Measures 2.8 cm x 1.0 cm x 0.8 cm and is normal in echogenicity. LEFT EPIDIDYMIS: Measures 3.5 cm x 0.9 cm x 0.8 cm and is normal in echogenicity. OTHER: No significant abnormalities noted. | No testicular masses are noted. No evidence of testicular torsion. |
Generate impression based on findings. | 83 year old female with thyroid nodules. Evaluate for interval growth, characteristics. RIGHT LOBE MEASUREMENTS: 4.6 cm x 2.2 cm x 1.8 cmLEFT LOBE MEASUREMENTS: 5.0 cm x 3.1 cm x 1.9 cmISTHMUS MEASUREMENTS: 1.0-cm in thicknessRIGHT LOBE: Two subcentimeter hypoechoic nodules are again seen, the largest of which measures 3 mm x 3 mm x 2 mm unchanged.LEFT LOBE: Predominantly solid nodule at the mid pole is again seen measuring 1.4 cm x 0.8 cm x 0.7 cm unchanged. Additional subcentimeter hypoechoic nodule in the lower pole is not significantly changed.ISTHMUS: Solid nodule extending towards the left lobe is retrospectively seen on prior exam and does not appear significantly changed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Right neck benign appearing lymph node measuring 1.3 cm x 1.0 cm x 0.3 cm. Left neck benign appearing lymph node measuring 0.7 cm x 0.5 cm x 0.3 cm. No lymphadenopathy.OTHER: No significant abnormality noted. | Bilateral hypoechoic thyroid nodules unchanged. Solid nodules in the left thyroid lobe and isthmus unchanged. |
Generate impression based on findings. | 75 year old female who was recalled from screening mammogram for new left breast mass. No family history of breast cancer. MAMMOGRAM: An ML view and two spot compression views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty, unchanged in pattern and distribution. There is redemonstration of a 2.1-cm circumscribed, lobulated mass within the upper inner left breast, which persists on spot compression imaging.ULTRASOUND: A targeted left ultrasound was performed for the area of concern. At the 11 o'clock position of the left breast, 6 cm from the nipple there is a parallel, hypoechoic, lobulated mass with angular margins measuring 2.0 x 1.0 x 1.4 cm. There is minimal vascularity associated with this lesion. | 2.0-cm hypoechoic mass at the 11 o'clock position of the left breast, corresponding to the mammographic finding. Ultrasound guided biopsy of this mass is recommended. Results and recommendation were discussed with the patient, and all of her questions were answered.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 33-year-old male with left groin cellulitis. Evaluate for interval changes in fluid collection. Again seen is infiltrating fluid and edema in the subcutaneous soft tissues of the left groin compatible with cellulitis. Previously noted more focal hypoechoic complex fluid collection now measures 1.6 cm x 1.2 cm x 1.4 cm. There is interval placement of packing material.Reactive lymph node is noted in the adjacent soft tissues, one of which measures 1.0 cm x 1.9 cm x 0.8 cm. | Left groin cellulitis with possible small loculated fluid collection not significantly changed. Reactive lymph nodes in the adjacent soft tissues. |
Generate impression based on findings. | 60-year-old female with thyroid nodules RIGHT LOBE MEASUREMENTS: 4.9 cm x 1.4 cm x 1.8 cmLEFT LOBE MEASUREMENTS: 4.8 cm x 1.7 cm x 1.9 cmISTHMUS MEASUREMENTS: 7 mm in thicknessRIGHT LOBE: Heterogeneous echotexture with multiple hypoechoic subcentimeter nodules.LEFT LOBE: Heterogeneous echotexture. Small hyperechoic nodule favors a benign etiology. Additional solid nodule at the mid pole measures 1.8 cm x 1.3 cm x 1.6 cm which is heterogeneous in appearance likely sequela of prior biopsy.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign appearing lymph nodes in the neck. No pathologic lymphadenopathy. OTHER: No significant abnormality noted. | Heterogeneous thyroid gland with multiple subcentimeter hypoechoic nodules in the right lobe. Two solid nodules in the left lobe, one of which is small and hyperechoic favoring a benign etiology, and the other larger nodule which is heterogeneous in appearance likely sequelae of prior biopsy. |
Generate impression based on findings. | 44-year-old with self palpated left breast mass. Difficult to appreciate on physician physical exam. History of left breast cancer status post mastectomy and reconstruction. A targeted left ultrasound was performed for the patient’s area of concern. There is no solid or cystic mass identified. No finding to suggest fat necrosis. | No sonographic evidence for malignancy. Clinical follow-up for the palpable area of concern and routine diagnostic mammography of the right breast are recommended.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 49 year old female with history of MRSA spinal abscess and worsening LFTs. LIVER: Mildly coarse and increased echogenicity of the liver measuring 13.6 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Minimal sludge in the gallbladder. No cholelithiasis. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas is unremarkable.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 10.3 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 12.3 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 8.1 cm in length. | 1. Mild coarse and increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration.2. Sludge within the gallbladder, no cholelithiasis or evidence of cholecystitis. |
Generate impression based on findings. | Jaundice with history of breast carcinoma LIVER: Extensive bilobar hepatic mass lesions consist with metastatic disease noted. A representative segment 8 lesion measures 3.2 x 3.4 cm. Liver length 16.8 cmGALLBLADDER, BILIARY TRACT: Minimal bilobar and hepatic ductal dilatation. Mildly prominent extrahepatic ductal dilatation with maximal CBD diameter of 0.7 cm. Gallbladder absent.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 9 cm in lengthOTHER: Left kidney 11 cm in length. Spleen 10.4 cm in length. Trace ascites. | Extensive bilobar hepatic metastatic lesions. Minimal bilobar and extrahepatic ductal dilatation. Trace ascites. |
Generate impression based on findings. | Female with right-sided thyroid enlargement, right-sided throat pain. RIGHT LOBE MEASUREMENTS: 4.9 cm x 3.1 cm x 2.4 cm. LEFT LOBE MEASUREMENTS: 3.2 cm x 1.5 cm x 2.4 cm. ISTHMUS MEASUREMENTS: 3 mm in thickness.RIGHT LOBE: Multiple spongiform colloid nodules are noted, the largest of which measures 1.4 cm x 1.3 cm x 1.2 cm.LEFT LOBE: Spongiform colloid nodule is noted measuring 1.1 cm x 0.8 cm x 1.2 cm. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Left cervical lymphadenopathy is noted, the largest of which measures 2.5 cm x 1.5 cm x 1.3 cm. The remaining measure as follows: 1.2 cm x 0.9 cm x 1.0 cm, the other measures 0.8 cm x 1.0 cm x 1.2 cm and the other visualized lymph node measures 0.9 cm x 0.7 cm x 1.0 cm. These lymph nodes are heterogeneous and hypoechoic in echotexture. OTHER: No significant abnormality noted. | 1. Left cervical lymphadenopathy, morphology is worrisome for neoplastic etiology. 2. Bilateral spongiform colloid thyroid nodules favoring a benign process. |
Generate impression based on findings. | Abnormal LFTs, patient overweight LIVER: Hepatomegaly, liver measures 24 cm in longitudinal dimension. Markedly increased liver parenchymal echogenicity. Main portal vein patent with normal directional flow, velocity measures 20 cm/sec.GALLBLADDER, BILIARY TRACT: Gallbladder unremarkable. No mobile intraluminal echogenic foci seen to suggest underlying cholelithiasis. No secondary signs of acute cholecystitis.PANCREAS: Not well assessed secondary to obscuration by bowel gas.SPLEEN: Splenomegaly, spleen measures 17.6 cm.KIDNEYS: Right kidney measures 10.4 cm, while left kidney measures 12.9 cm. No hydronephrosis. Renal cortical echogenicity within normal limits.OTHER: No significant abnormality noted. | Markedly increased hepatic parenchymal echogenicity, likely reflecting underlying hepatic steatosis/parenchymal dysfunction.Hepatosplenomegaly. |
Generate impression based on findings. | Oliguria, AKI RIGHT KIDNEY: Measures 9.7 cm. No hydronephrosis. No shadowing intrarenal echogenic focus seen to suggest underlying nephrolithiasis. No perinephric free fluid.LEFT KIDNEY: Measures approximately 9.7 cm, when large lower pole exophytic cyst included, measures up to 15 cm in longitudinal dimension. The cyst appears simple and measures 7.1 x 5.3 x 4.6 cm. No hydronephrosis. No shadowing intrarenal echogenic focus seen to suggest underlying nephrolithiasis. No perinephric free fluid.OTHER: Mild to moderate degree urinary bladder distention containing Foley catheter. | 1. No hydronephrosis.2. Distended during bladder despite presence of Foley catheter, suspicious for nonfunctioning or poorly functioning Foley catheter and correlation with patient's clinical history recommended and repositioning should be considered. |
Generate impression based on findings. | 48-year-old female with right upper quadrant pain with food. Evaluate for gallstones. LIVER: Increased echogenicity of the liver measuring 19.6 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Small gallstones within the gallbladder. No gallbladder wall thickening. No pericholecystic fluid. The sonographic Murphy's sign is negative. Common bile duct measures 2 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Right partial nephrectomy. Kidney measures 11.7 cm in length and is normal in echogenicity. No hydronephrosis or shadowing calculi are noted.OTHER:Normal echogenicity of the left kidney measuring 12.3 cm in length. No hydronephrosis or shadowing calculi are noted. Cyst at the upper pole measures 3.6 cm x 3.6 cm x 3.9 cm. Cyst at the lower pole measures 2.4 cm x 1.7 cm x 2.5 cm.Normal echogenicity of the spleen measuring 9.4 cm in length. | 1. Hepatomegaly with increased echogenicity suggestive of parenchymal dysfunction/fatty infiltration.2. Cholelithiasis without evidence of cholecystitis.3. Left renal cysts. |
Generate impression based on findings. | Male; 56 years old. Reason: elevated LFTs (AST>ALT), hx EtOH abuse; eval for cirrhotic liver History: see above LIVER: Hepatomegaly with the right lobe of the liver measuring 20.4-cm in length. Diffusely coarsened echotexture of the liver, most suggestive of fatty infiltration. No focal liver lesions. No intrahepatic biliary ductal dilation. Main portal vein is patent with normal directional flow.BILIARY TRACT: Unremarkable appearance of the gallbladder. No extrahepatic biliary ductal dilation. The common bile duct measures 5 mm.PANCREAS: No gross abnormalities of the pancreatic head. The remainder of the pancreas is obscured by overlying bowel gas.SPLEEN: Spleen is 11.4-cm in length. No focal splenic lesions.RIGHT KIDNEY: Right kidney is 9.5-cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Left kidney is 9.8-cm in length. Normal cortical echotexture. No hydronephrosis. | Hepatomegaly and fatty infiltration of the liver. |
Generate impression based on findings. | 79-year-old male with history of CHF, VT ablation with rising LFTs, AMS. Evaluate patency of portal and hepatic vasculature. LIMITED ABDOMENLIVER: Increased echogenicity the liver measuring 15.4 cm in length. No focal hepatic lesions.BILIARY TRACT: The gallbladder is not visualized. No intra-or extrahepatic noted ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Normal echogenicity of the spleen measuring 11.0 cm in length. RIGHT KIDNEY: Mildly echogenic right kidney measuring 10.0 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Mildly echogenic left kidney measuring 9.3 cm in length. No hydronephrosis or shadowing calculi are noted. | 1. Increased echogenicity of the liver suggestive of parenchymal dysfunction/fatty infiltration. No hepatic mass. Patent inflow and outflow hepatic vasculature.2. Mildly echogenic kidneys suggestive of parenchymal dysfunction. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Mildly coarse echotexture without mass, stone, or hydronephrosis. Right kidney 13.5 cm in lengthLEFT KIDNEY: Mildly coarse echotexture without mass, stone, or hydronephrosis. Left kidney 11.7 cm in lengthOTHER: Bladder nondistended. | Mildly coarse renal echotexture suggestive for medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | Renal stone RIGHT KIDNEY: Mildly echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Stable upper pole cyst. Right kidney 10.1 cm in length.LEFT KIDNEY: Mildly echogenic renal parenchyma with multifocal scarring and atrophy. Stable multiple cysts. No hydronephrosis. Subcentimeter lower pole calculus measuring 0.6 cm. In diameter again noted.OTHER: Bladder nondistended | Stable subcentimeter nonobstructing left lower pole calculus. No hydronephrosis. Mildly echogenic renal parenchyma bilaterally suggestive for medical renal disease/parenchymal dysfunction. |
Generate impression based on findings. | 52-year-old female with known right breast cysts. Request is made for additional imaging. A targeted right ultrasound was performed for the patient’s area of concern. At the 6 o'clock position of the right breast, 6 to 7 cm from the nipple, there is redemonstration of a well-circumscribed, oval, nearly anechoic cyst with posterior acoustic enhancement measuring 0.6 x 0.3 x 0.3 cm. | Minimally complicated cyst at the 6 o'clock position of the right breast. Short-term follow-up right breast mammogram and ultrasound are recommended in 6 months to assess stability of the sonographic and mammographic appearances. Results and recommendation were discussed with the patient, and all of her questions were answered.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 59 year-old male with cirrhosis status post OLT. Evaluate for lesions, assess hepatic vessel patency. LIMITED ABDOMENLIVER: Cirrhotic liver morphology measuring 16.0 cm in length. No focal hepatic lesion.BILIARY TRACT: Gallbladder is not visualized. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Heterogeneous echotexture measuring 14.2 cm. RIGHT KIDNEY: Measures 7.8 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 9.1 cm in length. No hydronephrosis or shadowing calculi are noted. | 1. Cirrhotic liver morphology with no focal hepatic lesion. Patent hepatic vasculature.2. Splenomegaly. |
Generate impression based on findings. | 51-year-old with known left breast cancer and questionable left axillary lymphadenopathy on physician exam. A targeted left ultrasound was performed for the left axilla. Three lymph nodes as are seen in total. Two of these have completely normal morphology. The third node measuring 10 x 8 mm has a slightly eccentrically thickened cortex measuring only between two and 3 mm and preserved normal hilar blood flow. | Three axillary lymph nodes, two of normal morphology and the other of low suspicion. Findings were discussed with Dr. Jaskowiak. BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 71 year-old female with NASH cirrhosis. Evaluate for HCC. LIVER: Cirrhotic liver morphology measuring 14.0 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate hepatopetal flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No intra or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: The right kidney is not well assessed however hyperechoic focus again seen in expected region of mid to upper pole measuring 3.3 cm x 3.1 cm x 3.3 cm, not significantly changed. No definite hydronephrosis or shadowing calculi.OTHER: Left kidney is also not well assessed however it appears to be in the expected region. No definite hydronephrosis or shadowing calculi. The spleen measures 9.5 cm in length. Multiple echogenic foci are again seen the largest of which measures 1.5-cm x 1.8 cm x 1.5 cm. | 1. Cirrhotic liver morphology with no focal lesion. 2. Hyperechoic foci in the right kidney and spleen are not significantly changed. |
Generate impression based on findings. | 30 yo female with loosely clustered calcifications in the right breast 3:00 position. Family history of breast cancer diagnosed in sister at age 27. A targeted right ultrasound was performed for the mammographic area of concern. There is no solid or cystic mass identified. Fibrocystic change with multiple calcifications are identified in the mammographic area of concern, which will be targeted for biopsy under ultrasound guidance. BIOPSY | Successful ultrasound-guided core biopsy of the right breast calcifications and clip placement. Pathology is pending at this time.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: X - No Letter. |
Generate impression based on findings. | Male; 70 years old. Reason: tender mass in upper part of left testicle, s/p AUS 1 week ago, not sure if fluid filled, if reservoir from surgery or solid mass History: tender mass in upper part of left testicle, s/p AUS 1 week ago, not sure if fluid filled, if reservoir from surgery or solid mass RIGHT TESTIS: Right testicle measures 2.8 x 4.6 x 2.4 cm. No intratesticular mass. Normal arterial and venous flow.LEFT TESTIS: Left testicle measures 3 x 4.3 x 2.1 cm. No intratesticular mass. Normal arterial and venous flow. No hyperemia to suggest orchitis.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: Increased size and vascularity of the left epididymis, suggestive of left epididymitis.OTHER: Reservoir is seen in the subcutaneous soft tissues of the left lower quadrant with tubing seen extending down the left inguinal canal and lateral to the left testicle within the scrotal soft tissues. In the patient's area of palpable abnormality near an incision in the left groin, there is an ill-defined area of heterogeneous echotexture and increased vascularity measuring up to 3.6 x 5 x 3.2 cm, which may represent cellulitis and phlegmonous change. No well-formed, drainable abscess is evident.Small left hydrocele. | 1. Findings suggestive of left epididymitis without evidence of adjacent left orchitis.2. Findings suggestive of cellulitis and phlegmonous change in the patient's area of palpable concern near an incision in the left groin. No well-formed, drainable abscess is evident. Follow-up examination can be performed as clinically indicated.3. Left reservoir and tubing in expected location. |
Generate impression based on findings. | 63 year old female with multinodular goiter. Evaluate for change in nodules. RIGHT LOBE MEASUREMENTS: 4.7 cm x 1.3 cm x 1.3 cmLEFT LOBE MEASUREMENTS: 5.3 cm x 3.6 cm x 3.2 cmISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: Solid nodule in the superior pole measures 1.5 cm x 1.0 cm x 0.9 cm, previously measured 1.4 cm x 0.9 cm x 1.2 cm and contains small echogenic foci suspicious for calcifications.LEFT LOBE: Dominant solid nodule measures 4.6 cm x 3.2-cm x 3.0 cm, previously measured 4.3 cm x 3.3 cm x 3.2 cm. There is some peripheral vascularity again seen. ISTHMUS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1. Right thyroid nodule is unchanged in size however contains calcifications better seen on today's examination. If not already performed, further evaluation with FNAB recommended,2. Dominant solid left thyroid nodule unchanged. |
Generate impression based on findings. | 46-year-old female with recurrent abdominal pain after meals, history of gallstones. Evaluate for biliary obstruction. LIVER: Normal echogenicity of the liver measuring 17.4 cm in length. No focal hepatic lesions. Portal vein is patent with appropriate hepatopetal; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Multiple shadowing stones within the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Sonographic Murphy's sign is negative. Common duct measures 4 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Measures 12.4 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Left kidney measures 10.9 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 9.8 cm in length. | Cholelithiasis without evidence of cholecystitis. |
Generate impression based on findings. | 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. | Bilateral complex thyroid nodules, more heterogeneous on the right which would be amenable to biopsy if clinically warranted. |
Generate impression based on findings. | 36-year-old female. Nodule. Evaluate for growth of right-sided thyroid nodule. RIGHT LOBE MEASUREMENTS: 4.6 x 2.6 x 2.4 cm.LEFT LOBE MEASUREMENTS: 4.1 x 1.3 x 1.5 cm.ISTHMUS MEASUREMENTS: 0.3 cm in AP dimension.RIGHT LOBE: Dominant nodule is 3.4 x 1.5 x 2.9 cm. It is solid with no calcifications and demonstrates hypervascularity.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. | Dominant right thyroid nodule that is indeterminate and amenable to biopsy. |
Generate impression based on findings. | Female 62 years old Reason: cirrhosis of liver? History: chronic hepatitis B, chronic hepatitis C LIMITED ABDOMENLIVER: . Liver measures 16 cm in length. The parenchyma is echogenic. No sonographically evident lesions.BILIARY TRACT: No biliary dilatation. Status post cholecystectomy.PANCREAS: Visualized portions are unremarkable. KIDNEYS: The right kidney measures 9 cm. The cortex is of normal echogenicity . No shadowing calculi or hydronephrosis is present. The left kidney measures 10 cm. The cortex is of normal echogenicity. No shadowing calculi or hydronephrosis is present. 2.7-cm renal hypocholic cystic lesion is difficult to visualize clearly, but likely a cyst.SPLEEN: The spleen measures 9 cm. in length. OTHER: No significant abnormalities noted. | 1.Echogenic liver is nonspecific, but can be seen in diffuse infiltrative disease or fatty liver. This limits evaluation for focal hepatic lesions. If indicated, MRI can be useful to further evaluate the liver.2.2.7-cm probable cyst in the left kidney as described above. This can also be definitively characterized on the MRI if indicated. |
Generate impression based on findings. | 26 year old female with thyroid nodule. RIGHT LOBE MEASUREMENTS: 5.2 cm x 1.6 cm x 1.5 cm LEFT LOBE MEASUREMENTS: 4.9 cm x 1.3 cm x 0.9 cmISTHMUS MEASUREMENTS: 2 mm in thickness.RIGHT LOBE: Multiple subcentimeter hypoechoic nodules with internal echogenic foci, largest in the inferior pole measures 2 mm x 3 mm x 2 mm.LEFT LOBE: Complex nodule in the superior pole measures 4 mm x 2 mm x 4 mm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Bilateral thyroid nodules. |
Generate impression based on findings. | 62-year-old male status post ex vivo hepatectomy, now with increasing output in drains, increasing creatinine. Evaluate flow through portal vein, evaluate kidneys. LIVER: Status post right hepatectomy. Remaining liver parenchyma is increased in echogenicity and measures 16.5 cm in length. Left portal vein is patent with appropriate directional flow; peak velocity measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No intrahepatic biliary ductal dilatation. Common duct is not well visualized.PANCREAS: Visualized portions of the pancreas are unremarkable.SPLEEN: Measures 14.1 cm in length and is normal in echogenicity.KIDNEYS: Right kidney measures 12.6 cm in length and is increased in echogenicity. No hydronephrosis or shadowing calculi are noted. Left kidney measures 11.5 cm in length and is increased in echogenicity. Mild pelvicaliectasis which was seen on prior CT dated 2/10/2015. No hydronephrosis or shadowing calculi are noted. ABDOMINAL AORTA: Proximal aorta measures 2.2 cm x 1.9 cm x 2.4 cm and is patent with appropriate directional flow.INFERIOR VENA CAVA: The visualized IVC is patent with appropriate directional flow.OTHER: Right pleural effusion. Trace ascites. | 1. Status post right hepatectomy with increased echogenicity of the remaining liver parenchyma suggestive of parenchymal dysfunction/fatty infiltration. Patent left portal vein. 2. Trace ascites. Right pleural effusion. 3. Increased echogenicity of the kidneys suggestive of parenchymal dysfunction. Mild left pelvicaliectasis. No hydronephrosis. |
Generate impression based on findings. | 24 year-old female with history of thyroid nodule, patient thinks nodule is larger with increased difficulty swallowing pills. RIGHT LOBE MEASUREMENTS: 4.5 cm x 1.4 cm x 1.3 cmLEFT LOBE MEASUREMENTS: 5.0 cm x 2.3 cm x 1.6 cmISTHMUS MEASUREMENTS: 2 mm in thicknessRIGHT LOBE: Complex nodule in the midpole measures 1.2 cm x 0.7 cm x 0.8 cm.LEFT LOBE: Complex nodule in the upper to midpole measures 3.3 cm x 1.1 cm x 2.5 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Bilateral complex nodules, larger on the left. |
Generate impression based on findings. | 55 year old female who was recalled from screening mammogram for right outer breast focal asymmetry. Personal history of bilateral benign breast biopsies. Family history of breast cancer in mother. Mammogram: 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 composed of scattered fibroglandular density, unchanged in pattern and distribution. 6-mm, round mass in the right lower/central with possible correlate in the central right breast posterior depth is noted. A 5-mm oval, partially circumscribed mass in the right upper, outer quadrant posterior depth is also noted that persists on spot compression views which could represent a benign intramammary lymph node. Ultrasound was subsequently performed.Ultrasound:Targeted left breast ultrasound is performed. A possible septated cyst identified in the right breast 8 o'clock position measuring 6 x 4 mm, corresponding to the new mammographic abnormality in question. No apical or peripheral blood flow is noted. In the right upper, outer quadrant a 6 x 4 mm benign intramammary lymph node with central fatty hilum is identified, possibly corresponding to the mammographic stable focal asymmetry in the upper outer quadrant. | 6-mm new mass, right breast 8 o'clock position, with sonographic correlate, most likely representing a septated cyst. Options of a 6 month follow-up versus ultrasound guided cyst aspiration were discussed with the patient. Ultrasound guided cyst aspiration and post procedure mammogram to document resolution is planned.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 35 year old female with right upper quadrant abdominal pain LIVER: Normal echogenicity of the liver measuring 13.6 cm in length. Portal vein is patent with appropriate hepatopetal flow; peak velocity measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: Normal echogenicity of the gallbladder. No pericholecystic fluid. No gallbladder wall thickening. Common bile duct measures 3 mm in caliber. No intra-or extrahepatic biliary ductal dilatation.PANCREAS: Visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: Normal echogenicity of the right kidney measuring 11.2 cm in length. No hydronephrosis or shadowing calculi are noted.OTHER: Normal echogenicity of the left kidney measuring 10.3 cm in length. No hydronephrosis or shadowing calculi are noted.Normal echogenicity of the spleen measuring 12.4 cm in length. | Unremarkable examination. |
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