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Generate impression based on findings. | Ms Li is a 20-year-old female presenting with a non-tender left breast lump. On the physical exam, there is nodularity in the upper periareolar left breast in patient's area of palpable concern.Targeted ultrasound of the left breast 12:00 position 1 cm from the nipple reveals no suspicious solid or cystic mass. | No sonographic evidence for malignancy. The patient should follow up with her primary care physician as clinically warranted, presuming these results are concordant with the physical exam findings. All results and recommendations were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: of liver, cirrhosis, screen for hepatocellular carcinoma. Examination limited due to patient body habitus.LIVER: The liver measures 15.6 cm in length and nodular in contour. Increased parenchymal echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common hepatic duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.8 cm in length. RIGHT KIDNEY: Kidney measures 9.3 cm in length. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.7 cm in length. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Limited exam.2.Cirrhotic liver without gross focal lesions, however, sensitivity is significantly decreased due to poor penetration. Dedicated cross-sectional imaging is recommended for follow-up screening examinations. |
Generate impression based on findings. | Reason: 69 yo with cirrhosis please screen for HCC LIVER: The liver measures 15.5 cm in length and is nodular in contour. The liver parenchymal echotexture demonstrates increased echogenicity. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.1 m/s. Recanalized umbilical vein.BILIARY TRACT: Gallbladder wall thickening is nonspecific but likely represents the sequela of chronic liver disease. Single 1 mm adherent stone versus tiny polyp. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common hepatic duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: Spleen is enlarged measuring 20.8 cm in length. Small splenule.RIGHT KIDNEY: Kidney measures 9.7 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Large volume ascites, particularly in the pelvis. | 1.Cirrhotic liver morphology and increased hepatic echogenicity consistent with chronic liver disease, without discrete lesion.2.Sequelae of portal hypertension including splenomegaly and ascites.3.Gallbladder wall thickening nonspecific but likely related to chronic liver disease. |
Generate impression based on findings. | Reason: Evaluate biliary tree History: abdominal pain, nausea, h/o cholecystectomy BILIARY TRACT: Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter. | Limited examination. No biliary ductal dilatation. |
Generate impression based on findings. | Reason: hepatopathy or biliary colic? History: chronic intermittent RUQ pain in heavy drinker. LIVER: The liver measures 13.3 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.36 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.6 mm in diameter.PANCREAS: Not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 8.8 cm in length. RIGHT KIDNEY: Kidney measures 10.0 cm in length. Normal cortical echotexture. No hydronephrosis. Subcentimeter cyst.LEFT KIDNEY: Kidney measures 10.4 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | No sonographic evidence of acute cholecystitis or biliary ductal dilatation. |
Generate impression based on findings. | Reason: 38F with ALL, p/w nausea/vomiting, elevated lipase. Evaluate for stones, hepatin vein thrombus. LIVER: The liver measures 18.3 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.4 m/s. The hepatic veins appear patent.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.7 cm in length. RIGHT KIDNEY: Kidney measures 13.2 cm in length. Cortical echogenicity perhaps mildly increased. No hydronephrosis.LEFT KIDNEY: Kidney measures 14.1 cm in length. Cortical echogenicity perhaps mildly increased. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.No evidence of acute cholecystitis or biliary ductal dilatation. Patent hepatic veins.2.Possible mildly increased renal echogenicity raising possibility of medical renal disease. |
Generate impression based on findings. | Reason: evaluate liver to r/o masses vs cirrhosis History: elevated transaminases LIVER: The liver measures 20.6 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified, including at the site of the segment 3 subcentimeter hypoattenuating lesion described on 2014 CT. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. There is mild proximal intrahepatic biliary ductal dilatation as well as dilation of the common bile duct up to 12 mm which tapers distally and appears grossly similar in configuration to the 2014 CT. PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures approximately 9 cm in length. RIGHT KIDNEY: Kidney measures 10.7 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Mild hepatomegaly. No focal hepatic lesions identified. 2.No evidence of acute cholecystitis.3.Prominence of the proximal intrahepatic ducts and common bile duct appearing grossly similar in configuration to 2014 CT. If there is clinical concern for biliary obstruction, additional imaging (such as MRCP) may be considered as clinically warranted. |
Generate impression based on findings. | Reason: abnormal nodes? History: thyroid cancer RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy. No suspicious nodules identified within the thyroidectomy bed.LEFT LOBE: Status post thyroidectomy. No suspicious nodules identified within the thyroidectomy bed.ISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Single right level 2 cervical lymph node measuring 0.5 x 1.8 x 2.4 cm which demonstrates benign morphologic features.OTHER: No significant abnormality noted. | No evidence of residual or recurrent disease within the thyroidectomy bed. Single benign-appearing right cervical lymph node. |
Generate impression based on findings. | Reason: Evaluate for suspicious lateral and central neck lymph nodes in patient with 2.7 cm papillary thyroid carcinoma. RIGHT LOBE MEASUREMENTS: 4.1 x 1.7 x 1.5 cm.LEFT LOBE MEASUREMENTS: 4.5 x 1.0 x 1.4 cm.ISTHMUS MEASUREMENTS: 0.5 cm in thickness.RIGHT LOBE: Normal background parenchymal echotexture.LEFT LOBE: Normal background parenchymal echotexture.ISTHMUS: Within the isthmus, slightly eccentric to the right, there is a nodule measuring 2.5 x 2.1 x 2.2 cm which appears solid, is predominantly hypoechoic, demonstrates internal vascularity, and contains probable microcalcifications. This nodule is compatible with reported history of papillary thyroid carcinoma.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Small, benign morphology lymph nodes identified within the right level 4 and left level 3 stations.OTHER: No significant abnormality noted. | Isthmic thyroid nodule compatible with reported history of papillary thyroid carcinoma. No morphologically suspicious cervical lymph nodes identified. |
Generate impression based on findings. | Reason: left hand mass - eval for vascularity and depth History: painful mass At the site of the patient's reported palpable abnormality in the superficial soft tissues of the left palm, there is a oval-shaped structure measuring approximately 1.4 x 0.5 x 0.9 cm. The structure demonstrates heterogeneous but predominantly hypoechoic echogenicity internally and demonstrates peripheral but not internal vascularity. The structure resides approximately 2 mm deep to the skin surface. | Nonspecific possibly cystic mass lesion within the superficial soft tissues of the left palm. Superimposed infection is not excluded. If further characterization is warranted, MRI can be considered. |
Generate impression based on findings. | Reason: evaluate liver cirrhosis, hepatitis C LIVER: The liver measures 15.5 cm in length and is mildly nodular in contour. The liver parenchymal echotexture is coarse. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: Status post cholecystectomy. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.3 cm in length. RIGHT KIDNEY: Kidney measures 9.8 cm in length. Increased parenchymal echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.1 cm in length. Increased parenchymal echogenicity. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Cirrhotic liver morphology without focal hepatic lesions identified.2.Echogenic kidneys suggestive of medical renal disease. |
Generate impression based on findings. | Reason: HBV carrier, evaluate for hepatocellular carcinoma. LIVER: The liver measures 18.8 cm in length. The liver demonstrates increased parenchymal echogenicity and appears heterogeneous. Redemonstration of a cyst in the left lobe measuring 1.4 x 1.2 x 1.8 cm, similar to prior. No additional focal hepatic lesions are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.23 m/s.BILIARY TRACT: Gallbladder surgically absent. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: Not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 10.1 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.7 cm in length. Normal cortical echotexture. No hydronephrosis. Superior pole cyst, similar to prior.OTHER: No significant abnormalities noted. | Coarse, echogenic liver with mild hepatomegaly suggestive of chronic liver disease without suspicious focal lesions identified. |
Generate impression based on findings. | Reason: history of isthmus nodule, please evaluate for interval change. RIGHT LOBE MEASUREMENTS: 5.1 x 1.3 x 1.5 cm.LEFT LOBE MEASUREMENTS: 4.9 x 1.4 x 1.7 cm.ISTHMUS MEASUREMENTS: Up to 0.6 cm in thickness.RIGHT LOBE: Mildly heterogeneous parenchymal echotexture without focal nodules.LEFT LOBE: Mildly heterogeneous parenchymal echotexture without focal nodules.ISTHMUS: Previously biopsied nodule within the right aspect of the isthmus has decreased in size measuring 1.5 x 2.1 x 0.8 cm, previously 2.6 x 1.2 x 3.3 cm. The nodule is predominantly solid with interval decrease in size of the cystic component following the 12/24/2015 biopsy. The nodule demonstrates internal vascularity. No suspicious microcalcifications are identified.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Interval decrease in size of previously biopsied isthmic nodule. No new nodules. |
Generate impression based on findings. | Reason: evaluate for liver lesions History: Hx of HCV with advanced liver fibrosis LIVER: The liver measures 17.4 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.25 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 7.8 cm in length. RIGHT KIDNEY: Kidney measures 10.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Porta hepatis lymph node measuring 1.4 x 1.1 x 0.7 cm, similar to prior. | No suspicious focal hepatic lesions identified. |
Generate impression based on findings. | Reason: HCC screening, GFR too low for cross sectional imaging History: Cryptogenic cirrhosis LIVER: The liver measures 15.1 cm in length and is nodular in morphology. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.15 m/s.BILIARY TRACT: Gallbladder surgically absent. The common bile duct is mildly prominent measuring up to 10 mm in diameter, not unexpected status post cholecystectomy and similar to prior cross-sectional imaging.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 11.3 cm in length. RIGHT KIDNEY: Kidney measures 9.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Mild upper abdominal ascites. | Cirrhotic liver without suspicious focal hepatic lesions identified. Ascites. |
Generate impression based on findings. | Right upper quadrant pain, evaluate for cholecystitis. LIVER: The liver measures approximately 16 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: Cholelithiasis with layering stones in the gallbladder neck. Additional adherent stone versus 5 mm polyp along fundus wall. Equivocal gallbladder wall thickening. The sonographic Murphy's sign is negative, however, the patient recently received pain medications. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.4 cm in length. RIGHT KIDNEY: Kidney measures 11.4 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | Cholelithiasis. Equivocal gallbladder wall thickening which is nonspecific but could reflect early acute cholecystitis. Nuclear medicine HIDA scan can be considered for further evaluation if clinically warranted. |
Generate impression based on findings. | Reason: pt with autoimmune hepatitis, screen for hepatocellular carcinoma. LIVER: The liver measures 15.2 cm in length and is smooth in contour. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.27 m/s.BILIARY TRACT: Cholelithiasis including large gallstone measuring up to 2.4 cm in diameter. No associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.6 cm in length. RIGHT KIDNEY: Kidney measures 11.3 cm in length. Normal cortical echotexture. No hydronephrosis. Prominent extrarenal pelvis appearing similar to the 12/11/2012 examination.LEFT KIDNEY: Kidney measures 11.7 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.No focal hepatic lesions.2.Cholelithiasis without evidence of acute cholecystitis. |
Generate impression based on findings. | Reason: s/p renal and pancreas transplant History: elevated Cr. Ultrasound guidance was provided to the clinical service for biopsy of transplant kidney in right iliac fossa. | Ultrasound guidance for transplant kidney biopsy. |
Generate impression based on findings. | History of left renal cancer, suprapubic tube placement. Limited images of the bladder for intraoperative guidance for suprapubic tube placement demonstrate echogenic debris throughout the bladder. Additional nonspecific solid appearing material layers dependently within the bladder. Catheter balloon seen in the bladder on postprocedural images. | Ultrasound images for intraoperative guidance for suprapubic tube placement. Solid, dependent material within the bladder which is nonspecific and could reflect blood products, though neoplasm is not excluded and continued follow-up is recommended. |
Generate impression based on findings. | Palpable area of concern appreciated by the patient's massage therapist in the right axilla. Personal history of left breast cancer status post lumpectomy in 2012. A targeted right ultrasound was performed for the area of concern. Several normal morphology right axillary lymph nodes are present. There is no suspicious solid or cystic mass identified. | No sonographic evidence for malignancy. Normal right axillary lymph nodes. Correlation with physical exam is recommended, and the patient will see Dr. Jaskowiak today for that.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: evaluate right thyroid nodule History: right thyroid nodule, benign RIGHT LOBE MEASUREMENTS: 6.4 x 3.0 x 2.2 cm.LEFT LOBE MEASUREMENTS: 6.1 x 2.1 x 1.3 cm.ISTHMUS MEASUREMENTS: Up to 0.3 cm in thickness.RIGHT LOBE: Normal background parenchymal echotexture. Mixed cystic, predominantly solid nodule involving the mid to lower pole measures 4.4 x 1.9 x 2.9 cm, not significant changed in size. Mild internal blood flow. No suspicious microcalcifications.LEFT LOBE: Mildly heterogeneous background parenchymal echotexture. No dominant left thyroid nodule.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign morphology left level 2 cervical lymph node.OTHER: No significant abnormality noted. | Dominant right thyroid nodule measuring up to 4.4 cm, not significantly changed in size. |
Generate impression based on findings. | Reason: Evaluate for suspicious cervical lymphadenopathy in the central and lateral neck in a patient s/p total thyroidectomy for papillary carcinoma with right modified neck dissection in 1997 with a new suspicious mass. Also history of primary hyperparathyroidism. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy. Within the right thyroidectomy bed, there is a heterogeneous, predominantly solid mass measuring 4.2 x 5.7 x 4.8 cm which demonstrates internal vascularity.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy. RIGHT LOBE: Status post thyroidectomy.LEFT LOBE: Status post thyroidectomy.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: See above. LYMPH NODES: Few benign morphology lymph nodes in the right level 3 and left level 2 and 3 stations.OTHER: No significant abnormality noted. | Solid mass within the right thyroidectomy bed measuring up to 5.7 cm which is nonspecific but could reflect recurrent neoplasm or parathyroid adenoma. The lesion would be amenable to fine-needle aspiration. |
Generate impression based on findings. | Left breast mass consistent with fibroadenoma on ultrasound December 2015. Follow-up. A targeted left ultrasound was performed for the patient’s area of concern. A circumscribed, hypoechoic, oval mass is identified within the left breast at 6:00 location, 2 cm from the nipple, and measures 2.4 x 1.8 x 1.8 cm, not significantly changed. There is no internal vascularity or posterior shadowing. | No significant change in the circumscribed mass in the left breast, which is probably a fibroadenoma. The patient will see Dr. Jaskowiak for clinical follow up today.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: ? Outflow obstruction History: hepatomegaly LIVER: The liver measures 22.9 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.42 m/s.BILIARY TRACT: Cholelithiasis without associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.7 cm in length. RIGHT KIDNEY: Kidney measures 13.6 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Persistent hepatomegaly. 2.Cholelithiasis without sonographic evidence of cholecystitis. |
Generate impression based on findings. | Reason: RUQ; h/o HCV; abdominal pain. Per electronic medical record, also history of end-stage renal disease. LIVER: The liver measures 19.2 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.25 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.4 cm in length. RIGHT KIDNEY: Kidney measures 12.5 cm in length. Most of the renal parenchyma is replaced by innumerable cysts, some with internal complexity.LEFT KIDNEY: Kidney measures 14.0 cm in length. Most of the renal parenchyma is replaced by innumerable cysts, some with internal complexity.OTHER: No significant abnormalities noted. | 1.Innumerable cysts in both kidneys compatible with acquired cystic renal disease in the setting of dialysis.2.No focal hepatic lesions identified. |
Generate impression based on findings. | Reason: Male 70 years old Reason: Pt w/ CHF p/w ADHF. Want to assess for significant ascites. LIVER: The liver measures 18.5 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating pulsatile hepatopetal flow with a velocity of 0.19 m/s. The hepatic veins appear mildly prominent and are patent.BILIARY TRACT: No cholelithiasis. Mild gallbladder wall thickening nonspecific in the setting of ascites. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.9 cm in length. RIGHT KIDNEY: Not well visualized.LEFT KIDNEY: Kidney measures 11.5 cm in length. Increased cortical echogenicity. No hydronephrosis.OTHER: Mild ascites. | 1.Mild hepatomegaly. Mild ascites.2.Mild non-specific gallbladder wall thickening without cholelithiasis or biliary ductal dilatation.3.Increased left renal echogenicity suggestive of medical renal disease.4.Findings suggestive of elevated right heart pressures. |
Generate impression based on findings. | History of appendicitis treated with antibiotics now with persistent right lower quadrant pain/dullness. Within the right lower quadrant abdomen, there is a tubular, predominantly hypoechoic structure measuring up to 12 mm in diameter which is noncompressible and contains shadowing reflectors compatible with appendicoliths. No adjacent fluid collections are identified to suggest abscess. | Findings compatible with appendicitis of indeterminate chronicity. Discussed with ordering provider, APN FLERICK, THERESA who advised to send patient to emergency department. |
Generate impression based on findings. | Reason: elevated LFTs in mixed picture, r/o biliary obstruction History: nausea, vomiting LIVER: The liver measures 18.1 cm in length, upper limits of normal. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.32 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 7.9 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.6 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | No evidence of acute cholecystitis or biliary ductal dilatation. |
Generate impression based on findings. | 44-year-old female recalled from screening mammogram for bilateral breast masses. No family history of breast cancer. Bilateral ML views and 3 right spot compression views and 2 left spot compression views of bilateral breast masses were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. Within the right upper outer breast there is a well-circumscribed 8 mm mass within the right upper outer quadrant. There is a focal asymmetry within the right breast 6:00, which persists on spot compression images.Within the left breast 12:00, posterior depth, the previously identified focal asymmetry does not persist on spot compression views.A targeted ultrasound was performed of the right breast at 10:00 and 6:00. Within the right breast at 10:00, 5 cm from the nipple, there is a cluster of cysts measuring 0.9 x 0.6 x 0.7 cm. Within the right breast at 7:00, 5cm from the nipple, there is an additional cluster of cysts measuring 0.7 x 0.4 x 0.9 cm. A targeted ultrasound of the left breast at 12:00 identified few simple cysts, the largest measuring 0.6 x 0.4 x 0.4 cm. No suspicious mass is identified. | There are clustered cysts within the right breast at 10:00 and 6:00, for which unilateral ultrasound is recommended in 6 months. No mammographic or sonographic evidence of malignancy within the left breast. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). 3 |
Generate impression based on findings. | Reason: please assess for gallstones/cholecystitis, liver abnormalities, spleen abnormalities History: R-sided abdominal pain. LIVER: The liver measures 23.9 cm in length and mildly irregular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The hyperechoic lesion seen on the 1/20/2014 examination is not seen. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.42 m/s.BILIARY TRACT: There is no evidence of cholelithiasis or convincing gallbladder wall thickening. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common hepatic duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.7 cm in length. RIGHT KIDNEY: Kidney measures 12.6 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 14.8 cm in length. Normal cortical echotexture. No hydronephrosis. Previously described possible left hilar hypoechoic lesion is not seen.OTHER: No significant abnormalities noted. | 1.Hepatomegaly, increased hepatic echogenicity, and irregular hepatic contour compatible with chronic liver disease. No mass.2.No evidence of cholelithiasis or biliary ductal dilatation. |
Generate impression based on findings. | Reason: Please evaluate left inguinal abscess and popliteal area cyst. Examination limited by patient motion.Ultrasound images of the left inguinal area reveal benign morphology lymph nodes without evidence of abnormal fluid collection or abscess.Ultrasound images of the left popliteal fossa demonstrate a predominantly anechoic structure measuring 2.5 x 3.7 x 1.1 cm with minimal internal complexity but without internal blood flow. No definitive neck is identified. | .1.Left inguinal lymph nodes without evidence of left inguinal abscess as clinically questioned.2.Cystic structure in left popliteal fossa which is nonspecific but favor benign etiology such as a popliteal cyst. |
Generate impression based on findings. | Reason: ventral hernia History: bloating, pain, nausea The examination is mildly limited by patient body habitus. No hernias or abnormal fluid collections are identified within the visualized anterior abdominal wall. | Limited exam. No hernia or fascial defect identified. Dedicated cross-sectional imaging can be considered as clinical warranted. |
Generate impression based on findings. | History of left breast benign biopsy 2007, patient presents with palpable lump in her left breast.Recent mammogram from May 2016 was within normal limits. A targeted left ultrasound was performed for the patient’s area of concern at 11:00 position 6 cm from the nipple. On physical examination, no discrete palpable mass noted. Patient complains of tenderness over that area. There is no solid or cystic mass identified. Normal glandular tissue noted. | No sonographic evidence for malignancy corresponding to patient's palpable area of concern in the left breast 11:00 position.Routine diagnostic mammogram is recommended due in May 20, 2017BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 56-year-old male with single renal cyst. Evaluate renal cyst. RIGHT KIDNEY: The right kidney measures 12.1 cm in length. No hydronephrosis or shadowing calculi. A right lower pole simple cyst measures 4.2 x 5.2 x 4.8 cm (prior 3.9 x 3.8 x 3.5 cm). Mild cortical thinning of the renal parenchyma.LEFT KIDNEY: The left kidney measures 12.2 cm in length. No hydronephrosis or shadowing calculi. No suspicious lesions. Mild cortical thinning of the renal parenchyma.URINARY BLADDER: No acute abnormality of the urinary bladder.OTHER: Increased echogenicity of the partially visualized hepatic parenchyma suggestive of fatty infiltration. | 1. Right lower pole simple renal cyst has slightly increased in size since the 2013 abdominal ultrasound exam. Measurements listed above.2. Mild cortical thinning of the bilateral kidneys, unchanged. |
Generate impression based on findings. | Reason: evaluate cause of elevated LFTs History: elevated LFTs, acute myelogenous leukemia. LIVER: The liver measures 23.1 cm in length. The liver parenchymal echotexture is normal. There is a round, predominantly hyperechoic circumscribed lesion within the left lobe of the liver measuring 1.2 x 1.4 x 1.2 cm. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: The gallbladder appears contracted without evidence of cholelithiasis. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.9 cm in length. RIGHT KIDNEY: Kidney measures 12.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Bilateral pleural effusions. | 1.Hepatomegaly.2.1.4 cm hyperechoic lesion within the left hepatic lobe which is nonspecific, but favor benign etiology such as a hemangioma.3.Pleural effusions. |
Generate impression based on findings. | History of abnormal mammogram. LIVER: The liver measures 17.7 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. BILIARY TRACT: Cholelithiasis. The largest stone measures 1.6 cm. The gallbladder wall appears mildly thickened. Echogenic foci within the gallbladder wall suggest cholesterolosis. The sonographic Murphy's sign is negative per outside report. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.OTHER: No significant abnormalities noted. | 1.Increased hepatic echogenicity suggestive of fatty infiltration/parenchymal dysfunction.2.Cholelithiasis with gallbladder wall thickening raising the possibility of acute cholecystitis. No biliary ductal dilatation. |
Generate impression based on findings. | Male 73 years old; evaluate for growth of left parotid mass. Again noted is a predominantly hypoechoic peripheral lesion within the inferior left parotid gland measuring 1.2 x 1.0 x 0.5 cm, unchanged from 1.2 x 1.1 x 0.6 cm previously. | Stable left parotid hypoechoic lesion. |
Generate impression based on findings. | Reason: evaluate for gallstones History: abdominal pain LIVER: The liver measures 16.9 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.14 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 7.1 cm in length. RIGHT KIDNEY: Kidney measures 9.9 cm in length. Normal cortical echotexture. No hydronephrosis. Subcentimeter interpolar cystLEFT KIDNEY: Kidney measures 10.2 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | No evidence of acute cholecystitis, biliary ductal dilatation, or other findings to account for the patient's symptoms. |
Generate impression based on findings. | History of thyroid cancer status post surgery. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy. ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy.LEFT LOBE: Status post thyroidectomy. The previously described hypoechoic focus in the left thyroidectomy bed measures 8 x 3 x 4 mm, previously 9 x 4 x 4 mm.ISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing cervical lymph nodes are again noted bilaterally.OTHER: No significant abnormality noted. | Unchanged nonspecific subcentimeter hypoechoic focus in left thyroid bed. No specific evidence of disease recurrence. |
Generate impression based on findings. | Reason: Change in nodules History: Thyroid nodules RIGHT LOBE MEASUREMENTS: 5.9 x 1.2 x 1.8 cm.LEFT LOBE MEASUREMENTS: 5.8 x 1.1 x 1.6 cm.ISTHMUS MEASUREMENTS: Up to 0.2 cm in thickness.RIGHT LOBE: Diffusely heterogeneous gland. Stable inferior hypoechoic subcentimeter nodule measuring 0.5 x 0.3 x 0.4 cm.LEFT LOBE: Diffusely heterogeneous gland. Stable solid upper pole nodule measuring 0.6 x 0.5 x 0.6 cm which demonstrates coarse calcification. Adjacent hyperechoic nodule measuring 0.8 x 0.7 x 0.8 cm, not well seen on 4/15/2015 examination but appearing similar to more remote outside examination.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable subcentimeter thyroid nodules. |
Generate impression based on findings. | Reason: increased FDG activity within the right thyroid lobe on PET/CT RIGHT LOBE MEASUREMENTS: 6.2 x 2.8 x 1.9 cm.LEFT LOBE MEASUREMENTS: 4.7 x 1.9 x 1.1 cm.ISTHMUS MEASUREMENTS: Up to 0.8 cm in thickness.RIGHT LOBE: Mildly heterogeneous background parenchymal echotexture. Midpole nodule measuring 2.7 x 1.4 x 1.9 cm which is predominantly solid, isoechoic to the thyroid gland, demonstrates mild internal vascularity, has a hypoechoic halo, and lacks suspicious microcalcifications. Overall, this nodule is of intermediate suspicion for neoplasm.LEFT LOBE: Mildly heterogeneous parenchymal echotexture including a couple subcentimeter hypoechoic nodules.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Dominant nodule within the right thyroid gland corresponding to increased uptake on recent PET scan is of intermediate suspicion for neoplasm and would be amenable to fine-needle aspiration. |
Generate impression based on findings. | Reason: patient with epigastric pain, r/o gallbladder disease History: abdominal pain, N/V LIVER: The liver measures 15.8 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.0 cm in length. RIGHT KIDNEY: Kidney measures 9.8 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.6 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | No evidence of acute cholecystitis, biliary ductal dilatation, or other findings to account for the patient's symptoms. |
Generate impression based on findings. | Increasing LFTs LIVER: Coarse echogenic liver echotexture without mass. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Liver length 14.6 cm.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. Spleen 11.6 cm in length.RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. Right kidney 9.7 cm in lengthOTHER: Echogenic left renal parenchyma without mass, stone, or hydronephrosis. Left kidney 10.5 cm in length. No ascites | Coarse echogenic liver echotexture suggestive for parenchymal dysfunction/fatty infiltration without mass or ductal dilatation. No ascites. Echogenic renal parenchyma suggestive for medical renal disease/parenchymal dysfunction without hydronephrosis. |
Generate impression based on findings. | Thyroid nodules RIGHT LOBE MEASUREMENTS: 5.8 x 3.7 x 3.0 cmLEFT LOBE MEASUREMENTS: 6.6 x 2.6 x 2.5 cmISTHMUS MEASUREMENTS: 0.6 cmRIGHT LOBE: Spongiform nodules again noted. Dominant nodule slightly increased in size measuring 3.5 x 2.7 x 3.6 cm.; this is in comparison to 3.2 x 2.9 x 2.1 cm on 3/19/2013.LEFT LOBE: Spongiform nodules again noted. Dominant left nodule measures 3.9 x 2.4 x 2.5 cm.; This is in comparison to 3.3 x 1.9 x 1.7 cm on 3/19/2013. This dominant left thyroid nodule now demonstrates a focus of coarse calcification.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Slight interval increase in size of bilateral dominant thyroid nodules. Although there has been slight interval increase in size of these nodules, the overall appearance of these nodules still favor colloid nodules. No regional adenopathy. |
Generate impression based on findings. | History of papillary thyroid carcinoma status post thyroidectomy. RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy.LEFT LOBE: Status post thyroidectomy. Stable hypoechoic area within the inferior left thyroidectomy bed measuring 0.2 x 0.2 x 0.5 cm.ISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional lymphadenopathy.OTHER: No significant abnormality noted. | Stable examination without specific evidence of recurrence or regional lymphadenopathy. |
Generate impression based on findings. | Reason: 70-year-old man with hyperthyroidism. On anti-thyroid meds. Check thyroid anatomy. History: hyperthyroidism RIGHT LOBE MEASUREMENTS: 7.0 x 3.0 x 3.4 cm.LEFT LOBE MEASUREMENTS: 6.6 x 3.4 x 3.0 cm.ISTHMUS MEASUREMENTS: Up to 1.5 cm in thickness.RIGHT LOBE: Enlarged, heterogeneous gland containing multiple hyperechoic nodules. LEFT LOBE: Enlarged, heterogeneous gland containing multiple hyperechoic nodules. ISTHMUS: Enlarged, heterogeneous gland containing multiple hyperechoic nodules. PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional lymphadenopathy.OTHER: No significant abnormality noted. | Enlarged, heterogeneous thyroid gland with multiple hyperechoic nodules compatible with thyroiditis. No suspicious nodules identified. |
Generate impression based on findings. | Reason: cholelithiasis/cholecystitis History: refractory N/V, history of "gallbladder inflammation" BILIARY TRACT: Debris within the gallbladder with scattered echogenic foci, most likely sludge. No associated gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter. | Gallbladder sludge without evidence of acute cholecystitis or biliary ductal dilatation. |
Generate impression based on findings. | History of hepatitis B, screening for hepatocellular carcinoma. LIVER: The liver measures 12.2 cm in length. The liver parenchymal echotexture is mildly coarse. Redemonstration of focal lesion within segment 2 measuring 1.2 x 1.3 x 1.7 cm, unchanged in size, with imaging features on prior CT compatible with hemangioma. Stable right lobe hepatic cyst. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 7.4 cm in length. RIGHT KIDNEY: Kidney measures 10.7 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | Stable left lobe hemangioma and right lobe hepatic cyst. No worrisome focal hepatic lesions identified. No ascites. |
Generate impression based on findings. | Reason: history of thyroid nodules, please evaluate for characteristics. RIGHT LOBE MEASUREMENTS: Measures 4.8 x 1.7 x 2.0 cm.LEFT LOBE MEASUREMENTS: Measures 5.2 x 2.1 x 1.4 cm.ISTHMUS MEASUREMENTS: Measures up to 0.3 cm in thickness.RIGHT LOBE: Heterogeneous parenchymal echotexture. Inferior pole nodule measuring 1.9 x 1.1 x 1.6 cm which is mixed cystic/predominantly solid, predominantly isoechoic, contains mild internal vascularity, and lacks suspicious microcalcifications. Nodule is low suspicion for neoplasm.LEFT LOBE: Heterogeneous parenchymal echotexture. ISTHMUS: Heterogeneous parenchymal echotexture. PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing cervical lymph nodes are noted.OTHER: No significant abnormality noted. | 1.Heterogeneous thyroid suggestive of thyroiditis.2.Dominant 1.9 cm nodule in the right inferior pole, low suspicion for neoplasm. |
Generate impression based on findings. | Reason: assess liver cyst for ability to drain History: + polycystic liver cysts, recent drainage of a dominant cyst. Would like to drain adjacent cysts if there is enough fluid LIVER: The liver measures 20.6 cm in length. Numerous cysts of varying sizes and complexity are present throughout the liver as more fully characterized on recent MRCP. Some of the cysts demonstrate mural nodularity but without discernible vascular flow. Some of the cysts demonstrate low level internal echoes. Largest cyst in the left lobe measures 8.2 x 9.0 x 9.7 cm. The largest in the right lobe measures 10.5 x 7.6 x 3.3 cm. Of note, the largest cyst in the right lobe on the recent MRCP measures up to approximately 16.1 cm. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.23 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: The pancreas is largely obscured.SPLEEN: No significant abnormalities noted. The spleen measures 9.2 cm in length. RIGHT KIDNEY: Kidney measures 11.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.6 cm in length. Normal cortical echotexture. No hydronephrosis. Superior pole cyst.OTHER: No significant abnormalities noted. | Numerous hepatic cysts of varying sizes and complexity as described above. Given complexity, follow-up with MRCP can be considered as clinically warranted. |
Generate impression based on findings. | Reason: ultrasound thyroid/neck History: Hyperthyroidism RIGHT LOBE MEASUREMENTS: Measures 4.7 x 1.9 x 2.4 cm.LEFT LOBE MEASUREMENTS: Measures 5.0 x 1.9 x 2.0 cm.ISTHMUS MEASUREMENTS: Measures up to 0.5 cm in thickness.RIGHT LOBE: Heterogeneous background parenchymal echotexture without discrete nodules.LEFT LOBE: Heterogeneous background parenchymal echotexture. Discrete nodule in the midpole measuring 1.1 x 0.8 x 1.0 cm with heterogeneous echotexture, minimal internal vascularity, and several echogenic reflectors which may reflect inspissated colloid. No definite microcalcifications. Overall, nodule is low suspicion for neoplasm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Heterogeneous thyroid gland with dominant 1.1 cm nodule in the left lobe. No parathyroid adenoma candidates are identified. |
Generate impression based on findings. | Reason: thyroid nodule on left side History: thyroid nodule RIGHT LOBE MEASUREMENTS: Measures 4.9 x 1.6 x 1.6 cm.LEFT LOBE MEASUREMENTS: Measures 4.6 x 1.7 x 1.9 cm.ISTHMUS MEASUREMENTS: Measures up to 0.4 cm in thickness.RIGHT LOBE: Mildly heterogeneous background parenchymal echotexture without discrete nodules. LEFT LOBE: Mildly heterogeneous background parenchymal echotexture. Left lower pole spongiform nodule measuring 0.7 x 0.5 x 0.6 cm, very low suspicion for neoplasm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Mildly heterogeneous thyroid. Dominant subcentimeter spongiform nodule, low suspicion for neoplasm. |
Generate impression based on findings. | Reason: calcifications of the thyroid also right level 2A lymph node. Evaluate for extent of adenopathy. History: eval thyroid for nodules also right level 2A node and extent of adenopathy. RIGHT LOBE MEASUREMENTS: Measures 4.5 x 2.1 x 2.3 cm.LEFT LOBE MEASUREMENTS: Measures 4.0 x 1.1 x 1.4 cm.ISTHMUS MEASUREMENTS: Measures up to 0.2 cm in thickness.RIGHT LOBE: Multiple nodules. Dominant nodule in the mid pole measures 2.9 x 1.9 x 2.4 cm, is mixed solid and cystic, has mild internal vascularity, and has an area in the inferior portion with punctate reflectors with associated comet tail artifact which is favored to reflect colloid rather than calcifications. Smaller upper pole mixed solid and cystic nodule measuring approximately 1.2 x 1.1 cm.LEFT LOBE: Nodule in the superior pole measures 1.9 x 0.9 x 1.3 cm, is mixed cystic and predominantly solid, is predominantly isoechoic, demonstrates mild internal vascularity, and lacks definite microcalcifications. Overall, this nodule is of low suspicion for neoplasm. Nodule in the inferior pole measures 0.5 x 0.5 x 0.6 cm, is primarily solid, hypoechoic, demonstrates internal vascularity, and contains punctate calcifications.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Several bilateral level 2 cervical lymph nodes are identified, favor benign morphology. Example right level 2 lymph node measures 1.3 x 0.5 x 0.7 cm. Example left level 2 lymph node measures 1.5 x 0.5 x 1.0 cm.OTHER: No significant abnormality noted. | 1.Multiple thyroid nodules as described above. At least one suspicious subcentimeter nodule in the left inferior pole would be amenable to fine-needle aspiration.2.Bilateral level 2 cervical lymph nodes, favor benign morphology. However, given history of FDG avidity of cervical lymph nodes, continued follow-up is recommended. |
Generate impression based on findings. | Reason: Evaluate RUQ, liver, gallbladder History: Nausea, vomiting, RUQ pain Examination mildly limited by overlying bowel gas.LIVER: The liver measures 20.5 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified, though sensitivity limited. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3.8 mm in diameter.PANCREAS: The pancreas is not well-visualized.SPLEEN: No significant abnormalities noted. The spleen measures 15.0 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Enlarged, echogenic liver suggestive of hepatic steatosis/parenchymal dysfunction. 2.No evidence of acute cholecystitis or biliary ductal dilatation. |
Generate impression based on findings. | Male 56 years old with persistently elevated bilirubin. Evaluate for gallbladder or liver pathology. Limited exam as the patient is intubated, the left side cannot be assessed. In addition, an open wound over the abdomen limits evaluation of the mid abdomen.LIVER: The liver measures 22 cm in length. The parenchyma is diffusely coarse and echogenic. There is a small amount of ascites, unchanged. The main portal vein is patent with a normal direction of flow and a velocity of 22 cm/s.BILIARY TRACT: No cholelithiasis. The gallbladder wall measures 2 mm in thickness. The common duct measures 5 mm in diameter. There is no intrahepatic biliary ductal dilatation.PANCREAS: The pancreas could not be visualized due to the open abdominal wound and overlying bandages.SPLEEN: The spleen could not be visualized as the patient was intubated and could not be repositioned.RIGHT KIDNEY: The right kidney measures 13 cm in length. There is no hydronephrosis OTHER: The left kidney could not be visualized as the patient was intubated and could not be repositioned. | 1.Hepatomegaly with coarse echotexture consistent with hepatic steatosis/parenchymal dysfunction.2.No cholelithiasis or biliary ductal dilatation. |
Generate impression based on findings. | Reason: cardiac history, sharp abdominal pain radiating to back for 3 weeks, please r/o abdominal aortic aneurysm. Examination is somewhat limited due to patient body habitus and overlying bowel gas.ABDOMINAL AORTA: The visualized portions of the aorta are normal in caliber. The proximal aorta measures 2.8 x 2.1 cm. The mid aorta measures 2.4 x 1.9 cm. The distal aorta measures 2.3 x 1.9 cm. The iliac arteries are not visualized.OTHER: The proximal IVC appears patent. Increased echogenicity of the partially visualized liver. | 1.Limited exam. 2.No abdominal aortic aneurysm identified.3.Increased hepatic echogenicity suggestive of fatty infiltration/parenchymal dysfunction. |
Generate impression based on findings. | Reason: history of papillary thyroid carcinoma, close monitoring of lymphadenopathy, please evaluate for interval changes History: none RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy.LEFT LOBE: Status post thyroidectomy. Redemonstration of nonspecific relatively echogenic soft tissue focus located between carotid artery and esophagus measuring 0.7 x 0.2 x 0.5 cm, not significantly changed in size.ISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Mildly prominent cervical lymph nodes appear similar to the prior exam. The lymph nodes demonstrate morphologic features suggestive of benignity, but continued follow-up is suggested.OTHER: No significant abnormality noted. | No significant change in subcentimeter echogenic focus in left thyroidectomy bed and mildly prominent cervical lymph nodes. |
Generate impression based on findings. | Reason: evaluate for hydronephrosis History: left sided abdominal pain, left sided renal graft. RENAL TRANSPLANT:LOCATION: Left iliac fossa.PERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Transplant kidney measures 11.3 cm in length and demonstrates normal cortical echotexture. COLLECTING SYSTEM/URETER: No hydronephrosis. URINARY BLADDER: Ileal conduit with no significant abnormality identified.OTHER: No significant abnormality noted | Transplant kidney without hydronephrosis. |
Generate impression based on findings. | Reason: portal vein thromboses? History: rapidly accumulating abdominal ascites, presumably malignant. LIVER: The liver measures 11.2 cm in length. Focal solid hepatic lesion with hypoechoic rim within the right lobe measuring 6.1 x 3.7 x 2.8 cm compatible with metastatic lesion as seen on recent CT. The lesion appears slightly increased in size compared to the comparison CT. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.16 m/s.BILIARY TRACT: Cholelithiasis including stones within the gallbladder neck. Mild gallbladder wall thickening which is nonspecific but likely related to ascites. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2.6 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.3 cm in length. RIGHT KIDNEY: Kidney measures 8.6 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.0 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Large volume ascites, increased from comparison CT. | 1.Large volume ascites, increased. Main portal vein grossly patent.2.Hepatic metastasis, increased in size.3.Cholelithiasis. Nonspecific gallbladder wall thickening which may related to ascites. If there is clinical concern for acute cholecystitis, nuclear medicine HIDA scan could be considered. |
Generate impression based on findings. | Reason: 62 year old female with ALL undergoing treatment recent history of early cholecystitis. Please evaluate for recurrence. History: abdominal pain. LIVER: The liver measures 15.4 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.42 m/s.BILIARY TRACT: Single round echogenic nonmobile structure measuring up to 5 mm within gallbladder fundal wall. Gallbladder slightly contracted without definite gallbladder wall thickening. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.3 cm in length. RIGHT KIDNEY: Kidney measures 10.2 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.0 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Mildly contracted gallbladder without convincing evidence acute cholecystitis. 2.Nonmobile 5 mm echogenic focus along the fundal gallbladder wall. While this may reflect a gallstone, this could also represent a polyp and continued follow-up is recommended (for example with ultrasound in 6 months).3.Echogenic liver suggestive of parenchymal dysfunction/fatty infiltration. |
Generate impression based on findings. | Reason: 44 yo F w/ lower abdominal pain, N/V, CT shows thickened gallbladder. Evaluate for cholecystitis. BILIARY TRACT: Cholelithiasis with shadowing stones throughout the gallbladder. Equivocal gallbladder wall thickening measuring up to 3.4 mm. No definite pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter. | Cholelithiasis and equivocal gallbladder wall thickening raising the possibility of acute cholecystitis. Nuclear medicine HIDA scan could be considered for additional evaluation as clinically warranted. |
Generate impression based on findings. | Reason: cirrhosis, HCC screen LIVER: The liver measures 13 cm in length and is nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: Status post cholecystectomy. No intrahepatic biliary ductal dilatation is present. The common bile duct measures 8 mm in diameter, unchanged.PANCREAS: Pancreas not well visualized.SPLEEN: No significant abnormalities noted. The spleen measures 11.4 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.5 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | Cirrhotic liver morphology without focal lesions identified. Mild splenomegaly. No ascites. |
Generate impression based on findings. | History of pulsatile abdominal pain, evaluate for abdominal aortic aneurysm. ABDOMINAL AORTA: The abdominal aorta is normal in caliber without evidence of aneurysm. The proximal aorta measures 2.4 x 2.3 cm. The middle aorta measures 1.9 x 2.0 cm. The distal aorta measures 2.0 x 2.2 cm. OTHER: The right iliac artery measures approximately 1.5 x 1.6 cm. The left iliac artery measures approximately 1.5 x 1.6 cm. | No sonographic evidence of abdominal aortic aneurysm. |
Generate impression based on findings. | 38-year-old male patient with heart failure. Evaluate possible liver pathology. LIVER: The liver is coarsened in echotexture. There is hepatopetal blood flow with peak velocity of 37 cm/s in the main portal vein.BILIARY TRACT: The gallbladder wall is thickened, which is not abnormal in the setting of intra-abdominal ascites. No cholelithiasis. There is no intra or extrahepatic biliary ductal dilatation.PANCREAS: The pancreas is largely obscured by overlying bowel gas.SPLEEN: Splenomegaly, measuring up to 12.9 cm in length.RIGHT KIDNEY: The right kidney measures 10.7 cm in length. There is no hydronephrosis or shadowing renal calculi.OTHER: There is a moderately large amount of mildly complex ascites.The left kidney measures 10.4 cm in length. No hydronephrosis or shadowing renal calculi. | 1.Coarsened liver echotexture is compatible with nonspecific parenchymal dysfunction/fatty infiltration.2.Splenomegaly.3.Moderately large intra-abdominal ascites, which is minimally complex. |
Generate impression based on findings. | Patient being evaluated for LVAD. Right upper quadrant ultrasound to evaluate for cirrhosis. Biliary disease and ascites. LIVER:The liver is mildly echogenic without dominant lesion. No intrahepatic biliary ductal dilatation. Measures 18.2 cm in length. Portal vein is patent with flow toward the liver on color Doppler imagingGALLBLADDER, BILIARY TRACT: Small amount of sludge and tiny gallstone noted within the gallbladder.PANCREAS: Obscured by overlying bowel gas.SPLEEN: No focal lesions. The spleen measures 12.6 cm in length.KIDNEYS: No hydronephrosis of either kidney. The right kidney measures 12.2 cm in length and the left kidney measures 9.3 cm in length probable cyst at the upper pole on the right.ABDOMINAL AORTA: No significant abnormality noted.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: No ascites. Trace left pleural effusion. Thick-walled bladder. | No ascites. Mildly echogenic liver without focal lesion. Mild splenomegaly suggesting portal hypertension. Mildly echogenic kidneys compatible medical renal disease. Gallstones and sludge. |
Generate impression based on findings. | Recurrent persistent hematuria. Provide guidance for native kidney biopsy. Ultrasound guidance provided for Dr. Cunningham for native right kidney biopsy | Ultrasound guidance provided for Dr. Cunningham for native right kidney biopsy. |
Generate impression based on findings. | Thyroid nodules and history of Hashimoto's RIGHT LOBE MEASUREMENTS: 3.5 x 1.4 x 1.3 cmLEFT LOBE MEASUREMENTS: 3.9 x 1.6 x 1.5 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: Increasing heterogeneity in the right lobe. Relatively stable subcentimeter hypoechoic nodules. Reference upper pole nodule measures 0.8 x 0.4 x 0.7 cm, stable. Reference lower pole nodule measures are 1.1 x 0.7 x 0.7, minimally larger.LEFT LOBE: Diffusely and increasingly heterogeneous echotexture with reticular background consistent with chronic thyroiditis. No discrete nodule appreciated.ISTHMUS: Increasingly diffuse heterogeneous echotexture PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Regional benign appearing lymph nodesOTHER: No significant abnormality noted. | Thyroid appears increasingly heterogeneous which presumably reflects patient's underlying Hashimoto's thyroiditis. No dominant nodules. Existing reference nodules of been relatively stable with minimal enlargement of one of the reference nodules. These findings were discussed with the patient at the time of the examination. |
Generate impression based on findings. | Malignant neoplasm of the thyroid RIGHT LOBE MEASUREMENTS: Post thyroidectomy LEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: No massesLEFT LOBE: No massesISTHMUS: No massesPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | No evidence for recurrent or metastatic disease in the neck. |
Generate impression based on findings. | Reason: graves disease History: high T4, tachycardia RIGHT LOBE MEASUREMENTS: 6.3 x 2.9 x 2.4 cm.LEFT LOBE MEASUREMENTS: 6.1 x 2.9 x 2.5 cm.ISTHMUS MEASUREMENTS: Up to 0.4 cm in thickness.RIGHT LOBE: Heterogeneous parenchymal echotexture and increased vascularity. No discrete nodules.LEFT LOBE: Heterogeneous parenchymal echotexture and increased vascularity. No discrete nodules.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Few nonspecific mildly prominent right cervical lymph nodes, may be reactive.OTHER: No significant abnormality noted. | Heterogeneous, enlarged thyroid gland with increased vascularity suggestive of thyroiditis. |
Generate impression based on findings. | Reason: assess for HCC History: hx of HCV with sustained viral response; cirrhosis. LIVER: The liver measures 17.3 cm in length and is nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified, though sensitivity somewhat limited. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.3 m/s.BILIARY TRACT: Gallbladder mildly decompressed which limits evaluation. Possible gallstone. No gallbladder wall thickening or pericholecystic fluid. No intrahepatic biliary ductal dilatation is present. The common bile duct measures 8 mm in diameter, not significantly changed.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.5 cm in length. RIGHT KIDNEY: Kidney measures 10.3 cm in length. Increased cortical echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.5 cm in length. Increased cortical echogenicity. No hydronephrosis.OTHER: No ascites. | 1.Cirrhotic liver morphology without focal masses identified.2.Echogenic kidneys compatible with medical renal disease.3.Possible gallstone without evidence of acute cholecystitis. |
Generate impression based on findings. | Reason: Evaluate for NASH, pt with persistent transaminitis History: asymptomatic LIVER: The liver measures 12.0 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: Cholelithiasis including large gallstone in the gallbladder neck without associated gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 7.5 cm in length. RIGHT KIDNEY: Kidney measures 8.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.8 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | Sonographic appearance of the liver within normal limits. Cholelithiasis. |
Generate impression based on findings. | Reason: 45 yo with PSC please evaluate gallbladder LIVER: The liver measures 15.9 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present, though this was better assessed on prior MRCP. The common bile duct measures 2.2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.6 cm in length. RIGHT KIDNEY: Kidney measures 10.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | Increased hepatic echogenicity raising the possibility of chronic liver disease. Normal sonographic appearance of the gallbladder. No sonographic evidence of biliary ductal dilatation. |
Generate impression based on findings. | Reason: 43yo with h/o fatty liver with elevated liver function tests. LIVER: The liver measures 16.3 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen is upper normal in size measuring 11.2 cm in length. RIGHT KIDNEY: Kidney measures 11.1 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 12.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites. | Increased hepatic echogenicity suggestive of hepatic steatosis/parenchymal dysfunction without focal lesions identified. |
Generate impression based on findings. | Reason: evaluate abdominal abscess site for fluid collection History: worsening abdominal abscess Ultrasound evaluation of the superficial soft tissues of the anterior abdominal wall at the site of the patient's previously treated abdominal wall abscess demonstrates no discrete fluid collections to suggest recurrent abscess. There is mild heterogeneity within the surrounding soft tissues which is nonspecific but may reflect edema/inflammation. | No discrete fluid collections identified at site of clinical concern in anterior abdominal wall. |
Generate impression based on findings. | Reason: Liver ultrasound chronic hepatitis B carrier LIVER: The liver measures 13.5 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.53 m/s.BILIARY TRACT: Contracted gallbladder without evidence of cholecystitis. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 3 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 8.8 cm in length. RIGHT KIDNEY: Kidney measures 10.1 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | Findings suggestive of chronic liver disease without focal lesions identified. |
Generate impression based on findings. | Reason: assess for cholecystitis vs. Perinephric abscess History: fever, gram negative bacteremia on antibiotics. LIVER: The liver measures 17.5 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: Cholelithiasis without associated gallbladder wall thickening or pericholecystic fluid. Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2.6 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 8.8 cm in length. RIGHT KIDNEY: Kidney measures 11.6 cm in length. Increased cortical echogenicity. No hydronephrosis. Heterogeneous complex cystic lesion in the right midpole pole measures 1.7 x 1.6 x 1.8 cm, previously 2.4 x 1.8 x 1.9 cm. The previously seen complex lesion in the right upper pole is not well seen on today's examination.LEFT KIDNEY: Kidney measures 11.0 cm in length. Increased cortical echogenicity. No hydronephrosis. In the left lower pole, there is a thinly septated cyst measuring up to 1.2 cm, not significant changed.ABDOMINAL AORTA: Proximal aorta measures 2.4 x 2.2 cm. The middle aorta measures 1.9 x 2.1 cm. Distal aorta measures 2.3 x 2.1 cm. Atherosclerotic disease. Focal areas of ectasia better appreciated on recent CT.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Foley catheter within the bladder. | 1.Cholelithiasis without sonographic evidence of cholecystitis.2.Complex right renal midpole lesion appears similar to 12/9/2016 exam. Previously seen right upper pole lesion not well visualized on today's examination. Repeat dedicated multiphasic cross-sectional imaging should be considered for additional evaluation. No perinephric fluid collections identified.3.Echogenic kidneys suggestive of medical renal disease. |
Generate impression based on findings. | Reason: Li Fraumeni Syndrome, screening exam, please evaluate abdomen for malignancy. LIVER: The liver measures 14.1 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.25 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4.5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.2 cm in length. RIGHT KIDNEY: Kidney measures 8.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 9.3 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | No sonographic evidence of malignancy. |
Generate impression based on findings. | Reason: thyroid cancer s/p total thyroidectomy History: thyroid cancer RIGHT LOBE: Status post thyroidectomy. No focal lesion in the thyroid bed.LEFT LOBE: Status post thyroidectomy. No focal lesion in the thyroid bed.ISTHMUS: Status post thyroidectomy. No focal lesion in the thyroid bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There are a few bilateral benign morphology cervical lymph nodes.OTHER: No significant abnormality noted. | Status post thyroidectomy. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | Reason: hx of goiter s/p thyroidectomy now with regrowth of thyroid tissue lateral on his neck RIGHT LOBE MEASUREMENTS: Status post thyroidectomy. See below.LEFT LOBE MEASUREMENTS: Status post thyroidectomy. See below.ISTHMUS MEASUREMENTS: No significant abnormality noted.RIGHT LOBE: Heterogeneous multilobular mass/residual tissue with internal vascularity but without discrete nodules identified. No suspicious microcalcifications.LEFT LOBE: Heterogeneous multilobular mass/residual tissue measuring up to 4.6 x 4.2 x 6.4 cm with internal vascularity but without discrete nodules identified. No suspicious microcalcifications.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No lymphadenopathy identified.OTHER: No significant abnormality noted. | Multilobular mass/residual tissue within the bilateral thyroidectomy beds without discrete nodules or suspicious microcalcifications. These would be amenable to FNA biopsy if clinically indicated. |
Generate impression based on findings. | Reason: Assess right thigh hematoma History: S/P panniculectomy, on anti-coagulation w/ bleed, assess extent Within the superficial soft tissues of the right inguinal region, there is a multilobulated heterogeneous mass which lacks internal vascularity and which is compatible with reported history of hematoma measuring up to approximately 8 cm. There is increased echogenicity within the surrounding soft tissues. The associated vasculature is not assessed. | Complex mass within the right inguinal region compatible with hematoma measuring up to approximately 8 cm. Surrounding edema. Associated vasculature not assessed. |
Generate impression based on findings. | Reason: Pt with Chromophobe RCC cancer s/p adrenal sparing nephrectomy and modified RPLND for a 23cm renal mass, 12/31/05. Segment 2 hepatic lesion with atypical features suspicious for cystic metastasis. Limited images of the liver for biopsy planning demonstrate a cystic lesion within segment 2 measuring 0.6 x 1.0 x 1.0 cm, decreased in size from 1.6 x 1.4 cm on recent MRI. The lesion is immediately adjacent to the diaphragm and heart. | Decrease in size of cystic segment 2 lesion which may be related to treatment effect. Biopsy canceled after discussion with Dr. Roggin regarding risks and benefits of biopsy. Continued follow-up is recommended. |
Generate impression based on findings. | Reason: Acute abdominal pain; assess for cholecystitis. Examination limited by motion and difficulty positioning patient.LIVER: The liver measures 16.9 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.28 m/s.BILIARY TRACT: No cholelithiasis or significant gallbladder wall thickening. The sonographic Murphy's sign is not well assessed. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4.6 mm in diameter.PANCREAS: Not visualized due to bowel gas.SPLEEN: No significant abnormalities noted. The spleen measures 12.3 cm in length. RIGHT KIDNEY: Atrophic, echogenic kidney measuring 9.8 cm in length. No hydronephrosis.LEFT KIDNEY: Atrophic, echogenic kidney measuring 9.2 cm in length. No hydronephrosis.OTHER: Mild upper abdominal ascites. | 1.No sonographic evidence of acute cholelithiasis or biliary ductal dilatation.2.Atrophic echogenic native kidneys compatible with medical renal disease.3.Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration.4.Mild upper abdominal ascites. |
Generate impression based on findings. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. Family history of breast cancer in mother and maternal aunt. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. No suspicious cystic or solid mass is identified. Multiple bilateral simple cysts were identified, including one in the left breast measuring up to 0.7 cm.This exam was interpreted by two radiologists. | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Reason: US of liver, evaluate for radiographic evidence of cirrhosis History: hepatitis C LIVER: The liver measures 15.3 cm in length and smooth in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 6 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: The spleen is mildly prominent measuring 12.3 cm in length. RIGHT KIDNEY: Kidney measures 10.9 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.5 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites. | Mildly increased hepatic echogenicity suggestive of chronic liver disease without focal lesions identified. |
Generate impression based on findings. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. Personal history of benign left breast biopsy in 2007 for fibroadenoma vs phyllodes tumor. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. No suspicious cystic or solid mass is identified. Bilateral simple cysts were identified. This exam was interpreted by two radiologists. | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Reason: 61 yo F with CBD dilation noted on CT abdomen, ? CBD dilation or stone ? Evidence of acute cholangitis History: CBD dilation on CT. No nausea/vomiting/abdominal pain Examination somewhat limited by overlying bowel gas and limitations positioning patient.LIVER: The liver measures 21 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.26 m/s.BILIARY TRACT: Contracted gallbladder which somewhat limits evaluation. No gallbladder wall thickening. The sonographic Murphy's sign is negative. The common bile duct is dilated measuring up to 12 mm in diameter until the region of the pancreatic head where there is a shadowing focus compatible with a common bile duct stone. No significant intrahepatic biliary ductal dilatation is seen.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas. The visualized proximal pancreatic duct is nondilated.SPLEEN: No significant abnormalities noted. The spleen measures 11.5 cm in length. RIGHT KIDNEY: Kidney measures 11.9 cm in length. Increased renal echogenicity with multiple small cysts.LEFT KIDNEY: Kidney measures 11.1 cm in length. Increased renal echogenicity with multiple cysts.OTHER: No significant abnormalities noted. | 1.Choledocholithiasis with stone in the common bile duct as seen on prior CT with associated dilation of the common bile duct.2.Mild hepatomegaly.3.Echogenic kidneys with multiple cysts compatible with medical renal disease.Findings discussed with SWEI, ERIC at 3:30 PM on 12/12/2016 |
Generate impression based on findings. | Reason: RUQ pain concern for cholecystitis vs liver pathology. LIVER: The liver measures 16.4 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating hepatopetal flow with a velocity of 0.47 m/s.BILIARY TRACT: No definite gallstones. No gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.3 cm in length. RIGHT KIDNEY: Kidney measures 10.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 10.1 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.No sonographic evidence of acute cholecystitis or biliary ductal dilatation.2.Mildly echogenic liver raising the possibility of parenchymal dysfunction/fatty infiltration. |
Generate impression based on findings. | Reason: gallbladder, cholelithiasis on CT, now pain in RUQ LIVER: The liver measures 15.2 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.29 m/s.BILIARY TRACT: Cholelithiasis including large gallstone without associated significant gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 6.9 cm in length. RIGHT KIDNEY: Right pelvic kidney measures 9.9 cm in length. Increased cortical echogenicity. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.6 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Cholelithiasis without sonographic evidence of acute cholecystitis or biliary ductal dilatation. 2.Increased hepatic echogenicity raising the possibility of parenchymal dysfunction/fatty infiltration.3.Increased echogenicity of right pelvic kidney raising the possibility of medical renal disease. |
Generate impression based on findings. | Reason: check for thyroid cancer recurrence RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Status post thyroidectomy. No suspicious masses within the thyroidectomy bed.LEFT LOBE: Status post thyroidectomy. No suspicious masses within the thyroidectomy bed.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No suspicious lymphadenopathy.OTHER: No significant abnormality noted. | No specific evidence of local recurrence or regional lymphadenopathy. |
Generate impression based on findings. | Right upper quadrant abdominal pain since oct 2016 LIVER: The liver measures 15.3 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.2 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 5.9 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.No evidence of acute cholecystitis or biliary ductal dilatation.2.Increased hepatic echogenicity raising the possibility of parenchymal dysfunction/fatty infiltration. |
Generate impression based on findings. | Reason: 69 yo female with history of right upper quadrant pain and gallstones; please evaluate for any abnormalities. LIVER: The liver measures 15.6 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: Cholelithiasis including nonmobile shadowing stones without associated gallbladder wall thickening or pericholecystic fluid. The sonographic Murphy's sign is negative (confirmed with technologist). No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 8.2 cm in length. RIGHT KIDNEY: Kidney measures 11.0 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.4 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Cholelithiasis without sonographic evidence of acute cholecystitis or biliary ductal dilatation.2.Increased hepatic echogenicity raising the possibility of parenchymal dysfunction/fatty infiltration. No ascites. |
Generate impression based on findings. | Right upper quadrant pain. LIVER: The liver measures 17.4 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.21 m/s.BILIARY TRACT: Cholelithiasis without associated gallbladder wall thickening or pericholecystic fluid. Technologist reported positive Murphy's sign. There is a shadowing stone measuring up to 1.1 cm in the intrapancreatic portion of the common bile duct with associated upstream dilation of the common bile duct up to 8 mm. No significant intrahepatic biliary ductal dilatation.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 11.4 cm in length. RIGHT KIDNEY: Kidney measures 11.8 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.6 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Choledocholithiasis including 1.1 cm common bile duct stone with associated extrahepatic biliary ductal dilatation.2.Cholelithiasis without associated gallbladder wall thickening or pericholecystic fluid.Preliminary findings of choledocholithiasis were discussed by radiology resident on call resident with Dr. Bokarius 4:07 a.m. on 12/13/2016. |
Generate impression based on findings. | Reason: Screening for hepatocellular carcinoma History: cirrhosis; hx of HCV LIVER: The liver measures 19.35 cm in length and is nodular in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.19 m/s.BILIARY TRACT: Nonmobile, non-shadowing focus along the gallbladder wall likely representing a polyp measuring up to 4 mm, unchanged. No gallbladder wall thickening or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 5 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 12.3 cm in length. RIGHT KIDNEY: Kidney measures 13.4 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 14.9 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No ascites. | 1.Hepatomegaly and cirrhotic liver morphology without focal hepatic lesions. No ascites.2.4 mm gallbladder polyp is stable. |
Generate impression based on findings. | Reason: nausea and vomiting, assess for gallstones LIVER: The liver measures 14.4 cm in length. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.24 m/s.BILIARY TRACT: Cholelithiasis, shadowing from which obscures the posterior aspect of the gallbladder. No gallbladder wall thickening or pericholecystic fluid is visualized. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 2 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.0 cm in length. RIGHT KIDNEY: Kidney measures 11.1 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 11.4 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Cholelithiasis without sonographic evidence of acute cholecystitis or biliary ductal dilatation.2.Increased hepatic echogenicity raising the possibility of parenchymal dysfunction/fatty infiltration. |
Generate impression based on findings. | Reason: Please evaluate for gallstones History: Pancreatitis with AST/ALT elevation BILIARY TRACT: There is a single nonmobile 3 mm echogenic focus within the gallbladder wall at the fundus which may represent an adherent stone or a small polyp. No additional gallstones are identified. No definite gallbladder wall thickening. Trace pericholecystic fluid along the posterior wall of the gallbladder as seen on recent CT which is nonspecific but may be related to pancreatitis. Patient also reported tenderness over the gallbladder, however, this is nonspecific in the setting of pancreatitis. The common bile duct is mildly dilated measuring up to 8 mm. No shadowing ductal stones are identified. No intrahepatic biliary ductal dilatation is seen.OTHER: No significant abnormalities noted. | Possible cholelithiasis versus small gallbladder polyp. Mild extrahepatic biliary ductal dilatation, but no sonographic evidence of choledocholithiasis. MRCP may be considered for additional evaluation as clinically warranted. |
Generate impression based on findings. | History of renal transplant now with elevated creatinine Ultrasound guidance was provided for biopsy of a transplant kidney in the right iliac fossa by the nephrology service. Two biopsy passes were performed. | Ultrasound guidance provided for transplant renal biopsy. |
Generate impression based on findings. | Reason: evaluate for cholecystitis, cholelithiasis History: elevated alkaline phosphatase, abdominal pain Examination mildly limited due to constraints positioning patient.LIVER: The liver measures 18.3 cm in length. The liver parenchymal echotexture is normal. No focal hepatic lesions or masses are identified. The portal vein is patent demonstrating normal hepatopetal flow with a velocity of 0.36 m/s.BILIARY TRACT: Cholelithiasis. Mild gallbladder wall thickening measuring up to 3 mm. Probable trace pericholecystic fluid. The sonographic Murphy's sign is negative. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 10.2 cm in length. RIGHT KIDNEY: Kidney measures 7.5 cm in length. Normal cortical echotexture. No hydronephrosis.LEFT KIDNEY: Kidney measures 8.0 cm in length. Normal cortical echotexture. No hydronephrosis.OTHER: Bilateral pleural effusions. | 1.Cholelithiasis. Mild gallbladder wall thickening and trace pericholecystic fluid, early cholecystitis cannot be excluded. 2.Bilateral pleural effusions.Discussed with FERNANDES, CHRISTOPHER at 11:11 AM on 12/13/2016 |
Generate impression based on findings. | Reason: assess for portal HTN and cirrhosis History: Lower GI bleed LIVER: The liver measures 11.1 cm in length and smooth in contour. The liver demonstrates increased parenchymal echogenicity with coarsened echotexture. Multiple cysts appearing similar to recent CT without suspicious hepatic lesions identified. The portal vein is patent demonstrating normal hepatopetal flow with velocity of 33 m/s.BILIARY TRACT: There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. No intrahepatic or extrahepatic biliary ductal dilatation is present. The common bile duct measures 4 mm in diameter.PANCREAS: No significant abnormalities noted within the visualized portions of the pancreas.SPLEEN: No significant abnormalities noted. The spleen measures 9.1 cm in length. RIGHT KIDNEY: Kidney measures 12.2 cm in length. Increased cortical echogenicity. No hydronephrosis. Multiple cysts, the largest of which measures 3.7 x 3.3 x 2.9 cm appearing similar to prior.LEFT KIDNEY: Kidney measures 11.9 cm in length. Increased cortical echogenicity. No hydronephrosis.OTHER: No significant abnormalities noted. | 1.Increased hepatic echogenicity suggestive of parenchymal dysfunction/fatty infiltration. No ascites. Patent portal vein.2.Increased renal echogenicity suggestive of medical renal disease. |
Generate impression based on findings. | Ms. Muniz is a 21-year-old female with a personal history of high probability benign fibroadenomata of the right breast. Patient reports that her right breast masses are enlarging and associated with tenderness. Targeted ultrasound of the right outer breast, 9:00 position 5 cm from the nipple, reveals an oval parallel hypoechoic mass measuring 1.9 x 1.1 x 1.7 cm, previously 2.2 x 1.1 x 1.7 cm.Targeted ultrasound of the right lower outer breast, 8:00 position 4 cm from the nipple, reveals a 1.9 x 1.0 x 1.2 cm gently lobulated hypoechoic mass, previously measuring 1.9 x 1.5 x 2.1 cm. | Stable fibroadenomas of the right breast (8:00 mass stable in size dating back to 2014 and the 9:00 mass stable dating back to 2015). As long as the patient's physical examination remains normal, right ultrasound for the right breast 9:00 mass is recommended in 6 months. If findings remain stable, patient will have been followed for two years, confirming these lesions to be benign fibroadenomas. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding. RECOMMENDATION: B - Surgical Consultation.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Metastatic thyroid cancer with segment 7 liver lesion; assess for biopsy LIVER: 1.5 cm echogenic focus within the peripheral superior aspect of segment 7 of the right lobe liver is identified. However, despite changes in positioning and transducer orientation, no safe access to this lesion could be identified. | 1.5 cm lesion corresponding to the PET-positive focus within the peripheral superior aspect of segment 7 of the right lobe of liver is visible by ultrasound. However, despite changes in positioning and transducer orientation, no safe access to this lesion could been identified at this time. Would recommend repeat attempt at biopsy in 3 months assuming this lesion increases in size in the interval. |