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Generate impression based on findings. | Reason: RUQ pain LIVER: The liver measures 21.5 cm in length, enlarged. The hepatic parenchymal echogenicity and echotexture is normal. There is no focal mass. There is no biliary ductal dilatation. The main portal vein is patent with normal directional hepatopedal flow and waveform, peak velocity 26.2 cm/s.BILIARY TRACT: There is a small amount of intraluminal sludge within the gallbladder however there are no echogenic stones. There is no pericholecystic fluid. The gallbladder wall measures 0.2 cm. There is no biliary ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 11.1 cm.RIGHT KIDNEY: The right kidney measures 11.8 cm. There is no focal mass or hydronephrosis.LEFT KIDNEY: The left kidney measures 10.9 cm. There is no focal mass or hydronephrosis. OTHER: No ascites. | 1. Gallbladder sludge without evidence of acute pericholecystic inflammation.2. Hepatomegaly. |
Generate impression based on findings. | Ms. Kerby is a 28 year old female presenting with pain/burning in the lower aspects of the breasts bilaterally associated with the menstrual cycle. A targeted bilateral ultrasound was performed for the patient’s area of concern. There is no solid or cystic mass identified. | 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: Evaluate stents, hydronephrosis, evidence of obstruction History: recurrent fevers RIGHT KIDNEY: The right kidney measures 12.1 cm in length. There is mild to moderate hydronephrosis, new since prior exam. A nephroureteral stent is partially imaged in the renal pelvis.LEFT KIDNEY: The left kidney measures 11.6 cm in length. There is mild hydronephrosis, slightly worse compared to the prior exam. A nephroureteral stent is partially imaged in the renal pelvis.OTHER: Nephroureteral stents are imaged within the urinary bladder. | 1. New right-sided mild to moderate hydronephrosis.2. Mild left-sided hydronephrosis, slightly worse since the prior study. |
Generate impression based on findings. | Reason: evaluation of CKD History: CKD RIGHT KIDNEY: The right kidney measures 10.0 cm in length. The renal echogenicity and echotexture is unremarkable. There is a simple cyst in the midpole of the right kidney measuring 1.8 x 1.7 x 1.8 cm. There is no hydronephrosis.LEFT KIDNEY: The left kidney measures 10.2 cm in length. The renal echogenicity and echotexture is unremarkable. There is a simple cyst in the midpole of the left kidney measuring 1.2 x 1.1 x 1.2 cm. There is no hydronephrosis.OTHER: No significant abnormalities noted. | Negative ultrasound evaluation of the kidneys. |
Generate impression based on findings. | Reason: Assess soft tissue region anterior to thyroid History: small growth of mass by thyroid In the subcutaneous tissue anterior to the thyroid there is a well-circumscribed nonvascular echogenic lesion measuring 3.2 x 1.8 x 3.6 cm. The thyroid is uninvolved. | Soft tissue lesion in the neck which could represent a lipoma, however in this age group ultrasound is relatively nonspecific. If clinically indicated, MRI could be obtained for further evaluation. |
Generate impression based on findings. | Reason: 51F with no known history of kidney disease, now with rising creatinine RIGHT KIDNEY: The right kidney measures 13.8 cm in length. Mildly echogenic renal parenchyma. No focal mass, hydronephrosis, or shadowing stones.LEFT KIDNEY: The left kidney measures 13.8 cm in length. Mildly echogenic renal parenchyma. No focal mass, hydronephrosis, or shadowing stones. There is a simple cyst in the superior pole of the left kidney measuring 4.8 x 3.3 cm.OTHER: No significant abnormalities noted. | Mildly echogenic renal parenchyma, possibly consistent with medical renal disease. No evidence of obstruction. |
Generate impression based on findings. | Reason: History of left renal lesion, evaluate for change in size or characteristics RIGHT KIDNEY: The right kidney measures 9.2 cm in length. Normal echogenicity and echotexture. There is no focal mass or hydronephrosis.LEFT KIDNEY: The left kidney measures 9.1 cm in length. Normal echogenicity and echotexture. There is a subcentimeter anechoic lesion in the inferior pole of the left kidney measuring 1.0 x 1.0 x 0.9 cm, consistent with a simple cyst. There is no focal mass or hydronephrosis.OTHER: No significant abnormalities noted. | Simple cyst in the lower pole of the left kidney without significant interval change compared to CT from 10/24/2015. |
Generate impression based on findings. | Reason: Rule out pyelonephritis History: fever, ESRD s/p renal transplant TRANSPLANT KIDNEY: The transplant kidney in the right iliac fossa measures 12.2 cm in length. The renal echogenicity and echotexture is normal. There is no hydronephrosis. There is no evidence of perinephric edema or focal fluid collections.OTHER: No significant abnormalities noted. | Transplant kidney without hydronephrosis or specific evidence of pyelonephritis. |
Generate impression based on findings. | Reason: history of papillary thyroid carcinoma, please evaluate for recurrence RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: Hypoechoic nodule in the superior aspect of the thyroid bed measures 0.2 x 0.4 x 0.4 cm, unchanged.LEFT LOBE: There are 3 hypoechoic nodules in the inferior aspect of the left thyroid bed.Nodule 1: 0.3 x 0.4 x 0.3 cm, unchanged.Nodule 2: 0.5 x 0.4 x 0.3 cm, unchanged.Nodule 3: 0.5 x 0.4 x 0.4 cm, unchanged.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Small benign-appearing lymph nodes. A left level 2 node measures 0.7 x 0.2 x 0.8 cm. A right level 2 node measures 0.9 x 0.4 x 1.3 cm.OTHER: No significant abnormality noted. | Stable small bilateral hypoechoic foci in the thyroid bed. No regional lymphadenopathy. |
Generate impression based on findings. | Reason: Patient with bilious emesis and RUQ pain, assess liver and biliary system LIVER: The liver measures 16.9 cm in length. The hepatic parenchymal echotexture and echogenicity is normal. There are no focal masses. There is no biliary ductal dilatation. The main portal vein is patent with normal directional hepatopedal flow and waveform, peak velocity 29.3 cm/s.BILIARY TRACT: The gallbladder appears normal. There is no cholelithiasis. The common bile duct measures 5 mm. The common hepatic duct measures 3 mm. The gallbladder wall measures 2 mm.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen measures 9.6 cm in length.RIGHT KIDNEY: The right kidney measures 10.3 cm in length. No hydronephrosis, shadowing stones, or focal masses.LEFT KIDNEY: The left kidney measures 10.3 cm in length. No hydronephrosis, shadowing stones, or focal masses. OTHER: No significant abnormalities noted. | Negative exam. |
Generate impression based on findings. | Patient presents with a palpable lump at the right breast. Left breast benign biopsy (fibroadenoma as per the patient) performed at outside hospital in April 2015. Family history of breast cancer in mother at the age of 38 and great aunt. On physical examination, a mobile 2 cm palpable mass identified in the right breast 12:00 position, 5 cm from the nipple.A targeted right ultrasound was performed for the palpable area of concern. Ultrasound demonstrates a parallel oriented uniformly hypoechoic mass measuring 2.8 x 1.2 x 2.6 centimeters with peripheral blood flow consistent with a benign fibroadenoma. | Palpable abnormality the right breast 12:00 position is most consistent with a fibroadenoma basin imaging. Surgical consultation is recommended.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Thyrotoxicosis, with multinodular goiter. Evaluate for change in size of nodules. RIGHT LOBE MEASUREMENTS: 3.6 x 1.6 x 1.3 cm, previously 4.3 x 1.4 x 1.8 cmLEFT LOBE MEASUREMENTS: 3.4 x 1.9 x 2.1 cm, previously 4.2 x 2.0 x 2.4 cmISTHMUS MEASUREMENTS: 4 mm, unchangedRIGHT LOBE: Multiple nodules, some of which are calcified within the right lobe. An inferior right thyroid nodule measures 1.2 x 0.8 x 0.9 cm, previously 1.0 x 0.6 x 0.7 cm. A right superior thyroid nodule containing calcification measures 0.8 x 0.7 cm, probably unchanged (though unable to measure AP dimension due to shadowing).LEFT LOBE: Multiple heterogeneous thyroid nodules are again identified. There is a mixed solid/cystic nodule within the superior left thyroid lobe measuring 2.0 x 1.4 x 1.7 cm, with no internal calcification, probably unchanged. A mixed solid/cystic nodule, without calcification, within the inferior left thyroid lobe measures 1.7 x 1.5 x 1.8 cm, previously 1.5 x 1.2 x 1.6 cm.ISTHMUS: Inferior medial solid appearing nodule within the left isthmus measures 2.2 x 1.2 x 2.2 cm, previously 2.1 x 1.3 x 1.7 cm, with increased vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Multiple bilateral thyroid nodules with increased size of a solid nodule within the left isthmus with increased vascularity.Mixed cystic/solid nodule within the left lobe are stable to slightly increased in size.Right thyroid nodules, one of which contains calcification, are not significantly changed.I personally reviewed the Images and/or procedure with the Resident/Fellow and agree with this report. |
Generate impression based on findings. | Right upper quadrant pain and transaminitis LIVER: No significant abnormalities noted. 14.3 cm in length BILIARY TRACT: Distended gallbladder associated with gallbladder wall thickening and trace pericholecystic fluid. Gallbladder sludge. Positive Murphy's sign. No ductal dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 8.7 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 10.5 cm in lengthOTHER: Stable left renal cyst. Left kidney 9.6 cm in length. No ascites. | Distended gallbladder with gallbladder wall thickening and pericholecystic fluid associated with positive Murphy's sign consistent with acute cholecystitis. No ductal dilatation. |
Generate impression based on findings. | Elevated LFTs LIVER: Mildly heterogeneous and 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 19.4 cm.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 11 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 10.4 cm in lengthOTHER: Left kidney 10.5 cm in length. No ascites. | Mildly enlarged and heterogeneous/echogenic liver echotexture raises the possibility of fatty infiltration without worrisome mass or ductal dilatation. Collapsed gallbladder without acute inflammation. No ascites. |
Generate impression based on findings. | 26-year-old female with palpable lump in the right breast for 2 years. With physical exam, a mobile mass is palpated at right retroareolar region. With ultrasound, there is a circumscribed hypoechoic mass measuring 35 x 23 x 39 mm with peripheral blood flow, likely a fibroadenoma. | High probability benign mass, likely a fibroadenoma, in the right breast. In view of relatively large size, surgical consultation is recommended. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Acute kidney failure, on chronic kidney disease stage IV. Worsening creatinine. RIGHT KIDNEY: The right kidney measures 11 cm. The renal parenchyma is echogenic and atrophic. There are multiple subcentimeter hypodense lesions, probable simple cysts. No suspicious lesion is identified. There is no hydronephrosis or renal calculus.LEFT KIDNEY: The left kidney measures 11.1 cm. The renal parenchyma is echogenic and atrophic. There are multiple simple cysts. There is no hydronephrosis or renal calculi.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Echogenic, atrophic renal parenchyma, compatible with medical renal disease/parenchymal dysfunction. No worrisome mass, hydronephrosis or renal calculus. |
Generate impression based on findings. | Acute kidney injury, in setting of chronic stage V kidney disease. Evaluate for medical renal disease and hydronephrosis. RIGHT KIDNEY: The right kidney measures 11.4 cm. The renal parenchyma is markedly echogenic. No suspicious lesion is identified. There is an unchanged right upper pole cyst with a thin septation measuring 4.1 x 2.5 x 3.8 cm. There is no hydronephrosis or renal calculus.LEFT KIDNEY: The left kidney measures 9.0 cm. The renal parenchyma is markedly echogenic. No suspicious lesion is identified. There is no hydronephrosis or renal calculus.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Echogenic renal parenchyma, consistent with medical renal disease/parenchymal dysfunction. No worrisome mass, stone or hydronephrosis. |
Generate impression based on findings. | Ms. Collins is a 60 year old female with a personal history of leukemia who presents for evaluation of a persistently palpable right axillary mass which was previously shown to represent a benign lymph node as recently as 10/15/2015. On physical exam at the patient's area of concern, a small movable mass is identified in the right axillary region.Targeted right breast ultrasound was performed in the right axillary region. A single normal appearing lymph node is noted with normal hilar vascular flow, measuring 1.3 x 0.5 cm. | Single normal-appearing lymph node in right axillary region. No sonographic evidence for malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually, due next in April 2017. All results and recommendations were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Hematuria. Chronic kidney disease. RIGHT KIDNEY: The right kidney measures 8.8 cm. The cortex is echogenic and thinned. No hydronephrosis or renal calculi are identified.LEFT KIDNEY: The left kidney measures 9.3 cm. The cortex is echogenic and thin. No hydronephrosis or renal calculi are identified.URINARY BLADDER: The bladder is distended with anechoic fluid. Large bladder diverticuli are identified, similar to prior.OTHER: No significant abnormalities noted. | Echogenic atrophic kidneys, compatible with chronic renal disease. No hydronephrosis or renal calculi are identified. Given gross hematuria and large bladder diverticuli, recommend dedicated renal CT or MR if hematuria persists. |
Generate impression based on findings. | 29-year-old female with history of multinodular goiter.Three dominant nodules. Please evaluate for interval changes. RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 5.7 x 1.8 x 2.3 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 6.4 x 3.7 x 4.8 cm.ISTHMUS MEASUREMENTS: The thyroid isthmus measures 0.4 cm in thickness.RIGHT LOBE: The right thyroid lobe has heterogenous echotexture. The dominant nodule of the right lower lobe measures 1.9 x 1 x 0.9 cm (prior 1.6 x 1 x 0.8).LEFT LOBE: Enlarged left thyroid lobe containing multiple solid/cystic nodules. The known dominant nodule of the left upper pole measures 4.9 x 2.7 x 3.8 cm (prior 4.6 x 3.5 x 2.4 cm).ISTHMUS: The heterogenous solid/cystic nodule of the isthmus measures 2.4 x 2.6 x 1.4 cm (prior 2.1 x 2 x 1.4 cm).PARATHYROID GLANDS: A hypoechoic focus posterior-inferior to the right thyroid lobe measures 1.3 x 0.8 x 0.7 cm.LYMPH NODES: No suspicious cervical lymphadenopathy.OTHER: No significant abnormality noted. | 1. Thyromegaly with multiple solid/cystic nodules. These nodules are similar in appearance and stable to slightly increased in size.2. A hypoechoic focus posterior-inferior to the right thyroid lobe is a candidate for parathyroid tissue. Correlation with nuclear medicine imaging is suggested. |
Generate impression based on findings. | Acute kidney injury. RIGHT KIDNEY: The right kidney measures 10.6 cm. The cortex is normal in echogenicity. There is no evidence of hydronephrosis, shadowing calculi or mass.LEFT KIDNEY: The left kidney measures 10.0 cm. The cortex is normal in echogenicity. There is no evidence of hydronephrosis, shadowing calculi or mass.URINARY BLADDER: The bladder is distended with anechoic fluid. There are multiple bladder diverticuli.OTHER: Cholelithiasis incidentally noted. | 1.No evidence of hydronephrosis, renal calculi or mass.2.Cholelithiasis incidentally noted.3.Distended bladder with diverticuli again noted. |
Generate impression based on findings. | 28-year-old male with testicular swelling. Given antibiotics one week ago with increased pain and swelling. RIGHT TESTIS: The right testis measures 4.3 x 3.4 x 2.4 cm. There demonstrable color and spectral Doppler flow. Normal parenchymal echotexture and vascularity. There is a moderate hydrocele.LEFT TESTIS: The left testis measures 4.0 x 3.5 x 3.2 cm. There demonstrable color and spectral Doppler flow. Normal parenchymal echotexture and vascularity. There is a small hydrocele with septations.RIGHT EPIDIDYMIS: The right epididymis is enlarged and demonstrates increased vascularity. The right epididymis measures 3.9 x 2.0 x 2.6 cm.LEFT EPIDIDYMIS: The left epididymis measures 4.0 x 2.6 cm. There is heterogeneity and the epididymis is mildly enlarged.OTHER: There is an ill-defined area of hypoechogenicity posterior to the left testicle corresponding to region of rim enhancing hypoattenuation. | 1.Right epididymitis and right hydrocele.2.Complicated left hydrocele and probable epididymitis. Ill-defined area of hypoechogenicity posterior to the left testicle corresponding to a region of rim enhancing hypoattenuation on same-day CT. A phlegmon/abscess cannot be excluded.3.No evidence of torsion. |
Generate impression based on findings. | Female 56 years old Reason: r/o growth of nodules, adenopathy, or suspicious features. please compare with prior ultrasound History: multiple thyroid nodules. Family history of thyroid cancer. RIGHT LOBE MEASUREMENTS: 2.1 x 1.5 x 5.7 cmLEFT LOBE MEASUREMENTS: 1.9 x 1.5 x 5 cmISTHMUS MEASUREMENTS: 4 mmRIGHT LOBE: Again noted multiple nodules are predominantly cystic many with evidence for colon, tail artifact which are unchanged from previous exam. Index cystic nodule in the upper pole measures 2.2 x 1.1 x 1.7 cm, slightly enlarged compared to previous study. No evidence of solid component.LEFT LOBE: Again noted multiple nodules again predominantly cystic with possible correlate. Index spongiform nodule in the mid inferior left lobe measures 7 x 4 x 6 mm, not significantly changed compared to previous study.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing lymph nodes are unchanged.OTHER: No significant abnormality noted. | Stable appearance of the thyroid with multiple nodules, most characteristics of colloid nodules. |
Generate impression based on findings. | Recalled from screening mammography for a focal asymmetry with calcifications in the left breast. An ML view and two spot magnification views of the left breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density(BiRads Density Category B), unchanged in pattern and distribution. The focal asymmetry with calcifications measuring about 5 mm persists on spot magnification views. The calcifications have a benign appearance, suggestive of milk of calcium.ULTRASOUND | Ultrasound finding is low suspicion, more likely a cluster of microcysts or a papilloma, less likely malignancy. Management options were discussed with the patient, and biopsy for definitive diagnosis is preferred.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Male 66 years old Reason: eval for thyroid nodules, lymphadenopathy History: hyperthyroidism, L sided nodule on thyroid bed on exam RIGHT LOBE MEASUREMENTS: 8.1 x 3 x 4.8 cmLEFT LOBE MEASUREMENTS: 2 x 2.7 x 2.4 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: There are multiple subcentimeter nodules in the right lobe of the thyroid. Most of them looks sponges. Some of them have nonspecific ultrasound appearance. An index nodule in the upper lobe measures 9 x 6 x 10 mm. LEFT LOBE: There are multiple subcentimeter nodules in the right lobe of the thyroid. Most of them looks sponges. Some of them have nonspecific ultrasound appearance. An index nodule in the upper lobe measures 15 x 6 x 11 mmISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Multinodular goiter. Most of the nodules are small and appear benign. |
Generate impression based on findings. | Male 65 years old Reason: assess for liver lesions History: HCV; advanced fibrosis LIVER: Coarse echotexture of the liver suggestive of chronic liver disease. No focal liver lesions.BILIARY TRACT: Cholelithiasis without sonographic evidence of cholecystitis or biliary dilatation.PANCREAS: Pancreas is not well seen due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 9.9 cm.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted. | Coarse echotexture of the liver. Cholelithiasis. |
Generate impression based on findings. | Female 46 years old Reason: assess for structural lesion History: hypertensive RIGHT KIDNEY: Right kidney measures 12 cm. Slightly echogenic kidney. No evidence of focal lesions or hydronephrosis.LEFT KIDNEY: Left kidney measures 10.6 cm. Echogenic kidney. No focal lesions or hydronephrosis.OTHER: Bladder wall is slightly thickened. | Bilateral echogenic kidneys. No hydronephrosis. |
Generate impression based on findings. | Male 64 years old Reason: r/o recurrence History: h/o thyroid cancer. US in 4/16 showed possible new abnormal node. This is a 6 month follow up study RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy. 3 mm cystic focus in the left superior thyroid bed is unchanged.LYMPH NODES: Benign-appearing level 5 lymph node is unchanged.OTHER: No significant abnormality noted. | No significant change from previous study. |
Generate impression based on findings. | Male 61 years old Reason: Assess for cholecystitis, cholelithiasis History: RUQ abdominal pain, nausea, vomiting LIVER: Liver echogenicity is increased. Hepatic veins and IVC are dilated. There is small amount of perihepatic ascites. Common bile duct measures 6 mm, normal.BILIARY TRACT: No evidence of intra or extrahepatic biliary dilatation. Gallbladder is distended with sludge and stones. There is gallbladder wall thickening and small amount of pericholecystic fluid. These findings can be compatible with acute cholecystitis despite the lack of sonographic Murphy's sign.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 11.5 cm.RIGHT KIDNEY: Right kidney measures 10.4 cm. Left kidney measures 12 cm. No evidence of hydronephrosis. OTHER: No significant abnormalities noted. | Cholelithiasis with distended gallbladder and gallbladder wall thickening. These findings may be compatible with acute cholecystitis.Heterogeneous echotexture of the liver. Correlate with clinical liver function tests. Dilated IVC and hepatic veins and small amount of hepatic ascites. These may be secondary to congestive heart failure. |
Generate impression based on findings. | 58-year-old female with multinodular goiter with benign cytology of larger left lobe nodules. Evaluate for change in nodules. RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 7.2 x 2.1 x 1.6 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 6.4 x 3.2 x 1.9 cm.ISTHMUS MEASUREMENTS: The thyroid isthmus measures 0.4 cm in thickness.RIGHT LOBE: Heterogenous multinodular echotexture. The predominantly isoechoic nodule of the posterior mid pole measuring 1 x 0.8 x 1.0 cm is stable in size and appearance (prior 1 x 1 x 0.9 cm). The hypoechoic nodule of the inferior right pole is stable in size and appearance measuring 1 x 0.7 x 0.9 cm (prior 1 x 0.9 x 1.1 cm).LEFT LOBE: Heterogenous multinodular echotexture. The predominantly cystic lesion of the left mid pole is stable in size and appearance measuring 2.7 x 1.5 x 2.5 cm (prior 2.7 x 1.7 x 2.7 cm). The heterogenous isoechoic nodule of the left lower pole measuring 2.4 x 1.6 x 1.7 cm is similar in size and appearance (prior 2.6 x 1.7 x 1.9 cm).ISTHMUS: Stable isthmic nodule measuring 0.4 x 0.4 x 0.5 cm (prior 0.4 x 0.5 x 0.6 cm).PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Bilateral thyroid nodules without significant interval change. |
Generate impression based on findings. | Male 55 years old Reason: RUQ pain History: RUQ pain This study is limited due to patient's bandages and scars across the abdomen.LIVER: Liver has slightly increased echogenicity, nonspecific. No focal liver lesions.BILIARY TRACT: There is sludge in the gallbladder. No evidence of gallbladder wall thickening or pericholecystic fluid. No evidence of intra or extrahepatic biliary dilatation. Sonographic Murphy sign could not be elicited.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. Spleen measures 9.9 cm.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted. | Slightly increased echogenicity of the liver. Sludge in the gallbladder. No sonographic evidence of acute cholecystitis or biliary dilatation. |
Generate impression based on findings. | Male 59 years old Reason: 59m w/ AML with worsening transaminitis History: RUQ abdominal discomfort and worsening transaminitis LIVER: Liver measures 20 cm, enlarged. There is small amount of ascites and right-sided pleural effusion.Echogenicity of the liver is unremarkable. Main portal vein is patent.BILIARY TRACT: Gallbladder is contracted, therefore cannot be optimally evaluated. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted. RIGHT KIDNEY: No significant abnormalities noted. OTHER: Small left-sided pleural effusion. | Bilateral small pleural effusions and ascites. Contracted gallbladder cannot be optimally evaluated. No evidence of intra-axial hepatic biliary dilatation. Hepatomegaly. |
Generate impression based on findings. | 72-year-old female with bilateral lower extremity edema, heart failure, chronic kidney disease now with decompensated heart failure and acute kidney injury. Last ultrasound in 2/2016. RIGHT KIDNEY: The right kidney measures 11.7 cm in length. There is a right upper pole renal cyst measuring 2.8 x 2.8 x 2.8 cm. Multiple anechoic small cysts are again seen. No hydronephrosis. Echogenic renal parenchyma. There is a new shadowing echogenic focus in the right mid pole measuring 1.2 x 0.9 x 1 cm compatible with a stone.LEFT KIDNEY: The left kidney measures 11.7 cm in length. Echogenic renal parenchyma. The known left lower pole renal cyst measuring 7.3 x 6.4 x 6.2 cm has increased in size (prior 5.9 x 5.7 x 4.9 cm). No hydronephrosis or shadowing renal calculi.URINARY BLADDER: The urinary bladder is drained by a Foley catheter.OTHER: No significant abnormalities noted. | 1. Echogenic renal parenchyma compatible with medical renal disease.2. New nonobstructing stone of the right midpole.3. Bilateral renal cysts with the left lower pole cyst increasing in size. |
Generate impression based on findings. | Male 70 years old Reason: Assess for fluid collection around SID History: SID infection Complex collection measures about 2 cm in longest dimension in the region of the transplant site. It is mostly echogenic with some hypoechoic to anechoic areas. | Complex collection measuring up to 2 cm drive line. Abscess cannot be excluded. |
Generate impression based on findings. | 3-year-old female with left cutaneous ureterostomy takedown and reimplantation 10/04/16. History of cloacal reconstruction, left solitary kidney with obstructing megaureter with left pyeloplasty. Assess for possible improvement in dilation of bladder and left upper tracts. BLADDER Wall Thickness: Moderate wall thickening. Contents: There is slight decrease in the debris within the bladder, with the bladder appearing slightly more decompressed as compared to prior exam. Distal Ureter -- SFU Grade** Left: 0 , no significant ureter dilatation is observed on this exam. Ureteral Jets Left: Not observed LEFT KIDNEY Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade* Left: 3, small amount of debris is identified within the left renal pelvis. Dilatation of the renal pelvis measures 2.5 cm anteroposteriorly, as compared to 2.8 cm on the prior exam. Length*** Left: 8.4 cm Mean for age: 7.3 cm Range for age: 6.1 - 8.1 cmADDITIONAL OBSERVATIONS: No significant abnormalities noted | Persistent left hydronephrosis with debris in the renal pelvis and bladder. Ureteral dilatation is no longer visualized.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. **SFU grading system retrovesical ureter: Grade 0: No ureteral dilatation. Grade 1: Ureter less than 7 mm. Grade 2: Ureter is 7-10 mm. Grade 3: Ureter is over 10 mm. Fernbach SK, Maizels M, Conway JJ. Ultrasound Grading of Hydronephrosis: Introduction to the System used by the Society for Fetal Urology. Pediatric Radiology (1993) 23: 478-480.***Rosenbaum DM, Korngold E, Teele RL. Sonographic Assessment of Renal Length in Normal Children. AJR Am J. Roentgenol (1984) 142:467-469 |
Generate impression based on findings. | 13-year-old male with history of gunshot wound to pelvis now with urinary tract infection and hematuria. Please evaluate for possible bullet erosion into bladder mucosa. The urinary bladder is normal in appearance with no significant mucosal abnormalities or internal debris. The visualized left kidney is normal in appearance. | Normal sonographic evaluation of the bladder. |
Generate impression based on findings. | Female 58 years old Reason: Liver dysfunction History: ascites, hx of pancreatic and breast cancer LIVER: There are calcifications within the liver. Hepatic veins and IVC are dilated. Right-sided pleural effusion. Enlarged liver secondary to heart failure.BILIARY TRACT: Gallbladder is not visualized. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Atrophic right kidney without evidence of hydronephrosis. Echogenic right kidney. Right kidney measures 8.6 cm. OTHER: No significant abnormalities noted. | Echogenic right kidney. Moderate amount ascites. Small right-sided pleural effusion. Enlarged liver secondary to heart failure. |
Generate impression based on findings. | Male 84 years old Reason: Liver pathology History: new transaminitis, history of non-hodgkin's lymphoma, rheumatoid arthritis LIVER: Coarse echotexture of the liver. No focal liver lesions. Liver measures 17.7 cm, slightly increased in size.GALLBLADDER, BILIARY TRACT: No evidence of cholelithiasis. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: The visualized pancreatic head and body are unremarkable.RIGHT KIDNEY: Right kidney measures 12.2 cm. Left kidney measures 11.5 cm. No evidence of hydronephrosis or focal lesions.OTHER: No significant abnormalities noted. | Coarse echotexture of the liver. Mild hepatomegaly. |
Generate impression based on findings. | Male 64 years old Reason: evaluate for toxic goiter History: see above RIGHT LOBE MEASUREMENTS: Right lobe of the thyroid measures 6.4 x 2.5 x 2.7 cm.LEFT LOBE MEASUREMENTS: Left lobe of the thyroid measures 6.6 x 3.4 x 1.9 cm.ISTHMUS MEASUREMENTS: 9 mm.RIGHT LOBE: Coarse echotexture of the thyroid.LEFT LOBE: Coarse echotexture of the thyroid. There is a 6 x 5 mm benign-appearing cystic nodule in the left lobe of the thyroid.ISTHMUS: There is a 6 x 5 mm cystic benign-appearing thyroid nodule in the right isthmus.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely enlarged thyroid with coarse echotexture suggestive of thyroiditis. Clinical correlation is recommended. Subcentimeter cystic nodules in the isthmus and left lobe, most likely benign. |
Generate impression based on findings. | 10-year-old female, with history of enuresis and bladder dysfunction, evaluate. BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Right ureteral jet observed. Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade* Right: 0 Left: 0 Length*** Right: 8 cm Left: 7.7 cm Mean for age: 9 cm Range for age: 7.5 - 10.8 cmADDITIONAL OBSERVATIONS: No significant abnormalities. | Normal appearance of bilateral kidneys and the bladder.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. **SFU grading system retrovesical ureter: Grade 0: No ureteral dilatation. Grade 1: Ureter less than 7 mm. Grade 2: Ureter is 7-10 mm. Grade 3: Ureter is over 10 mm. Fernbach SK, Maizels M, Conway JJ. Ultrasound Grading of Hydronephrosis: Introduction to the System used by the Society for Fetal Urology. Pediatric Radiology (1993) 23: 478-480.***Rosenbaum DM, Korngold E, Teele RL. Sonographic Assessment of Renal Length in Normal Children. AJR Am J. Roentgenol (1984) 142:467-469 |
Generate impression based on findings. | Evaluate for obstruction. Rising creatinine RIGHT KIDNEY: The right kidney measures 8.1 cm. The right kidney is increased echogenicity. A right lower pole anechoic lesion measures 1.0 x 1.2 x 1.2 cm, compatible with simple cyst. There is no hydronephrosis or renal calculus.LEFT KIDNEY: The left kidney measures 7.7 cm. There is no hydronephrosis, renal calculus or suspicious lesion.URINARY BLADDER: The prostate measures 5.3 x 4.6 x 4.2 cm, mildly enlarged. The bladder is incompletely distended.OTHER: No significant abnormalities noted. | Nonspecific echogenic bilateral kidneys, compatible with renal parenchymal dysfunction. No hydronephrosis, renal calculi or suspicious lesion identified. |
Generate impression based on findings. | Evaluate for obstruction in patient with acute kidney injury. History of Crohn's. RIGHT KIDNEY: The right kidney measures 12.4 cm. The cortex is increased in echogenicity. There is no hydronephrosis, renal calculus or suspicious lesion.LEFT KIDNEY: The left kidney measures 12.9 cm. The cortex is increased in echogenicity. There is no hydronephrosis, renal calculus or suspicious lesion.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Increased echogenicity of the bilateral kidneys, without hydronephrosis or renal calculi, probably medical renal disease. |
Generate impression based on findings. | Male 74 years old Reason: pre op History: pre op LIVER:Liver measures 16 cm. Normal echogenicity. No focal liver lesions.GALLBLADDER, BILIARY TRACT: No significant abnormality noted. No evidence of intra or extrahepatic biliary dilatation.PANCREAS: Not well visualized due to overlying bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: Echogenic kidney. Right kidney measures 10.1 cm. Simple appearing cyst measuring 4.9 cm involving the right kidney. Echogenic left kidney. Left kidney measures 11.1 cm. There is a simple cyst measuring 3.3 cm in diameter. ABDOMINAL AORTA: No significant abnormality noted. No evidence of abdominal aortic aneurysm.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Enlarged prostate. | Bilateral echogenic kidneys compatible with medical renal disease. Bilateral simple appearing renal cysts. |
Generate impression based on findings. | male presenting with right breast mass, evaluate for cyst versus abscess Adjacent to the area of the right nipple, there is an approximately 2.2 cm subcutaneous area of hypoechogenicity likely representing edema, without definite evidence of collection or abscess formation. | Subcutaneous area of hypoechogenicity adjacent to the nipple, likely representing edema without definite evidence of abscess formation. Follow-up ultrasound can be performed as clinically indicated to ensure resolution. |
Generate impression based on findings. | Evaluate for renal stone. RIGHT KIDNEY: The right kidney measures 12.6 cm. The cortex is normal in echogenicity. There is no hydronephrosis or renal calculus. No suspicious lesion is identified.LEFT KIDNEY: The left kidney measures 8 cm. The cortex is normal in echogenicity. There is no hydronephrosis or renal calculus. No suspicious lesion is identified.URINARY BLADDER: No significant abnormalities noted.OTHER: The liver is mildly coarse and echogenic, unchanged from prior. | 1.Left renal calculus no longer identified. No hydronephrosis, renal calculus or suspicious mass.2.Diffuse mildly coarse and echogenic liver, may be secondary to nonspecific parenchymal disease/fatty infiltration. |
Generate impression based on findings. | Acute kidney failure. Evaluate for obstructive or renal parenchymal disease. RIGHT KIDNEY: The right kidney measures 9.0 cm. Minimal increased echogenicity of the right kidney. No renal calculus, hydronephrosis or suspicious lesion identified.LEFT KIDNEY: The left kidney measures 9.9 cm. Minimal increased echogenicity of the left kidney. No renal calculus, hydronephrosis or suspicious lesion identified.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Minimal increased echogenicity of the kidneys, may represent medical renal disease. No renal calculus, hydronephrosis or suspicious renal lesion. |
Generate impression based on findings. | 49-year-old female with right upper outer anterior circumscribed mass on screening mammogram of 10/4/2016, recalled for further mammographic and sonographic evaluation. Full field right ML, with additional CC and ML spot compression views were performed digitally and reviewed with the aid of R2 CAD, 8.3. The breast parenchyma is composed of scattered fibroglandular elements, unchanged in pattern and distribution. Within the right upper outer anterior breast, a circumscribed partially obscured isodense oval mass measuring 1.0 cm is reidentified.RIGHT BREAST ULTRASOUND:Targeted ultrasound of the right upper outer breast, 10:00 position 2 cm from the nipple, was performed and revealed few similar adjacent circumscribed homogenously hypoechoic parallel masses with posterior acoustic enhancement spanning 1.8 x 1.2 cm. The largest mass measures 1.0 x 0.7 x 1.2 cm and presents internal vascularity. | Few circumscribed oval right upper outer anterior masses, largest measuring 1.2 cm. Ultrasound-guided biopsy of the largest component recommended for further evaluation.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | Evaluate for hydronephrosis. Acute kidney injury. RIGHT KIDNEY: The right renal cortex is echogenic. The right kidney measures 11.6 cm. No hydronephrosis, renal calculi or suspicious lesion identified.LEFT KIDNEY: The left renal cortex is echogenic. The left kidney measures 11.4 cm. A left upper pole simple cyst measures 2.2 x 1.9 x 2.3 cm, unchanged. No hydronephrosis, renal calculi or suspicious lesion identified.URINARY BLADDER: Incompletely distended urinary bladder, containing debris.OTHER: Large right pleural effusion. | 1.Echogenic kidneys, compatible with medical renal disease. Unchanged left upper pole simple cyst. No hydronephrosis, renal calculi or suspicious lesion.2.Large right pleural effusion.3.Debris noted within the bladder. |
Generate impression based on findings. | Rising creatinine. Evaluate for stenosis or obstruction. RENAL TRANSPLANT: LOCATION: Right iliac fossa.PERITRANSPLANT TISSUES: No significant abnormality noted.KIDNEY: 11.1 cm in length. The renal parenchymal echogenicity is mildly increased. COLLECTING SYSTEM/URETER: There is new mild caliectasis, with no obstructing stone identified.URINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels.The renal vein is patent with appropriate directional flow.Iliac artery: PSV 136 cm/s, RI 0.88Anastomosis: PSV 142 cm/sRenal segmental arteries PSV in cm/s are as follows: Upper: 59; Mid: 49 ; Lower 29Renal segmental arteries resistive indices are as follows: Upper: 0.75; Mid: 0.79; Lower 0.68 Renal arcuate arteries PSV in cm/s are as follows: Upper: 67; Mid: 38 ; Lower 32Renal arcuate arteries resistive indices are as follows: Upper: 0.70; Mid: 0.72; Lower 0.77 | 1.Echogenic transplant renal parenchyma and mildly elevated resistive indices, compatible with medical renal disease. 2.Mild caliectasis, with no obstructing lesion identified.3.Vasculature is patent. |
Generate impression based on findings. | End-stage renal disease. Increased BUN/Creatinine. RIGHT KIDNEY: Right kidney measures 9.2 cm. There is increased cortical echogenicity. No suspicious lesion, hydronephrosis or renal calculus is identified.LEFT KIDNEY: Left kidney measures 10.8 cm. There is increased cortical echogenicity. No suspicious lesion, hydronephrosis or renal calculus is identified.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Increased echogenicity of the kidneys, probably medical renal disease. No hydronephrosis or renal calculi identified. |
Generate impression based on findings. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. Multiple simple cysts were identified bilaterally. No suspicious cystic or solid mass is present.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. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. No suspicious cystic or solid mass is identified.This exam was interpreted by two radiologists. | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Acute kidney injury and hyperkalemia. RIGHT KIDNEY: Right kidney measures 11.4 cm. The cortex is increased in echogenicity. No renal calculus, hydronephrosis or suspicious mass identified.LEFT KIDNEY: Left kidney measures 9.1 cm. The cortex is increased in echogenicity. No renal calculus, hydronephrosis or suspicious mass identified.URINARY BLADDER: No significant abnormalities noted.OTHER: The liver appears nodular and increased in echogenicity. There is heterogeneity within the hepatic dome, probable mass. Large volume ascites present. | 1.Echogenic kidneys, probable medical renal disease. No renal calculus, hydronephrosis or suspicious mass.2.Nodular heterogeneous liver, compatible with cirrhosis. Hepatic mass present, but incompletely evaluated on this dedicated renal ultrasound.3.Large volume ascites. |
Generate impression based on findings. | Male 44 years old Reason: s/p renal transplant-evaluate for rejection History: elevated Cr Ultrasound guidance and technical assistance was provided for a renal transplant in right iliac fossa The procedure was successfully completed. 3 18-gauge passes were performed by Dr. Cunningham. | Successful ultrasound guided biopsy of the renal allograft in the right iliac fossa. |
Generate impression based on findings. | Male 63 years old Reason: possible MPGN, has low c3c4 , cryo levels pending History: anasarca Ultrasound guidance and technical assistance was provided for a negative right kidney. 3 passes using an 18-gauge needle were obtained at Dr. Cunningham The procedure was successfully completed. | Successful ultrasound guided biopsy of the right kidney. |
Generate impression based on findings. | Pregnant patient with pyelonephritis. Evaluate for obstruction. RIGHT KIDNEY: Right kidney measures 15.3 cm. Mild right hydronephrosis that persists after voiding. No renal calculus or mass identified.LEFT KIDNEY: Small left kidney measures 10.3 cm, unchanged. No left hydronephrosis, suspicious lesion or renal calculus identified.URINARY BLADDER: Minimal residual fluid post void. Unremarkable urinary bladder.OTHER: No significant abnormalities noted. | Mild right hydronephrosis that persists after voiding. Given history, concern for obstructing pyelonephritis. No renal calculus or mass identified. |
Generate impression based on findings. | Acute kidney injury. Currently increased from 1.5-2.7. RIGHT KIDNEY: Right kidney measures 10.2 cm. Right simple cyst measuring 1.2 x 1.1 x 1.3 cm, similar to prior. Echogenic upper pole lesion is slightly increased in size measuring 0.8 x 0.8 x 0.8 cm, previously 0.6 x 0.5 x 0.5 cm. No hydronephrosis or renal calculus identified.LEFT KIDNEY: Left kidney measures 11.0 cm. No renal calculus, hydronephrosis or suspicious lesion identified.URINARY BLADDER: Incompletely distended.OTHER: No significant abnormalities noted. | 1.Right simple cyst. Additional indeterminate echogenic lesion, possibly an angiomyolipoma, slightly increased in size from prior presumably secondary to technical differences.2.No hydronephrosis or renal calculus identified. |
Generate impression based on findings. | Palpable area of concern in the right axilla. A targeted right ultrasound was performed for the patient’s area of concern. A normal morphology low right axillary lymph node is identified at the patient's site of concern, measuring up to 1.1 cm. There is no suspicious solid or cystic mass identified. | Normal morphology lymph node seen at the site of concern noted by the patient. No suspicious finding.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 76-year-old female with multinodular goiter. Two-year follow-up study. Rule out growth of nodules. RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 4.2 x 2.4 x 1.9 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 4.3 x 1.3 x 1.5 cm.ISTHMUS MEASUREMENTS: The isthmus measures 0.18 cm in thickness.RIGHT LOBE: Multinodular appearance. The largest nodule on the right is heterogenous with solid and cystic components measuring 2.4 x 1.6 x 2.1 cm (prior 2.7 x 1.6 x 1.8 cm), and a shadowing central calcification is unchanged.LEFT LOBE: Multinodular appearance. Small nodule of the left upper pole with a spongiform appearance is unchanged measuring 0.7 x 0.8 x 0.5 cm (prior 0.6 x 0.5 x 0.3 cm).Spongiform nodule in the posterior midportion of the left lobe measuring 1 x 0.8 x 1.2 cm is similar in accordance (prior 1 x 0.5 x 1.2 cm).Spongiform-appearing nodule of the anterior mid/lower pole measures 1.8 x 1.3 x 0.9 cm (prior 1.5 x 0.7 x 0.5).ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No suspicious cervical lymphadenopathy.OTHER: No significant abnormality noted. | Stable bilateral thyroid nodules. |
Generate impression based on findings. | Left knee swelling Sonographic evaluation was performed about the left knee in preparation for possible aspiration. The images demonstrate no significant fluid with a minimal amount of subcutaneous edema noted anteriorly. | No evidence of joint effusion or surrounding fluid. These findings were conveyed to the ordering clinician Dr. T. Balach at the time of the exam. |
Generate impression based on findings. | Worsening acute kidney injury. RIGHT KIDNEY: The right kidney measures 13.7 cm. The cortex is echogenic. No hydronephrosis or renal calculus identified.LEFT KIDNEY: The left kidney measures 13.0 cm. The cortex is echogenic. No hydronephrosis or renal calculus identified.URINARY BLADDER: Bladder distended and contains debris.OTHER: No significant abnormalities noted. | 1.Echogenic kidneys, compatible with medical renal disease. No renal calculus or hydronephrosis identified.2.Debris noted within the bladder. |
Generate impression based on findings. | Post liver transplant, evaluate all vessels for patency LIVER: Increased parenchymal echogenicity suggested, nonspecific but may reflect underlying parenchymal dysfunction/steatosis. Hepatomegaly, liver measures up to 20 cm in craniocaudal dimension.GALLBLADDER, BILIARY TRACT: Not well assessed.PANCREAS: Not well seen.SPLEEN: Visualized splenic artery (artery not well seen due to patient's inability to sustain respiration) and vein patent.KIDNEYS: Not well seen.VASCULAR | Right portal and hepatic veins not well visualized. Power Doppler sonography needed to be utilized for evaluation of vasculature, may be related in part to slow flow. Visualized hepatic vasculature patent otherwise.Partially imaged right-sided pleural effusion and ovoid fluid collection related to left liver anteriorly.Additional findings as above. |
Generate impression based on findings. | Acute kidney injury. RIGHT KIDNEY: The right kidney measures 12.5 cm. No hydronephrosis or renal calculus is identified.LEFT KIDNEY: The left kidney measures 11.1 cm. No hydronephrosis or renal calculus identified.URINARY BLADDER: Bladder distended with anechoic fluid.OTHER: No significant abnormalities noted. | No evidence of hydronephrosis or renal calculi. Kidneys are normal in appearance. |
Generate impression based on findings. | Ms Yarbrough is a 17-year-old female with a complicated medical history of Lemierre's disease in 03/2016 and pericardial effusion. She now presents with a three week history of persistent bilateral breast pain (left greater than right). No discrete history of trauma, masses, overlying skin changes or nipple discharge. Bilateral whole breast ultrasound evaluation was performed for the patient's areas of concern. There is no suspicious solid or cystic mass identified in either breast. | Normal sonographic evaluation of both breasts. No sonographic evidence of 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 and her mother at time of dictation. BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Reason: CT scan findings or gallstones/need to evaluate History: abdominal pain LIVER:The hepatic parenchyma appears normal in echogenicity and echotexture. No focal lesions are identified.GALLBLADDER, BILIARY TRACT: The gallbladder is mildly distended. There is a small amount of layering sludge. No shadowing gallstones are identified. Common bile duct distally measures up to 7 mm in diameter, within normal limits given patient's age. There is no gallbladder wall thickening or pericholecystic fluid. The gallbladder wall measures 2 mm. Per ultrasound technologist, sonographic Murphy's sign was negative.PANCREAS: Obscured by bowel gas.SPLEEN: No significant abnormality noted.KIDNEYS: The left kidney measures 18.9 cm in length. The right kidney measures 11.4 cm in length. A simple anechoic cyst in the upper pole the right kidney measures 3.7 x 3.7 x 3.6 cm. A simple anechoic cyst in the lower pole of the left kidney measures 2.3 x 1.5 x 1.7 cm. Mildly increased renal cortical echogenicity. There is no hydronephrosis. No shadowing stones or masses.OTHER: No significant abnormality noted. | 1. Gallbladder sludge without acute inflammation. 2. Mildly increased renal cortical echogenicity, may reflect underlying medical renal disease. |
Generate impression based on findings. | Reason: Is there an aneurysm? History: Reported history of AAA LIVER: The liver measures 18.9 cm in length. The hepatic parenchymal echotexture and echogenicity is coarse. There is a mildly nodular hepatic contour, concerning for a cirrhotic liver morphology. There are no focal masses. The main portal vein is patent with normal directional hepatopedal flow, maximum systolic velocity 19.4 cm/s.GALLBLADDER, BILIARY TRACT: The common hepatic duct measures 2 mm in diameter. The gallbladder is moderately distended. There is a small echogenic focus in the dependent portion of the gallbladder with posterior acoustic shadowing, consistent with a small stone. There is no pericholecystic fluid. The gallbladder wall measures 2 mm. There is no biliary ductal dilatation. Murphy's sign was negative.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen measures 16.9 cm in length.KIDNEYS: The left kidney measures 11.8 cm in length. The right kidney measures 11.9 cm in length. No hydronephrosis. ABDOMINAL AORTA: The abdominal aorta is obscured by bowel gas distally. The abdominal aorta measures 3.2 cm proximally and 2.9 cm more distally in the AP diameter. The distal abdominal aorta was nonvisualized. The arterial waveform is pulsatile, consistent with reported history of intra-aortic balloon pump.INFERIOR VENA CAVA: No significant abnormality noted.OTHER: Left pleural effusion. No free intraperitoneal fluid. | 1. Echogenic coarse hepatic parenchyma with nodular contour, concerning for cirrhosis.2. Cholelithiasis without evidence of cholecystitis.3. Limited evaluation of the abdominal aorta without evidence of abdominal aortic aneurysm. |
Generate impression based on findings. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. No suspicious cystic or solid mass is identified.This exam was interpreted by two radiologists. | No sonographic evidence for malignancy. Of note, interpretation of mammographic and ultrasound studies are optimally performed when prior studies are available to detect changes. If the patient's prior mammograms are submitted, then comparisons will be made for future exams. Otherwise, patient is due for a screening mammogram now. BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. Bilateral simple cysts are identified. No suspicious cystic or solid mass is identified.This exam was interpreted by two radiologists. | Simple cysts of both breasts. No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Evaluate for renal stone. RIGHT KIDNEY: Right kidney measures 7.3 cm. The cortex is echogenic. Few small renal calculi are identified, the largest measuring 4 mm. No hydronephrosis is identified. Right simple cyst measures 1.1 x 1.0 x 1.0 cm. LEFT KIDNEY: Limited visualization of the left kidney. Left kidney measures 6.1 cm. The cortex is echogenic. There are probable tiny echogenic calculi, without hydronephrosis. Left renal cysts, the largest measuring 1.4 x 1.4 x 1.4 cm, with probable thin septation.URINARY BLADDER: No significant abnormalities noted.OTHER: Incidentally noted simple hepatic cyst measuring 1.7 x 1.7 x 2.0 cm. Gallbladder with layering sludge, without evidence of acute inflammation. | 1.Echogenic kidneys, compatible with medical renal disease. 2.Few bilateral renal calculi, probably mostly vascular given findings on CT chest 12/19/2015. No hydronephrosis. 3.Bilateral simple cysts and additional left cyst with probable thin septations, probably benign. |
Generate impression based on findings. | 73-year-old female with hepatitis. Evaluate for cirrhosis. LIVER: The liver measures 15.7 cm in length and demonstrates diffusely increased parenchymal echogenicity. No focal hepatic lesions.BILIARY TRACT: Small amount of biliary sludge; no cholelithiasis, gallbladder wall thickening or pericholecystic fluid. Sonographic Murphy's sign is negative. The common duct measures 6 mm in caliber, within normal limits for patient's age.PANCREAS: The distal body and tail of pancreas are obscured by overlying bowel gas. The remaining visualized portions of the pancreatic parenchyma demonstrate no significant abnormality.SPLEEN: The spleen measures 7.2 cm in length and is normal.RIGHT KIDNEY: The right kidney measures 9.5 cm in length and demonstrates normal cortical echogenicity. No hydronephrosis or intrarenal masses or calculi.OTHER: The left kidney measures 9.8 cm in length and demonstrates normal cortical echogenicity. No hydronephrosis or intrarenal masses or calculi.Note is made of a small right pleural effusion partially imaged. | 1. Increased hepatic parenchymal echogenicity suggestive of hepatic steatosis. No findings suggest cirrhosis. No ascites or splenomegaly. 2. Minimal biliary sludge.3. Small right pleural effusion partially imaged. |
Generate impression based on findings. | Varices noted on endoscopy LIVER: Normal parenchymal echogenicity without mass. Noncirrhotic morphology. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow. Liver length 14 cm.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 7.3 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 9.4 cm in lengthOTHER: Left renal cyst. Left kidney 8.3 cm in length. No ascites. | Normal hepatic morphology and echogenicity without mass or duct dilatation. No evidence for hepatobiliary abnormality. No ascites. |
Generate impression based on findings. | HCV LIVER: Normal hepatic morphology. Mildly heterogeneous echotexture without mass. Liver length 16.1 cm.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 8.9 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 10.8 cm in lengthOTHER: Left kidney 11.1 cm in length. No ascites. | Normal noncirrhotic morphology with mildly heterogeneous echotexture without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | Generalized abdominal pain LIVER: Mild hepatomegaly. Heterogeneous echotexture without mass. Liver length 18.1 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 9.3 cm in lengthRIGHT KIDNEY: No significant abnormalities noted. 13.4 cm in lengthOTHER: Upper pole left renal cyst. Left kidney 11.3 cm in length. No ascites. | Mild hepatomegaly and heterogeneous liver echotexture suggestive for fatty infiltration without mass or ductal dilatation. Unremarkable gallbladder. No ascites. |
Generate impression based on findings. | Enlarged thyroid on exam RIGHT LOBE MEASUREMENTS: 3.6 x 1.8 x 1.7 cmLEFT LOBE MEASUREMENTS: 5.3 x 2.2 x 2.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Diffusely heterogeneous gland. Predominantly solid lower pole nodule measuring 0.6 x 0.6 x 0.6 cm. Predominantly cystic subcentimeter nodule mid pole measuring 0.4 x 0.3 x 0.4 cm.LEFT LOBE: Diffusely heterogeneous gland. Predominantly solid lower pole nodule measuring 2.2 x 1.7 x 1.8 cm. Subcentimeter cystic focus also noted within the mid pole.ISTHMUS: Diffusely heterogeneous glandPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous gland. Predominantly solid left lower pole nodule; this lesion is amenable to ultrasound-guided biopsy. Additional subcentimeter nodules as described. No thyromegaly. No regional adenopathy. |
Generate impression based on findings. | 19-year-old with known right breast masses compatible with fibroadenomas. A targeted right ultrasound was performed for the known masses. The lateral 11:00 benign morphology mass measures 1.6 x 1.3 x 1.6 cm. Previously, this measured 1.5 x 1.4 x 1.6 cm. The more medial 11:00 mass measures 0.9 x 0.8 x 0.9 cm. Previously, this measured 1.2 x 1.0 x 1.6 cm. At the 8:00 position, the additional benign morphology mass measures 1.4 x 1.3 cm. Previously this measured 1.4 x 1.2 cm. | No enlargement of any of the known right breast typically benign morphology masses. The medial mass at 11:00 measures somewhat smaller today. The patient will follow-up with Dr. Jaskowiak today. Based on the stability over slightly more than a year and if physical exam remains benign, options for follow up could include a 12 month follow-up ultrasound or clinical follow-up with imaging only if there is physical exam change.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Thyroid nodule RIGHT LOBE MEASUREMENTS: 4.1 x 1.4 x 1.4 cmLEFT LOBE MEASUREMENTS: 7.7 x 4.1 x 5.3 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: Large predominately solid nodule occupying much of the left thyroid gland measuring 7.3 x 4.0 x 5.5 cm. Coarse internal calcification noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Large predominantly solid nodule occupying much of the left thyroid gland. This lesion is amenable to ultrasound-guided biopsy. No regional adenopathy. |
Generate impression based on findings. | Minimally complex right lower pole cyst RIGHT KIDNEY: Stable minimally complex lower pole right renal cyst measuring 1.6 x 1.3 x 1.2 cm. No hydronephrosis. Right kidney 8.7 cm in length.LEFT KIDNEY: No significant abnormalities noted. 10.8 cm in lengthOTHER: No significant abnormalities noted. | Stable minimally complex lower pole right renal cyst. |
Generate impression based on findings. | Acute acute kidney injury. Limited evaluation due to poor penetration.RIGHT KIDNEY: Right kidney measures 9.8 cm. No suspicious lesion, hydronephrosis or renal calculus identified.LEFT KIDNEY: Left kidney measures 10.1 cm. No suspicious lesion, hydronephrosis or renal calculus identified.URINARY BLADDER: Incompletely distended.OTHER: No significant abnormalities noted. | Limited evaluation due to poor penetration. However, no worrisome hydronephrosis or renal calculi identified. |
Generate impression based on findings. | Female 73 years old Reason: Kidney stone? History: Hyperparathyroidism RIGHT KIDNEY: Slightly echogenic kidney. No focal lesions or hydronephrosis. Right kidney measures 9 cm.LEFT KIDNEY: Left kidney measures 9.6 cm. Slightly echogenic kidney. No focal lesions or hydronephrosis.OTHER: No significant abnormalities noted. | Bilateral slightly echogenic kidneys. No evidence of stones, or hydronephrosis. |
Generate impression based on findings. | Asymptomatic female presents for whole breast ultrasound for dense breast screening. She has a family history of breast cancer in her sister (diagnosed at the age of 26) and paternal grandmother. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. Few scattered simple cysts of the right breast. No suspicious cystic or solid mass is identified.This exam was interpreted by two radiologists. | No sonographic evidence for malignancy. Given her strong family history, a consultation with the high risk clinic/genetic counselor is advised.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Reason: enlarged thyroid RIGHT LOBE MEASUREMENTS: 5.4 x 1.8 x 1.4 cmLEFT LOBE MEASUREMENTS: 5.1 x 1.8 x 1.4 cmISTHMUS MEASUREMENTS: 0.18 cmRIGHT LOBE: Two abutting hypoechoic nodules in the right superior thyroid lobe measure in total 1.4 x 0.8 x 1.0 cm. Hypoechoic, spongiform nodule in the inferior right thyroid lobe measures 0.9 x 0.4 x 0.4 cm. There is no internal vascularity.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Two nodules in the right thyroid lobe. The more inferior nodule is of very low suspicion and the more superior nodule is benign appearing. |
Generate impression based on findings. | Reason: s/p lap sleeve gastrectomy with abdominal fluid collection, please correlate with recent outside CT scan Pt IR study 10-25-16 History: RUQ pain Limited ultrasound of the abdomen and pelvis demonstrates a nonspecific hypoechoic focus just superior to the bladder without internal vascularity. The fluid collection previously identified along the right upper abdominal wall is not identified. | Nonspecific hypoechoic focus just superior to the bladder. CT would be useful for further evaluation. |
Generate impression based on findings. | Reason: assess for thyroid nodules History: asymmetric thyroid on clinical exam RIGHT LOBE MEASUREMENTS: 1.8 x 1.8 x 6.7 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.5 x 5.5 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Hypoechoic, predominantly cystic nodule in the mid right thyroid measures 1.0 x 0.5 x 1.1 cm. A hyperechoic focus in the inferior right thyroid measures 0.5 x 0.2 x 0.6 cm, likely a focal calcification.LEFT LOBE: A hypoechoic, predominantly cystic nodule in the mid left thyroid measures 0.6 x 0.4 x 0.4 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional lymphadenopathy.OTHER: No significant abnormality noted. | Multiple predominantly cystic thyroid nodules, probably benign. |
Generate impression based on findings. | Reason: AKI RIGHT KIDNEY: The right kidney measures 11.2 cm in length. There is a small anechoic simple cyst in the superior pole of the right kidney measuring 2.5 x 2.5 x 2.3 cm. The renal cortical echogenicity is normal. There is no hydronephrosis.LEFT KIDNEY: The right kidney measures 11.2 cm in length. The renal cortical echogenicity is normal. There is no hydronephrosis.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Unremarkable renal ultrasound. |
Generate impression based on findings. | Reason: History of left testicular cancer. Now pea sized nodule along lower spermatic cord, new and growing per patient, evaluate RIGHT TESTIS: Right testicular microlithiasis without focal mass.LEFT TESTIS: Status post left orchiectomy with placement of testicular implant.RIGHT EPIDIDYMIS: The epididymis measures 0.9 x 0.8 x 1.4 cm. There is a small anechoic epididymal cyst measuring 0.5 x 0.5 x 0.4 cm.LEFT EPIDIDYMIS: Status post left orchiectomy.OTHER: No significant abnormalities noted. | 1. Microlithiasis of the right testicle.2. Subcentimeter right epididymal cyst. |
Generate impression based on findings. | Reason: Rule out obstruction, AKI on potential CKD RIGHT KIDNEY: The right kidney measures 10.57 m in length. There is increased renal parenchymal echogenicity. There is no hydronephrosis, focal mass, or stone.LEFT KIDNEY: The left kidney measures 10.47 m in length. There is increased renal parenchymal echogenicity. There is no hydronephrosis, focal mass, or stone.URINARY BLADDER: No significant abnormalities noted.OTHER: Mildly increased hepatic echogenicity and echotexture. | Increased renal parenchymal echogenicity, which can be seen in the setting of chronic medical renal disease. |
Generate impression based on findings. | Ms. Alexandridou submitted outside mammogram dated 06/12/2012 and two prior ultrasounds dated 06/12/2012 and 01/21/2013, from University of Illinois, Urbana. Submitted outside studies were compared to the current mammogram dated 10/14/2016. The breast parenchyma is heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. Previously identified mass in the right medial breast, far posterior depth, is new when compared to the prior mammogram from 2012.Previously identified mass in the left central breast, mid depth, appears to have increased in size when compared to the prior mammogram. In addition, prior ultrasound examination from 2012 may show a corresponding partly cystic/partly solid mass, which needs to be further evaluated. | Bilateral partially obscured incompletely characterized masses. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Ms. Alexandridou submitted outside mammogram dated 06/12/2012 and two prior ultrasounds dated 06/12/2012 and 01/21/2013, from University of Illinois, Urbana. Submitted outside studies were compared to the current mammogram dated 10/14/2016. The breast parenchyma is heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. Previously identified mass in the right medial breast, far posterior depth, is new when compared to the prior mammogram from 2012.Previously identified mass in the left central breast, mid depth, appears to have increased in size when compared to the prior mammogram. In addition, prior ultrasound examination from 2012 may show a corresponding partly cystic/partly solid mass, which needs to be further evaluated. | Bilateral partially obscured incompletely characterized masses. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Ms. Alexandridou submitted outside mammogram dated 06/12/2012 and two prior ultrasounds dated 06/12/2012 and 01/21/2013, from University of Illinois, Urbana. Submitted outside studies were compared to the current mammogram dated 10/14/2016. The breast parenchyma is heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. Previously identified mass in the right medial breast, far posterior depth, is new when compared to the prior mammogram from 2012.Previously identified mass in the left central breast, mid depth, appears to have increased in size when compared to the prior mammogram. In addition, prior ultrasound examination from 2012 may show a corresponding partly cystic/partly solid mass, which needs to be further evaluated. | Bilateral partially obscured incompletely characterized masses. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Ms. Alexandridou submitted outside mammogram dated 06/12/2012 and two prior ultrasounds dated 06/12/2012 and 01/21/2013, from University of Illinois, Urbana. Submitted outside studies were compared to the current mammogram dated 10/14/2016. The breast parenchyma is heterogeneously dense, which may obscure small masses (BiRads Density Category C), unchanged in pattern and distribution. Previously identified mass in the right medial breast, far posterior depth, is new when compared to the prior mammogram from 2012.Previously identified mass in the left central breast, mid depth, appears to have increased in size when compared to the prior mammogram. In addition, prior ultrasound examination from 2012 may show a corresponding partly cystic/partly solid mass, which needs to be further evaluated. | Bilateral partially obscured incompletely characterized masses. Additional imaging, including spot compression views and possible ultrasound, are recommended for further evaluation.BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EC - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | Reason: evaluate AKI, or obstruction RIGHT KIDNEY: The right kidney measures 9.5 cm in length. There is mildly increased renal parenchymal echogenicity. There is no hydronephrosis, focal mass, or stone.LEFT KIDNEY: The left kidney measures 10.5 cm in length. There is mildly increased renal parenchymal echogenicity. There is no hydronephrosis, focal mass, or stone.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Mildly echogenic renal parenchyma, which can be seen in the setting of medical renal disease. No obstruction. |
Generate impression based on findings. | Reason: Rule out underlying thyroid nodule History: Graves' disease with asymmetry one exam (L>R) RIGHT LOBE MEASUREMENTS: 3.5 x 0.8 x 1.1 cmLEFT LOBE MEASUREMENTS: 2.5 x 5.5 x 1.7 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: The right thyroid lobe is somewhat atrophic and appears heterogeneous with increased vascularity. No focal nodules or masses.LEFT LOBE: The left thyroid lobe is asymmetrically enlarged and appears heterogeneous with increased vascularity. No focal nodules or masses.ISTHMUS: Heterogeneous with increased vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional lymphadenopathy.OTHER: No significant abnormality noted. | Heterogeneous, hypervascular thyroid, consistent with thyroiditis. No nodule or regional adenopathy. |
Generate impression based on findings. | Reason: Patient with renal failure, evaluate for hydronephrosis History: renal failure RIGHT KIDNEY: The right kidney measures 13.6 cm in length. There is increased renal parenchymal echogenicity. There is mild hydronephrosis. Right upper pole cyst with a single septation measures 3.4 x 3.5 x 3.5 cm. No focal masses or stones.LEFT KIDNEY: The left kidney is nonvisualized.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | 1. Mild right hydronephrosis.2. Increased renal parenchymal echogenicity, which can be seen in medical renal disease.3. Nonvisualization of the left kidney. |
Generate impression based on findings. | UTI in transplant patient Right iliac fossa renal transplant demonstrates no significant perinephric collection. Expected minimal prominence of collecting system. No worrisome mass or stone. Renal transplant 9.7 cm in length.OTHER: No significant abnormalities noted. | Unremarkable right iliac fossa renal transplant without evidence for significant perinephric collection, stone, or significant hydronephrosis. |
Generate impression based on findings. | Ms. Bishop is a 15 year old female presenting follow-up of left breast mass, likely fibroadenoma. She denies overlying skin changes and nipple discharge. Family history of breast cancer in maternal grandmother. A targeted left ultrasound was performed. In the left breast 10:00 location, approximately 4 cm from the nipple there is redemonstration of a lobulated hypoechoic mass measuring 1.6 x 0.5 x 1.7 cm, previously 2.4 x 1.2 x 2.2 cm . There is mild associated vascularity. | 1.7 cm lobulated mass in the left upper inner breast, likely representing a fibroadenoma, decreased in size from previous exam. Given patient's age and palpability of mass, a surgical consultation is recommended for further evaluation. All results and recommendations were discussed with the patient and her mother. Findings also discussed with patient's breast surgeon, Dr. Bao. BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 77-year-old female with history of stable complex renal and simple cysts bilaterally. Surveillance exam. RIGHT KIDNEY: The right kidney measures 10.2 cm in length. No hydronephrosis. The known minimally complex septated cyst measuring 2.6 x 2.3 x 2.8 cm (prior 2.3 x 1.9 x 2 cm in 2015 and 2.6 x 1.8 x 1.9 cm in 2014) is grossly stable in size accounting for changes in technique. No hydronephrosis.LEFT KIDNEY: The left kidney measures 12.1 cm in length. No hydronephrosis. Large simple cyst of the left lower renal pole measuring 7.6 x 9.4 x 3.6 cm (prior 8.6 x 7.5 x 2.9 cm in 2015 and 6.8 x 6.7 x 2.5 cm in 2014).URINARY BLADDER: Normal distention of the urinary bladder without acute abnormality.OTHER: No significant abnormalities noted. | 1. Grossly stable minimally complex right renal cyst given changes in technique. 2. Slightly increased size of a simple left lower pole renal cyst. |
Generate impression based on findings. | 24-year-old female with right breast lump for 2 months. With physical exam at right 12:00 position near the nipple, no discrete mass was palpated. Focused ultrasound was performed. There are no solid or cystic lesions in the area of concern. There is a small area of mild inflammation in the fatty tissue. | No sonographic evidence for malignancy. Palpable abnormality should be managed clinically. There is a small area of mild inflammation in the right breast near the nipple. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 46-year-old female presents for MR-directed ultrasound for the left breast. History of bilateral mastectomies for left breast cancer in 2015. Focused ultrasound was performed for the left medial breast. There is a hypoechoic mass with irregular margins with increased blood flow at 9:00 position measuring 9 x 4 x 6 mm (prior measurement: 5 x 3 x 5 mm). This lesion corresponds to MR findings. | MR directed ultrasound detected a suspicious lesion at 9:00 position in the left breast, correlating to the MR findings. Ultrasound-guided biopsy is recommended.BIRADS: 4 - Suspicious Abnormality.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 56-year-old female. Follow-up of colloid nodule. RIGHT LOBE MEASUREMENTS: The right thyroid lobe measures 5 x 1.4 x 1.5 cm.LEFT LOBE MEASUREMENTS: The left thyroid lobe measures 4.7 x 1.4 x 1.3 cm.ISTHMUS MEASUREMENTS: The thyroid isthmus measures 0.1 cm in thickness.RIGHT LOBE: Heterogenous echotexture of the right thyroid lobe. In the right lower pole, there is a stable spongiform nodule measuring 0.7 x 0.5 x 0.6 cm (prior 0.6 x 0.5 x 0.5 cm). Mild increased vascularity of the right thyroid lobe.LEFT LOBE: In the left upper/mid pole, there is a spongiform nodule measuring 0.7 x 0.7 x 0.7 cm that has decreased in size (prior 1.1 x 1 x 0.6 cm). Mild increased vascularity of the left thyroid lobe.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1. Decreased size of the spongiform nodule of the left upper/mid pole.2. Stable subcentimeter spongiform nodule of the right lower pole.3. Nonspecific increased vascularity of the thyroid parenchyma, which may be seen in the setting of thyroiditis; clinical correlation suggested. |
Generate impression based on findings. | 34 year old female with a small palpable lump in the right breast With physical exam, a small, mobile mass is palpated at 9:00 position near the nipple in the right breast. With focused ultrasound, there is an oval shaped simple cyst, measuring 5 x 4 mm at the site of palpable lump in the right breast. | Simple cyst in the right breast BIRADS: 2 - Benign finding.RECOMMENDATION: X - No Letter. |
Subsets and Splits