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Generate impression based on medical findings. | 44-year-old female patient with known right thyroid nodule. Evaluate for interval increase in size. Occasional dysphagia. RIGHT LOBE MEASUREMENTS: 6.0 x 3.2 x 2.7 cm.LEFT LOBE MEASUREMENTS: 4.1 x 0.8 x 1.6 cm.ISTHMUS MEASUREMENTS: 3 mm in thickness.RIGHT LOBE: The right thyroid lobe contains an inferior pole heterogeneous nodule with mixed solid and cystic components measuring approximately 4.1 x 4.3 x 2.8 cm, previously 4.0 x 4.2 x 2.6 cm.LEFT LOBE: There is a 0.5 x 0.5 x 0.5 cm hypoechoic solid nodule within the left inferior pole.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign morphology lymph nodes are noted bilaterally.OTHER: No significant abnormality noted. | Dominant complex right thyroid nodule, which is similar in size to the prior study. |
Generate impression based on medical findings. | 61 year old female with right upper quadrant pain. The patient was mildly tender to palpation during exam.LIVER: Findings of cholecystectomy. No biliary dilatation or other acute abnormality. Liver demonstrates subtle coarse echogenicity.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: No significant abnormalities noted. | Findings of cholecystectomy, without acute abnormality. Mild epigastric tenderness during exam. |
Generate impression based on medical findings. | Goiter RIGHT LOBE MEASUREMENTS: 5.4 x 2.1 x 2.3 cmLEFT LOBE MEASUREMENTS: 9.2 x 5.2 x 4.4 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Predominately solid right nodule measuring 3.6 x 2.2 x 1.9 cm; favor benign etiology.LEFT LOBE: Left lobe replaced by predominates solid dominant nodule corresponding to the lesion seen on MR measuring approximately 5.2 x 4.4 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Bilateral thyroid nodules. Dominant left thyroid nodule corresponds to the lesion seen on the recent MR. This lesion will be biopsied today. No regional adenopathy. |
Generate impression based on medical findings. | Thyrotoxicosis. RIGHT LOBE MEASUREMENTS: 5.4 x 2.6 x 1.7 cm. Heterogeneous background echotexture with minimally increased vascularity.LEFT LOBE MEASUREMENTS: 5.5 x 2.4 x 1.5 cm. Heterogeneous background echotexture with minimally increased vascularity.ISTHMUS MEASUREMENTS: 3 mm in AP dimension, within normal limits in sizeRIGHT LOBE: Heterogeneous background gland without discrete nodules.LEFT LOBE: Heterogeneous background gland without discrete nodules.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Not visualized.LYMPH NODES: Benign-appearing cervical lymph nodes identified.OTHER: No significant abnormality noted. | Diffusely heterogeneous thyroid gland with minimally increased vascularity. These findings may be seen in thyroiditis or Graves' disease. |
Generate impression based on medical findings. | 35-year-old pregnant female presents for right axillary ultrasound following physical examination where her physician noted a palpable area. A targeted right axillary ultrasound was performed for the patient’s area of concern. There is no suspicious solid or cystic mass identified. A normal appearing right axillary lymph node is present measuring 1.8 x 0.8 cmm, with normal hilar vascularity. | No sonographic evidence for malignancy. Normal morphology right axillary lymph node. Clinical follow up is recommended to ensure that this result is concordant with physical exam. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on medical findings. | 43-year-old female with anasarca, nephrotic proteinuria. Reason: Evaluate renal tissue. Ultrasound guidance was provided for right kidney biopsy. A total of four passes were made during the right kidney biopsy. | Guidance for right kidney biopsy. |
Generate impression based on medical findings. | 63-year-old male with anemia, neutropenia and abnormal liver function. Evaluate for source of infection and abnormal liver function. LIVER: Liver is significantly echogenic consistent with fatty infiltration or other source of parenchymal dysfunction. There is no focal hepatic abnormality identified.GALLBLADDER, BILIARY TRACT: Gallbladder is decompressed with cholecystostomy tube in place which limits evaluation. The visualized biliary tract is normal in caliber.PANCREAS: Not visualized due to bowel gas.RIGHT KIDNEY: Right kidney is echogenic consistent with parenchymal disease. No hydronephrosis.OTHER: Left kidney is echogenic consistent with parenchymal disease.Diffuse ascites without change. | No significant change.Echogenic liver and kidneys.Ascites. |
Generate impression based on medical findings. | 58-year-old male with history of Budd-Chiari syndrome presents for an ascites check. OTHER: Moderate ascites is in all 4 quadrants of the abdomen. | 1. Moderate diffuse ascites as above. |
Generate impression based on medical findings. | History of pancreatitis with abdominal pain nausea and vomiting CT performed 5/ LIVER: Coarse echogenic liver without mass. Liver length 18.9 cmGALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No ductal dilatationPANCREAS: Abnormal heterogeneous pancreas with multiple calcifications again noted consistent with chronic pancreatitis.RIGHT KIDNEY: No significant abnormalities noted. 12 cm in length.OTHER: Left kidney 12.9 cm in length. Spleen 13.8 cm in length. No ascites. | Echogenic liver parenchyma again noted consistent with chronic liver disease/fatty infiltration without mass or ductal dilatation. Mild hepatomegaly. Status post cholecystectomy. No ascites.Abnormal heterogeneous pancreas with multiple calcifications again noted consistent with chronic pancreatitis; cannot assess for presence of acute pancreatitis |
Generate impression based on medical findings. | Hepatomegaly by physical exam. History renal cell carcinoma status post right nephrectomy LIVER: Multiple bilateral confluent hepatic mass lesions worrisome for metastatic disease. Several these masses demonstrate probable necrosis. The largest mass in the right lobe liver measures 11 x 9.8 cm. GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: AbsentOTHER: Left kidney 10 cm in length. Multiple low attenuation foci within the spleen. Spleen length 12.6 cm. No ascites. Extensive porta hepatis and peripancreatic adenopathy. | Extensive large bilobar confluent hepatic masses worrisome for metastatic disease. Associated with regional adenopathy presumably metastatic. Possible splenic metastases. |
Generate impression based on medical findings. | Male, 68 years old. Urothelial cancer, s/p nephroureterectomy, now with rising creatinine. RIGHT KIDNEY: The right kidney measures 12.3 cm in length, with slightly increased cortical echogenicity. A lower pole simple cyst measures 1.2 x 1.3 x 1.3 cm. A 4 mm nonobstructing mid pole stone is noted. No hydronephrosis.LEFT KIDNEY: Surgically absent.OTHER: The bladder is incompletely distended. | 1.Status post left nephrectomy. Mildly increased right renal cortical echogenicity, compatible with medical renal disease. 2.Small nonobstructing right renal stone. No hydronephrosis. |
Generate impression based on medical findings. | Abnormal LFTs LIVER: Coarse echogenic liver parenchyma without mass. Liver length 15.3 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12.5 cm in length OTHER: Left kidney 11.6 cm in length. Spleen 10.6 cm in length. No ascites. | Coarse echogenic liver parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascites. |
Generate impression based on medical findings. | 77-year-old male with shortness of breath. Evaluate for ascites, liver congestion. LIVER: Normal echogenicity of the liver measuring 16.4 cm in length. There is a subcentimeter calcified granuloma. Portal vein is patent with appropriate directional flow; peak velocity measures 0.2 m/sec.BILIARY TRACT: Thickened gallbladder wall measuring 6 mm in thickness. There is a shadowing stone measuring up to 1.4 cm. No pericholecystic fluid. Sonographic Murphy sign is negative. Mild intrahepatic biliary ductal dilatation is noted. Common bile duct measures 3 mm in caliber.PANCREAS: Normal echogenicity of the visualized pancreas.SPLEEN: Normal echogenicity of the spleen measuring 13.7 cm. Accessory splenule is noted measuring 1.4 cm x 1.5 cm x 1.3 cm.RIGHT KIDNEY: Enlarged measuring 18.4 cm in length. Renal parenchyma is replaced by innumerable cysts, some of which are complex appearing with internal debris.OTHER: Left kidney is also enlarged measuring 16.5 cm in length. Renal parenchyma is also replaced by innumerable cysts, some of which are complex appearing with internal debris.Left pleural effusion. | 1. Gallbladder wall thickening cholelithiasis with no pericholecystic fluid. This may be related to heart disease or renal failure.2. Mild intrahepatic biliary ductal dilatation, with normal caliber of the common bile duct however.3. Left pleural effusion. 4. Bilateral innumerable renal cysts, some of which are complex and contain internal debris. |
Generate impression based on medical findings. | Acute renal insufficiency RIGHT KIDNEY: Echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Benign-appearing renal cyst. Right kidney 7.4 cm in lengthLEFT KIDNEY: Echogenic renal parenchyma without worrisome mass, stone, or hydronephrosis. Benign-appearing renal cyst. Left kidney 8.6 cm in length.OTHER: Bladder nondistended | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on medical findings. | Right middle and lower abdominal pain, assess for ventral hernia. Intact abdominal wall at the region of the sonographic evaluation in right mid/lower abdomen, with no evidence of fascial defect. | No fascial defect to suggest abdominal wall hernia. |
Generate impression based on medical findings. | Renal transplant. Concern for perfusional abnormality. RIGHT TRANSPLANT KIDNEY: Normal parenchymal echogenicity. Normal vascular flow identified. No hydronephrosis present. | Normal vascular flow of the transplant kidney. |
Generate impression based on medical findings. | 64-year-old female with complex renal cyst. Evaluate for stability or change in appearance. RIGHT KIDNEY: The right kidney measures 10.1 cm in length. Cortex is mildly echogenic consistent with parenchymal disease. There is a very small simple cyst in the lower pole. No hydronephrosis, shadowing calculus or solid mass.LEFT KIDNEY: The left kidney measures 11.1 cm in length. Cortex is mildly echogenic consistent with parenchymal disease. Arising from lower pole is a complex cystic mass with some rim calcification measuring 1.9 x 2.7 x 2.5 cm. These measurements may not be directly comparable to those from CT, and size stability over 5 years is consistent with benignity. No hydronephrosis, shadowing calculus or other mass. OTHER: Bladder is decompressed.INDEX LESION MEASUREMENTS (Current exam date/time: 2/19/2016 13:15:00)LEFT LOWER POLE LEFT RENAL MASS: 2.7 x 1.9 cm (Image 10496, Series 2).2.5 cm (Image 12032, Series 2). | Complex cystic left renal mass with measurements as given above |
Generate impression based on medical findings. | History cholecystitis status post stent placement LIVER: Mildly coarse echogenic liver echotexture without worrisome mass. Hepatic cysts again noted. Liver length 17.5 cm.GALLBLADDER, BILIARY TRACT: Gallbladder sludge associated with diffuse gallbladder wall thickening.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Atrophic renal parenchyma with numerous cysts. 14 cm in lengthOTHER: Atrophic left renal parenchyma with numerous cysts. Left kidney 13 7-m in length. Spleen 11.3 cm in length. Mild ascites. | Gallbladder sludge associated with diffuse gallbladder wall thickening without ductal dilatation; chronic inflammation is suspected. Mildly coarse echogenic liver character echotexture without worrisome mass suggestive for chronic liver disease. Atrophic kidneys with numerous cysts bilaterally. |
Generate impression based on medical findings. | Male 75 years old; Reason: of liver, screen for hcc History: same LIVER: The liver measures 18.9 cm in length. There is increased echogenicity of the liver parenchyma. No focal hepatic lesions. No intrahepatic ductal dilation is seen. A hepatic cyst is redemonstrated in the right lobe measuring 1.3 cm x 1.5 cm x 1.5 cm. The main portal vein is patent with normal hepatopetal flow measured at 10.9 cm/s. GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 2.6 mm. No stones are seen. No pericholecystic fluid. The common bile duct measures 4.7 mm in diameter. PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.2 cm and no significant abnormalities are noted.RIGHT KIDNEY: The right kidney measures 12.8 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen.LEFT KIDNEY: The left kidney measures 12.3 cm in length. The cortex has normal echogenicity. No hydronephrosis, stones, or worrisome masses are seen. | Mild hepatomegaly. The liver has increased echogenicity compatible with fatty infiltration/hepatocellular dysfunction. No worrisome masses seen. |
Generate impression based on medical findings. | Reason: enlarged thyroid History: enlarged thyroid RIGHT LOBE MEASUREMENTS: 9.8 x 5.5 x 4.2 cm, previously 9.7 x 5.0 x 2.8 cmLEFT LOBE MEASUREMENTS: 10.3 x 4.5 x 4.2 cm, previously 9.3 x 4.8 x 2.5 cmISTHMUS MEASUREMENTS: 1.8 cm in the AP dimension, previously 1.6 cmRIGHT LOBE: Markedly enlarged right thyroid lobe with extensive heterogeneity and nodularity.Dominant predominantly solid reference nodule in the right lower pole measures approximately 3.2 x 2.3 x 2.8 cm, previously 3.2 x 3.2 x 2.2 cm, however the margins are indistinct and difficult to measure.LEFT LOBE: Markedly enlarged left thyroid lobe with extensive heterogeneity and nodularity. No distinct reference nodules are identified, similar to prior exam.ISTHMUS: Heterogeneous and enlarged gland without interval change.PARATHYROID GLANDS: Not visualized.LYMPH NODES: No significant abnormality noted. No cervical lymphadenopathy.OTHER: No significant abnormality noted. | Stable thyromegaly and multinodular goiter without significant interval change. |
Generate impression based on medical findings. | Female 67 years old Reason: eval for portal vein thrombosis History: hx of HCC, hx of portal vein thrombosis at OSH, hemoglobin drop LIVER: Liver echogenicity is coarse. Liver measures 15.5 cm. There is an ill-defined heterogeneous echotexture mass in the right lobe of the liver extending into the hepatic hilum. There is thrombus in the main portal vein. Posterior branch of the right portal vein could not be visualized. Left portal vein is patent.GALLBLADDER, BILIARY TRACT: Cholelithiasis. Gallbladder wall is thickened. No evidence of intra or extrahepatic biliary dilatation. Common bile duct measures 5.PANCREAS: Not well visualized due to overlying bowel gas.RIGHT KIDNEY: Echogenic kidney. No evidence of hydronephrosis.OTHER: Small amount of ascites. Spleen measures 10.9 cm. | Ill-defined hypoechoic heterogeneous right lobe mass with portal vein thrombosis. Contrast-enhanced MRI is recommended for further evaluation of this mass and thrombus. Small amount of ascites. |
Generate impression based on medical findings. | Renal cysts RIGHT KIDNEY: 9.8 cm in length. No hydronephrosis. No suspicious lesion identified.LEFT KIDNEY: 8.9 cm. No hydronephrosis. The anechoic left midpole cyst measures 1.2 x 1.4 x 1.2 cm, unchanged in size and appearance. The hypoechoic left inferior pole cystic nodule measures 1.9 x 1.7 x 1.6 cm, unchanged in size and appearance.OTHER: No significant abnormalities noted. | Unchanged renal cysts. The lower pole cyst appears simile. The midpole cyst is less sharply defined, but unchanged. |
Generate impression based on medical findings. | 53-year-old female a history of left lumpectomy for IDC and DCIS in April of 2008, status post chemotherapy and radiation. Mammogram: Three standard views of both breasts and two left breast spot compression views were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Post surgical scar with surgical clips is re-demonstrated at upper outer quadrant in the left breast without significant change. Focal asymmetry in the left lower inner breast disperses on spot compression views, however, ultrasound was subsequently performed for confirmation.No suspicious mass or suspicious microcalcifications in either breast. Ultrasound: Targeted left lower, inner quadrant ultrasound was performed. Normal glandular tissue is noted. No suspicious cystic or solid mass noted. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral diagnostic mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on medical findings. | Left testicular pain for several days RIGHT TESTIS: 4.4 x 3.6 x 2.4 cm. No intratesticular massLEFT TESTIS: 4.6 x 3 x 2.2 cm. No intratesticular massRIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: No significant abnormalities noted.DOPPLER: Doppler interrogation of scrotal vessels demonstrates unremarkable bilaterally symmetric Doppler flow characteristics. | Negative scrotal ultrasound. No intratesticular mass, acute inflammatory process, or torsion. Bilaterally symmetric Doppler flow characteristics. |
Generate impression based on medical findings. | 45-year-old female presents with right upper quadrant pain. Evaluate for hepatobiliary pathology. LIVER: The liver measures 16.0 cm. There is mild coarse and increased echogenicity of the hepatic parenchyma. No masses, ascites, or intrahepatic biliary dilation. The portal vein is patent.BILIARY TRACT: The gallbladder wall measures 1.0 mm. No stones or sludge is noted. The common bile duct measures 3.4 mm. No pericholecystic fluid.PANCREAS: Obscured by bowel gas.SPLEEN: The spleen measures 9.1 cm. No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10.7 cm. The cortex has normal echogenicity. No shadowing calculi or masses noted.LEFT KIDNEY: The left kidney measures 10.6 cm. The cortex has normal echogenicity. No shadowing calculi or masses noted.OTHER: No significant abnormalities noted. | 1. Mildly coarse and increased echogenicity of liver suggestive of fatty infiltration or parenchymal dysfunction. No masses or ductal dilation. |
Generate impression based on medical findings. | The patient submitted outside mammograms dated 3/2/2012, 4/11/2012, 6/20/2013 and outside ultrasounds dated 3/22/2012 and 4/11/2012 from Metrosouth Medical Center. Submitted outside study was compared to the current mammogram dated 7/17/2015. A T-shaped clip is identified within the left breast at the 6:00 position which corresponds to a fibroadenoma on prior biopsy performed on 4/11/2012. All the masses in left breast are stable and most likely correspond to benign cysts or fibroadenomas corresponding to the ultrasound dated 3/22/2012. A lesion seen on ultrasound from 3/22/2012 in the right retroareolar region was not reproduced on ultrasound dated 4/11/2012 and therefore biopsy was not performed. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, routine screening mammogram is recommended annually.BIRADS: 2 - Benign finding.RECOMMENDATION: NSB - Screening Mammogram. |
Generate impression based on medical findings. | 27-year-old female with history of a previously palpable breast mass for 3 weeks who presents for evaluation. Patient currently does not palpate a breast mass. Patient complains of nipple tenderness. Denies nipple discharge. No history of past or present breast-feeding.On physical examination, no mass is palpated at the patient's location of concern. No evidence of erythema, edema, or warmth overlying nipple.A targeted left ultrasound was performed for the patient’s area of concern. There is a anechoic focus measuring up to 4 mm without internal vascularity in the skin at approximately 9:00 position, 2 cm from the nipple; findings consistent with an epidermal cyst. There is no solid or cystic mass identified within the breast. | Findings consistent with subcentimeter epididymal cyst.No sonographic evidence of malignancy.If the palpable mass returns, additional evaluation may be warranted. BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on medical findings. | Right upper quadrant pain LIVER: Mildly heterogeneous echogenic liver parenchyma without worrisome mass. Stable hepatic cyst. Liver length 19 cm.GALLBLADDER, BILIARY TRACT: Gallbladder stones and sludge without acute inflammation or duct dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11.7 cm in lengthOTHER: Left kidney 12.4 cm in length. Spleen 7.9 cm in length. Trace ascites. Dilated bowel loops again noted | Mild hepatomegaly with mildly heterogeneous echogenic liver parenchyma suggestive for fatty infiltration/parenchymal dysfunction without worrisome mass or ductal dilatation. Cholelithiasis without acute inflammation. Trace ascites. Dilated bowel loops again noted. |
Generate impression based on medical findings. | 47-year-old female with thyromegaly, follow up cyst. RIGHT LOBE MEASUREMENTS: 5.3 x 2.0 x 1.4 cmLEFT LOBE MEASUREMENTS: 5.8 x 2.2 x 1.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Redemonstration of multiple nodules. The cystic component of the largest nodule in the inferior aspect of the right thyroid is decreased in size since the prior study, now measuring 1.0 x 0.8 x 0.7 cm. Adjacent smaller spongiform and mixed solid/cystic nodules are without significant interval change and most likely benign.LEFT LOBE: Predominantly cystic nodule with internal septations measures 1.6 cm, not significantly changed since the prior study. Adjacent spongiform nodule measuring up to 1.0 cm is also unchanged.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Predominantly cystic thyroid nodules as described above, which are most likely benign. |
Generate impression based on medical findings. | 59-year-old male with right upper quadrant pain LIVER: Measures 15.4 cm in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: Gallbladder sludge without wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis, nephrolithiasis, or solid mass. OTHER: No significant abnormalities noted. | 1. Gallbladder sludge without evidence of cholecystitis or biliary obstruction. 2. Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease, without discrete focal lesion. |
Generate impression based on medical findings. | Evaluate for perinephric abscess and/or ascites. Targeted examination was performed to evaluate for perinephric fluid and ascites. Small pleural effusions are noted. No perinephric fluid collection or significant ascites. Fluid-filled small bowel is noted. | Small pleural effusions without a perinephric fluid collection or significant ascites. |
Generate impression based on medical findings. | Neck swelling. Hypothyroidism. RIGHT LOBE MEASUREMENTS: 2.4 x 2.2 x 6.1 cmLEFT LOBE MEASUREMENTS: 2.6 x 3.5 x 6.3 cmISTHMUS MEASUREMENTS: 6 mm in the AP dimension.RIGHT LOBE: Heterogeneous background thyroid gland with increased vascularity. Several homogeneous slightly hyperechoic solid nodules are noted, the largest of which measures 1.6 cm.LEFT LOBE: Heterogeneous background thyroid gland with increased vascularity. Several homogeneous slightly hyperechoic solid nodules are noted, the largest of which measures 2.0 cm, with mild cystic changesISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Not visualized.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1. Heterogeneous thyroid gland with increased vascularity, which may be seen with acute or chronic thyroiditis.2. Multiple thyroid nodules. |
Generate impression based on medical findings. | 51-year-old female with hepatitis B. Evaluate for HCC. LIVER: Measures 20.2 in length. Increased hepatic echogenicity without discrete focal lesion. Patent portal vein with antegrade flow. BILIARY TRACT: No cholelithiasis. No gallbladder wall thickening, pericholecystic fluid, or biliary ductal dilation. PANCREAS: The pancreas is incompletely imaged due to bowel gas. The imaged portions of the pancreas appear unremarkable. SPLEEN: Unremarkable in size and echogenicity. KIDNEY: No hydronephrosis or nephrolithiasis. Focal contour abnormality of the lateral right kidney seen on limited views likely represents lobulation, but not definitively seen on prior studies, and a mass cannot be entirely excluded.OTHER: No significant abnormalities noted. | 1. Increased hepatic echogenicity consistent with hepatic steatosis or parenchymal disease, without discrete focal lesion. 2. Focal contour abnormality of the lateral right kidney seen on limited views most likely represents lobulation, but not definitively seen on prior studies, and a mass cannot be entirely excluded. Continued attention to this region is recommended on follow-up examinations, and if there is clinical concern a renal protocol CT or MR may be performed for further evaluation. |
Generate impression based on medical 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 medical findings. | 37 year-old female with abdominal distention. Evaluate for liver dysfunction and for ascites. LIVER: Echogenicity of the hepatic parenchyma is minimally coarse without focal mass. The liver measures 12.7 centimeters in length. No dilatation or cystic changes are noted of the intrahepatic or extrahepatic biliary ducts.The main portal vein is patent with normal hepatopedal flow and velocity of 25.6 cm/s.GALLBLADDER, BILIARY TRACT: The gallbladder is normal in appearance. There is no pericholecystic fluid, gallbladder wall thickening or cholelithiasis. The common bile duct measures 0.4 cm in diameter. PANCREAS: The head and proximal body of the pancreas are normal. The tail is obscured by bowel gas.SPLEEN: The spleen is normal in echogenicity and measures 8.7 cm in length. RIGHT KIDNEY: The right kidney measures 12.6 cm in length. Again seen is marked multifocal dilatation of the renal calyces and infundibula, without dilatation of the renal pelvis or ureter, unchanged compared to the previous study. The cortex is markedly atrophic with increased echogenicity. The amount of debris within the dilated calyces of the mid and lower moieties has decreased.LEFT KIDNEY: The left kidney measures 8.2 cm in length. There is mild pelvic calyceal dilatation. Echogenicity is increased. A subcentimeter midpole cyst without septation or solid component is again noted.URINARY BLADDER: The urinary bladder is normal in appearance.OTHER: There is no free or loculated fluid. Left adnexal cystic structure is again noted, incompletely visualized by ultrasound. | Severe hydronephrotic replacement of the right kidney with decreased amount of debris seen on today's examination. Mild pelvicalyceal dilatation and increased echogenicity of the left kidney are unchanged in appearance. No ascites. |
Generate impression based on medical findings. | Worsening LFTs LIMITED ABDOMENLIVER: Coarse echogenic liver echotexture consistent with chronic liver disease again noted. No mass. Liver length 18 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. RIGHT KIDNEY: Echogenic parenchyma without mass or stone or obstruction. Right kidney 10.9 cm in lengthOTHER: Mild to moderate ascites again noted. | Coarse echogenic liver parenchyma again seen consistent with chronic liver disease without mass or ductal dilatation. Mild to moderate ascites again noted. Patent hepatic vessels with normal directional flow.Echogenic right kidney consistent with medical renal disease/parenchymal dysfunction without obstruction. |
Generate impression based on medical findings. | 57-year-old male with renal transplant and elevated white count and creatinine. RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: Expanded kidney measures approximately 11.7 cm in length. Echotexture appears normal. There are multiple cortical cysts as well parapelvic cysts present, the largest measuring up to 4 cm in maximum diameter. Some of these are minimally complex with thin septation.COLLECTING SYSTEM/URETER: When compared to the prior study, there has been almost complete resolution of previously noted hydronephrosis after placement of Foley catheter.URINARY BLADDER: Decompressed. Foley catheter visualized.OTHER: No significant abnormality noted | Almost complete resolution of hydronephrosis when compared to recent exam.Multiple renal cysts. |
Generate impression based on medical findings. | 56-year-old female with palpable subcutaneous nodule in the right upper quadrant. Grayscale and color ultrasound performed in the area of the patient's palpable complaint in the right upper quadrant and additionally on the left side for comparison demonstrate mildly asymmetric partially circumscribed adipose tissue on the right measuring 2.0 x 2.4 x 1.4 cm with thin linear areas of increased echogenicity which most likely represents a lipoma or asymmetrical lobulated subcutaneous fat. No suspicious solid lesions or areas of increased vascularity are present. | Findings as described above most likely represent a lipoma or asymmetric lobulated adipose tissue. |
Generate impression based on medical findings. | History of cirrhosis with progressing ascites LIVER: Cirrhotic morphology again noted without mass. Liver length 15.7 cm.Limited Doppler interrogation of the main portal vein demonstrates a patent portal vein with normal directional flow. Main portal vein velocity 21.7 cm/sGALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 8.5 cm in lengthOTHER: Left kidney 8.9 cm in length. Spleen 11.8 cm in length. Moderate ascites. | Stable cirrhotic morphology without mass or ductal dilatation. Gallbladder sludge without acute inflammation. Limited Doppler interrogation of the main portal vein demonstrates a patent portal vein with normal directional flow. Moderate ascites. |
Generate impression based on medical findings. | Postprandial right upper quadrant pain LIVER: Normal parenchymal echogenicity without mass. Liver length 16.6 cm.GALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or duct dilatation. Possible adenomyomatosisPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.8 cm in length.OTHER: Left kidney 10.9 cm in length. Upper pole left renal cyst. Spleen 11.3 cm in length. No ascites | Gallbladder sludge without acute inflammation or ductal dilatation. Possible adenomyomatosis. Unremarkable liver. No ascites. |
Generate impression based on medical 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 medical findings. | Reason: Hashimoto's, history of subcentimeter thyroid nodules, assess need for FNA RIGHT LOBE MEASUREMENTS: 4.5 x 1.3 x 1.5 cm.LEFT LOBE MEASUREMENTS: 3.8 x 1.0 x 1.6 cm.ISTHMUS MEASUREMENTS: Up to 0.3 cm in thickness.RIGHT LOBE: Mildly heterogeneous background parenchymal echotexture. Multiple nodules. Superior pole heterogeneous but predominantly hyperechoic nodule measuring 0.9 x 0.7 x 1.1 cm. Midpole hypoechoic nodule with internal coarse calcification measuring 0.7 x 0.5 x 0.8 cm. Inferior pole hyperechoic nodule with hypoechoic halo measuring 0.8 x 0.7 x 0.8 cm. LEFT LOBE: Mildly heterogeneous background parenchymal echotexture. Multiple nodules. Midpole hyperechoic nodule measuring 1.2 x 0.8 x 1.1 cm. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Single benign morphology right level 2 cervical lymph node.OTHER: No significant abnormality noted. | 1.Heterogeneous thyroid gland with multiple hyperechoic nodules compatible with clinical history of Hashimoto's thyroiditis.2.Subcentimeter hypoechoic nodule with coarse calcification in right midpole. Continued attention is recommended on subsequent follow-up examinations. |
Generate impression based on medical findings. | 47-year-old female with history of thyroid cancer status post thyroidectomy RIGHT LOBE MEASUREMENTS: Surgically absentLEFT LOBE MEASUREMENTS: Surgically absentISTHMUS MEASUREMENTS: Surgically absentRIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant interval change in hypoechoic focus in the left thyroid bed since the prior study, favored to represent postoperative scarring. No new suspicious lesions are identified.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Scattered cervical lymph nodes with benign morphologic features, without significant interval change.OTHER: No significant abnormality noted. | No significant interval change or evidence of recurrent or metastatic disease. |
Generate impression based on medical findings. | Pancreatitis. Evaluate for cholelithiasis. LIVER: Non-cirrhotic liver morphology. Normal parenchymal echogenicity. Normal portal venous blood flow and direction.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Minimal biliary sludge noted. Otherwise unremarkable appearance of the gallbladder. No gallstones identified, per clinical query.OTHER: No significant abnormalities noted. | No gallstones or biliary ductal dilation. |
Generate impression based on medical findings. | 66-year-old male patient with HCV, cirrhosis. Evaluate for HCC. LIVER: The liver measures 17.9 in length and demonstrates increased parenchymal echogenicity. No focal hepatic lesion is identified. Main portal vein flow is hepatopetal and measures 0.2 m/sec.GALLBLADDER, BILIARY TRACT: The gallbladder is filled with shadowing stones without significant gallbladder wall thickening or pericholecystic fluid. No intra- or extrahepatic biliary ductal dilatation is identified. The common duct measures 3 mm in diameter.PANCREAS: The head and body of the pancreas demonstrate normal echogenicity. The tail is obscured by overlying bowel gas.RIGHT KIDNEY: The right kidney measures 11.8 cm in length. No evidence of hydronephrosis. OTHER: The left kidney measures 11 cm in length. No evidence of hydronephrosis.The spleen measures 11.5 cm in length. | 1. Increased hepatic echogenicity which can be seen with hepatic steatosis/hepatic parenchymal dysfunction. No focal hepatic lesion identified.2. Cholelithiasis without sonographic evidence of acute cholecystitis. |
Generate impression based on medical findings. | 34-year-old male with a history of hepatitis B and a gallbladder polyp. Presents for HCC screening. LIVER: The liver is normal in morphology, echogenicity and size, measuring 16.2 cm in length. No discrete lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.BILIARY TRACT: A normally distended and folded over gallbladder is present. Noted again is a mildly echogenic, non-shadowing nondependent focus measuring 4 x 3 x 4 mm along the gallbladder wall, compatible with a polyp, not significantly changed in size accounting for differences in technique.No diffuse wall thickening, pericholecystic fluid, or focal tenderness.No extrahepatic biliary ductal dilatation.PANCREAS: The visualized portions of the pancreatic body and head are unremarkable.SPLEEN: The spleen is normal in morphology, echogenicity, and size, measuring 10.1 cm in length.RIGHT KIDNEY: The right kidney measures 10.4 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. OTHER: The left kidney measures 11 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident. Color Doppler demonstrates hilar blood flow. | No focal hepatic lesion. Stable subcentimeter gallbladder polyp. |
Generate impression based on medical findings. | 57 year old male patient with history of thyroid cancer and SCC of the neck status post surgery, radiation therapy, and iodine therapy. RIGHT LOBE: Status post thyroidectomy without residual parenchymal tissue identified.LEFT LOBE: Status post thyroidectomy without residual parenchymal tissue identified.ISTHMUS: Status post thyroidectomy.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: There is a left level III 0.5 x 0.5 x 0.6 cm round hypoechoic nodule with slightly increased vascularity and a 0.7 x 0.5 cm left level IV hypoechoic nodule with questioned microcalcification. Additional benign morphology lymph nodes are noted in the left neck.OTHER: No significant abnormality noted. | Two hypoechoic nodules within the left neck which are suspicious for metastatic disease; ultrasound guided biopsy is recommended for further evaluation. |
Generate impression based on medical findings. | Female 15 years old Reason: Any lateral or central neck lymph nodes suspicious for papillary thyroid carcinoma metastasis History: Right 2.6 cm papillary thyroid carcinoma RIGHT LOBE MEASUREMENTS: 6.1 x 2.2 x 1.9 cm.LEFT LOBE MEASUREMENTS: 5.0 x 4.5 x 1.4 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: The midportion of the right thyroid lobe there is a large heterogeneous, primarily hypoechoic nodule with internal punctate calcifications most compatible with known history of papillary thyroid carcinoma.LEFT LOBE: Left thyroid lobe is normal in appearance.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Several small bilateral lymph nodes are present without definite suspicious features.OTHER: No significant abnormality noted. | Large right thyroid nodule with features consistent with papillary thyroid carcinoma. Several small bilateral lymph nodes without definite suspicious features. |
Generate impression based on medical findings. | Call back from screening mammogram for masses in both breasts. An ML view and two spot compression views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense (BiRADS Density Category C), unchanged in pattern and distribution. Multiple circumscribed masses are seen in the right breast at upper outer quadrant and an oval shaped mass seen at 3:00 position in the left breast.In the ultrasound, there are 2 simple cysts at 9:00 position and a small simple cyst at 10:00 position in the right breast. The largest cyst is located at 9:00 position measuring 21 x 10 mm. There is a circumscribed hypoechoic mass measuring 9 x 6 mm at 8:00 position in the right breast, likely a complicated cyst.In the left breast, there are 2 simple cysts at 3:00 position; the larger one measures 22 x 11 mm. | High probability benign complicated cyst at 8:00 position in the right breast, for which ultrasound follow-up is recommended in 6 months. Multiple simple cysts in both breasts. Results and recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on medical findings. | Multiple myeloma with increasing LFTs LIVER: Mildly 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 13.2 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 8 cm in length.RIGHT KIDNEY: No significant abnormalities noted. 9.8 cm in length.OTHER: Left kidney 8.1 cm in length. No ascites. | Mildly heterogeneous and coarse liver echotexture; these findings may be representativeof fatty infiltration or parenchymal dysfunction without mass or ductal dilatation. No ascites. |
Generate impression based on medical findings. | Cirrhosis; HCC screen LIVER: Stable cirrhotic morphology without mass. Liver length 13.1 cm. Limited Doppler interrogation of the main portal vein demonstrates a patent main portal vein with normal directional flow.BILIARY TRACT: Gallbladder absent. No ductal dilatationPANCREAS: No significant abnormalities noted.SPLEEN: 15 cm in lengthRIGHT KIDNEY: AbsentOTHER: Left kidney 12.2 cm in length. Left renal cyst. No ascites. | Stable cirrhotic morphology without mass or ductal dilatation. No ascites. Mild splenomegaly again noted. |
Generate impression based on medical findings. | Hepatitis C. Evaluate for cirrhosis and hepatocellular carcinoma. LIVER: Noncirrhotic liver morphology. No focal hepatic lesions evident. Normal portal venous blood flow.GALLBLADDER, BILIARY TRACT: No biliary ductal dilation. Normal appearance of the gallbladder.PANCREAS: Normal sonographic appearance of the visualized pancreatic head, neck, and proximal body. The distal body and tail are obscured by bowel gas.KIDNEYS: The right kidney is 10.4 cm in length. The left kidney is 9.9 cm in length. No focal renal lesions are seen. No hydronephrosis.SPLEEN: 8.4 cm in length, without focal lesions evident.OTHER: No significant abnormalities noted. No ascites identified. | No sonographic evidence of cirrhosis or findings suspicious for hepatocellular carcinoma. |
Generate impression based on medical findings. | Male 38 years old; Reason: Evaluate for recurrence of thyroid cancer History: hx of thyroid cancer The patient is status post total thyroidectomy for papillary cancer.RIGHT THYROIDECTOMY BED: There is a lobular hypoechoic focus seen within the right thyroidectomy bed measuring 0.4 cm x 0.4 cm x 0.4 cm. There is some mild internal complexity. This does not appear to have any internal vascular flow. No discrete microcalcifications are seen.LEFT THYROIDECTOMY BED: No suspicious lesions for recurrence.LYMPH NODES: No suspicious adenopathy noted. | There is a hypoechoic focus within the right thyroidectomy bed, as above. No prior ultrasounds are available for comparison, however if this is a new finding this may be concerning for a possible recurrence. No suspicious regional adenopathy is identified. |
Generate impression based on medical findings. | Acute obstructive renal failure, evaluate for hydronephrosis RIGHT KIDNEY: Echogenic kidney measures 10.9 cm. No hydronephrosis or mass. LEFT KIDNEY: Echogenic kidney measures 12.3 cm. No hydronephrosis or mass. OTHER: The bladder is not distended. Foley catheter in the bladder. | No hydronephrosis. Medical renal disease. |
Generate impression based on medical findings. | Shortness of breath. Thyroid nodules. RIGHT LOBE MEASUREMENTS: 3.9 x 1.2 x 1.8 cm. Normal in size with normal background echotexture and vascularity.LEFT LOBE MEASUREMENTS: 3.5 x 1.9 x 1.5 cm. Normal in size with mildly heterogeneous echotexture and normal vascularity.ISTHMUS MEASUREMENTS: 4 mm in AP dimension.RIGHT LOBE: No significant abnormality noted.LEFT LOBE: Mild background heterogeneity, with a 5 mm mildly hypoechoic nodule identified in the superior pole. No suspicious features are evident.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: Not visualized.LYMPH NODES: Benign-appearing lymph nodes identified.OTHER: No significant abnormality noted. | 5 mm left thyroid nodule, without suspicious features evident. |
Generate impression based on medical findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. 3-D whole breast ultrasound was performed for both breasts and images were reviewed on an independent workstation. Multiple cysts are present in both breasts.There is no solid mass identified. | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on medical findings. | Chronic renal disease RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 11.17 m in lengthLEFT KIDNEY: Echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Left kidney 10.9 cm in length. Minimally complex benign-appearing renal cyst.OTHER: Bladder nondistended | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on medical findings. | Female, 48 years old. Hypertension RIGHT KIDNEY: The right kidney measures 10.9 cm in length, with normal cortical echogenicity. No shadowing stones or hydronephrosis.LEFT KIDNEY: The left kidney measures 11.6 cm in length, with normal cortical echogenicity. No shadowing stones or hydronephrosis.OTHER: The bladder is incompletely distended. | Normal renal ultrasound. No hydronephrosis. |
Generate impression based on medical findings. | 54-year-old male with hepatitis C cirrhosis. Evaluate for hepatocellular carcinoma. LIVER: Liver is enlarged measuring 22 cm in length and coarsely echogenic with cirrhotic morphology. No focal hepatic masses identified. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.BILIARY TRACT: Gallbladder is poorly distended due to postprandial state and therefore wall cannot be well assessed. There is again noted a nondependent focal echogenic area in the gallbladder wall measuring 2 to 3 mm consistent with polyp. Biliary tract is normal in caliber.PANCREAS: Limited due to bowel gasSPLEEN: Upper normal mildly enlargedRIGHT KIDNEY: No significant abnormalities noted. . No mass identified.OTHER: Periportal lymph nodes which are nonspecific in face with cirrhosis. | Stable exam with cirrhotic liver |
Generate impression based on medical findings. | Thyroid nodules RIGHT LOBE MEASUREMENTS: 5.3 x 1.8 x 2.2 cmLEFT LOBE MEASUREMENTS: 4.4 x 2.1 x 1.6 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: No significant change in multiple mixed cystic, solid, and spongiform nodules. Representative upper pole nodule measures 0.9 x 0.6 x 0.9 cm. Representative inferior nodule measures 1 x 0.8 x 0.9 cm.LEFT LOBE: No significant change in multiple mixed cystic, solid, and spongiform nodules. Representative upper pole nodule measures 0.7 x 0.4 x 0.7 cm.ISTHMUS: No change in multiple mixed cystic, solid, and spongiform nodules.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable multiple bilateral mixed cystic, solid, and spongiform nodules. No regional adenopathy. |
Generate impression based on medical findings. | Cholelithiasis with history of cirrhosis LIVER: Cirrhotic morphology without mass. Liver length 13 cmGALLBLADDER, BILIARY TRACT: Stable cholelithiasis without acute inflammation or ductal dilatation.PANCREAS: Stable subcentimeter pancreatic cyst.RIGHT KIDNEY: No significant abnormalities noted. Stable renal cysts. Right kidney 11.2 cm in lengthOTHER: Stable left renal cyst. Left kidney 11.1 cm in length. Spleen 10.2 cm in length. No ascites. | Stable cirrhotic morphology without mass or ductal dilatation. No ascites. Stable subcentimeter pancreas cyst. Stable cholelithiasis without acute inflammation or ductal dilatation. |
Generate impression based on medical findings. | Male; 30 years old. Reason: Evaluate for gallstones. History: ruq pain LIVER: The liver measures 12.0 cm in length. The liver capsule is smooth and the liver parenchyma demonstrates normal echogenicity. Within the right lobe of the liver is a 10 x 9 x 7 mm solid, hyperechoic lesion with no flow on color Doppler.The main portal vein is patent and demonstrates a normal direction of flow with a peak velocity of 20 cm/sec.BILIARY TRACT: The gallbladder is normal in appearance. There is no evidence of cholelithiasis, gallbladder wall thickening, or pericholecystic fluid. The common bile duct measures 3 mm. There is no intrahepatic biliary ductal dilatation.PANCREAS: The visualized head of the pancreas is unremarkable. The body and tail are obscured by overlying bowel gas.SPLEEN: The spleen measures 10.1 cm in length.RIGHT KIDNEY: The right kidney measures 10.7 cm in length. There is no hydronephrosis. OTHER: The left kidney measures 12.0 cm in length. There is no hydronephrosis. | 1.No cholelithiasis and no evidence of cholecystitis.2.1 cm hyperechoic liver lesion most compatible with hemangioma. |
Generate impression based on medical findings. | 53-year-old female patient with history of thyroid cancer. One year follow-up study. Evaluate for adenopathy or recurrence. RIGHT LOBE: Status post thyroidectomy without evidence of residual or recurrent tissue within the thyroidectomy bed.LEFT LOBE: Status post thyroidectomy without evidence of residual or recurrent tissue within the thyroidectomy bed.ISTHMUS: Status post thyroidectomy without evidence of residual or recurrent tissue within the thyroidectomy bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | No specific evidence of disease recurrence or lymphadenopathy. |
Generate impression based on medical findings. | Female; 63 years old. Reason: Rising creatinine, decreased urine output, hematuria 3 days ago History: Rising creatinine recent stem cell transplant on chemo. RIGHT KIDNEY: Right kidney measures 9.6 cm in length. Renal cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone, suspicious mass.LEFT KIDNEY: The left kidney measures 12.4 cm in length. The renal cortex is normal in echogenicity. There is no hydronephrosis, shadowing renal stone or suspicious mass.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | No hydronephrosis. |
Generate impression based on medical findings. | Male 78 years old; Reason: cirrhosis -- assess for hepatoma History: some weight loss LIVER: The liver measures 17.3 cm in length. There is heterogeneous increased echogenicity of the liver parenchyma. The liver is coarse and nodular in appearance. The main portal vein is patent with normal hepatopetal flow measured at 27.9 cm/s. Numerous anechoic cysts are revisualized from prior ultrasound without significant change. Small hyperechoic foci seen on prior ultrasound are not redemonstrated on this study.GALLBLADDER/BILIARY TRACT: The gallbladder wall measures 1.8 mm. Several small echogenic stones are seen along with a small amount of layering sludge. No pericholecystic fluid. The common bile duct measures 2.5 mm in diameter. There is no intrahepatic ductal dilation.PANCREAS: Portions of the pancreas are obscured by bowel gas with visualized portions normal in appearance.SPLEEN: The spleen measures 10.8 cm and no significant abnormalities are noted. A small splenule is revisualize superiorly.RIGHT KIDNEY: The right kidney measures 8.4 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen. Very small renal cysts are visualized from prior ultrasound.LEFT KIDNEY: The left kidney measures 8.8 cm in length. The cortex has increased echogenicity. No hydronephrosis, stones, or worrisome masses are seen. A renal cyst is revisualized superiorly measuring 4.3 cm x 2.4 cm x 3.5 cm. Another anechoic cyst is seen at the lower pole measuring 3.8 cm x 2.5 cm x 3.6 cm.ABDOMINAL AORTA: The abdominal aorta is patent with appropriate directional flow and peak systolic velocity of 75.7 cm/s. The proximal portion of the abdominal aorta was measured 2.0 cm x 2.4 cm. The midportion which measured 1.9 cm x 1.6 cm. The distal portion was measured 2.9 cm x 2.2 cm.INFERIOR VENA CAVA: The IVC is patent with hepatofugal flow.ILIAC ARTERIES: The bilateral iliac arteries are patent with appropriate directional flow. The left iliac measures 1.4 cm x 1.1 cm. The right iliac measures 1.4 cm x 1.4 cm.OTHER: The bladder is visualized without any significant abnormalities noted. | 1. Cirrhotic morphology is again redemonstrated with scattered small hepatic cysts as seen on prior ultrasound. Small echogenic foci seen on prior ultrasound were not revisualized on this study. No new worrisome masses are seen within the liver.2. Cholelithiasis without overt sonographic evidence of acute cholecystitis.3. Bilateral echogenic kidneys compatible with medical renal disease.4. The distal portion of the abdominal aorta has mild aneurysmal dilatation measuring 2.9 cm x 2.2cm. |
Generate impression based on medical findings. | 70-year-old female complains of right upper quadrant pain. Evaluate for gallbladder pathology. LIVER:The liver measures approximately 15.8 cm. There is increased and coarse echotexture of the parenchyma. No mass, ascites, or intrahepatic biliary dilation. The portal vein is patent with normal hepatopedal flow.GALLBLADDER, BILIARY TRACT: The gallbladder appears normal without stones or sludge. The gallbladder wall measures approximately 0.2 cm. The common bile duct measures 0.1 cm. No pericholecystic fluid.PANCREAS: Evaluation the pancreas is limited due to overlying bowel gas.SPLEEN: The spleen measures 7.5 cm without sonographic abnormalities.KIDNEYS: The right kidney measures 10.1 cm. The cortex has increased echogenicity. No shadowing calculi, worrisome mass, or hydronephrosis. The left kidney measures 10.0 cm. The cortex has increased echogenicity. No shadowing calculi, or worrisome mass, or hydronephrosis. OTHER: No significant abnormality noted. | 1. Increased, coarse echotexture of the liver consistent with chronic liver disease/parenchymal dysfunction. No masses or ascites.2. Increased echogenicity of the kidneys consistent with medical renal disease/parenchymal dysfunction. No stone, worrisome mass, or hydronephrosis.3. No sonographic evidence of biliary pathology. |