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Generate impression based on findings. | Thyroid carcinoma status post thyroidectomy RIGHT LOBE: Status post thyroidectomy without massLEFT LOBE: Status post thyroidectomy without massISTHMUS: Status post thyroidectomy without massPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Status post thyroidectomy without worrisome mass or regional adenopathy. |
Generate impression based on findings. | Renal transplant with decreased urine output RENAL TRANSPLANT: LOCATION: Right iliac fossaPERITRANSPLANT TISSUES: No significant abnormality notedKIDNEY: No significant abnormality noted. Transplant kidney 12.7 cm in lengthCOLLECTING SYSTEM/URETER: No significant abnormality notedURINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels The examination was technically limited due to overlying gas. Although some arterial and venous waveforms could be elicited when interrogating the iliac vessels and transplant renal vessels, these tracings cannot be reliably interpreted.OTHER: No significant abnormality noted | The examination was technically limited due to overlying gas. Although some arterial and venous waveforms could be elicited when interrogating the iliac vessels and transplant renal vessels, these tracings cannot be reliably interpreted. No evidence for significant perinephric collection or hydronephrosis. |
Generate impression based on findings. | Palpable left breast lump. Family history of breast cancer in sister at age 70. Three standard views of both breasts and 2 spot compression views of both breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is almost entirely fatty. There is an irregular 3 cm hyperdense mass in the left upper inner breast at anterior depth with irregular margins without associated calcifications. No definite satellite lesions are seen.There is a focal asymmetry that measures 0.6 cm in the right lower outer breast persists on spot compression views.ULTRASOUND: | 1. Irregular mass in the 11:00 o'clock position in the left breast is highly suspicious for malignancy. 2. Focal asymmetry in the right lower outer breast corresponds with normal appearing intramammary lymph node on ultrasound.Findings discussed with Dr. Jaskowiak and patient was scheduled for same day appointment.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Hypothyroidism RIGHT LOBE MEASUREMENTS: 5 x 2.3 x 2.4 cmLEFT LOBE MEASUREMENTS: 5.2 x 2.3 x 1.9 cmISTHMUS MEASUREMENTS: 0.9 cmRIGHT LOBE: Heterogeneous gland. 0.6 x 0.6 x 0.6 cm calcified mid pole nodule.LEFT LOBE: Heterogeneous gland. 0.9 x 0.8 x 1.3 cm mostly cystic nodule lower pole left thyroidISTHMUS: Heterogeneous glandPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Heterogeneous thyroid gland. Subcentimeter calcified right thyroid nodule. Mostly cystic left thyroid nodule as described. No regional adenopathy. |
Generate impression based on findings. | 36 year old female at 22 weeks gestation presents for right breast ultrasound. Patient states she had warm, erythematous, and extremely tender right breast two weeks ago, which has somewhat resolved with warm compresses. Physician palpated right breast nodule. On physical examination, there is diffuse nodular pattern of glandular tissue appreciated, compatible with the patients gravid state. No discrete palpable mass is identified.A targeted right ultrasound was performed for the patient’s area of concern. There is no solid or cystic mass identified. | No sonographic evidence for malignancy. If the patients physical examination remains normal, she should return for annual screening mammograms, beginning at age 40. Result and recommendations were discussed with the patient.BIRADS: 1 - Negative.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | Thyroid nodules RIGHT LOBE MEASUREMENTS: 6 x 1.5 x 1.2 cm LEFT LOBE MEASUREMENTS: 5.4 x 1.2 x 0.7 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Solid lower pole nodule with coarse internal calcifications. Nodule measures 2.1 x 1 x 1.2 cm.LEFT LOBE: Hypoechoic subcentimeter nodule measuring 0.4 x 0.2 x 0.47 m.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Dominant solid nodule with internal coarse calcifications lower pole right thyroid gland. This nodule is amenable to ultrasound guided percutaneous biopsy. No regional adenopathy. |
Generate impression based on findings. | ATN with high urine output RIGHT KIDNEY: Mildly echogenic kidney without mass, stone, or hydronephrosis. Right kidney 13.1 cm in lengthLEFT KIDNEY: Mildly echogenic kidney without mass, stone, or hydronephrosis. The kidney 12.8 cm in length.OTHER: Bladder collapsed | Mildly echogenic kidneys consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | Renal insufficiency RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 12.5 cm in lengthLEFT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. 12.3 cm in lengthOTHER: Bladder nondistended | Echogenic renal parenchyma suggestive for medical renal disease/parenchymal dysfunction without mass, stone, or obstruction |
Generate impression based on findings. | Renal transplant RENAL TRANSPLANT: LOCATION: Left iliac fossaPERITRANSPLANT TISSUES: 5.2 x 3.5 x 2.9 cm hypoechoic focus anterior to the iliac vessels on the left separate from the transplanted kidney. This lesion demonstrates internal vascularity.KIDNEY: The transplanted left iliac fossa kidney could not be evaluated due to extensive overlying gas.COLLECTING SYSTEM/URETER: Not visualized due to overlying gasURINARY BLADDER: No significant abnormality notedVASCULAR DOPPLER DATA: Color and spectral Doppler were performed on inflow and outflow vessels Vessels could not be interrogated due to extensive overlying gasOTHER: No significant abnormality noted | Left iliac fossa renal transplant could not be visualized and vessels could not be interrogated due to persistent extensive overlying bowel gas.Indeterminate hypoechoic lesion anterior to the iliac vessels. This lesion could not be fully characterized due to overlying gas. |
Generate impression based on findings. | Multinodular goiter RIGHT LOBE MEASUREMENTS: 7.5 x 3.3 x 1.7 cmLEFT LOBE MEASUREMENTS: 6.7 x 3 x 2.2 cmISTHMUS MEASUREMENTS: 1 cmRIGHT LOBE: Diffusely heterogeneous lobe unchanged. Stable multiple nodules. Reference midpole nodule measures 0.8 x 0.8 x 0.3 cm.LEFT LOBE: Diffusely heterogeneous lobe unchanged. Stable nodules. Reference low module measures 1.3 x 0.8 by 1.2 cm.ISTHMUS: Diffusely heterogeneous lobe unchangedPARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | No significant change in heterogeneous thyroid gland with multiple thyroid nodules. |
Generate impression based on findings. | Epigastric pain LIVER: No significant abnormalities noted. 12 cm in lengthGALLBLADDER, BILIARY TRACT: 0.6 x 0.6 x 0.5 centimeter gallbladder polyp. Gallbladder otherwise unremarkable. No ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 9.7 cm in lengthOTHER: Stable left renal cyst. Left kidney 10.2 cm in length. Spleen 6.1 cm in length. No ascites. | Subcentimeter gallbladder polyp. Otherwise unremarkable hepatobiliary system. No ascites. Stable left renal cyst. |
Generate impression based on findings. | 43-year-old female patient with history of right breast cancer containing LCIS and DCIS. Evaluate for interval change status post holistic therapy. Patient feels that tumor is different in size. A targeted right breast ultrasound was performed. There is an ill-defined mass in the right upper outer quadrant with hyperechoic calcifications. A portion of this mass at the 10:30 position, 6 cm from the nipple, in the right breast measures 2.3 x 1.1 x 2.0 cm, previously 2.5 x 1.3 x 2.5 cm. A second portion of the mass towards the nipple at the 10:30 position measures 3.8 x 2.4 x 1.6, previously approximately 3.4 x 2.2 x 2.7 cm. The total extent of the mass measures 6.5 x 3.0 cm. | No significant interval change in size of known right breast malignancy compared to prior ultrasound given differences in technique.BIRADS: 6 - Known cancer.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 16-year-old female at 28 weeks gestation with palpable left breast lump. On physical examination, there is a pea-sized mobile mass along the medial inframammary fold. A targeted left ultrasound was performed for the palpable area of concern. A 0.4 x 0.3 x 0.3 cm cyst is present subjacent to the area of palpable concern at the 8:00 position, 10 cm from the nipple. This cyst has a tail extending to the cutaneous surface, compatible with a sebaceous cyst. | Sebaceous cyst corresponding to the area of palpable concern in the left breast. No sonographic evidence for malignancy. The patient was instructed to return to her referring physician for clinical management.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | Asymptomatic female with dense breasts presents for whole breast ultrasound for dense breast screening. History of right mastectomy for ILC in 2011. 3-D whole breast ultrasound was performed for left breasts and images were reviewed on an independent workstation. There is no solid or cystic mass identified. | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: ND - Routine Diagnostic Mammogram. |
Generate impression based on findings. | History of fatty liver LIVER: Echogenic heterogeneous echotexture without mass. Liver length 19.4 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 12.6 cm in lengthOTHER: Left kidney 12 cm in length. Spleen 11.7 cm in length. No ascites | Echogenic heterogeneous liver echotexture consistent with fatty infiltration without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | Abdominal distention abdominal pain No abdominal ascites | No abdominal pelvic ascites |
Generate impression based on findings. | Abdominal pain LIVER: No significant abnormalities noted. 17.1 cm in lengthGALLBLADDER, BILIARY TRACT: Gallbladder sludge without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.1 cm in lengthOTHER: Left kidney 11.1 cm in length. Spleen 10.9 cm in length. Right pleural effusion. | Gallbladder sludge without acute inflammation or ductal dilatation. |
Generate impression based on findings. | Thyroid nodules RIGHT LOBE MEASUREMENTS: 4.4 x 1.9 x 1.5 cmLEFT LOBE MEASUREMENTS: 3.8 x 1.7 x 1.2 cmISTHMUS MEASUREMENTS: 0.4 cmRIGHT LOBE: Stable solid nodule measuring 1.4 x 1.2 x 1.4 cm.LEFT LOBE: Stable lower pole solid nodule measuring 0.9 x 0.9 cm.ISTHMUS: Stable left isthmus nodule measuring 0.9 x 0.6 x 0.8 cm.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable thyroid nodules. |
Generate impression based on findings. | Evaluate for a left axillary lymph nodes. Known left breast cancer. A targeted left ultrasound was performed for the axillary region. Multiple lymph nodes with uniformly thickened cortices, retained hila and retained hilar blood flow are seen. There is no suspicious morphology lymph node or solid or cystic mass identified. | No suspicious morphology axillary lymph node. The patient will be seeing Dr. Chhablani again today.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 44-year-old with right breast cellulitis. Right breast ultrasound was performed. There is an irregularly-shaped hypoechoic lesion with increased vascularity, measuring 36 x 23 mm at two o'clock retroareolar region, consistent with abscess formation. Diffuse skin thickening and edema is seen in the right breast. | Abscess formation at two o'clock retroareolar region in the right breast. Diffuse skin thickening and edema in the right breast.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 48-year-old male with history of pancreatic cancer. Status post I. R. percutaneous drain for perihepatic fluid collection. LIVER: The liver is within normal limits. Findings of chronic gallbladder inflammation, such as gallbladder wall thickening without significant pericholecystic fluid. The gallbladder is not well distended, and likely has small gallstones/sludge.BILIARY TRACT: No biliary dilatation.PANCREAS: Pancreas is not well visualized.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. OTHER: The previously seen perihepatic anterior superficial fluid collection contains a pigtail drain, and no significant amount of fluid. | Perihepatic drain within a near completely collapsed pocket as above. |
Generate impression based on findings. | 26 year old female with history of renal stone. RIGHT KIDNEY: The right kidney measures 10.3 cm, and has mild hydronephrosis. Multiple small right renal stones are seen, the largest of which measures approximately 6 mm in diameter.LEFT KIDNEY: The left kidney measures 10.2 cm, and also has mild hydronephrosis. Multiple small left renal stones are seen.OTHER: Incidentally noted right adnexal physiologic cyst. | Bilateral mild hydronephrosis, with small renal stones. |
Generate impression based on findings. | 79 year old female with history of kidney stones. The kidneys are difficult to visualize bilaterally due to low signal to noise ratio.RIGHT KIDNEY: The right kidney measures 9.8 cm. No significant hydronephrosis.LEFT KIDNEY: The left kidney measures approximately 9.9 cm, and has no significant hydronephrosis. There is a small left lower pole calculus which measures approximately 1 cm in greatest diameter.OTHER: No significant abnormalities noted. | Small left renal calculus, without significant hydronephrosis as above. |
Generate impression based on findings. | 53 year old female with history of hepatitis C, evaluate for hepatoma. LIVER: The liver measures 16.7 cm, and has unchanged coarse echotexture. The main portal vein is patent. No focal liver lesion is identified.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted, and there is no biliary dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: The right kidney measures 10 cm. No hydronephrosis.OTHER: Left kidney measures 11.5 cm, and there is no hydronephrosis. Spleen length is 10.6 cm. | Mildly coarse echogenicity of the liver, without focal mass or lesion. |
Generate impression based on findings. | 63-year-old male with history of hepatitis B, s/p liver transplant. Evaluate for trauma. LIMITED ABDOMENLIVER: 16.8 cm length. Again noted is heterogeneous echotexture, and a small stable cyst. No focal masses.BILIARY TRACT: Gallbladder is surgically absent. No intrahepatic or extrahepatic biliary dilatation.PANCREAS: Obscured by bowel gas.SPLEEN: 11.6 cm length. RIGHT KIDNEY: 9.3 cm in length. No hydronephrosis or hydroureter.OTHER: Left kidney 10.4 cm in length. Left lower pole cyst, measuring 2.5 x 3.8 x 2.7 cm. No hydronephrosis. | Patent vasculature, with no focal liver masses or other significant abnormality. Unchanged exam. |
Generate impression based on findings. | Nasopharyngeal carcinoma with left thyroid nodule RIGHT LOBE MEASUREMENTS: 4.9 x 2.0 x 1.8 cmLEFT LOBE MEASUREMENTS: 6.7 x 2.3 x 1.4 cmISTHMUS MEASUREMENTS: 0.1-cmRIGHT LOBE: Diffusely heterogeneous gland. Subcentimeter calcified nodule within the midpole measuring 0.5 x 0.6 x 0.5 cm.LEFT LOBE: Diffusely heterogeneous gland. 2.3 x 2 x 1.3 cm predominantly solid left thyroid nodule.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Diffusely heterogeneous thyroid gland. Dominant predominantly solid left thyroid nodule corresponding to the lesion seen on the recent chest CT. This lesion will be biopsied today. |
Generate impression based on findings. | Right upper quadrant pain LIVER: No significant abnormalities noted. Liver length 18.3 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.2 cm in lengthOTHER: Left kidney 10.2 cm in length. Spleen 8.2 cm in length. No ascites. | Cholelithiasis without acute inflammation or ductal dilatation. |
Generate impression based on findings. | Acute renal failure RIGHT KIDNEY: Atrophic echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Right kidney 10.6 cm in length.LEFT KIDNEY: Atrophic echogenic parenchyma without worrisome mass, stone, or hydronephrosis. Left renal cyst. Left kidney 10.4 cm in length.OTHER: Nondistended | Atrophic echogenic parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction. |
Generate impression based on findings. | Elevated creatinine RIGHT KIDNEY: Echogenic renal parenchyma without stone or hydronephrosis. Multiple cystic foci some demonstrating internal increased echogenicity and complexity. Right kidney 10.2 cm in length.LEFT KIDNEY: Echogenic renal parenchyma without stone, worrisome mass, or hydronephrosis. Left kidney 7.9 cm in length.OTHER: Bladder nondistended | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without stone or obstruction. Multiple cystic foci involving the right kidney some with increased internal echogenicity and complexity. Would pay special attention to these lesions on future surveillance scans as clinically relevant. |
Generate impression based on findings. | Acute liver failure LIMITED ABDOMENLIVER: Coarse echogenic liver echotexture without mass. Liver length 23.3 cm.BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 11 cm in length RIGHT KIDNEY: No significant abnormalities noted. 14.2 cm in lengthOTHER: 3.5 by 5 x 3.8 cm solid hypoechoic mass arising from the midpole of the left kidney. Left kidney 11.9 cm in length. Trace ascites. Right pleural effusion. | Hepatomegaly with coarse echogenic parenchyma consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. Patent hepatic vessels with normal directional flow. Trace ascites.Worrisome mass lesion arising from midportion of left kidney. A neoplastic lesion cannot be excluded. This lesion is also appreciable on the noncontrast outside CT. Would recommend correlation with dedicated renal CT. |
Generate impression based on findings. | Thyroid nodules RIGHT LOBE MEASUREMENTS: 5.4 x 2.3 x 1.7 cmLEFT LOBE MEASUREMENTS: 5 x 1.3 x 0.8 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Stable dominant inferior pole solid nodule measuring 2 x 1.4 x 1.7 cm. Stable subcentimeter hypoechoic mid pole focus measuring 0.5 x 0.6 x 0.3 cmLEFT 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. | Stable right thyroid nodules. No regional adenopathy. |
Generate impression based on findings. | 59 year old female presents for hepatocellular carcinoma screening. Participant in a clinical trial. LIVER: Subtle heterogeneous echogenicity of the liver, with contour nodularity consistent with early cirrhosis. No identifiable masses. The liver measures 20.7 cm.BILIARY TRACT: No biliary dilatation. Small amount of gallbladder sludge/debris. No pericholecystic fluid or gallbladder wall thickening.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. The spleen measures 10.7 cm.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 12.3 cm.OTHER: No significant abnormalities noted. The left kidney measures 10.2 cm, and has a small superior pole exophytic simple cyst measuring 2.5 x 2.1 x 2.6 cm. | Findings of early hepatic cirrhosis, with no identifiable liver masses. |
Generate impression based on findings. | Abdominal pain LIVER: Coarse echogenic liver parenchyma. No mass lesion. Liver length 22 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 11 cm in length.OTHER: Left kidney 11.7 cm in length. Spleen 10 cm in length. No ascites. | Hepatomegaly with coarse echogenic liver parenchyma suggestive for fatty infiltration/parenchymal dysfunction without mass or ductal dilatation. No ascites. |
Generate impression based on findings. | 49 year old female with history of right upper quadrant pain after meals. Please evaluate gallbladder. LIVER: No significant abnormalities noted. The liver measures 19 cm in length.BILIARY TRACT: Cholelithiasis, without gallbladder wall thickening or pericholecystic fluid to suggest cholecystitis. No biliary dilatation.PANCREAS: No significant abnormalities noted. There is an approximately 3 x 2 x 1 cm hypoechoic focus near the head of the pancreas, nonspecific and likely representing a lymph node.SPLEEN: No significant abnormalities noted. The spleen measures 8 cm in length.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 11.7 cm.OTHER: No significant abnormalities noted. The left kidney measures 10 cm. | Cholelithiasis, without findings of cholecystitis. Small lymph node near the head of the pancreas, nonspecific. |
Generate impression based on findings. | Left testicular pain RIGHT TESTIS: 4.6 x 2.8 x 2 .0 centimeters. No intratesticular mass. Bilaterally symmetric Doppler flow characteristicsLEFT TESTIS: 0.6 x 3.1 x 2.1 cm. No intratesticular mass. Bilaterally symmetric Doppler flow characteristicsRIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Negative scrotal ultrasound. No evidence for intratesticular mass, acute inflammation, or torsion. |
Generate impression based on findings. | 64-year-old male with history of cirrhosis. Evaluate for HCC. LIVER: The liver measures 12.4 cm, and has a coarse, hyperechoic parenchyma consistent with history of cirrhosis. No masses are seen.BILIARY TRACT: No significant abnormalities noted. Gallbladder wall thickening is again seen, unchanged, and there is no biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. The spleen measures 16.4 cm.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 8.7 cm.OTHER: No significant abnormalities noted. The left kidney measures 9.3 cm. | Coarse hepatic parenchymal echotexture, without focal mass. |
Generate impression based on findings. | 93 year old female with history of synthetic dysfunction of the liver. Evaluate for congestive hepatopathy, portal hypertension, and metastatic liver disease. LIVER: No masses or significant abnormalities noted.BILIARY TRACT: The gallbladder is contracted, and appears to be full of stones/sludge, with no wall thickening. No significant pericholecystic fluid. No biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Increased kidney echogenicity, suggestive of medical renal disease. The right kidney measures 9.4 cm, and contains a 2 x 1.4 x 1.3 cm simple cyst.OTHER: The left kidney measures 9.7 cm, and has increased parenchymal echogenicity suggestive of medical renal disease. | 1.No hepatic masses or other significant hepatic abnormality.2.Cholelithiasis as above.3.Increased kidney echogenicity, suggestive of medical renal disease. |
Generate impression based on findings. | 52-year-old male with history of liver transplant and right flank pain. Evaluate for capsular hematoma. LIVER: Perihepatic bland fluid is seen, may represent ascites although this is nonspecific. There is no internal vascularity or mixed echogenicity of the fluid.BILIARY TRACT: No significant abnormalities noted.OTHER: Skin thickening is noted over the incision site, correlate with physical exam to exclude cellulitis. | Bland perihepatic fluid is noted, may represent ascites. No hepatic capsular hematoma is seen. |
Generate impression based on findings. | 52 year old female with history of decompensated Nash cirrhosis and one of overload. LIMITED ABDOMENLIVER: Coarse hepatic echogenicity consistent with history of cirrhosis. No discrete masses are identified.BILIARY TRACT: No biliary dilatation. There is gallbladder wall thickening which is likely related to the patient's ascites.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. The spleen measures 13.3 cm. RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 9 cm.OTHER: Moderate amount of ascites. The left kidney measures 10.9 cm. | 1.Hepatic cirrhosis with moderate ascites.2. Probable cavernous transformation of main portal vein. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. 10.7 cm in lengthLEFT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. 10 cm in lengthOTHER: Bladder nondistended | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Echogenic renal parenchyma without mass, stone, or hydronephrosis. 10.1 cm in lengthLEFT KIDNEY: Echogenic renal parenchyma without significant hydronephrosis. Left ureteral stent in anatomic location. No mass. No stone. Left kidney 10.8-cm in lengthOTHER: Bladder nondistended. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without significant obstruction, mass, or stone. Left ureteral stent in anatomic location. |
Generate impression based on findings. | Sepsis and abdominal pain LIVER: No significant abnormalities noted. Right kidney 14.8 cm in length.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic renal parenchyma without obstruction. 10.8 cm in lengthOTHER: Echogenic left renal parenchymal without obstruction. Left kidney 9.7 cm in length. Spleen is 13.8 cm in length. Mild ascites. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without mass, stone, or obstruction. Mild ascites. |
Generate impression based on 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 findings. | Congestive heart failure with abnormal LFTs LIMITED ABDOMENLIVER: No significant abnormalities noted. Liver length is 15.6 cmBILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. 7.6 cm in length. RIGHT KIDNEY: No significant abnormalities noted. 8.5 cm in length.OTHER: Left kidney 8.3 cm in length. | No obvious hepatobiliary abnormality. Patent hepatic vessels with normal directional flow. |
Generate impression based on findings. | 33-year-old female with history of right upper quadrant pain. Evaluate for gallstones. LIVER: No significant abnormalities noted. The liver measures 16 cm in length.BILIARY TRACT: No significant abnormalities noted. No gallstones, gallbladder wall thickening or pericholecystic fluid.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. The spleen measures 10.5 cm in length.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 11.9 cm.OTHER: No significant abnormalities noted. The left kidney measures 13.1 cm. | No cholelithiasis, or findings of cholecystitis. |
Generate impression based on findings. | 79 year old female with history of right flank pain, evaluate for biliary colic versus renal colic. Possible gallstones. Evaluate for right renal hydronephrosis please. LIVER: The hepatic parenchyma demonstrates subtle increased echogenicity, nonspecific. The liver measures 13 cm in length.BILIARY TRACT: No gallbladder wall thickening, cholelithiasis or pericholecystic fluid. No biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. The spleen measures 6.6 cm.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 10.7 cm, and there is a small (8 x 5 x 7 mm) simple cyst.OTHER: No significant abnormalities noted. The left kidney measures 10 cm. | No findings of cholecystitis or hydronephrosis, as above. |
Generate impression based on findings. | 68 year old female with history of hypertension. RIGHT KIDNEY: Slightly increased echogenicity of the cortex. Right kidney measures 9.2 cm.LEFT KIDNEY: Slightly increased echogenicity of the cortex. Left kidney measures 9.7 cm.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Slightly increased echogenicity of the bilateral kidneys, suggestive of medical renal disease. No additional significant abnormality. |
Generate impression based on findings. | 16 year old with recent biopsy right breast with benign results presents for right retroareolar ultrasound to evaluate right nipple discharge, one episode before the biopsy. A targeted right retroareolar ultrasound was performed. There is no solid or cystic mass identified. Normal glandular tissue noted. | No sonographic evidence for malignancy. Follow up in 6 months to confirm stability of the benign fibroadenoma and surgical consultation.BIRADS: 1 - Negative.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | The patient submitted outside mammogram dated 2/6/08. Submitted outside study was compared to the current mammogram dated 11/12/14. A circumscribed mass at 11 o'clock position in the left breast is stable when compared to the prior study. The other mass at retroareolar region in the left breast is not confirmed on the prior study; however, this mass appears a simple cyst on ultrasound study. | 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 findings. | The patient submitted outside mammogram dated 2/6/08. Submitted outside study was compared to the current mammogram dated 11/12/14. A circumscribed mass at 11 o'clock position in the left breast is stable when compared to the prior study. The other mass at retroareolar region in the left breast is not confirmed on the prior study; however, this mass appears a simple cyst on ultrasound study. | 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 findings. | Male, 77 years old. Evaluate renal stones. RIGHT KIDNEY: The right kidney measures 11.3 cm in length, with normal echotexture. No hydronephrosis. Multiple echogenic shadowing foci compatible with stones are again seen. An inferior pole stone measures 0.5 x 0.4 cm. A mid pole stone measures 0.5 x 0.2 cm. A midpole exophytic simple cyst measures 1.5 x 1.5 x 1.2 cm.LEFT KIDNEY: Left kidney measures 11.4 cm in length, with normal echotexture. No hydronephrosis. A midpole echogenic shadowing focus compatible with a stone measures 0.4 x 0.3 x 0.4 cm. A midpole exophytic cyst measures 5.1 x 3.5 x 5.1 cm, unchanged. URINARY BLADDER: The bladder is incompletely distended.OTHER: Enlarged prostate again noted. | Bilateral nonobstructing renal stones and exophytic renal cysts are not significantly changed from prior. |
Generate impression based on findings. | 51 year old with known multiple cysts in both breasts presents for annual mammogram. Three standard views of both breasts were performed digitally and reviewed with the aid of R2 CAD, 9.3. The breast parenchyma is heterogeneously dense, unchanged in pattern and distribution. Multiple masses in both breasts are again seen; some of them have increased in size. Diffuse benign calcifications are again noted in both breasts.Ultrasound study for both breasts is performed. There are multiple cysts in both breasts, right greater than left. No suspicious findings or solid masses are seen in either breast. | No mammographic or sonographic evidence of malignancy. As long as the patient's physical examination remains unremarkable, bilateral diagnostic mammogram is recommended annually. Results and recommendations were discussed with the patient. BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 32-year-old male with history of testicle pain and swelling. Evaluate for hemorrhage versus torsion versus cellulitis. RIGHT TESTIS: The right testicle measures 3 x 2.6 x 3 cm, and is normal in morphology and vascularity.LEFT TESTIS: Left testicle measures 3.4 x 3.5 x 2 .7 cm, and is normal in morphology. Subtle increased vascularity.RIGHT EPIDIDYMIS: Right epididymis measures 1 x 0.4 x 0.4 cm, and is normal in morphology and vascularity.LEFT EPIDIDYMIS: Left epididymis measures 0.6 x 0.9 x 0.7 cm, and demonstrates subtle increased vascularity.OTHER: Small amount of bilateral scrotal fluid is seen. Small left inguinal lymph nodes are seen, one measuring up to 1.3 x 0 .6 cm, likely reactive. | Findings suggestive of left epididymitis/orchitis and mild bilateral hydrocele. |
Generate impression based on findings. | 44 year old female who was recalled from screening mammogram for new asymmetry in the right axillary tail. Mammogram: An ML, MLO view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. 7 mm asymmetry best seen on the MLO and ML view appears circumscribed, oval and does not have a definite correlate on the CC spot compression view. Ultrasound: Targeted right lower axillary/upper, outer quadrant ultrasound was performed. A 7 x 4 mm benign intramammary lymph node is identified with normal morphology. | Asymmetry in the right lower axillary region, most likely corresponds to a benign intramammary lymph node. No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, right unilateral diagnostic mammogram is recommended in 6 months to confirm stability. Results and recommendation were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 24-year-old female with personal history of right breast carcinoma with axillary lymph node involvement, status post right lumpectomy and sentinel lymph node biopsy in October 2014 for invasive ductal carcinoma, presents for right axillary ultrasound for physician palpated right axillary lymph node. Patient complains of right axillary tenderness. A targeted right axillary ultrasound was performed for the palpable area of concern. A single normal morphology right axillary lymph node is appreciated with normal hilar flow, measuring 0.6 x 0.4 x 0.5 cm. No abnormal solid or cystic mass is identified. | Single normal morphology right axillary lymph node. No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 14-year-old female with history of excisional biopsy of a left breast mass demonstrating a multilobulated 5.3 cm juvenile fibroadenoma last year. Prior ultrasound dated 10/2/14 demonstrated benign morphology, masses, most likely compatible with fibroadenomatas. A targeted bilateral breast ultrasound was performed for the palpable area of concern. Right breast 10 o'clock position, the benign morphology mass measures 1.9 x 0.8 x 2.3 cm, unchanged from prior study. In the left breast at 3 o'clock position, the lobulated mass measures 1.9 x 0.8 x 2.4 cm, slightly increased in size from prior ultrasound when it measured 1.6 x 0.9 x 2.1 cm. | Known bilateral breast masses most likely fibroadenomas, slightly increased in size from prior study given difference in operator dependence.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | Female 40 years old Reason: 39 y.o. F with PTC. History: PTC. Request intraoperative marking of skin. Several nodes or nodules were identified in the region of the thyroid bed, both to the right of midline, midline and to the left of midline. Location was reviewed with Dr. Angelos real-time. The skin was marked with indelible marker. Percutaneous injection was deemed unnecessary. | Multifocal lesions identified and the skin was marked. |
Generate impression based on findings. | 16-year-old female patient with palpable mobile soft mass in the 11 o'clock position of the right breast, likely fibroadenoma. A targeted right ultrasound was performed in the area of the palpable abnormality in the right upper outer breast. There is a circumscribed oval hypoechoic lesion with posterior enhancement in the 10 o'clock position 3 cm from the nipple that measures 7 x 4 x 8 mm. | Palpable abnormality in the right breast correlates with an circumscribed oval lesion in the 10 o'clock position that most likely represents a benign fibroadenoma. Recommend surgical consultation.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 40 year-old male with renal failure and proteinuria. Ultrasound guidance was provided for biopsy of native right kidney. | Ultrasound guidance. |
Generate impression based on findings. | 42 year-old female with small palpable nodule in the subcutaneous tissues of the right shoulder. Ultrasound evaluation in the region of the palpable abnormality demonstrates a very small immediately subcutaneous hypoechoic nodule. Differential considerations include small lipoma or sebaceous cyst, measuring 6 mm in maximum diameter. | Small, superficial nodule, likely sebaceous cyst or lipoma. |
Generate impression based on findings. | 50 year old female with history of right upper quadrant pain. Evaluate gallbladder and liver. LIVER: The liver is within normal limits, measuring 17 cm in length. No biliary dilatation or focal masses.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No cholelithiasis or gallbladder wall thickening.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 9.6 cm.OTHER: No significant abnormalities noted. Left kidney measures 10.6 cm. | Normal right upper quadrant ultrasound, with no findings to explain the patient's pain. |
Generate impression based on findings. | 49 year old female with history of right upper quadrant pain. Evaluate for gallbladder stone. LIVER: No significant abnormalities noted. Liver measures 18.6 cm.GALLBLADDER, BILIARY TRACT: Cholelithiasis and gallbladder sludge are noted. The gallstone measures approximately 2.1 x 1.6 x 0.9 cm. No biliary dilatation, gallbladder wall thickening or pericholecystic fluid.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 10.6 cmOTHER: No significant abnormalities noted. The left kidney measures 11.3 cm. No sonographic Murphy sign. | Cholelithiasis and gallbladder sludge without findings of cholecystitis. |
Generate impression based on findings. | 58 year old female with history of right upper quadrant pain and prior elevated LFTs, evaluate liver, gallbladder and pancreas. LIVER: No significant abnormalities noted. Liver measures 17.9 cm.GALLBLADDER, BILIARY TRACT: Cholelithiasis, with gallbladder wall thickening up to 0.5 cm. A small amount of pericholecystic fluid is also seen. The common bile duct is dilated up to 0.7 cm.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 11 cm.OTHER: No significant abnormalities noted. Left kidney is within normal limits, and measures 11.8 cm. | Findings of acute calculus cholecystitis. |
Generate impression based on findings. | 57 year old female who was recalled from screening mammogram for new right upper outer quadrant mass. Mammogram: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. A 5 mm spiculated mass persists on spot compression views in the right upper outer quadrant.Ultrasound: Targeted right upper quadrant ultrasound was performed. Right breast 10 o'clock position 4 cm from the nipple, there is a suspicious taller than wide hypoechoic mass measuring 5 x 4 mm, which most likely responsible mammographic abnormality. | Suspicious spiculated 5-mm mass in the right breast 10 o'clock position on mammogram and ultrasound, needs further evaluation with ultrasound guided biopsy.BIRADS: 5 - Highly suggestive of malignancy.RECOMMENDATION: H - Percutaneous Biopsy/Aspiration. |
Generate impression based on findings. | 23-year-old with self palpated mass right breast 5 to 6 o'clock position for evaluation A targeted right ultrasound was performed for the palpable area of concern. On physical examination, normal dense glandular tissue noted. No discrete mass was palpated . Ultrasound demonstrated dense glandular tissue. There is no solid or cystic mass identified. | No sonographic evidence for malignancy, corresponding to patient's palpable area of concern right breast.Clinical correlation is recommended.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 69 year old female who was recalled from screening mammogram for multiple focal asymmetries in the central to inferior right breast. Family history of ovarian or uterine cancer in sister. Personal history of benign breast biopsy. Mammogram: An ML view and 4 spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is heterogeneously dense, which may obscure small masses, unchanged in pattern and distribution. Out of 3 focal asymmetries in the right lower, inner quadrant, only one oval 7 mm focal asymmetry persists on spot compression views. The other two focal asymmetries, most likely look like glandular tissue.Ultrasound: Targeted right lower, inner quadrant Ultrasound is performed. Oval, benign morphology, mass, with possible central fatty hilum measuring 7 x 3 mm is identified at 4 o'clock position of the right breast mostly corresponding to the mammographic abnormality. No definite hilar blood flow was noted. | No mammographic evidence of malignancy. As long as the patient's physical examination remains normal, bilateral screening mammogram is recommended annually. Results and recommendation were discussed with the patient.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Screening Mammogram. |
Generate impression based on findings. | 38-year-old female status post left lumpectomy 2007 for invasive ductal carcinoma DCIS status post radiation, chemotherapy and hormonal therapy presents to evaluate left breast thickening for one week. A targeted left ultrasound was performed for the patient’s area of concern. Area of thickening and pain noted in the left upper inner quadrant 10 to 11 o'clock position which is marked by Donna Christian. No lump was palpated on physical examination. Ultrasound demonstrates normal glandular tissue. There is no solid or cystic mass identified. | No sonographic evidence for malignancy, corresponding to area of left breast thickening and pain.BIRADS: 1 - Negative.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 78 year old female with history of pulmonary fibrosis and suspected cholestasis. Elevated LFTs. LIVER: Heterogeneous liver echogenicity, without additional significant abnormalities noted. The liver measures 15 cm.GALLBLADDER, BILIARY TRACT: Cholecystectomy years ago. No significant biliary dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 8.6 cm.OTHER: No significant abnormalities noted. The left kidney is normal in appearance, and measures 10 cm. The spleen measures 12 cm, and has arterial calcifications at the hilum. | Post cholecystectomy changes and mildly heterogeneous liver parenchyma, without additional significant abnormality. |
Generate impression based on 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. There is no solid mass identified. Bilateral cysts, right greater than left, are present. | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | Male, 68 years old. Reason: baseline exam as part of evaluation for heart transplant History: none LIVER: The liver measures 17.7 cm, with heterogeneous increased echogenicity, and no focal lesion.The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.3 cm. Gallbladder wall thickness is normal. No stones.PANCREAS: The pancreas is completely obscured by overlying bowel gas.SPLEEN: 11.9 cm in length, without focal lesion.RIGHT KIDNEY: 12.0 cm in length, with increased echogenicity. No focal lesion or hydronephrosis.LEFT KIDNEY: 11.4 cm in length, with increased echogenicity. No focal lesion or hydronephrosis.BLADDER: The bladder is incompletely distended, with minimal circumferential wall thickening and trabeculation.ABDOMINAL AORTA: The abdominal aorta is completely obscured by overlying bowel gas.INFERIOR VENA CAVA: The IVC is patent.OTHER: Right pleural effusion. | 1.Echogenic liver compatible with fatty infiltration. Echogenic kidneys compatible with medical renal disease.2.Circumferential bladder wall thickening and trabeculation, likely related to prostate hypertrophy.3.Overlying bowel gas limits evaluation of deep abdominal structures, including the aorta. |
Generate impression based on findings. | 46 year-old male with history of clinical trial participant, evaluate for hepatocellular carcinoma. LIVER: Mildly increased liver parenchyma echogenicity. Smooth liver contour. No biliary dilatation, no focal mass. The liver measures 16 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 11.4 cm.OTHER: No significant abnormalities noted. The left kidney measures 11.1 cm. | Mildly increased liver parenchyma echogenicity, may be seen in setting of hepatic steatosis/parenchymal dysfunction, without suspicious mass or biliary dilatation. |
Generate impression based on findings. | 70 year-old male with history of transaminitis. Evaluate for mass or other abnormality. LIVER: Slightly increased echogenicity of the liver parenchyma. The liver measures 22 cm. No biliary dilatation or focal masses.BILIARY TRACT: Cholelithiasis. No biliary dilatation or significant abnormality otherwise.PANCREAS: No significant abnormalities noted.SPLEEN: The spleen is enlarged, measuring 14.5 cm.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 11.8 cm.OTHER: No significant abnormalities noted. Left kidney measures 13.7 cm. | 1.Hepatosplenomegaly, with slightly increased echogenicity of the liver parenchyma, may reflect hepatic steatosis/parenchymal dysfunction.2.Cholelithiasis without biliary dilatation or significant abnormality otherwise. |
Generate impression based on findings. | Female, 50 years old. Reason: thyromegaly History: thyromegaly x5 months RIGHT LOBE MEASUREMENTS: 1.9 x 2.1 x 6.5 cmLEFT LOBE MEASUREMENTS: 2.9 x 2.3 x 6.8 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Mildly heterogeneous echotexture. A right lower pole nodule measures 0.8 x 0.6 x 0.6 cm, cystic and solid/spongiform, well marginated, without significant increased vascularity. An additional right lower pole nodule measures 1.0 x 0.4 x 0.9 cm, well marginated, cystic and solid with punctate echogenic foci.LEFT LOBE: Mildly heterogeneous echotexture. An ill-defined area of heterogeneity in the left lower pole measures 4.4 x 1.8 x 2.6 cm, with mild internal vascularity and punctate echogenic foci with suggestion of ringdown artifact.ISTHMUS: Mildly heterogeneous echotexture. A nodule at the junction of the isthmus and left lobe measures 0.8 x 0.7 x 0.8 cm, well marginated, solid and heterogeneous, noncalcified, with peripheral vascularity.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Enlarged, heterogeneous thyroid, with cystic and solid nodules as detailed above. A dominant nodule in the left lower pole measures up to 4 cm, punctate echogenic foci with associated ringdown artifact suggested, seen in setting of inspissated colloid. However, if there is continued clinical concern, benignity of this nodule may be confirmed with dedicated fine needle aspiration. Additional small nodules measure up to 1 cm. |
Generate impression based on findings. | Male, 63 years old. Reason: Evaluate kidneys and liver in setting of AKI and possible liver dysfunction (elevated bili, INR), concern for cirrhosis LIVER: The liver measures 14.5 cm, with mildly increased echogenicity, and no focal lesion. Visualized liver contour within normal limits. The main portal vein is patent, with normal hepatopetal flow.GALLBLADDER, BILIARY TRACT: No intrahepatic or extrahepatic biliary ductal dilatation. The common bile duct measures 0.3 cm. The gallbladder is contracted with normal wall thickness. No stones.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: 10.1 cm in length, with normal echotexture. No hydronephrosis, perinephric fluid, or echogenic stones.LEFT KIDNEY: 10.1 cm in length, with normal echotexture. No hydronephrosis, perinephric fluid, or echogenic stones.SPLEEN: Suboptimally visualized due to patient positioning and habitus. 7.0 cm in length, without focal lesion.ABDOMINAL AORTA: Patent and normal in caliber throughout its course.INFERIOR VENA CAVA: Visualized portions patent, with normal flow.OTHER: No significant abnormality noted. | 1. Mildly increased hepatic parenchymal echogenicity, may reflect underlying hepatic steatosis/parenchymal dysfunction.2. No hydronephrosis, perinephric fluid, or shadowing renal stone. |
Generate impression based on findings. | 79 year old female with history of cirrhosis, HCV. Evaluate for hepatocellular carcinoma. LIVER: No focal masses or biliary dilatation. The liver measures 13.7 cm in length. Smooth liver contour. Diffuse increased echogenicity, similar to prior.BILIARY TRACT: No biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. Spleen measures 7.4 cm.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 10.4 cm. Small right renal cyst measuring approximately 1 cm, similar to prior.OTHER: No significant abnormalities noted. Left kidney measures 9.7 cm, and has a small cysts measuring approximately 1.6 cm. The left kidney appearance is otherwise unchanged. | Slightly increased hepatic parenchyma echogenicity, similar to prior. No focal masses or biliary dilatation. |
Generate impression based on findings. | 66 year old male with history of tachycardia, altered metal status, immunosuppression. Evaluate for infection source. LIVER: Heterogeneous liver parenchyma echogenicity. The liver measures 21 cm. No focal masses are seen.BILIARY TRACT: Cholelithiasis and gallbladder sludge, without gallbladder wall thickening or pericholecystic fluid.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. The spleen measures 10.4 cm.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 13 cm.OTHER: No significant abnormalities noted. The left kidney is within normal limits, and the measures 12 cm. | Hepatomegaly and findings of fatty liver infiltration. Gallbladder cholelithiasis without findings of cholecystitis. |
Generate impression based on findings. | 91-year-old male with history of elevated liver enzymes. Evaluate for obstructive liver disease. Evaluation was limited by patient's poor acoustic window.LIVER: No biliary dilatation or other significant abnormality. The liver measured 15 cm.BILIARY TRACT: Cholelithiasis, without findings of cholecystitis. No biliary dilatation.PANCREAS: Pancreas is not clearly visualized.SPLEEN: No significant abnormalities noted. Spleen measures 8.5 cm.RIGHT KIDNEY: Hyperechoic renal parenchyma. Right kidney measures 10 cm. OTHER: Hyperechoic left kidney parenchyma. Left kidney measures 10 cm. | Limited exam, without significant abnormality to explain the patient's elevated liver enzymes. Incidentally noted cholelithiasis and other findings as above. |
Generate impression based on findings. | 62 year old female presents for follow-up and possible aspiration of a right lower axillary cyst. Personal history of left lumpectomy in 1997 for DCIS. No current breast complaints. A targeted right axillary ultrasound was performed for the imaging area of concern. Within the right mid to lower axilla there is redemonstration of a oval, parallel, anechoic lesion which is smaller than on prior examination, today measuring 0.6 x 0.1 x 0.3 cm, suggesting resorbing cyst. | High probability benign right axillary cyst. Given the interval decrease in size and the benign appearance, follow-up right axillary ultrasound is recommended in 6 months to further assess stability. Additionally, right breast mammogram should also be performed at this time to assess stability of high probability benign calcifications in the right breast, as recommended on prior study dated March 25, 2015. Results and recommendations were discussed with the patient the time of her examination.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 30 year old female patient with palpable left breast mass and prior ultrasound demonstrating a fibroadenoma. A targeted left ultrasound was performed in the area of palpable abnormality at the 2:00 position 3 cm from the nipple. Dense glandular tissue was seen without solid or cystic mass identified.Separate from the palpable lesion in the 2:00 position 1 cm from the nipple a circumscribed oval hypoechoic mass was seen that measures 8 x 4 x 8 mm, compatible with a fibroadenoma. No other solid or cystic mass was identified in the remaining left breast or on ultrasound of the whole right breast. | 1.Dense glandular tissue in the area of palpable abnormality without cyst or mass at this location.2.Findings compatible with a fibroadenoma in the left breast at the 2:00 position 1 cm from the nipple, separate from the site of palpable abnormality.3.No cyst or mass in the right breast.BIRADS: 2 - Benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | Male, 52 years old. Reason: abnormal nodules, nodes History: thyroid cancer RIGHT LOBE: Status post thyroidectomy. No focal lesion in the thyroid bed.LEFT LOBE: Status post thyroidectomy. No focal lesion in the thyroid bed.ISTHMUS: Status post thyroidectomy. No focal lesion in the thyroid bed.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Benign-appearing cervical lymph nodes are identified. A right level 2 lymph node measures 0.9 x 0.2 x 1.7 cm, with a fatty hilum. A left level 2 lymph node measures 1.1 x 0.5 x 1 .8 cm, with a fatty hilum.OTHER: An anechoic collection is identified in the left lateral neck measuring 2.4 x 1.3 x 3.2 cm, has a surrounding hypoechoic rim, and no internal vascularity. | 2 to 3-cm hematoma or postsurgical collection in the left lateral neck. No evidence of recurrent or metastatic disease. |
Generate impression based on findings. | 73-year-old female with history of left AML. Status post embolization of hematoma. RIGHT KIDNEY: The right kidney is normal in size, measuring 10.4 cm and contains several simple and minimally complex cysts, the largest of which measures 3.1 cm in the upper pole, minimally increased in size. No hydronephrosis.LEFT KIDNEY: The left kidney measures approximately 13.1 cm in length without hydronephrosis. Demonstrated again is a heterogeneous, hypoechoic mass at the left upper pole, which is difficult to accurately measure but does not appear significantly changed in size, measuring approximately 6.1 x 6.3 x 6.0 cm.OTHER: No significant abnormalities noted. | Left upper pole renal heterogeneous mass compatible with known angiomyolipoma is not appreciably changed in size. No hydronephrosis. |
Generate impression based on findings. | 48-year-old male presents for HCC surveillance with history of HBV. LIVER: The liver morphology is normal and the capsule is smooth. The liver parenchyma is echogenic. It is normal in size, measuring 16 cm in craniocaudal dimension. There is no focal hepatic lesion or biliary ductal dilatation. Normal hepatopetal portal venous blood flow is present at 40 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without evidence of inflammation. The common duct is normal in caliber, measuring 5 mm.PANCREAS: The visualized portions of the pancreas are normal in appearance.RIGHT KIDNEY: The right kidney is normal in size, measuring 10.5 cm without hydronephrosis. The left kidney is normal in size, measuring 12.1 cm without hydronephrosis.OTHER: The spleen is normal in size, measuring 10.4 cm. | Echogenic hepatic parenchyma, compatible with diffuse fatty infiltration. No focal hepatic lesion or stigmata of cirrhosis. |
Generate impression based on findings. | 23 year-old female with a history of hypothyroidism. RIGHT LOBE MEASUREMENTS: 1.7 x 1.3 x 5 cmLEFT LOBE MEASUREMENTS: 1.7 x 1.3 x 4.9 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: The thyroid lobe parenchyma is heterogeneous compatible with history of hypothyroidism. No discrete suspicious nodule is evident.LEFT LOBE: The left thyroid lobe parenchyma is heterogeneous in echotexture compatible with history of hypothyroidism. No discrete suspicious nodule is evident.ISTHMUS: Heterogeneous echotexture, without discrete suspicious nodule.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: There is a 5 x 5 x 6 mm hypoechoic nodule inferior to the left thyroid lobe, which may reflect a small lymph node or parathyroid adenoma. | Heterogeneous thyroid parenchyma compatible with history of hypothyroidism without a discrete suspicious nodule evident. 6-mm hypoechoic nodule inferior to the left thyroid lobe may reflect a small lymph node or parathyroid adenoma; correlate with PTH/calcium. |
Generate impression based on findings. | 38 year old female with history of multinodular goiter. RIGHT LOBE MEASUREMENTS: 5.6 x 1.9 x 1.5 cmLEFT LOBE MEASUREMENTS: 4.7 x 1.4 x 1.8 cmISTHMUS MEASUREMENTS: 4 mmRIGHT LOBE: Heterogeneous thyroid with multiple nodules. Well defined heterogeneous hypoechoic nodule, measuring 0.9 x 0.8 x 0.9 cm compared to 1.2 x 9 x 9 cm previously. Predominantly hypoechoic well-defined 1.4 x 0.7 x 0.8 cm mid thyroid nodule compared to 1.2 x 0.5 x 0.8 cm previously. No suspicious calcifications.LEFT LOBE: Heterogeneous thyroid with multiple nodules. The largest measure nodule is well defined and hypoechoic measuring 7 x 7 x 7 mm compared to 9 x 7 x 4 mm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Heterogeneous thyroid with multiple nodules bilaterally. The reference nodules are stable in size. No specific suspicious sonographic features are evident. |
Generate impression based on findings. | Left thyroid nodule RIGHT LOBE MEASUREMENTS: 6 by 1.5 by 2 cmLEFT LOBE MEASUREMENTS: 5.1 x 1.4 x 1.6 centimetersISTHMUS MEASUREMENTS: No significant abnormality noted.RIGHT LOBE: Diffusely heterogeneous gland. Stable inferior hypoechoic subcentimeter nodule measuring 0.4 x 0.3 x 0.4 cm.LEFT LOBE: Diffusely heterogeneous gland. Stable solid upper pole nodule measuring 0.8 x 0.7 x 0.6 cm. This nodule demonstrates coarse calcification. ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable left superior thyroid solid subcentimeter nodule with coarse calcification. This lesion will be biopsied later today. No regional adenopathy. |
Generate impression based on findings. | Male; 69 years old. Reason: neutropenic fever abdominal pain please r/o infection LIVER: Liver is 18.3-cm in length. Normal parenchymal echotexture. Minimally complex, predominantly anechoic cystic lesion in the right hepatic lobe measures 3.4 x 2.2 x 2.8 cm with a similar but smaller cystic lesion in the left hepatic lobe, as seen on preceding CT and for which benign etiology is favored. No intrahepatic biliary ductal dilation. Main portal vein is patent with normal directional flow.GALLBLADDER, BILIARY TRACT: Gallbladder is filled with numerous shadowing calculi. No definite gallbladder wall thickening, though evaluation is limited due to the cholelithiasis. No pericholecystic fluid, gallbladder fossa hepatic parenchymal hyperemia, or sonographic Murphy's sign to suggest acute cholecystitis. Normal caliber of the common bile duct measuring 4 mm.PANCREAS: Limited images of the pancreatic head are within normal limits. The remainder of the pancreas obscured by overlying bowel gas.RIGHT KIDNEY: Stable appearance of both kidneys since prior renal ultrasound with the right kidney measuring up to 12.4-cm and a septated cyst seen in the upper pole as well as additional smaller cysts.OTHER: Spleen measures 12.8-cm in length. No focal splenic lesions. | 1. Cholelithiasis without evidence of acute cholecystitis.2. No findings to explain the patient's symptoms. |
Generate impression based on findings. | 15 year old female patient with history of right breast lump x 1.5 months and right axillary pain. A targeted right breast ultrasound was performed of the right axilla and palpable right breast mass. In the area of the palpable abnormality a hypoechoic oval lobulated mass was seen in the 12:30 position of the right breast 2 cm from the nipple that measures 1.8 x 0.7 x 1.6 cm and demonstrates increased vascularity.No abnormalities were identified in the area of patient's pain in the medial axilla. Separate from the area of patient's pain in the right axilla were two prominent nonspecific lymph nodes, measuring up to 1.7 cm in maximal dimension. | 1.Findings compatible with a fibroadenoma in the right breast. Recommend surgical consultation.2.No significant abnormalities in the right axilla in the area of patient's pain.BIRADS: 2 - Benign finding.RECOMMENDATION: B - Surgical Consultation. |
Generate impression based on findings. | 80 year-old male with complex cystic left renal mass. RIGHT KIDNEY: The right kidney measures 10.6 cm in length. Echotexture is within normal limits. There is no hydronephrosis, shadowing calculus or mass.LEFT KIDNEY: The left kidney measures 10.9 cm in length. There is again noted a complex cystic mass arising from the upper pole, measuring approximately 2.5 by 3 x 3 cm lateral change. This demonstrates lobulation, or least one thin septation and contains minimal eccentric calcification by prior CT. No hydronephrosis or shadowing calculus.OTHER: No significant abnormalities noted. | Stable complex cyst upper pole left kidney. |
Generate impression based on findings. | 36 year old female with fibrolamellar HCC. Evaluate for ascites prior to paracentesis. Mild/moderate ascites noted within the abdomen and pelvis with extensive bowel. | Mild/moderate ascites without large, focal pocket. |
Generate impression based on findings. | 59-year-old female presents for 6 month follow-up of high probability benign right breast asymmetries. Personal history of endometrial carcinoma. No family history of breast cancer. MAMMOGRAM: Three standard views of the right breast, additional right CC view, and multiple 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. Multiple circumscribed masses are again noted in the lower inner right breast, unchanged. A focal asymmetry is present within the upper outer right breast, posterior depth, which persists on spot compression imaging. ULTRASOUND: On physical examination, no palpable abnormality is identified. Targeted right ultrasound was performed for the mammographic area of concern. A 0.7 x 0.5 x 0.5 cm circumscribed, hypoechoic lesion is present at the 11:00 position of the right breast, 10 cm from the nipple, without increased vascularity. This is felt to represent a cyst. | High probability benign cyst at the 11 o'clock position of the right breast. Follow up mammogram and ultrasound is recommended in 6 months to assess stability. The patient will be due for annual bilateral mammogram at this time. Results recommendations were discussed with the patient.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 36 year-old female with renal cysts. RIGHT KIDNEY: The right kidney measures 11.7 cm in length. Echotexture within normal limits. There is a 2.8 x 3.5 x 2.9 cm cyst in the midpole the right kidney with a smaller, adjacent smaller cyst or a septated component. This is unchanged or minimally increased compared are seen. No hydronephrosis, shadowing calculus or solid mass.LEFT KIDNEY: Left kidney measures 11.2 cm in length and appears unremarkable. No hydronephrosis, shadowing calculus or mass.OTHER: No significant abnormalities noted. | Right renal cysts as previously noted either unchanged or minimally larger not requiring follow up. |
Generate impression based on findings. | 57-year-old female patient call back from screening mammogram for new mass in the right upper inner quadrant. History of left breast cyst aspiration. Maternal aunt diagnosed with breast cancer at age 65 and maternal grandmother with ovarian cancer at age 74. DIAGNOSTIC MAMMOGRAM: An ML view and two spot compression views of the right breast were performed digitally and reviewed with the aid of R2 CAD 9.3. The breast parenchyma is composed of scattered fibroglandular density, unchanged in pattern and distribution. Again seen is a focal asymmetry in the upper inner quadrant of the right breast with associated calcifications, which has been present since 2008. This focal asymmetry in question dispersed on spot compression views. An additional subjacent 5 mm lobulated asymmetry in the 3 o'clock position of the right breast was seen on standard views and persisted on spot compression views. This asymmetry was targeted for ultrasound. Few benign calcifications are again seen.DIAGNOSTIC ULTRASOUND: Targeted right breast ultrasound was performed. In the 3 o'clock position of the right breast there is a small cluster of cysts that measures 4 x 3 x 3 mm. | Cluster of cysts in the 3 o'clock position of the right breast 2 cm from the nipple. Recommend repeat diagnostic right breast ultrasound in 6 months to ensure stability.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | 51-year-old female post thyroidectomy with small nodule right thyroid bed. RIGHT LOBE MEASUREMENTS: Post thyroidectomyLEFT LOBE MEASUREMENTS: Post thyroidectomyISTHMUS MEASUREMENTS: Post thyroidectomyRIGHT LOBE: In the right thyroidectomy bed, there is again noted a somewhat high for occult area with surrounding hypoechoic rim, measuring 0.4 x 0.5 x 0.7 cm without significant change. A slightly more caudal, hypoechoic region measuring 0.3 x 0.3 by 0.4 cm is unchanged.LEFT LOBE: Slightly asymmetric hypoechoic region in the left bed measuring 0.4 x 0.4 x 0.5 cm is unchanged and could represent scarring.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Morphologically normal lymph nodes bilaterally OTHER: No significant abnormality noted. | Stable examination. Given stability and small size of the abnormality in the inferior right bed comment continued follow up warranted. |
Generate impression based on findings. | 56-year-old male with prior lipoma resection left, now with sensation of mass. Ultrasound evaluation adjacent to the scar medial to the left scapula demonstrates no underlying mass. | No mass identified by ultrasound. |
Generate impression based on findings. | Male, 58 years old. Reason: Low urine output, rising creatinine. History of aortic dissection with ? limited blood flow to right kidney History: rising creatinine, oliguria RIGHT KIDNEY: The right kidney measures 10.5 cm, with mildly increased cortical echogenicity. No shadowing calculi or hydronephrosis.LEFT KIDNEY: The left kidney measures 13.6 cm, with mildly increased cortical echogenicity. No shadowing calculi or hydronephrosis.URINARY BLADDER: The bladder is not visualized.OTHER: No significant abnormalities noted. | Increased renal cortical echogenicity compatible with medical renal disease. Asymmetry in renal size with relatively small right kidney which may be related to a limited blood flow from chronic dissection. No hydronephrosis. |
Generate impression based on findings. | 38-year-old female presents for short-term follow-up of right breast fibroadenoma. A targeted right ultrasound was performed for the patient’s area of concern. At the 11 o'clock position of the right breast, 9 cm from the nipple, there is redemonstration of an oval, circumscribed, parallel oriented hypoechoic mass measuring 1.7 x 0.9 x 1.8 cm (previously 1.6 x 0.7 x 1.8 cm). Given differences in technique, this is unchanged from prior examination. | Stable benign morphology mass at 11 o'clock position of the right breast, compatible with benign fibroadenoma. The lungs the patient's physical examination remains normal, bilateral diagnostic mammogram and right unilateral ultrasound is recommended in 6 months to confirm stability of the fibroadenoma. Result 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 findings. | 53 year old female with alcoholic cirrhosis and increasing right upper and lower quadrant pain. Prior paracentesis. LIVER: Mildly enlarged and coarsely echogenic. No focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction the main portal vein.GALLBLADDER, BILIARY TRACT: Dependent sludge and gallstones within the gallbladder. The gallbladder wall is prominent and associated with ascites but not grossly thickened. The biliary tract is normal in caliber.PANCREAS: Limited by bowel gasRIGHT KIDNEY: No significant abnormalities noted.OTHER: Splenomegaly. Mild ascites, improved when compared to prior exam. | Gallbladder contains stones and dependent sludge without obvious complication.Coarsely echogenic and mildly enlarged liver.Ascites.Splenomegaly. |
Generate impression based on findings. | 34-year-old female with right upper quadrant pain. Nausea, vomiting and pancreatitis. LIVER: Irregularly echogenic which may be due to fatty infiltration. No gross focal hepatic abnormality. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal vein.GALLBLADDER, BILIARY TRACT: The gallbladder contains dependent stones and sludge without significant wall thickening. No definite pericholecystic fluid on this exam. The biliary tract is normal in caliber.PANCREAS: Diffusely enlarged. No loculated peripancreatic fluid collections.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Gallstones without obvious complication.Enlarged pancreas. |
Generate impression based on findings. | 60 year-old male with alcohol withdrawal and abnormal liver function. LIVER: Liver is highly echogenic which may be due to fatty infiltration or other parenchymal disease. Mildly nodular contour but appearance is not grossly cirrhotic. Limited color and spectral Doppler demonstrates patency and appropriate flow direction in the main portal veinBILIARY TRACT: Gallbladder appears normal without cholelithiasis, wall thickening or pericholecystic fluid. The biliary tract is normal in caliber.PANCREAS: Relatively small and echogenicSPLEEN: Mild splenomegaly without focal abnormalityRIGHT KIDNEY: No significant abnormalities noted. OTHER: No ascites | Echogenic and mildly nodular liver.Splenomegaly. |
Generate impression based on findings. | 57 year-old female with a history of gradual increase in abdominal appearance. Rule out ascites. LIVER: Mild hepatomegaly. Increased echogenicity if the liver is nonspecific but can be seen in hepatic steatosis. The liver measures 17.4 cm in length. The liver contour is smooth. Portal vein flow is hepatopetal.BILIARY TRACT: Note is made of a 1.4 cm dependent gallstone in the body of the gallbladder without evidence of acute cholecystitis.PANCREAS: The pancreas is partially obscured by overlying bowel gas.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: Note is made of a 4.9 x 4.8 x 4.2 cm cyst in the superior pole of the left kidney, with associated septation and peripheral nodularity. There is no internal vascularity.OTHER: No significant abnormalities noted. | 1. No evidence of ascites, as clinically questioned.2. Complex cyst in the left kidney with peripheral nodularity and septation. Further evaluation with a dedicated renal CT protocol is recommended.3. Mild hepatomegaly. Increased echogenicity if the liver is nonspecific but can be seen in hepatic steatosis. 4. Gallstones without evidence of acute cholecystitis. |