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Generate impression based on findings. | 59 year-old male with a history of chronic kidney disease, Stage III. Hypertension. RIGHT KIDNEY: No significant abnormalities noted.LEFT KIDNEY: No significant abnormalities noted. There is a 1.9 x 1.9 x 1.8 cm simple cyst in the interpolar region of the left kidney. There is no internal vascularity.OTHER: The bladder is incompletely distended. | Unremarkable ultrasound examination of the kidneys. |
Generate impression based on findings. | 60 year-old female with a history of complex cyst in the inferior pole of the right kidney, seen on recent CT scan in October. Follow-up ultrasound examination recommended in April of 2015. RIGHT KIDNEY: There is a 1.0 x 1.2 x 1.1 cm cyst with posterior acoustic enhancement along the inferior pole of the right kidney, corresponding to the finding seen on recent CT examination. There is no internal vascularity, peripheral nodularity or septation identified. The previously described simple cyst in the superior pole of the right kidney, seen on prior ultrasound examination dated 6/19/2009 is not visualized on today's examination.LEFT KIDNEY: No significant abnormalities noted.OTHER: The bladder is incompletely distended, limiting evaluation. | Benign appearing cyst in the inferior pole of the right kidney corresponding to the finding on recent CT examination. |
Generate impression based on findings. | 73 year-old female with abdominal pain and pancreatitis. Are there gallstones? LIVER: Increased echogenicity of the liver is nonspecific, but can be seen in hepatic steatosis. Moderate hepatomegaly. The liver measures 21.2 cm in diameter. Portal vein flow is hepatopetal. Small amount of ascites.GALLBLADDER, BILIARY TRACT: Note is made of numerous punctate dependent gallstones within the gallbladder, including the body and gallbladder neck. There is mild nonspecific gallbladder wall thickening, measuring 3 mm in diameter. Sonographic Murphy sign is negative. The common duct measures 3 mm in diameter. No common duct stones are seen. PANCREAS: The pancreas appears slightly enlarged with decreased echogenicity consistent with the stated history of pancreatitis. The pancreas is partially obscured by overlying bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: Foley catheter in place. | 1. Findings consistent with the stated history of acute pancreatitis.2. Hepatomegaly with a small amount of ascites.3. Increased echogenicity of the liver is nonspecific, but can be seen in hepatic steatosis.4. Gallstones without evidence of acute cholecystitis. |
Generate impression based on findings. | 41 year old female with hyperparathyroidism. Please evaluate for thyroid nodules. RIGHT LOBE MEASUREMENTS: 4.7 x 1.9 x 1.2 cmLEFT LOBE MEASUREMENTS: 4.6 x 1.7 x 1.1 cmISTHMUS MEASUREMENTS: 2 mmRIGHT LOBE: Note is made of a hypoechoic oval well-circumscribed nodule along the inferior pole of the right lobe of the thyroid gland, measuring 6 x 8 x 6 mm. There is associated internal vascularity. No microcalcification is evident.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal morphology left level 2 and level 4 cervical lymph nodes.OTHER: No significant abnormality noted. | 8 mm nodule along the inferior pole of the right lobe of the thyroid gland, which is suspicious for a parathyroid adenoma candidate. Please refer to concomitant nuclear medicine exam from same day for additional findings. |
Generate impression based on findings. | 33 year old female with a history of von Hippel-Lindau disease status post right partial nephrectomy in 2009 for clear cell renal cell carcinoma. Evaluate for cysts or masses in both kidneys. RIGHT KIDNEY: Note is made of postsurgical changes consistent with the stated history of partial nephrectomy. The right kidney measures 11.9 cm in length. There is a 3.1 x 3.0 x 3.6 cm complex cystic lesion with internal echogenicity and mild peripheral vascularity in the superior pole of the right kidney. There is a 0.9 x 1.2 x 1.2 cm, complex, cystic lesion in the superior pole of the right kidney, without internal vascularity.LEFT KIDNEY: There is an 8.7 x 7.7 x 8.3 cm, complex cystic lesion in the inferior pole of the left kidney, with associated thick septation. There is no internal vascularity. Multiple additional complex cysts with thin septation identified in the inferior pole of the left kidney.OTHER: The bladder is incompletely distended, limiting evaluation. | Multiple bilateral complex renal cystic lesions, the largest of which measures 8.7 cm in the inferior pole of the left kidney. Submission of prior examinations for comparison is recommended. If prior examinations are not available, further evaluation with a dedicated renal CT examination is recommended to better characterize cystic renal lesions described. |
Generate impression based on findings. | 49 year-old male with transaminase elevation and history of alcohol abuse. Evaluate for biliary distention or liver abnormality. LIVER: Increased echogenicity of the liver, suggestive of hepatic steatosis. The portal vein flow is hepatopetal. The liver contour is smooth.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. The common duct measures 4 mm in diameter. No gallstones or common duct stones are seen.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Increased echogenicity of the liver, suggestive of hepatic steatosis/parenchymal dysfunction. Otherwise, unremarkable ultrasound examination of the right upper quadrant. |
Generate impression based on findings. | 79 year-old female with a history of thyroid carcinoma status post thyroidectomy. RIGHT LOBE MEASUREMENTS: Surgically absent.LEFT LOBE MEASUREMENTS: Surgically absent.ISTHMUS MEASUREMENTS: Surgically absent.RIGHT LOBE: Surgically absent.LEFT LOBE: Surgically absent. Linear echogenic foci in the surgical bed of the left thyroid gland, likely representing surgical clips, when compared to recent CT chest examination dated 4/15/14.ISTHMUS: Surgically absent.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal morphology right level 2 cervical lymph node. | Postsurgical changes of prior thyroidectomy. No suspicious nodule or mass identified. |
Generate impression based on findings. | 34-year-old male with a history of hepatitis C. Screening for clinical trial. LIVER: Note is made of a coarse liver echotexture. No focal mass lesions identified. The liver contour is smooth. The portal vein flow is hepatopetal. The liver measures 15.1 cm in length.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. | Coarsened liver echotexture consistent with the known history of chronic liver disease. No focal masslesion identified. |
Generate impression based on findings. | 67 year-old female with a history of papillary thyroid cancer. Please evaluate. RIGHT LOBE MEASUREMENTS: 4.6 x 1.8 x 1.9 cmLEFT LOBE MEASUREMENTS: 4.7 x 1.4 x 1.2 cmISTHMUS MEASUREMENTS: 2 mm.RIGHT LOBE: Note is made of multiple subcentimeter nodules, which are too small to accurately characterize. Nodule 1: Mid body of the right lobe of the thyroid gland. There is a 1.7 x 1.1 x 14 cm, oval, heterogeneous, and partially solid partially cystic well-circumscribed nodule with peripheral and internal vascularity, and probable microcalcification. Indeterminant with suspicious characteristics.Nodule 2: Mid body of the left lobe of the thyroid gland. There is a round, well-circumscribed isoechoic nodule with peripheral calcification, measuring 0.7 x 0.7 x 0.6 cm. There is no internal vascularity or microcalcification. Indeterminant.LEFT LOBE: Note is made of multiple subcentimeter nodules, which are too small to accurately characterize. Nodule 1: Mid body of the left lobe of the thyroid gland. There is a 0.7 x 0.9 x 0.8 cm, oval, well circumscribed, spongiform nodule with foci of apparent ring down artifact suggestive of a benign colloid nodule. There is internal vascularity. Probably benign.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Note is made of multiple nonspecific subcentimeter lymph nodes in the soft tissues of the right lateral neck.OTHER: No significant abnormality noted. | 1. Multiple indeterminate nodules in the right lobe of the thyroid gland, the largest of which measures 1.7 cm and demonstrates suspicious characteristics. Clinical correlation as well as submission of prior examinations is recommended, given the stated history of known thyroid carcinoma. If no priors are available, further evaluation with FNA of the dominant nodule could be considered.2. Nonspecific subcentimeter lymph nodes in the soft tissues of the right lateral neck. |
Generate impression based on findings. | 52-year-old female patient with history of right breast cancer and benign mass seen on surveillance imaging. A targeted right breast ultrasound was performed. In the 10 o'clock position of the right breast 5 cm from the nipple there is a 0.6 x 0.3 x 1.0 cm parallel circumscribed oval hypoechoic mass is present, previously 0.8 x 0.8 x 0.3 cm. The previously seen lesion in the 11 o'clock position was not seen on the current examination. | Stable benign lesion in the 10 o'clock position of the right breast. Previously identified lesion in the 11 o'clock position was not visualized on today's examination. Recommend diagnostic bilateral mammogram in 6 months.BIRADS: 2 - Benign finding.RECOMMENDATION: ND - Diagnostic Mammogram. |
Generate impression based on findings. | 60-year-old female with multiple palpable nodules over the lower extremities. Right lower extremity:Note is made of multiple compressible superficial vessels, corresponding to the patient's palpable area of concern. No focal mass lesions are identified.Left lower extremity:Note is made of multiple compressible superficial vessels, corresponding to the patient's palpable area of concern. No focal mass lesions are identified. | No focal mass lesions to correspond to the patient's palpable areas of concern. There are multiple compressible superficial vessels in the adjacent area. If clinical concern for superficial thrombophlebitis or deep venous thrombosis, further evaluation with dedicated venographic sonography is recommended. |
Generate impression based on findings. | 74-year-old male presents with sepsis and elevated AST/ALT and bilirubin. Evaluate for biliary source of infection. LIVER: Increased echogenicity in the liver, which is nonspecific, but can be seen in hepatic steatosis. Hepatomegaly. The liver measures 19.9 cm in length. The portal vein flow is hepatopetal.GALLBLADDER, BILIARY TRACT: Note is made of multiple punctate shadowing dependent gallstones. No evidence of acute cholecystitis. Sonographic Murphy sign is negative. No common duct stones are seen.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Note is made of a 12-mm shadowing nonobstructing renal calculus in the inferior pole of the right kidney.OTHER: No significant abnormalities noted. | 1. Increased echogenicity in the liver, which is nonspecific, but can be seen in hepatic steatosis.2. Hepatomegaly. 3. Gallstones without evidence of acute cholecystitis.4. 12-mm nonobstructing renal calculus in the inferior pole of the right kidney. |
Generate impression based on findings. | 83 year-old female with chronic kidney disease. RIGHT KIDNEY: No significant abnormalities noted.LEFT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted. The bladder is normal in appearance. Note is made of bilateral ureteral jets. | Unremarkable ultrasound examination of the kidneys and urinary bladder. |
Generate impression based on findings. | 50 year-old female with a history of thyroid cancer. Status post thyroidectomy in October of 2014 and I-131 therapy. RIGHT LOBE MEASUREMENTS: Surgically absent.LEFT LOBE MEASUREMENTS: Surgically absent.ISTHMUS MEASUREMENTS: Surgically absent.RIGHT LOBE: Surgically absent. There is a 4 x 3 x 5 mm heterogeneous, but predominantly hypoechoic nodule in the inferior surgical bed of the right lobe of the thyroid gland. There is no internal vascularity or calcification. Additionally, there is a 4 x 3 x 5 mm, hypoechoic nodule in the midportion of the surgical bed of the right lobe of the thyroid gland. There is no internal vascularity or calcification. There is a 4 x 6 x 6 mm round hypocholic nodule in the superior pole of the surgical bed of the right lobe of the thyroid gland, without internal vascularity or calcification.LEFT LOBE: Surgically absent. There is a normal morphology lymph node identified in the surgical bed of the left lobe of the thyroid gland.ISTHMUS: Surgically absent.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Note is made of a left level 2 cervical lymph node. While there is a suggestion of a normal fatty hilum, close attention on follow up examination is recommended to evaluate for interval change. OTHER: No significant abnormality noted. | 1. Multiple subcentimeter nodules in the surgical bed of the right lobe of the thyroid gland are nonspecific. Submission of prior examinations for comparison, if available, is recommended to exclude the possibility of residual or recurrent disease. Follow up examination is recommended.2. Nonspecific left level 2 cervical lymph node for which follow up examination is recommended to evaluate for interval change. |
Generate impression based on findings. | 52 year-old female with colicky abdominal pain for 2 months. LIVER: No significant abnormalities noted.GALLBLADDER, BILIARY TRACT: Note is made of a subcentimeter echogenic focus along the nondependent portion of the neck of the gallbladder without internal vascularity, measuring 5 mm in its largest diameter, most consistent with a gallbladder polyp. It should be noted that gallbladder polyps less than 6 mm in size require no follow-up examination. No gallstones are identified. No evidence of acute cholecystitis. Sonographic Murphy's is negative.PANCREAS: No significant abnormalities noted although the pancreas is partially obscured by overlying bowel gas.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted. | 1. No sonographic findings to account for the patient's pain.2. 5 mm gallbladder polyp for which no follow-up examination is required. |
Generate impression based on findings. | 70 year-old female with popliteal pain. Evaluate for Baker's cyst. RIGHT LOWER EXTREMITY:Note is made of a 5.1 x 0.8 x 1.3 cm, anechoic cystic structure along the posterior medial aspect of the right knee, extending from the level of the medial head of the gastrocnemius muscle. There is no internal vascularity.LEFT LOWER EXTREMITY:Note is made of a 5.2 x 0.8 x 2.0 cm, anechoic cystic structure along the posterior medial aspect of the left knee, extending from the expected level of the medial head of the gastrocnemius muscle. There is no internal vascularity. | Bilateral cystic collections along the posteromedial aspects of the knee, which appear most consistent with Baker's cysts. |
Generate impression based on findings. | 81 year old female with a history of thyroid nodules on CT scan at an outside institution. RIGHT LOBE MEASUREMENTS: 5.3 x 1.5 x 2.0 cm.LEFT LOBE MEASUREMENTS: 4.0 by 0.9 x 1.1 cm.ISTHMUS MEASUREMENTS: 5 mmThe thyroid gland is enlarged and diffusely heterogenous, which can be seen in thyroiditis.RIGHT LOBE: There is a 1.8 x 0.7 x 0.9 cm irregular lobulated heterogeneous, but predominantly hypoechoic nodule in the mid body of the right lobe of the thyroid gland. There is no internal vascularity or definite calcification. Indeterminant.LEFT LOBE: The mid portion of the left lobe of the thyroid gland is diffusely heterogenous with subcentimeter hypoechoic foci.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Cervical lymph node in the left lateral neck with nonspecific morphology, including a prominent cortex, measuring 1.2 x 0.6 x 1.4 cm. OTHER: No significant abnormality noted. | 1. 1.8 cm indeterminate nodule in the mid body of the thyroid gland for which further evaluation with FNA is recommended.2. Indeterminate left cervical lymph node which could also be further evaluated with FNA if clinically indicated. 3. Heterogenous thyroid echotexture, nonspecific and may be seen in setting of thyroiditis. |
Generate impression based on findings. | 60 year old female with history of hepatitis C. Screening for HCC. LIVER: Slightly increased liver echogenicity, without focal masses. BILIARY TRACT: No biliary dilatation. Gallbladder is within normal limits.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 9.3 cm in length.OTHER: No significant abnormalities noted. Left kidney measures 9.2 cm in length. Small, approximately 1.3 cm anechoic left kidney inferior pole cyst. | Slightly increased liver echogenicity, likely due to hepatic steatosis, without focal masses or other findings of malignancy. |
Generate impression based on findings. | 2 year old female patient with right hydronephrosis. Follow up scan. BLADDER Wall Thickness: Normal Contents: Distended and normal. Distal Ureter -- SFU Grade** Right: 0 Left: 0 Ureteral Jets Right: Not observed Left: Not observedKIDNEYS Cortical Echogenicity: Normal Medullary Echogenicity: Normal Pelvicaliceal System -- SFU Grade* Right: 0 Left: 0 Length*** Right: 6.2 cm Left: 6.8 cm Mean for age: 7 cm Range for age: 6 - 8 cmADDITIONAL OBSERVATIONS: None | No hydronephrosis bilaterally.*SFU grading system: Grade 0: No hydronephrosis. Grade 1: The renal pelvis is visualized. Grade 2: A few but not all of the calices are identified in addition to the renal pelvis. Grade 3: Virtually all the calices are seen. Grade 4: Grade 3 and parenchymal thinning. **SFU grading system retrovesical ureter: Grade 0: No ureteral dilatation. Grade 1: Ureter less than 7 mm. Grade 2: Ureter is 7-10 mm. Grade 3: Ureter is over 10 mm. Fernbach SK, Maizels M, Conway JJ. Ultrasound Grading of Hydronephrosis: Introduction to the System used by the Society for Fetal Urology. Pediatric Radiology (1993) 23: 478-480.***Rosenbaum DM, Korngold E, Teele RL. Sonographic Assessment of Renal Length in Normal Children. AJR Am J. Roentgenol (1984) 142:467-469 |
Generate impression based on findings. | 42 year-old male with nephrotic range proteinuria. Ultrasound guided renal biopsy. Ultrasound guidance was provided to the clinical service. 5 passes were performed by the clinical service. On the final post procedural images, note is made of a small hematoma along the superior margin of the left kidney, measuring approximately 2.5 cm in diameter. Correlation with the procedural report is recommended. | Ultrasound guidance was provided to the clinical service for biopsy of the left kidney. Small postprocedural perinephric hematoma seen. |
Generate impression based on findings. | 29 year-old female with hypertension and proteinuria. RIGHT KIDNEY: No significant abnormalities noted.LEFT KIDNEY: No significant abnormalities noted.OTHER: The bladder is incompletely distended, limiting evaluation. | Unremarkable ultrasound examination of the kidneys and urinary bladder. |
Generate impression based on findings. | 29 year-old male with a history of right suboccipital lymphadenopathy. Note is made of a 7 x 9 x 2 mm normal morphology lymph node with an apparent tiny fatty hilum, in the soft tissues along the posterior aspect of the head/neck. No suspicious mass or lymphadenopathy are identified. | No evidence of lymphadenopathy, as clinically questioned. |
Generate impression based on findings. | 47 year old male with acute kidney injury, anuria. Evaluate for decrease kidney perfusion or hydronephrosis. RIGHT KIDNEY: No significant abnormalities noted. No evidence of hydronephrosis. The right kidney measures 11.1 cm in length.LEFT KIDNEY: The left kidney is not well visualized which may be related to the patient's body habitus.OTHER: No significant abnormalities noted. | Unremarkable ultrasound examination of the right kidney. No evidence of hydronephrosis, as clinically questioned. Limited evaluation of the left kidney, which may be related to the patient's body habitus. |
Generate impression based on findings. | 50 year-old female with goiter. RIGHT LOBE MEASUREMENTS: 8.3 x 7.2 x 5.4 cm.LEFT LOBE MEASUREMENTS: 5.5 x 3.4 x 2.7 cm.ISTHMUS MEASUREMENTS: 7 mm.RIGHT LOBE: The right lobe is enlarged and nearly entirely replaced by a dominant predominantly solid nodule with cystic components. LEFT LOBE: The left lobe of the thyroid is enlarged and nearly entirely replaced by a dominant predominantly solid isoechoic nodule with cystic components, measuring 4.6 x 2.5 x 3.2 cm. There is associated internal vascularity as well as a peripheral hypoechoic halo. These findings are consistent with an indeterminate nodule.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1. 4.6-cm indeterminate nodule in the left lobe of the thyroid gland. Further evaluation with FNA is recommended.2. Diffusely enlarged, heterogeneous thyroid gland, consistent with the stated history of goiter. |
Generate impression based on findings. | 48 year-old female with a history of umbilical hernia with pain. Evaluate for umbilical hernia. Note is made of a small fat containing umbilical hernia which slightly increases in size with Valsalva maneuvers. There are no loops of bowel identified within the hernia sac with or without Valsalva maneuver. | Small fat-containing umbilical hernia. |
Generate impression based on findings. | 59 year-old male with right upper quadrant pain and nausea. LIVER: Coarsened liver architecture. Smooth liver contour. No focal mass lesions are identified. The portal vein flow is hepatopetal.GALLBLADDER, BILIARY TRACT: The gallbladder is incompletely distended. No gallstones are identified. No findings to suggest acute cholecystitis. No common duct stones are seen.PANCREAS: No significant abnormalities noted although partially of by overlying bowel gas.SPLEEN: Mild splenomegaly.RIGHT KIDNEY: No significant abnormalities noted.OTHER: No significant abnormalities noted. | 1. Coarsened liver echotexture may be seen in chronic liver disease.2. Mild splenomegaly. |
Generate impression based on findings. | 61-year-old female with history of hepatitis C and cirrhosis. Evaluate for HCC. LIVER: The liver is nodular with a coarse echotexture compatible with cirrhosis. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: A large gallstone is noted within a normally distended gallbladder. The gallbladder wall measures 3 mm in thickness without focal tenderness or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: The right kidney measures 9.1 cm in length without hydronephrosis or shadowing nephrolithiasis.OTHER: The left kidney measures 10.6 cm in length without hydronephrosis or shadowing nephrolithiasis. The spleen is normal in size measuring 7 cm. | 1. Cirrhosis without a discrete liver lesion or biliary ductal dilatation.2. Cholelithiasis without evidence of acute gallbladder inflammation. |
Generate impression based on findings. | 52 year old female with a history of hepatitis B. Presents for HCC screening LIVER: The liver is normal in size, morphology, and echotexture. It measures 15.5 cm in craniocaudal dimension. Stable simple appearing cyst in the left hepatic lobe measuring 1.1 cm. No suspicious focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: A normally distended gallbladder is present without cholelithiasis, wall thickening or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common bile duct measuring 4 mm.PANCREAS: The visualized portions of the pancreas are normal.RIGHT KIDNEY: The right kidney measures 10.9 cm in length. No hydronephrosis, shadowing calculus or discrete lesion.OTHER: The spleen is normal in size, measuring 8 cm. The left kidney measures 9.6 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.Incidental 2.4 x 1.7 x 3.1 cm anechoic, immobile simple cystic fluid collection at the left lung base, likely representing a loculated pleural effusion. | 1. No focal hepatic lesion or biliary ductal dilatation.2. Incidental small left loculated pleural effusion. |
Generate impression based on findings. | 58 year old female with a history of cirrhosis. Presents for CT screening. LIVER: The liver is nodular in contour and coarsened in echotexture consistent with cirrhosis. It is normal in size, measuring 17.3 cm in craniocaudal dimension. No suspicious focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 20 cm per second.GALLBLADDER, BILIARY TRACT: A normally distended gallbladder is present without gallstones, wall thickening or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm.PANCREAS: Visualized portions of the pancreas are normal.RIGHT KIDNEY: The right kidney measures 10.4 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.OTHER: The left kidney is normal in size, measuring 11.2 cm in length without hydronephrosis. There is a 4-mm non-shadowing echogenic parenchymal focus, favoring a benign etiology. The spleen is normal in size, measuring 2 cm in length with a 7 mm cyst. | Cirrhotic liver morphology without discrete suspicious lesion. |
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 or cystic mass identified. | No sonographic evidence for malignancy.BIRADS: 1 - Negative.RECOMMENDATION: NS - Routine Screening Mammogram. |
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 suspicious solid or cystic mass identified. A few bilateral several millimeter sized cysts are seen. A normal intramammary lymph node is noted in the left breast near one o'clock. | No sonographic evidence for malignancy.BIRADS: 2 - Benign finding.RECOMMENDATION: NS - Routine Screening Mammogram. |
Generate impression based on findings. | 57 year-old female with provided history of acute pancreatitis. Evaluate for gallstones. LIVER: The liver is normal in morphology without a discrete focal lesion or intra-hepatic biliary ductal dilatation. The parenchyma is slightly coarse in echotexture. There is normal hepatopetal portal venous blood flow. The velocity is slightly elevated at 54 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 5 mm. Normally distended gallbladder with a 5 mm shadowing gallstone. There is no gallbladder wall thickening or pericholecystic fluid.PANCREAS: Partially visualized pancreatic parenchyma is enlarged and decreased in echogenicity compatible with edema and acute pancreatitis. No parapancreatic fluid collection is visualized.RIGHT KIDNEY: The right kidney is normal in size, measuring 10.2 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.OTHER: The spleen is normal in size, measuring 11.5 cm. The left kidney is normal in size, measuring 7.8 cm without hydronephrosis or shadowing calculus. There is a 9-mm hypoechoic lesion within the superior aspect of the kidney, incompletely characterized. | 1. Cholelithiasis without evidence of acute cholecystitis.2. Coarsened hepatic echotexture may reflect parenchymal dysfunction.3. Edematous and enlarged partially visualized pancreas, compatible with acute pancreatitis.4. Incompletely characterized 9-mm left superior pole lesion. |
Generate impression based on findings. | 22 year old with right breast mass for 3 months and bilateral breast pain. A targeted right ultrasound was performed for the patient’s area of concern. There is no solid or cystic mass seen in the area identified as palpable by the patient. At this site, and throughout the right upper inner quadrant, very dense breast tissue is noted. | No sonographic evidence for malignancy. Dense breast tissue at the site of concern. Clinical correlation is recommended to ensure that these results are concordant with physical exam. Clinical follow-up is also recommended for the patient's bilateral breast pain.BIRADS: 1 - Negative.RECOMMENDATION: C - Clinical Correlation Needed. |
Generate impression based on findings. | 33-year-old male with elevating LFTs. History of colon cancer. LIVER: The patient is status post right hepatectomy. The residual liver is enlarged, measuring 20 cm in craniocaudal dimension. There are multiple large discrete heterogeneously hyperechoic liver lesions compatible with metastatic disease. The largest measures 6.1 x 5.6 x 7.0 cm. Normal hepatopetal portal venous blood flow at 32 cm/sec. No intrahepatic biliary ductal dilatation.GALLBLADDER, BILIARY TRACT: The gallbladder is absent. No extrahepatic biliary ductal dilatation with the common bile duct measuring 2 mm.PANCREAS: Limited evaluation of the pancreas is unremarkable.RIGHT KIDNEY: The right kidney is enlarged, measuring 14.4 cm with hydronephrosis seen on the prior CT. No shadowing calculi.OTHER: Splenomegaly, measuring 17.7 cm in length. The left kidney is enlarged, measuring 14.3 cm in length with of hydronephrosis. | 1. Multiple large hepatic masses compatible with metastatic disease. No biliary ductal dilatation.2. Bilateral moderate hydroureteronephrosis without shadowing calculus.3. Splenomegaly. |
Generate impression based on findings. | 36 year old female with history of nephrolithiasis. Presents with right upper quadrant pain. LIVER: The liver is normal in morphology, echogenicity and size, measuring 15.3 cm in craniocaudal length. An 8mm echogenic shadowing parenchymal calcification is noted. There is no suspicious focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm. Normally distended gallbladder without wall thickening, pericholecystic fluid or cholelithiasis.PANCREAS: The visualized portions of the pancreas are unremarkable.RIGHT KIDNEY: The right kidney appears slightly atrophic, measuring approximately 8.3 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.LEFT KIDNEY: The left kidney is normal in size, measuring 12.6 cm without hydronephrosis, shadowing calculus or discrete lesion evident.SPLEEN: The spleen measures 12.6 cm in length without a focal lesion.AORTA: The aorta is ectatic without aneurysmal dilatation. The right and left iliac vessels are mildly ectatic measuring 1 and 1.1 cm, respectively.INFERIOR VENA CAVA: The visualized portions of the vena cava are patent.URINARY BLADDER: Partially distended urinary bladder. The left ureteral jet is visualized. OTHER: A right ovarian cyst measuring 2.6 x 2.1 cm is noted. | No hydroureteronephrosis or shadowing calculus. 2.6-cm right ovarian cyst. Mildly ectatic aorta without aneurysmal dilatation. |
Generate impression based on findings. | 80-year-old female with nausea and vomiting. Evaluate for cholecystitis. LIVER: The liver is normal in morphology, echogenicity and size, measuring 14.1 cm in craniocaudal dimension. No suspicious focal hepatic lesion or intrahepatic biliary ductal dilatation. There is normal hepatopetal portal venous blood flow at 24 cm/sec.GALLBLADDER, BILIARY TRACT: No biliary ductal dilatation with the common bile duct measuring 3 mm at the pancreatic head. A normally distended gallbladder is seen without cholelithiasis, wall thickening, pericholecystic fluid, or focal tenderness.PANCREAS: The visualized portions of the pancreatic body and head are normal.RIGHT KIDNEY: The right kidney measures 9.1 cm with mildly increased cortical echogenicity. No shadowing nephrolithiasis. There is a 2.3-cm simple appearing cyst.OTHER: The spleen is normal in size, measuring 7.9 cm. The left kidney measures 9.1 cm with increased cortical echogenicity. No shadowing nephrolithiasis. There is a 2.7 cm simple appearing cyst. | No cholelithiasis or evidence of acute gallbladder inflammation. Echogenic kidneys with bilateral simple appearing cysts. |
Generate impression based on findings. | Acute renal insufficiency RIGHT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. Right kidney 9.4 cm in lengthLEFT KIDNEY: Echogenic parenchyma without mass, stone, or hydronephrosis. Left kidney 10.1 cm in length.OTHER: Bladder non-distended. Cholelithiasis | 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 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 findings. | LVAD with chronic kidney disease LIVER: Mildly coarse and echogenic liver without mass. Liver length 21 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Echogenic parenchyma. Right renal cyst. No worrisome mass, stone, or obstruction. Right kidney 11.7 cm in length.OTHER: Echogenic left renal parenchyma. Left renal cyst. No left renal hydronephrosis. Bilateral pleural effusions. Trace ascites. Spleen 11.2 cm in length. | Echogenic renal parenchyma consistent with medical renal disease/parenchymal dysfunction without worrisome mass, stone, or obstruction. Hepatomegaly with mildly coarsened echogenic liver suggestive for liver parenchymal dysfunction; no ductal dilatation. Trace ascites. |
Generate impression based on findings. | 58-year-old male being evaluated for heart transplant. The study was limited by the patient's body habitus and inability to hold his breath.LIVER: The liver is normal in morphology, echogenicity and size, measuring 15.2 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm.PANCREAS: Overlying bowel gas obscures the pancreas.SPLEEN: The spleen is normal in size, measuring 11.3 cm.KIDNEYS: The right kidney is normal in size measuring 11.6 cm in length without hydronephrosis, shadowing calculus, or discrete lesion evident. The left kidney measures 10.9 cm in length without hydronephrosis, shadowing calculus or discrete lesion evident.ABDOMINAL AORTA: The proximal aorta is normal in caliber, measuring 2 cm in AP dimension. The remaining aorta is obscured by overlying bowel gas shadowing.INFERIOR VENA CAVA: The inferior vena cava is patent.OTHER: Left pleural effusion. | Left pleural effusion. Otherwise, limited examination without significant abnormality evident. |
Generate impression based on findings. | 90 year-old female with remote history of capillary thyroid cancer in 1987. Evaluate for recurrence. THYROID: The patient is status post thyroidectomy. RIGHT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LEFT THYROIDECTOMY BED: Status post thyroidectomy with no evidence of residual or recurrent disease. ISTHMUS BED: Status post thyroidectomy with no evidence of residual or recurrent disease. LYMPH NODES: Bilateral morphologically unremarkable and normal-sized lymph nodes are identified.PARATHYROID GLANDS: No significant abnormality noted.OTHER: No significant abnormality noted. | No evidence of tumor recurrence. |
Generate impression based on findings. | HIV with abdominal pain LIVER: No significant abnormalities noted. Liver length 18 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 10.7 cm in length.OTHER: Left kidney 11.7 cm in length. Spleen 11 cm in length. No ascites. | Negative for acute, inflammatory, or neoplastic process. No hepatobiliary abnormality noted. |
Generate impression based on findings. | Stem cell transplant with increasing LFTs LIVER: Echogenic coarse liver parenchyma without mass or ductal dilatation. Liver length 15.6 cmGALLBLADDER, BILIARY TRACT: No significant abnormalities noted.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. 13.1 cm in lengthOTHER: Left kidney 12.5 cm in length. Spleen 13.1 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 findings. | Right testicular pain RIGHT TESTIS: 4.3 x 2.2 x 2.8 cm. No worrisome intratesticular mass. Benign ectasia of the rete testes. Bilaterally symmetric Doppler flow characteristics.LEFT TESTIS: 4.4 x 2.2 x 2.8 cm. No worrisome intratesticular mass. Bilaterally symmetric Doppler flow character 6.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Negative scrotal ultrasound. |
Generate impression based on findings. | 31-year-old male with history of abnormal LFTs and hepatic steatosis. Assess liver morphology. LIVER: Diffusely increased hepatic parenchymal echogenicity, consistent with history of hepatic steatosis. Additionally, there is a focal hyperechoic abnormality in the central parenchyma which measures approximately 9 mm. Although this focal abnormality is most likely a benign hemangioma, given his background of hepatic steatosis this should receive special attention on future ultrasound imaging. No biliary dilatation or other significant abnormality.GALLBLADDER, BILIARY TRACT: No gallbladder wall thickening, pericholecystic fluid or gallstones. 3 x 3 x 4 mm gallbladder wall polyp.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 10.4 cm.OTHER: No significant abnormalities noted. Left kidney measures 10.5 cm. Spleen is within normal limits, measuring 10 cm. Limited view of the pancreas due to overlying bowel gas. | 1.Findings consistent with hepatic steatosis.2.Focal, 9-mm hyperechoic abnormality is most likely a benign hemangioma, however should be given special attention on future ultrasound evaluations given this patient's background of hepatic steatosis.3.Tiny gallbladder polyp as above. |
Generate impression based on findings. | Right upper quadrant pain LIVER: Echogenic coarse parenchyma again noted without mass. Liver length is 16.6 cmGALLBLADDER, BILIARY TRACT: Cholelithiasis again noted without acute inflammation or ductal dilatationPANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. Right kidney 9.6 cm in length.OTHER: Left kidney 12 cm in length. Spleen 7.9 cm in length. No ascites | Coarse echogenic liver parenchyma again noted consistent with fatty infiltration/parenchymal dysfunction without mass or ductal dilatation; this finding is unchanged. Cholelithiasis without acute inflammation again noted. No ascites. |
Generate impression based on findings. | 73-year-old male with history of chronic hepatitis C. LIVER: The liver demonstrates heterogeneous hyperechoic echotexture, similar to prior. The liver measures 16.3 cm. No appreciable masses.BILIARY TRACT: Small amount of pneumobilia. No significant biliary dilatation.PANCREAS: No significant abnormalities noted.SPLEEN: No significant abnormalities noted. Spleen measures 13 cm.RIGHT KIDNEY: No significant abnormalities noted. Right kidney measures 8.7 cm.OTHER: No significant abnormalities noted. Left kidney measures 8.9 cm. Small amount of abdominal ascites. | Findings compatible with hepatic steatosis and small amount of ascites. |
Generate impression based on findings. | 37-year-old female with a thyroid nodule. RIGHT LOBE MEASUREMENTS: 4.5 x 1.2 x 1.0 cm.LEFT LOBE MEASUREMENTS: 4.8 x 0.9 x 1.3 cmISTHMUS MEASUREMENTS: 1 mm RIGHT LOBE: 7 x 6 x 6 mm lower pole hypoechoic well-defined solid nodule with punctate echogenic foci which may represent microcalcifications.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Indeterminate 7-mm right thyroid lobe hypoechoic nodule with indeterminate echogenic foci. This nodule is amenable to fine needle aspiration. |
Generate impression based on findings. | 23-year-old with small palpable mobile mass in the right breast near the axillary region. Strong family history of breast cancer. A targeted right ultrasound was performed for the patient’s area of concern near the right axilla. There is an oval superficially located mass which is centrally echogenic and peripheral hypoechoic and very mild blood flow measuring 9 x 9 mm. | Benign morphology mass of the site of palpable concern is highly likely to be benign. Differential considerations include a small lymph node, lipoma or possibly fat necrosis. Given the highly likely benign appearance, a short term ultrasound follow-up in 3 to 6 months is recommended to ensure stability. However, if the area changes before then, intervention sooner would be warranted.BIRADS: 3 - Probably benign finding.RECOMMENDATION: 3B - Followup at Short Interval (1-11 Months). |
Generate impression based on findings. | The patient submitted outside mammogram dated 5/11/11, 4/13/10, from 2525 S. Michigan Ave, Chicago 60616. Submitted outside study was compared to the current mammogram dated 3/18/15. Multiple masses in both breasts appear new from prior studies and ultrasound is recommended for further evaluation. Small cluster of calcifications in left upper outer quadrant is progressing in a benign fashion. The right axillary lymph node appears prominent but stable from prior exams. | Multiple masses in both breasts appear new from prior studies and ultrasound is recommended for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | The patient submitted outside mammogram dated 5/11/11, 4/13/10, from 2525 S. Michigan Ave, Chicago 60616. Submitted outside study was compared to the current mammogram dated 3/18/15. Multiple masses in both breasts appear new from prior studies and ultrasound is recommended for further evaluation. Small cluster of calcifications in left upper outer quadrant is progressing in a benign fashion. The right axillary lymph node appears prominent but stable from prior exams. | Multiple masses in both breasts appear new from prior studies and ultrasound is recommended for further evaluation. BIRADS: 0 - INCOMPLETE; Need additional imaging evaluationRECOMMENDATION: EB - Additional Mammo/Ultrasound Workup Required. |
Generate impression based on findings. | 35-year-old female with right upper quadrant pain. Evaluate for cholecystitis. LIVER: The liver is normal in morphology with slightly coarsened echotexture. It measures 21 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: Sludge and gallstone at the neck of a normally distended gallbladder. No wall thickening, pericholecystic fluid or focal tenderness. The common bile duct is mildly prominent up to 10 mm without obstructing stone or lesion identified.PANCREAS: Partially visualized pancreas is unremarkable.RIGHT KIDNEY: Dense calcification in the superior pole of the right kidney, unchanged. No hydronephrosis.OTHER: The left kidney measures 9.7 cm in length with mild upper pole pelviectasis. No shadowing nephrolithiasis is apparent. The spleen is normal in size, measuring 10.9 cm. | Gallbladder sludge, gallstones and mild extrahepatic biliary ductal dilatation. No common bile duct stone is evident. No evidence of acute gallbladder inflammation. |
Generate impression based on findings. | 69-year-old male with history of liver fibrosis. Evaluate for HCC. LIVER: Normal liver size, measuring 16.2 cm in craniocaudal dimension. The liver is nodular and coarse in echotexture consistent with fibrosis. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. Pulsatile hepatopetal portal venous blood flow at 40 cm/sec. Dilated hepatic veins suggests increased right-sided heart pressure.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 5 mm.PANCREAS: Partially visualized pancreas is unremarkable.RIGHT KIDNEY: The right kidney is normal in size, measuring 11.2 cm in length. The hydronephrosis, shadowing calculus or discrete lesion evident.OTHER: The left kidney is normal in size measuring lump a 9 cm without hydronephrosis, shadowing calculus or discrete lesion evident. Mild splenomegaly, measuring 15.6 cm. Moderate bilateral pleural effusions. | Cirrhotic liver morphology without focal lesion or biliary ductal dilatation. Splenomegaly. Moderate bilateral pleural effusions. |
Generate impression based on findings. | 48 year old male with a history of right lower quadrant pain and tenderness in the inguinal region. Reports congenital absence of left testis. RIGHT TESTIS: The right testis is normal in morphology, echogenicity, and size, measuring 2.6 x 4.9 x 2.3 cm. Spectral Doppler demonstrates arterial blood flow.LEFT TESTIS: NoneRIGHT EPIDIDYMIS: Normal morphology, echogenicity, and size without evidence of hyperemia.LEFT EPIDIDYMIS: NoneOTHER: Evaluation of the right inguinal region demonstrates no discrete abnormality. | Normal right testis. Absent left testis. |
Generate impression based on findings. | 60 year-old female with history of hepatitis C. Presents for HCC screening. LIVER: Liver is mildly coarsened in echotexture. It is normal in size, measuring 15.2 cm in craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 18 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm. Status post cholecystectomy. PANCREAS: Visualized portions of the pancreatic head and body are unremarkable.RIGHT KIDNEY: The right kidney measures 8.7 cm in length with minimal pelviectasis. No focal lesion or shadowing nephrolithiasis.OTHER: The spleen is normal in size, measuring 10 cm. The left kidney is normal in size, measuring 11.2 cm without hydronephrosis or shadowing nephrolithiasis. There is a 2.6 cm inferior pole simple appearing cyst. | Coarse hepatic echotexture, without discrete lesion or biliary ductal dilatation. |
Generate impression based on findings. | 26 year old female with a history of hypothyroidism. RIGHT LOBE MEASUREMENTS: 4.8 x 1.6 x 1.8 cmLEFT LOBE MEASUREMENTS: 5.2 x 1.5 x 1.3 cmISTHMUS MEASUREMENTS: 3 mmRIGHT LOBE: Heterogeneous thyroid parenchyma with hyperechoic fibrous bands compatible with thyroiditis. Coarse shadowing calcification within the superior pole.6 x 5 x 7 mm hyperechoic well defined hypervascular nodule in the inferior pole.LEFT LOBE: Heterogeneous thyroid parenchyma with hyperechoic fibrous bands compatible with thyroiditis. 3-mm hyperechoic well defined nodule in the inferior pole.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: Normal morphology and size cervical lymph nodes.OTHER: No significant abnormality noted. | 1. Heterogeneous thyroid parenchyma compatible with history of thyroiditis.2. Hyperechoic subcentimeter nodules are classically benign in the setting of thyroiditis. |
Generate impression based on findings. | 38 year old female with a history of HBV. Evaluate for HCC. LIVER: The liver parenchymal is mildly coarsened. The liver morphology and capsule are smooth. It is normal in size, measuring 12.9 cm in craniocaudal dimension. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 40 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm.PANCREAS: The visualized portions of the pancreatic head and body are normal.RIGHT KIDNEY: The right kidney measures 10.3 cm in length without hydronephrosis, shadowing nephrolithiasis, or focal lesion evident. Color Doppler demonstrates blood flow.OTHER: The left kidney is normal in size, measuring 10.3 cm without hydronephrosis, shadowing nephrolithiasis, or focal lesion evident. Color Doppler demonstrates blood flow.The spleen is normal in size, measuring 8.7 cm without a focal lesion evident. | Coarse hepatic parenchyma without a discrete lesion or biliary ductal dilatation. |
Generate impression based on findings. | 78-year-old male with history of cellulitis. Concern for abscess between the rectum and scrotum. There is an ill-defined subcutaneous mildly hypoechoic region measuring 2.2 x 0.9 cm which is mildly hypervascular. This is nonspecific and may represent granulation tissue. There is no loculated fluid collection to suggest an abscess. | No abscess. Nonspecific ill-defined focus in the region of interest may represent granulation tissue. |
Generate impression based on findings. | 22-year-old male with a history of ulcerative colitis with thrombocytopenia. Evaluate the liver and spleen. LIVER: The liver is coarse in echotexture. It is normal in size, measuring 14.8 cm in the craniocaudal dimension. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 13 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 3 mm. Normally distended gallbladder without gallstones, wall thickening or pericholecystic fluid.PANCREAS: A partially visualized pancreatic head is unremarkable. The remainder of the pancreas is obscured.RIGHT KIDNEY: The right kidney is normal in size, measuring 11.3 cm, without hydronephrosis, shadowing nephrolithiasis or focal lesion evident. Color Doppler demonstrates hilar blood flow.OTHER: The left kidney is normal in size, measuring 11.7 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident. Color Doppler demonstrates hilar blood flow.The spleen is normal in size, measuring 10.8 cm without a discrete lesion evident. | Coarse hepatic parenchyma suggesting parenchymal dysfunction. No focal hepatic lesion or biliary ductal dilatation. Normal sized spleen. |
Generate impression based on findings. | 71-year-old male with a history of scrotal pain. RIGHT TESTIS: The right testis is normal in morphology, echogenicity, and size, measuring 3.2 x 2.4 x 4.6 cm. Spectral Doppler evaluation demonstrates arterial blood flow. There is a small 2 mm cyst.LEFT TESTIS: The left testis is normal in morphology, echogenicity and size measuring 3.2 x 2.0 x 4.8 cm. Spectral Doppler demonstrates arterial blood flow.RIGHT EPIDIDYMIS: Normal in size and appearance and contains a 2.2-cm head cyst. 4-mm epididymal body cyst. 1.5-cm epididymal tail cyst. Coarse calcification adjacent to the epididymal tail.LEFT EPIDIDYMIS: Normal in morphology, echogenicity, and size without hypervascularity.OTHER: Bilateral varicoceles and small hydroceles. | Bilateral varicoceles and small hydroceles. No acute epididymal or testicular abnormality. |
Generate impression based on findings. | 44-year-old male history of alcoholic cirrhosis. Recurrent ascites with recent abdominal drain now with erythema around the site. There is diffuse body wall edema with a focus of more confluent fluid in the palpable region of concern measuring 1.9 x 2.5 cm. The collection is not loculated. Another focus of more confluent fluid measures 2.3 x 1.5 x 2.9 cm with a channel communicating with the peritoneal ascites. There is no significant surrounding soft tissue hyperemia. | Diffuse body wall edema/anasarca with two regions of confluent non-loculated fluid collections, one of which communicates with the peritoneal ascites and likely reflects a small fluid containing hernia, which may be related to the recent drainage catheter tract. |
Generate impression based on findings. | 20 year-old female patient with the left breast mass x 4 years. Family history of breast cancer in mother at 59 years of age. A targeted left breast ultrasound was performed. There is an oval parallel hypocholic mass in the 8 o'clock position of the left breast 3 cm from the nipple that measures 3.1 x 1.1 x 2.4 cm. | The palpable lump is due to a 3.1 x 1.1 x 2.4 cm mass with generally benign sonographic features in the inner left breast. This is most likely a fibroadenoma, however based on the size, surgical consultation is recommended. Recommend consultation with breast surgeon, which patient scheduled immediately after discussion.BIRADS: 3 - Probably benign finding.RECOMMENDATION: T - Take Appropriate Action - No Letter. |
Generate impression based on findings. | 64-year-old female with a history of cirrhosis. Evaluate for HCC. LIVER: Coarse echotexture and nodular morphology compatible with cirrhosis. The liver is mildly shrunken, measuring 13.8 cm in craniocaudal dimension. No focal hepatic lesion is identified. No intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common duct measuring 4 mm. Cholelithiasis within a normally distended gallbladder. Mild gallbladder wall thickening is nonspecific in the setting of ascites. No focal tenderness.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.RIGHT KIDNEY: The right kidney is normal in size, measuring 9.8 cm without hydronephrosis, shadowing nephrolithiasis, or discrete lesion. The cortex is echogenic.OTHER: The spleen is normal in size, measuring 11.4 cm.The left kidney measures 10 cm without hydronephrosis, shadowing nephrolithiasis, or discrete lesion. The cortex is echogenic.Small volume ascites. | 1. Cirrhosis without discrete hepatic lesion or biliary duct dilatation. Small volume ascites.2. Cholelithiasis without specific evidence of acute cholecystitis. 3. Medical renal disease. |
Generate impression based on findings. | 87-year-old male with a history of a newly distended abdomen. Evaluate for ascites. Bilateral pleural effusions. Incidental 11.8 x 7.4 x 8.8 cm simple appearing left inferior renal pole cyst. Catheter in a collapsed urinary bladder. No significant ascites. | Bilateral pleural effusions without significant ascites. Large left renal cyst. |
Generate impression based on findings. | 48-year-old female with history of renal cysts. RIGHT KIDNEY: The right kidney is normal in size, measuring 11.1 cm without hydronephrosis, shadowing nephrolithiasis or suspicious lesion. There is a 2-cm interpolar simple appearing cyst.LEFT KIDNEY: The left kidney is normal in size, measuring 11.5 cm without hydronephrosis, shadowing nephrolithiasis, or suspicious lesion. There is a 5.9-cm interpolar simple appearing cyst.OTHER: No significant abnormalities noted. | Bilateral simple cysts. |
Generate impression based on findings. | 55-year-old male with a history of heart failure and lower extremity edema. Evaluate for cirrhosis. LIVER: The liver is mildly coarse and increased in echogenicity. It is normal in size, measuring 16.4 cm. The liver morphology is normal. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, focal tenderness or pericholecystic fluid. No extrahepatic biliary ductal dilatation with the common duct measuring 6 mm.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.RIGHT KIDNEY: The right kidney is normal in size, measuring 10 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident. Increased cortical echogenicity.OTHER: The left kidney is normal in size, measuring 12.9 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident. Increased cortical echogenicity.The spleen is normal in size, measuring 11.2 cm. | Coarsened and increased hepatic echogenicity likely related to diffuse fatty infiltration. No focal hepatic lesion or specific findings of cirrhosis.Medical renal disease. |
Generate impression based on findings. | 58 year old male with a history of ascites of unclear etiology. LIVER: The liver parenchyma is coarsened. It is normal in size, measuring 18.7 cm in craniocaudal dimension. The liver contour is smooth. There is no focal hepatic lesion or biliary ductal dilatation. Moderate volume perihepatic ascites. There is normal directional portal venous blood flow at 51 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder with mild wall thickening, up to 4 mm, which is nonspecific in the setting of ascites. No cholelithiasis or focal tenderness. No extrahepatic biliary duct dilatation with common bile duct measuring 3 mm.PANCREAS: The visualized pancreatic body and head are normal.SPLEEN: The spleen is normal in size, measuring 11.5 cm.KIDNEYS: The right kidney measures 11.5 cm without hydronephrosis, shadowing nephrolithiasis, or discrete lesion evident. The left kidney measures 10.4 cm and is partially obscured, without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident. The renal cortices are echogenic. ABDOMINAL AORTA: The visualized proximal aorta is normal in caliber, measuring 1.9 cm.INFERIOR VENA CAVA: The visualized inferior vena cava is patent. OTHER: Bilateral pleural effusions and moderate volume ascites. | 1. Bilateral pleural effusions and moderate volume ascites. 2. Coarse hepatic parenchyma, compatible with parenchymal dysfunction. 3. Medical renal disease. |
Generate impression based on findings. | 73-year-old male with history of hematuria and urinary retention. Chronic kidney disease. RIGHT KIDNEY: Slightly increased parenchymal echogenicity, without additional significant abnormalities noted. The right kidney measures 10.1 cm. There is a simple cyst in the right kidney midpole measuring 1.5 cm in diameter.LEFT KIDNEY: Slightly increased parenchymal echogenicity, without additional significant abnormalities noted. The left kidney measures 11.4 cm. There is a simple cyst in the left kidney lower pole.URINARY BLADDER: No significant abnormalities noted.OTHER: No significant abnormalities noted. | Stable exam, with bilateral slightly hyperechoic kidneys and small cysts. No additional significant abnormality is noted to explain the patient's hematuria. In the setting of ongoing hematuria, consider CT urography for more sensitive/specific evaluation. |
Generate impression based on findings. | 81-year-old male with a history of newly diagnosed hepatitis C, and thrombocytopenia. Evaluate for cirrhotic liver morphology. LIVER: The liver parenchyma is minimally coarsened. It is normal in size, measuring 15.0 cm in craniocaudal dimension. The liver contour, and capsule are smooth. 1.3-cm coarse calcification in the right hepatic dome, seen on prior CT. No suspicious focal hepatic lesion, or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 23 cm/sec.GALLBLADDER, BILIARY TRACT: No extrahepatic biliary ductal dilatation with the common bile duct measuring 3 mm. Normally distended gallbladder without cholelithiasis, wall thickening or pericholecystic fluid.PANCREAS: The pancreas is obscured by overlying bowel gas shadowing.RIGHT KIDNEY: The right kidney measures 9.8 cm in length without hydronephrosis, shadowing nephrolithiasis, or discrete lesion evident.OTHER: The spleen is normal in size, measuring 7.9 cm. The left kidney is difficult to see, measuring 8.6 cm, without hydronephrosis. | Mildly coarse hepatic parenchyma, compatible with parenchymal dysfunction. Otherwise, normal hepatic morphology without discrete lesion. |
Generate impression based on findings. | 72 year old female with history of thyroid nodule. RIGHT LOBE MEASUREMENTS: 4.7 x 1.7 x 1.3 cmLEFT LOBE MEASUREMENTS: 5 x 1.9 x 1.7 cm ISTHMUS MEASUREMENTS: 2 mmRIGHT LOBE: There are several well-defined cystic and spongiform subcentimeter nodules. The largest measures 9 mm and is predominantly cystic. No specific suspicious sonographic features.LEFT LOBE: There are several well-defined cystic and spongiform nodules. The largest is a spongiform nodule with comet tail artifact reflecting colloid, measuring 1.3 cm.ISTHMUS: There is a 2.3 x 2.0 x 1.8 cm solid nodule extending from the inferior aspect of the isthmus without hypervascularity or microcalcifications. It is well defined and heterogeneous.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | 1. 2.3 cm indeterminate solid inferior isthmus nodule. Given its size and hypermetabolism on PET an FNA should be considered.2. Multiple additional bilateral cystic and spongiform nodules. |
Generate impression based on findings. | 62-year-old male with history of AML status post stem cell transplant. Abnormal LFTs. LIVER: The liver is normal in morphology and size, measuring 19 cm in the craniocaudal dimension. It is mildly echogenic. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 5 mm.PANCREAS: The pancreas is obscured and poorly visualized.RIGHT KIDNEY: The right kidney is normal in size, measuring 11.9 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident.OTHER: The left kidney is normal in size, measuring 11.2 cm without hydronephrosis, shadowing nephrolithiasis or discrete lesion evident.The spleen is normal in size, measuring 11.3 cm. | Mildly echogenic liver most commonly seen in diffuse fatty infiltration. Otherwise, unremarkable right upper quadrant ultrasound. |
Generate impression based on findings. | 78 year old female with right upper quadrant pain. Evaluate for gallstones. LIVER: The liver measures 16.7 cm in length. The liver contour is smooth, the parenchyma is normal in echogenicity. No mass is identified.BILIARY TRACT: Small stones are seen within the gallbladder. There is no gall bladder wall thickening or pericholecystic fluid. There is persistent, mild intrahepatic biliary ductal dilatation. The common hepatic duct measures 0.3 cm in diameter, the common bile duct measures 1.1 in diameter. No convincing evidence of choledocholithiasis.PANCREAS: Limited evaluation of the pancreas reveals no significant abnormality.SPLEEN: The spleen measures 9.3 cm in length.KIDNEYS: The right kidney measures 9.1 centimeters in length. The left kidney measures 10.1 cm in length. Bilaterally there is no hydronephrosis or shadowing renal stone, the renal cortex is normal in echogenicity. OTHER: No significant abnormalities noted. | Mild biliary dilatation, similar to prior. No stones are seen within the ducts. As was noted previously, this finding may be age-related rather than secondary to an obstructive process. |
Generate impression based on findings. | 65-year-old male with a history of hepatitis C presents for HCC screening. LIVER: The liver parenchyma is coarse and echogenic. No focal hepatic lesion or intrahepatic biliary ductal dilatation. It is normal in size, measuring 15.5 cm in the craniocaudal dimension. Normal hepatopetal portal venous blood flow at 30 cm/sec.GALLBLADDER, BILIARY TRACT: Small gallstone without gallbladder wall thickening, pericholecystic fluid, or focal tenderness. No extrahepatic biliary ductal dilatation with the common duct measuring 6 mm.PANCREAS: The poorly visualized pancreatic body and head are unremarkable.RIGHT KIDNEY: The right kidney is normal in size, measuring 10.1 cm without hydronephrosis, or shadowing nephrolithiasis. 1.1 cm hypoechoic lesion, compatible with a probable simple cyst as seen on CT 3/6/2015.OTHER: The spleen is normal in size, measuring 10.9 cm in length. The left kidney measures 10 cm in length without hydronephrosis, shadowing nephrolithiasis, or suspicious lesion. There is a 2.0 cm bilobed inferior pole probable cyst as seen on prior CT. | Echogenic liver parenchyma consistent chronic liver disease without a focal lesion.Cholelithiasis without evidence of acute cholecystitis.Bilateral renal cysts. |
Generate impression based on findings. | 53 year old female with elevated LFTs and vomiting. LIVER: The liver has normal morphology, echogenicity and size, measuring 13.4 cm in length. No focal hepatic lesion or intrahepatic biliary ductal dilatation. Normal hepatopetal portal venous blood flow at 20 cm/sec.GALLBLADDER, BILIARY TRACT: Normally distended gallbladder without gallstones, wall thickening, pericholecystic fluid, or focal tenderness.PANCREAS: The visualized pancreatic body and head are normal.RIGHT KIDNEY: The right kidney measures 10 3 cm in length without hydronephrosis, shadowing nephrolithiasis, or focal lesion evident.OTHER: Moderate splenomegaly, measuring 14.6 cm.The left kidney measures 9.9 cm without hydronephrosis, shadowing nephrolithiasis, or focal lesion evident. | 1. Normal gallbladder. No biliary ductal dilatation. 2. Moderate splenomegaly. |
Generate impression based on findings. | 84 year old female. Imaging provided for suprapubic bladder catheter placement. The urinary bladder catheter bulb is situated in a partially distended urinary bladder. | Imaging confirmation of suprapubic catheter placement. |
Generate impression based on findings. | 47 year old male with acute kidney injury, anuria. Evaluate for decreased kidney perfusion or hydronephrosis. RIGHT KIDNEY: No significant abnormalities noted. No evidence of hydronephrosis. The right kidney measures 11.1 cm in length.LEFT KIDNEY: The left kidney is not well visualized which may be related to the patient's body habitus.OTHER: No significant abnormalities noted. | Unremarkable ultrasound examination of the right kidney. No evidence of hydronephrosis, as clinically questioned. Limited evaluation of the left kidney, which may be related to the patient's body habitus. |
Generate impression based on findings. | 31-year-old female with epigastric pain, evaluate for gallstones LIVER: Normal hepatic echogenicity. Subcentimeter simple cyst. The main portal vein flow is hepatopetal and measures 0.3 m/sec.GALLBLADDER, BILIARY TRACT: No gallstones or biliary dilation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 11.2 cm. No hydronephrosis or mass.OTHER: Spleen measures 10.5 cm. Left kidney measures 10.8 cm. No hydronephrosis or mass. | Normal right upper quadrant ultrasound. |
Generate impression based on findings. | Alpha 1 antitrypsin cirrhosis, evaluate for HCC LIVER: Cirrhotic morphology without focal hepatic lesions.GALLBLADDER, BILIARY TRACT: The gallbladder appears normal without evidence of gallstones or wall thickening. No biliary ductal dilation. The portal vein is patent.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 12.1 cm. No hydronephrosis or mass.OTHER: The left kidney measures 13.6 cm. No hydronephrosis or mass. Splenomegaly measuring 23.4 cm. No ascites. | 1.Cirrhosis without focal hepatic lesions. 2.Splenomegaly. |
Generate impression based on 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 findings. | Abdominal pain, evaluate for pseudocyst LIVER: Measures 13.0 cm. Coarsened hepatic echotexture without focal lesions. The portal vein is patent.GALLBLADDER, BILIARY TRACT: Status post cholecystectomy. No biliary ductal dilation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 9.0 cm. No hydronephrosis or mass.OTHER: Left kidney measures 9.6 cm. No hydronephrosis or mass. No intra-abdominal fluid collections. Spleen measures 10.2 cm. The bladder is nondistended. | No loculated fluid collections. |
Generate impression based on findings. | Fever, transaminitis LIVER: Measures 19.2 cm. No focal hepatic masses. The portal vein is patent.GALLBLADDER, BILIARY TRACT: Gallbladder sludge without wall thickening or biliary dilation.PANCREAS: No significant abnormality noted.SPLEEN: Measures 11.9 cm.KIDNEYS: Right kidney measures 13.4 centers. Left kidney measures 14.0 cm. No hydronephrosis or mass. | Gallbladder sludge without evidence of cholecystitis. |
Generate impression based on findings. | Hepatitis C LIVER: Coarsened hepatic echotexture without focal mass. The portal vein is patent.GALLBLADDER, BILIARY TRACT: The gallbladder is sonographically normal in appearance. No biliary ductal dilation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 13.1 cm. Superior pole cyst measures 5 cm. No hydronephrosis.OTHER: The left kidney measures 13.47 m in length. No hydronephrosis or mass. Spleen measures 10.4 cm in length. | Coarsened hepatic echotexture without focal mass. |
Generate impression based on findings. | 53 year old female with history of hepatitis C and cirrhosis. LIVER: Subtle increased hepatic echotexture, suggestive of hepatic steatosis. No focal masses or other significant abnormality. The liver measures 16.3 cm.GALLBLADDER, BILIARY TRACT: No biliary dilatation or other significant abnormality. Postcholecystectomy.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 11.1 cm, and there is a small 0.5-cm right kidney simple cyst.OTHER: No significant abnormalities noted. Left kidney measures 11.7 cm, and is within normal limits. | Findings suggestive of hepatic steatosis, similar to prior. No focal mass or other significant abnormality. |
Generate impression based on findings. | Liver lesions on outside CT LIVER: Measures 17.6 cm in length. Hepatic steatosis. Three hepatic cysts are identified in the right hepatic lobe, the largest measuring up to 3 cm and is minimally complex. The portal vein is patent.GALLBLADDER, BILIARY TRACT: Gallbladder is normal in appearance without wall thickening or biliary dilation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 10.9 cm in length. 0.8 cm stone in the lower pole. OTHER: The left kidney measures 12.8 cm in length. The spleen measures 11.4 cm in length. | 1.Hepatic steatosis with minimally complex cysts in the right hepatic lobe.2.Nonobstructive right lower pole renal stone. |
Generate impression based on findings. | 45 year old female with history of hepatitis B virus. Evaluate for HCC. LIVER: The liver measures 15 cm, and is normal in echotexture. No focal masses are identified. Small left liver cyst, unchanged from prior, measures 1.8 x 1.5 x 2 cm.GALLBLADDER, BILIARY TRACT: The gallbladder is within normal limits. No biliary dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 10.60 m.OTHER: No significant abnormalities noted. The left kidney is within normal limits, measuring 11.4 cm. | No focal mass or biliary dilatation to suggest tumor. |
Generate impression based on findings. | 62-year-old male with history of bacteremia. LIVER: Mild amount of perihepatic ascites. The liver is enlarged, measuring 20.5 cm and has the appearance of steatosis. No biliary dilatation or focal masses. Posteroinferior to the liver is an area of increased echogenicity that is either complex fluid or soft tissue, but is incompletely evaluated given the depth of location. This may be further evaluated with CT if clinically indicated.GALLBLADDER, BILIARY TRACT: The gallbladder is decompressed. No biliary dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Increased renal echogenicity, without hydronephrosis or hydroureter. The right kidney measures 11.2 cm.OTHER: Subtle increased echogenicity of the left kidney. The left kidney measures 10.9 cm. No left kidney hydronephrosis. Redemonstration of splenic hypoattenuating foci, nonspecific. | Mild ascites, and hepatic steatosis. Nonspecific splenic lesions are again seen. An area of increased echogenicity posterior to the liver may represent complex fluid versus bowel that is incompletely evaluated due to the depth of this area. Consider contrast enhanced CT if clinically indicated. |
Generate impression based on findings. | 31 year old female with history of epigastric pain and cramping. LIVER: The liver measures 11.8 cm in length, and is within normal limits.GALLBLADDER, BILIARY TRACT: No biliary dilatation, no gallstones and the findings of cholecystitis.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 8.9 cm.OTHER: No significant abnormalities noted. The left kidney measures 9.7 cm. Negative Murphy sign. Extensive bowel gas limits exam. | No significant acute abnormality to explain the patient's pain. |
Generate impression based on findings. | Thyroid cancer status post surgery RIGHT LOBE MEASUREMENTS: Status post thyroidectomy.LEFT LOBE MEASUREMENTS: Status post thyroidectomy.ISTHMUS MEASUREMENTS: Status post thyroidectomy.RIGHT LOBE: No significant abnormality noted.LEFT LOBE: No significant abnormality noted.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional lymphadenopathy. | Post surgical changes without regional lymphadenopathy. |
Generate impression based on findings. | Right upper quadrant pain after eating LIVER: Measures 12.7 cm in length. Mildly echogenic hepatic parenchyma. No focal hepatic lesions. The portal vein is patent.GALLBLADDER, BILIARY TRACT: Multiple foci of comet tail artifact are noted in the gallbladder fundus consistent with adenomyomatosis. No cholelithiasis. No biliary dilation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 11.0 cm. No hydronephrosis or mass.OTHER: Spleen measures 14 cm in length. Left kidney measures 12.5 cm in length. | 1.Adenomyomatosis.2.Echogenic liver parenchyma suggests fatty infiltration. |
Generate impression based on findings. | Hashimoto's, small nodule RIGHT LOBE MEASUREMENTS: 5.4 x 1.2 x 1.4 cmLEFT LOBE MEASUREMENTS: 6.1 x 1.3 x 1.7 cmISTHMUS MEASUREMENTS: 0.2 cmRIGHT LOBE: Heterogeneous echotexture.LEFT LOBE: Heterogeneous echotexture. Subcentimeter nodule in the left thyroid lobe is stable compared to the prior exam.ISTHMUS: Heterogeneous echotexture.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. | Stable left thyroid lobe nodule. |
Generate impression based on findings. | 53-year-old male with history of septic shock and elevated LFTs LIVER: The hepatic parenchyma is coarsely hyperechoic. No biliary dilatation or focal masses.GALLBLADDER, BILIARY TRACT: Small amount of sludge/stones in the gallbladder. No biliary dilatation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: No significant abnormalities noted. The right kidney measures 10 cm.OTHER: No significant abnormalities noted. Left kidney within normal limits, and measures 10 cm. The spleen measures 11 cm, and is within normal limits. | Findings suggestive of hepatic steatosis, without biliary dilatation or other significant abnormality. |
Generate impression based on findings. | 30 year-old male with history of abdominal pain. Evaluate for CSF -oma. LIVER: No significant abnormalities noted. Liver measures 16 cm.GALLBLADDER, BILIARY TRACT: No significant abnormalities noted. No biliary dilatation or gallstones.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 measures 10.2 cm. The spleen measures 11.5 cm, and is within normal limits. No loculated fluid collections. | No loculated fluid collections, or other acute abnormalities. |
Generate impression based on findings. | Scrotal edema, assess for etiology RIGHT TESTIS: Normal echotexture without focal mass. Normal vascularity.LEFT TESTIS: Normal echotexture without focal mass. Normal vascularity.RIGHT EPIDIDYMIS: No significant abnormalities noted.LEFT EPIDIDYMIS: No significant abnormalities noted.OTHER: Moderate right hydrocele, small left hydrocele. | Right greater than left hydroceles. The testicles are normal in appearance. |
Generate impression based on findings. | Renal failure, evaluate for medical renal disease RIGHT KIDNEY: The right kidney measures 12.3 cm in length. Echogenic parenchyma without significant hydronephrosis or mass.LEFT KIDNEY: The left kidney measures 11.8 cm in length. Echogenic parenchyma without significant hydronephrosis or mass.OTHER: The bladder is incompletely distended. | Medical renal disease. |
Generate impression based on findings. | Evaluate for change in thyroid nodules RIGHT LOBE MEASUREMENTS: 6.1 x 2.5 x 2.0 cm.LEFT LOBE MEASUREMENTS: 6.3 x 2.2 x 1.7 cm.ISTHMUS MEASUREMENTS: 0.9 cm.RIGHT LOBE: Heterogeneous nodules measuring up to 0.7 to 0.7 x 0.6 cm in the midpole, grossly stable.LEFT LOBE: Heterogeneous nodules measuring up to 0.9 x 0.6 x 0.6 cm in the lower pole, grossly stable.ISTHMUS: Nodules measuring up to 1.5 x 1.0 x 1.2 cm, grossly stable.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted.OTHER: No significant abnormality noted. | Stable appearance of multinodular goiter. |
Generate impression based on findings. | Hepatitis C LIVER: Measures 13.1 cm in length. No focal mass.GALLBLADDER, BILIARY TRACT: Gallbladder is sonographically normal in appearance without wall thickening or biliary dilation.PANCREAS: No significant abnormalities noted.RIGHT KIDNEY: Measures 8.8 cm in length. Bilateral subcentimeter renal cysts.OTHER: Spleen measures 8.4 cm in length. Left kidney measures 9.4 cm in length. | No focal hepatic lesions. |
Generate impression based on findings. | Left neck fullness RIGHT LOBE MEASUREMENTS: 6.4 x 2.7 x 2.2 cmLEFT LOBE MEASUREMENTS: 5.4 x 2.2 x 1.7 cmISTHMUS MEASUREMENTS: 0.5 cmRIGHT LOBE: Heterogeneous echotexture.LEFT LOBE: Heterogeneous echotexture with spongiform nodules measuring up to 0.8 x 0.5 x 0.8 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. | Prominent thyroid gland with spongiform left lobe nodules, likely benign. |
Generate impression based on findings. | Abdominal swelling, evaluate for ascites Limited 4-quadrant ultrasound of the abdomen shows no ascites. Coarsened hepatic echotexture suggests fatty infiltration. | Limited exam without ascites. |
Generate impression based on findings. | Enlarging right neck mass over 10 years RIGHT LOBE MEASUREMENTS: 10.6 x 5.8 x 4.4 cmLEFT LOBE MEASUREMENTS: 6.6 x 3.4 x 3.1 cm ISTHMUS MEASUREMENTS: 0.6 cm RIGHT LOBE: Conglomerate nodular mass replaces the right thyroid lobe and demonstrates solid and cystic components.LEFT LOBE: Multinodular mass in left thyroid lobe measures 2.8 x 2.9 x 2.7 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No regional lymphadenopathy. | Enlarged multinodular thyroid, likely benign in etiology. |
Generate impression based on findings. | Evaluate posterior nodule RIGHT LOBE MEASUREMENTS: 3.8 x 1.4 x 1.2 cmLEFT LOBE MEASUREMENTS: 3.9 x 1.5 x 1.1 cmISTHMUS MEASUREMENTS: 0.3 cmRIGHT LOBE: No significant abnormality noted.LEFT LOBE: Nonspecific hypoechoic lesion posterior to the left thyroid gland is unchanged in size from the prior exam measuring 0.5 x 0.4 x 0.6 cm.ISTHMUS: No significant abnormality noted.PARATHYROID GLANDS: No significant abnormality noted.LYMPH NODES: No significant abnormality noted. | Nonspecific hypoechoic lesion posterior to the left thyroid lobe is stable in size compared to the prior exam and likely benign. |