ULTRASOUND STUDY OF THE RIGHT BREAST

ULTRASOUND STUDY OF THE RIGHT BREAST

FINDINGS:             The ultrasound study of the right breast was performed in correlation with the mammographic study of 02/16/2012.  No definite solid or cystic lesion involving the right breast is noted.  The presence of 1.2 cm axillary lymph node is noted.

The ultrasound study of left breast is unremarkable.  There is no solid or cystic lesion noted.

IMPRESSION:        Specifically unremarkable ultrasound study of the right breast.  If there is any clinical concern, MRI and surgical consult may be considered.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

FINDINGS:             The liver is normal in size and echotexture.  There is no focal mass noted.

The spleen is normal in size and has a homogeneous echotexture.

There is no ascites.

The gallbladder is normal.  There is no evidence of a calculus, wall thickening, or pericholecystic fluid collection.

The common bile duct measures 5 mm.  There is no dilatation of intrahepatic biliary ducts.

Pancreas is unremarkable.

Both kidneys are normal in size and echotexture.  There is no evidence of a renal calculus, focal mass, or hydronephrosis.

Abdominal aorta is unremarkable.  There is no evidence of abdominal aortic aneurysm.

IMPRESSION:

1.          Unremarkable ultrasound study of abdomen.

2.          There is no evidence of cholelithiasis.

Thank you for the referral.

XXXXXXXXXX, M.D.

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

CLINICAL DATA:         Dysmenorrhea.

FINDINGS:             The uterus measures 9 x 4.6 x 5.5 cm.  It has a heterogeneous echotexture.  No definite intrauterine mass is seen.  There is a small 8 mm nabothian cyst.

Endometrial stripe measures 9 mm.

Right ovary measures 3.2 x 2.3 x 2.9 cm and left ovary measures 3.5 x 3.2 x 2.9 cm.  There is no evidence of mass noted.

There is no free fluid in the cul-de-sac.

IMPRESSION:

1.         No definite intrauterine mass is seen.  However, the uterus has a heterogeneous echotexture.  This may be related to fibroid changes.  Other possibilities cannot be completely excluded.

2.          No definite adnexal mass is seen.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE THYROID

ULTRASOUND EXAMINATION OF THE THYROID

CLINICAL DATA:         Thyroid mass.

FINDINGS:             The right lobe measures 6.7 x 2.6 x 2.7 cm and left lobe measures
6 x 2.1 x 1.7 cm.  The left lobe has a heterogeneous echotexture.

There is a 2.8 x 2.2 cm nodule involving the right lobe.

There are multiple small nodules measuring 8 x 8 mm, 1 cm x 9 mm, and 6 x 5 mm involving the left lobe.

The isthmus measures 1 cm and has a heterogeneous echotexture.

IMPRESSION:        Enlarged thyroid with multiple nodules as discussed.  This may be related to multinodular goiter.  Other possibilities cannot be excluded.  Clinical correlation and further evaluation is recommended.

Thank you for the referral.

XXXXXXXXX, M.D.

TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

CLINICAL DATA:            History of cyst.

FINDINGS:             The uterus is normal in size measuring 9 x 4.1 x 6.1 cm.  There is no intrauterine mass noted.

The endometrial stripe measures 8 mm and this is within the normal range.

The right ovary measures 4.1 x 2.2 x 3 cm and the left ovary measures 3.5 x 2.4 x 2.5 cm.

Multiple cysts are seen involving the right ovary, largest measuring about 1.2 x 1 cm.

There is no free fluid in the cul-de-sac.

IMPRESSION:        Multiple right ovarian cysts, largest measuring 1.2 x 1 cm.

Thank you for the referral.

XXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE URINARY BLADDER

ULTRASOUND EXAMINATION OF THE URINARY BLADDER

CLINICAL DATA:            Dysuria.

FINDINGS:                The prevoid volume of the urinary bladder is reported to be 50 cc and postvoid volume is reported to be 0 cc.  No definite intraluminal mass involving the urinary bladder is noted.

IMPRESSION:        Unremarkable study.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE RETROPERITONEUM (KIDNEYS)

ULTRASOUND EXAMINATION OF THE RETROPERITONEUM (KIDNEYS)

FINDINGS:        The right kidney measures 7.9 x 4.5 x 4.7 cm.

The left kidney measures 9.3 x 4.5 x 4 cm.  There is no focal adrenal mass noted.

There is no evidence of hydronephrosis.

Cortical thinning is noted.

Right kidney is smaller in size in comparison with the left kidney.  Possibilities will include vascular and chronic infectious process.  Clinical correlation is suggested.  No previous studies are available for comparison.

IMPRESSION:        No evidence of hydronephrosis.

Thank you for the referral.

XXXXXXXX, M.D.

LIMITED ULTRASOUND EXAMINATION OF THE ABDOMEN

LIMITED ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:            Liver lesion.

FINDINGS:             Limited ultrasound study of right upper quadrant was performed with special attention to the liver.

There is a 2.8 x 2.8 cm hyperechoic mass involving the right lobe of the liver.

There is no ascites.

The gallbladder is normal without any evidence of a calculus or wall thickening.  Common bile duct measures 3 mm.  The visualization of the pancreas is limited.

IMPRESSION:        2.8 x 2.8 cm hyperechoic hepatic mass.  It may represent a cavernous hemangioma.  Other possibilities cannot be excluded.  Further evaluation with CAT scan study without and with contrast with hemangioma protocol is recommended.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE NECK

ULTRASOUND EXAMINATION OF THE NECK

CLINICAL DATA:            Right-sided lump.

FINDINGS:             The ultrasound study was performed with special attention to the palpable finding involving the right side of the neck.  There is a 1.5 x 1 cm well marginated lesion, most likely representing a lymph node.  No other significant abnormality is noted.  There is no abnormal fluid collection.

IMPRESSION:        Well marginated 1.1 x 1 cm lesion corresponding to the physical finding involving the right side of the neck.  It most likely represents a lymph node.  Clinical correlation and if indicated, further evaluation is suggested.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN, LIMITED

ULTRASOUND EXAMINATION OF THE ABDOMEN, LIMITED

CLINICAL DATA:      Elevated LFT.

FINDINGS:             The liver is hyperechoic.  There is no focal mass or ascites.

Gallbladder is normal.  There is no evidence of a calculus or wall thickening.  Common bile duct measures 4.3 mm.  There is no dilatation of intrahepatic biliary ducts.

The visualization of the pancreas is limited.

IMPRESSION:        Hyperechoic liver, most likely due to fatty infiltration.  Other possibilities cannot be completely excluded.

Thank you for the referral.

XXXXXXXX, M.D.

SCROTAL ULTRASOUND EXAMINATION

SCROTAL ULTRASOUND EXAMINATION

CLINICAL DATA:             Left-sided swelling.

FINDINGS:               The right testis measures 4.7 x 3.1 x 3.2 cm and left testis measures 5.1 x 2.7 x 3 cm.

Both testes have a homogeneous echotexture.  There is no intratesticular mass noted.

There was normal blood flow to both testes.  There is no evidence of testicular torsion.  Epididymis appeared to be unremarkable bilaterally.

There is bilateral hydrocele, left-sided being larger.

IMPRESSION:

1.                  Bilateral hydrocele, left-sided being larger.

2.                  There is no intratesticular mass noted.

3.                  No evidence of testicular torsion.

Thank you for the referral.

XXXXXXX, M.D.

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL AND TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

CLINICAL DATA:      IUD placement.

FINDINGS:             The uterus is enlarged measuring 11.5 x 6.2 x 7.2 cm.  There is a 2 x 2 cm intrauterine mass.

There is an intrauterine IUD in place.

Right ovary measures 3.2 x 2.5 x 2.6 cm and left ovary measures 5.9 x 5.8 x 5 cm.  There is a
4.3 x 4.2 cm cystic mass in the left adnexa.

There is no free fluid in the pelvis.

IMPRESSION:

1.                   Enlarged uterus associated with 2 cm intrauterine mass, probably representing a fibroid.  Other possibilities cannot be completely excluded.

2.                   Intrauterine IUD in place.

3.                   Left ovarian cyst measuring 4.3 cm.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND STUDY OF THE PELVIS TRANSVAGINAL

ULTRASOUND STUDY OF THE PELVIS TRANSVAGINAL

CLINICAL DATA:  Abnormal Pap.

Comparison was made with the previous study of 2006.

The uterus measures 6 x 3.6 cm x 5 cm.  There are small echogenic masses with calcification, largest measuring 2 x 1.4 x 2.2 cm.

Endometrial stripe measures 4 mm and this is within normal limits.

Right ovary was not visualized.  Left ovary measures 1.8 x 1.3 x 1.8 cm.  There is no adnexal mass noted.

There is no free fluid in the pelvis.

IMPRESSION:        Multiple small intrauterine masses with calcification, most likely representing small fibroids, largest measures about 2 x 1.4 x 2.2 cm.

Thank you for the referral.

XXXXXXXXX, M.D.

TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

TRANSVAGINAL PELVIC ULTRASOUND EXAMINATION

CLINICAL DATA:               Abnormal Pap smear.

FINDINGS:        The study was performed transvaginally.

The uterus measures 6 x 3.6 x 5 cm.  There are intrauterine echogenic masses with calcification measuring 2 x 1.4 x 2.2 cm, 2.2 x 2.2 x 1.8 cm, and 2.1 x 1.3 x 1.8 cm.  Most probably they represent fibroids.

Endometrial stripe measures 4 mm.  There is a small amount of fluid seen within the endometrial stripe.

Right ovary was not visualized.

Left ovary measures 1.8 x 1.3 x 1.8 cm.  No definite adnexal mass was noted.

There is no free fluid in the cul-de-sac.

IMPRESSION:        Multiple small intrauterine masses with calcification suggesting the fibroids.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE THYROID

ULTRASOUND EXAMINATION OF THE THYROID

CLINICAL DATA:            Thyroiditis.

FINDINGS:             The right lobe measures 4.1 x 2.2 x 2.2 cm and the left lobe measures
4.1 x 1.8 x 1.7 cm.

Both lobes have a heterogeneous echotexture.  However, there is no solid or cystic nodule noted.

The isthmus measures 2 mm.

IMPRESSION:        Heterogeneous echotexture of both lobes and the findings are consistent with the present history of thyroiditis.  No definite solid or cystic nodule is noted.  Clinical correlation is suggested.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:               Abdominal pain.

FINDINGS:                The liver and spleen are normal in size.  The liver is hyperechoic.  There is no focal hepatic mass noted.

There is no ascites.

Gallbladder is normal without any evidence of a calculus, wall thickening, or pericholecystic fluid collection.

Common bile duct measures 5 mm.  There is no dilation of intrahepatic biliary ducts.

Pancreas is normal without any evidence of a focal mass.

There is no evidence of abdominal aortic aneurysm.

The right kidney measures 10.3 x 3.9 x 4.1 cm and the left kidney measures 10.5 x 5.9 x 4.8 cm.  There is no evidence of renal calculus, focal mass, or hydronephrosis.

IMPRESSION:

1.                   Hyperechoic liver, most probably due to fatty infiltration.  Other possibilities cannot be excluded.

2.                   No evidence of cholelithiasis.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL BREAST ULTRASOUND EXAMINATION

BILATERAL BREAST ULTRASOUND EXAMINATION

CLINICAL DATA:            Abnormal mammogram.

FINDINGS:             Ultrasound study was performed in correlation with the mammographic study dated 03/01/2012.

The mammographic study was limited due to the presence of markedly dense parenchyma.

Ultrasound study of both breasts was performed in a clockwise fashion.

Ultrasound study of right breast is unremarkable.  There is no solid or cystic lesion noted.

The ultrasound study of the left breast shows small cyst measuring about 5.6 x 3.6 mm at about
2 o’clock position.  No definite solid lesion is noted.

IMPRESSION:        A small, 5.6 x 3.6 mm cyst involving the upper and outer quadrant of the left breast at about 2 o’clock position.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:      Pain.

FINDINGS:             The liver is mildly enlarged measuring 15.9 cm.  It shows increased echogenicity.  The evaluation is rather limited due to overlying bowel gas.

The patient had cholecystectomy in the past.  Common bile duct measures 4 mm.  There is no dilatation of intrahepatic biliary ducts.

Spleen, pancreas, and abdominal aorta are unremarkable.

Right kidney measures 11.4 x 5 x 5.9 cm and left kidney measures 11.3 x 5.2 x 4.7 cm.  There is no evidence of renal calculus, focal mass, or hydronephrosis.

IMPRESSION:

1.                   Status post cholecystectomy.  There is no dilatation of intra or extrahepatic biliary ducts.

2.                   Mildly enlarged, hyperechoic liver probably due to fatty infiltration.  Other possibilities cannot be completely excluded.

Thank you for the referral.

XXXXXXXXX, M.D.

TRANSABDOMINAL PELVIC ULTRASOUND EXAMINATION

TRANSABDOMINAL PELVIC ULTRASOUND EXAMINATION

CLINICAL DATA:            Pain.  Abnormal bleeding.

FINDINGS:             The uterus measures 9.6 x 4.2 x 6.8 cm.  There is a 3.3 x 3 cm intrauterine hypoechoic mass with calcification, most likely representing a calcified fibroid.

The endometrial stripe was not visualized.

Ovaries were not visualized.  No definite adnexal mass is seen.

There is no free fluid in the cul-de-sac.

IMPRESSION:

1.                   About 3.3 x 3 cm intrauterine hypoechoic mass with calcification, most likely representing a calcified fibroid.  Other possibilities cannot be completely excluded.

2.                   Endometrial stripe and ovaries were not visualized making the study limited.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL HISTORY:       Rule out umbilical hernia.

FINDINGS:             There is a small about 2 cm x 1.6 cm umbilical hernia.

There is hepatomegaly and the liver measures about 18.8 cm.  It shows increased echogenicity.  There is no focal hepatic mass noted.

The spleen is normal in size and echotexture.

There is no ascites.

The gallbladder is normal without any evidence of a calculus, wall thickening, or pericholecystic fluid collection.

Common bile duct measures 3 mm.  There is no dilatation of intrahepatic biliary ducts.

Pancreas is normal without any evidence of a focal mass.  There is no abdominal aortic aneurysm.

Right kidney measures 13 x 6.1 x 5. 4 cm and left kidney measures 12.6 x 6.1 x 5.7 cm.  There is no evidence of renal calculus, focal renal mass, or hydronephrosis.

IMPRESSION:

1.                   A small about 2 cm umbilical hernia.

2.                   Enlarged, hyperechoic liver most probably due to diffuse fatty infiltration.  Although, possibilities cannot be completely excluded.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND STUDY OF THE THYROID

ULTRASOUND STUDY OF THE THYROID

FINDINGS:             The right lobe measures 4.3 x 1.7 x 1.6 cm and left lobe measures
3.1 x 1.8 x 1.2 cm.

Isthmus measures 6 mm.

Both lobes have a heterogeneous echotexture.

There is a solid appearing 1.1 cm x 9 mm nodule involving the lower pole region of the right lobe.

IMPRESSION:

1.                   Mildly enlarged right lobe.

2.                   1.1 cm x 9 mm solid nodule involving the lower pole region of the right lobe.  It may represent a small adenoma.  Other possibilities cannot be completely excluded.  Clinical correlation and if indicated further evaluation is suggested.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:            Pain.

FINDINGS:             The liver and spleen are normal in size.  There is no focal hepatic mass noted.  However, the liver shows increased echogenicity.

There is no ascites.

Gallbladder is normal without any evidence of a calculus or wall thickening.  Common bile duct measures 3 mm.

Pancreas is unremarkable.

There is no abdominal aortic aneurysm.

Right kidney measures 10.2 x 4.4 x 5.1 cm and left kidney measures 9.8 x 6 x 5.1 cm.  There is no evidence of renal calculus, focal mass, or hydronephrosis.

IMPRESSION:

1.                   No evidence of cholelithiasis.

2.                   Liver shows increased echogenicity, probably due to fatty infiltration.  Other possibilities cannot be excluded.

Thank you for the referral.

XXXXXXXX, M.D.

BILATERAL BREAST ULTRASOUND EXAMINATION

BILATERAL BREAST ULTRASOUND EXAMINATION

CLINICAL DATA:      Right breast pain.

FINDINGS:             Ultrasound study of both breasts was performed in a clockwise fashion.

Ultrasound study of both breasts is unremarkable.  There is no solid or cystic lesion noted.

IMPRESSION:        Unremarkable study.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL BREAST ULTRASOUND EXAMINATION

BILATERAL BREAST ULTRASOUND EXAMINATION

CLINICAL DATA:            Hematoma, left breast.

FINDINGS:                The examination of the left breast is unremarkable.  There is no solid or cystic lesion noted.  No definite focal mass suggesting a hematoma is noted.

The examination of right breast is unremarkable.  There is no solid or cystic lesion noted.

IMPRESSION:        Unremarkable ultrasound study of both breast.  No definite evidence of a hematoma involving the left breast.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

FINDINGS:             The liver and spleen are normal in size and have a homogeneous echotexture.  There is no focal mass noted.

There is no ascites.

The gallbladder is normal without any evidence of calculus or wall thickening.  Common bile duct measures 4 mm.  There is no dilatation of intrahepatic biliary ducts.

Pancreas is unremarkable.

There is no evidence of abdominal aortic aneurysm.  Doppler examination of abdominal aorta was noted to be within normal limits.

The right kidney measures 10.4 x 3.7 x 3.7 cm and left kidney measures 10.7 x 4.7 x 4.4 cm.  There is no evidence of a renal calculus, hydronephrosis, or focal renal mass.

The RI index on the right renal is reported to be 0.6 and on the left, it is reported to be 0.62.

IMPRESSION:

1.                   No evidence of abdominal aortic aneurysm.  Normal Doppler examination of abdominal aorta.

2.                   The RI index on the right is reported to be 0.6 and on the left it is reported to be 0.62.

Thank you for the referral.

XXXXXXXXX, M.D.

BILATERAL BREAST ULTRASOUND EXAMINATION

BILATERAL BREAST ULTRASOUND EXAMINATION

FINDINGS:             Ultrasound study of both breasts was performed in correlation with the mammographic study done earlier in the day.

Ultrasound study of the right breast, it is unremarkable.  No definite solid or cystic lesion is noted.

Ultrasound study of the left breast in the presence of markedly dense parenchyma limits the sensitivity of the study.  No definite solid or cystic lesion involving the left breast is noted.  There is a 1.1 cm axillary lymph node.

IMPRESSION:        However, considering the limitation of the sensitivity of the study due to markedly dense parenchyma and possible architectural distortion involving upper and outer quadrant of the left breast on the mammographic study, further evaluation with MRI is recommended.

BI-RADS Clinical Assessment Category 0:  Would recommend further evaluation as discussed.

Thank you for the referral.

XXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:            Elevated LFT.

FINDINGS:                Special attention was paid to the liver.  There is mild hepatomegaly measuring about 16 cm.  The liver shows increased echogenicity.  There is no focal mass noted.

There is no ascites.

Spleen is normal in size and echotexture.  The gallbladder is normal without any evidence of a calculus or wall thickening.  Common bile duct measures 4 mm.  There is no dilatation of intrahepatic biliary ducts.

Pancreas is normal without any evidence of focal mass.

Right kidney measures 12.6 x 5.8 x 5.8 cm and left kidney measures 12.3 x 6.1 x 5.8 cm.  There is no evidence of renal calculus, focal mass, or hydronephrosis.

Abdominal aorta is unremarkable.  There is no abdominal aortic aneurysm.

IMPRESSION:        Mild hepatomegaly.  Hyperechoic liver most probably related to diffuse fatty infiltration.  Other possibilities cannot be completely excluded.

Thank you for the referral.

XXXXXXXXX, M.D.