ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:            Pain.

FINDINGS:             There is mild hepatomegaly.  The liver measures about 15.8 cm.  There is a 2 cm cystic lesion involving the liver, most likely representing a small cyst.

The spleen is normal in size and echotexture.

The gallbladder is normal without any evidence of a calculus or wall thickening.  Common bile duct measures 5 mm.  There is no dilatation of intrahepatic biliary ducts.

Pancreas is normal without any evidence of a focal mass.

The right kidney measures 11.9 x 5.1 x 5.1 cm and left kidney measures 11.2 x 5.4 x 5 cm.  There is no evidence of renal calculus, focal mass, or hydronephrosis.

IMPRESSION:

1.                   Mild hepatomegaly.  Liver measures about 15.8 cm.

2.                   2 cm hepatic cyst.

3.                   No evidence of cholelithiasis.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:      Follow-up to KUB study, 10 mm nonspecific area of density seen in the right upper quadrant.

FINDINGS:             The study is limited due to the presence of overlying bowel gas.

Abdominal aorta and pancreas were not optimally visualized.  The liver, spleen, and gallbladder are unremarkable.  Common bile duct measures 2 mm.  There is no dilatation of intrahepatic biliary ducts.

The spleen is unremarkable.  There is no focal abnormality.

Right kidney measures 4.3 x 1.7 x 2.2 cm and left kidney measures 4.4 x 1.9 x 2 cm.

IMPRESSION:

1.                   Limited study due to the presence of overlying bowel gas.

2.                   The study is unremarkable.  However, considering the clinical data, 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:            Abdominal pain.

FINDINGS:             The liver and spleen are normal in size.  The liver shows increased echogenicity.  There is no focal hepatic mass noted.  Splenic vessels appeared to be rather prominent.

Gallbladder is normal without any evidence of a calculus or wall thickening.  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 10 x 4.3 x 5 cm and left kidney measures 10.4 x 5.6 x 6.1 cm.  There is no evidence of a renal calculus, focal mass, or hydronephrosis.

IMPRESSION:

1.                   Hyperechoic liver, most probably due to fatty infiltration.

2.                   No evidence of cholelithiasis.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:      Pain.

FINDINGS:             Special attention was paid to the gallbladder.  It is normal without any evidence of a calculus or wall thickening.  Common bile duct measures 4.3 mm.  There is no dilatation of intrahepatic biliary ducts.

Liver, spleen, pancreas, and abdominal aorta are unremarkable.

Right kidney measures 11.5 x 5.2 x 5 cm and left kidney measures 12.3 x 5.5 x 4.5 cm.  There is no evidence of renal calculus or hydronephrosis.  No definite focal renal mass is noted.

IMPRESSION:

1.                   Unremarkable ultrasound study of abdomen.

2.                   Clinical correlation and if indicated, further evaluation with CT is suggested.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND STUDY OF THE ABDOMEN

ULTRASOUND STUDY OF THE ABDOMEN

CLINICAL DATA:  Rule out gallstone.

Ultrasound study of the abdomen was performed with special attention to the gallbladder.

Gallbladder is normal.  There is no evidence of calculus or wall thickening or pericholecystic fluid collection.

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

Pancreas is normal without any evidence of a focal mass.

The liver and spleen are normal in size and have a homogenous echotexture.  There is no focal mass or ascites.

The abdominal aorta is unremarkable.  There is no evidence of aneurysm.

Right kidney measures 10 x 3.5 x 3.9 cm and left kidney measures 9.9 x 4.6 x 4.2 cm.  There is no evidence of a renal calculus or renal mass or hydronephrosis.

IMPRESSION:        Unremarkable ultrasound study of abdomen.  Specifically there is no evidence of Cholelithiasis.

Thank you for the referral.

XXXXXXXXX, M.D.

ABDOMINAL ULTRASOUND EXAMINATION

ABDOMINAL ULTRASOUND EXAMINATION

INDICATION FOR STUDY:           Abdominal pain.

FINDINGS:               An ultrasound examination of the abdomen shows the liver to be increased in size, but with no solid or cystic lesion seen.  The gallbladder fails to demonstrate any evidence of cholelithiasis.  The common bile duct measures 0.4 cm.

The right kidney measures 10.7 x 4.9 x 4.7 cm.  The left kidney measures 10.6 x 5.3 x 4.6 cm.  No solid or cystic lesions are seen within either kidney.  The pancreas and spleen are normal.  The abdominal aorta is of normal diameter.

IMPRESSION:          Hepatomegaly, but no other acute abdominal abnormality is identified.

Thank you for the referral.

XXXXXXXXX, M.D.

ABDOMINAL ULTRASOUND EXAMINATION

ABDOMINAL ULTRASOUND EXAMINATION

FINDINGS:               An ultrasound examination of the abdomen shows the presence of ascites.

The liver is poorly visualized.  The gallbladder appears to be normal with no evidence of cholelithiasis.  The common bile duct measures 0.4 cm.

The right kidney measures 12.1 x 5.3 x 6.9 cm.  There is a cyst seen in the right kidney measuring 1.1 x 1.2 cm.  The left kidney measures 13.0 x 5.1 x 5.9 cm.  No solid or cystic lesions can be seen within the left kidney.

The spleen and pancreas appear to be grossly normal, though the pancreas is poorly visualized.  The abdominal aorta appears to be normal.

IMPRESSION:

1.                   Ascites.

2.                   The liver is poorly defined.

3.                   Right renal cyst as described.

4.                   No other acute abdominal process identified.

Thank you for the referral.

XXXXXXX, M.D.