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.

There is no ascites.

Gallbladder is normal without any evidence of a calculus or wall thickening.  Common bile duct measures 2 mm.  There is no dilatation of intrahepatic biliary ducts.

Pancreas is unremarkable.

There is no abdominal aortic aneurysm.

Comparison was made with the previous study of 04/30/2009 and there is no significant interval change.

Right kidney measures 10 x 3.3 x 2.8 cm and left kidney measures 10.9 x 3.5 x 2.8 cm.  There is no evidence of focal renal mass, calculus, or hydronephrosis.

IMPRESSION:        Unremarkable ultrasound study of abdomen.  No significant interval change in comparison with the previous study of 04/30/2009.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:            Abdominal pain, status post cholecystectomy.

FINDINGS:             There is mild hepatomegaly.  There is no focal hepatic mass noted.

The spleen is normal in size and echotexture.

There is no ascites.

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

Pancreas is normal without any evidence of a focal mass.

Abdominal aorta is unremarkable.  There is no aneurysm.

Right kidney measures 9.7 x 4.3 x 5.1 cm and left kidney measures 10 x 5 x 5.7 cm.  There is no evidence of a renal calculus, focal renal mass, or hydronephrosis.

IMPRESSION:

1.                   Mild hepatomegaly.

2.                   Status post cholecystectomy.

Thank you for the referral.

XXXXXXXXX, M.D.

ULTRASOUND EXAMINATION OF THE ABDOMEN

ULTRASOUND EXAMINATION OF THE ABDOMEN

CLINICAL DATA:            Pain.

FINDINGS:             There is mild hepatomegaly and the liver is hyperechoic.  There is no focal mass noted.

There is no ascites.

The spleen is normal in size and echotexture.

Gallbladder is unremarkable.  There is no 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.  There is no abdominal aortic aneurysm.

Right kidney measures 11.8 x 3.6 x 4.2 cm and left kidney measures 11.7 x 5.7 x 5 cm.  There is no evidence of a renal calculus, focal mass, or hydronephrosis.

IMPRESSION:

1.                   No evidence of cholelithiasis.

2.                   Mild hepatomegaly with increased echogenicity, most probably due to fatty infiltration.  Other possibilities cannot be completely excluded.

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.

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 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.

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.

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.

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 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.

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.

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.