EFTA00282954.pdf

RIS Fax Server 7/28/2016 4:09:28 PM PAGE 1/004 Fax Server EAST RIVER MEDICAL IMAGING, PC FAX To: TEWARI, ASHUTOSH M.D. Fax: 9,16463500396 From: East _R Medical Imaging, PC Fax: Phone: **Confidentiality Notice** The information contained in this facsimile is intended exclusively for the use of the individual or entity to whom it is addressed. It may contain privileged, confidential or protected health information. If you received this in error, please notify us immediately by telephone at Please destroy or return all pages and do not copy it or use it for any purposes or disclose its contents to any other person. Please contact East River Medical Imaging, PC, at the number above if you need any assistance. Date transmitted: Thursday, July 28, 2016 Number of pages including this cover sheet: 04 EFTA00282954 RIS Fax Server 7/28/2016 4:09:28 PM PAGE 2/004 Fax Server Richard J. Katz, M.D. Stephen D. Greenberg, M.D. Gavin L Duke. M.D. Sean K. Herman, M.D. Timothy W. Deter, M.D. Nicole N. Lee, M.D Adam J Winer, M Alison Bender Flames. M.D. (ret.) 4E.AST 74ZIVER MEDICAL IMAGING. PC Steven A Albert, M.U. Douglas R. DeCorato, M.D. Paul S. Choi, M.D. Robert L. Ludwig, M.D. Michelle A Klein M.D. James W. Brady M.D. Morton Schneider. M.D. (ret ) wvoy.eastriverimaging.com 519 & 523 East 72nd Street • New York, NY 10021 • 3 East 75th Street. Al Fifth Avenue • New York. NY 10021 430 East 59th Street. Sutton Place • New Yolk, NY 10022 Tel: • Fax • www.eastmerimaging.com ASHUTOSH TEWARI, M.D. 625 MADISON AVENUE 2ND FLOOR NEW YORK, NY 10022 Patient: EPSTEIN, JEFFREY Exam Date: 7/27/16 Acc No: 6889096 MRN: 0315192 Dear Dr. Tewarl, CT SCAN OF THE ABDOMEN AND PELVIS Clinical History: 63 y/o male with urinary frequency for 1 week, microscopic hematuria, history of renal calculi, status post appendectomy Technique: Multidetector helical CT scans were performed of the abdomen and pelvis from the dome of the diaphragms to the pubic symphysis. The scans were performed with a 5 mm slice thickness and a 5 mm interval. Pre and post intravenous contrast images were obtained. No oral contrast was administered. Images were reconstructed at 1.25mm slice thicknesses at 1.25mm slice intervals with coronal reformats. Comparison: CT performed 01/02/2014 Findings: Review of the lower chest reveals dependent change involving both lower lobes and minimal subpleural scarring involving the medial basal segment of the right lower lobe. The liver is normal in size and contour with minimal diffuse fatty infiltration but no focal hepatic lesion, EPSTEIN, JEFFREY ACC 6889096 Exam Date: 7/27/16 DOB 01/20/1953 ACCESS YOUR PATENTS IMAGES AND REPORTS @ WWWEASTRIVERMAAGING.COM PET/CT • HIGH FIELD MRI • OPEN M RI. MULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA00282955 RIS Fax Server 7/28/2016 4:09:28 PM PAGE 3/004 Fax Server unchanged. Focal fat deposition is seen adjacent the falciform ligament. The spleen is normal without enlargement. The gallbladder is normal without radiopaque gallstones or surrounding inflammation. The pancreas is normal in size and configuration. The bowel and mesentery are normal. Of note, postsurgical change is seen in the right lower quadrant of the abdomen related to prior appendectomy. Subcentimeter lymph nodes are seen within the root of the small bowel mesentery without suspicious features and likely within the realm of normal or reactive in nature. The adrenal glands are normal without nodule or thickening. Noncontrast imaging of the kidneys reveals no right-sided intrarenal calculi. In the left lower pole, there is a punctate nonobstructing intrarenal calculus 0.3 x 0.2 cm (324 HU). This was not well seen on the prior contrast-enhanced study. There are no obstructing urinary tract calculi and there is no hydronephrosis. Symmetric nephrograms are noted with normal excretion. There is no suspicious renal parenchymal mass. The ureters are normal in caliber and without suspicious filling defect to suggest a urothelial mass. The aorta is normal in caliber with minimal calcific atherosclerosis. The NC is unremarkable. The retroperitoneum is normal and there is no suspicious lymphadenopathy. The urinary bladder is normal without calculus or wall thickening. The prostate is unchanged in appearance with coarse calcifications centrally and prominence of the median lobe indenting the base of the urinary bladder, unchanged. The seminal vesicles are normal. Subcentimeter calcified pelvic phleboliths are present. No free pelvic fluid or lymphadenopathy is present. There is a tiny fat containing umbilical hernia. There is a tiny fat containing left inguinal hernia. These are unchanged. Degeneration is noted in the spine, hips and about the pelvis. IMPRESSION Punctate 3 mm nonobstructing left lower pole intrarenal calculus. No hydronephrosis or obstructing calculi. Unchanged minimal diffuse fatty infiltration of the liver. EPSTEIN, JEFFREY ACC:6889096 Exam Date: 7/27/16 DOB: 01/20/1953 EAST RIVER MEDICAL IMAGING, PC www.eastriyerImaging.com PET/CT • HIGH FIELD M RI • OPEN M RI • M ULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X•RAY • CORONARY CT ANGIOGFtAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA00282956 RIS Fax Server 7/28/2016 4:09:28 PM PAGE 4/004 Fax Server Unchanged prominent median lobe of the prostate indenting the base of the urinary bladder. Very truly yours, ADAM VVILNER, M.D. Electronically Signed By: ADAM VVILNER, M.D. Date/Time Transcribed: 7/27/16 9:02 am Contrast: Omnipaque Contrast 120cc Creatinine Submitted 1.0mg/dl CD FOR MRI ONLY/ NO PACS CC: BRUCE W MOSKOWMZ, M.D. 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 EPSTEIN, JEFFREY ACC:6889096 Exam Date: 7/27/16 DOB: 01/20/1953 EAST RIVER MEDICAL IMAGING, PC vwww.eastriverimaging.com PET/CT • HIGH FIELD M RI • OPEN MRI • M ULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X•RAY • CORONARY CT ANGIOGFtAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA00282957