conversations listlengths 2 2 |
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[
{
"from": "human",
"value": "Generate a medical report for USG for a 26Y Male patient with the following diagnosis: Liver haemangioma, a well-defined round to oval hyperechoic lesion measuring 8.6x8.2x7.9mm in segment 4a of liver."
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. A well defined round to oval hyperechoic lesion without any posterior acoustic shadowing is noted in segment 4a of liver measuring 8.6x8.2x7.9mm s/o haemangioma. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Liver haemangioma."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 33 Female patient with the following diagnosis: Single live intrauterine gestation of about 8 weeks 4 days duration, Crown Rump Length (CRL) is 19.8 mm, EDD by US is 29/11/2024, Cardiac activity is well appreciated with FHR- 169 bpm, No subchorionic haemorrhage is seen, Internal Os is closed, Cervical Length is adequate, No free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS Urinary Bladder: Optimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 19.8 mm 8 weeks 4 days EDD by US 29/11/2024 Cardiac activity is well appreciated. FHR- 169 bpm. No subchorionic haemorrhage is seen. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 8 weeks 4 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 34 Female patient with the following diagnosis: Single live intrauterine gestation of about 12 weeks 6 days duration with Normal Level 1 Screening, Crown Rump Length (CRL) of 65.9 mm, Nuchal Translucency (NT) of 1.2mm, Nasal Bone (NB) present and 2.6mm, Normal Ductus Venosus Flow, Normal Fetal Heart, Normal Fetal Head, Normal Fetal Abdominal Wall, Uterine Artery Doppler with Mean PI below 95th percentile, Internal Os closed, Cervical Length of 3.0cm, No free fluid in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 1 SCREENING) Uterus: Anteverted and shows a single regular gestational sac. Single live intrauterine fetus is seen. Crown Rump Length (CRL) 65.9 mm 12 weeks 6 days EDD by US 02/11/2024. Cardiac activity is well appreciated. FHR - 166 bpm. Placenta is anterior. Grade-0 in maturity. No subchorionic haemorrhage is seen. Liquor is adequate. Level 1 Screening: Nuchal Translucency (NT) 1.2mm Nasal Bone (NB) Present, 2.6mm Ductus Venosus Flow (DV) Normal, No e/o A wave reversal Fetal Heart No e/o Tricuspid Regurgitation Fetal Head Normal cranial bones ossification noted. No e/o Acrania, Exencephaly, Iniencephaly or any Encephalocele Fetal Abdominal Wall Intact. No e/o Gastroschisis or Omphalocele. Uterine Artery Doppler: PI RI S/D Ratio Right Uterine Artery 0.82 0.51 2.04 Left Uterine Artery 1.70 0.74 3.90 Mean PI of uterine arteries lies below 95 th percentile for gestational age Internal Os is closed. Cervical Length is adequate (3.0cm). No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 12 weeks 6 days duration with Normal Level 1 Screening. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 9Y Male patient with the following diagnosis: Mild circumferential bowel wall thickening of terminal ileum, IC junction and cecum with mesenteric lymphadenopathy (Largest 10.7mm in SAD) with increased echogenicity of surrounding mesenteric fat, likely infective"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. Right iliac fossa shows mild circumferential bowel wall thickening of terminal ileum, IC junction and cecum with multiple enlarged mesenteric lymph nodes (Largest 10.7mm in SAD) with increased echogenicity of surrounding mesenteric fat. No free fluid noted in abdominal cavity. Appendix is not visualized separately (?retrocaecal). OPINION: Ultrasound findings are s/o – Mild circumferential bowel wall thickening of terminal ileum, IC junction and cecum with mesenteric lymphadenopathy with increased echogenicity of surrounding mesenteric fat-likely infective (Advice: CECT Abdomen correlation)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 32Y Male patient with the following diagnosis: Grade I fatty liver"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size (15.3 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Not visualised (post-op). COMMON BILE DUCT : Normal in caliber (3.7mm). Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Grade I fatty liver."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31 Female patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade 1, Mild free fluid in pelvis"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (17.1 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. No pericholecystic collection seen. GB neck legion obscured by bowel gases. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Sub-optimally visualised. Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 7.4 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. Mild free fluid seen in pelvis . No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Hepatomegaly with Fatty Infiltration Grade 1. Mild free fluid in pelvis . Please correlate clinically."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 37 Male patient with the following diagnosis: Acute calculous cholecystitis, Left mid ureteric calculus (9.3 mm) with mild hydroureteronephrosis, Bilateral renal calculi (right kidney: 9.7 mm, left kidney: 5.0 mm), Hepatomegaly with Fatty Infiltration Grade I"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases and obesity. LIVER: Enlarged in size (18.4 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Overdistended. A calculus with distal acoustic shadowing is seen impacted at GB neck measuring 26.1 mm in maximum dimension. Wall appears mildly edematous. COMMON BILE DUCT : Measures 5.2 mm in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. Multiple calculi with distal acoustic shadowing are seen, largest measuring 9.7 mm at upper calyx. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. A calculus with distal acoustic shadowing is seen at lower calyx measuring 5.0 mm in maximum dimension. There is mild dilatation of pelvi-calyceal system and upper ureter due to a calculus measuring 9.3 mm in mid ureter. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Acute calculous cholecystitis. Left mid ureteric calculus with mild hydroureteronephrosis. Bilateral renal calculi. Hepatomegaly with Fatty Infiltration Grade I."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 46Y F patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade 1"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (16.5 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. UTERUS: Not visualised (post-op). No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Hepatomegaly with Fatty Infiltration Grade 1."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 33 Male patient with the following diagnosis: Left PUJ calculus with mild hydronephrosis, Bilateral renal calculi (5.9 mm in right kidney, 7.8 mm and 6.6 mm in left kidney, 7.2 mm at pelvi-ureteric junction), Mild hepatomegaly with Fatty Infiltration Grade I"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Mildly enlarged in size (15.8 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A calculus with distal acoustic shadowing is seen at middle calyx measuring 5.9 mm in maximum dimension. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Two calculi with distal acoustic shadowing are seen at upper and middle calyces, measuring 7.8 mm and 6.6 mm respectively. There is e/o a calculus with distal acoustic shadowing at pelvi-ureteric junction, measuring 7.2 mm in maximum dimension causing mild dilatation of pelvi-calyceal system. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Left PUJ calculus with mild hydronephrosis. Bilateral renal calculi. Mild hepatomegaly with Fatty Infiltration Grade I. Please correlate clinically."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 33 Female patient with the following diagnosis: Single live intrauterine gestation of about 6 weeks 3 days duration, Crown Rump Length (CRL) is 6.3 mm, EDD by US is 30/11/2024, Cardiac activity is well appreciated with FHR- 122 bpm, No subchorionic haemorrhage is seen, Internal Os is closed, Cervical Length is adequate, No free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS (TVS) Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 6.3 mm 6 weeks 3days EDD by US 30/11/2024. Cardiac activity is well appreciated. FHR- 122 bpm. No subchorionic haemorrhage is seen. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 6 weeks 3 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 10Y Male patient with the following diagnosis: Right renal calculus measuring 6.6 mm in maximum dimension."
},
{
"from": "gpt",
"value": "ULTRASOUND KUB RIGHT KIDNEY : Normal in size (8.5x3.1cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A calculus with distal acoustic shadowing is seen at lower calyx measuring 6.6 mm in maximum dimension. LEFT KIDNEY : Normal in size (8.5x3.7cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. OPINION: Ultrasound findings are s/o – Right renal calculus."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 34 Male patient with the following diagnosis: Left VUJ calculus with mild hydroureteronephrosis, Cholelithiasis with multiple tiny (4 to 5mm) calculi, Left renal calculus measuring 6.3 mm, and a calculus at vesico-ureteric junction measuring 6.7 mm."
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted. Multiple tiny (4 to 5mm) calculi with distal acoustic shadowing seen in GB lumen . No pericholecystic collection seen (Advice: Review in fasting state after 3 days of fat free diet). COMMON BILE DUCT : Normal in caliber (3.6mm). Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. A calculus with distal acoustic shadowing is seen at lower calyx measuring 6.3 mm in maximum dimension. There is e/o a calculus with distal acoustic shadowing at vesico-ureteric junction, measuring 6.7 mm in maximum dimension causing mild dilatation of pelvi-calyceal system and whole ureter. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Left VUJ calculus with mild hydroureteronephrosis. Cholelithiasis (Advice: Review in fasting state after 3 days of fat free diet). Left renal calculus."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 36Y Female patient with the following diagnosis: Normal study of pelvis, Urinary bladder is well distended with no intra-vesical calculus or wall thickening, Uterus is normal in size and shape (86 x 35 x 63 mm) with normal myometrial echotexture and endometrial thickness of 3.9 mm, Right ovary is normal in size and echotexture (4.2 cc), Left ovary is normal in size and echotexture (5.3 cc), Both adnexa are clear with no adnexal mass, and no free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 86 x 35 x 63 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 3.9 mm. Right ovary : Normal in size and echotexture. It measures about 4.2 cc in volume. Left ovary : Normal in size and echotexture. It measures about 5.3 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Normal study of pelvis."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31 Female patient with the following diagnosis: No evidence of deep venous thrombosis, Normal Study."
},
{
"from": "gpt",
"value": ""
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 45Y Male patient with the following diagnosis: Mild prostatomegaly (33.0cc), Grade II fatty liver"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size (14.5 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. GB neck region obscured by bowel gases. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Mildly enlarged in size (33.0cc), normal in shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Mild prostatomegaly. Grade II fatty liver."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 60Y Male patient with the following diagnosis: Grade I fatty liver"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS WITH PVRU LIVER: Normal in size (13.4 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted (post-prandial). No obvious calculus noted. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. Pre-void UB volume- 507.7cc Post-void UB volume- 22.0cc (Insignificant) PROSTATE: Normal in size (21.4cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Grade I fatty liver."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 54Y F patient with the following diagnosis: Grade I fatty liver"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size (13.9 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. UTERUS: Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 4.8 mm and shows normal echogenicity. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Grade I fatty liver ."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 35 Female patient with the following diagnosis: Right ovarian hemorrhagic cyst measuring 23x19x15 mm in size."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 78x32x51 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 5.0 mm. Right ovary : It measures about 11.2 cc in volume. A well defined thin walled cystic lesion with thin internal septations in “fishnet pattern” is seen in right ovary measuring 23x19x15 mm in size. No internal vascularity noted. Left ovary : Normal in size and echotexture. It measures about 9.1 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Right ovarian hemorrhagic cyst (Advice: Follow up)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 45Y F patient with the following diagnosis: Cervical lymphadenopathy, Left thyroid lobe spongiform nodule (13x10x7mm, TR1 category)"
},
{
"from": "gpt",
"value": "ULTRASOUND NECK Thyroid: A well defined round to oval wider than taller spongiform appearing hypoechoic nodule is noted in left thyroid lobe measuring 13x10x7mm. No e/o any echogenic foci or calcification. Internal vascularity is noted around the nodule. Rest of the thyroid gland appears normal in size, shape and echotexture. Right lobe measures 37x10x9mm. Left lobe measures 37x10x10mm. Isthmus measures 2.1 mm. Salivary glands: Bilateral submandibular glands are normal in size and echotexture. Bilateral parotid glands are normal in size and echotexture. Neck Vessels: Bilateral Carotid Arteries and Internal Jugular Veins appear normal in course and caliber as seen on gray scale. Lymph Nodes: Few heterogeneously hypoechoic lymph nodes are noted in bilateral cervical level 5 and left cervical 2, largest measuring 6.8mm in SAD in left cervical level 2. No e/o any calcification. No e/o any other abnormal soft tissue or mass lesion in the neck. OPINION: Ultrasound findings are s/o – Cervical lymphadenopathy (Advice: FNAC correlation). Left thyroid lobe spongiform nodule (as described) – TI-RADS category: TR1."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 02Y Male patient with the following diagnosis: Mesenteric and retroperitoneal lymphadenitis with multiple subcentimetric mesenteric and retroperitoneal lymph nodes, largest measuring 7.4 mm in SAD."
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases and non-compliant patient. LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. Multiple subcentimetric mesenteric and retroperitoneal lymph nodes are noted with maintained fatty hila, largest measuring 7.4 mm in SAD. No e/o frank necrosis or calcification. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Mesenteric and retroperitoneal lymphadenitis."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 46 Male patient with the following diagnosis: Chronic calculous cholecystitis, Left renal calculus (4.3 mm), Hepatomegaly with Fatty Infiltration Grade 2"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases and obesity. LIVER: Enlarged in size (16.8 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted. Multiple tiny calculi are seen in lumen along GB wall forming linear echogenic focus with posterior acoustic shadowing (WES complex). No evidence of any pericholecystic fluid is seen. (Advice: Review in fasting state after 3days of fat free diet) COMMON BILE DUCT : Normal in caliber (4.6mm). Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A calculus with distal acoustic shadowing is seen at middle calyx measuring 4.3 mm in maximum dimension. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. Pre-void UB volume- 747.6cc Post-void UB volume- 19.4cc (Insignificant) PROSTATE: Normal in size (18.4cc in volume), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Chronic calculous cholecystitis (Advice: MRCP/Review in fasting state after 3days of fat free diet) Left renal calculus. Hepatomegaly with Fatty Infiltration Grade 2."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 37Y F patient with the following diagnosis: Small well defined round to oval hypoechoic mass lesion in posterior myometrium likely s/o small intramural uterine fibroid (8.8x8.4x5.6mm), Hepatomegaly with Fatty Infiltration Grade 1"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (18.5 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. BOTH KIDNEY S : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. UTERUS: Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. A small well defined round to oval hypoechoic mass lesion measuring 8.8x8.4x5.6mm is seen in posterior myometrium. Mild indentation of the endometrium is noted. No e/o any calcification or necrosis or any cystic component. Internal vascularity is noted within the mass. Uterine cavity is empty. Central endometrial eco-complex measures 16.2 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Small well defined round to oval hypoechoic mass lesion in posterior myometrium likely s/o small intramural uterine fibroid (Advice: MRI Pelvis correlation). Hepatomegaly with Fatty Infiltration Grade 1."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 38 Male patient with the following diagnosis: Left VUJ calculus with mild hydroureteronephrosis, Cystitis"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. There is e/o a calculus with distal acoustic shadowing at vesico-ureteric junction, measuring 4.5 mm in maximum dimension causing mild dilatation of pelvi-calyceal system and whole ureter. URINARY BLADDER : Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Left VUJ calculus with mild hydroureteronephrosis. Cystitis (Advice: Urine R/E)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 32Y Female patient with the following diagnosis: Single live intrauterine gestation of about 6 weeks 3 days duration, Crown Rump Length (CRL) is 5.7mm, EDD by US is 10/12/2024, Cardiac activity is well appreciated with FHR- 123 bpm, No subchorionic haemorrhage is seen, Internal Os is closed, Cervical Length is adequate, No free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS Urinary Bladder: Optimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 5.7mm 6 weeks 3 days EDD by US 10/12/2024 Cardiac activity is well appreciated. FHR- 123 bpm. No subchorionic haemorrhage is seen. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 6 weeks 3 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 36Y Male patient with the following diagnosis: Left distal ureteric calculus with mild hydroureteronephrosis, Bilateral renal calculi (Right kidney: 7.1 mm and 4.3 mm, Left kidney: 4.7 mm), Mild prostatomegaly (32.9cc) with median lobe projecting into bladder"
},
{
"from": "gpt",
"value": "ULTRASOUND KUB RIGHT KIDNEY : Normal in size (9.4x4.0cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. Two calculi with distal acoustic shadowing are seen at middle and lower calyces, measuring 7.1 mm and 4.3 mm respectively. LEFT KIDNEY : Normal in size (9.5x5.1cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. A calculus with distal acoustic shadowing is seen at middle calyx measuring 4.7 mm in maximum dimension. There is mild dilatation of pelvi-calyceal system and upper ureter due to a calculus measuring 6.2 mm in distal ureter approximately 19.2 mm proximal to the vesico-ureteric junction. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Mildly enlarged in size (32.9cc), normal in shape & echotexture. Capsular outline appears intact. Median lobe is seen projecting into bladder. OPINION: Ultrasound findings are s/o – Left distal ureteric calculus with mild hydroureteronephrosis. Bilateral renal calculi. Mild prostatomegaly."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 28 Female patient with the following diagnosis: Cystitis, Cervicitis"
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. No e/o any intra-vesical calculus. No evidence of any wall thickening. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 82 x 33 x 52 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 6.3 mm. Cervix is bulky (33.4mm). Right ovary : Normal in size and echotexture. It measures about 9.7 cc in volume. Left ovary : Normal in size and echotexture. It measures about 8.6 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. Appendix is visualised in RIF and appears normal in caliber (maximum diameter 5.4mm). OPINION: Ultrasound findings are s/o – Cystitis (Advice: Urine R/E). Cervicitis."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31 Female patient with the following diagnosis: Acute pancreatitis, Acute calculous cholecystitis with multiple small (5 to 6mm) calculi, Mild Ascites, Left renal calculus measuring 10.2 mm in maximum dimension"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. Mild free fluid seen in Morison’s pouch . Portal vein appears normal in course and caliber. GALL BLADDER : Well distended . Multiple small (5 to 6mm) calculi with distal acoustic shadowing seen in GB lumen. Wall appears markedly edematous. Mild pericholecystic fluid is noted. COMMON BILE DUCT : Normal in caliber (5.8mm). Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised. Visualised part appears bulky and heterogeneous in echotexture. Mild peri pancreatic fluid also noted with increased echogenicity of surrounding peripancreatic fat. Rest obscured by gas shadowing. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. Mild perisplenic fluid is noted. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A calculus with distal acoustic shadowing is seen at upper calyx measuring 10.2 mm in maximum dimension. Mild fluid is noted in left perinephric space and left paracolic gutter. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Suboptimally visualised. Fundus and upper body is obscured by bowel gases. OVARIES : Obscured by bowel gases. No adnexal mass is seen. Mild free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. Mild free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Bulky heterogeneous pancreas with peripancreatic free fluid and increased echogenicity of surrounding peripancreatic fat s/o acute pancreatitis (Advice: Serum Amylase/Lipase correlation & CECT Abdomen for further evaluation). Acute calculous cholecystitis . Mild Ascites. Left renal calculus."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 35Y Female patient with the following diagnosis: Single live intrauterine fetus in cephalic presentation, Biparietal Diameter (BPD) 79 mm, Head Circumference (HC) 298 mm, Femur Length (FL) 64 mm, Abdominal Circumference (AC) 289 mm, Estimated Fetal Weight (EFW) 2112 gm, Normal Obstetric Doppler parameters with no evidence of uteroplacental or fetoplacental insufficiency."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS WITH COLOUR DOPPLER Single live intrauterine fetus seen in cephalic presentation. No loop of cord seen around the neck. Fetal tone, gross body movements and breathing movements are normal. Cardiac activity is well appreciated. FHR- 151 bpm. Placenta is anterior, well above Os, Gr-II in maturity. No retroplacental hemorrhage is seen. Liquor is adequate . AFI- 15.4cm . Os is closed. Cervical length is 4.1cm. FETAL BIOMETRIC MEASUREMENTS Biparietal Diameter (BPD) 79 mm 32w0d Head Circumference (HC) 298 mm 33w1d Femur Length (FL) 64 mm 33w3d Abdominal Circumference (AC) 289 mm 33w0d Estimated Fetal Weight (EFW) 2112 gm ( + 15gm%) 43 rd percentile DOPPLER PARAMETERS PI RI S/D Ratio Remarks Middle Cerebral Artery 2.08 0.85 6.48 Normal high resistance pulsatile waveform, PSV- 43.4cm/s Umbilical Artery 1.08 0.63 2.73 Normal low resistance waveform with continuous forward flow & normal end diastolic flow Right Uterine Artery 1.08 0.61 2.55 Normal low resistance waveform with continuous forward flow without any significant early diastolic notching. Left Uterine Artery 0.80 0.51 2.03 OPINION: Ultrasound findings are s/o – Single live intrauterine pregnancy of about 32 weeks 6 days duration in cephalic presentation. Normal Obstetric Doppler parameters with no e/o uteroplacental or fetoplacental insufficiency. Expected date of delivery by USG- 02/06/2024. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 50Y Female patient with the following diagnosis: Normal thyroid gland (Right lobe measures 44x14x14mm, Left lobe measures 43x13x11mm, Isthmus measures 2.8 mm), Normal salivary glands, Normal neck vessels, No abnormal cervical lymph nodes, A well-defined round to oval hypoechoic lesion in the subcutaneous plane of left cervical level 2 region measuring 12.3x11.9x7.5mm,?Epidermal inclusion cyst."
},
{
"from": "gpt",
"value": "ULTRASOUND NECK Thyroid: Both thyroid lobes and isthmus are normal in size, shape and echotexture. No focal or diffuse lesion is noted in the thyroid gland. Right lobe measures 44x14x14mm. Left lobe measures 43x13x11mm. Isthmus measures 2.8 mm. Salivary glands: Bilateral submandibular glands are normal in size and echotexture. Bilateral parotid glands are normal in size and echotexture. Neck Vessels: Bilateral Carotid Arteries and Internal Jugular Veins appear normal in course and caliber as seen on gray scale. Lymph Nodes: No e/o any abnormal cervical lymph nodes. A well defined round to oval hypoechoic lesion is noted in the subcutaneous plane of left cervical level 2 region measuring 12.3x11.9x7.5mm in size. The lesion shows posterior acoustic enhancement and edge shadowing. No internal vascularity appreciated. No e/o any calcification. OPINION: Ultrasound findings are s/o – Well defined round to oval hypoechoic lesion in the subcutaneous plane of left cervical level 2 region (as described) ?Epidermal inclusion cyst. Advice: FNAC correlation."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 36Y Male patient with the following diagnosis: Bilateral bulky parotid glands suggestive of viral parotitis, with normal thyroid gland (Right lobe measures 31x12x13mm, Left lobe measures 32x12x11mm, Isthmus measures 3.0 mm), normal salivary glands (bilateral submandibular glands), and no abnormal cervical lymph nodes or other soft tissue or mass lesions in the neck."
},
{
"from": "gpt",
"value": "ULTRASOUND NECK Thyroid: Both thyroid lobes and isthmus are normal in size, shape and echotexture. No focal or diffuse lesion is noted in the thyroid gland. Right lobe measures 31x12x13mm. Left lobe measures 32x12x11mm. Isthmus measures 3.0 mm. Salivary glands: Bilateral submandibular glands are normal in size and echotexture. Bilateral parotid glands appear bulky. Echotexture appears normal. Vascularity appears normal. Neck Vessels: Bilateral Carotid Arteries and Internal Jugular Veins appear normal in course and caliber as seen on gray scale. Lymph Nodes: No e/o any abnormal cervical lymph nodes. No e/o any other abnormal soft tissue or mass lesion in the neck. OPINION: Ultrasound findings are s/o – Bilateral bulky parotid glands ?viral parotitis. Please correlate clinically."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 32Y Male patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade 1"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (16.9 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Not visualised (post-op). COMMON BILE DUCT : Normal in caliber (7.0mm). Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size(12.6cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Hepatomegaly with Fatty Infiltration Grade 1"
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 9Y F patient with the following diagnosis: Mesenteric and retroperitoneal lymphadenitis with multiple subcentimetric mesenteric and retroperitoneal lymphnodes, largest measuring 11.9 mm in SAD."
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Normal for age. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. Multiple subcentimetric mesenteric and retroperitoneal lymphnodes are noted with maintained fatty hila, largest measuring 11.9 mm in SAD. No e/o frank necrosis or calcification. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Mesenteric and retroperitoneal lymphadenitis. Please correlate clinically."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 17Y Female patient with the following diagnosis: Bilateral mildly bulky ovaries with multiple small peripherally arranged follicles and increased stromal echogenicity suggestive of PCOD, urinary bladder is partially distended with echofree lumen, uterus is anteverted and normal in size and shape with myometrial echotexture appearing normal and endometrial thickness of 7.6 mm."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 68 x 29 x 43 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 7.6 mm. OVARIES : Both ovaries are mildly enlarged in size (Volume: Right ovary – 12.3cc, Left ovary- 10.3cc). Multiple small peripherally arranged follicles are seen in both ovaries with increased stromal echogenicity. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – B/L mildly bulky ovaries with multiple small peripherally arranged follicles & increased stromal echogenicity ? PCOD. Advice: Hormonal evaluation."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 28 Female patient with the following diagnosis: Single live intrauterine gestation of about 12 weeks 5 days duration with Normal Level 1 Screening, Crown Rump Length (CRL) 64.0 mm, EDD by US 20/10/2024, Nuchal Translucency (NT) 1.3mm, Nasal Bone (NB) Present, 2.8mm, Ductus Venosus Flow (DV) Normal, No e/o A wave reversal, Fetal Heart No e/o Tricuspid Regurgitation, Fetal Head Normal cranial bones ossification noted, No e/o Acrania, Exencephaly, Iniencephaly or any Encephalocele, Fetal Abdominal Wall Intact, No e/o Gastroschisis or Omphalocele, Uterine Artery Doppler Mean PI of uterine arteries lies below 95th percentile for gestational age."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 1 SCREENING) Uterus: Anteverted and shows a single regular gestational sac. Single live intrauterine fetus is seen. Crown Rump Length (CRL) 64.0 mm 12 weeks 5 days EDD by US 20/10/2024. Cardiac activity is well appreciated. FHR - 169 bpm. Placenta is anterior. Grade-0 in maturity. No subchorionic haemorrhage is seen. Liquor is adequate. Level 1 Screening: Nuchal Translucency (NT) 1.3mm Nasal Bone (NB) Present, 2.8mm Ductus Venosus Flow (DV) Normal, No e/o A wave reversal Fetal Heart No e/o Tricuspid Regurgitation Fetal Head Normal cranial bones ossification noted. No e/o Acrania, Exencephaly, Iniencephaly or any Encephalocele Fetal Abdominal Wall Intact. No e/o Gastroschisis or Omphalocele. Uterine Artery Doppler: PI RI S/D Ratio Right Uterine Artery 0.90 0.54 2.18 Left Uterine Artery 1.04 0.59 2.45 Mean PI of uterine arteries lies below 95 th percentile for gestational age Internal Os is closed. Cervical Length is adequate (5.2cm). No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 12 weeks 5 days duration with Normal Level 1 Screening. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 34Y Female patient with the following diagnosis: Single live intrauterine gestation of about 9 weeks 2 days duration with a small subchorionic haemorrhage measuring 16x8x7mm, Crown Rump Length (CRL) of 25.6 mm, and a fetal heart rate of 161 bpm."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS Urinary Bladder: Optimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 25.6 mm 9 weeks 2 days EDD by US 05/11/2024 Cardiac activity is well appreciated. FHR- 161 bpm. A small subchorionic haemorrhage is seen measuring 16x8x7mm. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 9 weeks 2 days duration with a small subchorionic haemorrhage. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 32 Female patient with the following diagnosis: Single live intrauterine gestation of about 8 weeks 3 days duration, Crown Rump Length (CRL) of 18.5 mm, two small well defined round to oval hypoechoic mass lesions measuring 17x14x12mm and 12x11x10mm in posterior myometrium likely small intramural uterine fibroids."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS Urinary Bladder: Optimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 18.5 mm 8 weeks 3 days EDD by US 26/11/2024 Cardiac activity is well appreciated. FHR- 169 bpm. No subchorionic haemorrhage is seen. Two small well defined round to oval hypoechoic mass lesions measuring 17x14x12mm and 12x11x10mm are seen in posterior myometrium likely s/o small intramural uterine fibroids. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 8 weeks 3 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 34 Female patient with the following diagnosis: Single live intrauterine fetus with normal fetal tone and gross body movements, normal cardiac activity, normal placenta, adequate liquor, normal os, normal cervical length, normal biparietal diameter (52 mm), normal head circumference (194 mm), normal occipito-frontal diameter (68 mm), normal femur length (34 mm), normal abdominal circumference (160 mm), normal estimated fetal weight (405 gm), normal nuchal fold thickness (3.7mm), normal transverse cerebellar diameter (20.9mm), normal cisterna magna (5.6mm), normal interocular distance (13.3mm), normal binocular distance (35.6mm), normal renal pelvis AP diameter (3.2mm and 3.0mm), no evidence of any congenital anomalies."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 2 SCREENING) Single live intrauterine fetus seen in variable lie. Fetal tone and gross body movements are normal. Cardiac activity is well appreciated. FHR - 146 bpm. Placenta is fundo-posterior, well above os, Gr-I in maturity. Placental thickness is normal. Cord insertion is central. Three vessel cord visualised. No retroplacental hemorrhage is seen. Liquor is adequate . Amniotic fluid index is within normal limits. Os is closed. Cervical length is 4.1cm. FETAL BIOMETRIC MEASUREMENTS Biparietal Diameter (BPD) 52 mm 21w6d Head Circumference (HC) 194 mm 21w5d Occipito-frontal Diameter (OFD) 68 mm 22w3d Femur Length (FL) 34 mm 21w0d Abdominal Circumference (AC) 160 mm 21w1d Estimated Fetal Weight (EFW) 405 gm ( + 15gm%) >97 th percentile FL/AC 0.21 HC/AC 1.21 CI 0.79 LEVEL 2 SCREENING Head : Normal cranial bones ossification noted. No e/o Acrania, Exencephaly, Iniencephaly, Microcephaly or any Encephalocele. Brain parenchyma appears normal. Both lateral ventricles are normal in size. No e/o hydrocephalus or ventriculomegaly. No e/o any choroid plexus cyst. Inter-hemispheric fissure is in the midline. Cavum septum pellucidum is normally visualised. Posterior fossa structures are normal. Transverse Cerebellar Diameter (TCD) 20.9mm Cisterna Magna 5.6mm Nuchal Fold Thickness (NFT) 3.7mm Lateral ventricle 7.4mm Face: Fetal face is seen in the coronal and profile views. Both orbits and lenses appear normal. Nose, lips and mouth appear normal. No e/o any facial cleft. Interocular distance (IOD) 13.3mm Binocular Distance (BOD) 35.6mm Spine: Entire spine is visualized in axial, coronal and sagittal views. Vertebral ossification centers appear normal. No angulation deformity noted. Intact skin line noted overlying the spine. No e/o any spinal dysraphism. Thorax: Cardiac situs is normal. Normal 4 chamber cardiac view noted with normal cardiac size and axis. No e/o any echogenic intracardiac focus. Normal 3 vessel view noted. Both lungs show normal echogenicity. No e/o any abnormal intrathoracic mass or cystic lesion. No e/o any pleural or pericardial effusion. Domes of diaphragm are normal in position and appear intact. No e/o any diaphragmatic hernia. Abdomen: Abdominal wall is intact. No umbilical hernia is seen. Abdominal situs appears normal. Stomach bubble is normal. No e/o any echogenic bowel loop or any intrabdominal mass. Both fetal kidneys are normal. No e/o any pyelectasis. Urinary Bladder is normal in distension. No e/o fetal ascites. Renal Pelvis AP diameter Right Kidney 3.2mm Left Kidney 3.0mm Limbs: All the long bones of the upper and lower limbs are visualised. Fetal limbs are bilaterally symmetrical. Finger counting was attempted. No e/o persistent clenched fist or overlapping fingers noted. Normal hand opening noted on both sides. No e/o any club foot. OPINION: Single live intrauterine pregnancy of about 21 weeks 3 days duration with Normal Level 2 Screening. Expected date of delivery by USG- 16/08/2024. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 40Y Female patient with the following diagnosis: Dichorionic diamniotic twin live intrauterine gestation of about 12 weeks 5 days (F1) and 12 weeks 1 day (F2) durations with Normal Level 1 Screening in both fetuses, CRL: 63.6 mm (F1) and 54.8 mm (F2), GA by US: 12 weeks 5 days (F1) and 12 weeks 1 day (F2), EDD by US: 31/10/2024 (F1) and 04/11/2024 (F2), Nuchal Translucency (NT): 1.1mm (both), Nasal Bone (NB): Present, 2.8mm (F1) and 2.9mm (F2), Ductus Venosus Flow (DV): Normal, No e/o A wave reversal (both), Fetal Heart: No e/o Tricuspid Regurgitation (both), Fetal Head: Normal cranial bones ossification noted in both, Fetal Abdominal Wall: Intact in both, Uterine Artery Doppler: Mean PI of uterine arteries lies below 95th percentile for gestational age."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 1 SCREENING) Uterus: Anteverted and shows twin live intrauterine gestation in two separate G sacs. F1 is on maternal left anteriorly and F2 is on maternal right posteriorly. Placenta posterior for both. “Twin Peak” sign is noted. No subchorionic haemorrhage is seen. Cardiac activity is well appreciated in both. FHR - 150 bpm (F1) and 166 bpm (F2) respectively. Liquor is adequate in both sacs. Crown Rump Length (CRL) GA by US EDD by US F1 63.6 mm 12 weeks 5 days 31/10/2024. F2 54.8 mm 12 weeks 1 day 04/11/2024. Level 1 Screening: F1 F2 Nuchal Translucency (NT) 1.1mm 1.1mm Nasal Bone (NB) Present, 2.8mm Present, 2.9mm Ductus Venosus Flow (DV) Normal, No e/o A wave reversal Normal, No e/o A wave reversal Fetal Heart No e/o Tricuspid Regurgitation No e/o Tricuspid Regurgitation Fetal Head Normal cranial bones ossification noted in both. No e/o Acrania, Exencephaly, Iniencephaly or any Encephalocele Fetal Abdominal Wall Intact in both. No e/o Gastroschisis or Omphalocele. Uterine Artery Doppler: PI RI S/D Ratio Right Uterine Artery 1.39 0.71 3.41 Left Uterine Artery 0.96 0.57 2.35 Mean PI of uterine arteries lies below 95 th percentile for gestational age Internal Os is closed. Cervical Length is adequate (3.9cm). No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Dichorionic diamniotic twin live intrauterine gestation of about 12 weeks 5 days (F1) and 12 weeks 1 day (F2) durations with Normal Level 1 Screening in both fetuses. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 6Y Male patient with the following diagnosis: Mild hepatomegaly (liver size 12.2 cm at mid-clavicular line), Mild circumferential bowel wall thickening of terminal ileum and IC junction with mesenteric lymphadenopathy (largest lymph node 7.1mm in SAD), multiple enteroliths, normal appendix (maximum diameter 4.5mm)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Mildly enlarged in size (12.2 cm at mid-clavicular line) with normal echopattern. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. Right iliac fossa shows mild circumferential bowel wall thickening of terminal ileum and IC junction with multiple mesenteric lymph nodes (Largest 7.1mm in SAD) with increased echogenicity of surrounding mesenteric fat. Few prominent bowel loops with multiple enteroliths are noted proximal to the thickened part. Appendix is visualised in RIF and appears normal in caliber (maximum diameter 4.5mm). OPINION: Ultrasound findings are s/o – Mild circumferential bowel wall thickening of terminal ileum and IC junction with mesenteric lymphadenopathy ?infective (Advice- CECT Abdomen). Mild hepatomegaly."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31Y Female patient with the following diagnosis: Single live intrauterine gestation of about 6 weeks 2 days duration, Crown Rump Length (CRL) of 5.2 mm, two small well defined round to oval hypoechoic mass lesions measuring 15x15x10mm and 11x10x8mm in posterior myometrium likely small intramural uterine fibroids."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS (TVS) Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 5.2 mm 6 weeks 2 days EDD by US 28/11/2024. Cardiac activity is well appreciated. FHR- 120 bpm. No subchorionic haemorrhage is seen. Two small well defined round to oval hypoechoic mass lesions measuring 15x15x10mm and 11x10x8mm are seen in posterior myometrium likely s/o small intramural uterine fibroids. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 6 weeks 2 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 37 Female patient with the following diagnosis: Single live intrauterine fetus with normal fetal tone and gross body movements, normal cardiac activity, normal placenta, adequate liquor, normal cervical length, normal fetal biometric measurements (Biparietal Diameter (BPD) - 53 mm, Head Circumference (HC) - 191 mm, Occipito-frontal Diameter (OFD) - 64 mm, Femur Length (FL) - 35 mm, Abdominal Circumference (AC) - 176 mm, Estimated Fetal Weight (EFW) - 469 gm), normal Transverse Cerebellar Diameter (TCD) - 21.7mm, normal Cisterna Magna - 6.2mm, normal Nuchal Fold Thickness (NFT) - 4.1mm, normal Interocular distance (IOD) - 10.5mm, normal Binocular Distance (BOD) - 33.0mm, normal Renal Pelvis AP diameter (Right Kidney - 2.1mm, Left Kidney - 2.2mm), no evidence of any congenital anomalies."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 2 SCREENING) Single live intrauterine fetus seen in variable lie. Fetal tone and gross body movements are normal. Cardiac activity is well appreciated. FHR - 161 bpm. Placenta is anterior, well above os, Gr-I in maturity. Placental thickness is normal. Cord insertion is central. Three vessel cord visualised. No retroplacental hemorrhage is seen. Liquor is adequate . Amniotic fluid index is within normal limits. Os is closed. Cervical length is 3.6cm. FETAL BIOMETRIC MEASUREMENTS Biparietal Diameter (BPD) 53 mm 22w2d Head Circumference (HC) 191 mm 21w3d Occipito-frontal Diameter (OFD) 64 mm 21w2d Femur Length (FL) 35 mm 21w1d Abdominal Circumference (AC) 176 mm 22w4d Estimated Fetal Weight (EFW) 469 gm ( + 15gm%) 86 th percentile FL/AC 0.19 HC/AC 1.08 CI 0.70 LEVEL 2 SCREENING Head : Normal cranial bones ossification noted. No e/o Acrania, Exencephaly, Iniencephaly, Microcephaly or any Encephalocele. Brain parenchyma appears normal. Both lateral ventricles are normal in size. No e/o hydrocephalus or ventriculomegaly. No e/o any choroid plexus cyst. Inter-hemispheric fissure is in the midline. Cavum septum pellucidum is normally visualised. Posterior fossa structures are normal. Transverse Cerebellar Diameter (TCD) 21.7mm Cisterna Magna 6.2mm Nuchal Fold Thickness (NFT) 4.1mm Lateral ventricle 5.0mm Face: Fetal face is seen in the coronal and profile views. Both orbits and lenses appear normal. Nose, lips and mouth appear normal. No e/o any facial cleft. Interocular distance (IOD) 10.5mm Binocular Distance (BOD) 33.0mm Spine: Entire spine is visualized in axial, coronal and sagittal views. Vertebral ossification centers appear normal. No angulation deformity noted. Intact skin line noted overlying the spine. No e/o any spinal dysraphism. Thorax: Cardiac situs is normal. Normal 4 chamber cardiac view noted with normal cardiac size and axis. No e/o any echogenic intracardiac focus. Normal 3 vessel view noted. Both lungs show normal echogenicity. No e/o any abnormal intrathoracic mass or cystic lesion. No e/o any pleural or pericardial effusion. Domes of diaphragm are normal in position and appear intact. No e/o any diaphragmatic hernia. Abdomen: Abdominal wall is intact. No umbilical hernia is seen. Abdominal situs appears normal. Stomach bubble is normal. No e/o any echogenic bowel loop or any intrabdominal mass. Both fetal kidneys are normal. No e/o any pyelectasis. Urinary Bladder is normal in distension. No e/o fetal ascites. Renal Pelvis AP diameter Right Kidney 2.1mm Left Kidney 2.2mm Limbs: All the long bones of the upper and lower limbs are visualised. Fetal limbs are bilaterally symmetrical. Finger counting was attempted. No e/o persistent clenched fist or overlapping fingers noted. Normal hand opening noted on both sides. No e/o any club foot. OPINION: Single live intrauterine pregnancy of about 21 weeks 6 days duration with Normal Level 2 Screening. Expected date of delivery by USG- 27/08/2024. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31 Female patient with the following diagnosis: Single live intrauterine gestation of about 13 weeks 0 days duration with Normal Level 1 Screening, Crown Rump Length (CRL) of 67.0 mm, EDD by US of 07/10/2024, Nuchal Translucency (NT) of 1.1mm, Nasal Bone (NB) present and 2.5mm, Normal Ductus Venosus Flow (DV), No Tricuspid Regurgitation, Normal cranial bones ossification, Intact Fetal Abdominal Wall, No Gastroschisis or Omphalocele, Uterine Artery Doppler with Mean PI below 95th percentile for gestational age."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 1 SCREENING) Uterus: Anteverted and shows a single regular gestational sac. Single live intrauterine fetus is seen. Crown Rump Length (CRL) 67.0 mm 13 weeks 0 days EDD by US 07/10/2024. Cardiac activity is well appreciated. FHR - 166 bpm. Placenta is anterior. Grade-0 in maturity. No subchorionic haemorrhage is seen. Liquor is adequate. Level 1 Screening: Nuchal Translucency (NT) 1.1mm Nasal Bone (NB) Present, 2.5mm Ductus Venosus Flow (DV) Normal, No e/o A wave reversal Fetal Heart No e/o Tricuspid Regurgitation Fetal Head Normal cranial bones ossification noted. No e/o Acrania, Exencephaly, Iniencephaly or any Encephalocele Fetal Abdominal Wall Intact. No e/o Gastroschisis or Omphalocele. Uterine Artery Doppler: PI RI S/D Ratio Right Uterine Artery 1.02 0.56 2.30 Left Uterine Artery 1.83 0.73 3.75 Mean PI of uterine arteries lies below 95 th percentile for gestational age Internal Os is closed. Cervical Length is adequate (3.5cm). No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 13 weeks 0 days duration with Normal Level 1 Screening. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 30Y Female patient with the following diagnosis: Single live intrauterine gestation of about 12 weeks 6 days duration with Normal Level 1 Screening, Crown Rump Length (CRL) of 64.8 mm, EDD by US 28/10/2024, Nuchal Translucency (NT) of 1.0mm, Nasal Bone (NB) present, 2.6mm, Ductus Venosus Flow (DV) normal, No e/o Tricuspid Regurgitation, Normal cranial bones ossification, Intact abdominal wall, No e/o Gastroschisis or Omphalocele, Uterine Artery Doppler normal, Internal Os closed, Cervical Length adequate (4.7cm), No free fluid in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 1 SCREENING) Uterus: Anteverted and shows a single regular gestational sac. Single live intrauterine fetus is seen. Crown Rump Length (CRL) 64.8 mm 12 weeks 6 days EDD by US 28/10/2024. Cardiac activity is well appreciated. FHR - 169 bpm. Placenta is posterior. Grade-0 in maturity. No subchorionic haemorrhage is seen. Liquor is adequate. Level 1 Screening: Nuchal Translucency (NT) 1.0mm Nasal Bone (NB) Present, 2.6mm Ductus Venosus Flow (DV) Normal, No e/o A wave reversal Fetal Heart No e/o Tricuspid Regurgitation Fetal Head Normal cranial bones ossification noted. No e/o Acrania, Exencephaly, Iniencephaly or any Encephalocele Fetal Abdominal Wall Intact. No e/o Gastroschisis or Omphalocele. Uterine Artery Doppler: PI RI S/D Ratio Right Uterine Artery 2.13 0.82 5.57 Left Uterine Artery 1.04 0.61 2.58 Mean PI of uterine arteries lies below 95 th percentile for gestational age Internal Os is closed. Cervical Length is adequate (4.7cm). No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 12 weeks 6 days duration with Normal Level 1 Screening. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 32Y Female patient with the following diagnosis: Polycystic ovarian disease"
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS (TVS) Uterus: Anteverted in nature. It is normal in size & shape. It measures about 67 x 30 x 43 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 7.4 mm. OVARIES : Both ovaries are mildly enlarged in size (Volume: Right ovary – 11.8cc, Left ovary- 14.7cc). Multiple small peripherally arranged follicles are seen in both ovaries with increased stromal echogenicity. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Polycystic ovarian disease Advice: Hormonal evaluation"
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 47Y F patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade 1"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases and obesity LIVER: Enlarged in size (18.4 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Sub-optimally visualised. Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 5.5 mm and shows normal echogenicity. OVARIES : Obscured by bowel gases No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Hepatomegaly with Fatty Infiltration Grade 1."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 40Y Male patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade I"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (16.3 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. GB neck region obscured by bowel gases. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Hepatomegaly with Fatty Infiltration Grade I."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 32Y Male patient with the following diagnosis: Mild hepatomegaly with Fatty Infiltration Grade 2"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Mildly enlarged in size (15.9 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. Gb neck region obscured by bowel gases. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Mild hepatomegaly with Fatty Infiltration Grade 2."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 30Y F patient with the following diagnosis: Splenomegaly (13.2cm), Cystitis"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size (15.4cm), shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Enlarged in size (13.2cm), normal in shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. No e/o any intra-vesical calculus. No evidence of any wall thickening. UTERUS: Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 11.6 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Splenomegaly. Cystitis (Advice: Urine R/E)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 70Y Male patient with the following diagnosis: Prostatomegaly (40.7cc), Left renal concretion (3.2 mm), Grade I fatty liver"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size (14.0 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A tiny concretion with distal acoustic shadowing is seen at middle calyx, measuring 3.2 mm in maximum dimension. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Enlarged in size (40.7cc), normal in shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Prostatomegaly. Left renal concretion. Grade I fatty liver."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 56Y F patient with the following diagnosis: Right renal concretion (3.8 mm), Hepatomegaly with Fatty Infiltration Grade 1"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (16.3 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted (post-prandial). No obvious calculus noted. No pericholecystic collection seen. (Advice: Review in fasting state after 3days of fat free diet) COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A tiny concretion with distal acoustic shadowing is seen at lower calyx, measuring 3.8 mm in maximum dimension. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. UTERUS: Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 4.8 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Right renal concretion. Hepatomegaly with Fatty Infiltration Grade 1 ."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31 Female patient with the following diagnosis: Heterogeneously hyperechoic contents in uterine cavity with internal vascularity, measuring about 18 x 15 x 11 mm, likely retained products of conception."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS (TVS) Uterus: Anteverted in nature. It is normal in size & shape. It measures about 70 x 42 x 52 mm. Myometrial echotexture appears normal. There is evidence of heterogeneously hyperechoic contents measuring about 18 x 15 x 11 mm in size in uterine cavity with internal vascularity. Right ovary : Normal in size and echotexture. It measures about 5.6 cc in volume. Left ovary : Normal in size and echotexture. It measures about 6.1 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Heterogeneously hyperechoic contents in uterine cavity with internal vascularity- likely s/o retained products of conception. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 33 Male patient with the following diagnosis: Bilateral renal calculi (right kidney: 7.1 mm at middle calyx, left kidney: 8.0 mm at lower calyx), Hepatomegaly with Fatty Infiltration Grade I"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (16.2 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. Multiple calculi with distal acoustic shadowing are seen, largest measuring 7.1 mm at middle calyx. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. Multiple calculi with distal acoustic shadowing are seen, largest measuring 8.0 mm at lower calyx. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size (13.3cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Bilateral renal calculi. Hepatomegaly with Fatty Infiltration Grade I."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 27 Female patient with the following diagnosis: Follicle size in right ovary 12x9mm, left ovary 19x13mm, Endometrial thickness 7.2mm"
},
{
"from": "gpt",
"value": "FOLLICULAR MONITORING CHART TVS (ONE DAY) LMP: 26/03/2024. DATE DAY FOLLICLE SIZE ENDOMETRIAL THICKNESS OTHERS RIGHT OVARY LT. OVARY LEFT OVARY 04/04/2024 10th 12x9mm 19x13mm 7.2mm OPINION:"
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 34 Female patient with the following diagnosis: Heterogeneously hyperechoic contents in uterine cavity with internal vascularity, measuring about 18 x 16 x 15 mm in size, likely suggestive of retained products of conception."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. Uterus: Retroflexed in nature. It is normal in size & shape. It measures about 73 x 38 x 49 mm. Myometrial echotexture appears normal. There is evidence of heterogeneously hyperechoic contents measuring about 18 x 16 x 15 mm in size in uterine cavity with internal vascularity. Right ovary : Normal in size and echotexture. Left ovary : Normal in size and echotexture. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Heterogeneously hyperechoic contents in uterine cavity with internal vascularity- likely s/o retained products of conception. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 18Y Male patient with the following diagnosis: Right VUJ calculus with mild hydroureteronephrosis, Right renal calculi (5.0 mm and 5.3 mm), calculus at vesico-ureteric junction (6.8 mm), Cystitis, Prostatic utricular cyst (5.4x5.2x4.2mm)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Two calculi with distal acoustic shadowing are seen at upper and lower calyces, measuring 5.0 mm and 5.3 mm respectively. There is e/o a calculus with distal acoustic shadowing at vesico-ureteric junction, measuring 6.8 mm in maximum dimension causing mild dilatation of pelvi-calyceal system and whole ureter. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. A midline cystic lesion measuring 5.4x5.2x4.2mm is noted in prostate without any internal contents s/o utricular cyst. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Right VUJ calculus with mild hydroureteronephrosis. Right renal calculi. Cystitis (Advice: Urine R/E). Prostatic utricular cyst."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 27 Female patient with the following diagnosis: Both ovaries are mildly enlarged in size (Volume: Right ovary – 16.7cc, Left ovary- 15.7cc) with multiple small peripherally arranged follicles (8x5mm in both ovaries) and increased stromal echogenicity suggestive of PCOD, endometrial thickness of 6.5mm."
},
{
"from": "gpt",
"value": "FOLLICULAR MONITORING CHART TVS (ONE DAY) LMP: 02/04/2024. DATE DAY FOLLICLE SIZE ENDOMETRIAL THICKNESS OTHERS RIGHT OVARY LT. OVARY LEFT OVARY 09/04/2024 8th 8x5mm 8x5mm 6.5mm Both ovaries are mildly enlarged in size (Volume: Right ovary – 16.7cc, Left ovary- 15.7cc). Multiple small peripherally arranged follicles are seen in both ovaries with increased stromal echogenicity s/o PCOD. OPINION:"
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 39 Female patient with the following diagnosis: Well defined round to oval hypoechoic mass lesion measuring 24x19x14mm in anterior myometrium likely s/o intramural uterine fibroid."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 84 x 43 x 46 mm. Myometrial echotexture appears normal. A well defined round to oval hypoechoic mass lesion measuring 24x19x14mm is seen in anterior myometrium. No significant indentation of the endometrium is noted. No e/o any calcification or necrosis or any cystic component. Internal vascularity is noted within the mass. Uterine cavity is central in position and is empty. The endometrial thickness is 6.4 mm. Right ovary : Normal in size and echotexture. It measures about 3.3 cc in volume. Left ovary : Normal in size and echotexture. It measures about 3.8 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Well defined round to oval hypoechoic mass lesion in anterior myometrium likely s/o intramural uterine fibroid. Advice: MRI Pelvis correlation."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 38 Male patient with the following diagnosis: Vesical calculus (7.3 mm), Bilateral renal calculi (4.1 mm in right kidney and 4.9 mm in left kidney), Cystitis"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. GB neck region obscured by bowel gases. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A calculus with distal acoustic shadowing is seen at middle calyx measuring 4.1 mm in maximum dimension. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A calculus with distal acoustic shadowing is seen at middle calyx measuring 4.9 mm in maximum dimension. URINARY BLADDER : Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. A calculus of size 7.3 mm noted in lumen. No evidence of any wall thickening. Left VUJ appears edematous. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Vesical calculus. Bilateral renal calculi. Cystitis (Advice: Urine R/E). Please correlate clinically."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 30Y Female patient with the following diagnosis: Single live intrauterine gestation of about 7 weeks 4 days duration, Crown Rump Length (CRL) is 13.5 mm, EDD by US is 15/11/2024, Cardiac activity is well appreciated with FHR- 150 bpm, No subchorionic haemorrhage is seen, Internal Os is closed, Cervical Length is adequate, No free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS (TVS) Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 13.5 mm 7 weeks 4 days EDD by US 15/11/2024. Cardiac activity is well appreciated. FHR- 150 bpm. No subchorionic haemorrhage is seen. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 7 weeks 4 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 38Y Male patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade 1"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (17.0cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size(18.1cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Hepatomegaly with Fatty Infiltration Grade 1."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 45 Male patient with the following diagnosis: Left renal calculus (4.8 mm), Hepatomegaly with Fatty Infiltration Grade 1"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (16.1 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. A calculus with distal acoustic shadowing is seen at upper calyx measuring 4.8 mm in maximum dimension. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Left renal calculus. Hepatomegaly with Fatty Infiltration Grade 1."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 41Y Male patient with the following diagnosis: Grade I fatty liver"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size (14.3 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Grade I fatty liver."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 21 Female patient with the following diagnosis: Left ovarian simple cyst measuring 28x20x20 mm"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted (post-prandial). No obvious calculus noted. No pericholecystic collection seen. (Advice: Review in fasting state after 3 days of fat free diet). COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Empty. UTERUS: Suboptimally visualised. Retroflexed in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 8.3 mm and shows normal echogenicity. OVARIES : Right ovary is normal in size, shape and echotexture. A well defined thin walled unilocular anechoic cystic lesion with posterior acoustic enhancement is seen in left ovary measuring 28x20x20 mm in size. No internal septations, solid component or nodule seen. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Left ovarian simple cyst (Advice: Follow up)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 27 Female patient with the following diagnosis: Normal study of whole abdomen, Uterus is anteverted, normal in size and shape, Myometrial echotexture appears normal, Uterine cavity is empty, Central endometrial eco-complex measures 9.4 mm and shows normal echogenicity, Both ovaries are normal in size, shape and echotexture."
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. UTERUS: Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 9.4 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Normal study of whole abdomen."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 32 Female patient with the following diagnosis: Multiple small well circumscribed anechoic unilocular cystic lesions in both breasts, largest in right breast measuring 12.4x7.8x7.3 mm and in left breast measuring 6.0x6.0x4.1 mm, suggestive of simple cysts (BI-RADS 2)"
},
{
"from": "gpt",
"value": "ULTRASOUND B/L BREASTS RIGHT BREAST : Multiple small well circumscribed anechoic unilocular cystic lesions with posterior acoustic enhancement are noted in right breast, largest at 9 o’clock position 6.0cm away from nipple, measuring around 12.4x7.8x7.3 mm in size. Rest of the fibro-glandular tissue, intra-mammary fat and ductular system appear normal. No e/o any architectural distortion. Nipple-areola complex appears normal. No e/o skin thickening or nipple retraction. No evidence of any significantly enlarged axillary lymph node. LEFT BREAST : Few small well circumscribed anechoic unilocular cystic lesions with posterior acoustic enhancement are noted in left breast, largest at 4 o’clock position 2.0cm away from nipple, measuring around 6.0x6.0x4.1 mm in size. Rest of the fibro-glandular tissue, intra-mammary fat and ductular system appear normal. No e/o any architectural distortion. Nipple-areola complex appears normal. No e/o skin thickening or nipple retraction. No evidence of any significantly enlarged axillary lymph node. OPINION : Well circumscribed anechoic unilocular cystic lesions in both breasts s/o simple cysts (BI-RADS 2). Please correlate clinically."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31Y Female patient with the following diagnosis: Single live intrauterine gestation of about 7 weeks 5 days duration, yolk sac seen, single fetal pole noted, Crown Rump Length (CRL) of 14.5 mm, cardiac activity is well appreciated with FHR- 163 bpm, a well defined round to oval hypoechoic mass lesion measuring 7x6x5mm in posterior myometrium likely a small intramural uterine fibroid."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS (TVS) Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Yolk sac is seen . Single fetal pole is noted. Crown Rump Length (CRL) 14.5 mm 7 weeks 5 days EDD by US 02/12/2024 Cardiac activity is well appreciated. FHR- 163 bpm. No subchorionic haemorrhage is seen. A well defined round to oval hypoechoic mass lesion measuring 7x6x5mm is seen in posterior myometrium likely s/o a small intramural uterine fibroid. Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 7 weeks 5 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 38 Female patient with the following diagnosis: Thickened endometrium (17.1 mm)"
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 86 x 41 x 51 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 17.1 mm. Right ovary : Normal in size and echotexture. It measures about 3.9 cc in volume. Left ovary : Normal in size and echotexture. It measures about 4.1 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Thickened endometrium. Advice: - TVS/MRI Pelvis and HPE correlation"
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31 Female patient with the following diagnosis: Small intrauterine gestational sac (G sac) with Mean Sac Diameter measuring 7.6 mm, small intramural uterine fibroid measuring 8x8x7mm, urinary bladder is optimally distended with no evidence of intra-vesical calculus, uterus appears mildly bulky, yolk sac seen, no fetal pole could be appreciated."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Optimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uterus: Anteverted in nature & appears mildly bulky . A well defined round to oval hypoechoic mass lesion measuring 8x8x7mm is seen in posterior myometrium likely s/o a small intramural uterine fibroid. A small gestational sac (G sac) with Mean Sac Diameter measuring 7.6 mm (corresponding to about 5 weeks 5 days) is seen in uterine cavity. Yolk sac seen. No fetal pole could be appreciated. Both ovaries are normal in size and echotexture. No adnexal mass is seen. No free fluid is seen in POD. Os is closed. OPINION: Ultrasound findings are s/o – Small intrauterine G sac. ADVICE: Review TVS after two weeks. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 81Y F patient with the following diagnosis: Normal study of whole abdomen."
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases. LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Empty. UTERUS: Obscured by bowel gases. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Normal study of whole abdomen."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 40 Female patient with the following diagnosis: Left breast duct ectasia, well circumscribed iso to hypoechoic oval lesion in left breast at 9 o’clock position measuring 7.2x6.5x6.4 mm, possible intra-ductal papilloma, fibroadenoma or inspissated intra-ductal contents (BI-RADS 4A)"
},
{
"from": "gpt",
"value": "ULTRASOUND B/L BREASTS RIGHT BREAST : Fibro-glandular tissue, intra-mammary fat and ductular system appear normal. No e/o any mass lesion. No e/o any architectural distortion. Nipple-areola complex appears normal. No e/o skin thickening or nipple retraction. No evidence of any significantly enlarged axillary lymph node. LEFT BREAST : A well circumscribed iso to hypoechoic oval lesion measuring around 7.2x6.5x6.4 mm in size is seen in left breast at 9 o’clock position 4.0cm away from nipple. The lesion appears to be oriented parallel to the skin (slightly wider than taller). The lesion shows posterior acoustic enhancement. No e/o any calcification. Vascularity noted around the lesion. No internal vascularity noted. Few dilated ducts (max diameter 4.0mm) with internal echoes are noted in upper inner quadrant in periareolar region. Rest of the fibro-glandular tissue, intra-mammary fat and ductular system appear normal. No e/o any architectural distortion. Nipple-areola complex appears normal. No e/o skin thickening or nipple retraction. No evidence of any significantly enlarged axillary lymph node. OPINION : Left breast duct ectasia. Well circumscribed iso to hypoechoic oval lesion in left breast at 9 o’clock position (as described) ?intra-ductal papilloma ?fibroadenoma ?inspissated intra-ductal contents (BI-RADS 4A) [ ADVICE : FNAC correlation and follow up]."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 33 Female patient with the following diagnosis: Cystitis, small well defined round to oval hypoechoic mass lesions in uterine myometrium likely small intramural uterine fibroids (11x10x8mm in anterior myometrium and 10x8x7mm in posterior myometrium)"
},
{
"from": "gpt",
"value": "ULTRASOUND KUB RIGHT KIDNEY : Normal in size (10.1x4.1cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size (10.2x5.2cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. No e/o any intra-vesical calculus. No evidence of any wall thickening. Note made of small well defined round to oval hypoechoic mass lesions in uterus, measuring 11x10x8mm in anterior myometrium and 10x8x7mm in posterior myometrium. OPINION: Ultrasound findings are s/o – Cystitis (Advice: Urine R/E). Small well defined round to oval hypoechoic mass lesions in uterine myometrium likely s/o small intramural uterine fibroids."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 47 Male patient with the following diagnosis: Left renal calculi (largest measuring 11.7mm), Cystitis"
},
{
"from": "gpt",
"value": "ULTRASOUND KUB RIGHT KIDNEY : Normal in size (11.1x4.0cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size (11.9x5.3cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. Few calculi with distal acoustic shadowing are seen, largest measuring 11.7mm in maximum dimension at middle calyx. URINARY BLADDER : Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size(22.4cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Left renal calculi. Cystitis (Advice: Urine R/E)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 69Y Male patient with the following diagnosis: Grade I fatty liver, Calcified granuloma in segment 5 of liver (7x7x3mm)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases LIVER: Normal in size (15.3cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. A small calcific focus is noted in segment 5 measuring 7x7x3mm s/o calcified granuloma . Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. GB neck region obscured by bowel gases. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size (12.4cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Grade I fatty liver. Calcified granuloma in segment 5 of liver."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 54Y Female patient with the following diagnosis: Left VUJ calculus (4.5 mm) with mild to moderate hydroureteronephrosis, Cystitis"
},
{
"from": "gpt",
"value": "ULTRASOUND KUB RIGHT KIDNEY : Normal in size (10.0x3.8cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size (10.2x4.8cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. There is e/o a calculus with distal acoustic shadowing at vesico-ureteric junction, measuring 4.5 mm in maximum dimension causing mild to moderate dilatation of pelvi-calyceal system and whole ureter. URINARY BLADDER : Well distended. Multiple moving internal echoes noted in lumen with frequent ureteric jets. No e/o any intra-vesical calculus. No evidence of any wall thickening. OPINION: Ultrasound findings are s/o – Left VUJ calculus with mild to moderate hydroureteronephrosis. Cystitis (Advice: Urine R/E)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 72 Female patient with the following diagnosis: Acute calculous cholecystitis, Well defined round to oval hypoechoic lesion with isoechoic centre in segment 4b of liver (11.6x11.4x10.2 mm), Periportal and peripancreatic lymphadenopathy (largest measuring 25.6mm), Well defined round to oval hyperechoic mass lesion in lower pole of right kidney (10.5x10.3x7.9mm), Hepatomegaly with Fatty Infiltration Grade I"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (16.6 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. A well defined round to oval hypoechoic lesion with isoechoic centre giving a target appearance, is noted in segment 4b of liver measuring 11.6x11.4x10.2 mm. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. Multiple periportal and peripancreatic hypoechoic lymph nodes noted, largest measuring 25.6mm in SAD. GALL BLADDER : Overdistended. A large calculus with distal acoustic shadowing is seen impacted at GB neck measuring 23.7 mm in maximum dimension. Sludge also noted in lumen. Wall appears edematous. Mild pericholecystic fluid is noted. COMMON BILE DUCT : Normal in caliber (4.2mm). Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. A well defined round to oval hyperechoic mass lesion measuring 10.5x10.3x7.9mm is noted in lower pole without any posterior acoustic shadowing. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Empty. UTERUS: Suboptimally visualised. Anteverted in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 4.4 mm and shows normal echogenicity. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Acute calculous cholecystitis. Well defined round to oval hypoechoic lesion with isoechoic centre in segment 4b of liver (Advice: Triple Phase CECT Abdomen correlation). Periportal and peripancreatic lymphadenopathy (Advice: CECT Abdomen correlation). Well defined round to oval hyperechoic mass lesion in lower pole of right kidney ?angiomyolipoma (Advice: CECT/CEMRI Abdomen correlation). Hepatomegaly with Fatty Infiltration Grade I."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 71Y Male patient with the following diagnosis: Prostatomegaly (35.7cc), Bilateral renal simple cortical cysts (Right: 6x6x6mm, Left: 9x8x7mm)"
},
{
"from": "gpt",
"value": "ULTRASOUND KUB WITH PVRU RIGHT KIDNEY : Normal in size (9.9x3.5cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. A simple cortical cyst measuring 6x6x6mm noted in interpolar region. LEFT KIDNEY : Normal in size (10.1x3.7cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. A simple cortical cyst measuring 9x8x7mm noted in interpolar region. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Pre-void UB volume- 300cc Post-void UB volume- 20cc (Insignificant) PROSTATE: Enlarged in size (35.7cc), normal in shape & echotexture. Capsular outline appears intact. Median lobe is seen projecting into bladder. OPINION: Ultrasound findings are s/o – Prostatomegaly. Bilateral renal simple cortical cysts."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 36Y Female patient with the following diagnosis: Normal study of pelvis, Urinary bladder is empty, Uterus is anteverted, normal in size & shape, measures about 79 x 37 x 58 mm, Myometrial echotexture appears normal, No focal or diffuse lesion, Uterine cavity is central in position and is empty, Endometrial thickness is 8.2 mm, Right ovary is normal in size and echotexture, measures about 6.5 cc in volume, Left ovary is normal in size and echotexture, measures about 4.0 cc in volume, Both adnexa are clear, No adnexal mass is seen, No free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Empty. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 79 x 37 x 58 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 8.2 mm. Right ovary : Normal in size and echotexture. It measures about 6.5 cc in volume. Left ovary : Normal in size and echotexture. It measures about 4.0 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Normal study of pelvis."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 25Y F patient with the following diagnosis: Mild circumferential bowel wall thickening of terminal ileum and IC junction?Abdominal Koch’s (largest lymph node 5.5mm in SAD)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted (post-prandial). No obvious calculus noted. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Suboptimally visualised. Retroflexed in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 7.1 mm and shows normal echogenicity. OVARIES : Right ovary is normal in size, shape and echotexture. Left ovary obscured by bowel gases. No adnexal mass is seen. No free fluid seen in cul-de-sac. Right iliac fossa shows mild circumferential bowel wall thickening of terminal ileum and IC junction with few mesenteric lymph nodes (Largest 5.5mm in SAD) with increased echogenicity of surrounding mesenteric fat. OPINION: Ultrasound findings are s/o – Mild circumferential bowel wall thickening of terminal ileum and IC junction ?Abdominal Koch’s (Advice- CECT Abdomen with CT Enterography)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 27 Female patient with the following diagnosis: Single live intrauterine gestation of about 10 weeks 5 days duration, Crown Rump Length (CRL) is 38.3 mm, EDD by US is 07/11/2024, Cardiac activity is well appreciated with FHR- 169 bpm, Early placenta is anterior, Grade-0 in maturity, Internal Os is closed, Cervical Length is adequate (4.0cm), No free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS Urinary Bladder: Optimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uteru s: is bulky, anteverted and shows single live intrauterine gestation. Crown Rump Length (CRL) 38.3 mm 10weeks 5 days EDD by US 07/11/2024 Cardiac activity is well appreciated. FHR- 169 bpm. Early placenta is anterior, Grade-0 in maturity. No subchorionic haemorrhage is seen. Internal Os is closed. Cervical Length is adequate (4.0cm). No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 10 weeks 5 days duration. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 4Y Female patient with the following diagnosis: Mild hepatomegaly (10.7 cm at mid-clavicular line), Mild circumferential bowel wall thickening of terminal ileum and IC junction with mesenteric lymphadenopathy (Largest 11.2mm in SAD)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Mildly enlarged in size (10.7 cm at mid-clavicular line) with normal echopattern. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size (7.4cm), shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. UTERUS: Normal for age. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. Right iliac fossa shows circumferential bowel wall thickening of terminal ileum and IC junction with multiple enlarged mesenteric lymph nodes (Largest 11.2mm in SAD) with increased echogenicity of surrounding mesenteric fat. OPINION: Ultrasound findings are s/o – Mild circumferential bowel wall thickening of terminal ileum and IC junction with mesenteric lymphadenopathy ? Abdominal Koch’s (Advice- CECT Abdomen) Mild hepatomegaly. Please correlate clinically."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 30Y Female patient with the following diagnosis: Normal study of pelvis, Uterus is anteverted, normal in size & shape, measures about 66 x 36 x 48 mm, Myometrial echotexture appears normal, endometrial thickness is 7.7 mm, Right ovary is normal, measures about 6.3 cc in volume, largest follicle 7.8x7.0, corpus luteum noted, Left ovary is normal, measures about 4.0 cc in volume, largest follicle 6.9x4.8, both adnexa are clear, no adnexal mass, no free fluid in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS (TVS) Uterus: Anteverted in nature. It is normal in size & shape. It measures about 66 x 36 x 48 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 7.7 mm. Right ovary : Normal in size and echotexture. It measures about 6.3 cc in volume. Largest follicle 7.8x7.0. Corpus luteum noted in right ovary. Left ovary : Normal in size and echotexture. It measures about 4.0 cc in volume. Largest follicle 6.9x4.8. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Normal study of pelvis."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 45Y Male patient with the following diagnosis: Grade II fatty liver, Bilateral renal artery doppler parameters are within normal limits"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS WITH RENAL ARTERY DOPPLER LIVER: Normal in size (14.8 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted (post-prandial). No obvious calculus noted. GB neck region obscured by bowel gases. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size (10.5x4.3cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size (10.6x4.9cm), shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. RENAL ARTERY DOPPLER: Both renal arteries at ostia, mid part and renal hila as well as the intra-renal segmental arteries show normal peak systolic velocity, resistive index (RI) and acceleration time. No “tardus –parvus” pattern is seen. RAR (Renal to aortic ratio) is within normal limits. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size (19.5cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Grade II fatty liver. Bilateral renal artery doppler parameters are within normal limits."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 34Y Male patient with the following diagnosis: Grade I fatty liver"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size (14.0 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Grade I fatty liver."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 56Y F patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade I, Well defined round to oval hypoechoic mesenteric mass lesion measuring 17.0x16.6x16.4mm, Irregular shaped hypoechoic lesion measuring 11.7x5.9x8.6mm in the anterior abdominal wall"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Enlarged in size (17.5cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Not visualised (post-op). COMMON BILE DUCT : Measures 6.2mm in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. BOTH KIDNEYS: Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Not visualised (post-op). Stump appears normal. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No free fluid seen in abdominal cavity. A well defined round to oval hypoechoic mesenteric mass lesion measuring 17.0x16.6x16.4mm is noted in left paramedian location just the level of umbilicus. No internal vascularity noted. No e/o any calcification. An irregular shaped hypoechoic lesion measuring 11.7x5.9x8.6mm is noted in the anterior abdominal wall in midline along the post-op scar in infra-umbilical location. The lesion shows few echogenic foci within. Internal vascularity noted within the lesion. OPINION: Ultrasound findings are s/o – Well defined round to oval hypoechoic mesenteric mass lesion in left paramedian location ?enlarged mesenteric lymph node ??mesenteric deposit (Advice: PET-CT/CECT Abdomen correlation). Irregular shaped hypoechoic lesion in the anterior abdominal wall in midline along the post-op scar in infra-umbilical location ??metastatic deposit (Advice: PET-CT/CECT Abdomen correlation). Hepatomegaly with Fatty Infiltration Grade I."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 33Y F patient with the following diagnosis: Cholelithiasis, Well defined round to oval hypoechoic mass lesion in anterior subserosal location likely s/o subserosal fibroid (20x20x14mm)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Multiple calculi with distal acoustic shadowing seen in GB lumen, largest measuring 8.3 mm in maximum dimension . No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber (4.2mm). Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Suboptimally visualised. Retroflexed in nature. Normal in size and shape. Myometrial echotexture appears normal. A well defined round to oval hypoechoic mass lesion measuring 20x20x14mm is seen in anterior subserosal location. No e/o any calcification or necrosis or any cystic component. Internal vascularity is noted within the mass. Uterine cavity is empty. Central endometrial eco-complex measures 8.5 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Cholelithiasis. Well defined round to oval hypoechoic mass lesion in anterior subserosal location likely s/o subserosal fibroid (Advice: MRI Pelvis correlation)."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 48Y F patient with the following diagnosis: Small well defined round to oval hypoechoic mass lesion in anterior myometrium likely s/o small intramural uterine fibroid (7x7x6mm), Hepatomegaly with Fatty Infiltration Grade I"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS (TAS+TVS) LIVER: Enlarged in size (16.8 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. BOTH KIDNEYS: Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Anteverted in nature. Normal in size and shape. It measures 119x29x47mm. Myometrial echotexture appears normal. A small well defined round to oval hypoechoic mass lesion measuring 7x7x6mm is seen in anterior myometrium. No significant indentation of the endometrium is noted. No e/o any calcification or necrosis or any cystic component. Internal vascularity is noted within the mass. Uterine cavity is empty. Central endometrial eco-complex measures 5.6 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. Right ovary measures about 4.3cc. Left ovary measures about 2.5cc. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Small well defined round to oval hypoechoic mass lesion in anterior myometrium likely s/o small intramural uterine fibroid (Advice: MRI Pelvis correlation). Hepatomegaly with Fatty Infiltration Grade I."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 19Y Female patient with the following diagnosis: Normal study of pelvis, Urinary bladder is partially distended with echofree lumen and no intra-vesical calculus, Uterus is anteverted, normal in size and shape (68 x 24 x 42 mm) with normal myometrial echotexture, empty uterine cavity, and endometrial thickness of 7.0 mm, Right ovary is normal in size and echotexture (7.3 cc), Left ovary is normal in size and echotexture (8.1 cc), Both adnexa are clear, and no free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Partially distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 68 x 24 x 42 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 7.0 mm. Right ovary : Normal in size and echotexture. It measures about 7.3 cc in volume. Left ovary : Normal in size and echotexture. It measures about 8.1 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Normal study of pelvis."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 62 Male patient with the following diagnosis: Mild hepatomegaly with Fatty Infiltration Grade 2, Mild prostatomegaly (29.2cc)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Mildly enlarged in size (15.9 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Mildly enlarged in size (29.2cc), normal in shape & echotexture. Capsular outline appears intact. Median lobe is seen projecting into bladder. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Mild hepatomegaly with Fatty Infiltration Grade 2. Mild prostatomegaly."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 35Y F patient with the following diagnosis: Normal study of whole abdomen, Uterus is retroflexed, Central endometrial eco-complex measures 11.6 mm"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. UTERUS: Suboptimally visualised. Retroflexed in nature. Normal in size and shape. Myometrial echotexture appears normal. Uterine cavity is empty. Central endometrial eco-complex measures 11.6 mm and shows normal echogenicity. OVARIES : Both ovaries are normal in size, shape and echotexture. No adnexal mass is seen. No free fluid seen in cul-de-sac. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Normal study of whole abdomen."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 31 Female patient with the following diagnosis: Follicle size in right ovary 13x12mm, left ovary 9x7mm, Endometrial thickness 6.1mm"
},
{
"from": "gpt",
"value": "FOLLICULAR MONITORING CHART TVS (ONE DAY) LMP:21/04/2024. DATE DAY FOLLICLE SIZE ENDOMETRIAL THICKNESS OTHERS RIGHT OVARY LT. OVARY LEFT OVARY 29/04/2024 9th 13x12mm 9x7mm 6.1mm OPINION:"
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 33Y Female patient with the following diagnosis: Single intra-uterine pregnancy of about 6 weeks 2 days duration, CRL - 5.5mm, Cardiac activity not appreciated."
},
{
"from": "gpt",
"value": "ULTRASOUND EARLY OBS Urinary Bladder: Optimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. Uteru s: is bulky, anteverted and shows single intrauterine gestational sac. Yolk sac is seen . Single fetal pole is noted. Cardiac activity not appreciated. CRL – 5.5mm (Corresponds to about 6 weeks 2 days duration) Internal Os is closed. Cervical Length is adequate. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single intra-uterine pregnancy of about 6 weeks 2 days duration. Advice: Review TVS after 1 week. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 42 Female patient with the following diagnosis: Large irregular shaped thick walled collection measuring 30x24x19mm in left breast at 6’o clock position, hypoechoic oval lesion measuring around 19x10x7 mm in left breast at 2 o’clock position with peripheral calcifications, skin subcutaneous thickening in almost entire left breast."
},
{
"from": "gpt",
"value": "ULTRASOUND B/L BREASTS RIGHT BREAST : Fibro-glandular tissue, intra-mammary fat and ductular system appear normal. No e/o any mass lesion. No e/o any architectural distortion. Nipple-areola complex appears normal. No e/o skin thickening or nipple retraction. No evidence of any significantly enlarged axillary lymph node. LEFT BREAST : A large irregular shaped thick walled collection measuring 30x24x19mm in size with shaggy margins and moving internal echoes is noted in left breast at 6’o clock position around 2.0cm away from nipple. Surrounding breast parenchyma shows heterogeneous appearance. A hypoechoic oval lesion measuring around 19x10x7 mm in size with obscured margins is seen in left breast at 2 o’clock position 2.0 cm away from nipple. The lesion is oriented parallel to the skin (wider than taller). The lesion shows peripheral calcifications causing posterior acoustic shadowing and obscuration of the margins. No significant internal vascularity noted. Skin subcutaneous thickening noted in almost entire left breast. No evidence of any significantly enlarged axillary lymph node. OPINION : Large irregular shaped thick walled collection with shaggy margins and moving internal echoes in left breast at 6’o clock position with diffuse skin thickening in left breast (BI-RADS 4A) [ ADVICE: FNAC correlation]. Hypoechoic oval lesion with obscured margins in left breast at 2 o’clock position with peripheral calcifications (BI-RADS 4A) [ ADVICE: FNAC correlation]. Please correlate clinically and with previous imaging."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 27 Female patient with the following diagnosis: Single live intrauterine gestation of about 12 weeks 4 days duration with Normal Level 1 Screening, Crown Rump Length (CRL) of 61.6 mm, Nuchal Translucency (NT) of 1.3mm, Nasal Bone (NB) present and 2.8mm, Normal Ductus Venosus Flow (DV), No Tricuspid Regurgitation, Normal cranial bones ossification, Intact Fetal Abdominal Wall, No Gastroschisis or Omphalocele, Uterine Artery Doppler with Mean PI below 95th percentile, Internal Os closed, Cervical Length of 4.5cm, No free fluid in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND OBS (LEVEL 1 SCREENING) Uterus: Anteverted and shows a single regular gestational sac. Single live intrauterine fetus is seen. Crown Rump Length (CRL) 61.6 mm 12 weeks 4 days EDD by US 07/11/2024. Cardiac activity is well appreciated. FHR - 150 bpm. Placenta is anterior. Grade-0 in maturity. No subchorionic haemorrhage is seen. Liquor is adequate. Level 1 Screening: Nuchal Translucency (NT) 1.3mm Nasal Bone (NB) Present, 2.8mm Ductus Venosus Flow (DV) Normal, No e/o A wave reversal Fetal Heart No e/o Tricuspid Regurgitation Fetal Head Normal cranial bones ossification noted. No e/o Acrania, Exencephaly, Iniencephaly or any Encephalocele Fetal Abdominal Wall Intact. No e/o Gastroschisis or Omphalocele. Uterine Artery Doppler: PI RI S/D Ratio Right Uterine Artery 0.97 0.57 2.33 Left Uterine Artery 2.13 0.82 5.61 Mean PI of uterine arteries lies below 95 th percentile for gestational age Internal Os is closed. Cervical Length is adequate (4.5cm). No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Single live intrauterine gestation of about 12 weeks 4 days duration with Normal Level 1 Screening. गर्भवती महिला की घोषणा मै सुश्री …………………………………....... ( गर्भवती महिला का नाम ) घोषित करती हु की मैंने अल्ट्रासाउंड छाया चित्रण आदि करवाकर , अपने भ्रूण का लिंग जांच नहीं करवाया है। भ्रूण लिंग के विषय में हमारी डॉक्टर से कोई बातचीत नहीं हुई हैं। गर्भवती महिला के हस्ताक्षर / अंगूठा । Declaration I have neither detected nor disclosed the sex of her foetus to anybody in any manner."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 22Y Female patient with the following diagnosis: Normal study of pelvis, Urinary bladder is well distended with no intra-vesical calculus or wall thickening, Uterus is anteverted, normal in size and shape (74 x 30 x 43 mm) with normal myometrial echotexture and endometrial thickness of 7.2 mm, Right ovary is normal in size and echotexture (2.7 cc), Left ovary is normal in size and echotexture (5.3 cc), Both adnexa are clear with no adnexal mass, and no free fluid is seen in POD."
},
{
"from": "gpt",
"value": "ULTRASOUND PELVIS Urinary bladder: Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. Uterus: Anteverted in nature. It is normal in size & shape. It measures about 74 x 30 x 43 mm. Myometrial echotexture appears normal. No e/o any focal or diffuse lesion. Uterine cavity is central in position and is empty. The endometrial thickness is 7.2 mm. Right ovary : Normal in size and echotexture. It measures about 2.7 cc in volume. Left ovary : Normal in size and echotexture. It measures about 5.3 cc in volume. Both adnexa are clear. No adnexal mass is seen. No free fluid is seen in POD. OPINION: Ultrasound findings are s/o – Normal study of pelvis."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 17Y Male patient with the following diagnosis: Inflammatory changes in RIF, Hepatosplenomegaly, Fatty Infiltration Grade 1, Enlarged liver (20.9 cm at mid-clavicular line), Enlarged spleen (14.6cm)"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases and obesity. LIVER: Enlarged in size (20.9 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Contracted (post-prandial). No obvious calculus noted. No pericholecystic collection seen. (Advice: Review in fasting state after 3days of fat free diet) COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Enlarged in size (14.6cm) with normal shape & echo-texture. Splenic vein is normal. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. Probe tenderness is positive in RIF with increased echogenicity of mesenteric fat. Appendix is not visualized separately (?retrocaecal). No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Inflammatory changes in RIF (Advice:- CECT Abdomen to r/o possibility of appendicitis) Hepatosplenomegaly Fatty Infiltration Grade 1."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 27Y Male patient with the following diagnosis: Normal study of whole abdomen."
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS LIVER: Normal in size, shape & echotexture. No evidence of focal or diffuse lesion. Intra-hepatic biliary radicals are not dilated. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Well distended. Lumen appears echofree. No evidence of any calculus. No e/o any wall thickening. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Minimally distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size, shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Normal study of whole abdomen."
}
] |
[
{
"from": "human",
"value": "Generate a medical report for USG for a 25 Male patient with the following diagnosis: Hepatomegaly with Fatty Infiltration Grade I"
},
{
"from": "gpt",
"value": "ULTRASOUND ABDOMEN & PELVIS Sub-optimal scan due to excessive bowel gases and obesity. LIVER: Enlarged in size (18.1 cm at mid-clavicular line) with bright echopattern and increased acoustic reflectivity. No evidence of any focal lesion. Hepatic segment of the IVC appears normal. Right hemidiaphragm shows normal excursion. No free fluid seen in Morison’s pouch. Portal vein appears normal in course and caliber. GALL BLADDER : Partially distended (post-prandial). Visualized lumen is echofree. No obvious calculus noted. GB neck region obscured by bowel gases. No pericholecystic collection seen. COMMON BILE DUCT : Normal in caliber. Visualised lumen appears echofree. Distal CBD is obscured by bowel gases. PANCREAS : Only head & part of the body are visualised & appear normal in size, shape & echotexture. Rest obscured by bowel gases. SPLEEN: Normal in size, shape & echotexture. No evidence of any focal or diffuse lesion. RIGHT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. LEFT KIDNEY : Normal in size, shape and position. Cortical thickness is normal. Cortical echogenicity is normal with maintained cortico-medullary differentiation. Pelvi-calyceal system is not dilated. No evidence of any calculus. URINARY BLADDER : Well distended. Lumen appears echofree. No e/o any intra-vesical calculus. No evidence of any wall thickening. PROSTATE: Normal in size (12.6cc), shape & echotexture. Capsular outline appears intact. No e/o any abnormal bowel wall thickening. No e/o any abnormally dilated bowel loops. No e/o any mesenteric or retroperitoneal lymphadenopathy. No free fluid seen in abdominal cavity. OPINION: Ultrasound findings are s/o – Hepatomegaly with Fatty Infiltration Grade I."
}
] |
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