Ms Rajani Rai 10907/1 08/10/2010 Dr Gouri De

Female

23 08/10/2010

ULTRASONOGRAPHY OF PREGNANCY(TVS) Thank you for referring the patient for US scan of Pregnancy Gravid uterus with single gestational sac . Embryonal node is noted. No obvious embryonal cardiac activity could be detected at present. Gestational age by LMP : 9 weeks 3 days ( 03 / 08 / 2010 ) CRL : 1.97 cm ( 8 weeks 5 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.22 1.09 ) cm. Size of Left Ovary = ( 2.61 2.01 ) cm.

IMPRESSION :- USG features are suggestive of missed Abortion.

Ms Sabina Mamtaz Islam 10903/1 08/10/2010 Dr Gouri De

Female

35 08/10/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid appears slightly reduced in quantity ( A F I - 7). FOETUS : (POA : 28 weeks 4 days, LMP = 22 / 03 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 29 weeks 1 day. (Measurements are in the skiagram). B. P. D. : 7.59 cm. 30 weeks 3 days. F. L. : 5.57 cm. 29 weeks 2 days. A. C. : 23.7 cm. 28 weeks 0 day. 2) 3) 4) 5) 6) Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 140 b/m.

7) Expected foetal weight could be around 1294 gms. ( 16%). IMPRESSION average : 1) Single, live, active foetus in breech presentation of an

gestational maturity of 29 weeks 1 day. 2 ) Mild oligohydramnios.

Rina Parven 24 32256/1 08/10/2010 Dr of K P A

Female 07/10/2010

ULTRASONOGRAPHY OF BREAST Thank you for referring the patient for US scan of Breast

Soft tissue architexture of both breast appears heterogenous ( more prominently on left side). No obvious SOL or calcification seen. No duct dilatation seen. Nipple so far seen appears normal. Retromammary space appears normal. Both axilla do not reveal any enlarged lymphnodes.

IMPRESSION

: USG features are suggestive of fibroadnosis. Suggestive clinical correlation & corroboration with mammography may be considered.

Ms Gita Adhikari 10870/1 08/10/2010 Dr Salt Lake sub div Hospital

Female

35 07/10/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.67 cm. in length cm. in length Left kidney measures = 9.00

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 8.13 5.00 4.18) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.26 1.99) cm. Left Ovary measures = ( 2.40 1.41) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality. Suggested clinical correlation

Ms Nilanjana Kayet 10969/1 09/10/2010 Dr Gouri De

Female

27 09/10/2010

ULTRASONOGRAPHY OF PREGNANCY (ANOMALY) Thank you for referring the patient for US scan of Pregnancy(Anomaly) Mother : : Single, live, active foetus noted in breech presentation at present. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS: (POA : 21 weeks 2 days, LMP = 13 / 05/ 2010 ) 1)FOETAL BIOMETRY : Corresponds to an average gestational maturity of 21 weeks 1 day. (Measurements are in the skiagram). B. P. D. : 4.95 cm. 21 weeks F. L. A. C. 2) 3) 4) 5) 6) 7) : 3.46 cm. 20 weeks 6 days. : 16.7 cm. 21 weeks 5 days.

Foetal cranio-spinal axis appears normal. Limbs & long bones appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 148 b/m. : 1) Single, live, active foetus in breech presentation of an

IMPRESSION average

gestational maturity of 21 weeks 1 day. 2) No gross anomaly noted.

Ms Kabita Jha 10968/1 09/10/2010 Dr Gouri De

Female

18 09/10/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.93 cm. in length cm. in length

Left kidney measures = 10.2

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.51 4.90 2.91) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = ( 3.52 1.83) cm. 1.92) cm.

Left Ovary measures = (3.73

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD. Suggested clinical correlation & hormonal assay may be considered.

Ms Srabani Bhattacharya 10971/1 09/10/2010

Female

45 09/10/2010

Dr S Goswami

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.33 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 9.74 cm. in length

Ms Srabani Bhattacharya 10971/1 09/10/2010 Dr S Goswami

Female

45 09/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is mildly bulky in size ( 8.48 5.29 4.67 ) cm. A fibroid ( 2.44 x 2.32 cm) noted in fundal region & another fibroid ( 1.73 x 1.48 cm ) noted involving anterior myometrium in fundal region of uterus.Endometrium is collapsed & in midline.Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.84 2.51 ) cm. Left Ovary measures = ( 2.23 1.78 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Mildly bulky uterus with uterine fibroids. Suggested clinical correlation.

Mr Ranjit Kr Bhaumik 32620/1 11/10/2010 Dr of C G H S

Male

61 09/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size & grossly hyperechoic in echotexture.No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended.Multiple small echogenic foci noted embedded in gall bladder wall suggestive of cholesterosis of gall bladder. No obvious intraluminal calculus noted at present. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears

normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.34 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.4 cm. in length

Mr Ranjit Kr Bhaumik 32620/1 11/10/2010 Dr of C G H S

Male

61 09/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Post void residual urine measures 45 ml. PROSTATE : Prostate is enlarged in size & heterogeneous in echotexture. It measures ( 4.65 4.34 4.29 ) cm. Approximate weight could be around 45 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with gross fatty infiltration of liver. * Cholesterosis of gall bladder. * Grade II prostatomegaly with post void residual urine measuring 45 ml. Suggested clinical correlation.

Ms Bulti Biswas 11008/1 11/10/2010 Dr Gouri De

Female

28 10/10/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length in length Left kidney measures = 10.7 cm.

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is mildly bulky in size ( 8.34 5.58 4.13 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.28 1.73 ) cm. Left Ovary measures = ( 3.00 1.98) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild bulky uterus. Suggested clinical correlation.

Mr Rahul Killa 10999/1 11/10/2010 Dr B Agarwal

Male

38 09/10/2010

COLOUR DOPPLER VENOUS STUDY OF LEFT LOWER LIMB

All the major veins in the left lower limb is examined with high resolution Ultrasonography and reveals normal anechoic lumen and normal compressibility. No obvious luminal dilatation and thrombus is demonstrated in any segment. Color filling is good in all the veins with complete fill-in across the lumen of the vein. Normal phasic variation is noted. On distal compression, good augmentation is noted. Left sapheno-femoral junction is competent with complete cessation of flow during valsalva. Deep venous system as well as Sapheno-Popliteal junction appear competent. No obvious perforators are noted during scanning. Doppler study of left lower limb venous system is within normal limit.No DVT. Suggested clinical correlation.

IMPRESSION :

Mr Dolan Biswas 38 11082/1 12/10/2010 Dr Soumyabrata Roy Choudhuri

Male 12/10/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size. A heterogenous irregularly marignated SOL measuring 5.05 x 4.74 cm noted in right lobe of liver ( segment VII & VIII) ? Abscess.Rest of liver parenchymal echotexture as seen appears normal. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.1 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size.Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal.No definite collaterals could be detected.Splenic span is 12.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No

hydronephrotic changes detected. Right kidney measures = 10.9 cm. in length Left kidney measures = 10.2 cm. in length RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with ? Abscess right lobe of liver (segment VII & VIII ). Suggested clinical correlation & further investigation may be considered. Mst Nitai Kumar 11088/1 12/10/2010 Dr P N Sengupta Male 9 12/10/2010

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 6.88 cm. in length cm. in length Left kidney measures = 7.32

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant.

PROSTATE : Prostate as seen appears normal in shape, size,position echotexture. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Kidney ureter bladder does not reveal any significant abnormality. Suggested clinical correlation.

Ms Shibani Basu 33056/1 13/10/2010 Dr of C G H S

Female

66 12/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0. 3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.89 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 9.70 cm. in length

Ms Shibani Basu 66

Female

33056/1 13/10/2010 Dr of C G H S

12/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is mildly bulky in size ( 8.70 6.57 5.78 ) cm.Two fibroids measuring approx 3.37 x 2.58 cm noted involving anterior as well as posterior myometrium in fundal region.Endometrium is collapsed. & is midline. Cervix looks clear. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Mildly bulky uterus with uterine fibroids. Suggested clinical correlation.

Ms Puspita Roy 26 11177/1 19/10/2010 Dr U C Nag

Female 18/10/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), appears forming at anteriorly uterine wall.The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate FOETUS : (POA : 14 weeks 3 days, LMP = 10 / 07/ 2010 )

1)FOETAL BIOMETRY : Corresponds to an average gestational maturity of 13 weeks 0 day. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 2.03 cm. 13 weeks 1 day : 1.02 cm. 13 weeks 0 day : 6.62 cm. 13 weeks 1 day.

Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 154 b/m. Nuchal thickness is 1.3 mm ( within normal limits ).

IMPRESSION average

1) Single, live, active foetus in unstable lie at present of an gestational maturity of 13 weeks 0 day.

Ms Mohua Dubey 11229/1 19/10/2010 Dr Krishna Bala

Female

26 19/10/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade II maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 30 weeks 3 days, LMP = 20 / 03 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 30 weeks 3 days. (Measurements are in the skiagram). B. P. D. : 7.62 cm. 30 weeks 3 day

F. L. : 5.87 cm. 30 weeks 4 day

A. C. : 26.2 cm. 30 weeks 2 day. 2) 3) 4) 5) 6) 7) Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 148 b/m. Expected foetal weight could be around 1598 gms. ( 16%). : 1) Single, live, active foetus in breech presentation of an gestational maturity of 30 weeks 3 days.

IMPRESSION average

Mr Ramdin Kuriel 70 33351/1 19/10/2010 Dr of C G H S

Male 18/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER :

Gall Bladder as seen appears distended. An irregularly marginated hyperechoic area measuring 4.62 x 3.69 cm noted in gall bladder lumen. ? Echogenic sludge ? Gall bladder mass. There is suspected infiltration of post wall of gall bladder with slight extension beyond posterior wall of gall bladder. PANCREAS : Pancreas could not be well assessed due to gas shadow however as seen appears normal. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.27 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.68 cm. in length Left kidney measures = 9.74 cm. in length

Mr Ramdin Kuriel 70 33351/1 19/10/2010 Dr of C G H S

Male 18/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Prostate is mildly enlarged in size & heterogenous in echotexture. It measures ( 4.34 3.73 3.63) cm. Approximate weight could be around 30 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Suspected gall bladder mass. * Grade I prostatomegaly. Suggested clinical correlation & further investigation may be considered for confirmation.

Mrs Nandita Dutta 69 33344/1 20/10/2010 Dr of C G H S

Female 18/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.49 cm. in length Left kidney measures = 9.79 cm. in length

Mrs Nandita Dutta 69 33344/1 19/10/2010 Dr of C G H S

Female 18/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small & atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatosplenomegaly. Suggested clinical correlation.

Ms Kajal Sarkar 48 11289/1 20/10/2010 Dr S Sarkar

Female 20/10/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures =10.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is bulky in size ( 10.3 6.43 4.75 ) cm. Endometrium (collapsed wall) is in midline. It measures 0.783 cm.Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected.

OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.68 1.88 ) cm. Left Ovary measures = ( 2.12 2.00) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus. Suggested clinical correlation.

Ms Anjali Pramanik 57 11232/1 20/10/2010 Dr Jyoti Deb

Female 19/10/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology

(calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.6 cm. in length Left kidney measures = 10.1 cm. in length RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. Suggested clinical correlation. Ms Sanghamitra Das 35 Female

11190/1 20/10/2010 Dr Gouri De

18/10/2010

ULTRASONOGRAPHY OF BREAST
Thank you for referring the patient for US scan of Breast

Soft tissue architexture of both breast appears heterogeneous. No obvious SOL or calcification seen. No duct dilatation seen. Nipple so far seen appears normal. Retromammary space appears normal. Both axilla do not reveal any enlarged lymphnodes.

IMPRESSION : * USG features are suggestive of bilateral fibroadenosis. Suggested clinical correlation & corroboration with mammography may be considered.

Smt Sudeshna Sen 45 11238/1 20/10/2010 Dr K Mukherjee

Female 19/10/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen
LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. A non mobile calculus is noted in neck of gall bladder. Gall bladder wall is mildly thick (4 mm ). PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.93 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal

maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.2 cm. in length Left kidney measures = 10.6 cm. in length RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Cholelithiasis. Suggested clinical correlation. Mr T K Bhattacharya 73 11243/1 20/10/2010 Dr Santosh Maheshwari 19/10/2010 Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.04 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.05 cm. in length Left kidney measures = 9.63 cm. in length

Mr T K Bhattacharya 73 11243/1 20/10/2010 Dr Santosh Maheshwari

Male 19/10/2010

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 50 ml. PROSTATE : Prostate as seen appears enlarged in size & heterogeneous in echotexture. It measures ( 4.34 4.07 3.86 ) cm. Approximate weight could be around 35 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Grade II prostatomegaly with post void residual urine measuring 50 ml. Suggested clinical correlation.

Mr Baccha Mahato 35 33208/1 20/10/2010 Dr of C G H S

Male 14/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.03 cm. in length Left kidney measures = 8.78 cm. in length

Mr Baccha Mahato 35 33208/1 20/10/2010 Dr of C G H S

Male 14/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.72 2.61 2.40 ) cm. Approximate weight could be around 12 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Minimal Hepatosplenomegaly. Suggested clinical correlation.

Shri C R Haldar 68 11410/1 23/10/2010 Dr (Mrs) M Sarkar

Male 23/10/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of

fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.09 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.51 cm. in length Left kidney measures = 11.3 cm. in length RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation. Ms Mita Banerjee 44 11299/1 23/10/2010 Dr Gouri De 20/10/2010 Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal

maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.39 cm. in length cm. in length Left kidney measures = 9.00

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is bulky in size ( 9.86 x 5.90 5.25 ) cm. A hyperechoic area measuring 1.29 x 1.78 cm suspected involving posterior .Myometrium in fundal region of uterus suggestive of submucosal fibroid .Endometrium is collapsed & in midline.Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.36 1.44 ) cm. Left Ovary measures = ( 2.52 1.80) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus with submucosal fibroid . Suggested clinical correlation & TVS may be considered.

Ms Bijaya Roy 58

Female

11290/1 23/10/2010 Dr Gouri De

20/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. Multiple small mobile calculi noted in gall bladder lumen. Gall bladder wall is normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.03 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 9.19 cm. in length

Ms Bijaya Roy 58 11290/1 23/10/2010 Dr Gouri De

Female 20/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is bulky in size ( 10.1 6.73 5.49 ) cm. Endometrium (collapsed wall) is in midline. It measures 0.676 cm. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Cholelithiasis. * Bulky uterus. Suggested clinical correlation.

Uma Mazumder 69 34177/1 25/10/2010 Dr of C G H S

Female 23/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is enlarged in size & grossly hyperechoic in echotexture.No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.1 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.76 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.75 cm. in length Left kidney measures = 10.4 cm. in length

Uma Mazumder 69 34177/1 25/10/2010 Dr of C G H S

Female 23/10/2010

URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small & atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Hepatomegaly with gross fatty infiltration of liver. Suggested clinical correlation.

Ashoka Banerjee 66 34722/1 27/10/2010 Dr of C G H S

Female 26/10/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen

LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture.No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.01 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.33 cm. in length Left kidney measures = 10.2 cm. in length RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Ms Pinki Sharma 25 11492/1 26/10/2010 Dr Gouri De

Female 25/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of

fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.8 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 10.1 cm. in length

Ms Pinki Sharma 25 11492/1 26/10/2010 Dr Gouri De

Female 25/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.97 4.82 3.54 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

OVARIES : Right ovary appears slightly enlarged in size multiple peripheral cysts with increased stromal echogenecity noted ? PCOD.A cyst with septations & echogenic debris measuring 5.69 x 3.71 cm noted in left adnexa probably involving left ovary. Right Ovary measures = ( 3.53 2.07 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * Suspected polycystic change right ovary. * Left ovarian complex cyst. Suggested clinical correlation.

Smt Smita Bajirao 25 11580/1 26/10/2010 Dr Sanjoy Sen

Female 26/10/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in breech presentation at present. Placenta (is grade I maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (POA : 20 weeks 2 days, LMP = 06 / 06 / 2010 )

FOETUS :

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 20 weeks 0 day. (Measurements are in the skiagram). B. P. D. : 4.74 cm. 20 weeks 2 days. F. L. A. C. 2) 3) 4) 5) 6) : 3.07 cm. 19 weeks 3 days. : 15.0 cm. 20 weeks 1 day.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 122 b/m. 1) Single, live, active foetus in breech presentation at average gestational maturity of 20 weeks 0 day.

IMPRESSION : present of an

Mr N Rob 76 11577/1 26/10/2010 Dr P S Bandyopadhyay

Male 26/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is distended; wall thickness appears normal. Multiple non impacted calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.74 cm. KIDNEYS : Both Kidney appear normal in shape, size & position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. A simple cortical cyst noted in lower pole of left kidney. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.1 cm. in length Left kidney measures = 9.60 cm. in length

Mr N Rob 76 11577/1 26/10/2010 Dr P S Bandyopadhyay

Male 26/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void not done as patient did not pass urine. PROSTATE : Postate is mildly enlarged in size & heterogeneous in echotexture. It measures ( 4.76 3.56 3.47 ) cm. Approximate weight could be around 30 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Cholelithiasis.

* Mildly hyperechoic kidney cortex ? Early renal dysfunction / ? Senile changes. * Left renal simple cortical cyst. * Grade I prostatomegaly. Suggested clinical correlation & corroboration with serum urea, creatinine may be considred.

Ms Lalita Sethia 45 11581/1 26/10/2010 Dr R C Bhowmick

Female 26/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.95 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.0 cm. in length

Ms Lalita Sethia 45 11581/1 26/10/2010 Dr R C Bhowmick

Female 26/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is mildly bulky in size (8.93 5.32 5.26 ) cm. & slightly retroverted in position. No focal SOL noted in myometrium.Endometrium is collapsed & in midline. A simple cyst is noted in cervix. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.30 1.92 ) cm. Left Ovary measures = ( 2.41 1.97 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Slightly retroverted mildly bulky uterus with nabothian cyst. Suggested clinical correlation.

Ms Janki Devi 49 11670/1 27/10/2010 Dr Gouri De

Female 27/10/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length cm. in length Left kidney measures = 10.2

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is mildly bulky in size ( 8.55 5.05 4.36 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.26 1.86 ) cm. Left Ovary measures = ( 2.66 1.49) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus. Suggested clinical correlation.

Ms Tapati Das 30 11672/1 27/10/2010 Dr Papiya Dutta

Female 27/10/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is early grade I maturity), placed posteriorly low lying approx 30 mm away from the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (POA : 16 weeks 5 days, LMP = 02 / 07/ 2010 )

FOETUS :

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 17 weeks 5 days. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 3.97 cm. 18 weeks 0 day day.

: 2.47 cm. 17 weeks 3 days. : 12.3 cm. 18 weeks 0

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 156 b/m. : 1) Single, live, active foetus in unstable lie at present of an

IMPRESSION average

gestational maturity of 17 weeks 5 days. 2) Placenta praevia minor degree.

NB : Old USG report not available for comparative evaluation.

Ms Kabita Mondal 20 11610/1 26/10/2010 Dr Subir Kr Roy

Female 26/10/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed posteriorly low lying just reading up to the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (POA : 27 weeks 2 days, LMP = 19 / 04 / 2010 )

FOETUS :

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 27 weeks 0 days. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 6.86 cm. 27 weeks 4 days. : 4.94 cm. 26 weeks 4 days : 22.3 cm. 26 weeks 5 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 141 b/m.

IMPRESSION average

1) Single, live, active foetus in caphalic presentation of an

gestational maturity of 27 weeks 0 day. 2) Placenta praevia major degree.

Mr Md Ishan 37 11665/1 27/10/2010 Dr Ranjit Acharya

Male 26/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size & moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.95 cm. KIDNEYS : Both Kidney as normal in shape, size & position. Both kidney cortex appears normal in echogenecity with marginated cortico-medullary differentiation. Mild hydronephrotic change detected on right side. No hydronephrotic change noted on left side. Two small calculi measuring approx 0.89 cm noted in middle calyx of right kidney. Right upper ureter is mildly dilated with a calculus measuring 0.886 cm noted impacted in upper part . Left ureter is not dilated. Right kidney measures = 11.4 cm. in length Left kidney measures = 10.3 cm. in length

Mr Md Ishan 37 11665/1 27/10/2010 Dr Ranjit Acharya

Male 26/10/2010

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 4.12 3.02 2.79 ) cm. Approximate weight could be around 18 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with moderate fatty infiltration of liver. * Right sided mild hydroureteronephrosis with nephrolithiasis & impacted calculus at upper right ureter. Suggested clinical correlation.

Mr Suprabhat Mukherjee 64 34927/1 28/10/2010 Dr of C G H S

Male 27/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous

echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.7 cm.) at porta. GALL BLADDER : Gall Bladder is not visualised history of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.80 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Multiple cortical cysts noted bilaterally. Right kidney measures = 10.0 cm. in length Left kidney measures = 10.3 cm. in length

Mr Suprabhat Mukherjee 64 34927/1 28/10/2010 27/10/2010

Male

Dr of C G H S

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 107 ml. PROSTATE : Prostate is enlarged in size & heterogeneous in echotexture. It measures ( 6.20 5.23 4.97 ) cm. Approximate weight could be around 83 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bilateral renal cortical cysts. * Grade III prostatomegaly with post void residual urine measuring 107 ml. Suggested clinical correlation.

Alo Rani Dey Chowdhury 61 35142/1 29/10/2010 Dr of C G H S 28/10/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualised history of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.37 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.00 cm. in length Left kidney measures = 8.72 cm. in length

Alo Rani Dey Chowdhury 61 35142/1 29/10/2010 Dr of C G H S 28/10/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is not visualised history of hysterectomy. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Dipak Chatterjee 59 35137/1 29/10/2010 Dr of C G H S 28/10/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture.No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.86 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. A calculus measuring 0.378 cm noted in middle calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 9.95 cm. in length

Dipak Chatterjee 59 35137/1 29/10/2010 Dr of C G H S 28/10/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 86 ml. PROSTATE : Prostate is enlarged in size heterogenous in echotexture with mild median lobe enlargement. It measures ( 4.89 4.17 3.77 ) cm. Approximate weight could be around 40 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Left sided nephrolithiasis without hydronephrosis. * Grade II prostatomegaly with mild median lobe enlargement. * Post void residual urine measures 86 ml. Suggested clinical correlation.

Ms Maya Pramanik 38 11756/1 29/10/2010 Dr Saibal Ghosh 28/10/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended.Multiple mobile non impacted calculi noted in gall bladder lumen.Gall bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.84 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.51 cm. in length Left kidney measures = 9.97 cm. in length

Ms Maya Pramanik 38 11756/1 29/10/2010 Dr Saibal Ghosh 28/10/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.38 5.58 4.15 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.57 1.56 ) cm. Left Ovary measures = ( 3.20 2.10 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Cholelithiasis. Suggested clinical correlation.

Mr Jayanta Karmakar 29 11807/1 30/10/2010 Dr Jayesh Kumar Jha 29/10/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.2 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.70 cm. in length Left kidney measures = 10.0 cm. in length

Mr Jayanta Karmakar 29 11807/1 30/10/2010 Dr Jayesh Kumar Jha 29/10/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE :

Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.32 2.56 2.44 ) cm. Approximate weight could be around 10 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Ms Mona Prakash 32 11791/1 30/10/2010 Dr S Chattopadhyay 29/10/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN ( SCREENING) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.9 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is mildly bulky in size ( 8.84 4.96 3.74 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.61 2.13 ) cm. Left Ovary measures = ( 2.63 1.25) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus. Suggested clinical correlation.

Mr Chandra Pal 50

Male

11844/1 30/10/2010 Dr K Mukherjee

30/10/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper
LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended with suspected slight mural thickening. No obvious intraluminal calculus noted at present. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal.No definite collaterals could be detected. Splenic span is 12.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.43 cm. in length Left kidney measures = 9.94 cm. in length

Abdomen

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with ? Hepatitis. Suggested clinical correlation. Ms Ritu Parna Ray 17 11808/1 30/10/2010 Dr Sumit Sen 29/10/2010 Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.10 cm. in length Left kidney measures = 9.18 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.30 3.23 x 2.74 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal

lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected.
OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = ( 3.91 2.37 ) cm. 2.60 ) cm.

Left Ovary measures = ( 3.21

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * - ? PCOD. Suggested clinical correlation & hormonal assay may be considered.

Ms Reba Bera 52 11798/1 30/10/2010 Dr P S Bandyopadhyay 29/10/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.99 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.69 cm. in length Left kidney measures = 10.1 cm. in length

Ms Reba Bera 52 11798/1 30/10/2010 29/10/2010

Female

Dr P S Bandyopadhyay

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small & atrophied. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 1.95 1.43 ) cm. Left Ovary measures = ( 1.96 1.51 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

Ram Binod Singh 54 35500/1 01/11/2010 Dr of C G H S 30/10/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.0 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended. A non mobile calculus is noted in gall bladder lumen.Gall bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.43 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 10.3 cm. in length Left kidney measures = 10.1 cm. in length

Ram Binod Singh 35500 /1 01/11/2010 Dr of C G H S 30/10/2010

Male

54

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.72 3.00 2.92 ) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. Suggested clinical correlation.

Makhan Lal Saha 74 35511 /1 01/11/2010 Dr of C G H S 30/10/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No

calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.8 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.82 cm. in length Left kidney measures = 9.69 cm. in length

Makhan Lal Saha 74 35511/1 01/11/2010 Dr of C G H S 30/10/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY :

Post void residual urine measures 128 ml. PROSTATE : Prostate is enlarged in size & heterogenous in echotexture. It measures ( 5.50 4.84 4.61 ) cm. Approximate weight could be around 64 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION * Mild hepatosplenomegaly. * Grade III prostatomegaly with post void residual urine measures 128 ml. Suggested clinical correlation. :

Yasoda Chhetri 39 35497/1 01/11/2010 Dr of K P A 30/10/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.29 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 11.2 cm. in length

Yasoda Chhetri 39 35497/1 01/11/2010 Dr of K P A 30/10/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is bulky in size ( 9.42 6.44 5.02 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Right ovary appears slightly enlarged in size with multiple peripheral cysts & suspected increased stromal echogenicity ? PCOD. Left ovary is normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 3.53 2.26) cm. Left Ovary measures = ( 2.91 1.51) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly.

* Bulky uterus. * Suspected poly cystic change right ovary. Suggested clinical correlation.

Mr Jit Bhattacharya 46 11948 /1 01/11/2010 Dr V Srinivas 01/11/2010

Male

ULTRASONOGRAPHY OF LOWER ABDOMEN

Thank you for referring the patient for US scan of Lower Abdomen
KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length cm. in length Left kidney measures = 10.5

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 4.21 3.01 2.99 ) cm.

Approximate weight could be around 19 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : *Essentially normal study. Suggested clinical correlation.

Ms Shila Mondal 25 11912/1 01/11/2010 Dr Gouri De 30/10/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is mildly bulky in size ( 8.51 4.99 3.46 ) cm & anteverted. No focal SOL noted in myometrium.Endometrium is in midline but appears mildly thick measuring 1.33 cm at present. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = ( 3.99 2.63 ) cm. Left Ovary measures = ( 3.51 1.91) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus with mildly thickened endometrium. * - ? PCOD. Suggested clinical correlation & hormonal assay may be considered.

Ms Moumita Chakraborty 28 11945 /1 01/11/2010 Dr ( Sm) Krishna Roy 01/11/2010

Female

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (POA : 34 weeks 6 days, LMP = 02 / 03 / 2010 )

FOETUS :

1)FOETAL BIOMETRY : Corresponds to an average gestational maturity of 34 weeks 0 day. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 7.96 cm.32 weeks 0 day : 6.82 cm. 35 weeks 0 day : 30.9 cm. 34 weeks 6 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 143 b/m. Expected foetal weight could be around 2453 gms. ( 16%). : 1) Single, live, active foetus in caphalic presentation of an gestational maturity of 34 weeks 0 day.

IMPRESSION average

Ms Annapurna S 46 11908/1 01/11/2010 30/10/2010

Female

Dr M Padmaja Bhattacharya

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length cm. in length Left kidney measures = 10.3

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is mildly bulky in size ( 8.30 5.63 4.44 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.23 1.19 ) cm. Left Ovary measures = ( 2.62 2.17) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus. Suggested clinical correlation.

Md Sabbir Ali 24 11905/1 01/11/2010 Dr A K Pan 30/10/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.1 cm. in length

Md Sabbir Ali 24 11905/1 01/11/2010 Dr A K Pan 30/10/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.07 2.78 2.36) cm. Approximate weight could be around 10 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. Suggested clinical correlation.

Vurgzakim 34 35770 /1 02/11/2010 Dr of C G H S 01/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.1 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.4 cm. in length

Vurgzakim 34

Female

35770/1 02/11/2010 Dr of C G H S

01/11/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is bulky in size ( 9.03 6.26 4.76 ) cm and anteverted.Myometrial echotexture appears heterogenous.Endometrium is collapsed & in midline. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. A thick walled cyst with internal septa measuring 3.47 x 3.47 cm noted in left adnexa. Right Ovary measures = ( 2.55 1.67) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bulky uterus with ? Adenomyosis. *Left adnexal complex thick walled cystic SOL . Suggested clinical correlation & TVS may be considered.

Mr Sailapati Gupta 78

Male

11973/1 02/11/2010 Dr Jyotirmoy Waddader

01/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.49 cm. in length Left kidney measures = 9.76 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate could not be well assessed due to truncal obesity however as seen appears mildly enlarged in size & heterogenous in echotexture. It measures ( 3.77 3.69 2.97 ) cm. Approximate weight could be around 21 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Grade I prostatomegaly. Suggested clinical correlation & Transrectal USG be considered.

Ms Pratima Kar 61 12007/1 02/11/2010 Dr Biswakes Majumdar 02/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. Multiple very small mobile calculi noted in gall bladder lumen. Gall bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of

fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.17 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic however corticomedullary differentiation appears marginated.A simple cortical cyst noted in lower pole of left kidney. No calculus or hydronephrotic noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 9.03 cm. in length

Ms Pratima Kar 61 12007/1 02/11/2010 Dr Biswakes Majumdar 02/11/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small & atrophied. ADNEXA :

Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Microcholelithiasis. * Left renal simple cortical cyst. * Mildly hyperechoic kidney cortex ? Early renal dysfunction / ? Senile changes. Suggested clinical correlation & corroboration with serum urea, creatinine may be considered.

Ms Mithu Das 25 12008/1 02/11/2010 Dr Gouri De 02/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is minimally enlarged in size & mildly hyperechoic in echotexture.No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.0 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.99 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.63 cm. in length Left kidney measures = 9.75 cm. in length

Ms Mithu Das 25 12008/1 02/11/2010 Dr Gouri De 02/11/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 8.26 5.58 3.58 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = ( 3.86 1.65 ) cm. Left Ovary measures = ( 3.51 2.21 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION :

* Minimal hepatomegaly with mild fatty infiltration of liver. * - ? PCOD. Suggested clinical correlation.

Ms Jhuma Sarkar 26 12006/1 02/11/2010 Dr of Salt Lake Sub Hospital 02/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of

fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.21 cm. in length

Ms Jhuma Sarkar 26 12006/1 02/11/2010 Dr of Salt Lake Sub Hospital 02/11/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is anteverted, normal in size ( 7.83 4.59 3.93 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = ( 2.82 3.17 ) cm. Left Ovary measures = ( 4.12 2.46) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * - ? PCOD. Suggested clinical correlation.

Ms Sukalpaa Chaki 19 12004/1 02/11/2010 Dr Abhijit Dasgupta 02/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is minimally enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.1 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.56 cm. in length Left kidney measures = 9.43 cm. in length

Ms Sukalpaa Chaki 19 12004/1 02/11/2010 Dr Abhijit Dasgupta 02/11/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. UTERUS : Uterus is mildly bulky in size ( 8.41 3.73 3.30) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected.

OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = ( 3.24 2.31 ) cm. Left Ovary measures = ( 3.78 2.35 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver.

* Mildly bulky uterus. * - ? PCOD. Suggested clinical correlation.

Nanda Dulal Barman 69 35985/1 03/11/2010 Dr of C G H S 02/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size & mildly hyperechoic in echotexture No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.1 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.80 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.81 cm. in length Left kidney measures = 9.76 cm. in length

Nanda Dulal Barman 69 35985/1 03/11/2010 Dr of C G H S 02/11/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.50 3.08 2.70 ) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Dilip Kumar Chattaraj 61 35984 /1 03/11/2010 Dr of C G H S 02/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. A mobile calculius is noted in gall bladder lumen .Gal bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.08 cm. KIDNEYS : Right Kidney is noted in right illiac fossa .Left kidney is normal in position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.5 cm. in length

Dilip Kumar Chattaraj 61 35984/1 03/11/2010 Dr of C G H S 02/11/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 50 ml. PROSTATE : Prostate is mildly enlarged in size & heterogenous in echotexture.

It measures ( 4.75 3.49 3.41 ) cm. Approximate weight could be around 29 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. * Ectopic Right kidney. * Grade I prostatomegaly with post void residual urine measuring 50 ml. Suggested clinical correlation.

Mr B R Deb Barman 48 12032/1 03/11/2010 Dr G R Das 02/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER :

Liver is mild enlarged in size & mild hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is mildly distended. Few echogenic foci noted embedded in gall bladder wall suggestive of focal cholesterosis No obvious intraluminal calculus noted. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.33 cm. in length Left kidney measures = 10.5 cm. in length

Mr B R Deb Barman 48

Male

12032/1 03/11/2010 Dr G R Das

02/11/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.16 2.59 2.57 ) cm. Approximate weight could be around 11 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Focal cholesterosis of gall bladder. Suggested clinical correlation.

Mr Abhijit Chakraborty 44 12009/1 03/11/2010 Dr Samayug Bhowmik 02/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is contracted packed with multiple calculi gall bladder wall as seen appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.95 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal

maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Cortical cysts noted on both sides.Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length Left kidney measures = 11.5 cm. in length

Mr Abhijit Chakraborty 44 12009/1 03/11/2010 Dr Samayug Bhowmik 02/11/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.68 2.88 2.80) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Chronic calculus cholecystitis. * Bilateral renal cortical cysts. Suggested clinical correlation.

Shri B Chakrabarty 58 12014/1 03/11/2010 Dr Kaushik Mukherjee 02/11/2010

Male

COLOUR DOPPLER ARTERIAL STUDY OF BOTH LOWER LIMBS POPLITEAL ARTERY & TP TRUNK

Both posterior tibial arteries (PTA) appear normal in caliber, clear and anechoic lumen and no obvious segment of stenosis is demonstrated. No significant plaque is demonstrated. Color filling is normal in all these arteries and normal triphasic flow pattern is demonstrated.

PEAK SYSTOLIC VELOCITIES

Artery Velocities (Cm/s)

Right Popliteal Artery Right TP Trunk Left Popliteal Artery Left TP Trunk

83 109 108 126

IMPRESSION :

Doppler study of popliteal arteries of lower limb is within normal limit. Suggested clinical correlation.

Mr Govinda Das 11794/1 03/11/2010 Dr of S S K M Hospital 29/10/2010

Male

48

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.47 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 9.26 cm. in length

Mr Govinda Das 48 11794/1 03/11/2010 Dr of S S K M Hospital

Male 29/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 3.72 3.07 2.61 ) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

Ms Debjani Bhattacharjee 35 12018/1 03/11/2010 Dr Biman Kumar Ghosh 02/11/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is mild bulky in size ( 7.98 5.32 4.35 ) cm. Endometrium (collapsed wall) is in midline. It measures 0.77 cm.Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 3.81 2.40 ) cm. Left Ovary measures = ( 2.91 2.10 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild bulky uterus. Suggested clinical correlation.

Ms Sulata Halder 22 12080/1 03/11/2010 Dr Gouri De 03/11/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 9.71 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.84 4.61 3.81 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = ( 3.63 1.84 ) cm. Left Ovary measures = ( 3.09 1.76) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * - ? PCOD. Suggested clinical correlation & hormonal assay may be considered.

Ms Snata Banik 15 12059/1 03/11/2010 Dr Tapan Kr Roy 02/11/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 8.96 cm. in length in length

Left kidney measures = 9.31 cm.

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.73 4.43 3.01 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = ( 4.19 1.88 ) cm. 1.61) cm.

Left Ovary measures = ( 3.27

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * - ? PCOD. Suggested clinical correlation & hormonal assay may be considered.

Ms Shipra Sarkar 43

Female

12012/1 03/11/2010 Dr M Ghosh

02/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.74 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is bulky in size ( 9.09 5.80 4.74 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.38 1.75 ) cm. 1.89) cm. Left Ovary measures = ( 2.42

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection

noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION Ms Sita Bagla 55 12069/1 03/11/2010 Dr (Mrs) Papiya Dutta 02/11/2010 : * Bulky uterus. Suggested clinical correlation. Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position.Both kidney cortex appears mildly hyperechoic with suspected partial loss of corticomedullary differentiation. No cal / SOL noted .Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.95 cm. in length Left kidney measures = 9.50 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus as seen appears small atrophied and elongated. ADNEXA : An irregularlly marginated cystic SOL with thin internal septa measuring approx 7.44 x 4.54 cm noted in right adnexa extending upto POD.Left adnexa appears clear however left ovary could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hyperechoic kidney cortex ? Early renal dysfunction. * Right adnexal complex cystic SOL. Suggested clinical correlation & TVS may be considered.

Ms Debosmita Dhar 28 12079/1 03/11/2010 Dr Chittaranjan Roy 03/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size & mildly hyperechoic in echotexture . No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is distended. Multiple mobile calculi noted in gall bladder lumen. Gall bladder wall thickness appears normal.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.95 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.77 cm. in length Left kidney measures = 10.5 cm. in length

Ms Debosmita Dhar 12079/1 03/11/2010 Dr Chittaranjan Roy

Female 03/11/2010

28

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is anteverted, normal in size ( 7.36 4.70 3.66) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 3.49 2.85) cm. Left Ovary measures = ( 2.89 2.35 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Acute calculus cholecystitis. Suggested clinical correlation.

Mast Dibakar Mahato 12 12078/1 03/11/2010 Dr S Mukherjee 03/11/2010

Male

ULTRASONOGRAPHY OF LOWER ABDOMEN

Abdomen Thank you for referring the patient for US scan of Lower

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length length Left kidney measures = 9.53 cm. in

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate as seen appears normal in shape size position & echotexture. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study. Suggested clinical correlation.

Ms Jyotsna Dutta 68 12149/1 04/11/2010 Dr Tapas Roy 04/11/2010

Female

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper
LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture.No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.21 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.

Abdomen

Right kidney measures = 8.42 cm. in length in length

Left kidney measures = 8.68 cm.

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Ms Rupa Saha 23 12152/1 04/11/2010 Dr Gouri De 04/11/2010

Female

ULTRASONOGRAPHY OF PREGNANCY (ANOMALY) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in flexed breech presentation at present. Placenta (is grade I maturity), placed anteriorly at upper low lying approx 25 mm away from the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (POA : 20 weeks 5 days, LMP = 12 / 06 / 2010)

FOETUS :

1)FOETAL BIOMETRY : Corresponds to an average gestational maturity of 21 weeks 4 days. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 5.07 cm. 21 weeks 2 days. : 3.78 cm. 22 weeks 0 day : 16.6 cm. 21 weeks 4 days.

Foetal cranio-spinal axis appears normal. Limbs & long bones appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 140 b/m. Single, live, active foetus in flexed breech

IMPRESSION : 1) presentation of an

average gestational maturity of 21 weeks 4 days. 2) Placenta praevia minor degree. 3) No gross anomaly noted.

Ms Asha Devi Nangalia 53 12151/1 04/11/2010 Dr B Jana 04/11/2010

Female

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER

& Bladder
KIDNEYS :

Thank you for referring the patient for US scan of Kidney Ureter

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. A small calculus measuring 0.378 cm noted in middle calyx of right kidney. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.49 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is small & atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Right sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

Anjali Saha 63 36367/1 06/11/2010 Dr of C G H S 04/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.08 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.08 cm. in length Left kidney measures = 8.86 cm. in length

Anjali Saha 63 36367/1 06/11/2010 Dr of C G H S 04/11/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small & atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Ms Priyanka Alam 30 12154/1 06/11/2010 Dr Gouri De 04/11/2010

Female

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity) placed foundo posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (POA : 36 weeks 5 days, LMP = 22 / 02 / 2010 )

FOETUS :

1)FOETAL BIOMETRY : Corresponds to an average gestational maturity of 34 weeks 5 days. (Measurements are in the skiagram). B. P. D. F. L. A. C. : 8.65 cm. 34 weeks 6 days. : 6.90 cm. 35 weeks 2 days. : 30.4 cm. 34 weeks 2 days.

2) Foetal cranio-spinal axis appears normal. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies.

4) 5) 6) 7)

Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 134 b/m. Expected foetal weight could be around 2542 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 34 weeks 5 days.

IMPRESSION average

Sankar Das 72 36373/1 06/11/2010 Dr of C G H S 04/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is not visualised history of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.97 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.54 cm. in length Left kidney measures = 9.13 cm. in length

Sankar Das 72 36373/1 06/11/2010 Dr of C G H S 4/11/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Past void not done as patient did not pass urine. PROSTATE : Prostate as seen appears mildly enlarged in size & slightly heterogenous in echotexture. It measures (4.12 3.75 3.19 ) cm. Approximate weight could be around 25 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION * Minimal hepatomegaly. * Grade I prostatomegaly. Suggested clinical correlation. NB : No definite past operative/ medical history available at present. :

Mast Sayan Mandal 16 36815/1 09/11/2010 Dr of C G H S 08/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness normal. A mobile calculus is noted in gall bladder. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.39 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 9.96 cm. in length

Mast Sayan Mandal 16 36815/1 09/11/2010 Dr of C G H S 08/11/2010

Male

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 4.08 2.56 2.17 ) cm. Approximate weight could be around 11 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Cholelithiasis. Suggested clinical correlation.

Miss Soma Patra 25 36813/1 09/11/2010 Dr of C G H S 08/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears

normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.51 cm. in length Left kidney measures = 9.55 cm. in length

Miss Soma Patra 25 36813/1 09/11/2010 Dr of C G H S 08/11/2010

Female

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.46 4.26 2.67) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = ( 4.77 1.86 ) cm. Left Ovary measures = ( 3.82 2.10 ) cm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * - ? PCOD. Suggested clinical correlation & hormonal assay may be considered.

Ms Nitu Kumar 26 12261/1 09/11/2010 Dr (Mrs) Papiya Dutta 08/11/2010

Female

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. The internal OS is closed & free however decidual reaction is noted all around. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate A hyperechoic area measuring 1.37 x 1.29 cm suggestive of fibroid noted involving posterior myometrium in body region of uterus near Internal OS.

FOETUS :

(POA : 13 weeks 4 days, LMP = 06 / 08 /2010)

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 13 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) : 2.06 cm. 13 weeks 2 days. : 1.20 cm. 13 weeks 3 days. : 6.47 cm. 13 weeks 1 day.

Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 146 b/m. Nuchal thickness is 1.3 mm (within normal limits). : 1) Single, live, active foetus in unstable lie at present of an

IMPRESSION average

gestational maturity of 13 weeks 2 days. 2) Suspected small uterine fibroid.

Ms Sabina Mumtaz 35 12313/1 09/11/2010 Dr G De 09/11/2010

Female

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed.

Amniotic Fluid appears slightly reduced in quantity (AFI-7).

FOETUS :

(POA : 33 weeks 1 day, LMP = 22 / 03/2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 34 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 8.61 cm. 34 weeks 6 days : 6.63 cm. 34 weeks : 29.2 cm. 33 weeks 1 day.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 138 b/m. Expected foetal weight could be around 2282 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an

IMPRESSION average

gestational maturity of 34 weeks. 2) Mild oligohydramnios.

Ms Khairi Bibi 26 12254/1 09/11/2010 Dr (Mrs) Papiya Dutta 08/11/2010

Female

ULTRASONOGRAPHY OF PREGNANCY

Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac and yolk sac noted. Embryonal node is noted. No obvious embryonal cardiac activity detected at present. Gestational age by LMP : 12 weeks 3 days ( 14 / 08 / 2010 ) CRL : 0.925 cm (7 weeks 1 day). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.65 1.55 ) cm. Size of Left Ovary = ( 3.28 1.75 ) cm. POD : Clear

IMPRESSION :- * USG features are suggestive of early pregnancy failure. * Suggested clinical correlation and TVS may be considered for confirmation.

Mr Jayanta Sarkar 39 12308/1 09/11/2010 09/11/2010

Male

Dr R Gopal Krishna

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.04 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.55 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No hydronephrotic changes detected. A calculus measuring 2.40 cm noted is mid and lower calyx of left kidney. Right kidney measures = 9.81 cm. in length Left kidney measures = 10.1 cm. in length

Mr Jayanta Sarkar 39 12308/1 09/11/2010 Dr R Gopal Krishna 09/11/2010

Male

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatomegaly with Mild fatty infiltration of liver. * Left sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

Mr Sanjit Dutta 44 37029/1 10/11/2010 Dr of CGHS 09/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER :

Gall Bladder is normally distended; wall thickness appears normal. Multiple mobile calculi is noted in Gall Bladder lumen.
PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.34 cm. in length Left kidney measures = 9.46 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

Mr Sanjit Dutta 44 37029/1 10/11/2010 Dr of CGHS 09/11/2010

Male

PROSTATE : Prostate is mildly enlarged is size. Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures 4.54 3.29 3.15) cm. Approximate weight could be around 24.5 gm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Cholelithiasis. * Grade I prostatomegaly. Suggested clinical correlation.

Mr Ashim Mukherjee 63 37031/1 10/11/2010 Dr of CGHS 09/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER : Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.88 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Pancreas could not be well assessed due to gas shadow however as seen appears normal in shape, size, position and echotexture. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.58 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.30 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 55 ml.

Mr Ashim Mukherjee 63 37031/1 10/11/2010 Dr of CGHS 09/11/2010

Male

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture with mild median lobe enlargement. It measures (4.13 4.06 3.81) cm. Approximate weight could be around 33.4 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver. * Grade II prostatomegaly with mild median lobe enlargement. * Post void residual urine 55 ml. Suggested clinical correlation.

Mr Biswanath Sanpui 63 37032/1 10/11/2010 Dr of CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Male 09/11/2010

LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.05 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.75 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal

maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. A simple cortical cyst noted in mid part of left kidney. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.75 cm. in length Left kidney measures = 9.70 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 72 ml.

Mr Biswanath Sanpui 63 37032/1 10/11/2010 Dr of CGHS 09/11/2010

Male

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.14 4.11 4.08) cm. Approximate weight could be around 45 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Left Renal simple cortical cyst. * Grade II prostatomegaly with post void residual urine 72 ml Suggested clinical correlation.

Ms Jhuma Das 63 37228/1 11/11/2010 Dr of CGHS 10/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.03 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.93 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.8 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

Ms Jhuma Das 63 37228/1 11/11/2010 Dr of CGHS 10/11/2010

Female

UTERUS : Uterus is mildly bulky in size and measures ( 8.95 5.18 4.18) cm. A fibroid measuring 2.13 x 2.13 cm noted involving posterior myometrium in fundal region of uterus. Endometrium is collapsed and in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.58 1.96) cm. Left Ovary measures = (3.66 2.13) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Mildly bulky uterus with fibroid. * ? PCOD. Suggested clinical correlation.

Ms Indrani Thapa 19 12423/1 11/11/2010 Dr of Bidhannagar Hospital 10/11/2010

Female

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade III maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate ( AFI-9 )

FOETUS :

(POA : 40 weeks 1 day, LMP = 03 / 02 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 36 weeks 4 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 7.30 cm. 37 weeks 2 days. : 31.2 cm. 35 weeks 1 day.

: 9.22 cm. 37 weeks 3 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, b/m. Expected foetal weight could be around 2904 gms. ( 16%). : * Single, live, active foetus in cephalic presentation of an

IMPRESSION average

gestational maturity of 36 weeks 4 days. N.B.: No old USG report available for comparative evaluation.

Ms Nargis Jamil 10/11/2010

Female

20 12405/1 11/11/2010 Dr I Dasgupta ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in breech presentation. Placenta (is grade I maturity), placed fundo posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate.

FOETUS :

(POA : 27 weeks 4 days, LMP = 02 / 05 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 26 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 4.80 cm. 26 weeks. : 21.6 cm. 26 weeks.

: 6.50 cm. 26 weeks 1 day.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,124 b/m. : * Single, live, active foetus in breech presentation of an

IMPRESSION average

gestational maturity of 26 weeks.

Smt Mintraji 40 37229/1 11/11/2010 Dr of CGHS 10/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.31 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 11.5 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

Smt Mintraji 40 37229/1 11/11/2010 Dr of CGHS 10/11/2010

Female

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.09 5.44 4.56) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.53 1.98) cm. Left Ovary measures = (2.26 2.16) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Mildly bulky uterus. Suggested clinical correlation.

Mr Sisir Ganguly 73 37427/1 12/11/2010 Dr of CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Male 11/11/2010

LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.1 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; Multiple very small calculi noted in gall bladder lumen. Wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.93 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. A simple cortical cyst noted in lower part of right kidney. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.86 cm. in length Left kidney measures = 8.74 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

Mr Sisir Ganguly 73

Male

37427/1 12/11/2010 Dr of CGHS

11/11/2010

PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.65 3.60 2.66) cm. Approximate weight could be around 23.3 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Microcholelithiasis. * Grade I Prostatomegaly. Suggested clinical correlation.

Mr Nirmalendu Kundu 69 37428/1 12/11/2010 Dr of CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

Male 11/11/2010

PORTA : The appearance of porta is normal. Portal vein is normal (1.08 cm.) at porta.Common Bile Duct is 0.75 cm. It is mildly dilated in its upper and mid part however lower part could not be well assessed due to gas shadow. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is

uniform. No calcular disease noted. No hydronephrotic changes detected. A simple cortical cyst noted in mid part of right kidney. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.66 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 107 ml.

Mr Nirmalendu Kundu 69 37428/1 12/11/2010 Dr of CGHS 11/11/2010

Male

PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.57 3.43 3.32) cm. Approximate weight could be around 27.2 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Mild Hepatomegaly. * Mildly dilated CBD. * Right renal simple cortical cyst. * Grade I Prostatomegaly with post void residual urine 107 ml. Suggested clinical correlation and MRCP may be considered.

Ms Nilanjana Sarkar 26 37420/1 12/11/2010 Dr of CGHS 11/11/2010

Female

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

Ms Nilanjana Sarkar 26 37420/1 12/11/2010 Dr of CGHS 11/11/2010

Female

UTERUS :

Uterus is anteverted, normal in size ( 6.66 4.16 2.81) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.49 2.01) cm. Left Ovary measures = (3.47 2.10) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

Ms Sunita Soni 42

Female

12440/1 12/11/2010 Dr B Agarwal

11/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and grossly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.01 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

Ms Sunita Soni 42 12440/1 12/11/2010 Dr B Agarwal 11/11/2010

Female

UTERUS : Uterus is not visualized History of hysterectomy. ADNEXA : Right adnexa appear clear however right ovary could not be delineated separately. An irregularly marginated simple cyst measuring 10.5 x 8.31 cm noted in POD with extension into left adnexa RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with gross fatty infiltration of liver. * Left adnexal cystic SOL. Suggested clinical correlation.

Mr. Raj Kiran Johri 27 12499/1 12/11/2010 Dr Ranbir Chowdhury 12/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.19 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.89 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.62 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.22 cm. in length Left kidney measures = 10.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

Mr. Raj Kiran Johri 27 12499/1 12/11/2010 Dr Ranbir Chowdhury 12/11/2010

Male

PROSTATE :

Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.46 3.02 2.77) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Ms Nilima Bibi 22 12496/1 12/11/2010 Dr S Ghosh 12/11/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.70 cm. in length Left kidney measures = 9.79 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is normal in shape, size and anteverted. It measures 7.82 x 4.01 x 2.44 cm. No focal SOL noted in myometrium. Endometrium is collapsed and in midline. Cervix appears mildly bulky and heterogenous with a simple cystic area measuring 2.91 x 1.45 cm noted in lower end of cervix and vaginal cavity. Pouch of Douglas is clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.78 2.34) cm. Left Ovary measures = (2.33 1.75) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? Cervicitis with simple cyst at lower end of cervix and vaginal cavity.

Suggested clinical correlation and further investigation may be considered.

Ms Susmita Bar 20 12389/1 12/11/2010 Dr Gouri De 10/11/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.74 cm. in length length Left kidney measures = 9.73 cm. in

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.39 3.50 2.47) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.10 2.36) cm. 2.20) cm.

Left Ovary measures = (3.45

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

Ms Dulari Murmu 25 12435/1 12/11/2010 Dr P S Chakravarty 11/11/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.8 cm. in length length Left kidney measures = 10.2 cm. in

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.16 6.71 4.87) cm. Myometrial echotexture appears

heterogenous. Endometrium appears mildly thickened and measuring 1.33 cm at present. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.79 2.08) cm. 1.55) cm. Left Ovary measures = (2.48

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus with ? Adenomyosis. * Mildly thickened endometrium. Suggested clinical correlation and TVS may be considered.

Mr. Subrata Chandra 62 12507/1 12/11/2010 Dr A K Chatterjee 12/11/2010

Male

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous

echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.28 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.06 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.96 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.78 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is normally distended. Urinery bladder wall appears mildly thick and irregular sequalae to ? Chronic cystitis. No obvious calculus noted. POST VOID STUDY : Post void residual urine measures 74 ml.

Mr. Subrata Chandra 62 12507/1 12/11/2010 Dr A K Chatterjee 12/11/2010

Male

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.42 3.10 3.06) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Mildly thick and irregular urinary bladder wall Sequalae to ? Chronic cystitis. * Post void residual urine - 74 ml. Suggested clinical correlation.

Ms Sabita Das 18 12509/1 12/11/2010 Dr. M. Padmaja Bhattacharya 12/11/2010

Female

ULTRASONOGRAPHY OF LOWER ABDOMEN (PREGNANCY)

Thank you for referring the patient for US scan of Lower Abdomen (Pregnancy)
Gravid uterus with single gestational sac. Foetal node is noted. Foetal heart beat is present ( 160 BMP) Gestational age by LMP : 12 weeks ( 20 / 08 / 2010 ) CRL : 4.63 cm (11 weeks 3 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present. Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.47 1.29 ) cm. Size of Left Ovary = ( 2.57 1.73 ) cm. Nuchal Thickness is 1.4 mm (within normal limits)

IMPRESSION :- * Single live foetus with gestational age by USG 11 weeks 3 days.

Mr Bijit Das 31 37631/1 12/11/2010 Dr of C G H S

Male 12/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion.Splenic vein at hilum appears normal.No definite collaterals could be detected. Splenic span is 10.8 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.72 cm. in length Left kidney measures = 10.2 cm. in length

Mr Bijit Das 31 37631/1 12/11/2010 Dr of C G H S

Male 12/11/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.08 3.30 2.61) cm. Approximate weight could be around 18 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. Suggested clinical correlation.

MS SUTRISHNA MIDYA 20 12566/1 13/11/2010 Dr GOURI DE

FEMALE 13/11/2010

ULTRASONOGRAPHY OF PREGNANCY ( ANOMALY )

Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in extended breech presentation at present. Placenta (is grade I maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate FOETUS : (POA : 22 weeks, LMP = 12/06/2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 21 weeks. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 4.98 cm. 21 weeks : 3.47 cm. 21 weeks : 16.3 cm. 21 weeks 2 days.

Limbs and long bones appear normal. Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 131 b/m. 1) Single, live, active foetus in breech presentation at average gestational maturity of 21 weeks. 2) No gross anomaly noted.

IMPRESSION : present of an

MS MOUMITA DAS 22 11904/1 13/11/2010

FEMALE 30/10/2010

Dr GOURI DE

ULTRASONOGRAPHY OF PREGNANCY ( ANOMALY ) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in breech presentation at present. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate FOETUS : (POA : 20 weeks 3 days, LMP = 23/06/2010) 1)FOETAL BIOMETRY : Corresponds to an average gestational maturity of 19weeks 1 day. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 4.56 cm. 19 weeks 5 days. : 2.92 cm. 19 weeks : 13.5 cm. 19 weeks.

Limbs and long bones appear normal. Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 138 b/m. 1) Single, live, active foetus in breech presentation at

IMPRESSION : present of an

average gestational maturity of 19 weeks 1 day. 2) No gross anomaly noted. N.B. : Old USG report not available for comparative evaluation.

MS RAJESWARI SARDAR 20 12560/1 13/11/2010 Dr DILIP K CHAKRABORTTI

FEMALE 12/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.11 cm. in length in length Left kidney measures = 9.21 cm.

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.85 3.73 3.13) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.01 2.40) cm. 2.35) cm.

Left Ovary measures = (3.23

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD. Suggested clinical correlation and hormonal assay may be considered. MALE

MR. HARAN CH SEAL 47 37852/1 15/11/2010 Dr of C G H S

13/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size having normal shape, regular smooth outline and of homogenous in echotexture.No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended.Multiple small echogenic foci noted embedded in gall bladder wall suggestive of cholesterosis of gall bladder. No obvious intraluminal calculus noted at present. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.83 cm. in length

MR. HARAN CH SEAL 47 37852/1 15/11/2010 Dr of C G H S

MALE

13/11/2010

URINARY BLADDER : Urinary bladder is normally distended. Urinary bladder wall is mildly thick and irregular sequalae to ? Chronic BOO / ? Chronic Cystitis. POST VOID STUDY :

Post void residual urine measures 93 ml. PROSTATE : Prostate is enlarged in size & heterogeneous in echotexture with median lobe enlargement. It measures ( 4.39 4.08 3.72 ) cm. Approximate weight could be around 35 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : USG findings reveals: Minimal Hepatosplenomegaly. Grade II prostatomegaly with median lobe enlargement. Mildly thick and irregular Urinary Bladder wall - sequalae to ? Chronic BOO/ ? Chronic Cystitis. Post void residual urine measures 93 ml. Suggested clinical correlation.

MS MAHUYA ROY 30 12674/1 15/11/2010 Dr SUDIPTO KR BANERJEE

FEMALE 15/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and grossly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. Multiple small mobile calculi noted in gall bladder lumen. Gall bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MAHUYA ROY 30 12674/1 15/11/2010 Dr SUDIPTO KR BANERJEE

FEMALE 15/11/2010

UTERUS : Uterus is anteverted, bulky in size (9.81 4.88 3.63) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (4.08 1.92) cm. Left Ovary measures = (4.48 2.26) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with gross fatty infiltration of liver. * Cholelithiasis. * Bulky uterus.

* ? PCOD. Suggested clinical correlation.

MS SANJUKTA CHOWDHURY 37 12575/1 15/11/2010 Dr DEBASISH GHOSH

FEMALE 13/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 12.7 cm. in length length Left kidney measures = 10.2 cm. in

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is slightly retroverted, bulky in size ( 9.76 7.63 6.01) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Left ovary appears slightly enlarged in size. Multiple peripheral cysts with increased stromal

echogenecity noted - ? Polycystic change. A simple cyst measuring 4.39 x 3.38 cm noted in right adnexa, probably involving right ovary. Left Ovary measures = (4.08 2.81) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Slightly retroverted bulky uterus. * Suspected polycystic change in left ovary. * Right adnexal cimple cyst. Suggested clinical correlation.

MS RUPASHREE DASH 36 12675/1 15/11/2010 Dr (MRS) SUPARNA SEN

FEMALE 15/11/2010

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid appears slightly reduced in quantity (AFI 7).

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS : (POA : 37 weeks 1 day, LMP = 28 / 02 / 2010 ) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 34 weeks 3 days. (Measurements are in the skiagram).
B. P. D. : 8.58 cm. 34 weeks 4 days F. L. : 6.67 cm. 34 weeks 2 days A. C. : 30.5 cm. 34 weeks 3 days Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 143 b/m. Expected foetal weight could be around 2464 gms. ( 16%).

2) 3) 4) 5) 6) 7)

DOPPLER STUDY : UMBILICAL ARTERY : Wave form shows normal systolic spike with good end diastolic flow. Normal spectral indices noted (PI 1.01, RI 0.65). MIDDLE CEREBRAL ARTERY: Normal spectral tracing with good peak systolic velocity. Normal spectral indices (PI 1.80, RI 0.84). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an

gestational maturity of 34 weeks 3 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present. 3) Mild aligohydramnios.

MS. K V RAMAN 43 38184/1 16/11/2010 Dr OF CGHS

FEMALE 15/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass)could be detected at its visualised part. Portal vein is normal (1.03 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Multiple small conglomerated mobile calculi suspected in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.09 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS. K V RAMAN 43 38184/1 16/11/2010 Dr OF CGHS

FEMALE 15/11/2010

UTERUS : Uterus is anteverted, normal in size (6.03 4.16 3.37) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * Cholelithiasis. Suggested clinical correlation.

MS. ILA SEAL 42 38185/1 16/11/2010 Dr OF CGHS

FEMALE 15/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.98 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.28 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.19 cm. in length Left kidney measures = 9.77 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS. ILA SEAL 42 38185/1 16/11/2010 Dr OF CGHS

FEMALE 15/11/2010

UTERUS : Uterus is anteverted, normal in size ( 6.61 4.10 4.08) cm. A small subserous fibroid measuring 1.58 cm noted involving posterior myometrium in fundal region of uterus. Endometrium is collapsed wall and in midline.Cervix looks clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged

lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Small subserous uterine fibroid. Suggested clinical correlation.

MR. B K GHOSH CHOWDHURY 64 38187/1 16/11/2010 Dr OF CGHS

MALE 15/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. A cyst with internal septa measuring 3.41 x 2.62 cm noted in left lobe of liver. Intrahepatic biliary radicles are not dilated. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness appears normal. A non impacted calculus (0.7 cm) noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.64 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 10.8 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could bedetected. POST VOID STUDY : Post void residual urine measures 77 ml.

MR. B K GHOSH CHOWDHURY 64 38187/1 16/11/2010

MALE 15/11/2010

Dr OF CGHS

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.83 3.88 3.65) cm. Approximate weight could be around 35.8 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION * Mild hepatomegaly with moderate fatty infiltration of liver. * Complex cyst left lobe of liver. * Cholelithiasis. * Grade II Prostatomegaly with post void residual urine measures 77 ml. Suggested clinical correlation. :

MR. MANOJ GOENKA 38 12692/1 16/11/2010 Dr B AGARWAL

MALE 15/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.89 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.44 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is

uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 9.77 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 63 ml.

MR. MANOJ GOENKA 38 12692/1 16/11/2010 Dr B AGARWAL

MALE 15/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.60 2.76 2.48) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Post void residual urine measures 63 ml. Suggested clinical correlation.

MS ASHIMA BARUA 45 38381/1 17/11/2010 Dr OF CGHS

FEMALE 16/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.79 cm. KIDNEYS : Both the Kidneys are normal in shape, size and position but right kidney appears malrotated. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.96 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ASHIMA BARUA 45 38381/1 17/11/2010 Dr OF CGHS

FEMALE 16/11/2010

UTERUS : Uterus is anteverted, normal in size (7.49 4.62 4.22) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. Left adnexa clear however left ovary could not be delineated separately. Right Ovary measures = (2.60 1.68) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Suspected malrotated right kidney. Suggested clinical correlation.

MS KANIKA BARUA 48

FEMALE

38382/1 17/11/2010 Dr OF CGHS

16/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.55 cm. in length Left kidney measures = 9.25 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS KANIKA BARUA 48 38382/1 17/11/2010 Dr OF CGHS

FEMALE 16/11/2010

UTERUS : Uterus is anteverted, normal in size ( 7.86 4.78 3.84) cm. An area of altered echogenicity measuring 1.96 cm suspected involving posterior myometrium in fundal region of uterus suggestive of fibroid. Endometrium (collapsed wall) is in midline.. Cervix looks clear. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. A simple cyst measuring 3.05 x 3.13 cm noted in left ovary. Right Ovary measures = (2.77 1.41) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION :

* Minimal hepatomegaly. * Suspected uterine fibroid. * Left ovarian functional cyst. Suggested clinical correlation.

MS S SENGUPTA 32 12782/1 17/11/2010

FEMALE 17/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen Gravid uterus with single gestational sac . No obvious fetal node or yolk sac noted at present. Gestational age by LMP : 7 weeks (29/09/2010) MSD : 1.6 cm ( 5 weeks 6 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in right adnexal region, however right ovary could not be delineated separately. A cyst is noted in left ovary. Size of Left Ovary = ( 3.63 2.17) cm.

IMPRESSION :- * Intrauterine gestational sac. * Left ovarian cyst. Repeat USG after 10 12 days or TVS may be considered.

MS PINKI SARDAR 12783/1 17/11/2010 DR OF SUB DIVISIONAL HOSP

FEMALE

19 17/11/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 38 weeks 2 days, LMP = 22 / 02 / 2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 36 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 8.74 cm. 35 weeks 1 day : 7.11 cm. 36 weeks 3 days : 33.7 cm. 37 weeks 4 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 145 b/m. Expected foetal weight could be around 3100 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 36 weeks 2 days.

IMPRESSION average

MS ANIMA GANGULY 70 12784/1 17/11/2010 DR A K MUKHERJEE

FEMALE 17/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.01 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.97 cm. in length Left kidney measures = 9.44 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANIMA GANGULY 70 12784/1 17/11/2010

FEMALE 17/11/2010

DR A K MUKHERJEE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa is clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MR. TANMOY SAMADDAR 59 12772/1 17/11/2010 DR ASHOKE KR MAULIK

MALE 16/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN

Thank you for referring the patient for US scan of Lower Abdomen
KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A cortical cyst is noted in lower part of right kidney. An echoreflective focus measuring 0.645 cm with posterior acoustic shadow noted in lower calyx of right kidney - ? Calculus / ? Partial cyst wall calcification. No hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length length Left kidney measures = 11.5 cm. in

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.03 3.63 3.59) cm. Approximate weight could be around 27 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Echoreflective focus in right kidney - ? Partial cortical cyst wall calcification / ? calculus. * Right Renal cortical cyst. * Grade I Prostatomegaly. Suggested clinical correlation.

MR. SANJIB KUMAR ROY 40 38657/1 18/11/2010 DR OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MALE 17/11/2010

LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.28 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.75 cm. in length Left kidney measures = 9.44 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SANJIB KUMAR ROY 40 38657/1 18/11/2010 DR OF CGHS

MALE 17/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.19 2.97 2.71) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS SIPRA CHATTAPADHYAY 37 38648/1 18/11/2010 DR OF CGHS

FEMALE 17/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.8 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.50 cm. in length Left kidney measures = 9.97 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SIPRA CHATTAPADHYAY 37 38648/1 18/11/2010 DR OF CGHS

FEMALE 17/11/2010

UTERUS : Uterus is anteverted, normal in size ( 6.75 4.52 3.37) cm. An area of altered echogenicity measuring 2.00 x 2.93 cm suspected involving posterior myometrium in body region of uterus suggestive of fibroid. Endometrium (collapsed wall) is in midline. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.35 1.88) cm. Left Ovary measures = (2.60 1.72) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Suspected uterine fibroid. Suggested clinical correlation and TVS may be considered..

MS SHILPI SIKDAR 30 12851/1 18/11/2010 DR M PADMAJA BHATTACHARYA

FEMALE 18/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. A small calculus measuring 0.372 cm noted in middle calyx of right kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.77 cm. in length cm. in length Left kidney measures = 9.23

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is anteverted, normal in size (7.55 4.97 4.06) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.80 1.74) cm. (2.97 2.17) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Right sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

MS SARANI SENGUPTA 26 12856/1 19/11/2010 DR CHITTARANJAN ROY

FEMALE 18/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length 8.95 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 62 ml. UTERUS : Uterus is anteverted, normal in size ( 5.47 3.55 3.55) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.99 2.12) cm. measures = (2.62 2.46) cm. Left Ovary

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Post void residual urine measures 62 ml. Suggested clinical correlation.

MS VEENA MISHRA 36 39014/1 20/11/2010 DR OF AMA

FEMALE 19/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length 9.97 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 6.84 3.90 3.04) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.06 1.60) cm. (2.94 2.17) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Kidney ureter bladder does not reveal any significant abnormality. Suggested clinical correlation.

MR. R S CHANDGOTHIA 70 12909/1 20/11/2010 DR SANJEEV GARG

MALE 19/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.03 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 9.92 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. R S CHANDGOTHIA 70 12909/1 20/11/2010 DR SANJEEV GARG

MALE 19/11/2010

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.30 4.08 4.07) cm. Approximate weight could be around 37 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly. Suggested clinical correlation.

MS S SIKARIA 36 12966/1 20/11/2010 DR P S BANDYOPADHYAY

FEMALE 20/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.18 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.79 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A small calculus measuring 0.596 cm noted in middle calyx of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and corticoheptic differentiation. Margin is regular and cortical thickness is uniform. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS S SIKARIA 36 12966/1 20/11/2010

FEMALE 20/11/2010

DR P S BANDYOPADHYAY

UTERUS : Uterus is anteverted, normal in size ( 7.11 4.79 4.06) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.30 1.77) cm. Left Ovary measures = (3.10 2.48) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with moderate fatty infiltration of liver. * Left sided nephrolithiasis without hydronephrosis. * ? PCOD. Suggested clinical correlation.

MS LALITA NARU 25 12911/1 20/11/2010 DR A K DAS ULTRASONOGRAPHY OF PELVIS PREGNANCY Thank you for referring the patient for US scan of Pelvis

FEMALE 19/11/2010

Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 32 weeks, LMP = 10/04/2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 27weeks3days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 6.69 cm. 27 weeks : 5.38 cm. 28 weeks 3 day : 22.7 cm. 27 weeks

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 154 b/m. Expected foetal weight could be around 1097 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an

IMPRESSION average

gestational maturity of 27 weeks 3 days. 2) ? Wrong date.

MS A MUKHERJEE 27 12967/1 20/11/2010 DR M PADMAJA BHATTACHARYA

FEMALE 20/11/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed posteriorly at present lowlying approx 42 mm away from the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 21 weeks 2 days, LMP = 24 / 06 / 2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 21weeks3days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 3.62 cm. 21 weeks 3 days : 16.4 cm. 21 weeks 3 days.

: 5.19 cm. 21 weeks 5 days

Limb and long bones appear normal. Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 137 b/m.

IMPRESSION average

1) Single, live, active foetus in cephalic presentation of an gestational maturity of 21 weeks 3 days. 2) No gross anomaly noted. 3) Placenta previa Minor degree.

MS SUSMITA GHOSH 50 39029/1 20/11/2010 DR OF CGHS

FEMALE 19/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.99 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 9.02 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUSMITA GHOSH 50 39029/1 20/11/2010 DR OF CGHS

FEMALE 19/11/2010

UTERUS : Uterus is anteverted, bulky in size (11.1 6.735.67) cm and irregularly outlined. Multiple fibroids largest one measuring 3.32 x 2.94 cm noted involving anterior as well as posterior myometrium. Endometrium as seen appears normal in thickness. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected.

OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.48 1.66) cm. Left Ovary measures = (2.93 1.57) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with moderate fatty infiltration of liver. * Bulky uterus with multiple fibroids. Suggested clinical correlation and TVS may be considered.

MR. T. J. GHOSH 49 38622/1 20/11/2010 DR OF CGHS

MALE 17/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.9 cm. in length Left kidney measures = 10.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 66 ml. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenicity could be detected. Seminal vesicles are normal in caliber & termination. It measures (3.90 x 3.04 x 2.84)cm Approximate weight could be around 17 gm RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Post void residual urine measures 66 ml. Suggested clinical correlation.

MS. MIRA DAS 59

FEMALE

39021/1 20/10/2010 DR OF CGHS

19/10/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is minimally enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.20 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.53 cm. in length Left kidney measures = 10.5 cm. in length

MS. MIRA DAS 59 39021/1 20/10/2010 DR OF CGHS

FEMALE 19/10/2010

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small and atrophied ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS SHYAMASREE CHOWDHURY 36 12965/1 20/11/2010 DR INDRANI LODH

FEMALE 20/11/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen
LIVER : Liver is minimally enlarged and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.98 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.03 cm. in length cm. in length Left kidney measures = 10.1

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatosplenomegaly with mild fatty infiltration of liver. Suggested clinical correlation. MS SHYAMASREE CHOWDHURY 36 12965/1 20/11/2010 DR INDRANI LODH ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen 20/11/2010 FEMALE

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.46 4.97 3.65) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (2.99 1.72) cm. 1.51) cm.

Left Ovary measures = (2.91

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MS REKHA DAS 39 39221/1 22/11/2010 DR OF CGHS

FEMALE 20/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.08 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be

detected.

MS REKHA DAS 39 39221/1 22/11/2010 DR OF CGHS

FEMALE 20/11/2010

UTERUS : Uterus is anteverted, normal in size ( 8.17 5.01 4.24) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.44 2.01) cm. Left Ovary measures = (2.84 2.20) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver Suggested clinical correlation.

MR. ANIL CHANDRA MANDAL 59 39219/1 22/11/2010 DR OF CGHS

MALE 20/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.28 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; A non mobile echogenic focus measuring 1.71 x 1.23 cm noted in gall bladder lumen suggestive of polyp. Few echogenic particles without any posterior acoustic shadow suspected in neck of gall bladder. Wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular

disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.48 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.12 cm. in length Left kidney measures = 9.26 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. ANIL CHANDRA MANDAL 59 39219/1 22/11/2010 DR OF CGHS

MALE 20/11/2010

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.01 4.13 3.60) cm. Approximate weight could be around 39 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Suspected Gall bladder polyp with small echogenic sludge foci. * Grade II Prostatomegaly. Suggested clinical correlation.

N.B. : Old medical records not available for comparative evaluation. MR. H NANDY 66 39366/1 22/11/2010 DR OF CGHS 21/11/2010 MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.34 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Simple cortical cysts noted bilaterally in upper pole. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 9.66 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. H NANDY 66 39366/1 22/11/2010 DR OF CGHS

MALE 21/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.50 3.28 2.75) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Bilateral Renal simple cortical cysts. Suggested clinical correlation.

MS ARUNA TYAGI 40 39539/1 23/11/2010

FEMALE 22/11/2010

DR OF CGHS
ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.08 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.74 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ARUNA TYAGI 40 39539/1 23/11/2010 DR OF CGHS

FEMALE 22/11/2010

UTERUS : Uterus is anteverted, bulky in size ( 10.5 6.64 5.28) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.69 1.77) cm. Left Ovary measures = (2.84 2.00) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bulky uterus. Suggested clinical correlation.

MR. SUKHEL HANSDA 49 39538/1 23/11/2010 DR OF CGHS

MALE 22/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. An irregularly marginated thick walled complex cystic SOL measuring 3.15 x 3.91 cm noted in right lobe of liver (segment VIII) - ? Abscess. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.99 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. Non impacted calculus noted in gall bladder lumen. Wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.33 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.52 cm. in length Left kidney measures = 9.89 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 63ml.

MR. SUKHEL HANSDA 49 39538/1 23/11/2010 DR OF CGHS

MALE 22/11/2010

PROSTATE : Prostate is enlarged in size. Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.73 3.68 3.29) cm. Approximate weight could be around 23 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * ? Abscess right lobe of liver. * Clolelithiasis. * Grade I Prostatomegaly with post void residual urine 63 ml. Suggested clinical correlation.

MS SAHANA MUKHERJEE 53 39543/1 23/11/2010 DR OF CGHS

FEMALE 22/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and grossly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 10.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SAHANA MUKHERJEE 53 39543/1 23/11/2010

FEMALE 22/11/2010

DR OF CGHS

UTERUS : Uterus is anteverted, bulky in size ( 9.60 5.63 5.56) cm. A fibroid measuring 2.57 x 2.39 cm suspected involving anterior myometrium in fundal region of uterus. Endometrium could not be well assessed. Cervix looks clear. ADNEXA : Right adnexa clear however right ovary could not be delineated separately. Left ovary is normal in size, shape, position, and echotexture. Left Ovary measures = (2.60 1.92) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with gross fatty infiltration of liver. * Bulky uterus with fibroid. Suggested clinical correlation and TVS may be considered.

MS SANJUKTA MOHANTY 37 39537/1 23/11/2010 DR OF CGHS

FEMALE 22/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.39 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.23 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SANJUKTA MOHANTY 37 39537/1 23/11/2010 DR OF CGHS

FEMALE 22/11/2010

UTERUS : Uterus is anteverted, bulky in size ( 9.46 5.85 4.95) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.90 2.36) cm. Left Ovary measures = (3.48 2.62) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bulky uterus. * ? PCOD. Suggested clinical correlation.

MS SABINA MUMTAZ ISLAM 35 13108/1 23/11/2010 DR GOURI DE

FEMALE 23/11/2010

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

Thank you for referring the patient for US scan of Pregnancy(Doppler)
MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid appears slightly reduced in quantity (AFI 7).

FOETUS : (POA : 35 weeks 1 day, LMP = 22 / 03 / 2010 ) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 35 weeks 5 days. (Measurements are in the skiagram).
B. P. D. : 9.15 cm. 37 weeks F. L. : 6.86 cm. 35 weeks 1 day

2) 3) 4) 5) 6) 7)

A. C. : 31.2 cm. 35 weeks 1 day Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 154 b/m. Expected foetal weight could be around 2729 gms. ( 16%).

DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.568). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral IMPRESSION average : : Normal spectral tracing with good peak indices (PI 1.68, RI 0.800). 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.960, RI

gestational maturity of35 weeks 5 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present. 3) Mild oligohydramnios.

MS JYOTSHNA SINGH 23 13012/1 23/11/2010 DR OF SUB DIVI HOS ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy

FEMALE 20/11/2010

Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected.

Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 36 weeks 5 days, LMP = 11 / 03 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 36 weeks 6 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. : 7.20 cm. 36 weeks 5 days : 33.2 cm. 37 weeks

: 9.09 cm. 36 weeks 6 days

2) Foetal cranio-spinal axis appears normal. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies. 4) Abdominal wall appears within normal limit. 5) Umbilical cord appears normal, however single loop loose is suspected around fetal neck. 6) Foetal heart rate is regular,137 b/m. 7) Expected foetal weight could be around 3124 gms. ( 16%). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an

gestational maturity of36 weeks6 days. 2) Suspected single loop loose cord around fetal neck.

MS ANIMA MURMU 37 13106/1 23/11/2010 DR JOYDEEP BASU

FEMALE 22/11/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 36 weeks 1 day, LMP = 15/03/2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 36 weeks 1 day. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 8.74 cm. 35 weeks 1 day : 7.36 cm. 37 weeks4 days : 31.8 cm. 35 weeks 5 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,130 b/m. Expected foetal weight could be around 2905 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of36 weeks 1 day.

IMPRESSION average

MR. PRADIP KUMAR CHOUDHURY 63

MALE

39718/1 24/11/2010 DR OF CGHS

23/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be

detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. PRADIP KUMAR CHOUDHURY 63 39718/1 24/11/2010 DR OF CGHS

MALE 23/11/2010

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.21 4.03 3.73) cm. Approximate weight could be around 33 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Grade II Prostatomegaly. Suggested clinical correlation.

MR. SWADESH PRIYA SANYAL 76 39727/1 24/11/2010 DR OF CGHS

MALE 23/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness as seen appears normal. No obvious intraluminal calculus detected at present. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Multiple cortical cysts noted bilaterally. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 9.89 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SWADESH PRIYA SANYAL 76 39727/1 24/11/2010 DR OF CGHS

MALE 23/11/2010

PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.87 3.69 3.18) cm. Approximate weight could be around 30 gm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Bilateral Renal multiple cortical cysts. * Grade I Prostatomegaly. Suggested clinical correlation.

MS TAPATI CHATTERJEE 58 39729/1 24/11/2010 DR OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

FEMALE 23/11/2010

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.89 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 11.0 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS TAPATI CHATTERJEE 58

FEMALE

39729/1 24/11/2010 DR OF CGHS

23/11/2010

UTERUS : Uterus could not be well visualized History of hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS MOUMITA DEY 27 13163/1 24/11/2010 DR BASUMITA CHAKRABORTY

FEMALE 24/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS)

Thank you for referring the patient for US scan of Lower Abdomen
Gravid uterus with single gestational sac and yolk sac noted. Embryonal node is noted. Embryonal heart beat is present ( 166 BPM). Gestational age by LMP : 5 weeks 6 days ( 14 / 10 / 2010 ) CRL : 0.693 cm ( 6 weeks 4 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.76 2.01 ) cm. Size of Left Ovary = ( 2.91 2.09 ) cm. A fibroid measuring 1.49 x 1.94 cm noted involving posterior myometrium in fundal region of uterus.

IMPRESSION :- * Single live embryo with gestational age by USG 6 weeks 4 days. * Uterine fibroid.

MS PRIYANKA ALAM 30 13149/1 24/11/2010 DR GOURI DE

FEMALE 24/11/2010

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

Thank you for referring the patient for US scan of Pregnancy(Doppler)
MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade III maturity), placed fundo posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 39 weeks 2 days, LMP = 22 / 02 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 38 weeks 2 days. (Measurements are in the skiagram).
B. P. D. : 9.61 cm. 39 weeks 1 day F. L. : 7.54 cm. 38 weeks 3 days A. C. : 33.8 cm. 37 weeks 4 days Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 126 b/m. Expected foetal weight could be around 3463 gms. ( 16%).

2) 3) 4) 5) 6) 7)

DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.507 ). : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.697, RI

MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral IMPRESSION average :

Normal spectral tracing with good peak indices (PI 1.43, RI 0.720 ).

1) Single, live, active foetus in cephalic presentation of an

gestational maturity of 38 weeks 2 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present. N.B. : Old USG report not available for comparative evaluation.

DR JANE ALAM 46 13158/1 24/11/2010 DR KARMABIR CHAKRABORTY

MALE 24/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.91 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 9.55 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

DR JANE ALAM 46 13158/1 24/11/2010 DR KARMABIR CHAKRABORTY

MALE 24/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.54 3.06 2.79) cm. Approximate weight could be around 16 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. PRADYOT KR DEB 68 39717/1 24/11/2010 DR OF CGHS

MALE 23/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER :

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.3 cm. KIDNEYS : Right kidney as seen appears smaller in size with hyperechoic cortex and loss of corticomedullary differentiation. No obvious calculus, SOL or hydronephrosis noted. Right kidney measures = 7.65 cm. in length Left kidney is normal in shape, size, position and axes. Left kidney cortical echogenicity appears normal and cortico-medullary differentiation appears maintained. No obvious calculus, SOL or hydronephrosis noted. Left kidney measures = 9.48 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. PRADYOT KR DEB 68 39717/1 24/11/2010 DR OF CGHS

MALE 23/11/2010

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.45 4.19 3.73) cm. Approximate weight could be around 36 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Small sized right kidney with hyperechoic cortex Sequalae to ? Renal artery stenosis. * Grade II Prostatomegaly. Suggested clinical correlation.

MS MEENA SRIVASTAVA 39 39960/1 25/11/2010 DR OF CGHS

FEMALE 24/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. Splenic span is 14.8 cm. KIDNEYS : Both the Kidneys appears smaller in size. Both kidney cortex is hyperechoic with loss of cortico-medullary differentiation. No obvious SOL, calculus or hydronephrosis noted. Right kidney measures = 6.93 cm. in length Left kidney measures = 7.59 cm. in length

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MEENA SRIVASTAVA 39 39960/1 25/11/2010 DR OF CGHS

FEMALE 24/11/2010

UTERUS : Uterus is anteverted, normal in size ( 7.39 5.05 x 4.29) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.86 2.31) cm. Left Ovary measures = (3.08 2.63) cm. RETROPERITONEUM & PERITONEUM : Clear. Moderate fluid is noted in peritoneal cavity. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * Chronic Renal parenchymal disease. * Moderate ascites with no obvious feature of haemorrhage. Suggested clinical correlation.

MS SUDIPTA GHOSH 29 13207/1 25/11/2010 DR GOURI DE

FEMALE 25/11/2010

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

Thank you for referring the patient for US scan of Pregnancy(Doppler)
MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 34 weeks 1 day, LMP = 31 / 03 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of weeks day. (Measurements are in the skiagram).
B. P. D. : 8.93 cm. 36 weeks 1 day

F. L. : 6.39 cm. 33 weeks A. C. : 30.3 cm. 34 weeks 1 day 2) Foetal cranio-spinal axis appears normal. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies. 4) Abdominal wall appears within normal limit. 5) Umbilical cord appears normal however single loop loose cord is suspected sround fetal neck. 6) Foetal heart rate is regular, 156 b/m. 7) Expected foetal weight could be around 2402 gms. ( 16%). DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.632). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral IMPRESSION average : : Normal spectral tracing with good peak indices (PI 1.67, RI 0.807). 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.995, RI

gestational maturity of34 weeks 3 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present. 3) Suspected single loop loose cord around fetal neck.

MR. H NATUNG 55 13184/1 25/11/2010 DR N K NATH

MALE 24/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER

Thank you for referring the patient for US scan of Kidney Ureter Bladder
KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. A simple cortical cyst noted in lower pole of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.57 3.65 3.28) cm. Approximate weight could be around 28 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left Renal cimple cortical cyst. * Grade I Prostatomegaly. Suggested clinical correlation.

MR. ADHIR GHOSH 55

MALE

13212/1 25/11/2010 DR S K BISWAS

25/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.16 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A calculus measuring 0.693 cm noted in upper calyx of left kidney. Cortical echogenecity appears normal maintainingcortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 11.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Insignificant amount of residual urine noted.

MR. ADHIR GHOSH 55 13212/1 25/11/2010 DR S K BISWAS

MALE 25/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.50 3.31 2.97) cm. Approximate weight could be around 18 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver (Grade I). * Left sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

MS SIKHA PAL 45 13252/1 26/11/2010 DR OF S S K M HOSPITAL

FEMALE 26/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.91 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is not visualized History of histerectomy.

ADNEXA : Adnexa appear clear howeverovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study. Suggsted clinical correlation.

MR. PRABHASH CHANDRA DUTTA 66 40341/1 27/11/2010 DR OF CGHS

MALE 26/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is normal minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.97 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Simple cortical cyst noted in upper and lower pole of right kidney and left kidney respectively.Cortical echogenecity appears normal maintaining corticomedullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.12 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. PRABHASH CHANDRA DUTTA 66 40341/1 27/11/2010 DR OF CGHS

MALE 26/11/2010

PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.65 3.41 2.84) cm. Approximate weight could be around 23 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Bilateral Renal simple cortical cyst. * Grade I Prostatomegaly. Suggested clinical correlation.

MS MONIKA MONDAL 40 40144/1 26/11/2010 DR OF CGHS

FEMALE 25/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.11 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.64 cm. in length Left kidney measures = 10.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MONIKA MONDAL 40 40144/1 26/11/2010 DR OF CGHS

FEMALE 25/11/2010

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.24 5.59 4.17) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.59 1.56) cm. Left Ovary measures = (2.56 2.00) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Mildly bulky uterus.

Suggested clinical correlation.

MS MOUSUMI SAHA 34 40337/1 27/11/2010 DR OF CGHS

FEMALE 26/11/2010

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.06 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.4 cm. KIDNEYS :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.9 cm. in length Left kidney measures = 9.67 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MOUSUMI SAHA 34 40337/1 27/11/2010 DR OF CGHS

FEMALE 26/11/2010

UTERUS : Uterus is retroverted, normal in size (6.97 4.09 3.76) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :

Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.27 2.05) cm. Left Ovary measures = (2.25 2.41) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Retroverted uterus. Suggested clinical correlation.

MS SHOBHA SHARMA 25 13309/1 27/11/2010 DR (MRS) PAPIYA DUTTA

FEMALE 27/11/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free.

No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 16 weeks 1 day, LMP = 06/08/2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 17 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 3.82 cm. 17 weeks 4 days : 2.28 cm. 16 weeks 5 days : 11.2 cm. 17 weeks

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,152 b/m. : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of17weeks.

IMPRESSION average

MS KAKOLI PRADHAN 25 13276/1 27/11/2010 DR B AGARWAL

FEMALE 26/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER:

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.5 cm. in length Left kidney measures = 11.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS KAKOLI PRADHAN 25 13276/1 27/11/2010 DR B AGARWAL

FEMALE 26/11/2010

UTERUS : Uterus is anteverted, bulky in size ( 9.53 5.76 3.55) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Left ovary is normal in size, shape, position and echotexture. Left Ovary measures = (2.85 1.77) cm. A simple cyst measuring 3.06 x 2.62 cm noted in right ovary. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bulky uterus. * Right ovarian functional cyst. Suggested clinical correlation.

MS REKHA MITRA 65 13263/1 27/11/2010 DR SANTANU GUHA

FEMALE 26/11/2010

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.36 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.53 cm. in length Left kidney measures = 9.30 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 118 ml.

MS REKHA MITRA 65 13263/1 27/11/2010 DR SANTANU GUHA

FEMALE 26/11/2010

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Post void residual urine measures 118 ml. Suggested clinical correlation.

MS DULU GHORAI 39 13306/1 27/11/2010 DR GOURI DE

FEMALE 27/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.79 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.06 cm. in length Left kidney measures = 9.14 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected

MS DULU GHORAI 39 13306/1 27/11/2010 DR GOURI DE

FEMALE 27/11/2010

UTERUS : Uterus is anteverted, normal in size ( 7.82 4.55 3.94 ) cm. Endometrium (Collapsed wall) is in midline. Myometrium appears smooth & homogenous without any detectable/ sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary is normal in size, shape, position and echotexture. Right Ovary measures = ( 2.84 1.89 ) cm. A cysto solid SOL measuring 8.25 x 5.65 cm noted in left adnexa adhering to uterus. Left Ovary could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver. * Cysto solid SOL left adnexa. Suggested clinical correlation, TVS & CA-125 may be considered.

MAST AMARTYA SINGH 02 13292/1 27/11/2010 DR SOUMITRA DUTTA

MALE 26/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.91 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.01 cm. in length Left kidney measures = 8.19 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MAST AMARTYA SINGH 02 13292/1 27/11/2010 DR SOUMITRA DUTTA

MALE 26/11/2010

PROSTATE : Prostate as seen appears normal in shape, size, position and echotexture. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly.

Suggested clinical correlation.

MR. CHINMOY DEY 42 13190/1 27/11/2010 DR DILIP DEY

MALE 24/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER

Thank you for referring the patient for US scan of Kidney Ureter Bladder
KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.99 cm. in length cm. in length Left kidney measures = 9.67

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant.

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.15 2.99 2.61) cm. Approximate weight could be around 12 gm.
RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Kidney ureter bladder does not reveal any significant abnormality. Suggested clinical correlation.

MR. NIRMAL KR SAHA 79 39945/1 27/11/2010 DR OF CGHS

MALE 24/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal

parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is contracted. Packed with multiple calculi in gall bldder lumen. Gallbladder wall as seen appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.09 cm. in length Left kidney measures = 8.54 cm. in length URINARY BLADDER : Urinary bladder is partially distended ( on two separate ocassions as patient could not hold urine. Urinary bladder wall as seen appears normal. Post void not done as urinary bladder was not optimally distended.

MR. NIRMAL KR SAHA 79

MALE

39945/1 27/11/2010 DR OF CGHS

24/11/2010

PROSTATE : Prostate as seen appears mildly enlarged in size and heterogenous in echotexture. It measures (4.13 3.66 3.64) cm. Approximate weight could be around 28 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Chronic calculus cholecystitis. * Grade I Prostatomegaly. Suggested clinical correlation.

MS SHARMILA CHOWDHURY 26 40565/1 29/11/2010 DR OF CGHS

FEMALE 27/11/2010

LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.11cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SHARMILA CHOWDHURY 26 40565/1 29/11/2010 DR OF CGHS

FEMALE 27/11/2010

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.40 3.77 2.70) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.11 1.98) cm. Left Ovary measures = (3.82 1.73) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Mildly bulky uterus. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MS LATA DAS 34 13370/1 29/11/2010 DR GOURI DE

FEMALE 29/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length cm. in length Left kidney measures = 10.7

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size (7.59 5.05 3.48) cm. A simple cyst in noted in cervix.Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.02 2.30) cm. 1.50) cm. Left Ovary measures = (2.89

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Nabothian cyst.

MS SAGARIKA INDU 53 13368/1 29/11/2010 DR (MRS) SUMITA NASKAR

FEMALE 29/11/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. A small simple cortical cyst noted in upper pole of right kidney.Cortical echogenecity appears normal maintaining cortico-medullary and corticoheptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.95 cm. in length cm. in length Left kidney measures = 9.70

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, mildly bulky in siize ( 8.58 5.68 4.77) cm. A fibroid measuring 2.11 x 2.61 cm noted involving posterior myometrium in fundal region of uterus. Endometrium is collapsed, normal in thickness but indentation suspected in fundal region, suggestive of arcuate uterus. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.03 2.34) cm. (2.73 1.53) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Right Renal simple cortical cyst. * Mildly bulky suspected Arcuate uterus with fibroid.

Suggested clinical correlation.

MR SWAPAN KARMAKAR 30 13365/1 29/11/2010

MALE 29/11/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen
LIVER : Liver is mildly enlarged size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.01 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.58 cm. in length 10.3 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. Suggested clinical correlation.

MR. BISHANJI 61 40687/1 29/11/2010 DR OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MALE 28/11/2010

LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.75 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. BISHANJI 61 40687/1 29/11/2010 DR OF CGHS

MALE 28/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.08 2.78 2.75) cm. Approximate weight could be around 16 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

SMT GITA KUMARI 30 40527/1 29/11/2010 DR OF CGHS

FEMALE 27/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

SMT GITA KUMARI 30 40527/1 29/11/2010 DR OF CGHS

FEMALE 27/11/2010

UTERUS : Uterus is anteverted, normal in size ( 7.96 5.01 3.56) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.39 1.66) cm. Left Ovary measures = (2.94 1.45) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplemegaly. Suggested clinical correlation.

MR. MANASA CHARAN DATTA 78 40937/1 30/11/2010 DR OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MALE 29/11/2010

LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.8 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.65 cm. in length Left kidney measures = 8.96 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 45 ml.

MR. MANASA CHARAN DATTA 78 40937/1 30/11/2010 DR OF CGHS

MALE 29/11/2010

PROSTATE : Prostate appears normal in size but heterogenous in echotexture. It measures (4.30 3.01 2.70) cm. Approximate weight could be around 18 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Post void residual urine measures 45 ml. Suggested clinical correlation.

MR. SOFIQUL ISLAM CHOUDHURY 45 41133/1 01/12/2010 DR OF CGHS

MALE 30/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is minimally enlarged in size amd mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.28 cm. with no intraluminal pathology (calculi/mass) could

be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.07 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A complex cortical cyst noted in lower pole of right kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 9.25 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SOFIQUL ISLAM CHOUDHURY 45 41133/1 01/12/2010 DR OF CGHS

MALE 30/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.63 3.12 2.75) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver. * Right Renal complex cortical cyst. Suggested clinical correlation.

Mr CHANDAN BASU 65

MALE

13447/1 01/12/2010 DR N K NATH

30/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER

Thank you for referring the patient for US scan of Kidney Ureter Bladder
KIDNEYS : Both the Kidneys are normal in shape, size and position. Both kidney cortex appears mildly hyperechoic however cortico-medullary differentiation appears maintained. No obvious calculus, SOL or hydronephrosis noted. Right kidney measures = 9.35 cm. in length 9.34 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 150 ml. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.41 3.05 2.75) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Mildly hyperechoic kidney cortex Early Renal dysfunction / ? Senile changes. * Post void residual urine measures 150 ml. Suggested clinical correlation.

MS CHHABI PRADHAN 24 13449/1 01/12/2010 DR OF SUB DIVISION HOSP

FEMALE 30/11/2010

ULTRASONOGRAPHY OF RIGHT BREAST

Thank you for referring the patient for US scan ofRight Breast

Soft tissue architexture of right breast appears normal. A well marginated hyperechoic SOL measuring 0.965 x 0.555 cm noted in right breast at 7 O clock position suggestive of fibroadenoma. No obvious calcification noted. No duct dilatation seen. Nipple so far seen appears normal. Retromammary space appears normal. Right axilla does not reveal any enlarged lymphnodes.

IMPRESSION : USG features are suggestive of fibroadenoma right breast at 7 O clock position.

Suggested clinical correlation and corroboration with mammography may be considered.

MS RANJITA BOSE 25 13349/1 01/12/2010 DR GOURI DE

FEMALE 27/11/2010

ULTRASONOGRAPHY OF PREGNANCY (ANOMALY) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation at present. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 20 weeks, LMP = 14 / 07 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 20 weeks 3 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) Foetal cranio-spinal axis appears normal. : 4.78 cm. 20 weeks 3 days : 3.30 cm. 20 weeks 2 days : 15.7 cm. 20 weeks 5 days.

3) 4) 5) 6) 7)

Limbs and long bones appear normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,145 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 20 weeks 3 days. 2) No gross anomaly noted.

MS RANJITA BOSE 25 13349/1 01/12/2010 DR GOURI DE

FEMALE 27/11/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 11.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be

detected. POST VOID STUDY : Insignificant. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study. Suggested clinical correlation.

MR. VINOD KR JINDAL 50 13231/1 02/12/2010 DR B AGARWAl

MALE 25/11/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
POOR USG WINDOW DUE TO ABDOMINAL GAS SHADOW (ON TWO SEPARATE OCCASION). LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.99 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.5 cm. in length Left kidney measures = 9.92 cm. in length URINARY BLADDER : Urinary bladder is partially distended (on two separate occasions), however as seen appears normal with normal wall thickness and no obvious intraluminal calculus. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. VINOD KR JINDAL 50 13231/1 02/12/2010

MALE 25/11/2010

DR B AGARWAl

PROSTATE : Prostate as seen appears normal in shape, size, position and echotexture. It measures (3.33 3.31 2.71) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomagaly with moderate fatty infiltration of liver. Suggested clinical correlation.

MS BABY HALDER 30 13412/1 02/12/2010 DR GOURI DE

FEMALE 30/11/2010

LIVER: Liver is mildly enlarged in size and grossly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 15.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 11.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MS BABY HALDER 30 13412/1 02/12/2010 DR GOURI DE

FEMALE 30/11/2010

UTERUS : Uterus is anteverted, bulky in size ( 9.63 5.37 4.31) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.21 2.18) cm. Left Ovary measures = (3.28 2.85) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with gross fatty infiltration of liver. * Bulky uterus. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MS NANDITA BISWAS 65 13489/1 02/12/2010 DR P S BANDYOPADHYAY

FEMALE 02/12/2010

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.58 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.78 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.96 cm. in length Left kidney measures = 8.70 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS NANDITA BISWAS 65 13489/1 02/12/2010 DR P S BANDYOPADHYAY

FEMALE 02/12/2010

UTERUS : Uterus is small and atrophied.

ADNEXA : Right adnexa appears clear, however right ovary could not be delineated separately. A simple cyst measuring 2.83 x 2.30 cm noted in left adnexa. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Left adnexal simple cyst. Suggested clinical correlation.

DR LABONI GARAI PAL 29 13493/1 02/12/2010 DR GOURI DE

FEMALE 02/12/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy

Mother : : Single, live, active foetus noted in Cephalic presentation at present. Placenta (is early grade I maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 16 weeks 4 days, LMP = 08 / 08 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 15 weeks 6 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 3.21 cm. 16 weeks : 1.91 cm. 15 weeks 4 days : 10.1 cm. 16 weeks

Limbs and long bones as seen appears normal. Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 146 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 15 weeks 6 days. 2) No gross anomaly noted at present.

MR. PRAVEEN KUMAR 32 41136/1 02/12/2010

MALE 30/11/2010

DR OF CGHS ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.29 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.58 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 9.71 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY :

Insignificant amount of residual urine noted.

MR. PRAVEEN KUMAR 32 41136/1 02/12/2010 DR OF CGHS

MALE 30/11/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.32 3.11 2.62) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. Suggested clinical correlation.

SMT RAJKUMARI SINGH 60 13521/1 03/12/2010 DR ASHESH ROY CHOUDHURY

FEMALE 02/12/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.91 cm. in length 10.9 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus as seen appears normal in size ( 6.94 4.57 4.71) cm and anteverted. No obvious focal SOL noted in

myometrium. Endometrium is collapsed and in midline. Cervix looks clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION
Suggested clinical correlation.

: * Essentially normal study.

MS ANJANA CHAKRABORTY 50 13528/1 03/12/2010 DR (MRS) BULBUL RAICHAUDHURI

FEMALE 03/12/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length 10.2 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, bulky in size ( 12.0 7.34 5.84 ) cm. Multiple fibroids (largest one measuring 2.92 x 2.26 cm including posterior myometrium in fundal region) noted involving anterior as well as posterior myometrium. Endometrium is collapsed, normal in thickness and in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.73 1.78) cm. = (2.54 1.63) cm. Left Ovary measures

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION
Suggested clinical correlation and TVS may be considered.

: * Bulky uterus with multiple fibroids.

MR. QUAZI MD NURUZZAMAN 67 13569/1 04/12/2010 DR DEBASISH SEN ULTRASONOGRAPHY OF WHOLE ABDOMEN

MALE 03/12/2010

Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.76 cm. KIDNEYS : Right kidney is normal in size but left kidney appears slightly smaller in size. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. Multiple small calculi measuring 0.357 cm noted in middle calyx of right kidney. A calculus measuring 1.99 cm noted in left Renal pelvis. No hydronephrosis noted in right side but mild hydronephrosis noted in left side. Visualised part of

Upper Ureters are not dilated.

Right kidney measures = 9.79 cm. in length Left kidney measures = 7.58 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. QUAZI MD NURUZZAMAN 67 13569/1 04/12/2010 DR DEBASISH SEN

MALE 03/12/2010

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture It measures (4.92 4.12 4.08) cm. Approximate weight could be around 43 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Slightly small sized left kidney. * Bilateral nephrolithiasis with left sided mild hydronephrosis. * Grade II Prostatomegaly. Suggested clinical correlation.

MR. ASHIS BISWAS 53 13578/1 04/12/2010 DR G MUKHERJEE

MALE 03/12/2010

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. A simple cyst measuring 1.61 x 1.51 cm noted in right lobe of liver (segment V ). Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.3 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 11.0 cm. in length 9.97 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Simple cyst right lobe of liver (segment V). Suggested clinical correlation. MS SUDIPTA BASU 25 13577/1 04/12/2010 DR GOURI DE 03/12/2010 FEMALE

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS :

(POA : 36 week, LMP = 27 / 03 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 35 weeks 4 days. (Measurements are in the skiagram).
B. P. D. : 8.99 cm. 36 weeks 2 days F. L. : 6.80 cm. 35 weeks A. C. : 31.9 cm. 35 weeks 5 days Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 156 b/m. Expected foetal weight could be around 2771 gms. ( 16%).

2) 3) 4) 5) 6) 7)

DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.621 ). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral : Normal spectral tracing with good peak indices (PI 1.51, RI 0.750 ). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.872, RI

gestational maturity of35 weeks 4 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MR. JAYANTA KR ROY 52 41886/1 06/12/2010 DR OF CGHS

MALE 04/12/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.05 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.36 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal and cortico-medullary differentiation appears maintained. Multiple calculi (largest one measuring 0.721 cm) noted in middle calyx of right kidney with a calculus measuring 0.634 cm noted in middle calyx of left kidney. No hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.27 cm. in length Left kidney measures = 9.96 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 76 ml.

MR. JAYANTA KR ROY 52 41886/1 06/12/2010 DR OF CGHS

MALE 04/12/2010

PROSTATE : Prostate is mildly enlarged in size. Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.90 3.55 3.46) cm. Approximate weight could be around 25 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Bilateral Nephrolithiasis. * Grade I Prostatomegaly with post void residual urine 76 ml. Suggested clinical correlation.

MS BELA MONDAL 45 41892/1 06/12/2010 DR OF CGHS

FEMALE 04/12/2010

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.15 cm.) at porta. GALL BLADDER : Gall Bladder is nor visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. Splenic span is 14.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Right kidney measures = 10.0 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS BELA MONDAL 45 41892/1 06/12/2010 DR OF CGHS

FEMALE 04/12/2010

UTERUS : Uterus is anteverted, bulky in size ( 9.60 5.67 3.84) cm. No obvious focal SOL noted involving myometrium. Endometrium is collapsed and normal in thickness. A simple cyst is noted in cervix. Slight septated fluid is noted in POD. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.16 2.14) cm. Left Ovary measures = (3.04 1.68) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * Bulky uterus with Nabothian cyst. * ? Pelvic Inflammatory Disease. Suggested clinical correlation.

MS AYANA BANERJEE 27 13612/1 06/12/2010 DR SUDESHNA MUKHERJEE

FEMALE 04/12/2010

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.03 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.4 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS AYANA BANERJEE 27 13612/1 06/12/2010 DR SUDESHNA MUKHERJEE

FEMALE 04/12/2010

UTERUS : Uterus is anteverted, normal in size ( 7.02 3.50 3.27) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right ovari is noted in Pouch of Douglas. Right Ovary measures = (3.24 2.30) cm. Left Ovary measures = (2.89 2.29) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS SMITA KOLWANKAR 34

FEMALE

13686/1 07/12/2010 DR N CHAUDHURI ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy

07/12/2010

Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 37 weeks 6 days, LMP = 17 / 03 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 37 weeks 3 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. : 9.21 cm. 37 weeks 2 days : 7.29 cm. 37 weeks 2 days : 34.1 cm. 38 weeks

2) Foetal cranio-spinal axis appears normal. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies. 4) Abdominal wall appears within normal limit. 5) Umbilical cord appears normal, however single loop loose cord is suspected around fetal neck. 6) Foetal heart rate is regular,154 b/m. 7) Expected foetal weight could be around 3328 gms. ( 16%). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an

gestational maturity of 37 weeks 3 days. 2) Suspected single loop loose cord around fetal neck.

MS TAPASHI PAUL 28 13654/1 07/12/2010 DR GOURI DE

FEMALE 06/12/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 12 weeks 6 days, LMP = 08 / 09 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of weeks days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 2.09 cm. 13 weeks 2 days : 1.01 cm. 13 weeks : 7.01 cm. 13 weeks 4 days.

Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 152 b/m. Nuchal thickness is 1.3 mm (within normal limits). : 1) Single, live, active foetus in Unstable lie at present of an gestational maturity of13 weeks 2 days.

IMPRESSION average

MS MONIKA DAS 57 42331/1 08/12/2010 DR OF CGHS

FEMALE 07/12/2010

LIVER: Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is contracted. Packed with multiple calculi. Gall bladder wall as seen appears normal. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.96 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.85 cm. in length Left kidney measures = 9.50 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MONIKA DAS 57 42331/1 08/12/2010 DR OF CGHS

FEMALE 07/12/2010

UTERUS : Uterus is small and atrophied (post menopausal status). A small fibroid measuring 1.76 x 1.68 cm noted involving posterior myometrium in fundal region of uterus. Endometrium is in midline and normal in thickness. Cervix looks clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver. * Chronic calculus cholecystitis. * Small subserous uterine fibroid. Suggested clinical correlation.

MR S KARTHIKEYAN 28 13692/1 08/12/2010 DR P S BANDYOPADHYAY

MALE 07/12/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.19 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.60 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No calculus / SOL / Hydronephrosis noted. Right kidney measures = 11.1 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR S KARTHIKEYAN 28 13692/1 08/12/2010 DR P S BANDYOPADHYAY

MALE 07/12/2010

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.20 2.61 2.13) cm. Approximate weight could be around 9.27 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Mildly hyperechoic kidney cortex Early Renal Dysfunction. Suggested clinical correlation and corroboration with serum Urea, Creatinine may be considered.

MS KRISHNA GHOSH 55 13687/1 08/12/2010

FEMALE 07/12/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.22 cm. in length cm. in length Left kidney measures = 9.72

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small and atrophied. A fibroid with calcific degeneration measuring 1.30 x 1.15 cm suspected involving posterior myometrium in body region of uterus. Endometrium is normal in thickness and in midline. Cervix looks clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.

Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Suspected uterine fibroid with calcific degeneration.

Suggested clinical correlation.

MAST SAHAB MONDAL 13 13771/1 09/12/2010 DR BASUDEB CHAKRABORTY 09/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.83 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 9.31 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MAST SAHAB MONDAL 13 13771/1 09/12/2010 DR BASUDEB CHAKRABORTY 09/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.15 2.44 2.44) cm. Approximate weight could be around 9 gm. RIGHT ILIAC FOSSA : Normal peristaltic compressible gut loops noted in right iliac fossa. No obvious probe tenderness noted at present. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS MOUPIYA DEY 28 13529/1 09/12/2010 DR U C NAG 03/12/2010

FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING Thank you for referring the patient for US scan of Follicular Screening

UTERUS : Uterus is anteverted, normal in size ( 7.21 4.22 3.07) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks

clear. Pouch of Douglas is free.

ADNEXA:

Adnexa appear clear with no obvious mass lesion could be detected.

OVARIES: Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = ( 3.18 2.1) cm. Left Ovary measures = (3.69 2.00) cm.
DATE 03/12/2010 04/12/2010 06/12/2010 09/12/2010 RO FOLLICLE No dominant follicle No dominant follicle No dominant follicle No dominant follicle LO FOLLICLE No dominant follicle No dominant follicle No dominant follicle No dominant follicle ET 0.626cm 0.726cm 0.891cm 0.971cm POD Clear Clear Clear Clear

MS PAPIYA MONDAL 28 42471/1 09/12/2010 DR OF CGHS ULTRASONOGRAPHY OF WHOLE ABDOMEN

FEMALE 08/12/2010

LIVER: Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

Thank you for referring the patient for US scan of Whole Abdomen

PORTA : The appearance of porta is normal. Common Bile Duct is 0.26 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.96 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PAPIYA MONDAL 28 42471/1 09/12/2010 DR OF CGHS

FEMALE 08/12/2010

UTERUS : Uterus is anteverted, bulky in size ( 9.31 5.41 3.79) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.15 2.63) cm. 2.29) cm.

Left Ovary measures = (3.19

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatosplenomegaly with mild fatty infiltration of liver. * Bulky uterus. * ? PCOD. Suggested clinical correlation.

MR SUKANTA SARDAR 25 13775/1 09/12/2010 09/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.4 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.9 cm. in length Left kidney measures = 11.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR SUKANTA SARDAR 25 13775/1 09/12/2010 09/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.28 3.06 3.03) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MISS ELROLR CHAWNGTHU 8 42774/1 11/12/2010 DR OF CGHS

FEMALE 10/12/2010

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.51 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.51 cm. in length Left kidney measures = 9.77 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MISS ELROLR CHAWNGTHU 8 42774/1 11/12/2010 DR OF CGHS

FEMALE 10/12/2010

UTERUS : Uterus as seen appears normal in shape, size (as per age of patient) & anteverted. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (1.81 1.64) cm. Left Ovary measures = (2.60 1.52) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS PUSPITA ROY 26

FEMALE

13837/1 11/12/2010 DR U C NAG

11/12/2010

ULTRASONOGRAPHY OF PREGNANCY (ANOMALY) Thank you for referring the patient for US scan of Pregnancy ( Anomaly) Mother : : Single, live, active foetus noted in Cephalic presentation at present. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 22 weeks, LMP = 10 / 07 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 20 weeks 1 day. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 4.67 cm. 20 weeks. : 3.22 cm. 20 weeks. : 15.7 cm. 20 weeks 5 days.

Foetal cranio-spinal axis appears normal. Limbs and long bones appear normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 137 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 20 weeks 1 day. 2) No gross anomaly noted at present.

MR. GAUTAM SIKDAR 51 13838/1 11/12/2010 DR S DAS 11/12/2010

MALE

ULTRASONOGRAPHY OF LOWER ABDOMEN

Thank you for referring the patient for US scan of Lower Abdomen
KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.45 cm. in length cm. in length Left kidney measures = 9.90

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate is mildly enlarged in size and heterogenous in echotexture. It measures (4.25 3.74 3.34) cm. Approximate weight could be around 27 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. N.B.: Scan over left Inguinal region reveals a suspected peristaltic compressible gut loop in subcutaneous region nad prominence with cough reflux noted. No obvious sign of srrangulation noted at present. IMPRESSION : * Grade I Prostatomegaly. Suggested clinical correlation.

MS NIBIRA MAJILYA 22 13834/1 11/12/2010 DR GOURI DE 11/12/2010

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length cm. in length Left kidney measures = 10.7

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.36 4.03 2.78) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas

is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.92 2.31) cm. 2.02) cm.

Left Ovary measures = (3.31

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION considered. MR. SATIRANJAN CHATTERJEE 76 13836/1 11/12/2010 11/12/2010 MALE : * ? PCOD. Suggested clinical correlation and hormonal assay may ne

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.89 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.99 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.89 cm. in length Left kidney measures = 9.13 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 103 ml.

MR. SATIRANJAN CHATTERJEE 76 13836/1 11/12/2010 11/12/2010

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.01 4.09 3.90) cm. Approximate weight could be around 42 gm. RIGHT ILIAC FOSSA: Normal compressible peristaltic gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly with post void residual urine 103 ml. Suggested clinical correlation.

MS SIRISHA 26 13843/1 11/12/2010

DR M PADMAJA BHATTACHARYA

FEMALE 11/12/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, however as seen appears normal. wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 6.61 4.78 3.87) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.74 2.27) cm. 2.36) cm.

Left Ovary measures = (3.08

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION considered. MS TUHINA NATH 21 13902/1 13/12/2010
DR KAKALI BOSE

: * ? PCOD. Suggested clinical correlation and hormonal assay may ne

FEMALE 13/12/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 26 weeks 2 days, LMP = 12 / 06 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 25 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) : 4.66 cm. 25 weeks 3 days : 20.6 cm. 25 weeks 1 day.

: 6.30 cm. 25 weeks 3 days

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal.

6) Foetal heart rate is regular, 148 b/m. IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 25 weeks 2 days.

MS TRIPTI MONDAL 25 13909/1 13/12/2010 DR P S BANDYOPADHYAY 13/12/2010

FEMALE

LIVER: Liver is mildly enlarged size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.67 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.45 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. Mild hypronephrotic change detected on left side. Right kidney measures = 10.4 cm. in length cm. in length Left kidney measures = 10.4

URETERS: Right ureter is not dilated. Left ureter is mildly dilated in its upper part with a calculus measuring 0.814 cm noted impacted in upper part of left ureter. URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS TRIPTI MONDAL 25 13909/1 13/12/2010 DR P S BANDYOPADHYAY 13/12/2010

FEMALE

UTERUS :

Uterus is retroverted, normal in size ( 7.68 5.26 3.88) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.71 2.18) cm. Left Ovary measures = (3.91 2.50) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Left sided mild hydroureteronephrosis with impacted calculus in left upper ureter. * Retroverted uterus. * ? PCOD. Suggested clinical correlation.

MS SOMA DHAL 17 13888/1 13/12/2010 DR GOURI DE 12/12/2010

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length cm. in length Left kidney measures = 10.6

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.80 3.69 3.39) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary appears slightly enlarged in size. Multiple peripheral cysts with suspected increased stromal echogenecity noted - ? PCOD. Right Ovary measures = ( 3.51 2.47 ) cm. A simple cyst measuring 5.93 x 4.59 cm noted in left adnexa. Left ovary could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Suspected polycystic change in right ovary.

Suggested clinical correlation.

* Left adnexal simple cyst.

MS BINA RANI DEY 76 13832/1 13/12/2010 10/12/2010

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN (LIMITED STUDY) Thank you for referring the patient for USG scan
STUDY OF WHOLE ABDOMEN COULD NOT BE PERFORMED AS PATIENT BECOME SUDDENLY ILL. REPORT GIVEN ON REQUEST BY PATIENT PARTY.

LIVER : Liver is enlarged in size. A large simple cyst measuring 12.7 x 11.0 cm noted in right lobe of liver. Liver parenchymal echotexture as seen appears normal. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.26 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.66 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. RIGHT KIDNEY : Right Kidney is normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Two simple cortical cysts measuring 4.06 x 5.11 cm (approx) noted in right kidney. Right kidney measures = 10.6 cm. in length

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Hepatomegaly with cystic SOL in right lobe of liver. * Right Renal simple cortical cyst. Suggested clinical correlation. Complete study can be performed at a later date with prior appointment and proper preparation. MS LOVELY DAS 36 42998/1 13/12/2010 DR OF CGHS ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

FEMALE 11/12/2010

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.92 cm. in length Left kidney measures = 9.40 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS LOVELY DAS 36 42998/1 13/12/2010 DR OF CGHS

FEMALE 11/12/2010

UTERUS :

Uterus is anteverted, normal in size ( 7.14 4.96 4.06) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.39 1.89) cm. Left Ovary measures = (3.33 1.92) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with mild fatty infiltration of liver. * ? PCOD Suggested clinical correlation.

MS SHARMILA KUJUR 32 43082/1 13/12/2010 DR OF CGHS

FEMALE 12/12/2010

LIVER: Liver is minimally enlarged in size and midly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.88 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 8.7 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MS SHARMILA KUJUR 32 43082/1 13/12/2010 DR OF CGHS

FEMALE 12/12/2010

UTERUS : Uterus is anteverted, normal in size ( 6.45 4.79 3.60) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.62 2.63) cm. Left Ovary measures = (3.92 3.01) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatosplenomegaly with mild fatty infiltration of liver.

* ? PCOD. Suggested clinical correlation.

MS IRA BANERJEE 67 43265/1 14/12/2010 DR OF CGHS

FEMALE 13/12/2010

LIVER: Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.39 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.72 cm. KIDNEYS :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.39 cm. in length Left kidney measures = 9.72 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS IRA BANERJEE 67 43265/1 14/12/2010 DR OF CGHS

FEMALE 13/12/2010

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS PAPRI HALDER 65 13939/1 14/12/2010 DR CHANCHAL GOSWAMI 14/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

be detected at its visualised part. Portal vein is normal (1.16 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.74 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.76 cm. in length Left kidney measures = 9.63 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PAPRI HALDER 65 13939/1 14/12/2010 DR CHANCHAL GOSWAMI 14/12/2010

FEMALE

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS SUBHRA ADHIKARY 40

FEMALE

13904/1 14/12/2010 DR AMIT GHOSE

13/12/2010

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.70 cm. in length = 9.93 cm. in length Left kidney measures

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size (6.28 3.90 3.24) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.60 2.24) cm. (2.86 2.41) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION
Suggested clinical correlation.

: * Study within normal limits.

MS SUKLA BAKSHI 50 13940/1 14/12/2010 DR CHITTARANJAN ROY 14/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.89 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.72 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.51 cm. in length Left kidney measures = 9.61 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUKLA BAKSHI 50 13940/1 14/12/2010 DR CHITTARANJAN ROY 14/12/2010

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.15 5.02 3.84) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.15 1.81) cm.

Left

Ovary measures = (2.22 1.95) cm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with moderate fatty infiltration of liver. Suggested clinical correlation.

MS SABITA SRIVASTAVA 38 43269/1 14/12/2010 DR OF CGHS

FEMALE 13/12/2010

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.15 cm. in length Left kidney measures = 9.51 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SABITA SRIVASTAVA 38 43269/1 14/12/2010 DR OF CGHS

FEMALE 13/12/2010

UTERUS : Uterus is anteverted, normal in size (7.87 5.01 2.97) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.01 1.78) cm. Left Ovary measures = (2.36 1.83) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. Suggested clinical correlation.

MR. ABHISHEK DEORA 21 13990/1 15/12/2010 DR C P S BANDYOPADHYAY 15/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.97 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. ABHISHEK DEORA 21 13990/1 15/12/2010 DR C P S BANDYOPADHYAY 15/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.23 3.00 2.67) cm. Approximate weight could be around 13 gm. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Minimal hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS ANIMA MONDAL 30 13972/1 15/12/2010 DR BISWAMBHAR AGARWAL 14/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.68 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.40 cm. in length Left kidney measures = 9.99 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANIMA MONDAL 30 13972/1 15/12/2010 DR BISWAMBHAR AGARWAL 14/12/2010

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.05 4.80 3.49) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.29 1.73) cm. Left Ovary measures = (3.61 1.88) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MS SANCHITA DAS 34 13987/1 15/12/2010 DR DIBYENDU BANERJEE ULTRASONOGRAPHY OF LOWER ABDOMEN 15/12/2010

FEMALE

Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length 10.7 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.37 6.29 3.97) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (4.09 2.22) cm. 2.26) cm.

Left

Ovary measures = (3.57

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.

Suggested clinical correlation and hormonal assay may be considered.

* ?PCOD.

MR. ASHOK KUMAR 48 13978/1 16/12/2010 DR OF SUB DIVISIONAL HOSP 14/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.25 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length Left kidney measures = 11.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. ASHOK KUMAR 48 13978/1 16/12/2010 DR OF SUB DIVISIONAL HOSP 14/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.19 2.92 2.57) cm. Approximate weight could be around 12.5 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. R R GOND 55 13995/1 16/12/2010 DR ASEEM CHATTERJEE 15/12/2010

MALE

DOPPLER STUDY OF ABDOMINAL AORTA Thank you for referring the patient for Doppler Study of Abdominal Aorta DOPPLER STUDY : Pre-renal and post-renal portion of abdominal aorta reveals normal doppler spectrums however flow appears monophasic. No evidence of aneurysm, calcification, plaque formation stenosis or occlusion is seen.

Normal flow patterns are seen iliac artries of both sides however flow appears monophasic. : Suspected monophasic flow (? Chronic Vasculitis) noted. Suggested clinical correlation.

IMPRESSION

MR. R R GOND 55 13995/1 16/12/2010 DR ASEEM CHATTERJEE 15/12/2010

MALE

COLOUR DOPPLER ARTERIAL STUDY OF BOTH LOWER LIMBS # R E P O R T #

Common femoral Artery (CFA) with its superficial and deep branch, Popliteal artery (POP A) and posterior tibial arteries (PTA) and arteria dorsalis pedis (DPA) appear normal in caliber, clear and anechoic lumen and no obvious segment of stenosis is demonstrated. No significant plaque is demonstrated however a calcified plaque measuring 1.07 X 0.389 cm noted involving poetrior wall of Right Common Femoral Artery (CFA).

Monophasic flow noted in both Common femoral Artery (CFA) and Deep Femoral Artery (DFA). No obvious flow detected in both Superficial Femoral Artery (SFA). Reduced collateral monophasic flow detected in Left Superficial Femoral Artery (SFA) add canal, Bilateral Popliteal artery (POP A), and posterior tibial arteries (PTA). No obvious flow noted in Bilateral arteria dorsalis pedis (DPA)

PEAK SYSTOLIC VELOCITIES Artery Right Right Right Right Right Right Left Left Left Left Left Left Common Femoral Artery Superficial Femoral Artery Deep Femoral Artery Popliteal Artery Posterior Tibial Artery Dorsalis pedis Artery Velocities (Cm/s) 70.6 -85.0 25.9 27.4 -92.2 -72.0 27.4 21.6 --

Common Femoral Artery Superficial Femoral Artery Deep Femoral Artery Popliteal Artery Posterior Tibial Artery Dorsalis pedis Artery

IMPRESSION : Doppler study is suggestive of monophasic and reduced monophasic collateral flow in arteries of both lower limb Sequalae to ? Chronic Vasculitis. Suggested clinical correlation.

MS JOIE BOSE 25 14035/1 16/12/2010 DR ASISH KUMAR GHOSH 16/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY

Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA :33 weeks 6 days, LMP = 24 / 04 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 35 weeks 3 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 8.77 cm. 35 weeks 3 days : 6.87 cm. 35 weeks 1 day : 32.1 cm. 36 weeks

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,124 b/m. Expected foetal weight could be around 2775 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 35 weeks 3 days.

IMPRESSION average

N.B. : Old USG reports not available for comparative evaluation.

MS JOIE BOSE 25 14035/1 16/12/2010 16/12/2010

FEMALE

DR ASISH KUMAR GHOSH

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal with maintained cortico-medullary differentiation. No obvious calculus or SOL noted. Mild hydronephrotic change detected bilaterally. Right kidney measures = 10.8 cm. in length Left kidney measures = 12.1 cm. in length URETERS: Right ureter is mildly dilated in its upper part however mid and lower part could not be well assessed. Left ureter is not dilated.

IMPRESSION : Right sided mild hydroureteronephrosis with left sided mild hydronephrosis Possibility of Back pressure effect needs consideration. Suggested clinical correlation.

MS NAMITA PAL 58 14038/1 16/12/2010 DR DILIP K CHAKRABORTTI

FEMALE 16/12/2010

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.86 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.91 cm. in length Left kidney measures = 9.17 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

detected. POST VOID STUDY : Post void study of residual urine measures 66 ml.

MS NAMITA PAL 58 14038/1 16/12/2010 DR DILIP K CHAKRABORTTI

FEMALE 16/12/2010

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Post void residual urine measures 66 ml. Suggested clinical correlation.

MS JYOTI VERMA 25 43836/1 18/12/2010 DR OF CGHS

FEMALE 16/12/2010

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 15 weeks 1 day, LMP = 01 / 09 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 15 weeks 6 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) Foetal cranio-spinal axis appears normal. 3) Abdominal wall appears within normal limit. 4) Umbilical cord appears normal. : 1.97 cm. 15 weeks 6 days : 9.98 cm. 16 weeks

: 3.16 cm. 15 weeks 6 days

5) Foetal heart rate is regular,148 b/m. IMPRESSION average : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of15 weeks 6 days.

MS UMA KEDIA 55 14081/1 18/12/2010 18/12/2010

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length 9.40 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Essentially Normal Study.

Suggested clinical correlation.

MS REKHA DEVI 23 139851/1 18/12/2010 DR (MRS) PAPIYA DUTTA 15/12/2010

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 8.89 cm. in length 8.83 cm. in length

Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.96 6.48 4.02) cm. No focal SOL noted in myometrium. Focal mild thickening of endometrium 1.02 cm noted in fundal region of uterus with few suspected echogenic foci within suggestive of retained bites of conceptus. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.46 1.32) cm. = (3.17 2.22) cm. Left Ovary measures

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : USG features are suggestive of mildly bulky uterus with retained bits of conceptus.
Suggested clinical correlation.

MR. SAKTI PRASAD BHATTACHARYA 36

MALE

14072/1 18/12/2010 DR DEBAJYOTI KHASTGIR

16/12/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is enlarged in size and grossly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Pancreas could not be well assessed due to gas shadow however as seen appears normal. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 11.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SAKTI PRASAD BHATTACHARYA 36 14072/1 18/12/2010 DR DEBAJYOTI KHASTGIR 16/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.17 3.04 2.48) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Hepatomegaly with gross fatty infiltration of liver. * Mild splenomegaly Suggested clinical correlation.

MR. SABYASACHI KUILA 19 14075/1 18/12/2010 DR A K CHATTERJEE 18/12/2010

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen
LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.88 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.12 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.72 cm. in length 9.55 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. Suggested clinical correlation. MS PIYALI BARUI 20 13983/1 18/12/2010 DR SHARMISHTHA PATRA FEMALE 14/12/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PIYALI BARUI 20 13983/1 18/12/2010 DR SHARMISHTHA PATRA

FEMALE 14/12/2010

UTERUS : Uterus is anteverted, normal in size ( 6.71 5.56 3.81) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.30 1.67) cm. Left Ovary measures = (2.57 1.88) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. Suggested clinical correlation.

MS MUNMUN GHOSH 26 14079/1 18/12/2010 DR M PADMAJA BHATTACHARYA 18/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (TVS)

Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac measuring 0.740 cm noted. Yolk sac is noted in gestational sac. No obvious fetal node noted at present. Gestational age by LMP : weeks days ( 03 / 11 / 2010 )

Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.95 2.06 ) cm. Size of Left Ovary = ( 2.73 1.91 ) cm. POD : Clear

IMPRESSION :- Early Intrauterine Pregnancy. Repeat USG may be considered after 10 12 days.

MS MAHUA ROY 25 14082/1 18/12/2010 DR GOURI DE 18/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

Thank you for referring the patient for US scan of Pregnancy(Doppler)
MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 35 weeks 1 day, LMP = 16 / 04 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 33 weeks 6 days. (Measurements are in the skiagram).
B. P. D. : 8.61 cm. 34 weeks 5 days F. L. : 6.48 cm. 33 weeks 3 days A. C. : 29.6 cm. 33 weeks 3 days Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,137 b/m. Expected foetal weight could be around 2283 gms. ( 16%).

2) 3) 4) 5) 6) 7)

DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.608). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral : Normal spectral tracing with good peak : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.971, RI

indices (PI 1.40, RI 0.727). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an

gestational maturity of 33 weeks 6 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MR. SUSHIL KR SEN 65 14191/1 21/12/2010 DR S K BISWAS 21/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.18 cm.

KIDNEYS : Right kidney appears slightly smaller in size. Left kidney appears normal in size. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No calculus, SOL or hydronephrosis noted. Right kidney measures = 8.03 cm. in length Left kidney measures = 8.46 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SUSHIL KR SEN 65 14191/1 21/12/2010 DR S K BISWAS 21/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.10 2.78 2.66) cm. Approximate weight could be around 12 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mildly fatty infiltration of liver. * Mildly hyperechoic kidney cortex - ? Early Renal Dysfunction / ? Senile changes. Suggested clinical correlation and corroboration with Serum Urea, Creatinine may be considered.

MS SANKARI SOREN 42 44466/1 21/12/2010 DR OF KPA 20/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.37 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 9.43 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SANKARI SOREN 42 44466/1 21/12/2010 20/12/2010

FEMALE

DR OF KPA

UTERUS : Uterus is not visualized History of Hysterectomy ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS SNIGDHA ACHARYA 52 14147/1 21/12/2010 DR KOUSHIK CHAKI 20/12/2010

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver ismildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.01 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.86 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 11.7 cm. in length 11.7 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS MITALI DE 34 44487/1 21/12/2010 DR OF KPA 20/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present (160 BPM). Gestational age by LMP : 11 weeks 3 days ( 02 / 10 / 2010 ) CRL : 4.02 cm ( 10 weeks 6 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate.

Urinary bladder is partially distended. No SOL seen . No diverticulum present. Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.60 1.92 ) cm. Size of Left Ovary = ( 4.25 2.00 ) cm.

IMPRESSION :- Single live foetus with gestational age by USG 10 weeks 6 days.

MS PRIYANKA MUKHERJEE 28 14181/1 21/12/2010 DR GOURI DE 20/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present (166 BPM). Gestational age by LMP : 9 weeks 6 days ( 12 / 10 / 2010 ) CRL : 3.04 cm ( 10 weeks ). Decidual reaction is noted all around.

Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present. Adnexae : No echogenic mass is seen in right adnexal region. A cyst measuring 3.23 x 2.20 cm noted in left ovary. Size of Right Ovary = ( 2.87 2.13 ) cm. POD : Clear

IMPRESSION :- * Single live foetus with gestational age by USG 10 weeks. * Left ovarian corpus luteal cyst.

MS KRISHNA HALDER 40 14182/1 21/12/2010 DR GOURI DE 20/12/2010

FEMALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.24 cm. in length 10.5 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 67 ml. UTERUS : Uterus is anteverted, normal in size ( 7.60 3.65 3.29) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.17 1.69) cm. (2.48 1.77) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Post void residual urine measures 67 ml. Suggested clinical correlation. MS KHUKU SENGUPTA 64 14198 /1 22/12/2010 DR OF CGHS 21/12/2010 FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.97 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.83 cm. in length Left kidney measures = 9.57 cm. in length URINARY BLADDER : Urinary bladder is partially distended (on two separate occasions), wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MS KHUKU SENGUPTA 64 14198 /1 22/12/2010 DR OF CGHS

FEMALE 21/12/2010

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS SUNAYANI MONDAL 24 14227/1 22/12/2010 DR. (MRS.) GOURI DE 22/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (SCREENING)

Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single irregularly outlined gestational sac . No obvious fetal node or yolk sac noted at present however amniotic membrane is suspected in gestational sac. Gestational age by LMP : 9 weeks 3 days ( 17 / 10 /10 ) MSD : 2.73 cm ( 7 weeks 3 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = (2.23 2.31) cm. Size of Left Ovary = (2.741.89) cm. POD : Clear

IMPRESSION :- USG features are suggestive of Early Pregnancy failure.

SMT. ARATI HALDAR 66 14228/1 22/12/2010 DR. (MRS.) M. SARKAR

FEMALE 22/12/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.19 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.93 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.89 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. Two calculi measuring approx 0.6 cm in upper and lower calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.16 cm. in length Left kidney measures = 9.83 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

SMT. ARATI HALDAR 66 14228/1 22/12/2010 DR. (MRS.) M. SARKAR

FEMALE 22/12/2010

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly. Left sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

MS. JOYASHREE ROY CHOWDHURY 59 14216/1 22/12/2010 DR. N. K. NATH 22/12/2010

FEMALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER

Thank you for referring the patient for US scan of Kidney Ureter & Bladder

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.84 cm. in length

Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Essentially normal study. Suggested clinical correlation. MALE 22/12/2010 70

MS. SUKDEB MUKHERJEE 44843/1 23/12/2010 DR. OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal

parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.5 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.81 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.29 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.70 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS. SUKDEB MUKHERJEE 70 44843/1 23/12/2010 DR. OF CGHS 22/12/2010

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.74 4.13 3.77) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Grade II Prostatomegaly. Suggested clinical correlation.

MR. D. C. BISWAS 72 44851/1 23/12/2010 DR. OF CGHS 22/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.15 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. Multiple mobile calculi noted in Gall bladder lumen. Gall bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.84 cm. KIDNEYS : Both the Kidneys are normal in shape, size, and position. Both kidney cortex is mildly hyperechoic with suspected partial loss of corticomedullary differentiation. No calculas, SOL or hydronephrosis noted. Right kidney measures = 8.60 cm. in length Left kidney measures = 8.66 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant

MR. D. C. BISWAS 72 44851/1 23/12/2010 DR. OF CGHS 22/12/2010

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.05 3.73 3.56) cm. Approximate weight could be around 35 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Mild Hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. * Mildly hyperechoic kidney cortex - ? Early Renal Dysfunction / ? Senile changes. * Grade II Prostatomegaly. Suggested clinical correlation and corroboration with serum urea, creatinine may be considered.

MR. KANTI LAL SENGUPTA 44846/1 23/12/2010 DR. OF CGHS

MALE 22/12/2010

65

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.89 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.69 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.53 cm. in length Left kidney measures = 9.95 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant

MR. KANTI LAL SENGUPTA 44846/1 23/12/2010 DR. OF CGHS

MALE 22/12/2010

65

PROSTATE : Prostate is mildly enlarged in size. Echotexture appears within limits. No focal alteration of its echogenecity could be

detected. Seminal vesicles are normal in calibre & termination. It measures (3.70 3.46 3.34) cm. Approximate weight could be around 22 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Grade I prostatomegaly Suggested clinical correlation.

MISS SAMAYITA GHOSH 10 14263/1 23/12/2010 22/12/2010

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen

LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.26 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.13 cm. in length cm. in length Left kidney measures = 8.67

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS PARBATI SASHMAL 28 14243/1 23/12/2010 DR (MRS) GOURI DE 22/12/2010

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.33 cm. in length 8.88 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.17 4.85 3.74) cm. No focal SOL noted in myometrium. Few small echogenic foci with slight fluid suspected in endometrial cavity suggestive of retained bits of conception Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.12 1.79) cm. (2.69 2.65) cm. RETROPERITONEUM & PERITONEUM : Left Ovary measures =

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : USG features are suggestive of retained bits of conception. Suggested clinical correlation.

MR. SUBIR KR SINHA 51 44995/1 24/12/2010 DR of CGHS 23/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size but echotexture appears slightly coarse. No focal SOL noted. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.20 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.87 cm. in length Left kidney measures = 9.04 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. SUBIR KR SINHA 51 44995/1 24/12/2010 DR of CGHS 23/12/2010

MALE

PROSTATE :

Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.86 2.84 2.73) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with suspected slightly coarse echotexture - ? Liver Parenchymal Disease. Suggested clinical correlation and further investigation may be considered for confirmation.

MR SUKHAL HANSDA 49 14310/1 24/12/2010 DR ASHIS KUMAR SAHA 24/12/2010

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. An irregular marginated thick walled complex cystic SOL measuring 3.44 x 3.26 cm noted in right lobe of liver (segment VIII) - ? Abscess. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.08 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended. A non impacted mobile calculus noted in gall bladder lumen. Gall bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.14 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.33 cm. in length 9.03 cm. in length Left kidney measures =

MR SUKHAL HANSDA 49 14310/1 24/12/2010 DR ASHIS KUMAR SAHA 24/12/2010

MALE

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * ? Abscess right lobe of liver. * Cholelithiasis. Suggested clinical correlation. N.B.: In comparison with old USG report date 23/11/2010 there appears to be no obvious improvement in size of liver SOL.

MS SABINA 19 14309/1 24/12/2010 DR GOURI DE 24/12/2010

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length 9.46 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size (5.91 3.99 3.26) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary appears slightly enlarged in size. Multiple peripheral cysts with increased stromal echogenecity noted

- ? Polycystic change. A simple cyst measuring 3.56 x 2.74 cm noted in right paraovarian region. Left ovary is normal in shape, size, position & echotexture. Right Ovary measures = (3.38 2.36) cm. (2.52 1.84) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Suspected polycystic change in right ovary. * Right paraovarian simple cyst. Suggested clinical correlation and TVS may be considered.

MS INDU DEVI 40 45214/1 25/12/2010 DR OF KPA 24/12/2010

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.22 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS INDU DEVI 40 45214/1 25/12/2010 DR OF KPA 24/12/2010

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.34 5.67 4.76) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.77 2.04) cm. Left Ovary measures = (3.15 2.12) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Mildly bulky uterus. Suggested clinical correlation.

MR. S B DUTTA 72

MALE

45221/1 25/12/2010 DR OF CGHS

24/12/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.03 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.99 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.41 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Post void residual urine measures 53 ml.

MR. S B DUTTA 72 45221/1 25/12/2010 DR OF CGHS 24/12/2010

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. A simple cyst measuring 0.99 cm noted in prostate. It measures (4.05 3.94 3.77) cm. Approximate weight could be around 31 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly with simple prostatic cyst. * Post void residual urine measures 53 ml. Suggested clinical correlation.

MR. GOPAL CHANDRA MUKHERJEE 91 45219/1 25/12/2010 DR OF CGHS 24/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum

appears normal. No definite collaterals could be detected. Splenic span is 9.50 cm. KIDNEYS : Both the Kidneys are normal in siza but irregularly marginated. Cortical echotexture appears normal with maintained cortico-medullary differentiation. Simple cortical cysts ( Large cyst measuring 9.21 x 7.95 cm noted upper pole of right kidney) noted bilaterally. Mild hydronephrotic change detected on right side. No hydronephrotic change detected on left side. No calculus noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 13.3 cm. in length Left kidney measures = 11.0 cm. in length URINARY BLADDER : Urinary bladder is partially distended. Urinary bladder wall appears normal. No obvious intraluminal calculus noted. Post void not done as urinary bladder was not optimally distended.

MR. GOPAL CHANDRA MUKHERJEE 91 45219/1 25/12/2010 DR OF CGHS 24/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.03 3.09 2.66) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bilateral Renal cortical cyst. * Right sided mild hydronephrosis. Suggested clinical correlation.

MR. PARIMAL ROY 58 14347/1 27/12/2010 DR SIBAJI BASU 24/12/2010

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.

Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.68 cm. in length 10.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.30 4.21 4.18) cm. Approximate weight could be around 39 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Grade II Prostatomegaly. Suggested clinical correlation.

MS SUCHITRA MISTRI 48 14414/1 28/12/2010 DR (MRS) MILAN RANI BISWAS 27/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.79 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.96 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MS SUCHITRA MISTRI 48 14414/1 28/12/2010 DR (MRS) MILAN RANI BISWAS 27/12/2010

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 5.95 5.05 3.34) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.36 1.26) cm. Left Ovary measures = (2.27 1.98) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS A T TRIPATHY 33 14416/1 28/12/2010 DR A K PAN 27/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.2 cm. KIDNEYS :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.49 cm. in length Left kidney measures = 9.67 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS A T TRIPATHY 33 14416/1 28/12/2010 DR A K PAN 27/12/2010

FEMALE

UTERUS : Uterus is slightly retroverted, normal in size ( 7.81 5.23 3.71) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.79 1.95) cm. Left Ovary measures = (2.25 1.95) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with moderate fatty infiltration of liver. * Slightly retroverted uterus Suggested clinical correlation.

MR. ALAR THOITAK 60 14419/1 28/12/2010 DR SUGATA CHATTERJEE 28/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could

be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Pancrease is normal in shape, size but heterogenous in echotexture. No focal SOL noted. Peripancreatic fat planes appears maintained. Main Pancreatic duct is not dilated. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.10 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length Left kidney measures = 11.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. ALAR THOITAK 60 14419/1 28/12/2010 DR SUGATA CHATTERJEE 28/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.23 3.01 2.85) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Heterogenous pancreas. Suggested clinical correlation.

MS MOUMITA BARUI 16

FEMALE

14418/1 28/12/2010 DR (MRS) GOURI DE

28/12/2010

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.50 cm. in length 9.91 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is slightly retroverted, normal in size ( 7.61 5.14 4.48) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.65 1.67) cm. (2.98 2.35) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Slightly Retroverted uterus.
Suggested clinical correlation.

MS RUBY CHATTERJEE 71 14421/1 28/12/2010 DR SAMAYUG BHOWMIK 28/12/2010

FEMALE

COLOUR DOPPLER VENOUS STUDY OF BOTH LOWER LIMB

All the major veins in the lower limb are examined with high resolution Ultrasonography and reveals normal anechoic lumen and normal compressibility. No obvious luminal dilatation and thrombus is demonstrated in any segment.

Color filling is good in all the veins with complete fill-in across the lumen of the vein. Normal phasic variation is noted. On distal compression, good augmentation is noted. Both sapheno-femoral junctions are competent with complete cessation of flow during valsalva. Deep venous system as well as Sapheno-Popliteal junctions appear competent. No obvious perforators are noted during scanning.

IMPRESSION : * Doppler study of bilateral lower limb venous system is within normal limit. No Deep Venous Thrombosis. Suggested clinical correlation.

MS MONILATA BEHERA 27 14460/1 29/12/2010 DR GOURI DE 29/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), appears forming at posterior uterine wall. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 12 weeks 6 days, LMP = 30 / 09 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of weeks days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) Foetal cranio-spinal axis appears normal. 3) Abdominal wall appears within normal limit. 4) Umbilical cord appears normal. : 2.03 cm. 13 weeks 1 day : 0.957 cm. 12 weeks 6 days : 6.84 cm. 13 weeks 3 days

5) Foetal heart rate is regular, 148 b/m. 6) Nuchal thickness is 1.3 mm (within normal limits). IMPRESSION average : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of 13 weeks 1 day.

MR. MADAN BISWAS 48 14461/1 29/12/2010 DR S K BISWAS 29/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. Calcific dots noted in left lobe of liver suggestive of old healed granulomatous lesions. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.05 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.58 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. MADAN BISWAS 48 14461/1 29/12/2010 DR S K BISWAS 29/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are

normal in calibre & termination. It measures (3.94 3.40 2.84) cm. Approximate weight could be around 20 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Old healed granulomatous lesions in left lobe of Liver. Suggested clinical correlation.

MS MANJIMA BEGUM 39 14432/1 29/12/2010 DR S SINHA 28/12/2010

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is minimally enlarged in size and normal in echotexture. A small calcific dot noted in right lobe of liver (segmwnt VIII) suggestive of old healed granulomatous lesion. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.17 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.04 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.01 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.58 cm. in length Left kidney measures = 8.77 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MANJIMA BEGUM 39 14432/1 29/12/2010 DR S SINHA 28/12/2010

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 11.5 6.60 5.17) cm. A fibroid measuring 2.80 x 2.79 cm noted in fundal region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.58 1.85) cm. Left Ovary measures = (2.63 1.95) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with old healed granulomatous lesion in right lobe of liver (segment VIII). * Bulky uterus with fibroid. Suggested clinical correlation.

MS RESHMA JAMIL 30 14487/1 30/12/2010 DR M PADMAJA BHATTACHARYA 29/12/2010

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (TVS)

Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac and yolk sac noted. Embryonal node is noted. Embryonal heart beat is present ( 154 BPM). Gestational age by LMP : 6 weeks 2 days ( 16 / 11 / 2010 ) CRL : 1.05 cm ( 7 weeks 2 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.64 2.29 ) cm. Size of Left Ovary = ( 2.76 1.46 ) cm. POD : Clear

IMPRESSION :- Single live embryo with gestational age by USG 7 weeks 2 days.

MS ANIMA RAY 80 14489/1 30/12/2010 DR SANDIP DAS RAY 30/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.08 cm. in length Left kidney measures = 8.86 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANIMA RAY 80 14489/1 30/12/2010 DR SANDIP DAS RAY 30/12/2010

FEMALE

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS RENUKA ROY 54 45877/1 31/12/2010 DR OF CGHS 30/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.48 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.55 cm. in length Left kidney measures = 8.90 cm. in length URINARY BLADDER : Urinary bladder is partially distended (on two separate occasions), wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS RENUKA ROY 54 45877/1 31/12/2010 DR OF CGHS 30/12/2010

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.21 5.20 4.14 ) cm. A fibroid measuring 2.09 x 1.86 cm suspected in fundal region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.41 1.92) cm. Left Ovary measures = (3.01 2.04) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Bulky uterus with suspected fibroid. Suggested clinical correlation and TVS may be considered.

MR. SUBODH CH CHAKRABORTY 87

MALE

46032/1 31/12/2010 DR OF CGHS

30/12/2010

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended. A non mobile calculus noted in gall bladder lumen. Gall Bladder wall as seen appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Multiple cortical cysts noted in left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is normally distended. Urinary bladder wall is mildly thick and irregular Sequalae to ? Chronic Bladder Outlet Obstruction / ? Chronic cystitis. POST VOID STUDY :

Post void residual urine measures 55 ml.

MR. SUBODH CH CHAKRABORTY 87 46032/1 31/12/2010 DR OF CGHS 30/12/2010

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.32 4.53 4.04) cm. Approximate weight could be around 50 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. * Left Renal cortical cysts. * Grade III Prostatomegaly with post void residual urine measures 55 ml.

* Mildly thick and irregular urinary bladder wall - Sequalae to / ? Chronic Bladder Outlet Obstruction / ? Chronic cystitis. Suggested clinical correlation.

MR. SATYA RANJAN KAR 87 46033/1 31/12/2010 DR OF CGHS 30/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.75 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A cortical cyst noted in left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.91 cm. in length Left kidney measures = 8.21 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. SATYA RANJAN KAR 87 46033/1 31/12/2010 DR OF CGHS 30/12/2010

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.59 2.98 2.61) cm.

Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Left Renal cortical cyst. Suggested clinical correlation.

MR. SISIR KR DAS 52 46030/1 31/12/2010 DR OF CGHS 30/12/2010

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER :

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.39 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.14 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. Mild hydronephrotic change noted bilaterally. Visualised part of Upper Ureters are mildly dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.62 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 121 ml.

MR. SISIR KR DAS 52

MALE

46030/1 31/12/2010 DR OF CGHS

30/12/2010

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (5.95 3.99 3.93) cm. Approximate weight could be around 48 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bilateral mild hydroureteronephrosis. * Grade II Prostatomegaly with mild median lobe enlargement. * Post void residual urine measures 121 ml. Suggested clinical correlation.

MS KABITA MANDAL 21 14518/1 31/12/2010 DR SUBIR KR ROY ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy 30/12/2010

FEMALE

Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (AFI - 9)

FOETUS :

(POA : 36 weeks 4 days, LMP = 19 / 04 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 34 weeks 4 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 6.60 cm. 34 weeks : 31.0 cm. 35 weeks

: 8.63 cm. 34 weeks 5 days

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 135 b/m. Expected foetal weight could be around 2518 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 34 weeks 4 days.

IMPRESSION average

MR. TUHIN BERA 65 14527/1 31/12/2010 DR SHIVAJI BASU 31/12/2010

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A cortical cyst with partial cyst wall calcification noted in mid part of right kidney. Cortical echogenecity appears normal maintaining corticomedullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.86 cm. in length 9.42 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 79 ml. PROSTATE : Prostate is enlarged in size and heterogeneous in echotexture. It measures (5.71 4.70 4.64) cm. Approximate weight could be around 65 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Right Renal cortical cyst with partial cyst wall calcification. * Grade III Prostatomegaly with post void residual urine measures 79 ml. Suggested clinical correlation.

MS SHAMIMA KHATOON 42 46168/1 01/01/2011 DR OF CGHS 31/12/2010

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.18 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 13.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SHAMIMA KHATOON 42 46168/1 01/01/2011 DR OF CGHS 31/12/2010

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.30 4.88 4.79) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.63 2.40) cm. Left Ovary measures = (2.35 1.60) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * Mildly bulky uterus. Suggested clinical correlation.

MS MEENAKSHI BANERJEE 32 46267/1 03/01/2011 DR OF CGHS 01/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Two mobile non impacted calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.03 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.73 cm. in length Left kidney measures = 10.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MEENAKSHI BANERJEE 32 46267/1 03/01/2011 DR OF CGHS 01/01/2011

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size (8.84 3.90 3.64) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.68 2.26) cm. Left Ovary measures = (2.87 2.48) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Cholelithiasis. * Mildly bulky uterus. Suggested clinical correlation.

MR. ASHIM MUKHERJEE 66 46036/1 03/01/2011 DR OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MALE 30/12/2011

LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.03 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.59 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.48 cm. in length Left kidney measures = 9.44 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. ASHIM MUKHERJEE 66 46036/1 03/01/2011 DR OF CGHS 30/12/2011

MALE

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture and irregularly marginated with mild median lobe enlargement. It measures (4.94 4.59 4.22) cm. Approximate weight could be around 50 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly with mild median lobe enlargement. Suggested clinical correlation and PSA estimated may be considered.

MS SADHANA SAHA 60 46449/1 04/01/2011 DR OF CGHS 03/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.33 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Simple cortical cyst noted in mid and lower part of right kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.42 cm. in length Left kidney measures = 8.65 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SADHANA SAHA 60 46449/1 04/01/2011 DR OF CGHS 03/01/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Right renal simple cortical cyst. Suggested clinical correlation.

MS SWETA PRASAD 16 46456/1 04/01/2011 DR OF CGHS 03/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.30 cm. in length Left kidney measures = 9.87 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SWETA PRASAD 16 46456/1 04/01/2011 DR OF CGHS 03/01/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 5.89 4.79 2.97) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.27 1.93) cm. Left Ovary measures = (3.95 1.86) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * ? PCOD.

Suggested clinical correlation and hormonal assay may be considered.

MS DIPALI BISWAL 29 14651/1 04/01/2011 DR ARCHANA SINHA 04/01/2011

FEMALE

ULTRASONOGRAPHY OF BREAST
Thank you for referring the patient for US scan of Breast

Soft tissue architexture of both breast appears heterogenous mainly in upper outer quadrants bilaterally. No obvious SOL or calcification seen. No duct dilatation seen. Nipple so far seen appears normal. Retromammary space appears normal. Both axilla do not reveal any enlarged lymphnodes. IMPRESSION : USG features are suggestive of bilateral fibroadenosis. Suggested clinical correlation and corroboration with mammography may be considered.

MS KAJAL SAHA 23 14606/1 04/01/2011 DR GOURI DE ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy 03/01/2011

FEMALE

Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 15 weeks 4 days, LMP = 17 / 09 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 16 weeks 3 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) Foetal cranio-spinal axis appears normal. 3) Abdominal wall appears within normal limit. : 3.56 cm. 17 weeks : 2.03 cm. 16 weeks : 10.7 cm. 16 weeks 4 days.

4) Umbilical cord appears normal. 5) Foetal heart rate is regular, 146 b/m. IMPRESSION average : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of16 weeks 3 days.

MR. BACHHA MAHATO 35 46652/1 05/01/2011 DR OF CGHS 04/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.88 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.66 cm. in length Left kidney measures = 9.16 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. BACHHA MAHATO 35 46652/1 05/01/2011 DR OF CGHS 04/01/2011

MALE

PROSTATE :

Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.81 2.98 2.66) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. Suggested clinical correlation.

MS REBA ROYCHOWDHURY 82 14647/1 05/01/2011 DR GOUTAM MUKHERJEE 04/01/2011

FEMALE

LIVER: Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.57 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. Two calculi measuring 0.39 cm and 0.68 cm noted in middle and lower calyx of right kidney respectively. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.89 cm. in length Left kidney measures = 9.05 cm. in length URINARY BLADDER : Urinary bladder is not optimally distended (on two separate occasions0 however as seen urinary bladder wall appears normal with no obvious intraluminal calculus

MS REBA ROYCHOWDHURY 82 14647/1 05/01/2011 DR GOUTAM MUKHERJEE 04/01/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.41 4.71 4.23) cm. A small fibroid with calcific degeneration measuring 1.47 x 130 cm suspected involving posterior myometrium in fundal region of urinary bladder. Slight fluid id noted in endometrium cavity. Cervix looks clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly with mild fatty infiltration of liver. * Right sided nephrolithiasis without hydronephrosis. * Bulky uterus with slight fluid endometrial cavity. * Small uterine fibroid with calcified degeneration. Suggested clinical correlation and TVS may be considered.

MR. BISWAJIT PRAMANIK 45 14689/1 05/01/2011 DR S K BISWAS 05/01/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.5 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.93 cm. in length 10.4 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with moderate fatty infiltration of liver. Suggested clinical correlation. MS B BANERJEE 45 14688/1 05/01/2011 05/01/2011 FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.75 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS B BANERJEE 45 14688/1 05/01/2011 05/01/2011

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.91 5.80 4.46) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Left Ovary is normal in size, shape, position, margin and echotexture. Left Ovary measures = (2.63 1.98) cm. Two simple cysts measuring 3.06 x 2.56 cm noted in right ovary. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Mildly bulky uterus. * Right ovarian simple cysts. Suggested clinical correlation.

MR. SHABBIR ALI 50 14652/1 05/01/2011 04/01/2011

MALE

DR PLABAN KR BISWAS ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A non impacted calculus noted in gall bladder lumen. Focal cholesterosis noted in fundal region of gall bladder. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.8 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 9.90 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SHABBIR ALI 50 14652/1 05/01/2011 DR PLABAN KR BISWAS 04/01/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.23 2.88 2.67) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis with focal cholesterosis of gall bladder. * Mild splenomegaly. Suggested clinical correlation.

MR. MADHUSUDAN BANIK 52 46848/1 06/01/2011 DR OF KPA 05/01/2011

MALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.84 cm. in length 9.16 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.43 3.32 3.24) cm. Approximate weight could be around 19 gm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality. Suggested clinical correlation.

MS MUNDRIKA DEBI 25 14708/1 06/01/2011 DR GOURI DE 05/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.78 cm. in length 10.0 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is anteverted, normal in size ( 6.43 4.44 3.41) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.68 1.88) cm. (2.76 2.35) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality. Suggested clinical correlation and TVS may be considered.

MR. K G BISWAS 66 14723/1 06/01/2011 DR KAUSHIK MUKHERJEE 06/01/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length 9.84 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 114 ml. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.08 2.94 2.71) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Post void residual urine measures 114 ml. Suggested clinical correlation.

MR. SUSANTA KUMAR PATRA 34 47008/1 07/01/2011 DR OF CGHS 06/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.37 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SUSANTA KUMAR PATRA 34 47008/1 07/01/2011 DR OF CGHS 06/01/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.23 2.79 2.75) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver.

Suggested clinical correlation.

MS DEBASHREE ROY 28 14639/1 07/01/2011 DR GOURI DE 03/01/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

Thank you for referring the patient for US scan of Pregnancy(Doppler)
MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 34 weeks 4 days, LMP = 10 / 05 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 33 weeks 4 days. (Measurements are in the skiagram).
B. P. D. : 8.28 cm. 33 weeks 5 days F. L. : 6.27 cm. 32 weeks 3 days A. C. : 30.9 cm. 34 weeks 6 days 2) Foetal cranio-spinal axis appears normal. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies. 4) Abdominal wall appears within normal limit.

5) Umbilical cord appears normal. 6) Foetal heart rate is regular,137 b/m. 7) Expected foetal weight could be around 2354 gms. ( 16%). DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.632 ). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral IMPRESSION average : 1) : Normal spectral tracing with good peak indices (PI 1.91, RI 0.864 ). Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 1.01, RI

gestational maturity of 33 weeks 4 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MS MUNMUN GHOSH 26 14817/1 08/01/2011 DR M. PADMAJA BHATTACHARYA 08/01/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (TVS)

Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac and yolk sac noted Embryonal node is noted.

Embryonal heart beat is present (160 BPM). Gestational age by LMP : 9 weeks 3 days (03 /11/2010) CRL : 1.73 cm (8 weeks 2 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.58 1.87 ) cm. Size of Left Ovary = ( 2.24 1.82 ) cm. POD : Clear

IMPRESSION :- Single live Embryo with gestational age by USG 8 weeks 2 days.

MAST SHOUNAK DAS 07 14813/1 08/01/2011 DR. SUTAPA GANGULY 08/01/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen
LIVER :

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.6 cm.) at porta.
GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.
PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.
SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.31 cm.
KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 7.38 cm. in length 8.64 cm. in length
RIGHT ILIAC FOSSA:

Left kidney measures =

Normal peristaltic compressible gut loops noted in Right Iliac Fossa. A lymph node measuring 1.24 cm x 0.7 cm.
RETROPERITONEUM & PERITONEUM :

No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.
LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles.

DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.
IMPRESSION :

Mild hepatomegaly. Lymph node right iliac fossa Suggested clinical correlation.

MR. UMESH PRASAD BALMIKI 39 47353/1 10/01/2011 DR OF AMA 08/01/2011

MALE

LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. A calcific dot noted in right lobe of liver suggestive of old healed granulomatous lesion. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A mobile calculus noted in gall bladder lumen. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.57 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.69 cm. in length in length Left kidney measures = 9.19 cm.

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly with mild fatty infiltration of liver. Old healed granulomatous lesion in right lobe of liver. Cholelithiasis. Suggested clinical correlation.

MS RUPALI DUTTA 28 14876/1 10/01/2011 DR CHANDRIMA JOT (ROY) 10/01/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac and yolk sac noted. Foetal node is noted. Foetal heart beat is present (162 BPM). Gestational age by LMP : 9 weeks 3 days (05/11/2010) CRL : 3.10 cm ( 10 weeks ). Placenta grade 0 maturity appears forming at anterior uterine wall. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.17 2.69 ) cm. Size of Left Ovary = ( 3.27 2.89 ) cm. POD : Clear

IMPRESSION :- Single live foetus with gestational age by USG 10 weeks.

MS UMA ROY 60 47447/1 10/01/2011 DR OF CGHS 09/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.79 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.72 cm. in length Left kidney measures = 8.78 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS UMA ROY 60 47447/1 10/01/2011 DR OF CGHS 09/01/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. RASBEHARI MAITI 66 47555/1 11/01/2011 DR OF CGHS 10/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER :

Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.11 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.12 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. RASBEHARI MAITI 66 47555/1 11/01/2011 DR OF CGHS 10/01/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.92 3.03 2.83) cm. Approximate weight could be around 22 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Grade I Prostatomegaly. Suggested clinical correlation.

MS BANISHREE BISWAS 47 14921/1 11/01/2011 DR ASHOKE KR ROY 11/01/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 11.1 cm. in length 10.6 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with moderate fatty infiltration of liver. Suggested clinical correlation.

MS SANGITA SADHUKHA 26 14925/1 11/01/2011 DR AJIT KUMAR GHOSH 11/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present (166 BPM). Gestational age by LMP : 11 weeks 3 days ( 23 / 10 / 2010 ) CRL : 4.94 cm ( 11 weeks 5 days). Decidual reaction is noted all around. Internal OS is closed.

Liquor is adequate. Urinary bladder is partially distended. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 4.02 2.80 ) cm. Size of Left Ovary = ( 4.05 3.00 ) cm. Nuchal thickness is 1.2 mm (within normal limits).

IMPRESSION :- Single live foetus with gestational age by USG 11 weeks 5 days.

MS BANANI GUHA ROY 38 47556/1 11/01/2011 DR OF CGHS 10/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.89 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.49 cm. in length Left kidney measures = 8.87 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS BANANI GUHA ROY 38 47556/1 11/01/2011 DR OF CGHS 10/01/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.95 4.12 3.54) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.73 1.72) cm. Left Ovary measures = (2.56 2.23) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS SANDHYA PAL 72

FEMALE

14968/1 12/01/2011 DR CHITTARANJAN ROY

12/01/2011

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Simple cortical cysts noted bilaterally. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.54 cm. in length Left kidney measures = 9.31 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MS SANDHYA PAL 72 14968/1 12/01/2011 DR CHITTARANJAN ROY 12/01/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplemegaly. * Bilateral Renal simple cortical cysts. Suggested clinical correlation.

MS SULATA HALDER 22 14969/1 12/01/2011 DR (MRS) GOURI DE 12/01/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present.. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 13 weeks 1 day, LMP = 12 / 10 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of weeks days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,141 b/m. : 2.37 cm. 14 weeks : 1.10 cm. 13 weeks 1 day : 6.51 cm. 13 weeks 1 day.

6) Nuchal thickness is 1.3 mm (within normal limits). IMPRESSION average : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of 13 weeks 3 days.

MS MAMATA MONDAL 30 14973/1 12/01/2011 DR GOURI DE 12/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.49 cm. in length 10.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, bulky in size ( 9.41 4.96 3.93) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.34 2.73) cm. (3.50 2.70) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus. * ? PCOD.

Suggested clinical correlation and corroboration with hormonal assay may be considered.

MS PRATIMA BISWAS 52 14976/1 12/01/2011 DR JAYANTA DATTA 12/01/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.02 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. A calculus measuring 0.83 cm noted in middle calyx of right kidney. No hydronephrotic changes detected. Right kidney measures = 9.07 cm. in length 10.5 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Right sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

MR. BADGUJAR SHARAD 39 47983/1 13/01/2011 DR OF CGHS 12/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.73 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. A small calculus measuring 0.35 cm noted in middle calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.9 cm. in length Left kidney measures = 11.1 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. BADGUJAR SHARAD 39 47983/1 13/01/2011 DR OF CGHS 12/01/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.42 3.24 2.97) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Left sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

NIDHI SAHAY 2 47803/1 12/01/2011 DR OF CGHS 11/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.4 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.12 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 6.28 cm. in length Left kidney measures = 6.50 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

NIDHI SAHAY 2 47803/1 12/01/2011 DR OF CGHS 11/01/2011

FEMALE

PELVIS : No obvious echogenic SOL noted in pelvis region.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MR. LOKESH JANGID 22 14993/1 13/01/2011 DR N K NATH 12/01/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.16 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.05 cm. in length 9.98 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.
RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present.

IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS INDRANI MUKHERJEE 36 15002/1 13/01/2011 DR M PADMAJA BHATTACHARYA 13/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length 10.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.55 4.79 3.92) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.88 1.38) cm. (2.47 2.07) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus. Suggested clinical correlation.

MR. PRONOY BISWAS 30 14977/1 13/01/2011 DR KAUSHIK CH MALLIK 12/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.61 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. Multiple calculi noted in mid and lower calyx (largest one measuring 0.765 cm) of right kidney and upper and lower calyx (largest one measuring 1.08 cm) of left kidney respectively. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.60 cm. in length Left kidney measures = 9.57 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. PRONOY BISWAS 30 14977/1 13/01/2011 DR KAUSHIK CH MALLIK 12/01/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.55 2.95 2.54) cm. Approximate weight could be around 13 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bilateral nephrolithiasis without hydronephrosis. Suggested clinical correlation and Parathormonal assay may be considered.

MR. SANDIPAN CHAKRABORTY 43 14979/1 13/01/2011 DR BHASKAR BANIK 12/01/2011

MALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (SCREENING) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length 10.1 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.46 3.17 2.78) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality. Suggested clinical correlation.

MS PRAMILA DAS 32

FEMALE

14816/1 13/01/2011 DR (MRS) GOURI DE

08/01/2011

ULTRASONOGRAPHY OF FOLLICULAR SCREENING (TVS) Thank you for referring the patient for US scan of Follicular Screening

UTERUS : Uterus is anteverted, normal in size ( 7.86 4.41 3.99) cm. Endometrium (collapsed wall) is in midline. A small fibroid measuring 1.17 x 1.25 cm noted in fundal region of uterus. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.82 2.90) cm. Left Ovary measures = (3.78 1.67) cm.
DATE 08/01/2011 10/01/2011 13/01/2011 RO FOLLICLE F1 1.62 x 1.39 cm, F2 1.39 x 1.12 cm F1 1.97 x 1.80 cm F2 Same Ruptured LO FOLLICLE F 1.32 x 1.31 cm . F 1.83 x 1.41 cm . Ruptured ET 0.614cm . 0.774cm 1.0 cm POD CLEAR CLEAR Slight free fluid noted.

MS SIMA DAS 36 48129/1 14/01/2011 DR OF CGHS 13/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A non impacted calculus noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.65 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.94 cm. in length Left kidney measures = 9.55 cm. in length URINARY BLADDER :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SIMA DAS 36 48129/1 14/01/2011 DR OF CGHS 13/01/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.60 5.19 4.99) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.06 2.01) cm. Left Ovary measures = (3.48 2.22) cm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. * ? PCOD. Suggested clinical correlation.

MS ABIDA BEGUM 48 48128/1 14/01/2011 DR OF CGHS 13/01/2011

FEMALE

ULTRASONOGRAPHY OF KIDNEY URETER BLADDER Thank you for referring the patient for US scan of Kidney Ureter Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A small simple cortical cyst noted in mid part of right kidney.Cortical echogenecity appears normal maintaining cortico-medullary and corticoheptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length 10.8 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended ( as patient could not hold urine). Wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Post void residual urine measures 60 ml. UTERUS : Uterus as seen appears small and atrophied however a fibroid measuring 1.96 x 2.06 cm noted involving anterior myometrium in fundal region of uterus. Endometrium as seen appears normal in thickness. Cervix looks clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Right Renal simple cortical cyst. * Uterine fibroid. * Post void residual urine measures 60 ml.
Suggested clinical correlation.

MS INDRANI GHOSH 30 14926/1 14/01/2011 DR P N SEN 11/01/2011

FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING (TVS) Thank you for referring the patient for US scan of Follicular Screening

UTERUS : Uterus is anteverted, bulky in size ( 9.33 5.33 3.96) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.60 2.15) cm. Left Ovary measures = (3.25 2.28) cm.
DATE 11/01/2011 12/01/2011 14/01/2011 RO FOLLICLE NIL NIL NIL LO FOLLICLE F 2.53 x 1.86 cm F 3.02 x 2.04 cm ( ? Follicular cyst) Ruptured ET 0.817cm 1.044cm 1.16cm POD CLEAR CLEAR Slight fluid noted.

MS KIRAN JOHRI 59 48333/1 15/01/2011 DR OF CGHS 14/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.42 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.56 cm. in length Left kidney measures = 9.46 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MS KIRAN JOHRI 59 48333/1 15/01/2011 DR OF CGHS 14/01/2011

FEMALE

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS BHARATI CHANDA 45 48325/1 15/01/2011 DR OF CGHS 14/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.99 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS BHARATI CHANDA 45 48325/1 15/01/2011 DR OF CGHS 14/01/2011

FEMALE

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS BHABANI DATTA 66 48332/1 15/01/2011 DR OF CGHS 14/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.65 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.79 cm. in length Left kidney measures = 9.37 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS BHABANI DATTA 66 48332/1 15/01/2011 DR OF CGHS 14/01/2011

FEMALE

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS SOMYANJALI MOHANTY 32

FEMALE

15066/1 15/01/2011 DR (MRS) GOURI DE

15/01/2011

ULTRASONOGRAPHY OF PREGNANCY (ANOMALY) Thank you for referring the patient for US scan of Pregnancy (Anomaly) Mother : : Single, live, active foetus noted in Cephalic presentation at present. Placenta (is grade I maturity), placed anteriorly lowlying approx. 18 mm away from the OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 20 weeks 3 days, LMP = 25 / 08 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 18 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 4.00 cm. 18 weeks 1 day. : 2.87 cm. 18 weeks 5 days. : 12.5 cm. 18 weeks 1 day.

Foetal cranio-spinal axis appears normal. Limbs and long bones appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 134 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 18 weeks 2 days. 2) No gross anomaly noted. 3) Placenta praevia Minor degree. 4) ? Wrong date / ? Late conception.

MR. PINAKI RANJAN BOSE 84 15068/1 15/01/2011 DR BINAYAK SEN 15/01/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.34 cm. in length 9.84 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 43 ml. PROSTATE : Prostate as seen appears normal in size but heterogenous in echotexture. It measures (3.23 2.88 2.70) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Post void residual urine measures 43 ml. Suggested clinical correlation.

MS SUTAPA BHATTACHARYA 36 15111/1 17/01/2011 DR JYOTI DEB 17/01/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.74 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.2 cm. in length 10.5 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation. MS CHANDRA BASU 22 15115/1 17/01/2011 DR (MRS) GOURI DE ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate 17/01/2011 FEMALE

FOETUS :

(POA : 14 weeks

days, LMP = 05 / 10 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 14 weeks 3 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 2.69 cm. 14 weeks 5 days. : 1.52 cm. 14 weeks 3 days. : 7.98 cm. 14 weeks 2 days.

Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 156 b/m. Nuchal thickness is 1.3 mm (within normal limits). : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of14 weeks 3 days.

IMPRESSION average

MS SUCHETA NANDI 31 48482/1 17/01/2011 DR OF CGHS 15/01/2011

FEMALE

LIVER:

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.65 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUCHETA NANDI 31

FEMALE

48482/1 17/01/2011 DR OF CGHS

15/01/2011

UTERUS : Uterus is anteverted, normal in size (8.150 4.09 3.67) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.68 1.91) cm. Left Ovary measures = (2.72 1.53) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MR. SUKDEB DUTTA 71 48734/1 18/01/2011 DR OF CGHS 17/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.067 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Pancreas could not be well assessed due to gas shadow however as seen appears normal. SPLEEN : Spleen could not be well assessed due to gas shadow however as seen appears normal. Splenic span is 8.37 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appear hyperechoic with partial loss of cortico-medullary differentiation. No obvious calculus / SOL / hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.62 cm. in length

Left kidney measures = 9.44 cm. in length URINARY BLADDER : Urinary bladder is hyper distended. Urinary bladder wall appears mildly thick and irregular Sequalae to ? Chronic Bladder outlet obstruction / ? Chronic cystitis. POST VOID STUDY : Post void residual urine measures 163 ml.

MR. SUKDEB DUTTA 71 48734/1 18/01/2011 DR OF CGHS 17/01/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and heterogenous in echotexture. It measures (5.28 3.30 3.06) cm. Approximate weight could be around 28 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : Right sided mild pleural effusion noted. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild hepatomegaly. * ? Chronic Renal Parenchymal Disease. * Grade I Prostatomegaly with post void residual urine measures 163 ml. * Mildly thick and irregular urinary bladder wall Sequalae to ? Chronic Bladder Outlet Obstruction / ? Chronic cystitis. * Right sided mild pleural effusion. Suggested clinical correlation.

MR. NALINESOY SEN 48 48725/1 18/01/2011 DR OF CGHS 17/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.16 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.94 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.97 cm. in length Left kidney measures = 11.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. NALINESOY SEN 48 48725/1 18/01/2011 DR OF CGHS 17/01/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and heterogenous in echotexture. It measures (3.90 3.43 3.21) cm. Approximate weight could be around 22 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Grade I Prostatomegaly. Suggested clinical correlation.

MS PIYALI MONDAL 21 15112/1 18/01/2011 DR (MRS) GOURI DE 17/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length 9.49 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 5.99 4.41 3.01) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.77 1.94) cm. (3.50 2.05) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * ? PCOD.

Suggested clinical correlation and hormonal assay may be considered.

MS MADHUMITA SINHA 26 15149/1 19/01/2011 DR (MRS) GOURI DE 18/01/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation at present. Placenta (is early grade I maturity), placed posteriorly, low lying approx. 34 mm away from internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 17 weeks 5 days, LMP = 17 / 09 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 17 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 2.44 cm. 17 weeks 2 days. : 11.5 cm. 17 weeks 2 days.

: 3.80 cm. 17 weeks 4 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 154 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 17 weeks 2 days. 2) Placenta praevia minor degree.

MS MALA RANI PAUL 52 15194/1 20/01/2011 DR S MUKHERJEE 19/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.56 cm. in length cm. in length Left kidney measures = 9.70

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 5.94 3.42 2.82) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study.
Suggested clinical correlation.

MS RANJANA HAZRA 47 48915/1 20/01/2011 DR OF CGHS 18/01/2011

FE MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.84 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.3 cm. in length Left kidney measures = 11.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS RANJANA HAZRA 47 48915/1 20/01/2011 DR OF CGHS 18/01/2011

FE MALE

UTERUS : Uterus is anteverted, bulky in size ( 9.68 6.07 5.45) cm. Multiple fibroids ( largest one measuring 2.92 x 2.58 cm approx. involving anterior myometrium in fundal region) noted. Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.98 2.29) cm. Left Ovary measures = (2.43 1.97) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Bulky uterus with fibroids. Suggested clinical correlation and TVS may be considered.

MS NEHA SRIVASTAVA 24 49114/1 20/01/2011 DR OF CGHS 19/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.04 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.79 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

MS NEHA SRIVASTAVA 24 49114/1 20/01/2011 DR OF CGHS 19/01/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.20 4.88 3.04) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.43 2.10) cm. Left Ovary measures = (2.97 2.05) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. AMITABHA BHATTACHARYA 71 49277/1 21/01/2011 DR OF CGHS 20/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.6 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.93 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 56 ml.

MR. AMITABHA BHATTACHARYA 71 49277/1 21/01/2011 DR OF CGHS 20/01/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture with median lobe enlargement. It measures (4.43 3.86 3.59) cm. Approximate weight could be around 32 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. * Grade II Prostatomegaly with median lobe enlargement. * Post void residual urine measures 56 ml. Suggested clinical correlation.

MS NILANJANA KAYET 27 15270/1 21/01/2011 DR (MRS) GOURI DE 21/01/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS :

(POA : 36 weeks 1 day, LMP = 13 / 05 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 35 weeks 5 days. (Measurements are in the skiagram).
B. P. D. : 9.00 cm. 36 weeks 3 days F. L. : 6.83 cm. 35 weeks A. C. : 31.8 cm. 35 weeks 5 days Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 146 b/m. Expected foetal weight could be around 2779 gms. ( 16%).

2) 3) 4) 5) 6) 7)

DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.412). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral IMPRESSION average : : Normal spectral tracing with good peak indices (PI 1.82, RI 0.835 ). 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.503, RI

gestational maturity of 35 weeks 5 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MR. DULAL SAHA 39 15250/1 21/01/2011 DR SUGATA CHATTERJEE 20/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.93 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.95 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. DULAL SAHA 39 15250/1 21/01/2011 DR SUGATA CHATTERJEE 20/01/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.77 3.03 2.89) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation.

MS NEHA ROY 40 15271/1 21/01/2011 DR SUNANDITA SARANGI 21/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. Mildly hydronephrotic change detected on right side. Visualised part of Right Upper Ureter appears mildly dilated. Left Ureter is not dilated. Right kidney measures = 10.1 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 76 ml. UTERUS : Uterus is anteverted, normal in size ( 6.91 4.47 3.76) cm. Endometrium appear mildly thickened measuring 1.37 cm at present. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal

echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.10 1.98) cm. 1.91) cm.

Left

Ovary measures = (3.57

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Right sided mild hydroureteronephrosis. * Mildly thickened endometrium. * ? PCOD. * Post void residual urine measures 76 ml.
Suggested clinical correlation.

MS KONIKA ROY 42 15246/1 21/01/2011 DR AMITAVA GHOSH 20/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is slightly retroverted, bulky in size ( 9.12 5.19 4.15) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.54 1.89) cm. (2.58 1.49) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Slightly retroverted bulky uterus.
Suggested clinical correlation.

MS PARBATI KUNDU 52 15267/1 21/01/2011 DR BASUDEB CHAKRABORTY 21/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.15 cm. in length 9.48 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.80 4.84 4.59) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.31 1.91) cm. (2.57 1.88) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Essentially normal study.
Suggested clinical correlation and TVS may be considered for proper evaluation of posterior myometrium.

MR. V BHATTACHARYA 47 15272/1 21/01/2011 DR B SAHA 21/01/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and grossly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.18 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 14.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 12.5 cm. in length 12.8 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly with gross fatty infiltration of liver. Suggested clinical correlation.

MR. S S SARKAR 69 15264/1 21/01/2011 21/01/2011

MALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.97 cm. in length cm. in length Left kidney measures = 10.8

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 75 ml. PROSTATE : Prostate is enlarged in size,heterogenous in echotexture with mild median lobe enlargement.

It measures (4.79 4.50 4.28) cm. Approximate weight could be around 48 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Grade II Prostatomegaly with mild median lobe enlargement. * Post void residual urine measures 75 ml. Suggested clinical correlation.

MR. P MONDAL 62 49457/1 22/01/2011 DR OF CGHS 21/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.42 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. A calculus measuring 0.578 cm noted in lower calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. P MONDAL 62 49457/1 22/01/2011 DR OF CGHS 21/01/2011

MALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver. * Left sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

MS RINKU HALDER 24

FEMALE

15307/1 22/01/2011 DR GOURI DE

21/01/2011

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length 11.5 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is slightly retroverted, normal in size ( 6.34 4.50 3.44) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.37 2.02) cm. (3.42 2.57) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Slightly retroverted uterus. * ? PCOD.

Suggested clinical correlation and hormonal assay may be considered.

MS BISAKHA 28 15326/1 24/01/2011 DR (MRS) GOURI DE ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy 22/01/2011

FEMALE

Mother : : Single, live, active foetus noted in Cephalic presentation at present. Placenta (is early grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 17 weeks 1 day, LMP = 26 / 09 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of weeks days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 2.37 cm. 17 weeks : 11.7 cm. 17 weeks 3 days.

: 3.68 cm. 17 weeks 1 day

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 146 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 17 weeks 2 days.

MS GARGI BASU SARKAR 29 15387/1 24/01/2011 DR SASHI JINDEL ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy 24/01/2011

FEMALE

Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), appears forming at posterior uterine wall. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 10 weeks 5 days, LMP = 10 / 11 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 13 weeks 4 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. : 1.15 cm. 13 weeks 2 days : 7.34 cm. 13 weeks 6 days.

: 2.23 cm. 13 weeks 4 days

2) 3) 4) 5) 6)

Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,141 b/m. Nuchal thickness is 1.3 mm (within normal limits). : 1) Single, live, active foetus in unstable lie at present of an

IMPRESSION average

gestational maturity of 13 weeks 4 days. 2) ? Wrong date.

MR. JAYANTA SIKDAR 41 15378/1 24/01/2011 DR N K NATH 24/01/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length 9.85 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be

detected. POST VOID STUDY : Post void residual urine measures 48 ml. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.99 2.84 2.67) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Post void residual urine measures 48 ml. Suggested clinical correlation.

MS KALPANA SARKAR 30 15312/1 24/01/2011 DR (MRS) PAPIYA DUTTA 22/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.16 cm. in length 9.51 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.65 4.73 3.57) cm. A small fibroid measuring 1.34 x 1.28 cm noted involving anterior myometrium in body region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.63 1.94) cm. (3.82 1.92) cm.

Left

Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Small uterine fibroid. * ? PCOD.

Suggested clinical correlation.

MS ARPITA BISWAS 20 15390/1 24/01/2011 24/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (SCREENING) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.9 cm. in length 10.2 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size (6.24 3.94 2.71) cm. A small fibroid measuring 1.64 x 1.48 cm suspected in fundal region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.42 2.09) cm. (4.19 2.30) cm.

Left

Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present. IMPRESSION : * Suspected small uterine fibroid. * ? PCOD.
Suggested clinical correlation.

MS SIMA BHAKTA 30 15410/1 25/01/2011 DR GOURI DE ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy 25/01/2011

FEMALE

Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is early grade I maturity), placed anteriorly. Lowlying just reaching upto the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 15 weeks 2 days, LMP = 10 / 10 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 17 weeks 3 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,154 b/m. : 3.61 cm. 17 weeks : 2.57 cm. 17 weeks 5 days. : 12.0 cm. 17 weeks 5 days.

IMPRESSION average

1) Single, live, active foetus in unstable lie at present of an

gestational maturity of17 weeks 3 days. 2) Placenta praevia Minor degree. 3) ? Wrong date.

MS CHHANDA DUTTA 56 15388/1 25/01/2011 24/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.05 4.60 4.38) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study.
Suggested clinical correlation.

MS SIMA DAS 28 15411/1 25/01/2011 DR B AGARWAL 25/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Focal cholesterosis noted in fundal region of gall bladder. No obvious intraluminal calculus noted. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.80 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS SIMA DAS 28 15411/1 25/01/2011 25/01/2011

FEMALE

DR B AGARWAL

UTERUS : Uterus is anteverted, mildly bulky in size ( 9.04 4.11 3.93) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. A cyst with internal echoes and septations measuring 8.75 x 6.67 cm noted in left adnexa. Left ovary could not be delineated separately. Right Ovary measures = (3.16 2.51) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Focal cholesterosis of gall bladder. * Mildly bulky uterus. * Complex cystic SOL left adnexa. Suggested clinical correlation.

MS GOURI KAR CHOUDHURY 68 50058/1 26/01/2011 DR OF CGHS 25/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A complex cortical cyst noted in upper pole of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.57 cm. in length

Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS GOURI KAR CHOUDHURY 68 50058/1 26/01/2011 DR OF CGHS 25/01/2011

FEMALE

UTERUS : Uterus as seen appear small and atrophied. ADNEXA :

Adnexa appear clear however ovaries could not be delineated separately.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatosplenomegaly. * Left Renal complex cortical cyst.

Suggested clinical correlation.

MS SIBANI BHATTACHARYYA 72 15453/1 26/01/2011 DR RAJENDRA PRASAD GANGULY 26/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.73 cm. in length 8.99 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small and atrophied.

ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Essentially normal study.

Suggested clinical correlation.

MS SANGEETA CHAWDHURY 28 15456/1 26/01/2011 DR GOURI DE 26/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 10.8 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.86 4.30 3.53) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.58 2.08) cm. (3.53 1.86) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation and hormonal assay may be considered.

MS TANAYA SAHA 24 15460/1 26/01/2011 DR DILIP K CHAKRABORTTI 26/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.73 cm. in length 10.1 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size (7.49 4.03 3.35) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.49 1.86) cm. (3.10 1.92) cm.

Left

Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * ? PCOD.

Suggested clinical correlation and corroboratin with hormonal assay may be considered.

MS SASWATI BANERJEE 28 15357/1 26/01/2011 DR ALOK BASU 22/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen

Gravid uterus with single gestational sac and yolk sac noted. Embryonal node is noted. Embryonal heart beat is present ( 162 BPM). Gestational age by LMP : 6 weeks 6 days (09 / 12 / 2010 ) CRL : 0.539 cm ( 6 weeks 2 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.76 1.90 ) cm. Size of Left Ovary = ( 2.80 1.71 ) cm. POD : Clear

IMPRESSION :- Single live embryo with gestational age by USG 6 weeks 2 days.

MR. TAPAN KUMAR BHATTACHARJEE 63 50215/1 27/01/2011 DR OF CGHS 26/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.22 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.22 cm. in length Left kidney measures = 8.36 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 54 ml.

MR. TAPAN KUMAR BHATTACHARJEE 63 50215/1 27/01/2011 DR OF CGHS 26/01/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.16 2.90 2.79) cm. Approximate weight could be around 17 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Post void residual urine measures 54 ml. Suggested clinical correlation.

MS RUMPA SAHA 38 15491/1 27/01/2011 DR KINGSHUK KR DHAR 27/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Two non impacted calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.62 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.69 cm. in length Left kidney measures = 9.94 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS RUMPA SAHA 38 15491/1 27/01/2011 27/01/2011

FEMALE

DR KINGSHUK KR DHAR

UTERUS : Uterus is anteverted, normal in size ( 6.98 4.31 3.35) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.10 1.54) cm. Left Ovary measures = (2.73 1.54) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal hepatomegaly. * Cholelithiasis. Suggested clinical correlation.

MR. AMARESH BHATTACHARYA 67 15457/1 27/01/2011 DR DEBABRATA BANERJEE 26/01/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No calculus noted. Simple cortical cyst noted in lower and mid part of right kidney and left kidney respectively. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 9.94 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.37 2.83 2.68) cm. around 13 gm. Approximate weight could be

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bilateral Renal simple cortical cyst. * Mildly hyperechoic kidney cortex - ? Early Renal Dysfunction / ? Senile changes.. Suggested clinical correlation and corroboration with serum Urea, Creatinine may be considered.

MS SHYAMALI BAGCHI 62 15519/1 28/01/2011 DR KOUSHIK CHAKI 28/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver ismildly enlarged in size and mildly hyperechoic in echotexture. A small simple cyst measuring 1.07 cm noted in right lobe of liver ( segment VIII). Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.67 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.97 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SHYAMALI BAGCHI 62 15519/1 28/01/2011 DR KOUSHIK CHAKI 28/01/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Small simple cyst right lobe of liver ( segment VIII). Suggested clinical correlation.

MS SNIGDHA SARKAR 29 50567/1 29/01/2011 DR OF CGHS 28/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.01 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, and position. Right kidney appears malrotated. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 10.8 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SNIGDHA SARKAR 29

FEMALE

50567/1 29/01/2011 DR OF CGHS

28/01/2011

UTERUS : Uterus is anteverted, normal in size ( 6.99 4.13 3.33) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix appears mildly bulky. Pouch of Douglas is free. OVARIES : Left ovary is normal in size, shape, position, margin and echotexture. Left Ovary measures = (2.34 2.02) cm. A cyst with internal septa and echogenic foci measuring 2.95 x 3.41 cm noted in right ovary - ? Haemorrhagic cyst. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. * Suspected Malrotated right kidney. * ? Cervicitis. * Right ovarian ? Haemorrhagic cyst. Suggested clinical correlation.

MS SHEELA SINGH 58 50569/1 29/01/2011 DR OF CGHS 28/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Portal vein is normal ( 0.9 cm.) at porta.Common Bile Duct is mildly dilated in its visualized part however mid and lower part could not be well assessed due to gas shadow. Common Bile Duct is 0.6 cm. GALL BLADDER : Gall Bladder is contracted. Multiple calculi suspected in gall bladder lumen. Gall bladder wall as seen appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.80 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Right kidney measures = 9.54 cm. in length Left kidney measures = 9.15 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SHEELA SINGH 58 50569/1 29/01/2011 DR OF CGHS 28/01/2011

FEMALE

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Chronic calculus cholecystitis. * Mild dilated common bile duct. Suggested clinical correlation and MRCP may be considered.

MS TAPASI SHAW 21 15521/1 29/01/2011 DR GOURI DE 28/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.48 cm. in length 9.83 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is anteverted, normal in size ( 7.54 4.92 2.16) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.06 2.20) cm. (3.71 2.97) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * PCOD.
Suggested clinical correlation and hormonal assay may be considered.

MR. MAHESH DAS 62 15563/1 29/01/2011 DR PRITHWIRAJ GHOSHAL ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : 29/01/2011

MALE

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.82 cm. in length 10.1 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended. Urinary bladder wall appears mildly thick and irregular sequalae to ? Chronic Bladder outlet obstruction / ? Chronic cystitis. No obvious intraluminal calculus noted. POST VOID STUDY : Post void residual urine measures 47 ml. PROSTATE : Prostate is mildly enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.30 3.58 3.46) cm. around 27 gm. Approximate weight could be

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Grade I Prostatomegaly with mild median lobe enlargement. * Mildly thick and irregular urinary bladder wall sequalae to ? Chronic Bladder outlet obstruction / ? Chronic Cystitis. * Post void residual urine measures 47 ml. Suggested clinical correlation.

MS PIUMITA SINGH 29 15572/1 29/01/2011 DR RATNABALI CHAKRAVORTY 29/01/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN ( TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. Mildly hydronephrotic change detected on right side. No hydronephrotic changes noted on left side. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.4 cm. in length 11.7 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void Insignificant. UTERUS : Uterus is anteverted, normal in size ( 6.68 4.20 2.85) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (4.11 2.27) cm. (3.77 2.24) cm.

Left

Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Right sided mild hydronephrosis - ? Pelvic Ureteric Junction obstruction. * ? PCOD.
Suggested clinical correlation.

MS PANCHALI BAGCHI BHATTACHARJEE 38 50775/1 31/01/2011 DR OF CGHS 29/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A small non impacted calculus noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.50 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.20 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PANCHALI BAGCHI BHATTACHARJEE 38 50775/1 31/01/2011 DR OF CGHS 29/01/2011

FEMALE

UTERUS : Uterus is anteverted, smaller in size measuring 5.23 x 3.54 x 2.33 cm (as for age of patient). Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. * Cholelithiasis. * Small sized uterus ( as for age of patient) - ? Early Menopause. Suggested clinical correlation.

MS POULAMI ROY CHOUDHURY 21 50782/1 31/01/2011 DR OF CGHS 29/01/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 9.48 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS POULAMI ROY CHOUDHURY 21 50782/1 31/01/2011 DR OF CGHS 29/01/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.61 4.48 2.94) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.08 1.98) cm. Left Ovary measures = (3.31 2.39) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly with mild fatty infiltration of liver. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MR. C P BAJAJ 60 15636/1 31/01/2011 DR S K AGARWAL 31/01/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.7 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.47 cm. in length 9.96 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation. MS DIPALI BHATTACHARYA 79 15640/1 31/01/2011 PROF (DR) JOTIDEB MUKHOPADHYAY ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.19 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass)

FEMALE 31/01/2011

could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.81 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. Mild hydronephrotic change noted on left side. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.70 cm. in length Left kidney measures = 9.52 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS DIPALI BHATTACHARYA 79 15640/1 31/01/2011 PROF (DR) JOTIDEB MUKHOPADHYAY 31/01/2011

FEMALE

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. * Left sided mild hydronephrosis. Suggested clinical correlation.

MR. PAWAN KUMAR MORE 57 15634/1 31/01/2011 DR B AGARWAL 31/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and grossly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.37 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 9.88 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. PAWAN KUMAR MORE 57 15634/1 31/01/2011 DR B AGARWAL 31/01/2011

MALE

PROSTATE : Prostate as seen appears mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.37 3.56 3.46) cm. Approximate weight could be around 28 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with gross fatty infiltration of liver. * Grade I Prostatomegaly. Suggested clinical correlation.

MR. KUNJA BIHARI JOSHI 30 15638/1 31/01/2011 DR AJOY KUMAR PAN 31/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.64 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. KUNJA BIHARI JOSHI 30 15638/1 31/01/2011 DR AJOY KUMAR PAN 31/01/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.12 2.97 2.96) cm. Approximate weight could be around 19 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. GAGAN CHANDRA SAHA 73 50870/1 31/01/2011 DR OF CGHS 30/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.65 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.76 cm. in length Left kidney measures = 9.58 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 55 ml.

MR. GAGAN CHANDRA SAHA 73 50870/1 31/01/2011 DR OF CGHS 30/01/2011

MALE

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.79 4.02 3.55) cm. Approximate weight could be around 35 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly with mild median lobe enlargement. * Post void residual urine measures 55 ml. Suggested clinical correlation.

MR. AJIT KUMAR GHOSH 65 50570/1 31/01/2011 DR OF CGHS 28/01/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. A simple cyst measuring 1.99 cm noted in right lobe of liver in Portal region. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. Simple cortical cysts noted bilaterally. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.53 cm. in length Left kidney measures = 11.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 76 ml.

MR. AJIT KUMAR GHOSH 65 50570/1 31/01/2011 DR OF CGHS 28/01/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.50 3.83 3.49) cm. Approximate weight could be around 31 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with simple hepatic cyst in portal region. * Bilateral Renal simple cortical cyst. * Grade II Prostatomegaly with Post void residual urine measures 76 ml. Suggested clinical correlation.

MS TAPASHI PAUL 28 15688/1 01/02/2011 DR GOURI DE 01/02/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (ANOMALY) Thank you for referring the patient for US scan of Pregnancy (ANOMALY) Mother : : Single, live, active foetus noted in transverse lie at present with fetal head towards left side of mother. Placenta (is grade I maturity), placed anteriorly, low lying just reaching upto the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 20 weeks 6 days, LMP = 08 / 09 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 21 weeks 1 day. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 5.19 cm. 21 weeks 5 days : 3.33 cm. 20 weeks 2 days : 16.4 cm. 21 weeks 3 days.

Foetal cranio-spinal axis appears normal. Limbs and long bones appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal.

7) Foetal heart rate is regular, 135 b/m. IMPRESSION an average : 1) Single, live, active foetus in transverse lie at present of

gestational maturity of 21 weeks 1 day. 2) Placenta praevia Minor degree. 3) No gross anomaly noted.

MR. S RAMAKRISHNAN 63 15685/1 01/02/2011 DR ASOKANANDA KONAR 01/02/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. An irregular outlined hyperechoic area measuring 2.97 x 2.44 cm noted in left lobe of liver - ? Resolving Abscess. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.71 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.9 cm. in length 9.48 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * ? Resolving Abscess left lobe of liver. Suggested clinical correlation. MR. SUMEET SETHIA 23 15694/1 01/02/2011 01/02/2011 MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.60 cm. in length Left kidney measures = 9.37 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SUMEET SETHIA 23 15694/1 01/02/2011 01/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.85 2.85 2.79) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation.

MS CHANDRAWATI GUPTA 58 50776/1 01/02/2011 DR OF CGHS 29/01/2011

FEMALE

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.45 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS CHANDRAWATI GUPTA 58 50776/1 01/02/2011 DR OF CGHS 29/01/2011

FEMALE

UTERUS : Uterus as sen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. LAXMAN RAJAK 45 15755/1 02/02/2011 DR TAPAS DAS 01/02/2011

MALE

COLOUR DOPPLER VENOUS STUDY OF BOTH LOWER LIMB # R E P O R T # All the major veins in the lower limb are examined with high resolution Ultrasonography and reveals normal anechoic lumen and normal compressibility. No obvious luminal dilatation and thrombus is demonstrated in any segment. Color filling is good in all the veins with complete fill-in across the lumen of the vein. Normal phasic variation is noted. On distal compression, good augmentation is noted.

Both sapheno-femoral junctions are competent with complete cessation of flow during valsalva. Deep venous system as well as Sapheno-Popliteal junctions appear competent. No obvious perforators are noted during scanning.

IMPRESSION : Doppler study of bilateral lower limb venous system is within normal limit. No Deep Venous Thrombosis. Suggested clinical correlation.

MR. K C BOSE 86 15709/1 02/02/2011 DR S K BASU ROY 01/02/2011

MALE

COLOUR DOPPLER ARTERIAL STUDY OF LEFT LOWER LIMB

R E P O R T

Common femoral (CFA) with its superficial and deep branch, Popliteal artery (POP A), Anterior tibial (ATA) and posterior tibial arteries (PTA) and arteria dirsalis pedis

(DPA) appear normal in caliber, clear and anechoic lumen and no obvious segment of stenosis is demonstrated. No significant plaque is demonstrated however mild atherosclerotic changes noted. Color filling is normal in all these arteries and normal triphasic flow pattern is demonstrated however reduced monophasic flow with gross atherosclerotic change noted in left posterior tibial arteries (PTA). Monophasic flow noted in left arteria dirsalis pedis (DPA). Multiple lymph nodes noted in left Inguinal region.

PEAK SYSTOLIC VELOCITIES Artery Left Left Left Left Left Left Left Common Femoral Artery Superficial Femoral Artery Deep Femoral Artery Popliteal Artery Anterior Tibial Artery Posterior Tibial Artery Dorsalis pedis Artery Velocities (Cm/s) 118 125 95 84 66 36 66

IMPRESSION :

* Mild Atherosclerotic changes Arteries of left lower limb. * Gross atherosclerotic change with reduced monophasic flow noted in left posterior tibial arteries (PTA ). * Monophasic flow left arteria dirsalis pedis (DPA). * Left Inguinal lymphadenopathy. Suggested clinical correlation.

MR. K C BOSE 86 15709/1 02/02/2011 DR S K BASU ROY 01/02/2011

MALE

COLOUR DOPPLER VENOUS STUDY OF LEFT LOWER LIMB # R E P O R T # All the major veins in the lower limb are examined with high resolution Ultrasonography and reveals normal anechoic lumen and normal compressibility. No obvious luminal dilatation and thrombus is demonstrated in any segment. Color filling is good in all the veins with complete fill-in across the lumen of the vein. Normal phasic variation is noted. On distal compression, good augmentation is noted. Left sapheno-femoral junction is competent with complete cessation of flow during valsalva. Deep venous system as well as Sapheno-Popliteal junction appear competent. No obvious perforators are noted during scanning.

IMPRESSION : Doppler study of left lower limb venous system is within normal limit. No Deep Venous Thrombosis. Suggested clinical correlation.

MS DIPALI ADHIKARI 68 15585/1 02/02/2011 29/01/2011

FEMALE

DR KISOR KUMAR SINHA ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.79 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 8.30 cm. in length 8.77 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. Suggested clinical correlation.

MS ANISHA ROY 13 15763/1 02/02/2011 DR S MUKHERJEE 02/02/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.9 cm. KIDNEYS :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.57 cm. in length Left kidney measures = 9.12 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANISHA ROY 13 15763/1 02/02/2011 DR S MUKHERJEE 02/02/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.16 3.99 2.76) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.73 1.83) cm. Left Ovary measures = (2.55 1.64) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation.

MR. DAITARI PRADHAN 32 15764/1 02/02/2011 DR J K SHAH 02/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.81 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.74 cm. in length Left kidney measures = 9.14 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. DAITARI PRADHAN 32 15764/1 02/02/2011 DR J K SHAH 02/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.50 2.62 2.48) cm. Approximate weight could be around 12 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. Suggested clinical correlation.

MR. SUMAN SARKAR 43

MALE

15820/1 03/02/2011 DR SUKHENDU CHOWDHURY

03/02/2011

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.10 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.3 cm. in length 10.0 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. SANJAY RAVI DAS 24 15812/1 03/02/2011 DR P K KUNDU 03/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum

appears normal. No definite collaterals could be detected. Splenic span is 9.21 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.75 cm. in length Left kidney measures = 8.86 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SANJAY RAVI DAS 24 15812/1 03/02/2011 DR P K KUNDU 03/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.24 3.05 2.66) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MS INDRAJIT KAUR 29 15815/1 03/02/2011 DR CHANDRIMA JOT (ROY) 03/02/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac .

Foetal node is noted. Foetal heart beat is present ( 154 BPM). Gestational age by LMP : 8 weeks 6 days ( 03 / 12 / 2010 ) CRL : 2.44 cm ( 9 weeks 1 day). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.73 2.73 ) cm. Size of Left Ovary = ( 4.06 2.39 ) cm. POD : Clear

IMPRESSION :- Single live foetus with gestational age by USG 9 weeks 1 day.

MS SABITRI BOSE 24 15706/1 03/02/2011 DR PROF BASUDEB CHAKRABORTY 01/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length 9.86 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, appears slightly smaller in size ( 5.19 3.95 2.69) cm.(as for age of patient). No focal SOL noted in myometrium. Endometrium is collapsed and in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries could not be well delineated however as seen appears normal in shape, size, position, and echotexture. Right Ovary measures = (2.96 2.59) cm. (2.30 1.60) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Suspected slightly small sized uterus.
Suggested clinical correlation, TVS and Karyotyping may be considered.

MR. ASIT NATH BJATTACHARYA 64 15759/1 03/02/2011 DR J R MAHAPATRA 01/02/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.36 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.3 cm. in length 9.84 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes

noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly wih mild fatty infiltration of liver. Suggested clinical correlation.

MS SHEFALI MAHATO 30 51606/1 04/02/2011 DR OF KPA 03/02/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy
Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present ( 160 BPM). Gestational age by LMP : 10 weeks 2 days ( 23 / 11 / 2010 ) CRL : 2.98 cm ( 9 weeks 6 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate.

Urinary bladder is partially distended. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.25 2.79 ) cm. Size of Left Ovary = ( 4.11 3.02 ) cm. POD : Clear

IMPRESSION :- Single live foetus with gestational age by USG 9 weeks 6 days.

MS CHANDANA SINHA 53 15758/1 04/02/2011 DR SOUMYABRATA ROY CHOUDHURY 01/02/2011

FEMALE

DUPLEX DOPPLER STUDY OF BOTH SIDE CAROTID ARTERIES Thank you for referring the patient for US scan of Pregnancy # Right PSV CCA CCA bulb ECA ICA Vertebral 65 cm/s 72 cm/s 87 cm/s 86 cm/s 53 cm/s R E P O R T Left PSV 77 cm/s 76 cm/s 70 cm/s 59 cm/s 66 cm/s #

B-Mode anatomy on both sides of carotid appears normal with no apparent intima media, thickening, disruption, ulceration, plaque, stenosis or dilatation. Colour fill up and peak flow spectral analysis are within normal limits in both Carotid arteries on either side.

IMPRESSION : Normal color flow Doppler study. Suggested clinical correlation.

MS MINATI MRIDHA 53 15782/1 04/02/2011 DR GOURI DE 02/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. A calculus measuring 0.654 cm noted in middle calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length 10.0 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.27 5.11 4.40) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.48 1.55) cm. (2.50 1.83) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left sided non obstructive nephrolithiasis. * Mildly bulky uterus.
Suggested clinical correlation.

MS ARCHANA GHOSH 64 15826/1 04/02/2011 DR PARTHA SARATHY BHATTACHARYA 03/02/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen

LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Multiple non impacted calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.09 cm. in length 9.31 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatomegaly. * Cholelithiasis. Suggested clinical correlation.

DR S M SANYAL 56 15310/1 04/02/2011 22/01/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN ( SCREENING) Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Pancreas as seen appear normal in shape, size, position and echotexture. Pancreatic margins appear normal. Main Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.19 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.40 cm. in length 9.33 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. MADHUSUDHAN BANIK 53 /1 05/02/2011 DR OF KPA 04/02/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular

disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.94 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.20 cm. in length 9.48 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MR. SIBPADA MONDAL 35 15893/1 05/02/2011 DR S K BISWAS 04/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.93 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length Left kidney measures = 8.88 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SIBPADA MONDAL 35 15893/1 05/02/2011 DR S K BISWAS 04/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.06 2.81 2.77) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. Suggested clinical correlation.

MS PAPIA MONDAL 33 52041/1 07/02/2011 DR OF CGHS 05/02/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.04 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 8.82 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PAPIA MONDAL 33 52041/1 07/02/2011 DR OF CGHS 05/02/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.16 4.88 3.68) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.11 2.87) cm. Left Ovary measures = (3.18 3.09) cm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * ?PCOD. Suggested clinical correlation and hormonal assay may be considered.

MS GAYETRI DAS 18 15963/1 07/02/2011 DR GOURI DE ULTRASONOGRAPHY OF PREGNANCY 06/02/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac . Embryonal node is noted. Embryonal heart beat is present ( 166 BPM). Gestational age by LMP : 9 weeks 3 days ( 03 / 12 / 2010 )

CRL : 1.83 cm ( 8 weeks 3 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.53 1.61 ) cm. Size of Left Ovary = ( 3.01 1.81 ) cm. POD : Clear

IMPRESSION :- Single live embryo with gestational age by USG 8 weeks 3 days.

MS MITHU MONDAL 35 15958/1 07/02/2011 DR (MRS) KRISHNA CHATTERJEE 05/02/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present ( 162 BPM). Gestational age by LMP : 11 weeks ( 22 / 11 / 2010 ) CRL : 3.94 cm ( 10 weeks 6 days). Placenta grade 0 maturity appears forming at anterior uterine wall. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in left adnexal region. Size of Left Ovary = ( 3.06 2.25 ) cm. A cyst measuring 3.23 x 2.81 cm noted in right ovary. A fibroid measuring 5.40 x 4.80 cm noted in body region of uterus appears obstructing the Internal OS. IMPRESSION :- * Single live foetus with gestational age by USG 10 weeks 6 days. * Right sided corpus luteal cyst. * Uterine fibroid.

MS SABITRI DAS 19 15962/1 07/02/2011 DR GOURI DE 06/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.84 cm. in length 8.86 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.11 4.88 3.20) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries are normal in size, shape, margin and echotexture. Right ovary noted in
Pouch of Douglas

Right Ovary measures = (2.80 1.47) cm. (3.02 1.78) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Sonographic study of Lower Abdomen does not reveal any significant abnormality.
Suggested clinical correlation.

MR. RAM PRASAD 60 15973/1 07/02/2011 DR CHITTARANJAN ROY 06/02/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.52 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.

Right kidney measures = 9.55 cm. in length 9.46 cm. in length

Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. Suggested clinical correlation. MS MUKTI SARKAR 22 15985/1 07/02/2011 DR (MRS) GOURI DE ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.08 cm. in length 9.43 cm. in length Left kidney measures = 07/02/2011 FEMALE

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus could not be well delineated however as seen appears small and atrophied.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries as seen appears normal in shape, size, position and echotexture. Right Ovary measures = (2.58 1.58) cm. 2.07) cm. Left Ovary measures = (2.61

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Suspected small and atrophied uterus.
Suggested clinical correlation, TVS and Karyotyping may be considered.

MS CHAMELI DAS 38 15876/1 07/02/2011 DR S MUKHERJEE 04/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.

Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.49 cm. in length 9.90 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, bulky in size ( 9.08 5.43 3.99) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.06 2.32) cm. 2.40) cm. Left Ovary measures = (3.16

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus.
Suggested clinical correlation.

MR. B N MAZUMDAR 66

MALE

52279/1 08/02/2011 DR OF CGHS

07/02/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.03 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.54 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.52 cm. in length Left kidney measures = 9.98 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Post void not done as patient could not pass urine.

MR. B N MAZUMDAR 66 52279/1 08/02/2011 DR OF CGHS 07/02/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.02 4.21 4.08) cm. Approximate weight could be around 45 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly. Suggested clinical correlation.

MS ANJALI SAHA 50 15989/1 09/02/2011 DR ABHIJIT BANERJEE 07/02/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.18 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum

appears normal. No definite collaterals could be detected. Splenic span is 9.15 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.83 cm. in length 10.5 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. Suggested clinical correlation.

MD HABIBUR RAHAMAN 35 16036/1 09/02/2011 DR UDIPTA ROY 09/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MD HABIBUR RAHAMAN 35 16036/1 09/02/2011 DR UDIPTA ROY 09/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.52 2.79 2.72) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatosplenomegaly. Suggested clinical correlation.

MS A DASH 25

FEMALE

16077/1 10/02/2011 DR M PADMAJA BHATTACHARYA

10/02/2011

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac measuring 0.5 cm in transverse diameter noted. No obvious yolk sac or embryonal node noted at present. Gestational age by LMP : 5 weeks 6 days ( 31 / 12 / 2010 ) Decidual reaction is noted all around. Internal OS is closed. Urinary bladder is partially distended. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 1.98 2.06 ) cm. Size of Left Ovary = ( 2.33 1.58 ) cm. POD : Clear

IMPRESSION :- Intrauterine gestational sac. Repeat USG after 10-12 days / TVS may be considered.

MS MONIKA DUTTA 72 16074/1 10/02/2011 DR P S BANDYOPADHYAY 10/02/2011

FEMALE

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is contracted; wall thickness as seen appears normal. A calculus is noted in gall bladder lumen. Sludge is also suspected in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.40 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No calulus, SOL or hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.21 cm. in length Left kidney measures = 8.36 cm. in length URINARY BLADDER :

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MONIKA DUTTA 72 16074/1 10/02/2011 DR P S BANDYOPADHYAY 10/02/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Chronic calculus cholecystitis.

* Mildly hyperechoic kidney cortex - ? Early renal Dysfunction / ? Senile change. Suggested clinical correlation and corroboration with serum urea, creatinine may be considered.

MS DEBAPRIYA BASU 40 16084/1 10/02/2011 10/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length 11.0 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, bulky in size ( 9.94 5.41 4.34 ) cm. Endometrium (collapsed wall) is in midline. Myometrial echotexture appears heterogenous. Cervix looks clear.

ADNEXA : Left adnexae clear however left ovary could not bedelineated separately. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.66 1.95) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus with ? Adenomyosis.
Suggested clinical correlation.

MS BANDANA ROYCHOUDHURY 35 16078/1 10/02/2011 DR (MRS) GOURI DE 10/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 10.6 cm. in length 10.1 cm. in length

Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.72 5.54 4.17) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.16 1.93) cm. 1.80) cm. Left Ovary measures = (2.32

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.
Suggested clinical correlation.

MS GITA UPADHYAY 75 16079/1 10/02/2011 10/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.08 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. A small calculus measuring 0.495 cm noted in middle calyx of right kidney.No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.59 cm. in length Left kidney measures = 9.91 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS GITA UPADHYAY 75 16079/1 10/02/2011 10/02/2011

FEMALE

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Right sided non obstructive nephrolithiasis. Suggested clinical correlation.

MS ANITA ROY 38 51835/1 10/02/2011 DR OF CGHS 04/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANITA ROY 38 51835/1 10/02/2011 DR OF CGHS 04/02/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.61 4.19 3.59 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.89 2.29) cm.

Left

Ovary measures = (2.58 1.75) cm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Bulky uterus. Suggested clinical correlation.

MR H N HALDER 67 52782/1 11/02/2011 DR OF CGHS 10/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 14.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 55 ml.

MR H N HALDER 67 52782/1 11/02/2011 DR OF CGHS 10/02/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and mildly hyperechoic in echotexture. It measures (4.30 3.68 3.10) cm. Approximate weight could be around 25 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * Grade I Prostatomegaly with post void residual urine 55 ml. Suggested clinical correlation.

MR MAHANTA PRASAD 50 16047/1 11/02/2011 09/02/2011

MALE

DR BIMAN CH KUNDU

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles appears mildly dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Portal vein is normal ( 0.8 cm.) at porta. Common Bile Duct is 0.5 cm. Common Bile Duct is mildly dilated in its visualized part. No obvious calculus noted in visualised part. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.43 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. Moderate hydronephrotic change noted bilaterally. Right kidney measures = 10.8 cm. in length Left kidney measures = 11 cm. in length URETER : Both ureter are moderately dilated in their visualized upper parts. URINARY BLADDER : Urinary bladder is hyperdistended. Urinary bladder wall appears mildly thick and irregular sequalae to ? Chronic Bladder Outlet Obstruction / ? Chronic cystitis. Echogenic foci noted in urinary bladder lumen.

POST VOID STUDY : Post void residual urine measures 242 ml.

MR MAHANTA PRASAD 50 16047/1 11/02/2011 DR BIMAN CH KUNDU 09/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.08 2.91 2.75) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mildly dilated Intra hepatic biliary radicles. * Mildly Dilated Common Bile Duct - ? Choledochal cyst. * Bilateral Moderate hydroureteronephrosis Probably due to back pressure effect. * Mildly thick and irregular urinary bladder wall Sequalae to ? Chronic Bladder outlet Obstruction

/ ? Chronic Cystitis. * Echogenic foci urinary bladder lumen - ? Acute Cystitis. * Post void residual urine 242 ml. Suggested clinical correlation.

MS RUPA SAHA 23 16133/1 11/02/2011 DR (MRS) GOURI DE 11/02/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS :

(POA : 34 weeks 6 days, LMP = 12 / 06 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 34 weeks 2 days. (Measurements are in the skiagram).
B. P. D. : 8.60 cm. 34 weeks 4 days F. L. : 6.62 cm. 34 weeks A. C. : 30.7 cm. 34 weeks 4 days Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 126 b/m.

2) 3) 4) 5) 6)

7) Expected foetal weight could be around 2466 gms. ( 16%). DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.500 ). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral : Normal spectral tracing with good peak indices (PI 2.03, RI 0.787 ). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted ( PI 0.730, RI

gestational maturity of 34 weeks 2 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MS SANTOSH RAMGOPAL SHARMA 58 16131/1 11/02/2011 11/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.26 cm. in length 9.63 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study.

Suggested clinical correlation.

MR AMITABHA ROY CHOUDHURY 73 53012/1 12/02/2011 DR OF CGHS 11/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER :

Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.84 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.63 cm. in length Left kidney measures = 9.58 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR AMITABHA ROY CHOUDHURY 73

MALE

53012/1 12/02/2011 DR OF CGHS

11/02/2011

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.36 3.68 3.19) cm. Approximate weight could be around 33 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. N.B. : No obvious sonologically detectable abnormality noted in Right Inguinal Region. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly. Suggested clinical correlation.

MR. SANTOSH KR BOSE 84 53009/1 12/02/2011 DR OF CGHS 11/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. Calcific dots noted in right lobe of liver ( segment VII), suggestive of old healed granulomatous lesion. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.14 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.21 cm. in length Left kidney measures = 9.63 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. SANTOSH KR BOSE 84 53009/1 12/02/2011 DR OF CGHS 11/02/2011

MALE

PROSTATE : Prostate could not be well assessed due to poor USG window however as seen appears normal in shape, size and position. It measures (3.25 2.82 2.71) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with old healed granulomatous lesion right lobe of liver ( segment VII). Suggested clinical correlation and Transrectal USG may be considered for proper evaluation of prostate.

MS MANISHA PRASAD 33 53020/1 12/02/2011 DR OF CGHS 11/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.05 cm. in length 10.2 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is anteverted, normal in size ( 8.10 5.19 4.30) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.63 2.22) cm. (2.82 2.05) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality. Suggested clinical correlation.

MS ARCHANA ROY 51 16181/1 12/02/2011 DR KUNAL SUNGUPTA 12/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

Thank you for referring the patient for US scan of Whole Abdomen

MS ARCHANA ROY 51 16181/1 12/02/2011 DR KUNAL SUNGUPTA 12/02/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. UDAYAN ROY 61 16183/1 12/02/2011 DR ARUNAVA CHOUDHURY 12/02/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length 10.0 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 41 ml. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.72 3.34 2.93) cm. be around 19 gm. Approximate weight could

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Post void residual urine 41 ml. Suggested clinical correlation.

MS ANUSHREE AGARWAL 14 16186/1 12/02/2011 DR AJOY KUMAR PAN 12/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular

disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.19 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.92 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANUSHREE AGARWAL 14 16186/1 12/02/2011 DR AJOY KUMAR PAN 12/02/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 5.97 3.84 3.53) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.02 3.01) cm. Left Ovary measures = (3.73 2.73) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MS ANJULA GUPTA 50 53249/1 14/02/2011 DR OF CGHS 12/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture with focal areas of fatty sparing. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.45 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.5 cm. in length Left kidney measures = 12.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANJULA GUPTA 50 53249/1 14/02/2011 DR OF CGHS 12/02/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 13.4 10.6 9.90) cm. Multiple fibroids ( largest one measuring 5.49 x 5.90 cm ) noted involving posterior myometrium. Endometrium is thickened measuring 1.88 cm at present. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.70 2.01) cm. Left Ovary measures = (2.94 2.31) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver with focal fatty sparing. * Bulky uterus with multiple fibroids with thickened endometrium. Suggested clinical correlation.

MS SHARMILA DEVI MANDAL 48 53243/1 14/02/2011 DR OF CGHS 12/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. A simple cortical cyst

noted in mid part of right kidney. Multiple small calculi measuring approx 0.322 cm noted in middle calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 8.68 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SHARMILA DEVI MANDAL 48 53243/1 14/02/2011 DR OF CGHS 12/02/2011

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.57 6.04 4.24) cm. A fibroid measuring 1.96 cm noted involving posterior myometrium in fundal region of uterus. Another fibroid is suspected involving anterior myometrium. Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.61 2.10) cm. Left Ovary measures = (2.66 2.44) cm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * Right Renal simple cortical cyst. * Left sided non obstructive nephrolithiasis. * Mildly bulky uterus with fibroid. Suggested clinical correlation and TVS may be considered.

MR. RUPCHAND BASKI 28 16125/1 14/02/2011 DR S K BISWAS 10/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.16 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.90 cm. in length Left kidney measures = 9.26 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 57 ml.

MR. RUPCHAND BASKI 28 16125/1 14/02/2011 DR S K BISWAS 10/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.12 2.83 2.53) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Post void residual urine 57 ml. Suggested clinical correlation.

MR. D N BASU 80 16271/1 14/02/2011 14/02/2011

MALE

DR MANOJ KUMAR BASU

ULTRASONOGRAPHY OF SCROTUM
Thank you for referring the patient for US scan of Scrotum
Both the testis are normal in size, shape and echotexture. No obvious focal SOL is seen in any testis. Both sided Epidedymis (Head, body and tail) are normal in size, position and echopattern. A simple cyst with a suspected cyst with internal septa noted on right and left side respectively. No fluid collection seen in right Tunica-vaginal sac. Fluid collection noted in left Tunica vaginal sac. Right Testis measures = (3.23 2.85 x 2.31) cm. Left Testis measrues = (3.49 3.09 x 2.62 ) cm.

IMPRESSION :- * Bilateral Epididymal cyst.

* Left sided hydrocoele.
Suggested clinical correlation.

MR. KALI PADA SARKAR 67 53268/1 14/02/2011 DR OF CGHS 12/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Portal vein is normal ( 0.7 cm.) at porta. Common Bile Duct is 0.6 cm. It is mildly dilated however no obvious intraluminal calculus noted in its visualised part. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.65 cm. in length Left kidney measures = 9.48 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. KALI PADA SARKAR 67 53268/1 14/02/2011 DR OF CGHS 12/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.67 3.59 2.75) cm. Approximate weight could be around 19 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly.

* Mildly dilated Common Bile Duct - ? Choledochal cyst. Suggested clinical correlation.

MS KAKOLI DAS 28 53250/1 14/02/2011 DR OF CGHS ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy 12/02/2011

FEMALE

Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade II maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 32 weeks 2 days, LMP = 03 / 07 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 30 weeks 5 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) Foetal cranio-spinal axis appears normal. : 7.92 cm. 31 weeks 5 days. : 5.79 cm. 30 weeks 2 days. : 26.2 cm. 30 weeks 2 days.

3) 4) 5) 6) 7)

Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 156 b/m. Expected foetal weight could be around 1614 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 30 weeks 5 days.

IMPRESSION average

N.B.: Old USG report not available for comparative evaluation.

MS REBA SADHUKHAN 40 16320/1 15/02/2011 DR OF NATIONAL HOMEOPATHIC HOS 15/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.06 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.98 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.90 cm. in length Left kidney measures = 9.85 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS REBA SADHUKHAN 40 16320/1 15/02/2011 DR OF NATIONAL HOMEOPATHIC HOS 15/02/2011

FEMALE

UTERUS :

Uterus is anteverted, mildly bulky in size ( 8.44 4.03 3.06 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.39 1.88) cm. Left Ovary measures = (2.55 2.28) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Mildly bulky uterus. Suggested clinical correlation.

MS JYOTSNA BISWAS 93 16323/1 15/02/2011 DR A K CHATTERJEE 15/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.5 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not well assessed as partially distended at present however no obvious intraluminal calculus noted at present. Gall bladder wall thickness appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.55 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.75 cm. in length Left kidney measures = 8.77 cm. in length URINARY BLADDER : Urinary bladder is partially distended however as seen urinary bladder wall thickness appears normal with no obvious intraluminal calculus.

MS JYOTSNA BISWAS 93 16323/1 15/02/2011 DR A K CHATTERJEE 15/02/2011

FEMALE

PELVIS : No obvious echogenic SOL noted in pelvis. RETROPERITONEUM & PERITONEUM : Moderate free fluid noted in peritoneal cavity. LOWER PLEURAL SPACE : Left sided mild pleural effusion with consolidated lung segment noted in right lower pleural space. Visualised part of Aorta and IVC appears normal. No obvious lymphadenopathy noted. IMPRESSION : * Mild Hepatomegaly. * Left sided mild pleural effusion with consolidated lung segment right lower pleural space. * Moderate Ascites. Suggested clinical correlation.

MS INDRANI GHOSH 30 16034/1 15/02/2011 DR P N SEN 09/02/2011

FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING (TVS) Thank you for referring the patient for US scan of Follicular Screening UTERUS : Uterus is anteverted, bulky in size ( 10.1 5.06 4.04 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.97 1.71) cm. Left Ovary measures = (3.13 1.85) cm.

DATE

RO FOLLICLE

LO FOLLICLE

ET

POD

09/02/201 1 10/02/201 1 12/02/201 1

NIL NIL NIL

1.14 x 1.06 cm 1.47 x 1.33 cm 1.82 x 1.52 cm

0.576cm 0.999cm 1.06cm

Clear Clear Clear

14/02/201 1

NIL

2.6 x 2.3 cm

1.2cm

Clear

MS SUTRISHNA MIDYA 21 16357/1 16/02/2011 DR GOURI DE 15/02/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS :

(POA : 35 weeks 4 days, LMP = 12 / 06 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 33 weeks 1 day. (Measurements are in the skiagram).
B. P. D. : 8.21 cm. 33 weeks F. L. : 6.39 cm. 33 weeks A. C. : 29.8 cm. 33 weeks 5 days 2) Foetal cranio-spinal axis appears normal.

3) 4) 5) 6) 7)

Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 137 b/m. Expected foetal weight could be around 2222 gms. ( 16%).

DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.590 ). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral IMPRESSION average : : Normal spectral tracing with good peak indices (PI 1.73, RI 0.816 ). 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.668, RI

gestational maturity of 33 weeks 1 day. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MS ASHIMA BASU 42 16360/1 16/02/2011 DR SUNIRMAL SARKAR 16/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could

be detected at its visualised part. Portal vein is normal ( 1.16 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A mobile calculus measuring 1.15 cm noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 11.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ASHIMA BASU 42 16360/1 16/02/2011 DR SUNIRMAL SARKAR 16/02/2011

FEMALE

UTERUS : Uterus is retroverted, normal in size ( 6.73 4.52 4.12) cm. A fibroid measuring 2.43 x 1.80 cm noted involving anterior myometrium in fundal region of uterus.Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.62 2.25) cm. Left Ovary measures = (3.17 2.40) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Cholelithiasis. * Bulky uterus with fibroid. Suggested clinical correlation.

MR. NIKHIL PODDAR 52

MALE

16361/1 16/02/2011 DR OF R G KAR HOSP

16/02/2011

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No calculus, SOL or hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 12.0 cm. in length 11.1 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 69 ml. PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.30 3.68 3.54) cm. around 29 gm. Approximate weight could be

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly hyperechoic kidney cortex - ? Early Renal Dysfunction / ? Senile change.

* Grade I Prostatomegaly with post void residual urine 69 ml. Suggested clinical correlation and cooroboration with serum urea, creatinine may be considered.

MS DEBI KESH 54 16362/1 16/02/2011 DR DEBASHIS CHATTERJEE 16/02/2011

FE MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.01 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A mobile calculus in noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.16 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.1 cm. in length 10.2 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. * Cholelithiasis. Suggested clinical correlation.

MR. BADGUJAR SHARAD 39 53917/1 17/02/2011 DR OF CGHS 16/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.02 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.54 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. A small calculus measuring 0.310 cm noted in mid part of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. BADGUJAR SHARAD 39 53917/1 17/02/2011 DR OF CGHS 16/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.32 3.15 2.75) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Left sided non obstructive nephrolithiasis. Suggested clinical correlation.

MS MADHABI BASAK 51

FEMALE

16433/1 17/02/2011 DR SAMAYUG BHOWMIK

17/02/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Focal cholesterosis noted. No obvious intraluminal calculus noted. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.06 cm. in length Left kidney measures = 9.64 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be

detected.

MS MADHABI BASAK 51 16433/1 17/02/2011 DR SAMAYUG BHOWMIK 17/02/2011

FEMALE

UTERUS : Uterus is small and atrophied. Endometrial thickness appears normal. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Focal cholesterosis of gall bladder. Suggested clinical correlation.

MS SUJATA NATH 47 16423/1 17/02/2011 DR DIPANJAN BANDYOPADHYAY 16/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder as seen appears normally distended; wall thickness appears normal. Focal cholesterosis noted in fundal region of gall bladder. Multiple very small mobile echogenic foci noted in gall bladder lumen - ? Microcalculi / ? Echogenic sludge. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.74 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.96 cm. in length Left kidney measures = 9.49 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUJATA NATH 47 16423/1 17/02/2011 DR DIPANJAN BANDYOPADHYAY 16/02/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Focal cholesterosis of gall bladder. * ? Microcholelithiasis / ? Echogenic sludge particles in gall bladder lumen. Suggested clinical correlation and repeat USG may be considered after 4 6 weeks for further evaluation of gall bladder.

MR. A CHAKRABORTY 22 16429/1 17/02/2011 DR P S BANDYOPADHYAY 17/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER :

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.26 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 9.49 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. A CHAKRABORTY 22 16429/1 17/02/2011 DR P S BANDYOPADHYAY 17/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.72 3.31 2.66) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MR. SHYAMALENDA ROY BARMAN 73 54179/1 18/02/2011 DR OF CGHS 17/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.36 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Simple cortical cyst noted in upper and lower pole of right and left kidney respectively. Cortical echogenecity appears normal maintaining corticomedullary and cortico-heptic

differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.85 cm. in length Left kidney measures = 8.85 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 87 ml.

MR. SHYAMALENDA ROY BARMAN 73 54179/1 18/02/2011 DR OF CGHS 17/02/2011

MALE

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.83 4.50 4.34) cm. Approximate weight could be around 49 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Bilateral Renal Simple Cortical Cyst. * Grade II Prostatomegaly with mild median lobe enlargement. * Post void residual urine 87 ml. Suggested clinical correlation.

MS TANUJA KUMAR 40 16486/1 18/02/2011 DR SANDIP CHAKRABARTY 18/02/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN (SCREENING) Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. No obvious fluid collection noted in gall bladder fossa. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 11.2 cm. in length 11.2 cm. in length Left kidney measures =

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. P K MAJUMDAR 62 16548/1 19/02/2011 DR BIMAL CH KUNDU 19/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN

Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarled in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.05 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. Multiple small calculi measuring approx. 0.36 cm noted in lower calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 9.63 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 78 ml.

MR. P K MAJUMDAR 62 16548/1 19/02/2011 DR BIMAL CH KUNDU 19/02/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.77 2.80 2.62) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Left sided non obstructive nephrolithiasis. * Post void residual urine 78 ml. Suggested clinical correlation.

MAST RAHIT PATHAK 13 16543/1 19/02/2011 DR GOUTAM DAS 19/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. Multiple calcific dots, suggestive of old healed granulomatous lesions noted in right lobe of liver ( segment VI). Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.38 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 8.96 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 59 ml.

MAST RAHIT PATHAK 13 16543/1 19/02/2011 DR GOUTAM DAS 19/02/2011

MALE

PROSTATE : Prostate appears normal in shape, size, position and echotexture. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatomegaly with old healed granulomatous lesions right lobe of liver (segment VI). * Post void residual urine 59 ml. Suggested clinical correlation.

MS SOUMYA RAY 52 16545/1 19/02/2011 19/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.39 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Essentially normal study.

Suggested clinical correlation.

MR. RAMEN KE PAUL 57 53260/1 19/02/2011 DR OF CGHS 12/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER :

Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.24 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both the kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No Calculus, SOL or hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 95 ml.

MR. RAMEN KE PAUL 57

MALE

53260/1 19/02/2011 DR OF CGHS

12/02/2011

PROSTATE : Prostate is mildly enlarged in size and heterogenous in echotexture. It measures (4.70 3.43 3.37) cm. Approximate weight could be around 28 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Mildly hyperechoic kidney cortex - ? Early Renal Dysfunction / ? Senile changes. * Grade I Prostatomegaly with post void residual urine 95 ml. Suggested clinical correlation and corroboration with Serum urea, creatinine may be considered.

MS PRIYANKA MUKHERJEE 28 16605/1 21/02/2011 DR GOURI DE 21/02/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY ( ANOMALY) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in breech presentation at present. Placenta (is early grade I maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 18 weeks 6 days, LMP = 12 / 10 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 19 weeks 4 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. : 2.92 cm. 19 weeks. : 16.3 cm. 21 weeks 2 days.

: 4.21 cm. 18 weeks 5 days.

2) Foetal cranio-spinal axis appears normal. 3) Limbs and long bones appear normal. 4) Neck, chest, four chamber, pelvis reveals no obvious anomalies. 5) Abdominal wall appears within normal limit however abdominal circumference is enlarged in comparison with other fetal parameters. 6) Umbilical cord appears normal. 7) Foetal heart rate is regular, 146 b/m. IMPRESSION : 1) Single, live, active foetus in breech presentation at present of an average gestational maturity of 19 weeks 4 days.

2) No gross anomaly noted. 3) Enlarged abdominal circumference in comparison with other fetal parameters. Suggested clinical correlation and blood may be considered to rule out gestational diabetes. N.B.: Old USG report not available for comparative evaluation.

MS KRISHNA DEVI KHEMKA 58 16610/1 21/02/2011 DR A K CHATTERJEE 21/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A small mobile calculus noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.82 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A simple cortical cyst measuring 4.70 x 4.79 cm noted in mid part of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.00 cm. in length Left kidney measures = 8.73 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS KRISHNA DEVI KHEMKA 58 16610/1 21/02/2011 DR A K CHATTERJEE 21/02/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not delineated separately.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. * Left Renal simple cortical cyst. Suggested clinical correlation.

MS NIVA BARUI 32 16602/1 21/02/2011 DR GOURI DE 21/02/2011

FEMALE

ULTRASONOGRAPHY OF PELVIS
Thank you for referring the patient for US scan of Pelvis

Gravid uterus with single irregularly outlined gestational sac noted. Embryonal node is noted.

No obvious embryonal cardiac activity detected at present. Gestational age by LMP : 15 weeks ( 08 / 11 / 2010 ) CRL : 1.86 cm ( 8 weeks 3 days). Poor Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 1.99 1.68 ) cm. Size of Left Ovary = ( 2.51 1.35 ) cm. POD : Clear

IMPRESSION :- USG features are suggestive of Early Pregnancy failure. Suggested clinical correlation.

MS MIRA DAS 36 16579/1 21/02/2011 DR OF SALT LAKE SUB DIV HOSP 20/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length 9.93 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, bulky in size ( 9.56 5.58 4.36) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : An elongated slightly dilated cystic area suggestive of dilated gut loop noted in right adnexa Left adnexa is clear. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.95 2.10) cm. 1.90) cm. Left Ovary measures = (2.96

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus. * Suspected dilated gut loop right adnexal region.

Suggested clinical correlation, TVS and colonoscopy may be considered.

MS RAJ DEVI SEKSARIA 58 16532/1 22/02/2011 18/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length 9.93 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small and atrophied. ADNEXA : Right adnexa is clear however right ovary could not be delineated separately. A simple cyst measuring 5.02 x 4.93 cm noted in left adnexa. Left ovary could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Left adnexal simple cyst.

Suggested clinical correlation.

MS MANJU PAL 52 16647/1 22/02/2011 22/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 9.97 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study.

Suggested clinical correlation.

MS INDRANI DAS 29 16569/1 22/02/2011 DR SHARMISHTHA PATRA 19/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.6 cm. in length 9.84 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, bulky in size ( 10.9 9.19 7.40) cm. A large fibroid measuring 5.81 x 5.76 cm noted in fundal and

body region of uterus. Endometrium could not be assessed due to fibroid. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Right Ovary is normal in size, shape, position, margin and echotexture. Left ovary could not be delineated clearly however as seen appears normal in shape, size and echotexture. Right Ovary measures = (3.19 2.08) cm. (2.96 2.01) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus with fibroid.
Suggested clinical correlation.

MS SANGITA SINGH 27 16646/1 22/02/2011 DR GOURI DE 22/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SANGITA SINGH 27

FEMALE

16646/1 22/02/2011 DR GOURI DE

22/02/2011

UTERUS : Uterus is slightly retroverted, normal in size ( 7.35 4.52 3.45) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.48 2.48) cm. Left Ovary measures = (3.54 2.15) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Slightly Retroverted uterus. * ? PCOD. Suggested clinical correlation.

MS PARBATI KHATIK 53 54339/1 22/02/2011 DR OF CGHS 18/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is contracted; wall thickness as seen appears normal. A calculus is noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.37 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 8.83 cm. in length Left kidney measures = 9.56 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PARBATI KHATIK 53 54339/1 22/02/2011 DR OF CGHS 18/02/2011

FEMALE

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Minimal Hepatomegaly with mild fatty infiltration of liver. * Chronic calculus cholecystitis. Suggested clinical correlation.

MR. INDRANIL BHATTACHARYA 42 16714/1 24/02/2011 DR S PATTNAIK 23/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture with focal fatty sparing. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.47 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.52 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. INDRANIL BHATTACHARYA 42 16714/1 24/02/2011 DR S PATTNAIK 23/02/2011

MALE

PROSTATE :

Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures ( 4.30 3.04 2.77 ) cm. Approximate weight could be around 19 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver with focal areas os fatty sparing. Suggested clinical correlation.

MS SANTA PRADHAN 45 16723/1 24/02/2011 DR T K BANERJEE 24/02/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.5 cm. in length Left kidney measures = 11.2 cm. in length RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

RIGHT ILIAC FOSSA: A tender aperistaltic non compressible blind loops noted in Right Iliac Fossa - ? Appendicular pathology.

IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * ? Appendicular pathology. Suggested clinical correlation. MR. AVIJIT GHOSH 32 16724/1 24/02/2011 DR S MUKHERJEE ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and grossly hyperechoic in echotexture echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.40 cm. KIDNEYS : 24/02/2011 MALE

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.3 cm. in length cm. in length Left kidney measures = 12.3

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with gross fatty infiltration of liver. Suggested clinical correlation.

MS CHANDANA BOSE 41 55424/1 25/02/2011 DR OF CGHS 24/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.6 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.32 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length Left kidney measures = 11.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS CHANDANA BOSE 41 55424/1 25/02/2011 DR OF CGHS 24/02/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 10.2 7.71 5.83) cm. A fibroid measuring 3.90 x 3.45 cm noted in fundal region of uterus. Endometrium could not be well assessed due to fibroid. Cervix looks clear. OVARIES : Right ovary as seen appear normal in shape, size, position and echotexture. A simple cyst measuring 3.50 x 2.17 cm noted in Pouch of Douglas suspected to be involving left ovary. Right Ovary measures = (2.57 2.36) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Bulky uterus with fibroid. * Suspected functional cyst left ovary. Suggested clinical correlation and TVS may be considered.

MR. SAMIR BHOWMIK 57

MALE

16781/1 25/02/2011 DR D K GANGULY

25/02/2011

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is distended; wall appear mildly thick ( 4 mm). A non mobile tumefactive sludge ball with suspected small calculi within noted in fundal region of gall bladder. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.3 cm. in length cm. in length Left kidney measures = 9.92

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Acute calculus cholecystitis. Suggested clinical correlation. MS SUNANDA MAITY 47 16776/1 25/02/2011 DR ADRIJA RAHMAN MUKHERJEE 24/02/2011 FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.60 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.85 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUNANDA MAITY 47 16776/1 25/02/2011 DR ADRIJA RAHMAN MUKHERJEE 24/02/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.33 6.15 5.49) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.76 2.31) cm. Left Ovary measures = (3.29 1.78) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Bulky uterus. Suggested clinical correlation.

MS SANDHYA KARMAKAR 54 16743/1 25/02/2011 DR GOURI DE 24/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.11 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.24 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.24 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SANDHYA KARMAKAR 54 16743/1 25/02/2011 24/02/2011

FEMALE

DR GOURI DE

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS RUMA BISWAS 26 16784/1 25/02/2011 DR MRS KAKOLI BASU 25/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length 9.17 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.31 5.09 3.85 ) cm. Endometrium (collapsed wall) is in midline. Endometrial thickness 4.5 mm. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.02 2.78) cm. (3.10 2.82) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation and hormonal assay may be considered.

MS JAITA DAS 37 16792/1 25/02/2011 DR TANMOY MONDAL 25/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.6 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Multiple mobile calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.23 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 9.87 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS JAITA DAS 37 16792/1 25/02/2011 DR TANMOY MONDAL 25/02/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.66 5.58 4.43) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected.

OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.68 2.07) cm. Left Ovary measures = (3.04 1.84) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Cholelithiasis. * Bulky uterus. Suggested clinical correlation.

MS AJITA GHOSH 68 16787/1 25/02/2011 DR SUJIT CHAUDHURI 25/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.68 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS AJITA GHOSH 68

FEMALE

16787/1 25/02/2011 DR SUJIT CHAUDHURI

25/02/2011

UTERUS : Uterus is nor clearly delineated - ? Small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS BAISAKHI MONDAL 18 16785/1 25/02/2011 DR PROF A K MUKHERJEE 25/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.10 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.83 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS BAISAKHI MONDAL 18 16785/1 25/02/2011 DR PROF A K MUKHERJEE 25/02/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.35 4.30 3.18) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.61 2.42) cm. Left Ovary measures = (4.18 2.34) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph

nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MS MAHUA BHATTACHARYA 33 16779/1 25/02/2011 DR KASTURI BHOWMIK 25/02/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac . No obvious fetal node or yolk sac detected at present. Gestational age by LMP : 14 weeks ( 19 / 11 / 2010 ) MSD : 3.5 cm ( 8 weeks 4 days). Decidual reaction is noted all around.

Internal OS is closed. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in right adnexal region. A cyst is noted in left ovary. Size of Right Ovary = ( 2.64 x 1.96 ) cm. Size of Left Ovary = ( 3.46 2.34 ) cm. POD : Clear

IMPRESSION :- * USG features are suggestive of Blighted ovum. * Left ovarian cyst.
Suggested clinical correlation.

MS MANJO RANI DAS 19 55603/1 26/02/2011 DR OF CGHS 25/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could

be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.17 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MANJO RANI DAS 19 55603/1 26/02/2011 DR OF CGHS 25/02/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.45 3.77 3.37) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.23 2.20) cm. Left Ovary measures = (3.07 2.37) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * ? PCOD. Suggested clinical correlation.

MR. MANILAL CHATTERJEE 74 55608/1 26/02/2011 DR OF CGHS 25/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.89 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.24 cm. in length Left kidney measures = 9.92 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. MANILAL CHATTERJEE 74 55608/1 26/02/2011 DR OF CGHS 25/02/2011

MALE

PROSTATIC FOSSA : Prostatic fossa as seen appears normal and measures (2.86 2.57 2.20) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MS S K PINKI 26 16838/1 26/02/2011 DR GOURI DE 26/02/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac . Embryonal node is noted. Embryonal heart beat is present ( 154 BPM). Gestational age by LMP : 13 weeks ( 27 / 11 / 2010 ) CRL : 1.61 cm ( 8 weeks ). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate.

Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.03 2.33 ) cm. Size of Left Ovary = ( 3.15 2.81 ) cm. POD : Clear

IMPRESSION :- * Single live embryo with gestational age by USG 8 weeks. * ? Wrong date / ? Late conception.

MR. MRITYUNJOY GHOSH 74 16841/1 26/02/2011 DR ARUNABHA SENGUPTA 26/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is distended; wall thickness appears normal. No obvious intraluminal calculus noted. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.60 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Multiple simple cortical cysts noted bilaterally. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 9.96 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. MRITYUNJOY GHOSH 74 16841/1 26/02/2011 DR ARUNABHA SENGUPTA 26/02/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture.

It measures (4.39 3.39 3.02) cm. Approximate weight could be around 23 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Distended gall bladder. * Bilateral Renal Simple Cortical Cyst. * Grade I Prostatomegaly. Suggested clinical correlation.

MS CHANDRA BANERJEE 58 16837/1 26/02/2011 26/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN

Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.96 cm. in length 9.99 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Essentially normal study.

Suggested clinical correlation.

DR G S TAKI 58

MALE

16836/1 26/02/2011 DR KAUSHIK MUKHERJEE

26/02/2011

COLOUR DOPPLER ARTERIAL STUDY OF BOTH LOWER LIMB # R E P O R T #

Common femoral (CFA) with its superficial and deep branch, Popliteal artery (POP A), Anterior tibial (ATA) and posterior tibial arteries (PTA) and arteria dirsalis pedis (DPA) appear normal in caliber, clear and anechoic lumen and no obvious segment of stenosis is demonstrated. No significant plaque is demonstrated. Color filling is normal in all these arteries and normal triphasic flow pattern is demonstrated. SYSTOLIC VELOCITIES
Velocities (Cm/s)

PEAK
Artery

Right Right Right Right Right Right Right Left Left Left Left Left Left Left

Common Femoral Artery Superficial Femoral Artery Deep Femoral Artery Popliteal Artery Anterior Tibial Artery Posterior Tibial Artery Dorsalis pedis Artery

127 77.8 82.1 60.5 53.3 70.6 63.4 141 117 74.9 51.9 79.3 70.6 64.8

Common Femoral Artery Superficial Femoral Artery Deep Femoral Artery Popliteal Artery Anterior Tibial Artery Posterior Tibial Artery Dorsalis pedis Artery

IMPRESSION : Doppler study of peripheral arteries of lower limb is within normal limit.
Suggested clinical correlation.

DR G S TAKI 58 16836/1 26/02/2011 DR KAUSHIK MUKHERJEE 26/02/2011

MALE

COLOUR DOPPLER VENOUS STUDY OF BOTH LOWER LIMB

R E P O R T

All the major veins in the lower limb are examined with high resolution Ultrasonography and reveals normal anechoic lumen and normal compressibility. No obvious luminal dilatation and thrombus is demonstrated in any segment. Color filling is good in all the veins with complete fill-in across the lumen of the vein. Normal phasic variation is noted. On distal compression, good augmentation is noted. Both sapheno-femoral junctions are competent with complete cessation of flow during valsalva. Deep venous system as well as Sapheno-Popliteal junctions appear competent. No obvious perforators are noted during scanning.

IMPRESSION : Doppler study of bilateral lower limb venous system is within normal limit. No Deep vein Thrombosis.
Suggested clinical correlation.

MR. S K GUPTA 54 55798/1 28/02/2011 DR OF CGHS 26/02/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.6 cm.) at porta. GALL BLADDER : Gall Bladder is not visualised History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.4 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.88 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 64 ml.

MR. S K GUPTA 54 55798/1 28/02/2011 DR OF CGHS 26/02/2011

MALE

PROSTATE : Prostate is mildly enlarged in size. Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.85 3.64 3.57) cm. Approximate weight could be around 26 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Grade I Prostatomegaly with post void residual urine 64 ml. Suggested clinical correlation.

SMT SUDESHNA SEN 45 16911/1 28/02/2011 DR KAUSHIK MUKHERJEE 28/02/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 10.7 cm. in length 10.5 cm. in length

Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.61 5.40 4.57) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear however right ovary could not be delineated separately. LEFT OVARY : Left ovary is normal in size, shape, position and echotexture. Left Ovary measures = (3.15 2.59) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.
Suggested clinical correlation.

MS SEFALI SARKAR 31 16895/1 28/02/2011 DR ABHIJIT SARKAR 27/02/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.38 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.81 cm. in length Left kidney measures = 9.11 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SEFALI SARKAR 31 16895/1 28/02/2011 DR ABHIJIT SARKAR 27/02/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.07 5.37 4.67) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Lower end of cervix is not well delineated suggestive of uterine prolapse. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.66 1.71) cm. Left Ovary measures = (3.83 1.36) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness detected at present.

IMPRESSION : * Mild Hepatomegaly. * Bulky uterus with suspected uterine prolapse. * ? PCOD. Suggested clinical correlation.

MS MOUMITA DAS 22 16904/1 28/02/2011 DR GOURI DE 27/02/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS :

(POA : 35 weeks 5 days, LMP = 23 / 06 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 35 weeks 2 days. (Measurements are in the skiagram).
B. P. D. : 9.10 cm. 36 weeks 6 days F. L. : 6.67 cm. 34 weeks 2 days A. C. : 31.0 cm. 35 weeks Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 124 b/m. Expected foetal weight could be around 2625 gms. ( 16%).

2) 3) 4) 5) 6) 7)

DOPPLER STUDY :

UMBILICAL ARTERY diastolic flow. 0.672 ).

: Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 1.12, RI

MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral

Normal spectral tracing with good peak indices (PI 2.04, RI 0.825 ).

IMPRESSION average

1) Single, live, active foetus in cephalic presentation of an

gestational maturity of 35 weeks 2 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MR. AMARENDRA MOHAN GUHA 86 56902/1 05/03/2011 DR OF CGHS 04/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.21 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.91 cm. in length Left kidney measures = 9.68 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. Post void not done as urinary bladder was not optimally distended.

MR. AMARENDRA MOHAN GUHA 86 56902/1 05/03/2011 DR OF CGHS 04/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.47 2.75 2.64) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MR. P K THAKUR 75 16935/1 01/03/2011 DR H N BANDYOPADHYAY ULTRASONOGRAPHY OF LOWER ABDOMEN 28/02/2011

MALE

Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.60 cm. in length cm. in length Left kidney measures = 9.44

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.34 4.12 4.02) cm. 37 gm. Approximate weight could be around

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Grade II Prostatomegaly. Suggested clinical correlation.

MS ASEEMA CHAKRAVARTY 59 16970/1 01/03/2011 DR K D BISWAS 28/02/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Portal vein is normal ( 0.8 cm.) at porta.Common Bile Duct is 0.5 cm. It is mildly dilated in its proximal part however mid and distal part could not be well assessed due to gas shadow. No obvious intraluminal calculus noted in visualized part of Common Bile Duct suggestive of normal post cholecystectomy physiological mild dilatation of Common Bile Duct. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.24 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.11 cm. in length Left kidney measures = 10.2 cm. in length

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Normal post cholecystectomy physiological mild dilatation of proximal Common Bile Duct. Suggested clinical correlation.

MS DEBARATI BANERJEE 26 16973/1 01/03/2011 DR JAYANTA KR GUPTA 01/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length 10.6 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.33 5.01 3.70) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.64 1.91) cm. (2.98 1.86) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality.
Suggested clinical correlation.

SMT SUJATA SAHA DAS 31 16982/1 01/03/2011 DR ACHINTYA BHATTACHARYYA ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy 01/03/2011

FEMALE

Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed fundo posteriorly at upper segment of uterus, well off the internal OS which is closed & free.

No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS : (POA : 29 weeks 4 days, LMP = 06 / 08 / 2010 ) 1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 30
weeks 6 days. (Measurements are in the skiagram). B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 7.88 cm.31 weeks 4 days. : 5.98 cm. 31 weeks. : 25.9 cm. 30 weeks.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 150 b/m. Expected foetal weight could be around 1628 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 30 weeks 6 days.

IMPRESSION average

N.B. : Old USG report not available for comparative evaluation.

MS. S R DAS 28 /1 02/03/2011 DR OF CGHS 01/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN

Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is anteverted, normal in size ( 6.38 4.21 3.13 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.92 1.79) cm. Left Ovary measures = (4.56 1.85) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * ? PCOD. Suggested clinical correlation.

MS. APARNA MONDAL 33 /1 03/03/2011 DR OF CGHS 02/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.16 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.66 cm. in length Left kidney measures = 9.47 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.63 5.05 4.93) cm. No obvious focal SOL noted in myometrium. Endometrium appears mildly thickened and measuring 1.3 cm at present. Cervix looks clear. Slight fluid is noted in Pouch of Douglas. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.47 2.54) cm. Left Ovary measures = (2.71 2.39) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Mildly bulky uterus with ? Pelvic Inflammatory Disease. * Mildly thickened endometrium. * ? PCOD. Suggested clinical correlation and TVS may be considered.

MR. P B BHATTACHARJEE 62 56513/1 03/03/2011 DR OF CGHS 02/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver as seen appears mildly enlarged in size with coarse echotexture. No obvious focal SOL noted. Intrahepatic biliary radicles are not dilated. PORTA : Portal vein is mildly dilated. Portal vein measures 1.57 cm. at porta.Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. GALL BLADDER : Gall Bladder is normally distended; wall appears mildly thick. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size and homogenous in echotexture. Splenic span is 12.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Simple cortical cysts noted bilaterally. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.17 cm. in length Left kidney measures = 9.04 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. P B BHATTACHARJEE 62 56513/1 03/03/2011 DR OF CGHS 02/03/2011

MALE

PROSTATE :

Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.99 3.06 2.99) cm. Approximate weight could be around 19 gm. RETROPERITONEUM & PERITONEUM : Mild free fluid is noted in peritoneal cavity. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? Chronic Liver Parenchymal Disease. * Mild splenomegaly with mildly thick walled gall bladder with mildly dilated Portal Vien with mild Ascites - ? Portal hypertension. * Bilateral Renal simple cortical cyst. Suggested clinical correlation.

MS JUGNI DEVI 70 17059/1 03/03/2011 DR S N MUKHERJEE 02/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.7 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.86 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both the kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No cal, SOL or hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.53 cm. in length Left kidney measures = 8.42 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS JUGNI DEVI 70 17059/1 03/03/2011 DR S N MUKHERJEE 02/03/2011

FEMALE

UTERUS : Uterus could not be well delineated - ? small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Mildly hyperechoic kidney cortex Early Renal Dysfunction / ? Senile change. Suggested clinical correlation and corroboration with serum urea, creatinine may be considered.

MS BASANTI MALLICK 32 17078/1 03/03/2011 DR KAUSHIK CHAKI 02/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.09 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Multiple mobile calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 13.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS BASANTI MALLICK 32 17078/1 03/03/2011 DR KAUSHIK CHAKI 02/03/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.31 4.43 3.11) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.43 1.99) cm.

Left

Ovary measures = (3.81 2.38) cm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Cholelithiasis. * Bulky uterus. * ? PCOD. Suggested clinical correlation.

MS MOLINA MONDAL 41 17153/1 03/03/2011 DR G ROY 03/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.47 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.27 cm. in length Left kidney measures = 9.10 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MOLINA MONDAL 41 17153/1 03/03/2011 DR G ROY 03/03/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.86 3.75 3.33) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MISS KUMARI RUPAL 26

FEMALE

17152/1 03/03/2011 DR CHITTARANJAN ROY

03/03/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is partially distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MISS KUMARI RUPAL 26 17152/1 03/03/2011 DR CHITTARANJAN ROY 03/03/2011

FEMALE

UTERUS : Uterus is slightly retroverted, normal in size ( 7.02 5.18 3.82 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Left ovary is normal in size, shape, position, margin and echotexture. Left Ovary measures = (2.52 1.74) cm. A simple cyst measuring 3.64 x 2.96 cm noted in right adnexa probably involving right ovary. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa.

IMPRESSION : * Mild Hepatosplenomegaly. * Slightly retroverted uterus. * Right ovarian functional cyst. Suggested clinical correlation.

MS RANJITA BOSE 25 17198/1 04/03/2011 DR GOURI DE 04/03/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed anteriorly. Lower end is approx. 8 cm away from the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS :

(POA : 33 weeks 2 days, LMP = 04 / 07 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of weeks day. (Measurements are in the skiagram).
B. P. D. : 8.47 cm. 34 weeks F. L. : 6.49 cm. 33 weeks 3 days A. C. : 30.4 cm. 34 weeks 2 days Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 152 b/m.

2) 3) 4) 5) 6)

7) Expected foetal weight could be around 2370 gms. ( 16%). DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.680 ). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral IMPRESSION average : : Normal spectral tracing with good peak indices (PI 1.49, RI 0.767 ). 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 1.01, RI

gestational maturity of 33 weeks 6 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MS SIMA MONDAL 43 17211/1 04/03/2011 DR BASAB MUKHERJEE 04/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.79 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SIMA MONDAL 43 17211/1 04/03/2011 DR BASAB MUKHERJEE 04/03/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 10.2 5.46 3.70 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.76 2.25) cm. Left Ovary measures = (2.51 2.79) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Right Iliac Fossa could not be well assessed due to gas shadow. IMPRESSION : * Mild Hepatomegaly. * Bulky uterus. Suggested clinical correlation.

MR. R K JOHRI 62 57142/1 07/03/2011 05/03/2011

MALE

DR OF CGHS
ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.23 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. R K JOHRI 62 57142/1 07/03/2011 DR OF CGHS 05/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.41 3.12 2.88) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. Suggested clinical correlation.

MR. MIHIR KUMAR DAS 46 56908/1 05/03/2011 DR OF CGHS 04/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. An irregularly marginated hyperechoic area measuring approx. 2.8 x 2.00 cm noted in right lobe of liver in portal region. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.90 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A calculus measuring 0.452 cm noted in middle calyx of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.73 cm. in length Left kidney measures = 8.50 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. MIHIR KUMAR DAS 46 56908/1 05/03/2011 DR OF CGHS 04/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.11 3.10 2.92) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Diffusely hyperechoic area right lobe of liver - ? Focal fatty infiltration / ? Haemangioma. * Left sided nephrolithiasis without hydronephrosis. Suggested clinical correlation.

MS SUDESHNA CHOWDHURY 21 17083/1 05/03/2011 DR M PADMAJA BHATTACHARYA 02/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.32 cm. in length 9.73 cm. in length

Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.43 4.79 3.63) cm. No focal SOL noted in myometrium. Endometrium is collapsed wall and in midline however a small cystic area measuring 0.4 cm noted in fundal region with no obvious surrounding decidual reaction. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.67 2.13) cm. (3.73 1.87) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Small cystic area endometrial cavity. * ? PCOD. MR. SUPRABHAT MUSTAPHI 74 56909/1 05/03/2011 04/03/2011

Suggested clinical correlation and follow up may be considered.

MALE

DR OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.67 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Post void residual urine measures 106 ml.

MR. SUPRABHAT MUSTAPHI 74 56909/1 05/03/2011 DR OF CGHS 04/03/2011

MALE

PROSTATE : Prostate is mildly enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.04 3.77 3.53) cm. Approximate weight could be around 28 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. * Grade I Prostatomegaly with mild median lobe enlargement. * Post void residual urine 106 ml. Suggested clinical correlation.

SMT SUSHEELA DEVI 42 56904/1 05/03/2011 DR OF CGHS 04/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.39 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A cortical cyst is noted in lower pole of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.14 cm. in length Left kidney measures = 9.13 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

SMT SUSHEELA DEVI 42 56904/1 05/03/2011 DR OF CGHS 04/03/2011

FEMALE

UTERUS : Uterus is retroverted, normal in size ( 7.79 5.14 4.63 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.40 1.76) cm. Left Ovary measures = (2.56 1.89) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Left Renal cortical cyst. * Retroverted uterus. Suggested clinical correlation.

MS ARPITA KUNDU 21 56516/1 05/03/2011 DR OF CGHS 02/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. Multiple calcific dots noted in right lobe liver ( segment VII) suggestive of old healed granolomatous lesions. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.87 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.7 cm. in length

MS ARPITA KUNDU 21 56516/1 05/03/2011 DR OF CGHS 02/03/2011

FEMALE

Gravid uterus with single gestational sac . Embryonal node is noted. Foetal heart beat is present ( 162 BPM). Gestational age by LMP : 8 weeks 1 day (07 / 01 / 2011 ) CRL : 1.70 cm ( 8 weeks 2 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.82 2.43 ) cm. Size of Left Ovary = ( 3.79 2.55 ) cm. POD : Clear

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with old healed granulomatous lesions right lobe of liver ( segment VII). * Single live embryo with gestational age by USG 8 weeks 2

days.
Suggested clinical correlation.

MR. MADHAB CH BISWAS 74 57134/1 07/03/2011 DR OF CGHS 05/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.93 cm. in length Left kidney measures = 9.56 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 97 ml.

MR. MADHAB CH BISWAS 74 57134/1 07/03/2011 DR OF CGHS 05/03/2011

MALE

PROSTATE : Prostate is mildly enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.30 3.30 2.97) cm. Approximate weight could be around 22 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Grade I Prostatomegaly with mild median lobe enlargement. * Post void residual urine 97 ml.

Suggested clinical correlation.

MS NAMITA HALDER 27 17372/1 07/03/2011 DR GOURI DE 07/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. A small calculus measuring 0.31 cm noted in middle calyx of left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.26 cm. in length 9.93 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 9.03 5.63 3.59) cm. No focal SOL noted in myometrium. Endometrium

(collapsed wall) is in midline. Cervix appears slightly bulky and heterogenous. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.84 2.39) cm. (3.31 2.06) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left sided non obstructive nephrolithiasis. * Mildly bulky uterus with ? cervicitis. * ? PCOD.
Suggested clinical correlation.

MS SULEKHA GHOSH 74 17439/1 08/03/2011 DR ARUP RATAN DUTTA 07/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal.

PORTA : The appearance of porta is normal. Portal vein is normal ( 1.02 cm.) at porta. Common Bile Duct is 0.532 cm. appears mildly dilated in its visualized part however no obvious intraluminal calculus noted in its visualized part. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.59 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. No Calculus / SOL or hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.02 cm. in length Left kidney measures = 8.68 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS SULEKHA GHOSH 74 17439/1 08/03/2011 DR ARUP RATAN DUTTA 07/03/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Mildly dilated Common Bile Duct - ? Choledochal Cyst. * Mildly hyperechoic kidney cortex - ? Senile changes / ? Early Renal Dysfunction. Suggested clinical correlation.

MS RITA GIRI 33

FEMALE

17453/1 08/03/2011 DR SHARMISHTHA PATRA

08/03/2011

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.95 cm. in length 9.60 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.65 5.14 3.36 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :
Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.91 2.35) cm. (4.24 2.24) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus. * ? PCOD.

Suggested clinical correlation and hormonal assay may be considered.

MS PUJA AGARWAL 28 17458/1 08/03/2011 DR (MRS) SUPRIYA KHETAN 08/03/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single irregularly outlined gestational sac measuring 6.1 cm in longitudinal diameter noted. No obvious fetal node or yolk sac detected at present however thin layering suggestive of haemorrhage noted in gestational sac. Gestational age by LMP : 10 weeks ( 28 / 12 / 2011 ) Poor decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present. Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.14 1.98 ) cm. Size of Left Ovary = ( 3.44 2.40 ) cm.

POD : Clear

IMPRESSION :- USG features are suggestive of Early Pregnancy Failure. Suggested clinical correlation and TVS may be considered.

MS MIRA SEN 74 57665/1 09/03/2011 DR OF CGHS 08/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. A well marginated hyperechoic area with peripheral vascularity measuring 4.20 x 3.14 cm noted in upper and mid part of left kidney. No obvious calculus / hydronephrosis noted. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.81 cm. in length Left kidney measures = 9.78 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MIRA SEN 74 57665/1 09/03/2011 DR OF CGHS 08/03/2011

FEMALE

UTERUS : Uterus is not well delineated patient was giving history of hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Suspected hyperechoic SOL left kidney. Suggested clinical correlation and CECT may be considered.

MS KONIJA BEGUM 35 57429/1 08/03/2011 DR OF CGHS 07/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.63 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 9.83 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS KONIJA BEGUM 35

FEMALE

57429/1 08/03/2011 DR OF CGHS

07/03/2011

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.15 6.07 3.81 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.31 2.03) cm. Left Ovary measures = (2.69 1.63) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Mildly bulky uterus. Suggested clinical correlation.

MS SMITA JEEVAN 32 17505/1 09/03/2011 DR GOURI DE 09/03/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac and yolk sac noted. No obvious fetal node detected at present. Gestational age by LMP : 8 weeks ( 12 / 01 / 2011 ) MSD : 1.44 cm ( 5 weeks 4 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.44 2.22 ) cm. Size of Left Ovary = ( 3.28 2.25 ) cm. POD : Clear

IMPRESSION :- * Early Intrauterine pregnancy. * ? wrong date / ? Late conception. Repeat USG after 8 10 days / TVS may be considered.

MS LASHMI MITRA 72 17509/1 09/03/2011 DR PARTHA BASU 09/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.07 cm. in length 9.27 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 59 ml. UTERUS : Uterus is anteverted, normal in size ( 5.39 3.38 2.56 ) cm ( as far age of patient). No obvious focal SOL noted involving myometrium. Endometrium appears mildly thick ( measuring 0.777 cm) ( as far post menopausal status) with slight fluid noted in endometrial cavity. Cervix looks clear. Pouch of Douglas is clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (1.91 1.26) cm. (1.64 1.36) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly thickened endometrium with slight fluid in endometrial cavity.
Suggested clinical correlation.

MR. MILAN KR BAL 68 57886/1 10/03/2011 DR OF CGHS 09/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.71 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.80 cm. in length Left kidney measures = 9.05 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 58 ml.

MR. MILAN KR BAL 68 57886/1 10/03/2011 DR OF CGHS 09/03/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and slightly heterogenous in echotexture. It measures (4.03 3.58 3.28) cm. Approximate weight could be around 25 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade I Prostatomegaly with post void residual urine 58 ml. Suggested clinical correlation.

MR HARI DAS SAHA 68 57884/1 10/03/2011 DR OF CGHS 09/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended with cholesterosis. A mobile calculus noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.01 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A cyst noted in left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 9.97 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 108 ml.

MR HARI DAS SAHA 68 57884/1 10/03/2011 DR OF CGHS 09/03/2011

MALE

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with median lobe enlargement. It measures (5.81 5.23 5.22) cm. Approximate weight could be around 83 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Cholelithiasis with cholesterosis of gall bladder. * Grade III Prostatomegaly with median lobe enlargement. * Post void residual urine 108 ml. Suggested clinical correlation.

MS SABITA MONDAL 47 17510/1 10/03/2011 DR OF CGHS 09/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.8 cm. in length 10.6 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.69 7.00 4.68) cm. No focal SOL noted in myometrium. Endometrium is normal in thickness however slight fluid ( ? Menstrual blood ) noted in ecdometrial cavity. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.35 2.81) cm. (2.95 2.02) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph

nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.

Suggested clinical correlation.

MS CHITRA SONI 27 17504/1 10/03/2011 DR (MRS) R DAS SAHA 09/03/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac and yolk sac noted. Embryonal node is noted. Embryonal cardiac activity is present. Gestational age by LMP : 6 weeks 6 days ( 21 / 01 / 2011 ) CRL : 0.889 cm ( 7 weeks ). Decidual reaction is noted all around. Internal OS is closed.

Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.81 1.98 ) cm. Size of Left Ovary = ( 2.73 1.55 ) cm. POD : Clear

IMPRESSION :- Single live embryo with gestational age by USG 7 weeks.

MS NIBIRA MAJILYA 22 17569/1 10/03/2011 DR GOURI DE 10/03/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac . Embryonal node is noted. Embryonal cardiac activity could not be confirmed at present. Gestational age by LMP : 11 weeks 3 days ( 20 / 12 / 2010 ) CRL : 1.50 cm ( 8 weeks ). Poor decidual reaction is noted all around.

Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in left adnexal region. A cyst measuring 4.27 x 3.40 cm noted in right ovary. Size of Left Ovary = ( 3.42 2.42 ) cm. POD : Clear

IMPRESSION :- * USG features are suggestive of Early Pregnancy failure. * Right ovarian simple cyst. Suggested clinical correlation and TVS may be considered for confirmation.

MS TUHINA NATH 21 17622/1 11/03/2011 DR (MRS) KAKOLI BASU 11/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 38 weeks 6 days, LMP = 12 / 06 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 36 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 8.81 cm. 35 weeks 4 days : 6.95 cm. 35 weeks 4 days : 33.2 cm. 37 weeks

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 143 b/m. Expected foetal weight could be around 2978 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 36 weeks.

IMPRESSION average

MS SHYAMALA D 29 17619/1 11/03/2011 DR KASTURI BHAUMIK 11/03/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac .

Foetal node is noted. Foetal heart beat is present ( 156 BPM). Gestational age by LMP : 11 weeks 5 days ( 19 / 12 / 2010 ) CRL : 4.88 cm ( 11 weeks 4 days). Placenta grade 0 maturity appears forming at anterior uterine wall. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.59 2.39 ) cm. Size of Left Ovary = ( 3.28 2.11 ) cm. Nuchal thickness is 1.3 mm ( within normal limits).

IMPRESSION :- Single live foetus with gestational age by USG 11 weeks 4 days.

MR. N ROB 76 17621/1 11/03/2011 DR PARTHASARATHI CHAKRAVARTY 11/03/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen

LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.6 cm.) at porta. GALL BLADDER : Gall Bladder is distended; wall thickness appears normal. Multiple non impacted calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.77 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A simple cortical cyst noted in lower pole of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.59 cm. in length cm. in length Left kidney measures = 10.2

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. * Clolelithiasis.

* Left Renal simple cortical cyst. Suggested clinical correlation. MR. PREM NATH HELA 50 58489/1 12/03/2011 DR OF CGHS 11/03/2011 MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.91 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 10.5 cm. in length Left kidney measures = 9.73 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. PREM NATH HELA 50 58489/1 12/03/2011 DR OF CGHS 11/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.72 2.99 2.84) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS SULATA HALDER 22 17721/1 14/03/2011 DR GOURI DE 14/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, foetus noted in Cephalic presentation at present. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS : 1)

(POA : 21 weeks 6 days, LMP = 12 / 10 / 2010 )

B. P. D. : 2.25 cm. 13 weeks 5 days.

FOETAL BIOMETRY :

A. C.

: 6.84 cm. 13 weeks 3 days.

2) No obvious fetal cardiac activity detected at present. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies. IMPRESSION : * USG features are suggestive of Missed Abortion. * Suggested clinical correlation.

N. B. : Old USG report not available for comparative evaluation.

MR. H S KHETERAPAL 39 17695/1 14/03/2011 DR POONAM KAMUR 12/03/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.74 cm. in length Left kidney measures = 9.39 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.24 2.99 2.48) cm. Approximate weight could be around 12 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Sonographic study of Kidney ureter bladder does not reveal any significant abnormality. * Suggested clinical correlation.

MS KRISHNA HALDER 40 17583/1 14/03/2011 DR AMIT GHOSH 10/03/2011

FEMALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER

Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 7.13 4.25 3.54 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.33 1.96) cm. 1.85) cm. Left Ovary measures = (2.44

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality.

MAST ARKAPRAVA SENGUPTA 14 17713/1 14/03/2011 DR BASABBIJAY SARKAR 13/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 11.2 cm. in length Left kidney measures = 11.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 55 ml.

MAST ARKAPRAVA SENGUPTA 14 17713/1 14/03/2011 DR BASABBIJAY SARKAR 13/03/2011

MALE

PROSTATE : Prostate as seen appears normal in shape, size, position and echotexture. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa however slight probe probe tenderness is noted.

IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * Slight probe tenderness Right Iliac Fossa. * Post void residual urine 55 ml. Suggested clinical correlation.

MS INDRANI GHOSH 30 17512/1 14/03/2011 DR P N SEN 09/03/2011

FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING Thank you for referring the patient for US scan of Follicular Screening

UTERUS : Uterus is anteverted, bulky in size ( 9.40 5.36 4.60 cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA:

Adnexa appear clear with no obvious mass lesion could be detected.

OVARIES: Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.97 2.64) cm. Left Ovary measures = (3.45 2.16) cm.
DATE 09/03/2011 10/03/2011 11/03/2011 14/03/2011 RO FOLLICLE NIL NiL NIL NIL LO FOLLICLE 2.31 x 2.13 cm 2.96 x 2.25 cm Same Same (? Follicular cyst) ET 0.934cm 1.02cm 1.16cm 1.25cm POD Clear Clear Clear Clear

MR. DHIREN CH SARKAR 56 58757/1 15/03/2011 DR OF CGHS 14/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.77 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. Multiple calculi measuring approx ( 0.3 0.4 cm ) noted in left kidney. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length Left kidney measures = 9.53 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 105 ml.

MR. DHIREN CH SARKAR 56 58757/1 15/03/2011 DR OF CGHS 14/03/2011

MALE

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with median lobe enlargement. It measures (5.13 4.79 4.66) cm. Approximate weight could be around 60 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. * Left sided nephrolithiasis without hydronephrosis. * Grade III Prostatomegaly with median lobe enlargement. * Post void residual urine 105 ml. Suggested clinical correlation.

MS. SOUMI GHOSH 28

FEMALE

17775/1 15/03/2011 DR S. CHATTERJEE

15/03/2011

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac measuring 4.22cm in longitudinal diameter noted . No obvious fetal node or yolk sac detected at present. Gestational age by LMP : 9 weeks (11/ 01 /2011) Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.97 2.60 ) cm. Size of Left Ovary = (3.27 2.18 ) cm. POD : Clear

IMPRESSION :- * USG features are suggestive of Blighted ovum * TVS may be considered for further evaluation * N.B: Old USG reports not available for comparative evaluation.

MS PUJA RAJ 23 17778/1 16/03/2011 DR GOURI DE

FEMALE 15/03/2011

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in breech presentation at present. Placenta (is grade I maturity), placed posteriorly at low lying approx. 3.6 cm away from the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 19 weeks 1 day, LMP = 01/ 11/ 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 19 weeks 4 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 4.50 cm. - 19 weeks 4 day : 3.17 cm. - 19 weeks 6 day : 14.1 cm. - 19 weeks 3 day.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 143 b/m.

IMPRESSION : 1) Single, live, active foetus in breech presentation at present of an average gestational maturity of 19 weeks 4 days. 2) Placenta Praevia Minor Degree

N.B.: Old USG report not available for comparative evaluation

MS SMITA MISHRA 24 17769/1 16/03/2011 DR S. B. BASU 15/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac . No obvious fetal node or yolk sac detected at present. Gestational age by LMP : 5 weeks 1 day ( 07 / 02 / 2011 ) MSD = 1.9 cm = 6 weeks 2 days Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.35 1.87 ) cm. Size of Left Ovary = ( 2.90 2.17 ) cm. POD : Clear

IMPRESSION :- Intrauterine Gestational Sac Repeat USG / TVS may be considered after 8-10 days

MS RUCHI SMRITI 27 17728/1 15/03/2011 DR SHARMISHTHA PATRA 14/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 7.80 6.20 4.56) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.26 2.21) cm. (2.47 1.87) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Essentially Normal study
Suggested clinical correlation.

MS SUJATA MAITI 66 58478/1 15/03/2011 DR OF CGHS 15/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta.

GALL BLADDER : Gall Bladder is contracted. Gall bladder wall as seen appears normal. Multiple calculi noted in Gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.21 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.69 cm. in length Left kidney measures = 9.92 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS SUJATA MAITI 66 58478/1 15/03/2011 DR OF CGHS 15/03/2011

FEMALE

UTERUS :

Uterus as seen appears small and atrophied ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild Hepatomegaly with mild fatty infiltration of liver Chronic calculus cholecystitis Suggested clinical correlation.

MS MANISHA BISWAS 27 17440/1 15/03/2011 DR GOPA MUKHERJEE 07/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.03 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.87 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS MANISHA BISWAS 27 17440/1 15/03/2011 DR GOPA MUKHERJEE 07/03/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.26 3.46 2.80) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.18 2.40 cm. Left Ovary measures = (3.40 2.50) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly with moderate fatty infiltration of liver ? PCOD Suggested clinical correlation and hormonal assay may be considered.

MS PAPIA BISWAS 40 59021/1 15/03/2011 DR OF CGHS 15/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.67 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.30 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS PAPIA BISWAS 40 59021/1 15/03/2011 DR OF CGHS

FEMALE 15/03/2011

UTERUS : Uterus is anteverted, bulky in size ( 10.4 6.43 4.56) cm. Endometrium (collapsed wall) is in midline. Multiple fibroid measuring 2 - 2.5 cm noted involving myometrium. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.34 2.17) cm. Left Ovary measures = (3.07 2.15) cm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly with mild fatty infiltration of liver. Bulky uterus with fibroid Suggested clinical correlation and TVS may be considered.

SMT. MAYA SAHA 53 59022/1 15/03/2011 DR OF CGHS 15/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could

be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.21 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

SMT. MAYA SAHA 53 59022/1 15/03/2011 DR OF CGHS 15/03/2011

FEMALE

UTERUS : Uterus is small and atrophied ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly Suggested clinical correlation.

MS URMILA MISHRA 30

FEMALE

58491/1 15/03/2011 DR OF CGHS

12/03/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.9 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS URMILA MISHRA 30 58491/1 15/03/2011 DR OF CGHS 12/03/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.37 4.32 3.38) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Left Adnexa appear clear however left ovary could not be delineated separately. A cystosolid SOL with predominently cystic component measuring 7.17x 3.99 cm noted in Right adnexa ? T.O. Mass RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatosplenomegaly with mild fatty infiltration of liver. Right Adnexal cystosolid SOL ? T.O. Mass Suggested clinical correlation and TVS may be considered

MR. M. K. PATHAK 17771/1 15/03/2011 DR JYOTI DEB

MALE 15/03/2011

39

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.26 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.75 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.45 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.53 cm. in length Left kidney measures = 9.45 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant

MR. M. K. PATHAK 39 17771/1 15/03/2011 DR JYOTI DEB 15/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.77 2.85 2.56) cm. Approximate weight could be around 14 gm.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly with mild fatty infiltration of liver Suggested clinical correlation.

MS PRATIMA GANGULY 80 17821/1 16/03/2011 DR CHITTARANJAN ROY 16/03/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal

parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.5 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.26 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A mobile calculus is noted in gall bladder lumen. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.47cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.44 cm. in length cm. in length Left kidney measures = 8.73

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild Hepatomegaly Cholelithiasis Suggested clinical correlation.

MS MILLI BASU 55 17831/1 16/03/2011 DR KRISHNA ROY 16/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.5 cm. in length 10.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, bulky in size ( 9.95 6.29 5.31) cm. Multiple fibroids (largest one measuring 2.97 x 2.86 noted in fundal region. Endometrium (collapsed wall) is in midline.Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.11 1.45) cm. (2.64 1.77) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Bulky uterus with fibroid
Suggested clinical correlation.

MS RANJANA KARMAKAR FEMALE 32 17828/1 16/03/2011 DR S.K.BISWAS ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.57 cm.

16/03/2011

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.60 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS RANJANA KARMAKAR 32 17828/1 16/03/2011 DR S.K.BISWAS 16/03/2011

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.26 4.35 3.13) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.86 2.52) cm. Left Ovary measures = (2.35 2.19) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly with moderate fatty infiltration of liver Mildly bulky uterus Suggested clinical correlation.

MS RUKIA BIBI 40 17777/1 16/03/2011 DR. B. HAZRA 16/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is minimally enlarged in size. Two hyperechoic areas measuring 1.15 & 0.975 cm noted in right lobe of liver (Segment V) and Left lobe of liver ? Haemangioma. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is0.26 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.79 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.41 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.82 cm. in length Left kidney measures = 9.71 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS RUKIA BIBI 40

FEMALE

17777/1 16/03/2011 DR. B. HAZRA

16/03/2011

UTERUS : Uterus is anteverted, normal in size ( 7.92 4.92 2.33) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (1.97 1.19) cm. Left Ovary measures = (1.92 1.62) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa however slight probe tenderness is noted. IMPRESSION : Minimal Hepatomegaly with ? Haemangioma in right as well as left lobe of liver Slight probe tenderness Right Iliac Fossa Suggested clinical correlation.

MS ANUPROVA BANERJEE 84 59261/1 17/03/2011 DR. OF CGHS 16/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.5 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall bladder is not visualized- history of Cholecystectomy PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.97 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS ANUPROVA BANERJEE 84 59261/1 17/03/2011 DR. OF CGHS 16/03/2011

FEMALE

UTERUS : Not visualized History of Hysterectomy ADNEXA : Adnexa appears clear however ovaries could not be delineated separately RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Minimal Hepatosplenomegaly

Suggested clinical correlation.

MR. A.K.CHAKRABORTY 69 59276/1 16/03/2011 DR. OF CGHS 16/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. A non mobile echogenic foci noted in body region of

ureter ? Focal Cholesterosis / ? Calculus. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.09 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 11.7 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant

MR. A.K.CHAKRABORTY 69 59276/1 16/03/2011 DR. OF CGHS 16/03/2011

MALE

PROSTATE : Enlarged in size and heterogenous in echotexture.

It measures (4.66 4.21 4.19) cm. Approximate weight could be around 43 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatomegaly with mild fatty infiltration of liver ? Focal Cholesterosis of Gall Bladder / ? Cholelithiasis Grade II Prostatomegaly Suggested clinical correlation and repeat USG may be considered after 4-6 weeks N. B.: No old USG report available for comparative evaluation.

MR. MILAN KUNDU 56 59275/1 16/03/2011 DR. OF CGHS 16/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.27 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of corticomedullary differentiation. No Calculus /SOL/ hydronephrosis noted. Right kidney measures = 9.85 cm. in length Left kidney measures = 9.30 cm. in length URINARY BLADDER : Urinary bladder is normally distended. Urinary bladder wall appears mildly thick and irregular sequalae to ? Chronic Bladder Outlet Obstruction / ? Chronic cystitis. POST VOID STUDY : Post void residual urine 120 ml

MR. MILAN KUNDU 56 59275/1 16/03/2011 DR. OF CGHS

MALE 16/03/2011

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.30 4.10 3.81) cm. Approximate weight could be around 35 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver * Mildly hyperechoic kidney cortex ? Early renal dysfunction / ? Senile changes * Grade II Prostatomegaly with mild median lobe enlargement * Mildly thick and irregular Urinary bladder wall sequalae to ? chronic Bladder oulet obstruction/ ? chronic cystitis. * Post void residual volume 120 ml * Suggested clinical correlation.

MR. PRIYANKO SINHA 29 17891/1 16/03/2011 17/03/2011

MALE

HIGH RESOLUTION SONOGRAPHY OF LEFT GLAND Superficial and deep lobes of parotid glands appears slightly enlarged in size. Echotexture appears mildly hyperechoic Vascularity appears increased particularly in deep lobe A hyperechoic areas measuring 0.348 cm noted in deep lobe suggestive of sentinel node Stenosis duct appears mildly dilated No obvious calculus noted in stensens duct

IMPRESSION: USG features are suggestive of Left sided Parotitis Suggestive clinical correlation

MR. MANOJ SINGH 43 17897/1 17/03/2011

MALE 17/03/2011

ULTRASONOGRAPHY OF LOWER ABDOMEN

(SCREENING)

Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length cm. in length Left kidney measures = 10.9

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (2.93 2.75 2.45) cm. 10 gm. Approximate weight could be around

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality. Suggested clinical correlation.

MS. ASHA DUTTA 36 17773/1 17/03/2011 DR. SHARMISTHA PATRA 15/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length 10.6 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, mildly bulky in size ( 9.10 4.74 4.32) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.40 1.57) cm. (2.56 1.96) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mildly bulky uterus
Suggested clinical correlation.

MS. UJJWALA BHATTACHARJEE 36 59681/1 21/03/2011 DR. OF CGHS 18/03/2011

FEMALE

LIVER:

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 13.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 11.8 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS. UJJWALA BHATTACHARJEE 36

FEMALE

59681/1 21/03/2011 DR. OF CGHS

18/03/2011

UTERUS : Uterus is anteverted, bulky in size ( 10.4 6.31 4.76) cm. Multiple fibroids (Intramural as well as subserous) measuring approx 1.5 to 1.8 cm noted. Endometrium (collapsed wall) is in midline.Cervix looks clear. ADNEXA : A simple cyst measuring 3.78 x 3.15 cm noted in Left adnexa probably involving Left ovary. OVARIES : Right ovary is normal in shape, size, position, and echotexture. Right Ovary measures = (3.17 2.11) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild hepatosplenomegaly Bulky uterus with fibroid Left ovarian functional cyst Suggested clinical correlation.

MR. SACHIN CHOWDHURY 59 18004/1 21/03/2011 DR. S K SAHA 21/03/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length cm. in length Left kidney measures = 9.73

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.74 4.07 3.90) cm. 39 gm. Approximate weight could be around

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Grade II Prostatomegaly. Suggested clinical correlation.

MS KALPANA BANK 34 17956/1 21/03/2011 DR. GOURI DE 18/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.6 cm. in length 11.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 7.27 5.09 3.49 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas

is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.90 2.22) cm. (2.61 1.93) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality.
Suggested clinical correlation.

MS MITHU KARMAKAR 28 17889/1 21/03/2011 DR. R P GANGULY 17/03/2011

FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING Thank you for referring the patient for US scan of Follicular Screening UTERUS : Uterus is anteverted, bulky in size ( 10.5 4.85 4.07 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas

is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.12 1.92) cm. Left Ovary measures = (3.36 3.14) cm.
DATE 17/03/2011 18/03/2011 21/03/2011 RO FOLLICLE NIL NIL NIL 2.91 X 2.50 CM ( ? Functional cyst) LO FOLLICLE 1.57 x 1.57 cm 1.92 x 2.12 cm 0.873cm 1.11cm CLEAR CLEAR ET 0.666cm POD CLEAR

MR. VIKRANT AGARWAL 35 18010/1 21/03/2011 DR. N R BHANSALI 21/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary

radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.41 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.79 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. VIKRANT AGARWAL 35

MALE

18010/1 21/03/2011 DR. N R BHANSALI

21/03/2011

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.50 3.35 3.02) cm. Approximate weight could be around 18 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present. IMPRESSION : * Minimal Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. NEPAL NASKAR 56 18057/1 22/03/2011 DR. ALOKBARAN DE 22/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.59 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 8.56 cm. in length Left kidney measures = 9.57 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. NEPAL NASKAR 56 18057/1 22/03/2011 DR. ALOKBARAN DE 22/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.26 3.06 2.75) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. Suggested clinical correlation.

MS MADHU DEVI 25 18014/1 22/03/2011 DR. GOURI DE 21/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 10.0 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is slightly retroverted, mildly bulky in size ( 8.68 5.91 4.76) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.52 2.48) cm. A simple cyst measuring 4.36 x 2.66 cm noted in left ovary. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Slightly retroverted mildly bulky uterus. * Left ovarian functional cyst.
Suggested clinical correlation.

MS RANJITA BOSE 26 18064/1 22/03/2011 DR. GOURI DE 22/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER) Thank you for referring the patient for US scan of Pregnancy(Doppler) MOTHER : Single, live, active foetus noted in Cephalic presentation.

Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate (POA : 35 weeks 6 days, LMP = 14 / 07 / 2010 )

FOETUS :

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 35 weeks 6 days. (Measurements are in the skiagram). B. P. D. : 9.01 cm. 36 weeks 3 days F. L. : 7.00 cm. 35 weeks 6 days A. C. : 31.6 cm. 35 weeks 3 days 2) Foetal cranio-spinal axis appears normal. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies. 4) Abdominal wall appears within normal limit. 5) Umbilical cord appears normal. 6) Foetal heart rate is regular,127 b/m. 7) Expected foetal weight could be around 2807 gms. ( 16%). DOPPLER STUDY : UMBILICAL ARTERY diastolic flow. 0.600 ). MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral : Normal spectral tracing with good peak indices (PI 1.34, RI 0.754 ). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an : Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.999, RI

gestational maturity of 35 weeks 6 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MS SHIBANI MISHRA 16 17993/1 22/03/2011 20/03/2011

FEMALE

DR. GOURI DE ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 10.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.12 3.68 2.20 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.08 2.34) cm. (3.20 2.23) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.

Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation and corroboration with hormonal assay may be considered.

MR. N K SAHA 78 60200/1 23/03/2011 DR. OF CGHS 22/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is contracted; wall as seen appears normal. Multiple calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.14 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.82 cm. in length Left kidney measures = 9.41 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. N K SAHA 78 60200/1 23/03/2011 DR. OF CGHS 22/03/2011

MALE

PROSTATE : Prostate is mildly enlarged in size ans heterogenous in echotexture. It measures (3.89 3.88 3.73) cm. Approximate weight could be around 29 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Chronic calculus cholecystitis. * Grade I Prostatomegaly. Suggested clinical correlation.

N.B. : Old USG report not available for comparative evaluation.

MRS MAYA CHAKRABARTY 80 60210/1 23/03/2011 DR. OF CGHS 22/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Portal vein is normal ( 0.8 cm.) at porta.Common Bile Duct is 0.6 cm. It is mildly dilated in its proximal and mid part however terminal part could not be well assessed due to gas shadow

GALL BLADDER : Gall Bladder is contracted; wall as seen appears normal. Multiple calculi noted in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.12 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.52 cm. in length Left kidney measures = 8.80 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MRS MAYA CHAKRABARTY 80 60210/1 23/03/2011 DR. OF CGHS 22/03/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Chronic calculus cholecystitis. * Mildly dilated Common Bile Duct. Suggested clinical correlation and MRCP may be considered.

MS NEHA SINGH 20 18065/1 23/03/2011 22/03/2011

FEMALE

DR. T MANDAL

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.86 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS NEHA SINGH 20 18065/1 23/03/2011 DR. T MANDAL 22/03/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.13 4.03 3.15 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.33 2.13) cm. Left Ovary measures = (2.35 1.60) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present.

IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation.

MS ARCHANA GOENKA 38 18116/1 23/03/2011 23/03/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum

appears normal. No definite collaterals could be detected. Splenic span is 8.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.44 cm. in length cm. in length Left kidney measures = 9.47

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

SHRI PRABHAT XAXA 35 18128/1 23/03/2011 DR ACHINTYA BHATTACHARYYA 23/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.79 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.82 cm. in length Left kidney measures = 9.88 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

SHRI PRABHAT XAXA 35 18128/1 23/03/2011 DR ACHINTYA BHATTACHARYYA 23/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.15 3.03 2.84) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MR SUBRATA DAS 21

MALE

60195/1 23/03/2011 DR. OF CGHS

22/03/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (1.0 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 9.90 cm. in length URINARY BLADDER :

Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR SUBRATA DAS 21 60195/1 23/03/2011 DR. OF CGHS 22/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.55 2.87 2.71) cm. Approximate weight could be around 14 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation.

DR U N BISWAS 70 60448/1 24/03/2011 DR. OF CGHS 23/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum

appears normal. No definite collaterals could be detected. Splenic span is 8.83 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Exophytic simple cortical cyst noted in mid part of both kidneys. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 9.34 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 56 ml.

DR U N BISWAS 70 60448/1 24/03/2011 DR. OF CGHS 23/03/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and heterogenous in echotexture. It measures (4.14 3.85 3.46) cm. Approximate weight could be around 29 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph

nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Bilateral Renal simple cortical cyst. * Grade I Prostatomegaly with post void residual urine 56 ml. Suggested clinical correlation.

MAST ANURUDH DEB BARMAN 2 18196/1 24/03/2011 DR (PROF ) D BASAK 24/03/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.

Visualised part of Upper Ureters are not dilated. Right kidney measures = 7.24 cm. in length Left kidney measures = 7.48 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate as seen appears normal in shape, size, position and echotexture. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Kidney ureter bladder does not reveal any significant abnormality. Suggested clinical correlation.

MAST SOHAM KOLEY 4 18193/1 24/03/2011 DR S CHAKRABARTY 24/03/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 6.93 cm. in length Left kidney measures = 7.02 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Prostate as seen appears normal in shape, size, position and echotexture. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Kidney ureter bladder does not reveal any significant abnormality. Suggested clinical correlation.

MS APARAJITA CHAKRABORTY 62 60618/1 25/03/2011 DR OF CGHS

FEMALE 24/03/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is contracted packed with multiple calculi. Gall bladder wall as seen appears normal. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.28 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 9.66 cm. in length URINARY BLADDER :

Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS APARAJITA CHAKRABORTY 62 60618/1 25/03/2011 DR OF CGHS

FEMALE 24/03/2011

UTERUS : Uterus could not be well assessed due to suboptimally filled urinary bladder however as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. * Chronic calculus cholecystitis. Suggested clinical correlation.

MS SURASHREE SENGUPTA 29 60616/1 25/03/2011 DR OF CGHS 24/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular

disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.28 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 9.71 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SURASHREE SENGUPTA 29 60616/1 25/03/2011 DR OF CGHS 24/03/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.82 4.48 3.18) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.45 2.20) cm. Left Ovary measures = (3.05 2.00) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR. SUBODH CH DAS 39 60617/1 25/03/2011 DR OF CGHS 24/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Sludge is noted in gall bladder lumen. No obvious intraluminal calculus noted. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. SUBODH CH DAS 39 60617/1 25/03/2011 DR OF CGHS 24/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.46 3.40 2.71) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Sludge in Gall Bladder lumen. Suggested clinical correlation.

MR. BISHANJI 62 60609/1 25/03/2011 DR OF CGHS 24/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.41 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.61 cm. in length Left kidney measures = 9.81 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. BISHANJI 62 60609/1 25/03/2011 DR OF CGHS 24/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.81 3.20 2.84) cm. Approximate weight could be around 18 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS KAMALIKA BASU 19 18223/1 25/03/2011 DR M PADMAJA BHATTACHARYA 25/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.54 cm. in length 8.97 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 5.99 3.95 2.95 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.34 2.19) cm. (3.23 2.58) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation.

N.B.: In comparison with old USG report dated 14/07/2007 there appears to be improvement in morphological features of overies.

MS MAHUA BHATTACHARYA 37 18274/1 26/03/2011 DR RANU DEBNATH 26/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 36 weeks 1 day, LMP = 16 / 07/ 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 33 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 6.17 cm. - 32 weeks : 28.0 cm. - 32 weeks

: 8.74 cm. - 35 weeks 1 day

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,145 b/m. Expected foetal weight could be around 2016 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an

IMPRESSION average

gestational maturity of 33 weeks. 2) ? Mild asymmetric IUGR. N.B: Old USG report not available for comparative evaluation.

MRS SACHI CHAKRABORTY 77 18283/1 26/03/2011 DR (PROF) ASOK KUMAR DAS 26/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.83 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.14 cm. in length Left kidney measures = 8.81 cm. in length

URINARY BLADDER : Urinary bladder is partially distended (as patient could not hold urine), wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SACHI CHAKRABORTY 77 18283/1 26/03/2011 DR PROF. ASOK KUMAR DAS 26/03/2011

FEMALE

UTERUS : Uterus is not well delineated History of Hysterectomy. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. Suggested clinical correlation.

MR. V. K. RAKESH 30 18264/1 26/03/2011 DR ACHINTYA BHATTACHARYYA 25/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall bladder is not visualized History of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN :

Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.69 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.83 cm. in length Left kidney measures = 9.25 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR V. K. RAKESH 30 18264/1 26/03/2011 DR ACHINTYA BHATTACHARYYA 25/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.96 2.66 2.41) cm.

Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS KAKOLI DAS 28 61030/1 28/03/2011 DR OF CGHS 26/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation.

Placenta (is early grade III maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 38 weeks LMP = 03 / 07 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 36 weeks 2 days. (Measurements are in the skiagram).
B. P. D. days F. L. A. C. 2) 3) 4) 5) 6) 7) : 6.90 cm. - 35 weeks 2 days : 32.3 cm. - 36 weeks 1 day. : 9.28 cm. - 37 weeks 5

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular,156 b/m. Expected foetal weight could be around 2929 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of36 weeks 2 days. N.B. Old USG report not available for comparative evaluation

IMPRESSION average

MR. S. S. SEN 81 18280/1 26/03/2011 DR SAMAYUG BHOWMIK 26/03/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A large simple cortical cyst noted in lower pole of left kidney.Cortical echogenecity appears normal maintaining cortico-medullary and corticoheptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length 14.5 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is normally distended, wall appears mildly thick and irregular Sequalae to ? Chronic Bladder Outlet Obstruction / ? Chronic Cystitis. POST VOID STUDY : Post void residual urine measures 100 ml. PROSTATE : Prostate is enlarged size and heterogenous in echotexture. It measures (4.48 3.90 3.78) cm. be around 34 gm. Approximate weight could

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left Renal simple cortical cyst. * Grade II Prostatomegaly with post void residual urine 100 ml. * Mildly thick and irregular urinary bladder wall Sequalae to ? Chronic Bladder Outlet

Obstruction / ? Chronic Cystitis. Suggested clinical correlation.

MS SUMITA MRIDHA 23 18298/1 26/03/2011 26/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.77 cm. in length 9.57 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.94 4.54 3.16) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary isnormal in size, shape, position, margin and echotexture. Right Ovary measures = (2.63 2.23) cm. A simple cyst measuring 2.63 x 2.40 cm noted in left ovary. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph

nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left ovarian functional cyst.
Suggested clinical correlation.

MS S PARVEEN 34 61028/1 28/03/2011 DR OF CGHS 26/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular

disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.27 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.35 cm. in length Left kidney measures = 9.11 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS S PARVEEN 34 61028/1 28/03/2011 DR OF CGHS 26/03/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.05 4.65 3.80 ) cm. Endometrium (collapsed wall) is in midline. A fibroid measuring

1.37 cm suspected involving posterior myometrium in fundal region of uterus. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.02 1.90 ) cm. Left Ovary measures = ( 2.53 1.93 ) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Suspected uterine fibroid. Suggested clinical correlation and TVS may be considered.

MR. PHANI BHUSAN BHATTACHARJEE 63 60816/1 28/03/2011 DR OF CGHS 25/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN

Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver parenchymal echotexture appears coarse with slightly irregular margins. No obvious focal SOL noted. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size and homogenous in echotexture. Splenic span is 13.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical cysts noted bilaterally. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.72 cm. in length Left kidney measures = 8.92 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. PHANI BHUSAN BHATTACHARJEE 63 60816/1 28/03/2011 DR OF CGHS 25/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.48 3.16 2.66) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : Free fluid noted in peritoneal cavity. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? Chronic Liver Parenchymal Disease. * Bilateral Renal Cortical cyst. * Mild Splenomegaly with Ascitis. Suggested clinical correlation.

MR. SUDHANSU SEKHAR ROY 62 60804/1 28/03/2011 DR OF CGHS 25/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. An irregularly marginated hypoechoic area measuring 2.29 cm noted in right lobe of liver ( segment V ). Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.14 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. SUDHANSU SEKHAR ROY 62 60804/1 28/03/2011 DR OF CGHS 25/03/2011

MALE

PROSTATE : Prostate as seen appears normal but heterogenous in echotexture. It measures (3.72 3.00 2.57) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Suspected hypoechoic area right lobe of liver ( segment V). Suggested clinical correlation and CECT may be consideredfor further evaluation of liver.

MS MANU ROY 70 18285/1 28/03/2011 DR SHARADWAT MUKHOPADHYAY 26/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.08 cm.) at porta.

GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MANU ROY 70 18285/1 28/03/2011 DR SHARADWAT MUKHOPADHYAY 26/03/2011

FEMALE

UTERUS : Uterusas seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation.

MS PAMPA PAL 35 61034/1 28/03/2011 DR OF CGHS 26/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.48 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length Left kidney measures = 10.8 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PAMPA PAL 35 61034/1 28/03/2011 DR OF CGHS 26/03/2011

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.61 4.76 4.01 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.82 1.78) cm. Left Ovary measures = (2.88 1.81) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly with mild fatty infiltration of liver. * Mildly bulky uterus. Suggested clinical correlation and TVS may be considered.

N.B. : No old operative note available at present. Patient was giving history of Right sided Ovariectomy however Right Ovary seems to be present. Further evaluation may be considered.

MS FARZANA KHATOON 37 61343/1 29/03/2011 DR OF CGHS 28/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.3 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.79 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS FARZANA KHATOON 37 61343/1 29/03/2011 DR OF CGHS 28/03/2011

FEMALE

UTERUS : Uterus is retroverted, normal in size ( 8.03 4.26 3.43) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.62 2.19) cm. Left Ovary measures = (2.69 2.14) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Retroverted uterus. Suggested clinical correlation and TVS may be considered for proper evaluation of uterus and adnexa.

DR SHARMILA DAS 62 61355/1 29/03/2011 DR OF CGHS 28/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.62cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.64 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

DR SHARMILA DAS 62 61355/1 29/03/2011 DR OF CGHS 28/03/2011

FEMALE

UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MR ANADI RANJAN ROY 71

MALE

61347/1 29/03/2011 DR OF CGHS

28/03/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.86 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.60 cm. in length Left kidney measures = 11.0 cm. in length URINARY BLADDER :

Urinary bladder was not optimally distended however as seen appears normal with normal urinary bladder wall.

MR ANADI RANJAN ROY 71 61347/1 29/03/2011 DR OF CGHS 28/03/2011

MALE

PROSTATE : Prostate as seen appear normal in shape, size and position. It measures (3.68 3.30 3.10) cm. Approximate weight could be around 19 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MS SANGITA GHOSH 35 18410/1 29/03/2011 DR GOURI DE 29/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length 9.95 cm. in length Left kidney measures =

Gravid uterus with single gestational sac measuring 0.979 cm in longitudinal diameter noted. No obvious fetal node or yolk sac detected at present. Gestational age by LMP : 4 weeks 5 days ( 24 / 02 / 2011 ) Decidual reaction is noted all around. Internal OS is closed.

Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in left adnexal region. A cyst is noted in right ovary. Size of Right Ovary = ( 3.42 2.78 ) cm. Size of Left Ovary = ( 3.42 1.99 ) cm. Multiple small fibroids measuring approx 1.16 cm noted involving anterior myometrium. IMPRESSION :- * Intrauterine gestational sac. * Right sided corpus luteal cyst. * Multiple small uterine fibroids. Repeat USG after 10 12 days / TVS may be considered.

MS GEETIKA SACHDEVA 22 18416/1 29/03/2011 DR GAUTAM CHATTERJEE 29/03/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver ismildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.01 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 11.4 cm. in length cm. in length Left kidney measures = 10.2

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MISS SUKRITI PAL 26 18384/1 29/03/2011 28/03/2011

FEMALE

DR CHITTARANJAN ROY

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 16.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MISS SUKRITI PAL 26 18384/1 29/03/2011 DR CHITTARANJAN ROY 28/03/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.60 5.12 3.78 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (2.99 1.63) cm. Left Ovary measures = (3.53 2.01) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatosplenomegaly. * ? PCOD. Suggested clinical correlation.

MS TANDRA KUNDU 26 18454/1 30/03/2011 DR MANISHA BHATTACHARYYA 30/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed anteriorly low lying appears just reaching upto the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 27 weeks 2 days, LMP = 20 / 09 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 27 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. : 6.46 cm. 26 weeks : 5.24 cm. 27 weeks 6 days. : 22.9 cm. 27 weeks 2 days.

2) Foetal cranio-spinal axis appears normal. 3) Neck, chest, four chamber, pelvis reveals no obvious anomalies. 4) Abdominal wall appears within normal limit.

5) Umbilical cord appears normal. 6) Foetal heart rate is regular, 143 b/m. 7) Expected foetal weight could be around 1070 gms. ( 16%). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an

gestational maturity of 27 weeks. 2) Placenta praevia Minor degree.

MS SHARMISTHA NATH 27 18455/1 30/03/2011 DR GOURI DE 30/03/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present ( 158 BPM). Gestational age by LMP : 10 weeks 5 days ( 14 / 10 / 2011 ) CRL : 3.42 cm ( 10 weeks 2 days). Decidual reaction is noted all around. Internal OS is closed.

Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.66 1.97 ) cm. Size of Left Ovary = ( 3.06 1.96 ) cm. POD : Clear

IMPRESSION :- Single live foetus with gestational age by USG 10 weeks 2 days.

MS HAITA SHOVA THAPA 52 18448/1 30/03/2011 DR GOURI DE 29/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.68 cm. in length cm. in length URINARY BLADDER : Left kidney measures = 9.52

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is small and atrophied. No obvious focal SOL noted involving myometrium. Endometrium appears normal in thickness ( 0.4 cm ). Lower end of cervix could not be well visualized. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Suspected uterine prolapse.

Suggested clinical correlation.

MS SUTAPA BHATTACHARYA 37 18457/1 30/03/2011 DR SUBHASH CH BISWAS 30/03/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length cm. in length Left kidney measures = 10.1

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.73 4.54 4.04 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. ADNEXA : Left Ovary is normal in size, shape, position, margin and echotexture. Left Ovary measures = (3.27 2.24) cm. RIGHT ADNEXA: An irregularly outlined elongated cystosolid SOL with predpminently solid component measuring 8.44 x 4.69 cm noted in right adnexa extending upto Pouch of Douglas. Slight vascularity is also noted. Right ovary could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly Bulky uterus. * Right adnexal SOL with extension upto Pouch of Douglas.
Suggested clinical correlation and TVS may be considered. N.B.: Old operative note not available for comparative evaluation.

MS SABITA MANDAL 47 18463/1 30/03/2011 DR JYOTI PRAKASH HALDAR 30/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.38 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length

Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SABITA MANDAL 47 18463/1 30/03/2011 DR JYOTI PRAKASH HALDAR 30/03/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.69 5.80 4.85 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.17 1.89) cm. Left Ovary measures = (2.58 1.83) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Bulky uterus. Suggested clinical correlation.

MS MANJU GANGULY 72 61348/1 30/03/2011 DR OF CGHS 28/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.78 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.00 cm. in length Left kidney measures = 9.33 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS MANJU GANGULY 72 61348/1 30/03/2011 DR OF CGHS 28/03/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. Suggested clinical correlation.

MS ANJALI BHOWAL 50 61830/1 31/03/2011 DR OF CGHS 30/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is minimally enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is minimally enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.24 cm. in length Left kidney measures = 9.45 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ANJALI BHOWAL 50

FEMALE

61830/1 31/03/2011 DR OF CGHS

30/03/2011

UTERUS : Uterus is small and atrophied however a small fibroid with calcific degeneration noted involving anterior myometrium. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatosplenomegaly with mild fatty infiltration of liver. * Small uterine fibroid with calcific degeneration. Suggested clinical correlation.

MR. BEJOY SANKAR DEY 79 61832/1 31/03/2011 DR OF CGHS 30/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.44 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Chink of fluid collection suspected in left perinephric space. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not

dilated. Right kidney measures = 9.00 cm. in length Left kidney measures = 9.19 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. BEJOY SANKAR DEY 79 61832/1 31/03/2011 DR OF CGHS 30/03/2011

MALE

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.40 4.03 3.77) cm. Approximate weight could be around 35 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: * Mild Hepatomegaly with mild fatty infiltration of liver. * Suspected chink of fluid left perinephric space. * Grade II Prostatomegaly with mild median lobe enlargement. Suggested clinical correlation and further investigation may be considered.

MR. NARESH KUMAR TIWARI 55 61838/1 31/03/2011 DR OF CGHS 30/03/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.25 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.7 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. NARESH KUMAR TIWARI 55 61838/1 31/03/2011 DR OF CGHS 30/03/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.18 4.05 3.96) cm. Approximate weight could be around 35 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly. Suggested clinical correlation.

MS JAYASHREE BHATTACHARJEE 44 18494/1 31/03/2011 DR GOURI DE 30/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.19 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.3 cm. in length Left kidney measures = 11.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MS JAYASHREE BHATTACHARJEE 44 18494/1 31/03/2011 DR GOURI DE 30/03/2011

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.28 5.61 3.80 ) cm. A fibroid measuring 2.53 x 2.53 cm noted involving anterior myometrium in body region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear.

ADNEXA : Left Ovary is normal in size, shape, position, margin and echotexture. Left Ovary measures = (3.41 2.20) cm. RIGHT ADNEXA: A simple cyst measuring 5.24 x 3.84 cm noted in right adnexa. Right ovary could not be delineated separately.
RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Mildly bulky uterus with fibroid. * Right adnexal simple cyst. Suggested clinical correlation.

MS RAMA BANERJEE 62 62023/1 01/04/2011 DR OF CGHS 31/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is contracted; wall thickness as seen appears normal. Multiple calculi suspected in gall bladder lumen. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.34 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. A thin kidney tissue suspected joining both kidneys. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS RAMA BANERJEE 62 62023/1 01/04/2011 DR OF CGHS 31/03/2011

FEMALE

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Chronic calculus cholecystitis. * Suspected Horse Shoe Kidney. Suggested clinical correlation.

MS KANIKA HORE 61 62010/1 01/04/2011 DR OF CGHS 31/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.91 cm. in length Left kidney measures = 9.71 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS KANIKA HORE 61 62010/1 01/04/2011 DR OF CGHS 31/03/2011

FEMALE

UTERUS : Uterus is not visualized History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MR. ARUN KUMAR BANERJEE 56 62022/1 01/04/2011 31/03/2011

MALE

DR OF CGHS

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.98 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.6 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. ARUN KUMAR BANERJEE 56 62022/1 01/04/2011 DR OF CGHS 31/03/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (4.12 2.88 2.66) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS PINKI HALDAR 18496/1 31/03/2011

FEMALE

21 01/04/2011

DR OF BAGHAJATIN SG HOSP

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta ( is grade II maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 42 weeks 2 days, LMP = 09 / 06 / 2010)

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 35 weeks 6 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) : 8.91 cm. - 36 weeks : 6.64 cm. - 34 weeks 1 days : 33.6 cm. - 37 weeks 3 days

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal.

6) Foetal heart rate is regular,131 b/m . 7) Expected foetal weight could be around 2963 gms. ( 16%). IMPRESSION average : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 35 weeks 6 day. NB : In comparison with old USG report dated 17/02/2011 there appears to be satisfactory growth of foetus.

MR. ASHOK KUMAR HOTA

.

MALE 01/04/2011

46 02/04/2011

62006/1
.

DR OF CGHS
ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated.Branches of Portal veinare normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal 0.9 cm. at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum

appears normal. No definite collaterals could be detected. Splenic span is 6.85 cm. KIDNEYS : Both tha Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10. 5 cm. in length Left kidney measures = 9.12 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. ASHOK KUMAR HOTA

.

MALE 01/04/2011

46 02/04/2011

62006/1
.

DR OF CGHS

PROSTATE : Echotexture appears within limits . No focal alteration of its echogenecity could be detected . Seminal vesicles are normal in caliber & termination . It measures ( 3. 81 2. 93 2. 80 ) cm. Approximate weight could be around 16 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly. Suggested clinical correlation .

MS PUJA CHADDHA 32 59/1 02/04/2011 DR KAUSHIK MUKHERJEE 02/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 10.7 cm. in length 10.0 cm. in length

Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, normal in size ( 8.23 5.16 3.98 ) cm. Endometrium (collapsed wall) is in midline. Endometrial thickness measures 0.756 cm. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.91 2.31) cm. (2.16 2.04) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality.
Suggested clinical correlation.

MR. MANTU MONDAL 36

MALE

18515/1 02/04/2011 DR N K NATH

31/03/2011

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.92 cm. in length 10.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.85 2.84 2.66) cm. around 15 gm. Approximate weight could be

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : Sonographic study of Kidney ureter bladder does not reveal any significant abnormality. Suggested clinical correlation.

MS ANJU GHOSH 52 48/1 02/04/2011 02/04/2011

FE MALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A small calculus measuring 0.384 cm noted in middle calyx of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length 10.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left sided non obstructive Nephrolithiasis.
Suggested clinical correlation.

MS SNEHA SINHA 26 390/1 04/04/2011 DR OF CGHS 02/04/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 19 weeks 5 days, LMP = 19 / 11 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 20 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. : 4.76 cm. 20 weeks 2 days : 3.34 cm. 20 weeks 3 days

A. C. 2) 3) 4) 5) 6) 7)

: 15.3 cm. 20 weeks 3 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 146 b/m. Expected foetal weight could be around 359 gms. ( 16%). : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 20 weeks 2 days.

IMPRESSION average

MS CHHABI SENGUPTA 68 54/1 04/04/2011 DR OF CGHS 02/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not visualised History of Cholecystectomy.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Both kidney cortex appears mildly hyperechoic with suspected partial loss of cortico-medullary differentiation. Mild hydronephrotic change noted on right side. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.94 cm. in length Left kidney measures = 9.29 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS CHHABI SENGUPTA 68 54/1 04/04/2011 DR OF CGHS 02/04/2011

FEMALE

UTERUS :

Uterus is not well delineated History of Hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Right sided mild Hydronephrosis. * Mildly hyperechoic kidney cortex - ? Early Renal dysfunction / ? Senile Change. Suggested clinical correlation.

MS PRATIMA BISWAS 59 61841/1 02/04/2011 DR OF CGHS 30/03/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.45 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.74 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PRATIMA BISWAS 59 61841/1 02/04/2011 DR OF CGHS 30/03/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

Mr Nandha Dulal Raha 80 685/1 05/04/2011 DR OF CGHS

Male 04/04/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture. Multiple cyst with thin internal septa noted. Intrahepatic biliary radicles are not dilated. Branches of Portal veinare normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal 0.8 cm. at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.18 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical cyst noted bilaterally. Cortical echogenecity appears normal

maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void of insignificant.

Mr Nandha Dulal Raha 80 685/1 05/04/2011 DR OF CGHS

Male 04/04/2011

PROSTATE : Prostate is enlarged in size& heterogenous in echotexture. It measures ( 4. 84 3. 82 3. 54 ) cm. Approximate weight could be around 34gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild hepatomegaly with mild fatty infiltration of liver * Multiple hepatic cyst . * Bilateral renal cortical cyst * Grade III prostatomegaly. Suggested clinical correlation .

MS. MINATI PANDA 38 57/1 04/04/2011 DR GOURI DEY

FEMALE 02/04/2011

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation.Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.59 cm. in length cm. in length Left kidney measures = 9.48

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size (7.05 5.51 3.92) cm.Endometrium ( collapsed wall) is in midline . Myometrium appears smooth & homogeneous without any detectable/ sizeable focal lesion. Cervix looks clear.pouch of douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.67 1.52) cm. 1.61) cm. Left Ovary measures = ( 2.49

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality. Suggested clinical correlation.

MS ITISHREE DASH 26 105/1 04/04/2011 DR TARAMANI PATTNAIK

FEMALE 03/04/2011

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining corticomedullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1cm. in length in length Left kidney measures = 10.8cm.

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size (7.565.803.80) cm.Endometrium ( collapsed wall) is in midline . Myometrium appears smooth & homogeneous without any detectable/ sizeable focal lesion. Cervix as seen appears normal. Pouch of douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = ( 2.341.91) cm. cm. Left Ovary measures = ( 2.622.27)

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : Essentially normal study. Suggested clinical correlation.

MRS SRABANI DIKSHIT 24 19/1 04/04/2011 DR SANTOSH KUMAR MAHESHWARI 01/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.1 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.3 cm. in length Left kidney measures = 11.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MRS SRABANI DIKSHIT 24 19/1 04/04/2011 DR SANTOSH KUMAR MAHESHWARI 01/04/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.23 4.48 3.33 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.32 1.79) cm. Left Ovary measures = (2.15 1.71) cm. RETROPERITONEUM & PERITONEUM :

No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation.

MS PRANATI CHATTERJEE 72 127/1 05/04/2011 DR A.K. CHATTERJEE 04/04/2011

FEMALE

COLOUR DOPPLER ARTERIAL STUDY OF BOTH LOWER LIMB

R E P O R T

Common femoral (CFA) with its superficial and deep branch, Popliteal artery (POP A), Anterior tibial (ATA) and posterior tibial arteries (PTA) and arteria dirsalis pedis (DPA) appear normal in caliber, clear and anechoic lumen and no obvious segment of stenosis is demonstrated. No significant plaque is demonstrated. Color filling is normal in all these arteries and normal triphasic flow pattern is demonstrated.

PEAK SYSTOLIC VELOCITIES Artery Right Right Right Right Right Right Right Left Left Left Left Left Left Left Common Femoral Artery Superficial Femoral Artery Deep Femoral Artery Popliteal Artery Anterior Tibial Artery Posterior Tibial Artery Dorsalis pedis Artery Velocities (Cm/s) 38.9 64.8 46.1 56.2 69.2 87.9 72.0 89.3 92.2 62.0 72.0 73.5 77.8 108.0

Common Femoral Artery Superficial Femoral Artery Deep Femoral Artery Popliteal Artery Anterior Tibial Artery Posterior Tibial Artery Dorsalis pedis Artery

IMPRESSION : Doppler study of peripheral arteries of lower limb is within normal limit. Suggested clinical correlation.

MS PRANATI CHATTERJEE 72 127/1 05/04/2011 DR A.K.CHATTERJEE 04/04/2011

FEMALE

COLOUR DOPPLER VENOUS STUDY OF BOTH LOWER LIMB

R E P O R T

All the major veins in the lower limb are examined with high resolution Ultrasonography and reveals normal anechoic lumen and normal compressibility. No obvious luminal dilatation and thrombus is demonstrated in any segment. Color filling is good in all the veins with complete fill-in across the lumen of the vein. Normal phasic variation is noted. On distal compression, good augmentation is noted. Both sapheno-femoral junctions are competent with complete cessation of flow during valsalva. Deep venous system as well as Sapheno-Popliteal junctions appear competent. No obvious perforators are noted during scanning.

IMPRESSION : Doppler study of bilateral lower limb venous system is within normal limit. No Deep vein Thrombosis.
Suggested clinical correlation.

MR. SURAJ KR GUPTA 26 214/1 06/04/2011 DR TUSHAR KANTI PAUL 05/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.9 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.48 cm. in length Left kidney measures = 9.50 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. SURAJ KR GUPTA 26 214/1 06/04/2011 DR TUSHAR KANTI PAUL 05/04/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.19 2.94 2.53) cm. Approximate weight could be around 12 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa however slight probe tenderness is noted.

IMPRESSION : * Mild Hepatosplenomegaly. * Slight probe tenderness in Right Iliac Fossa. Suggested clinical correlation and corroboration with Barium meal ileocaecal may be considered

if indicated clinically.

DR LABONI GORAI PAL 30 188/1 06/04/2011 DR GOURI DEY 05/04/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy(Doppler)

MOTHER : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade II maturity), placed posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

ULTRASONOGRAPHY OF PREGNANCY (DOPPLER)

FOETUS :

(POA : 34 weeks 3 days, LMP = 08 / 08 / 2010 )

FOETAL BIOMETRY : Corresponds to an average gestational maturity of 33 weeks 2 days. (Measurements are in the skiagram).
B. P. D. : 8.18 cm. 32 weeks 6 days F. L. : 6.44 cm. 33 weeks 1 day A. C. : 30.2 cm. 34 weeks 1 day Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 146 b/m. Expected foetal weight could be around 2280 gms. ( 16%).

2) 3) 4) 5) 6) 7)

DOPPLER STUDY :

UMBILICAL ARTERY diastolic flow. 0.667 ).

: Wave form shows normal systolic spike with good end Normal spectral indices noted (PI 0.975, RI

MIDDLE CEREBRAL ARTERY systolic velocity. Normal spectral

Normal spectral tracing with good peak indices (PI 1.45, RI 0.770 ).

IMPRESSION average

1) Single, live, active foetus in cephalic presentation of an

gestational maturity of 33 weeks 2 days. 2) Doppler study within normal limits without any evidence of foetal hypoxia or acidosis, at present.

MS MAYA DAS 29 216/1 06/04/2011 DR GOURI DEY 06/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length 9.93 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is anteverted, mildly bulky in size ( 8.50 4.64 3.51 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.33 1.72) cm. (2.73 1.66) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.

Suggested clinical correlation.

MS SUPARNA SAHA 40 950/1 06/04/2011 DR OF CGHS 05/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size and milsly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.7 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.58 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUPARNA SAHA 40

FEMALE

950/1 06/04/2011 DR OF CGHS

05/04/2011

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.66 5.92 5.41) cm. Multiple fibroids (largest one measuring 2.8 cm ) noted.Endometrium (collapsed wall) is in midline. Cervix looks clear. Pouch of Douglas is free. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.39 1.79) cm. A cyst with internal septation measuring 5.17 x 4.44 cm noted in left adnexa. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * Mildly bulky uterus with fibroid. * Left adnexal complex cyst. Suggested clinical correlation and TVS may be considered for proper evaluation.

MRS A SAHA 69 1145/1 07/04/2011 DR OF CGHS 06/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is minimally enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 6.63 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A simple cortical cyst noted in mid part of right kidney.Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical

thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.26 cm. in length Left kidney measures = 9.96 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MRS A SAHA 69 1145/1 07/04/2011 DR OF CGHS 06/04/2011

FEMALE

PELVIS : Uterus and adnexa could not be well assessed due to suboptimally filled urinary bladder however no obvious encogenic SOL noted in pelvis. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Minimal Hepatomegaly. * Right Renal simple cortical cyst. Suggested clinical correlation.

MS KRISHNA SARKAR 57 258/1 07/04/2011 DR P S BANDYOPADHYAY 07/04/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are mildly dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Portal vein is normal ( 0.7 cm.) at porta.Common Bile Duct is 1.20 cm. It is dilated however no obvious intraluminal calculus noted in visualized part. Terminal Common Bile Duct could not be well assessed due to gas shadow. GALL BLADDER :

Gall Bladder is partially distended; wall appears mildly thick (0.4 cm). No obvious intraluminal calculus noted. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.89 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.38 cm. in length cm. in length Left kidney measures = 8.62

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Mildly Dilated Intrahepatic biliary radicles. * Mildly thick walled Gall Bladder. * Dilated Common Bile Duct. Suggested clinical correlation and MRCP may be considered. MS TULI MONDAL 24 228/1 07/04/2011 DR GOURI DEY 06/04/2011 FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 14 weeks 3 days, LMP = 27 / 12 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 15 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 3.07 cm. 15 weeks 4 days. : 1.72 cm. 15 weeks. : 9.57 cm. 15 weeks 4 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 140 b/m. : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of 15 weeks 2 days.

IMPRESSION average

MS INDRAJEET KAUR 29 262/1 07/04/2011 DR (MRS) CHANDRIMA JOT (ROY) 07/04/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation at present. Placenta (is early grade I maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 17 weeks 6 days, LMP = 03 / 12 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 18 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) : 4.23 cm. 18 weeks 5 days. : 2.69 cm. 18 weeks 1 day. : 12.7 cm. 18 weeks 2 days.

Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 127 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 18 weeks 2 days.

MS TRIPTI MONDAL 27 263/1 07/04/2011 DR P S BANDYOPADHYAY 07/04/2011

FEMALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length cm. in length Left kidney measures = 10.0

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is slightly retroverted, normal in size ( 6.82 4.87 3.47 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.

Right Ovary measures = (3.77 1.87) cm. 2.72) cm.

Left

Ovary measures = (3.40

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Slightly retroverted uterus. * ? PCOD. Suggested clinical correlation MS MADHABI GHOSH 45 266/1 07/04/2011 DR GOURI DEY ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.3 cm. in length 9.82 cm. in length Left kidney measures = 07/04/2011 FEMALE

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS :

Uterus is anteverted, mildly bulky in size ( 8.36 5.56 3.76 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries could not be well assessed as appears smaller in size however as seen appears normal in shape, position and echotexture. Right Ovary measures = (2.30 2.03) cm. (2.29 1.33) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.
Suggested clinical correlation.

MRS LATIKA BOSE 40 264/1 07/04/2011 07/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.82 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.78 cm. in length Left kidney measures = 9.97 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MRS LATIKA BOSE 40

FEMALE

264/1 07/04/2011

07/04/2011

UTERUS : Uterus is not visualized History of hysterectomy. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.91 2.87) cm. Left adnexa clear however left ovary could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MS SABITRI DAS 19 307/1 08/04/2011 DR GOURI DEY ULTRASONOGRAPHY OF PREGNANCY

Thank you for referring the patient for US scan of Pregnancy

FEMALE 08/04/2011

Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present ( 156 BPM). Gestational age by LMP : 10 weeks 6 days ( 22 / 01 / 2011 ) CRL : 3.20 cm ( 10 weeks ). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region however right ovary could not be delineated separately. Size of Left Ovary = ( 2.75 1.96 ) cm. POD : Clear

IMPRESSION :- Single live foetus with gestational age by USG 10 weeks.

MS PAMPA DEY 39 1527/1 09/04/2011 DR OF CGHS 08/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.1 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.07 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 10.2 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PAMPA DEY 39 1527/1 09/04/2011 DR OF CGHS 08/04/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.15 4.20 4.18 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.74 2.10) cm. Left Ovary measures = (3.12 1.96) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MR. AVIJIT DEY 44 1529/1 09/04/2011 DR OF CGHS 08/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. A calcific dot suggestive of old healed granulomatous lesion noted in right lobe of liver. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA :

The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.49 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. AVIJIT DEY 44 1529/1 09/04/2011 DR OF CGHS 08/04/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.68 2.84 2.83) cm. Approximate weight could be around 15 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with old healed granulomatous lesion right lobe of liver. Suggested clinical correlation.

MR. P G MUKHERJEE 78 1548/1 09/04/2011 DR OF CGHS 08/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.50 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length Left kidney measures = 10.3 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 139 ml.

MR. P G MUKHERJEE 78 1548/1 09/04/2011 DR OF CGHS 08/04/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.16 4.15 3.54) cm. Approximate weight could be around 32 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Grade II Prostatomegaly with post void residual urine 139 ml.

Suggested clinical correlation.

MS SANJU SAHOO 43 1534/1 09/04/2011 DR OF CGHS 08/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is not visualized History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.74 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.47 cm. in length Left kidney measures = 9.46 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SANJU SAHOO 43 1534/1 09/04/2011 DR OF CGHS 08/04/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.47 5.16 4.25 ) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. OVARIES : Left ovary is normal in size, shape, position, margin and echotexture. Left Ovary measures = (2.32 2.12) cm. A complex cystic area measuring 3.56 x 3.22 cm noted in right adnexa. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Right adnexal complex cystic SOL. Suggested clinical correlation and TVS may be considered.

MR B G BANERJEE 75 348/1 11/04/2011 DR KALYAN BHOWMICK 08/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER : Liver is mildly enlarged in size & mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal 0.8 cm. at porta. GALL BLADDER : Gall Bladder is partially distended; wall as seen appears normal. Multiple very small echogenic foci without any definite posterior acoustic shadow noted in gall bladder lumen -? Microcalculi / ? Echogenic sludge particles. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Multiple cortical cysts (septated as well as simple) noted bilaterally. Two small calculi measuring 0.42 cm. noted in middle calyx of right kidney . Echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No hydronephrotic changes detected.Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.3 cm. in length Left kidney measures = 11.6 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post Void residual amount of urine 48 ml.

MR B G BANERJEE 75 348/1 11/04/2011 DR KALYAN BHOWMICK 08/04/2011

MALE

PROSTATE : Prostate is enlarged in size , Heterogenous in echotexture with mild median lobe enlargement . It measures ( 4.40 4.39 4.34) cm. Approximate weight could be around 44 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Mild Hepatosplenomegaly with mild fatty infiltration of liver . : ? Microcholelithiasis / ? Echogenic sludge particles gall bladder lumen . : Bilateral renal cortical cysts . : Right sided non obstructive nephrolithiasis. : Grade II prostatomegaly with mild median lobe enlargement . : Post Void residual urine 48ml . : Suggested clinical correlation & repeat USG may be considered after 4- 6 weeks for evaluation of Gall bladder. N.B : Old USG reports not available for comparative evaluation .

MS INDIRA CHANDRA 63 432/1 11/04/2011 DR S K MUKHOPADHYAY 11/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal 0.8 cm. at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.3 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.38 cm. in length Left kidney measures = 9. 96 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS INDIRA CHANDRA 63 432/1 11/04/2011 DR S K MUKHOPADHYAY 11/04/2011

FEMALE

UTERUS : Uterus is not visualized History of hysterectomy . ADNEXA : Adnexa appear clear however ovaries could not be delineated separatcly. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION

: Mild Hepatosplenomegaly . : Suggested clinical correlation.

MS SMITA JEEVAN 32 481/1 12/04/2011 DR GOURI DEY ULTRASONOGRAPHY OF PREGNANCY

Thank you for referring the patient for US scan of Pregnancy

FEMALE 12/04/2011

Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present ( 152 BPM). Gestational age by LMP : 12 weeks 6 days ( 12 / 01 / 2011 )

CRL : 3.25 cm ( 10 weeks ). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.64 1.89 ) cm. Size of Left Ovary = ( 2.59 1.36 ) cm. POD : Clear

IMPRESSION :- * Single live foetus with gestational age by USG 10 weeks. * ? Wrong date / ? Late conception.

MS SOVA BISWAS 60 478/1 12/04/2011 DR P S BANDYOPADHYAY 12/04/2011

FEMALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.17 cm. in length cm. in length

Left kidney measures = 10.0

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.47 4.26 3.73 ) cm. A calcified dot measuring 0.686 cm noted involving anterior myometrium in fundal region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear. OVARIES : Left ovary is normal in size, shape, position, margin and echotexture. Left Ovary measures = (1.99 1.82) cm. A simple cyst measuring 2.84 x 2.47 cm noted in right ovary. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Small calcified dot involving anterior myometrium of uterus - ? Calcific degeneration of fibroid. * Right ovarian simole cyst.
Suggested clinical correlation.

MR. HARISH GOEL 41 482/1 12/04/2011 12/04/2011

MALE

DR AMIT KUMAR AGARWAL

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.08 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.77 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A small calclulus measuring 0.269 cm noted in middle calyx of right kidney. Cortical echogenecity appears normal maintaining cortico-medullary and corticoheptic differentiation. Margin is regular and cortical thickness is uniform. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 12.1 cm. in length Left kidney measures = 11.3 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. HARISH GOEL 41 482/1 12/04/2011 DR AMIT KUMAR AGARWAL 12/04/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.54 3.12 2.92) cm. Approximate weight could be around 17 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Right sided non obstructive nephrolithiasis. Suggested clinical correlation.

MR. DILIP KUMAR ROY 30 362/1 12/04/2011 DR B C KUNDU 09/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 13.1 cm.

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length Left kidney measures = 11.7 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. DILIP KUMAR ROY 30 362/1 12/04/2011 DR B C KUNDU 09/04/2011

MALE

PROSTATE : Prostate as seen appears mildly enlarged in size and slightly heterogenous in echotexture. It measures (3.61 3.54 3.45) cm. Approximate weight could be around 23 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit.

LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * Grade I Prostatomegaly. Suggested clinical correlation.

MS CHANDANA SADHUKHAN 50 480/1 12/04/2011 DR JYOTI RANJAN MAHAPATRA 12/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and echotexture appears slightly coarse. A calcified dot suggestive of old healed granulomatous lesion noted in right lobe of liver ( segment VII ). Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could

be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.46 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.25 cm. in length Left kidney measures = 9.48 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS CHANDANA SADHUKHAN 50 480/1 12/04/2011 DR JYOTI RANJAN MAHAPATRA 12/04/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 11.7 8.45 7.52) cm and irregularly marginated. Multiple fibroids ( largest one measuring 3.55 x 3.19 cm) noted involving anterior as well as posterior myometrium. Endometrium could not be well assessed due to fibroids. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.64 1.92) cm. Left Ovary measures = (2.18 2.08) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with old healed granulomatous lesion in right lobe of liver ( segment VII ). * ? Liver parenchymal disease * Bulky uterus with multiple fibroids. Suggested clinical correlation and further investigation may be considered.

MR. D R SEN 66 2059/1 12/04/2011 DR OF CGHS 11/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.53 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.27 cm. in length Left kidney measures = 9.94 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. D R SEN 66 2059/1 12/04/2011 DR OF CGHS 11/04/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.66 3.91 3.84) cm. Approximate weight could be around 36 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly.

Suggested clinical correlation.

MS LATIKA DAS 48 556/1 14/04/2011 DR GOURI DEY 14/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length 10.8 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is retroverted, bulky in size ( 9.45 5.63 5.37 ) cm. A hypoechoic area measuring 1.77 x 1.73 cm noted involving anterior myometrium in fundal region of uterus suggestive of submucosal fobroid. Endometrium (collapsed

wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.26 2.06) cm. 1.70) cm. Left Ovary measures = (2.51

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky retroverted uterus with submucosal fibroid.
Suggested clinical correlation.

MS BINA BATRA 58 557/1 14/04/2011 14/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A simple cortical cyst noted in mid part of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.82 cm. in length 9.85 cm. in length

Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left Renal simple cortical cyst.
Suggested clinical correlation.

MS VUNGZAKIM 34 552/1 14/04/2011 DR A G DAS 13/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.1 cm. in length 10.3 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, bulky in size ( 9.14 5.12 5.08 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.98 2.59) cm. 2.79) cm. Left Ovary measures = (3.05

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Bulky uterus.

Suggested clinical correlation.

MS SEFALI MONDAL 26 540/1 14/04/2011 DR GOURI DEY 13/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.74 cm. in length cm. in length Left kidney measures = 11.4

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.22 4.84 3.60) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.28 2.25) cm. 2.05) cm. Left Ovary measures = (2.71

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph

nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.

Suggested clinical correlation.

MS RANJITA MUKHERJEE 49 558/1 14/04/2011 DR J K SHAH 14/04/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 11.5 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A cortical cyst with thin internal septa and calcification noted in upper pole of left kidney. Cortical echogenecity appears normal maintaining corticomedullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 10.1 cm. in length cm. in length Left kidney measures = 10.3

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * Left Renal cortical cyst.
Suggested clinical correlation.

MS PRIYANKA NANDI 11 2054/1 14/04/2011 DR OF CGHS 11/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.1 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.01 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.64 cm. in length Left kidney measures = 8.18 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PRIYANKA NANDI 11

FEMALE

2054/1 14/04/2011 DR OF CGHS

11/04/2011

UTERUS : Uterus is anteverted, normal in size. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position and echotexture. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MS SHIBANI BASU 67 2319/1 14/04/2011 DR OF CGHS 12/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.94 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.07 cm. in length Left kidney measures = 9.18 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SHIBANI BASU 67 2319/1 14/04/2011 DR OF CGHS 12/04/2011

FEMALE

UTERUS : Uterus is anteverted, bulky in size ( 9.21 7.28 5.86 ) cm and irregularly marginated. Multiple fibroids (largest one measuring 3 cm) noted involving anterior as well as posterior myometrium. Endometrium could not be assessed due to fibroids. Cervix looks clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Bulky uterus with fibroid. Suggested clinical correlation.

MR. NANDA DULAL NAG 85 2725 /1 16/04/2011 DR OF CGHS 15/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is enlarged in size but normal in echotexture. Multiple cystic SOL (largest one measuring 9.43 x 7.62 cm with internal echoes in left lobe) noted. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.0 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. Multiple calculi noted in gall bladder lumen. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.82 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.55 cm. in length Left kidney measures = 9.13 cm. in length URINARY BLADDER : Urinary bladder is distended, wall appears mildly thick and irregular Sequalae to ? Chronic Bladder Outlet Obstruction / ? Chronic cystitis.

MR. NANDA DULAL NAG 85 2725 /1 16/04/2011 DR OF CGHS 15/04/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (5.02 4.94 4.67) cm. Approximate weight could be around 60 gm. RETROPERITONEUM & PERITONEUM : Paraaortic SOL noted. Visualised part of aorta & IVC are within normal limit. No ascites noted or pleural effusion noted. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Hepatomegaly with multiple cystic Hepatic SOL. * Cholelithiasis. * Grade III Prostatomegaly. * Mildly thick and irregular urinary bladder wall Sequalae to ? Chronic Bladder Outlet Obstruction / ? Chronic Cystitis. * Para aortic SOL. Suggested clinical correlation and CECT may be considered.

MS SAYANI NAG 25 560/1 15/04/2011 DR U C NAG 14/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.9 cm. in length 10.5 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.27 5.18 4.02 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.31 2.73) cm. (3.45 2.48) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * ? PCOD.

Suggested clinical correlation & hormonal assay may be considered.

MR. SARBESWAR MONDAL 62 570/1 15/04/2011 DR G R ROY 14/04/2011

MALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Multiple cortical cysts noted bilaterally. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.1 cm. in length 9.33 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is normally distended, wall thickness appeared normal. A mobile calculus measuring 2.04 cm noted in urinary bladder lumen. POST VOID STUDY : Post void residual urine measures 94 ml. PROSTATE : Prostate is mildly enlarged in size and heterogenous in echotexture. It measures (4.34 3.59 3.53) cm. around 29 gm. Approximate weight could be

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE :

No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bilateral Renal Cortical Cyst. * Grade I Prostatomegaly with post void residual urine 94 ml. * Cystolithiasis. Suggested clinical correlation.

MS DEBAMITA DUTTA 55 608/1 16/04/2011 DR GOURI DEY 15/04/2011

FEMALE

ULTRASONOGRAPHY OF KIDNEY URETER & BLADDER Thank you for referring the patient for US scan of Kidney Ureter & Bladder KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.4 cm. in length cm. in length Left kidney measures = 10.7

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, small and atrophied. A fibroid with calcific degeneration measuring 2.84 x 2.15 cm noted in fundal region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.89 2.63) cm. 1.78) cm. Left Ovary measures = (2.40

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Uterine fibroid with calcified degeneration. Suggested clinical correlation.

MS ISHA MISHRA 12 618/1 16/04/2011 DR RATNABALI CHAKRAVORTY 15/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated.

Right kidney measures = 10.3 cm. in length cm. in length

Left kidney measures = 9.73

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.14 4.34 3.35 ) cm. No focal SOL noted in myometrium. Endometrium appears mildly thick and measuring 1.25 cm at present. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.79 2.47) cm. (2.39 1.63) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly thickened endometrium.
Suggested clinical correlation.

MS REKHA SINGH 34 627/1 16/04/2011 DR GOURI DEY 16/04/2011

FEMALE

Thank you for referring the patient for US scan of Pregnancy

ULTRASONOGRAPHY OF PREGNANCY

Gravid uterus with single gestational sac measuring 1.28 cm in longitudinal diameter noted. No obvious fetal node or yolk sac detected at present. Gestational age by LMP : ? Decidual reaction is noted all around. Internal OS is closed. Urinary bladder is normal. No SOL seen . No diverticulum present. Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.82 1.92 ) cm. Size of Left Ovary = ( 3.12 1.80 ) cm.

POD : Clear

IMPRESSION :- * Intrauterine Gestational Sac. * Repeat USG after 10-12 days / TVS may be considered.

MS MITHU KARMAKAR 28

FEMALE

562/1 18/04/2011 DR R P GANGULY

14/04/2011

ULTRASONOGRAPHY OF FOLLICULAR SCREENING Thank you for referring the patient for US scan of Follicular Screening UTERUS : Uterus is anteverted, bulky in size ( 11.3 4.54 4.4 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.19 2.4) cm. Left Ovary measures = (2.69 2.54) cm.
DAY 8th Day 9th Day 10th Day 12th Day DATE 14/04/2011 15/04/2011 16/04/2011 18/04/2011 RO FOLLICLE 1.83 x 1.79 cm 1.99 x 1.89 cm 3.50 x 2.42 cm 3.50 x 2.42 cm (? Functional cyst ) LO FOLLICLE NIL Nil Nil NIl ET 0.754 cm 0.931 cm 0.984 cm 1.07 cm POD Clear Clear Clear Clear

FEMALE 18/04/2011

MS SARMISTHA BANERJEE 36 646/1 DR AJOY KR PAN 16/04/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.8 cm. in length Left kidney measures = 10.9 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

FEMALE 18/04/2011

MS SARMISTHA BANERJEE 36 646/1 DR AJOY KR PAN 16/04/2011

UTERUS : Uterus is retroverted, normal in size ( 7.09 5.23 4.32 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.17 2.18) cm. Left Ovary measures = (2.15 2.02) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly with mild fatty infiltration of liver. * Retroverted uterus. Suggested clinical correlation.

MS SUDIPTA DUTTA 28 675/1 18/04/2011 DR GOURI DEY 18/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.07 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.72 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length Left kidney measures = 9.53 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUDIPTA DUTTA 28 675/1 18/04/2011 DR GOURI DEY 18/04/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 6.64 4.13 2.90 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free.

ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.48 2.51) cm. Left Ovary measures = (3.80 2.32) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * ? PCOD. Suggested clinical correlation and corroboration with hormonal assay may be considered.

MR. ARUP KR DUTTA 68 3111/1 19/04/2011 DR OF CGHS 18/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.9 cm. in length Left kidney measures = 11.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. ARUP KR DUTTA 68 3111/1 19/04/2011 DR OF CGHS 18/04/2011

MALE

PROSTATE : Prostate is enlarged in size and heterogenous in echotexture. It measures (4.43 3.96 3.94) cm. Approximate weight could be around 36 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. * Grade II Prostatomegaly. Suggested clinical correlation.

MS SHIPRA SHARMA 28 716/1 19/04/2011 DR SMITA GUTGUTIA 19/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Right kidney is not visualized in Right Renal Fossa. Left Kidney is normal in shape, size, axes and position. Cortical echotexture is normal and cortico-medullary differentiation is maintained. No calculus / SOL / hydronephrosis noted. Visualised part of Left Upper Ureter is not dilated. Left kidney measures = 12.3 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.47 3.94 2.79 ) cm. Endometrial thickness measures 0.598cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (1.97 1.92) cm. (2.10 1.70) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Non visualisation of Right Kidney in Right Renal Fossa.
Suggested clinical correlation.

MS LIPIKA BOSE 25 718/1 19/04/2011 DR P S BANDYOPADHYAY 19/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.46 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.68 cm. in length Left kidney measures = 10.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS LIPIKA BOSE 25 718/1 19/04/2011 DR P S BANDYOPADHYAY 19/04/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 7.25 4.67 3.59 ) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.63 2.70) cm. Left Ovary measures = (3.20 2.01) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * ? PCOD. Suggested clinical correlation and hormonal assay may be considered.

MR. GAUTAM TAMANG 29 713/1 19/04/2011 DR A N MANDAL 18/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.66 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.44 cm. in length Left kidney measures = 9.44 cm. in length URINARY BLADDER : Urinary bladder is partially distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. GAUTAM TAMANG 29 713/1 19/04/2011 DR A N MANDAL 18/04/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.08 2.92 2.88) cm. Approximate weight could be around 13 gm. RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness noted at present. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS ARPITA GHOSH 23 807/1 21/04/2011 DR U C NAG 21/04/2011

FEMALE

ULTRASONOGRAPHY OF PELVIS
Thank you for referring the patient for US scan of Pelvis

Gravid uterus with single gestational sac . Foetal node is noted. Foetal heart beat is present ( 156 BPM). Gestational age by LMP : 17 weeks 2 days ( 21 / 12 / 2010 ) CRL : 4.72 cm ( 11 weeks 3 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present. Adnexae : No echogenic mass is seen in adnexal region.

Size of Right Ovary = ( 2.98 2.51 ) cm. Size of Left Ovary = ( 3.81 2.61 ) cm. Nuchal thickness is 1.3 mm ( within normal limits).

IMPRESSION :- * Single live foetus with gestational age by USG 11 weeks 3 days. * ? Wrong date / ? Late conception.

MS RITU DUBEY 23 782/1 21/04/2011 DR MAHUA ROY CHOWDHURY 20/04/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 16 weeks, LMP = 30 / 12 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 16 weeks 4 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) Foetal cranio-spinal axis appears normal. 3) Abdominal wall appears within normal limit. : 2.24 cm. 16 weeks 4 days : 11.1 cm. 16 weeks 6 days.

: 3.46 cm. 16 weeks 4 days

4) Umbilical cord appears normal. 5) Foetal heart rate is regular, 152 b/m. IMPRESSION average : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of 16 weeks 4 days.

MR. VIMAL KR DUGAR 60 841/1 22/04/2011 DR GHANSHYAM GOYAL 22/04/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN ( SCREENING) Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Multiple small mobile calculi noted in gall bladder lumen. PANCREAS :

Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.68 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.81 cm. in length cm. in length Left kidney measures = 9.76

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. * No obvious fluid noted in lower pleural spaces. Suggested clinical correlation.

MR. SANJAY CHATTERJEE 55 839/1 22/04/2011 DR ASEEM CHATTERJEE ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen 22/04/2011

MALE

LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.24 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.80 cm. in length cm. in length Left kidney measures = 8.86

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

FEMALE 22/04/2011

MS GITA SINHA 74 833/1 DR BIMAN KUMAR GHOSH 21/04/2011

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A simple cortical cyst noted in upper pole of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.1 cm. in length 9.58 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 66 ml. UTERUS : Uterus is not visualized History of hysterectomy. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Left Renal simple cortical cyst. * Post void residual urine 66 ml.
Suggested clinical correlation.

FEMALE 25/04/2011

MS RUPALI DUTTA 28 958/1 DR CHANDRIMA JOT ROY 25/04/2011

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 24 weeks 3 days, LMP = 05 / 11 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 25 weeks 5 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) Foetal cranio-spinal axis appears normal. : 6.43 cm. 26 weeks : 4.80 cm. 26 weeks : 20.7 cm. 25 weeks 2 days.

3) 4) 5) 6)

Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 150 b/m. : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 25 weeks 5 days.

IMPRESSION average

MS GAYETRI DAS 18 913/1 25/04/2011 DR GOURI DEY 23/04/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY ( ANOMALY ) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is early grade I maturity), placed fundo posteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 20 weeks 3 days, LMP = 03 / 12 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 19 weeks 3 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 4.65 cm. 20 weeks : 2.94 cm. 19 weeks : 14.2 cm.19 weeks 4 days.

Foetal cranio-spinal axis appears normal. Limbs and long bones appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 154 b/m. : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of 19 weeks 3 days. 2) No gross anomaly noted.

IMPRESSION average

MR. SANJOY KARANJKAR 41 914/1 25/04/2011 DR ASOKANANDA KONAR ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. 23/04/2011

MALE

PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.71 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.81 cm. in length cm. in length Left kidney measures = 9.98

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS JOYESHREE MANNA 37 963/1 26/04/2011 DR BASAB MUKHERJEE 25/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.0 cm. in length 11.7 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, bulky in size ( 11.0 7.94 7.32 ) cm. Myometrial echotexture is grossly hyperechoic. Endometrium is thickened ( 3.39 cm ) with irregularly marginated hyperechoic area measuring 2.66 x 2.11 cm and fluid noted within. Cervix looks clear. OVARIES : Right ovary is normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.97 2.03) cm. Left adnexa appears clear however left ovary could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * USG features are suggestive of retained product of conceptus.

Suggested clinical correlation and further investigation may be considered for confirmation.

MS ARITA MAJHI 23 1018/1 28/04/2011 DR PAPIYA DUTTA 26/04/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac and suspected yolk sac noted. No obvious fetal node detected at present. Gestational age by LMP : 16 weeks ( 06 / 01 / 2011 ) MSD : 2.2 cm ( 6 weeks 5 days). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.54 2.23 ) cm. Size of Left Ovary = ( 3.02 1.89 ) cm. POD : Clear

IMPRESSION :- * USG features are suggestive of Early Pregnancy failure. * Suggested clinical correlation and TVS may be considered. N.B.: No old medical records related to pregnancy available at present.

FEMALE 30/04/2011

MS MADHABI MONDAL 42 1135/1 DR GOURI DEY 30/04/2011

Thank you for referring the patient for US scan of Both Breast

ULTRASONOGRAPHY OF BOTH BREAST

Soft tissue architexture of both breast appears heterogeneous ( more prominent on left side). No obvious SOL or calcification seen. No duct dilatation seen. Nipple so far seen appears normal.

Retromammary space appears normal. Both axilla do not reveal any enlarged lymphnodes.

IMPRESSION : * USG Features are suggestive of Bilateral Fibroadenosis. * Suggested clinical correlation and corroboration with Mammography may be considered.

SMT ANITA ROY 40 1130/1 30/04/2011 DR KAUSHIK MUKHERJEE 29/04/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.31 cm. in length 9.62 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, mildly bulky in size ( 8.69 4.57 4.12 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.58 2.46) cm. (2.30 1.95) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky uterus.

Suggested clinical correlation.

MS MITHU MONDAL 35 1139/1 30/04/2011 DR KRISHNA CHATTERJEE 30/04/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY (ANOMALY) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 22 weeks 5 days, LMP = 22 / 11 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 22 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 5.43 cm. 22 weeks 3 days : 3.85 cm. 22 weeks 2 days : 17.3 cm. 22 weeks 1 day

Foetal cranio-spinal axis appears normal. Limbs and long bones appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 141 b/m. 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 22 weeks 2 days. 2) No gross anomaly noted.

IMPRESSION : average

MS PRATIMA CHOWRASIA 28 1136/1 30/04/2011 30/04/2011

FEMALE

DR GOURI DEY

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 13 weeks 3 days, LMP = 26 / 01 / 2011 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 14 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) : 2.37 cm. 14 weeks : 1.40 cm. 14 weeks : 7.52 cm. 14 weeks

Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, b/m. Nuchal thickness is 1.4 mm ( within normal limits). : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of14 weeks.

IMPRESSION average

MS DIPALI BOSE 58 1133/1 30/04/2011 DR BHASKAR BANIK 30/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen POOR USG WINDOW DUE TO EXCESSIVE ABDOMINAL GAS SHADOW
LIVER: Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is not visualised History of Cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.27 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.39 cm. in length Left kidney measures = 8.43 cm. in length

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS DIPALI BOSE 58 1133/1 30/04/2011 DR BHASKAR BANIK 30/04/2011

FEMALE

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

N.B.: Complementary repeat USG may be considered at a later date with proper preparation and prior appointment.

MS SUPRIYA ROY 25 1099/1 30/04/2011 DR KRISHNA CHATTERJEE 29/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.31cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SUPRIYA ROY 25 1099/1 30/04/2011 DR KRISHNA CHATTERJEE 29/04/2011

FEMALE

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.88 5.54 4.28 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA :

Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.68 1.89) cm. Left Ovary measures = (3.74 2.35) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Mildly bulky uterus. * ? PCOD. Suggested clinical correlation and corroboration with hormonal assay and TVS may be considered.

MS SASWATI DUTTA 52 1118/1 30/04/2011 DR ARUN KR CHAUDHURY 29/04/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen

LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. Multiple calcific dots suggestive of old healed granulomatous lesions noted in right lobe of liver ( segment V). Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.07 cm.) at porta. GALL BLADDER : Gall Bladder is not visualised History of cholecystectomy. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.88 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length Left kidney measures = 11.8 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS SASWATI DUTTA 52

FEMALE

1118/1 30/04/2011 DR ARUN KR CHAUDHURY

29/04/2011

UTERUS : Uterus is anteverted, mildly bulky in size ( 8.63 4.84 4.65 ) cm. A small area ( 1.07 cm) of altered echogenecity suspected involving anterior myometrium in fundal region of uterus suggestive of subserous fibroid. Endometrium (collapsed wall) is in midline. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.81 1.47) cm. Left Ovary measures = (3.25 1.66) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Old Healed Granulomatous lesions right lobe of liver ( segmentV). * Mildly bulky uterus with suspected small subserous fibroid. Suggested clinical correlation.

MR. PARTHA CHAKRABARTY 51 1090/1 30/04/2011 29/04/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and hyperechoic in echotexture with few suspected areas of coarse echotexture. Margins appear irregular. No focal SOL noted. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.02 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Multiple small echogenic foci noted involving splenic parenchyma - ? Microcalcification. Splenic span is 16.3 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A small calculus measuring 0.313 cm noted in lower calyx of right kidney. Cortical echogenecity appears normal maintaining cortico-medullary and corticoheptic differentiation. Margin is regular and

cortical thickness is uniform. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.2 cm. in length Left kidney measures = 11.4 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 58 ml.

MR. PARTHA CHAKRABARTY 51 1090/1 30/04/2011 29/04/2011

MALE

PROSTATE : Prostate is mildly enlarged in size and heterogenous in echotexture. It measures (3.82 3.47 3.28) cm. Approximate weight could be around 22 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mildly Hepatomegaly with focal areas of coarse echotexture Early Liver Parenchymal Disease. * Mildly splenomegaly with multiple echogenic foci ( ? Microcalcification ). * Right sided non obstructive nephrolithiasis. * Grade I Prostatomegaly with post void residual urine -58 ml. Suggested clinical correlation and further investigation may be considered.

FEMALE 30/04/2011

MS MALABIKA SARKAR 55 800/1 DR OF CGHS 29/04/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.66 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.25 cm. in length Left kidney measures = 9.56 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

FEMALE 30/04/2011

MS MALABIKA SARKAR 55 800/1

DR OF CGHS

29/04/2011

UTERUS : Uterus is small and atrophied. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS SNEHA PADHI 30 1199/1 03/05/2011 DR MAHUA ROY CHOWDHURY 02/05/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.09 cm. in length Left kidney measures = 9.63 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, bulky in size ( 9.40 5.29 4.51 ) cm. Endometrium measures 0.860 cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : A cystic area with surrounding decidual reaction measuring 2.82 x 2.53 cm noted in right adnexa suggestive of gestational sac. An echogenic area without any cardiac activity measuring 0.98 cm suggestive of Embryonal node corresponding with 7 weeks 1 day noted in cystic area. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.52 2.22) cm. Left Ovary measures = (2.77 2.09) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : USG features are suggestive of bulky uterus with Right adnexal Ectopic pregnancy.
Suggested clinical correlation.

MS JOYASHRI MANNA 37 1822/1 17/05/2011 DR BASAB MUKHERJEE 17/05/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN (TVS) Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.1 cm. in length 11.4 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant. UTERUS : Uterus is anteverted, bulky in size ( 9.20 5.82 4.97 ) cm. No obvious focal SOL noted in myometrium. Endometrium is thick (2.15 cm) and few cystic areas noted. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (2.69 1.61) cm. (2.79 1.76) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus with thickened cystic endometrium.
Suggested clinical correlation.

MS MADHABI BARMAN 32 1782/1 17/05/2011 DR GOURI DEY 16/05/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY ( SCREENING)

Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac . No obvious fetal node or yolk sac detedted at present. Gestational age by LMP : 12 weeks ( 22 / 02 / 2011 ) MSD : 4.1 cm ( 9 weeks 3 days). Poor decidual reaction is noted all around. Internal OS is closed.

Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in left adnexal region. A cyst measuring 3.19 x 3.13 cm noted in right ovary. Size of Left Ovary = ( 2.38 1.87 ) cm. POD : Clear

IMPRESSION :- * USG features are suggestive of Early Pregnancy Failure. * Right ovarian simple cyst.
Suggested clinical correlation.

MR. ASHOK KR DEB 55 1816/1 17/05/2011 DR KARMABIR CHAKRABORTY ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen 17/05/2011

MALE

LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta.

GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.63 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.75 cm. in length cm. in length Left kidney measures = 9.43

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

FEMALE 17/05/2011

MS LOPAMUDRA PANDA 30 1819/1 17/05/2011

DR (SM) B P BHATTACHARYA

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 15 weeks 5 days, LMP = 27 / 01 / 2011 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 15 weeks 4 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 156 b/m. : 1) Single, live, active foetus in unstable lie at present of an gestational maturity of 15 weeks 4 days. : 3.14 cm. 15 weeks 5 days : 1.88 cm. 15 weeks 4 days : 9.51 cm. 15 weeks 4 days.

IMPRESSION average

MS S K PINKI 26 1817/1 17/05/2011 DR GOURI DEY 17/05/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY ( ANOMALY) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed fundo anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 24 weeks 3 days, LMP = 27 / 11 / 2010 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 20 weeks 6 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 5.02 cm. 21 weeks 1 day : 3.35 cm. 20 weeks 3 days : 16.2 cm. 21 weeks 1 day.

Foetal cranio-spinal axis appears normal. Limbs and long bones appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 143 b/m. : 1) Single, live, active foetus in cephalic presentation of an gestational maturity of 20 weeks 6 days. 2) Wrong date. 3) No gross anomaly noted at present.

IMPRESSION average

MALE 17/05/2011

MR. MANOJ KUMAR 286 1745/1 DR ASOKANANDA KONAR 14/05/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 1.02 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Few very small echogenic foci noted embedded in gall bladder wall in body region suggestive of focal cholesterosis. No obvious calculus noted. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 10.2 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.96 cm. in length Left kidney measures = 9.87 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MALE 17/05/2011

MR. MANOJ KUMAR 286 1745/1 DR ASOKANANDA KONAR 14/05/2011

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (2.88 2.86 2.66) cm. Approximate weight could be around 11.5 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Focal Cholesterosis of Gall Bladder. Suggested clinical correlation.

MALE 17/05/2011

MR. ADHIR HALDER 32 1789/1 DR DIPAK BHAUMIK 16/05/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER :

Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.46 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 10.5 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MALE 17/05/2011

MR. ADHIR HALDER 32 1789/1 DR DIPAK BHAUMIK 16/05/2011

PROSTATE : Prostate is mildly enlarged in size. Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.92 3.69 3.01) cm. Approximate weight could be around 23 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade I Prostatomegaly. Suggested clinical correlation.

MR. P K MITRA 66 8286/1 18/05/2011 DR OF CGHS 17/05/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.71 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.8 cm. in length Left kidney measures = 10.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. P K MITRA 66 8286/1 18/05/2011 DR OF CGHS 17/05/2011

MALE

PROSTATE : Prostate is enlarged in size, heterogenous in echotexture with mild median lobe enlargement. It measures (4.65 4.45 4.32) cm. Approximate weight could be around 47 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Grade II Prostatomegaly with mild median lobe enlargement. Suggested clinical correlation.

FEMALE 25/05/2011

MISS PARIJAT SINHA 13 2202/1 DR GOURI DEY ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen 25/05/2011

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.92 cm. in length 10.8 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.30 4.13 2.90 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture.

Right Ovary measures = (3.29 1.74) cm. (3.15 2.25) cm.

Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality.
Suggested clinical correlation.

N.B. : Incidentally Frade I fatty liver noted.

FEMALE 25/05/2011

MS PURNIMA MANDAL 32 2131/1 DR GOURI DEY ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen 23/05/2011

KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.71 cm. in length 8.77 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is anteverted, normal in size ( 7.83 4.80 3.91 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix appears mildly bulky and heterogenous. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.06 2.14) cm. (3.15 2.17) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? Cervicitis with ? PCOD.
Suggested clinical correlation.

MS SULATA BISWAS 22 1982/1 25/05/2011 DR GOURI DEY 20/05/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.46 cm. in length 9.43 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.11 3.65 3.19 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (4.05 1.91) cm. (3.58 2.10) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation and hormonal assay may be considered.

MS PRAKITI CHATTERJEE 31 2198/1 25/05/2011 DR DILIP KUMAR CHAKRABORTTI 25/05/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.97 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.53 cm. in length

Left kidney measures = 8.64 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS PRAKITI CHATTERJEE 31 2198/1 25/05/2011 DR DILIP KUMAR CHAKRABORTTI 25/05/2011

FEMALE

UTERUS : Uterus is anteverted, normal in size ( 8.38 3.78 2.98 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix appears bulky and grossly heterogenous. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Dominent follicle noted in right ovary. Right Ovary measures = (2.33 2.13) cm. Left Ovary measures = (2.23 1.98) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * ? Cervicitis. Suggested clinical correlation.

MS ALOKA GHOSH 63 2171/1 26/05/2011 DR P K MUKHOPADHYAY 24/05/2011

FEMALE

ULTRASONOGRAPHY OF THYROID Thank you for referring the patient for US scan of Thyroid PROCEDURE :: Scanned with high frequency linear transducer in sagittal and transverse planes. FINDINGS :: Both lobes of thyroid appear normal in size with smooth outline and homogenous echotexture. Right Lobe : 3.40 x 1.44 x 0.899 cm Left Lobe : 3.14 x 1.20 x 0.825 cm

Isthmus could not be well delineated due to swelling. A regularly marginated oval hypoechoic SOL measuring 3.68 x 1.74 cm with few areas of calcification noted in midline. No onbivous vascularity noted. A thin hypoechoic area measuring 0.14 cm suspected arising from the swelling and could be traced only upto left Sterno-cleido mastoid muscle. Both carotid arteries and jugular veins appear normal. No obvious lymph node noted in both supra-clavicular regions.

IMPRESSION : * Hypoechoic Oval Swelling with few areas of calcification. Suggested clinical correlation and further investigation may be considered for proper evaluation.

FEMALE 26/05/2011

MS ARATI DEVI PATHAK 43 9508 /1 DR OF CGHS 24/05/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could

be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Pancreas appears normal in position but peripancreatic edema suspected. Main Pancreatic duct not dilated. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.58 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 11.3 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

FEMALE 26/05/2011

MS ARATI DEVI PATHAK 43 9508 /1 DR OF CGHS 24/05/2011

UTERUS : Uterus is anteverted, bulky in size ( 9.56 5.85 4.51 ) cm. A fibroid measuring 2.51 cm noted involving posterior myometrium. Endometrium (collapsed wall) is in midline. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Right Ovary is normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.48 1.48) cm. A simple cyst measuring 2.88 x 2.80 cm noted in left ovary. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * ? Subacute Pancreatitis. * Bulky uterus with fibroid. * Left Ovarian functional cyst. Suggested clinical correlation and CT Scan may be considered.

MALE

MR. DEBABRATA BANERJEE 69

9906/1 27/05/2011 DR OF CGHS

26/05/2011

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. A simple cyst measuring 1.5 cm noted in portal region. Few small calcific dots also suspected in right lobe of liver. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.57 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. A small calculus measuring 0.4 cm suspected in upper calyx of left kidney. Cortical echogenecity appears normal maintaining cortico-medullary and corticoheptic differentiation. Margin is regular and cortical thickness is uniform. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.18 cm. in length Left kidney measures = 9.62 cm. in length URINARY BLADDER :

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Post void residual urine measures 52 ml.

MALE 27/05/2011

MR. DEBABRATA BANERJEE 69 9906/1 DR OF CGHS 26/05/2011

PROSTATE : Prostate is enlarged size, heterogenous in echotexture with mild median lobe enlargement It measures (4.57 4.43 3.85) cm. Approximate weight could be around 41 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Simple Hepatic cyst. * Old healed granulomatous lesions right lobe of liver. * Left sided suspected nephrolithiasis.

* Grade II Prostatomegaly with mild median lobe enlargement. * Post void residual urine 52 ml. Suggested clinical correlation.

MS MAMATA SARKAR 35 2275/1 27/05/2011 DR G R DAS 27/05/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.8 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted.

SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.50 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.24 cm. in length cm. in length Left kidney measures = 9.50

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MS SHEULI HEMBRAM 26 1939/1 27/05/2011 DR U C NAG 19/05/2011

FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING Thank you for referring the patient for US scan of Follicular Screening UTERUS :

Uterus is anteverted, normal in size ( 7.02 4.58 3.18 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.49 3.39) cm. Left Ovary measures = (4.18 2.36) cm.
DAY 10th Day 11th Day 12th Day 13th Day 14th Day DATE 23/05/2011 24/05/2011 25/05/2011 26/05/2011 27/05/2011 RO FOLLICLE 2.08 cm x 1.77 cm 2.53 cm x 2.38 cm 2.88 cm x 2.59 cm 3.55 cm x 2.69 cm Same LO FOLLICLE 2.03 cm x 1.94 cm 2.16 cm x 2.37 cm 2.52 cm x 2.42 cm 2.92 cm x 2.68 cm Ruptured ET 0.600 cm 0.784 cm 0.995 cm 1.00 cm 1.11 cm POD Clear Clear Clear Clear Fluid noted

MS PALLABI ACHARYA 17 2260/1 28/05/2011 DR U C NAG 26/05/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.0 cm. in length 9.78 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.08 4.26 3.39 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (4.60 2.75) cm. (4.30 2.85) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.

Suggested clinical correlation.

MR. ANUPAM SAXENA 23 2320/1 28/05/2011 DR P S BANDYOPADHYAY 28/05/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.89 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.5 cm. in length Left kidney measures = 9.55 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. ANUPAM SAXENA 23 2320/1 28/05/2011 DR P S BANDYOPADHYAY 28/05/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.28 2.58 2.44) cm. Approximate weight could be around 10 gm. RETROPERITONEUM, PERITONEUM & LOWER PLEURAL SPACE: No ascites noted. No pleural effusion noted. No paraaortic lymphadenopathy noted.

N.B.: A cystic area measuring 8.25 x 5.95 cm suspected posterior to urinary bladder ( could not be confirmed due to overlying shadow by iliac bones). The cystic area could not be visualised in post void state.

IMPRESSION : * Mild Hepatomegaly. * Suspected cystic area posterior to Urinary Bladder. Suggested clinical correlation and CT Scan may be considered.

MS ARPITA SAHA 28 2346/1 30/05/2011 DR NILABHA BHADURI 28/05/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and moderately hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : Portal vein is ( 1.16 cm.) at porta.Common Bile Duct is 0.6 cm. appears mildly dilated however no obvious intraluminal calculus noted in its visualised part suggestive of normal post cholecystectomy physiological mild dilatation of Common Bile Duct. GALL BLADDER : Gall Bladder is not visualised History of Cholecystectomy.

PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.49 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.6 cm. in length Left kidney measures = 11.0 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS ARPITA SAHA 28 2346/1 30/05/2011 DR NILABHA BHADURI 28/05/2011

FEMALE

UTERUS :

Uterus is anteverted, normal in size ( 6.12 3.66 2.76 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES :

Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD.
Right Ovary measures = (3.23 2.37) cm. Left Ovary measures = (3.13 2.44) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. * Normal Post Cholecystectomy physiological mild dilatation of Common Bile Duct. * ? PCOD. Suggested clinical correlation.

MS SUNANDA DAS 56 2088/1 30/05/2011 22/05/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.46 cm. in length 9.20 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus as seen appears small and atrophied but retroverted in position. Pouch of Douglas is clear. ADNEXA : Adnexa appear clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Essentially normal study.

Suggested clinical correlation.

SHRI ARCHIT NANDY 31 2328/1 30/05/2011 DR ASOKANANDA KONAR 28/05/2011

MALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.80 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.

Right kidney measures = 10.2 cm. in length cm. in length

Left kidney measures = 11.1

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation. MS KAVITA DEVI 26 2366/1 30/05/2011 DR PAPIA DUTTA ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.97 cm. in length 9.85 cm. in length Left kidney measures = 29/05/2011

FEMALE

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.67 4.71 3.94) cm. Endometrium (collapsed wall) is in midline. Myometrium

appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.38 1.81) cm. (3.60 2.14) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ?PCOD.

Suggested clinical correlation and hormonal assay may be considered.

FEMALE 31/05/2011

MS SUTAPA SIKDER 27 2421/1 DR B B SARKAR 31/05/2011

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single irregularly outlined gestational sac noted. No obvious foetal node or yolk sac detected at present. Gestational age by LMP : 14 weeks 3 days ( 19 / 02 / 2011 ) MSD : 3.53 cm ( 8 weeks 4 days). Poor decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.02 1.56 ) cm. Size of Left Ovary = ( 3.08 1.98 ) cm. POD : Clear

IMPRESSION :- USG features are suggestive of Early Pregnancy Failure.

MS SANDHYA RANI MAITY 54 2423/1 31/05/2011 DR BASAB BIJAY SARKAR 31/05/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 9.0 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Right kidney measures = 9.12 cm. in length cm. in length Left kidney measures = 9.07

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted.

Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation. MR. KALLOL MANDAL 50 2464/1 01/06/2011 DR ABHIJIT BANERJEE 01/06/2011 MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is minimally enlarged size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal (7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.4 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 101 cm. in length Left kidney measures = 96 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (00 00 00) cm. Approximate weight could be around 00 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Whole Abdomen does not reveal any significant abnormality. Suggested clinical correlation.

MS SARITA KUMARI 30 2485/1 03/06/2011 DR GOURI DEY 01/06/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 11.2 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

UTERUS : Uterus is anteverted, bulky in size ( 10.5 5.09 3.98 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.93 2.47) cm. (2.96 1.63) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky uterus.

Suggested clinical correlation.

MISS SAONI DEY 19 2513/1 03/06/2011 DR SUMIT SEN 01/06/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.4 cm. in length 11.0 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.26 4.39 2.91 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.80 2.56) cm. (3.82 2.10) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation.

MS RANI PRASAD 30 2557/1 03/06/2011 DR GOURI DEY 03/06/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY ( ANOMALY ) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentation. Placenta (is grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 20 weeks 4 days, LMP = 10 / 01 / 2011 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 21 weeks 1 day. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 5.08 cm. 21 weeks 2 days : 3.46 cm. 20 weeks 6 days : 16.6 cm. 21 weeks 4 days.

Limbs and long bones appears normal. Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 154 b/m. : 1) Single, live, active foetus in cephalic presentation of an

IMPRESSION average

gestational maturity of 21 weeks 1 day. 2) No gross anomaly detected at present.

MS ATASHI MAHAPATRA 23 2554/1 03/06/2011 DR DIPSIKHA DEB 03/06/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in unstable lie at present. Placenta (is grade 0 maturity), appears forming at posterior uterine wall. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 14 weeks 1 day, LMP = 24 / 02 / 2011 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 13 weeks. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 1.93 cm. 13 weeks : 1.12 cm. 13 weeks 2 days : 6.23 cm. 13 weeks .

Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 156 b/m. Nuchal thickness is 1.4 mm ( within normal limits). Expected foetal weight could be around gms. ( 16%).

IMPRESSION average

1) Single, live, active foetus in unstable lie at present of an gestational maturity of 13 weeks.

MS KABERI SAMANTA 42 2542/1 03/06/2011 DR GOURI DEY 02/06/2011

FEMALE

Thank you for referring the patient for US scan of Breast

ULTRASONOGRAPHY OF BREAST

Soft tissue architexture of both breast appears heterogenous. A hypoechoic well marginated SOL measuring 0.789 x 0.578 cm noted in left Breast at 3 O clock position - ? Fibroadenoma. Nipple so far seen appears normal. Retromammary space appears normal. Both axilla do not reveal any enlarged lymphnodes.

IMPRESSION : USG features are suggestive of Bilateral Fibroadenosis with ? Fibroadenoma left Breast. Suggested clinical correlation and corroboration with Mammography may be considered.

MS SHREERUPA DUTTA 26 2663/1 06/06/2011 DR LAXMI AGARWAL 06/06/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Unstable lie at present. Placenta (is early grade I maturity), placed anteriorly. The internal OS is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 16 weeks 4 days, LMP = 10 / 02 / 2011 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 17 weeks 5 days. (Measurements are in the skiagram).
B. P. D.

: 3.81 cm. 17 weeks 4 days

F. L. A. C. 2) 3) 4) 5) Foetal cranio-spinal axis appears normal. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 138 b/m. :

: 2.61 cm. 17 weeks 6 days : 12.5 cm. 18 weeks

IMPRESSION average

1) Single, live, active foetus in Unstable lie at present of an gestational maturity of 17 weeks 5 days. N.B. : Old USG report not available for comparative evaluation.

MS SOMA MRIDHA 24 2667/1 06/06/2011 DR PAPIA DUTTA 06/06/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac . No obvious fetal node or yolk sac noted at present. Gestational age by LMP : 11 weeks 6 days ( 15 / 03 / 2011 )

MSD : 2.03 cm ( 6 weeks 3 days). Poor decidual reaction is noted all around. Internal OS is closed. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 2.57 1.78 ) cm. Size of Left Ovary = (3.19 1.90 ) cm. POD : Clear

IMPRESSION :- * USG features are suggestive of Early Pregnancy failure. Suggested clinical correlation. N.B. : As per patient urine for pregnancy test was positive on 09/05/2011.

MS SARBESHI MUKHERJEE 33 2665/1 06/06/2011 DR NANDINI CHAKRABORTY BHATTACHARYA 06/06/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.

Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length 9.56 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is retroverted, bulky in size ( 9.93 7.51 7.02) cm. An area of altered echogenicity suggestive of fibroid measuring 2.70 x 3.01 cm noted involving posterior myometrium in fundal region of uterus. Endometrium could not be well assessed. Cervix looks clear. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.79 1.85) cm. (2.53 1.92) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Bulky retroverted uterus with suspected fibroid.
Suggested clinical correlation and TVS may be considered.

MR. K K SARKAR 81 2660/1 06/06/2011 06/06/2011

MALE

DR J R MAHAPATRA ULTRASONOGRAPHY OF UPPER ABDOMEN (SCREENING) Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. Multiple simple cysts noted in right as well as left lobe of liver. Largest one measuring 2.35 cm and 1.39 cm in right lobe and left lobe of liver respectively. Intrahepatic biliary radicles are not dilated. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.45 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.
Visualised part of Upper Ureters are not dilated.

Right kidney measures = 8.81 cm. in length cm. in length

Left kidney measures = 9.44

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Multiple simple Hepatic cysts. Suggested clinical correlation. MR. P CHATTERJEE 34 2664/1 06/06/2011 DR TAPASH CHATTERJEE 06/06/2011 MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.34 cm. KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.1 cm. in length Left kidney measures = 11.1 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. POST VOID STUDY : Insignificant amount of residual urine noted.

MR. P CHATTERJEE 34 2664/1 06/06/2011 DR TAPASH CHATTERJEE 06/06/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.69 3.18 2.99) cm. Approximate weight could be around 18 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles.

DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. Suggested clinical correlation.

MS DEBI MONDAL 24 2748/1 08/06/2011 DR D P CHAKRABORTY 08/06/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 11.9 cm. in length 11.0 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.18 4.28 3.14 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.40 2.23) cm. (3.75 2.45) cm. Left Ovary measures =

RIGHT ILIAC FOSSA: Normal peristaltic compressible gut loops noted in Right Iliac Fossa. No obvious probe tenderness detected at present.

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation.

MS ILA MAHATHA 32 2745/1 08/06/2011 07/06/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size and mildly hyperechoic in echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. Multiple mobile calculi noted in Gall Bladder lumen. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.67 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.
Visualised part of Upper Ureters are not dilated.

Right kidney measures = 8.26 cm. in length cm. in length

Left kidney measures = 9.57

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit.

IMPRESSION : * Mild Hepatomegaly with mild fatty infiltration of liver. * Cholelithiasis. Suggested clinical correlation.

MRS KANTA AGARWAL 48 2704/1 08/06/2011 DR CHHAJER K S 06/06/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER: Liver is mildly enlarged in size and moderately hyperechoic echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.4 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.32 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining

cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.2 cm. in length Left kidney measures = 9.83 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MRS KANTA AGARWAL 48 2704/1 08/06/2011 DR CHHAJER K S 06/06/2011

FEMALE

UTERUS : Uterus is not visualised History of hysterectomy. ADNEXA : Adnexa appears clear however ovaries could not be delineated separately. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic

excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly with moderate fatty infiltration of liver. Suggested clinical correlation.

SM SABNAM RAY 338 2805/1 09/06/2011 DR U C NAG 09/06/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.34 cm. in length 10.7 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

POST VOID STUDY : Insignificant. UTERUS : Uterus is retroverted, mild bulky in size ( 8.12 5.73 5.68) cm. A fibroid with focal areas of calcific degeneration measuring 2.68 x 2.50 cm noted involving anterior myometrium in body region of uterus. Endometrium (collapsed wall) is in midline. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.67 2.01) cm. (2.28 2.02) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mildly bulky retroverted uterus with fibroid.
Suggested clinical correlation.

MS JULI 20 2808/1 09/06/2011 DR C R ROY 09/06/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS :

Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 8.94 cm. in length 9.12 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.14 4.17 2.85) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (3.14 2.79) cm. (3.32 2.54) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation.

MS NEHA SING 24 2813/1 09/06/2011 DR M N HAQUE 09/06/2011

FEMALE

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is mildly enlarged in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 12.6 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.
Visualised part of Upper Ureters are not dilated.

Right kidney measures = 10.8 cm. in length cm. in length

Left kidney measures = 10.8

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatosplenomegaly. Suggested clinical correlation. MS MAMATA ROY 39 2469/1 09/06/2011 DR U C NAG 01/06/2011 FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING Thank you for referring the patient for US scan of Follicular Screening UTERUS : Uterus is anteverted, normal in size ( 7.08 4.92 3.35) cm. Endometrium (collapsed wall) is in midline. A fibroid measuring 2.52 x 2.41 cm noted involving anterior myometrium in fundal region of uterus. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.74 2.03) cm. Left Ovary measures = (2.82 1.90) cm.

DAY 11th Day 12th Day 13th Day 14th Day 16th Day 19th Day

DATE 01/06/2011 02/06/2011 03/06/2011 04/06/2011 06/06/2011 09/06/2011

RO FOLLICLE 0.9 cm 1.07 cm 1.32 cm 1.32 cm 1.41 cm 1.3 cm

LO FOLLICLE NIL NIL NIL NIL NIL NIL

ET 0.678 cm 0.843 cm 0.974 cm 0.974 cm 1.12 cm 1.01 cm

POD Clear Clear Clear Clear Clear Clear

N.B. : Patient did not turn up for follow up folliculometry on 17th and 18th Day of cycle.

MS MITHU KARMAKAR 28 2610/1 10/06/2011 DR R P GANGULY 04/06/2011

FEMALE

ULTRASONOGRAPHY OF FOLLICULAR SCREENING Thank you for referring the patient for US scan of Follicular Screening UTERUS : Uterus is anteverted, bulky in size ( 10.9 4.79 4.19 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (3.47 2.83) cm.

Left Ovary measures = (2.85 2.02) cm.

DAY 8 Day 10th Day 11th Day 12th Day
th

DATE 06/06/2011 08/06/2011 09/06/2011 10/06/2011

RO FOLLICLE 1.58 x 1.60 cm 1.92 x 1.79 cm 2.27 x 2.01 cm Ruptured

LO FOLLICLE Nil Nil Nil Nil

ET 0.578 cm 0.879 cm 0.975 cm 1.06 cm

POD Clear Clear Clear Fluid noted

MS SRICHETA DUTTA 23 2871/1 10/06/2011 DR JAYANTA K GUPTA 10/06/2011

FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.00 cm. in length 9.43 cm. in length URINARY BLADDER : Left kidney measures =

Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 6.65 4.36 3.15 ) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.31 1.86) cm. (2.73 1.50) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : Sonographic study of Lower Abdomen does not reveal any significant abnormality.
Suggested clinical correlation.

MS KRISHNA BISWAS 24 2617/1 10/06/2011 DR GOURI DEY 04/06/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY ( ANOMALY ) Thank you for referring the patient for US scan of Pregnancy Mother : : Single, live, active foetus noted in Cephalic presentationat present. Placenta (is early grade I maturity), placed anteriorly at upper segment of uterus, well off the internal OS which is closed & free. No retroplacental pathology detected. Cervix looks healthy & endocervical canal appears collapsed. Amniotic Fluid is adequate

FOETUS :

(POA : 19 weeks 1 day, LMP = 27 / 01 / 2011 )

1) FOETAL BIOMETRY : Corresponds to an average gestational maturity of 18 weeks 2 days. (Measurements are in the skiagram).
B. P. D. F. L. A. C. 2) 3) 4) 5) 6) 7) : 4.22 cm. 18 weeks 5 days : 2.76 cm. 18 weeks 3 days : 12.5 cm. 18 weeks

Limbs and long bones appears normal. Foetal cranio-spinal axis appears normal. Neck, chest, four chamber, pelvis reveals no obvious anomalies. Abdominal wall appears within normal limit. Umbilical cord appears normal. Foetal heart rate is regular, 152 b/m.

IMPRESSION : 1) Single, live, active foetus in cephalic presentation at present of an average gestational maturity of 18 weeks 2 days. 2) No gross anomaly noted at present.

MR. TARAPADA DAS 72

MALE

2879/1 11/06/2011 DR (MRS) SANTA DEBNATH

10/06/2011

ULTRASONOGRAPHY OF UPPER ABDOMEN Thank you for referring the patient for US scan of Upper Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.9 cm.) at porta. GALL BLADDER : Gall Bladder is normally distended; wall thickness appears normal. Few very small echogenic foci noted embedded in fundal region of Gall Bladder wall, suggestive of focal cholesterosis. No onvious intraluminal calculus noted. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.13 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected.
Visualised part of Upper Ureters are not dilated.

Right kidney measures = 9.08 cm. in length cm. in length

Left kidney measures = 10.8

RETROPERITONEUM & PERITONEUM : No ascites noted.No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes

noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. * Focal Cholesterosis of Gall Bladder. Suggested clinical correlation. MS ANWESHA SARKAR 21 2915/1 11/06/2011 11/06/2011 FEMALE

ULTRASONOGRAPHY OF LOWER ABDOMEN Thank you for referring the patient for US scan of Lower Abdomen KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.7 cm. in length 10.2 cm. in length Left kidney measures =

URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected. UTERUS : Uterus is anteverted, normal in size ( 7.47 5.18 3.14) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA :

Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Both ovaries appears slightly enlarged in size. Multiple small cystic areas with suspected increased stromal echogenicity noted bilaterally ? PCOD. Right Ovary measures = (4.43 2.06) cm. (4.23 2.19) cm. Left Ovary measures =

RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any subdiaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * ? PCOD.
Suggested clinical correlation.

MS MUKULIKA HALDAR 28 2916/1 11/06/2011 DR GOURI DEY 11/06/2011

FEMALE

ULTRASONOGRAPHY OF PREGNANCY
Thank you for referring the patient for US scan of Pregnancy

Gravid uterus with single gestational sac and yolk sac noted. Embryonal node is noted. Embryonal heart beat is present ( 160 BPM).

Gestational age by LMP : 9 weeks 3 days ( 06 / 04 / 2011 ) CRL : 0.906 cm ( 7 weeks ). Decidual reaction is noted all around. Internal OS is closed. Liquor is adequate. Urinary bladder is normal. No SOL seen . No diverticulum present.

Adnexae : No echogenic mass is seen in adnexal region. Size of Right Ovary = ( 3.25 2.41 ) cm. Size of Left Ovary = ( 3.40 1.96 ) cm. POD : Clear

IMPRESSION :- * Single live enbryo with gestational age by USG 7 weeks. * ? Wrong date / ? Late conception.

MS POULOMI KANGSABANIK 26 2841/1 11/06/2011 DR U BHATTACHARYA 09/06/2011

FEMALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen
LIVER:

Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.3 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.7 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 7.05 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 9.79 cm. in length Left kidney measures = 9.75 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MS POULOMI KANGSABANIK 26

FEMALE

2841/1 11/06/2011 DR U BHATTACHARYA

09/06/2011

UTERUS : Uterus is anteverted, normal in size ( 6.52 4.62 3.60) cm. Endometrium (collapsed wall) is in midline. Myometrium appears smooth & homogeneous without any detectable / sizeable focal lesion. Cervix looks clear. Pouch of Douglas is free. ADNEXA : Adnexa appear clear with no obvious mass lesion could be detected. OVARIES : Ovaries are normal in size, shape, position, margin and echotexture. Right Ovary measures = (2.07 2.04) cm. Left Ovary measures = (2.66 1.63) cm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM : Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.

MR. SOMIT NEOGI 40 12280/1 11/06/2011 DR OF CGHS 10/06/2011

MALE

ULTRASONOGRAPHY OF WHOLE ABDOMEN Thank you for referring the patient for US scan of Whole Abdomen LIVER : Liver is mildly enlarged in size, having normal shape, regular smooth outline and of homogenous echotexture. No focal parenchymal lesion is evident. Intrahepatic biliary radicles are not dilated. Branches of Portal vein are normal. PORTA : The appearance of porta is normal. Common Bile Duct is 0.2 cm. with no intraluminal pathology (calculi/mass) could be detected at its visualised part. Portal vein is normal ( 0.8 cm.) at porta. GALL BLADDER : Gall Bladder is physiologically distended; wall thickness appears normal. No intraluminal pathology (calculi/mass) could be detected. Sonographic Murphys sign is negative. PANCREAS : Echogenecity appears within limits, without any focal lesion. Shape, size and position appears normal. No calcular disease noted. Pancreatic duct is not dilated. No peri-pancreatic collection of fluid noted. SPLEEN : Spleen is normal in size. Homogenous and smooth echotexture without any focal lesion. Splenic vein at hilum appears normal. No definite collaterals could be detected. Splenic span is 8.42 cm. KIDNEYS : Both the Kidneys are normal in shape, size, axes and position. Cortical echogenecity appears normal maintaining cortico-medullary and cortico-heptic differentiation. Margin is regular and cortical thickness is uniform. No calcular

disease noted. No hydronephrotic changes detected. Visualised part of Upper Ureters are not dilated. Right kidney measures = 10.3 cm. in length Left kidney measures = 9.00 cm. in length URINARY BLADDER : Urinary bladder is distended, wall thickness appeared normal. No intraluminal pathology (calculi/mass) could be detected.

MR. SOMIT NEOGI 40 12280/1 11/06/2011 DR OF CGHS 10/06/2011

MALE

PROSTATE : Echotexture appears within limits. No focal alteration of its echogenecity could be detected. Seminal vesicles are normal in calibre & termination. It measures (3.72 2.76 2.58) cm. Approximate weight could be around 13 gm. RETROPERITONEUM & PERITONEUM : No ascites noted. No definite evidence of any mass lesion detected. No detectable evidence of enlarged lymph nodes noted. Visualised part of aorta & IVC are within normal limit. LOWER PLEURAL SPACE : No effusion noted at costo-phrenic angles. DIAPHRAGM :

Appears within normal limit. No definite / detectable evidence of any sub-diaphargmatic collection noted. Diaphagmatic excursion during respiration appears within normal limit. IMPRESSION : * Mild Hepatomegaly. Suggested clinical correlation.