EFTA02726266

Richard ). Katz, M.D. Steven A. Albert, M.D. Alison Bender Haimes, M.D. Stephen D. Greenberg, M.D. Douglas R. DeCorato, M.D. Gavin L. Duke, M.D. ill"P EAST RIVER MEDICAL IMAGING. PC Barbara H. Braffman, M.D. Paul S. Choi, M.D. Sean K. Herman, M.D. Robert L. Ludwig, M.D. Timothy W. Deyer, M.D. Morton Schneider, M.D. fret.) 519 & 523 East 72nd Street • New York, NY 10021 • 3 East 75th Street, At Fifth Avenue • New York, NY 10021 430 East 59th Street, Sutton Place • New York, NY 10022 Tel: 212-288.1575 • Fax: 212-288.7616 • www.eastriverimaging.com BRUCE W MOSKOWITZ, M.D. 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 Patient: EPSTEIN, JEFFREY Exam Date: 1/2/14 Acc No: 6548398 Dear Dr. Moskowitz, ULTRASOUND OF THE NECK Clinical History: MRN: 0315192 60-year-old male with prominent left supraclavicular region. Technique: Directed ultrasound examination of the soft tissues of the neck was performed. Comparison: CT scan of the chest abdomen pelvis performed today. Findings: Scanning in the left supraclavicular fossa in the region of the reported palpable abnormality demonstrates no mass lesions, abnormal vascularity, or enlarged lymph nodes. IMPRESSION Normal sonogram of the left supraclavicular fossa. EPSTEIN, JEFFREY ACC: 6548398 Exam Date: 1/2/14 DOB: 01/20/1953 ACCESS YOUR PATIENTS IMAGES AND REPORTS @ WWW.EASTRIVERIMAGING.COM PET/CT • HIGH FIELD MRI • OPEN MRI • MULTWETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA_R1_02213983 EFTA02726266 Very truly yours, ALISON BENDER HAIMES, M.D. Electronically Signed By ALISON BENDER HAIMES, M.D. Date/Time Transcribed: 1/2/14 10:20 am REPORT CC: CC PATIENT EPSTEIN, JEFFREY ACC:6548398 Exam Date: 1/2/14 DOB: 01/20/1953 LAM l al in.1" :; EAST RIVER MEDICAL IMAGING, PC www.eastriverimegIng.com PET/CT • HIGH FIELD MRI . OPEN MRI • MULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA_R1_02213984 EFTA02726267 Richard J. Katz, M.D. Steven A. Albert, M.D. Alison Bender Halmes, M.D. Stephen D. Greenberg, M.D. Douglas R. DeCorato, M.D. Gavin L. Duke, M.D. "'P -1- 1 --RIVER MEDICAL IMAGING, PC Barbara H. Braffman, M.D. Paul S. Choi, M.D. Sean K. Herman, M.D. Robert L. Ludwig, M.O. Timothy W. Deyer, M.D. Morton Schneider, M.D. (ret.) 519 & 523 East 72nd Street • New York, NY 10021 • 3 East 75th Street, At Fifth Avenue • New York, NY 10021 430 East 59th Street, Sutton Place • New York, NY 10022 Tel: 212-288-1575 • Fax: 212.288-7616 • www.eastriverimaging.com BRUCE W MOSKOWITZ, M.D. 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 Patient: EPSTEIN, JEFFREY Exam Date: 1/2/14 Acc No: 6548397 Dear Dr. Moskowitz, ULTRASOUND OF THE THYROID GLAND Clinical History: 60-year-old male with possible fullness in the left neck. Technique: Ultrasound examination of the thyroid gland was performed. Comparison: None. Findings: MRN: 0315192 The thyroid gland is normal in size with the right lobe measuring 5.1 x 1.8 x 2.3 cm, the left lobe measuring 4.3 x 2.1 x 1.9 cm, and the isthmus measuring 2 mm in thickness. No calcifications or thyroid nodules are present. The echogenicity of the thyroid gland is normal. No abnormal vascularity is noted. No extra thyroidal masses are present. EPSTEIN, JEFFREY ACC: 6548397 Exam Date: 1/2/14 DOB: 01/20/1953 ACCESS YOUR PATIENTS IMAGES AND REPORTS @ WWW.EASTRIVERIMAGING.COM PET/CT • HIGH HELD MRI . OPEN MRI • MUL77DETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA_R1_02213985 EFTA02726268 IMPRESSION Normal sonogram of the thyroid gland. Very truly yours, ALISON BENDER HAIMES, M.D. Electronically Signed By ALISON BENDER HAIMES, M.D. Date/Time Transcribed: 1/2/14 10:19 am REPORT CC: CC PATIENT EPSTEIN, JEFFREY ACC:6548397 Exam Date: 1/2/14 DOB: 01/20/1953 lei • zHz EAST RIVER MEDICAL IMAGING, PC www.eastriverimaging.com PET/CT • HIGH FIELD MRI • OPEN MRI • MULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X•RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA_R1_02213986 EFTA02726269 Richard ). Katz, M.D. Steven A. Albert, M.D. Alison Bender Halmes, M.D. Stephen D. Greenberg, M.D. Douglas R. DeCorato, M.D. Gavin L. Duke, M.D. 4I "'EAST RIVER MEDICAL IMAGING. PC Barbara H. Braffman, M.D. Paul S. Choi, M.D. Sean K. Herman, M.D. Robert L. Ludwig, M.D. Timothy W. Deyer, M.D. Morton Schneider, M.D. fret.) 519 & 523 East 72nd Street • New York, NY 10021 • 3 East 75th Street, At Fifth Avenue • New York, NY 10021 430 East 59th Street, Sutton Place • New York, NY 10022 Tel: 212.288.1575 • Fax: 212-288-7616 • www.eastriverimaging.com BRUCE W MOSKOWITZ, M.D. 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 Patient: EPSTEIN, JEFFREY Exam Date: 1/2/14 Acc No: 6548396 Dear Dr. Moskowitz, CT SCAN OF THE CHEST, ABDOMEN AND PELVIS Clinical History: 60-year-old man with a left-sided supraclavicular lymph node. Technique: MRN: 0315192 Multidetector helical CT scans were performed of the chest, abdomen and pelvis from the supraclavicular regions to the level of the symphysis pubis. The scans were performed with a 5 mm slice interval and a 5 mm slice thickness. Oral contrast was administered and pre and post intravenous conirast images were obtained. Comparison: There is no prior study for comparison. Findings: A round metallic marker overlying the left supraclavicular region denotes the area of palpable concern, as indicated by the patient at the time of the exam. No CT abnormality is demonstrated at this location. There is no supraclavicular or axillary lymphadenopathy. EPSTEIN, JEFFREY ACC: 6548396 Exam Date: 1/2/14 DOB: 01/20/1953 ACCESS YOUR PATIENTS IMAGES AND REPORTS CO WWW.EASTRIVERIMAGING.COM PET/CT • HIGH FIELD Mm • OPEN MRI • MULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA_R1_02213987 EFTA02726270 Evaluation of the lung parenchyma demonstrates no focal lesions or infiltrates. There is no pleural effusion or pleural thickening. The central tracheobronchial tree is patent. There is no mediastinal or hilar lymphadenopathy. The great vessels of the chest are within normal limits. There are calcified atherosclerotic changes of the coronary arteries. The cardiac chambers and pericardium are otherwise unremarkable. The liver is normal in size and smooth in contour. There is mild fatty infiltration adjacent to the fissure for the ligamentum teres. No focal liver lesions are demonstrated. The portal and hepatic veins are patent. There is no intrahepatic biliary dilatation. The gallbladder is present, and unremarkable. No radiopaque stones are demonstrated. The pancreas is normal in size and configuration. There is no dilatation of the main pancreatic duct. The spleen measures approximately 11.3 cm in sagittal oblique dimension, and is unremarkable in appearance. The bowel is normal in caliber without evidence of obstruction. There is mild colonic diverticulosis without evidence of acute diverticulitis. The adrenal glands are unremarkable. The kidneys are normal in size and smooth in contour with symmetric enhancement. No renal lesions are demonstrated. There is no hydronephrosis. The ureters are normal in course and caliber. The urinary bladder is moderately distended and grossly unremarkable. There is no retroperitoneal lymphadenopathy. The abdominal aorta and inferior vena cava are unremarkable. The prostate gland is slightly prominent in size measuring 4.3 cm in transverse dimension with coarse internal calcifications. Correlation with PSA levels and digital rectal examination is recommended. The seminal vesicles are unremarkable. Evaluation of the osseous structures demonstrates age-related degenerative changes of the thoracic and lumbar spine. There is no aggressive osseous lesion. IMPRESSION A round metallic marker overlying the left supraclavicular region denotes the area of palpable concern, as indicated by the patient at the time of the exam. No CT abnormality is demonstrated at this location. There is no supraclavicular or axillary lymphadenopathy. Calcified atherosclerotic changes of the coronary arteries. EPSTEIN, JEFFREY ACC:6548396 Exam Date: 1/2/14 DOB: 01/20/1953 EAST RIVER MEDICAL IMAGING, PC vnvw.eastriverimaging.com PET/CT • HIGH FIELD MRI • OPEN MRI • MULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA_R1_02213988 EFTA02726271 The prostate gland is slightly prominent in size measuring 4.3 cm in transverse dimension with coarse internal calcifications. Correlation with PSA levels and digital rectal examination is recommended. Otherwise unremarkable CT of the chest, abdomen, and pelvis. Very truly yours, MICHELLE KLEIN, M.D. Electronically Signed By MICHELLE KLEIN, M.D. Date/Time Transcribed: 1/2/14 10:37 am Contrast: Omnipaque Contrast 125cc REPORT CC: CC PATIENT EPSTEIN, JEFFREY ACC:6548396 Exam Date: 1/2/14 DOB: 01/20/1953 tt EAST RIVER MEDICAL IMAGING, PC www.eastriverimaging.com PET/CT • HIGH FIELD MRI . OPEN MRI • MULTIDETECTOR VOLUME CT (vci)• BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGK)GRAPHY EFTA_R1_02213989 EFTA02726272