PA

TE
INT
STUDY:TOTALABDOMINALULTRASOUNDWOMAN
AGE

An echographic study was performed with a 3.5 MHz convex transducer.

abdomen with the following findings:

Liver size, shape, contours, position, and echogenicity

normal, without focal or diffuse lesions in its parenchyma.
Distended gallbladder with thin walls, without evidence of stones
inside. Intra and extrahepatic bile duct of caliber and
normal configuration, with normal caliber common bile duct.
Pancreas with usual morphology, without evidence of focal lesion. Spleen of
normal size, homogeneous echogenicity, without alterations of its
capsule.
Kidneys of location, size, shape, contours, and orientation
usual. No focal cystic or solid lesions are evident. There is no
hydronephrosis and intrarenal lithiasis.
No alterations were observed in the course and caliber of the structures.
retroperitoneal vascular
Bladder with thin walls and adequate capacity, without evidence of
intraluminal masses.
Uterus, appendages, and ovaries of usual morphology and echostructure for the
patient's age.
There are no masses, collections, or free liquid in the cavity.
abdominopelvic.

OPINION:

TOTAL ABDOMINAL ECHOGRAPHY WITHIN LIMITS

NORMALS.
PATE
INT:
STUDY:TOTALABDOMINALULTRASOUNDMALE
AGE:

With a 3.5 MHz convex transducer, an echographic study was conducted of the
abdomen with the following findings:

Liver size, shape, contours, position, and echogenicity

normal, without focal or diffuse lesions in its parenchyma.
Distended gallbladder with thin walls, without evidence of stones
inside. Intrahepatic and extrahepatic bile duct of caliber and
normal configuration, with a normal caliber common bile duct.
Pancreas of usual morphology, without evidence of focal lesion.
Normal-sized spleen, homogeneous echogenicity, without alterations
from its capsule.
Kidneys location, size, shape, contours and orientation
usual. No focal cystic or solid lesions are evidenced. No
there is hydronephrosis without intrarenal lithiasis.
No alterations were observed in the course and caliber of the structures.
retroperitoneal vasculature.
Thin-walled urinary bladder without evidence of masses
intraluminal
Normal-sized prostate without apparent alteration of its
ecogenicity.
There are no masses, collections, or free liquid in the cavity.
abdominopelvic.

OPINION:
TOTAL ABDOMINAL ULTRASOUND WITHIN LIMITS
 NORMAL.

DR.CAMILOENRIQUEMEJÍAGUTIÉRREZ
SPECIALIST PHYSICIAN IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:ABDOMINALOBSTETRICALULTRASOUND
AGE:

Convextransducer35.MHzusedforultrasoundscans.
ng:ndiif
Increaseduterinesizeduetothepresenceofafetus.
unqiuvielacv,itce,phacpilresenaotionln,gutidniustaialoitnb,ack
chadrgcyhi,rtm
oaneirtb(m
es/atn.i)

Biometrics:
00m
: m PBD
000mm: CC
000mm: AC
00mm : L F
garms
: PPF
CC/CA:
LFC /A%
:
 Weobservemajorstructuraalnomaliesinthefetaplarts.
d.eziluasvi
NIom rh/pgaIoutecfnplr-odiIasetfir,dslta
ripening.
A avdunoem
iqlfuecationetcdihoy.gtecni
OCIclosed.

OPINION:
PREGNANCY(+-/00WEEK)BYBIOMETRY.
FETALWELL-BEING.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
MEDICAL SPECIALIST IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:OBSTETRICULTRASOUND-TRANSVAGINAL
AGE:

A sonographic scan was performed with an endocavitary transducer,

demonstrating:

Gravid uterus, containing in its interior a gestational sac with

average diameter of X cm for X weeks and X days, with embryo
unique live with LCN of X cm average diameter, which corresponds to
X weeks X days, with regular rhythmic heart rate of X
lat/min. No signs of detachment or bruising are evident
apparent subchorionics.
The neck has an approximate length of mm.

Annexes and ovaries of normal size and echostructure for age

of the patient.

Right ovary measures mm.

Left ovary measures mm.

There are no apparent annex masses.

No free fluid is observed in the pelvic cavity.

OPINION:
WEEKS PREGNANT DAYS BY FUR AND GROWING IN
NORMAL PERCENTILES.
LIVING UNIQUE EMBRYO
CORRELATE WITH THE CLINIC.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:RENALULTRASOUND
AGE

With a convex transducer, a sonographic study was conducted, finding:

Kidneys with usual location, shape, size, and echogenicity, with
adequate corticomedullary differentiation. No lesions are evident.
cystic or solid focal lesions. There is no hydronephrosis or intrarenal lithiasis.

The kidney dimensions are:

Right kidney of x x with a cortex of mm.
Left kidney of x x mm with a cortex of mm.

There are no peri- or pararenal collections.

OPINION:

RENAL ULTRASOUND WITHIN NORMAL LIMITS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST PHYSICIAN IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

Cra 9 Nº 4-16 Santa Bárbara Neighborhood

consultorioespecializadodeimagenesdiagnosticas@hotmail.com

PATE
INT
STUDY:RENALDOPPLERULTRASOUND
AGE
The kidneys have a typical shape, size, location, and orientation, and they preserve the
ecogenicity of the parenchyma, the relationship and differentiation of the cortico-medullary; the aspect of
Renal seno is normal on both sides, there is no dilation of the collecting system.
Free perirenal spaces
The right kidney measures 00 x 00 x 00 mm with a parenchyma thickness of 00 mm.
The left kidney measures 00 x 00 x 00 mm with a parenchyma thickness of 00 mm.
Normal caliber abdominal aorta, with an AP diameter of 00 mm and peak velocity
systolic of 00 cm/sec.

Peak systolic velocity in the right main renal artery 00 cm/sec. Velocity index
right peak systolic/peak systolic velocity of the aorta 0.0
Peak systolic velocity in the left main renal artery 00 cm/sec. Index
left peak systolic velocity/aortic peak systolic velocity 0.0

The I.R. is 0.0 on the right side and 0.00, falling within normal values.

The spectral morphology and the resistance indices, time and acceleration index
they remain unchanged in the interlobar arteries of both kidneys. On the side
The acceleration time is 0.000 seconds, acceleration index of 000 cm/s².
On the left side, the acceleration time is 0.000 seconds and the acceleration index of
000cm/s². Normal values (acceleration time less than 0.07 s and index of
acceleration greater than 300 cm/s².
Permeable renal veins.

OPINION:
ECHOLOGICALLY NORMAL KIDNEYS.
NO SPECTRAL ALTERATIONS ARE SHOWN THAT SUGGEST
HEMODYNAMICALLY SIGNIFICANT STENOSIS OF THE ARTERIES
MAIN KIDNEYS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
 STUDY:ULTRASOUNDOFKIDNEYSANDURINARYTRACT
AGE
CC
.:

Kdineysc:ommonolcazilaoitns,hapes,ziea,ndechogenciyti.
.denvtiearonsieN
lon.iatienterffdim
yco-ariledtucolradequat
i los tuoht w
i snoi sel lacof

m
dT
ienr:aholenis
Kdineymacthxmmw , htiadeatelidcuotfmm.
Lefktdineyofxxmmw
, htiacuotfmm.

Therearenocolectionsforperinatarlenal.

Denstidedbaldw
hnetrihst,oielavduietnm
coefase
lanm
iular tni

Pos-tmciutoirtnresdiue

OPINION:
ULTRASOUNDOFURINARYTRACTWITHOUTEVIDENCEOF
ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT:
STUDY:ULTRASOUNDOFTHEFEMALEURINARYTRACT
AGE:

Kidneys with usual location, shape, size, and echogenicity,

adequate cortico-medullary differentiation. No lesions are evident.
cystic or solid focal lesions. There is no hydronephrosis or intrarenal lithiasis.

The renal dimensions are:

Right kidney of x x mm, with a cortex of mm.
Left kidney of x x mm, with a cortex of mm.

There are no perirenal or pararenal collections.

Distended bladder with thin walls, without evidence of masses

intraluminal

Post-void residual of 00 cc.

OPINION:
ULTRASOUND OF URINARY TRACT WITHOUT EVIDENCE OF
ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT
STUDY:ULTRASOUNDOFMALEURINARYTRACT
AGE:
CC.:

Kidneys with usual location, shape, size, and echogenicity, with

adequate cortico-medullary differentiation. No lesions are evident.
cystic or solid focal lesions. There is no hydronephrosis or lithiasis.

The kidney dimensions are:

Right kidney of x x mm, with a cortex of mm.

Left kidney of x x mm, with a cortex of mm.

There are no peri or pararenal collections.

Distended bladder with thin walls, without evidence of masses

intraluminal

Homogeneous prostate of normal size of x x mm, for a

volume of c.c, without nodular images or calcifications.

Post-micturition residual cc

OPINION:
Echographyofurinarydeviationswithoutevidence
ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT:
STUDY:BREASTULTRASOUND
AGE:

With a multifrequency linear transducer, an echographic study was conducted of

the mammary glands.

Clinical data:
Previous studies:
Family history of breast cancer: Denies.

Symmetrical breasts.
Homogeneous breast tissue with normal echogenicity.
No focal solid or cystic lesions or calcifications are observed.
Pectoral muscles of usual morphology.
Skin and subcutaneous cellular tissue within normal limits.
Free armpits.

OPINION:
BREAST ULTRASOUND WITHOUT EVIDENCE OF ABNORMALITIES.
BI-RADS US (*).

AMERICAN COLLEGE OF RADIOLOGY CLASSIFICATION (BI-RADS)

BIRADS 1. Normal breast (Routine control every 1 to 2 years depending on age).
BIRADS 2. Benign findings. (Routine control every 1 to 2 years according to age).
BIRADS 3. Probably benign findings. (Short-term follow-up in 4 to 6 months).
BIRADS 4. Suspicious area, biopsy is suggested.
BIRADS 5. Lesion with high probability of malignancy.
BIRADS 6. Known pathological diagnosis of cancer.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:ABDOMINALULTRASOUND
EDAD

With a 3.5 MHz convex transducer, a sonographic scan was performed of the
abdomen with the following findings:

The liver is of size, shape, contours, position, and echogenicity.

normal, without focal or diffuse lesions.
The biliary tract intra and extra hepatic is of caliber and configuration.
normal, normal caliber choledochus.
Gallbladder distended due to fasting with thin walls does not show
hyperechoic images inside it.
The pancreas is adequately visualized in all its portions without
masses or collections.
The spleen is of normal size, homogeneous echo structure and there is no
alterations of its capsule.
Kidneys of size, shape, contours, position, and orientation
normal.
No alterations were observed in the course and caliber of the structures.
retroperitoneal vasculature.
There are no masses, organized collections, or free fluid in the cavity.
superior abdomen.

OPINION:
UPPER ABDOMINAL ULTRASOUND WITHIN LIMITS
NORMAL.
 DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:PELVICABDOMINALULTRASOUNDWOMAN
AGE:

Convextransducer35.MHzwilperformsonographicscans,
demnoiganrt:s

UterusinAVF,measures64x34x45mm,LxAPxTRrespectively,
shows normal shape and contours, with homogeneous echogenicity.

Homogeneouscenrtaelchogenciendomertaielcomeduimwhtiahtcikennig
69m
.mFenr.dN
om
cya.vtioalireatosgcbefsvred.
.udytshintilonaitatsge

Normszaielandshapeovaerifosarge
. tnei tap eht

Theylimm
it assesc,olectionsorliquidinthepelviccavity.

esdnF
eiagreagem
ufnedt.

CONCLUSION:

ABDOMINALPELVICULTRASOUNDWITHINTHELIMITS
NORMALS.
CLINICAL-ECOGRAPHICEVOLUTIONRECOMMENDEDIN15DAYS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:PELVICGYNECOLOGICALULTRASOUND
ABDOMINAL
AGE

A 3.5 MHz convex transducer was used to perform a sonographic scan.

pelvic with the following findings:

Uterus in AVF, measuring x x mm, L x AP x TR respectively and

shows shape, size, contours, and preserved echogenicity.

Eco endometrial central, linear measures 00 mm, endometrial cavity

free.

Appendages and ovaries of usual size, morphology, and echostructure for

the age of the patient.

Right ovary measuring 00 x 00 mm.

Left ovary of 00 x 00 mm.
No masses, collections, or fluid are delineated in the pelvic cavity.

Normal urinary bladder.

OPINION:
PELVIC ULTRASOUND WITHIN NORMAL LIMITS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATEINT:
STUDY:PELVICULTRASOUNDGYNECOLOGICAL
transvagn
ial
AGE:
CC .:

A pelvic sonographic scan was performed using an endocavitary transducer.

with the following findings:

Uterus in AVF, measuring x x mm, L x AP x TR respectively and

shows preserved shape, size, contours, and echogenicity.

Eco endometrial central, linear measures 00 mm, endometrial cavity

free.
Annexes and ovaries of usual size, morphology, and echostructure for
the age of the patient.

Right ovary measuring 00 x 00 mm.

Left ovary measuring 00 x 00 mm.

No masses, collections, or fluid are delineated in the pelvic cavity.

Normal urinary bladder.

OPINION:
PELVIC ULTRASOUND WITHIN NORMAL LIMITS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:TRANSVAGINALULTRASOUND
AGE
CC.:

A transvaginal transducer was used to perform a sonographic scan,

demonstrating

Uterus in AVF, measures x x mm, L x AP x TR respectively, shows

normal shape and contours, with homogeneous echogenicity.
Central homogeneous echogenic endometrium with a thickness of 00
mm. Free endometrial cavity.

Appendages and ovaries of normal size and echo structure for the age
from the patient.

Right ovary measures 00 x 00 mm.

Left ovary measures 00 x 00 mm.

No masses, collections, or fluid are delineated in the pelvic cavity.

Free posterior sac bag.

OPINION:

ENDOVAGINAL PELVIC ULTRASOUND WITHOUT ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

EFREYANDRA RODRG
IUEZ
STUDY:SOFTTISSUEULTRASOUND
AGE:
CC. :932.028.09

With a high-frequency linear transducer, an echographic study was conducted.

of the soft tissues XXX, with the following findings:

Skin and subcutaneous cellular tissue are seen with characteristics

normal ultrasonographic findings.

Hernia sac is not demonstrated at rest or with the Valsalva maneuver.

save.

No focal cystic or solid lesions of any type are evident.

Normal appearing muscle planes.

OPINION:

SOFT TISSUE ULTRASOUND WITHIN LIMITS

NORMALS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT
STUDY:SOFTTISSUEABDOMINALWALLULTRASOUND
AGE:
CC.:

With a high-frequency linear transducer, an echographic study was conducted.

of the soft tissues XXX, with the following findings:

No hernial sac is demonstrated at rest or with the Val maneuver.

save.

Skin and subcutaneous cellular tissue are observed to be characteristic.

normal ultrasound.

No focal cystic or solid lesions of any kind are evident.

Normal appearing muscle planes.

OPINION:

SOFT TISSUE ULTRASOUND WITHIN LIMITS

NORMALS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT
STUDY:SOFTTISSUEULTRASOUNDOFTHENECK
AGE:

An ultrasound study of the anterior and lateral region of the neck is performed.
with the following findings:

Thyroid lobes of normal size, contours, and echogenicity.

The isthmic region has normal thickness and characteristics.
The muscle planes and the surrounding soft tissues do not
evidence alterations.
The carotids and jugulars have usual diameter, course, and appearance.
no evidence of injuries inside.
There is no evidence of solid or cystic masses in the scan.
sonographic performed.

OPINION:

ULTRASOUND OF THE ANTERIOR AND LATERAL NECK REGION

WITHOUT ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
pen
ait
STUDY:SOFTTISSUEULTRASOUND
ACHILLES
AGE:

With a 12 MHz linear transducer, sonographic scanning is performed with the

following findings:

Skin, subcutaneous connective tissue and muscle groups visualized without

alteration.

There is no evidence of organized or recent collections in the sweep.

ultrasound performed.

Both tendons show normal length and thickness, echogenicity

homogeneous, there are no signs of significant tendon rupture; it is ruled out the
presence of solid or cystic focal lesions, there are no calcifications
pathological.

OPINION:
STUDY WITHIN NORMAL LIMITS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
 PATE
INT
STUDY:ULTRASOUNDOFSOFTTISSUESOFEXTREMITIES
INFERIORS
AGE:
CC.:

High-frequencylineartansductorof12MHzs,canningwascariedout
:stulserow
ngliolfhethw
tngisndiifcopanhsigrtul

n i k s e h T
normuarltsounds.

Noevidenceofocaclysticorsolidlesionsofanytype.

Musclegroupsandtheplanesthatdelimitthemareof
.scitsiretcahram
norla

Srtucutraclhangesaresginsofaetlraoitns.

Corelatewithclinicaldata.

OPINION:

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:HEPATOBILIARYULTRASOUND
AGE:
CC.

Liver of normal shape, size, contours, and echogenicity, without

evidence of focal or diffuse lesions in its parenchyma.
Normal caliber intra and extrahepatic biliary tract, common bile duct of caliber
normal.
Distended gallbladder, with thin walls, without solid images
hyperechoic inside.
Pancreas of usual size and morphology for the age.
Right kidney with normal echographic characteristics.
Free hepatic-renal space.

OPINION:

HEPATOBILIARY ULTRASOUND WITHOUT EVIDENCE OF ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:TESTICULARULTRASOUND
AGE:
CC.:

A high-frequency linear transducer of 12 MHz was used for scanning.

sonographic examination of the scrotal contents, with the following findings:

Testicles have well-defined contours and echogenicity

homogeneous, without signs of focal cystic or solid lesion within it.

The right testicle measures: x x mm, approximate volume of cc.

The left testicle measures: x x mm, approximate volume of cc.

Symmetrical epididymis of usual echogenicity and without signs of lesion

cystic or solid focal inside.

Symmetrically bilateral pampiniform plexuses.

No free fluid or other types of alterations are demonstrated in the layers.

of scrotal covering.
OPINION:

TESTICULAR ULTRASOUND WITHIN NORMAL LIMITS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

STUDY:DOPPLERTESTICULARULTRASOUND
AGE:

A high-frequency linear transducer of 12 MHz was used to perform scanning.

sonographic examination of the scrotal content, with the following findings:

Both testicles have well-defined contours and echogenicity.

homogeneous, without signs of cystic or solid focal injury inside it.

Dimensions:

Right testicle: 00 x 00 x 00 mm.

Left testicle: 00 x 00 x 00 mm.

The epididymides are symmetrical, with usual echogenicity and no signs of focal lesion.
cystic or solid inside.
interior, showing several cysts, the largest measuring x mm.
The pampiniform plexuses are of symmetrical caliber bilaterally, both at rest and
with the Valsalva maneuver. Venous flow is continuous and varies with the Valsalva maneuver.
salvage. There was no evidence of blood flow investment. There is no varicocele.
The peak systolic velocity in the capsular arteries is within values
normal. The morphology of the spectral wave is normal of low resistance.

OPINION:
STUDY CONSIDERED WITHIN NORMAL LIMITS WITH
NORMAL ARTERIAL SYSTOLIC PEAK SPEEDS AND PATTERN
VENOUS FASCICULATION THAT VARIES WITH NORMAL BREATHING.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT
STUDY:TRANSABDOMINALPROSTATEULTRASOUND
AGE:
CC.:

Normal-sized prostate without apparent alteration of its

ecogenicity.

Prostate dimensions: 00 x 00 x 00 mm, for a volume of 00

cc

Distended bladder with thin walls, containing clear fluid, without

evidence of intraluminal masses.
Post-void residual of 00 cc.

OPINION:

TRANSABDOMINAL PROSTATE ULTRASOUND WITHIN

NORMAL LIMITS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:PROSTATEULTRASOUND-BIOPSY
AGE:
CC.:

The prostate
Vesicoprostatic recesses and free seminal vesicles.
The largest measurements of the prostate are in mm. For a volume of cc.
Opinion:
Heterogeneous prostatic hyperplasia grade.

BIOPSY:
It is confirmed that the patient undergoes a rectal enema with absence of matter.
fecal in rectal vial and prior intravenous antibiotic prophylaxis with sulbactam
ampicillin and prior verification of negative uroculture and tests of
normal coagulation; a prostate biopsy is performed.

Previous nerve block with 2% lidocaine without epinephrine and using a needle
Chiba #22 proceeds to perform transrectal ultrasound-guided biopsy by sexants
with BARD-MAGNUM #18 needle gun.

No complications arose during the procedure.

OPINION:
It is awaiting the histopathological result.
Strict recommendations are given to the patient to consult for emergencies in
cases of hemorrhagic and/or infectious phenomena (fever and chills).

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:THYROIDULTRASOUND
AGE:
CC.:
High frequency transducer of 12 MHz is used for scanning.
sonographic of the thyroid region with the following findings:

Thyroid lobes of normal size, shape, and echogenicity.

Right lobe x x mm, volume of cc.

Left lobe x x mm, volume of cc.

The isthmical region has normal thickness and characteristics, with a

diameter in cm.

The muscle planes and surrounding soft tissues do not

evidence alterations.

The carotids and jugulars are of normal diameter, course, and appearance.
without evidence of injuries inside.

No cervical masses are observed.

OPINION:

THYROID ULTRASOUND WITHIN NORMAL LIMITS.

TI-RADS

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT:
STUDY:SALIVARYGLANDSULTRASOUND
AGE:

A high frequency transducer of 12 MHz is used for scanning.

sonographic in both parotid regions with the following
findings:

Normal echographic appearance of parotid glands without evidence of

focal or diffuse lesions.

No solid or cystic lesions were evident.

Vascular structures that were observed without alterations.

Subcutaneous cellular tissue, muscle fascias, and skin within the

normal.

OPINION:

STUDY WITHIN NORMAL LIMITS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT:
STUDY:PLEURALANDPERICARDIALULTRASOUND
AGE:
CC.:

A study was conducted using a convex transducer on both bases.

pulmonary with the following findings:

There is an adequate right diaphragmatic mobility.

There is no evidence of pleural collections or thickening.
Ecogenicity of normal lung parenchyma.

OPINION:

CHEST ULTRASOUND WITHOUT EVIDENCE OF ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT:
STUDY:KNEEULTRASOUND
AGE:

With a linear transducer, a knee ultrasound was performed.

right/left with the following findings:

Quadriceps femoris and patellar tendons with thickness and echogenic pattern
normal.
There is adequate continuity of the lateral and medial ligaments.
There is no evidence of joint effusions, periarticular fluid nor
hematomas.

Muscle structures have normal echogenicity.

Hyaline cartilages do not show erosions.

OPINION:
KNEE ULTRASOUND WITHOUT EVIDENCE OF ALTERATIONS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT:
STUDY:SHOULDERULTRASOUND
EDAD

With a linear transducer, an ultrasound study was performed at the level of

shoulder, finding the following findings:

The tendon structures of the supraspinatus and infraspinatus muscles

spiny, smaller round and subscapular present appearance and
normal echogenicity, without suggestive images of ruptures
partials or totals.

The biceps brachii tendon shows normal echographic appearance.

is properly housed in the bicipital groove and not
suggestive image of peritendinous fluid.

No fluid is observed at the level of the subacromial subdeltoid bursa.

The outlines of the bone cortices are regular and appear

usual ecographic.

OPINION:
STUDY WITHIN NORMAL LIMITS, WITH INTEGRITY
OF THE ROTATOR CUFF.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07
PATE
INT:
STUDY:BREASTULTRASOUND
AGE:

Clinical data: Study of right/left gynecomastia.

With a high-frequency linear transducer of 12 MHz, scanning was performed.

sonographic, demonstrating:

Asymmetrical nipples due to larger size on the right/left side.

There is hyperplasia of fibrous, echogenic, homogeneous tissue in the region.

retro areolar right / left, resembling mature breast tissue.

There is no evidence of solid or cystic masses nor

pathological calcifications.

The thickness of the skin is the usual one.

OPINION:

INACTIVE GYNECOMASTIA (FIBROUS) RIGHT / LEFT.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07

PATE
INT
STUDY:TRANSFONTANELLARULTRASOUND
AGE

TECHNIQUE:
An ultrasound evaluation is performed with linear and convex transducers.
through the anterior fontanelle.

RESULTS:

Cerebral parenchyma observed with homogeneous echostructure.

Ventricular system of normal size and morphology, with preservation of

caudothalamic sulcus.

No pericerebral collections are identified.

OPINION:
TRANSFONTANELAR ECHO WITHIN LIMITS
NORMALS.

DR.CAMILOENRIQUEMEJIAGUTIERREZ
SPECIALIST DOCTOR IN RADIOLOGY AND DIAGNOSTIC IMAGING
RM. 73601/07