EFTA00283005.pdf

Fax Name: Sarah Dolezal, ARNP Phone: ext. 24 Fax: Address: Bruce W. Moskowitz, M.D 1411 North Flagier Dr. Suite 7100 West Palm Beach. FL 33401 To: Fax #: # of pages. Regarding: Messages: named above. NOTE: This fax may contain confidential information which is intended only for the use of the personts) or the taking of If you are not the intended recipient you are hereby advised that any disclosure, copying, cfistribution transmission in error. any action in reliance on the contents of this information is prohibited. If you have received this please notify the sender. Thank You. EFTA00283005 A110 ['CIA flKLVW1' ±z/»/zoiti 11:54:23 AM PACE 2/004 Fax Server Rieman:7J. Ka t, M.D. Stasen A Albert. M.D. Stephen 0 Greenberg, M.O. Douglas R. DeCorato, M.O. Gavn L. Duke, M.C. EASTij" Paul S. Choi, M.D. Sea, K. Herman, M.D. TimotnyW. Dever, M.D. zdtIVER Robert L. Ludwig, M.D. James W. Brady, M.D. .Adam J. Winer, M.D. MEDKAL TAIAC4,%,;ftC Mark H. Finals. M.D. Morton Schneider, M.D. (ret) »son Sender Waimea, M.D (•et) 519 & 523 East 72nd Steel • New York, 'Of -.0.7;21-3 East 75th Sfreet, At Fifth Avenue • New York, NY,C02' 430 East 59th Street. Sutton Place • New York NY ^0022 Tel • Fax • www.easuivarlmaging.com BRUCE W MOSKOWITZ. M.D. 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 Patient EPSTEIN, JEFFREY Exam Date: 11/30/16 Acc No: 6935440 MRN: 0315192 Dear Dr. Moskowitz, MRI SCAN OF THE NECK WITHOUT AND WITH GADOLINIUM Clinical History: 63 ylci male with left supraclavicular lipoma and elevated parathorrnone. Technique: The examination was performed with sagittal, axial and coronal T1 weighted images, axial and coronal inversion recovery images and post-gadolinium fat suppressed axial and coronal T1 weighted images of the neck. Comparison: Exam is compared to ultrasound of January 2, 2014. Findings: A marker was placed in the left supraclavicular fossa in the region of palpable abnormality. h this region there is a nonenhancing 6.0 x 3.3 x 3.2 cm mass which follows adipose tissue in signal on at pulse sequences including fat suppressed STIR and SPQR pulse sequences consistent wth a lipoma. The mass lies anterior to the levator scapulae muscle, lateral to the scalene muscles, and superior to the left subclavian artery, subclavian vein, and brachial plexus which is displaced interiorly and posteriorly. EPSTEIN, JEFFREY ACC:6935440 Exam Date: '1/30/16 DOB: 01/20.11953 ACCESS YOUR PATIENTS IMAGES AND REPORTS @ WWWEASTRIVERMAGING.COM Er/CT • HIGH HELD MR? . OPEN IEEE • MULTIDETECTOR VOLUME CT (t., C7) • BONE DEMMIY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X.RAY • CORONARY CT ANG,OGRAPHY • VIRTUAL cOLONOSCOPY • CT/MR ANGIOGRAPHY EFTA00283006  Av..% vsAw WV...VGA A4/0/Zylb 41:at:za AM PAGE 3/004 Fax Server The visualized intracranial structures are unremarkable. There is mucosal thickening in the inferior aspect of the visualized maxillary antra bilaterally. The mastoid air cells well pneumatized. The nasopharymc, palatine tonsils, base of tongue, floor of mouth, hypopharyrr x, and larynx are unremarkable. The parotid and submandibular glands are symmetric In size and normal appearance without mass or ductal dilatation. The thyroid gland is normal in size and signal. No discrete nodules are demonstrated. There are no STIR hyperintense nodules along the posterior margin of the gland to suggest parathyroid adenoma. No pathologically enlarged lymph nodes are demonstrated either suprahyoid or infrahyold neck. The musculature of the neck is intrinsically unremarkable. The osseous structures skull base and the foramina are intact. There are degenerative changes in the cervical spine from the C3-C4 through C6-C7 levels most pronounced centrally and on the left at the C5-C6 level with there is compression of the cord. IMPRESSION Lipoma of the left supraclavicular fosse as outlined above. There is downward and posterior displacement of the left brachial plexus. No evidence of thyroid nodule or parathyroid adenoma. Multilevel cervical spondylosis. Very truly yours, STEPHEN GREENBERG. M.D. Electrorically Signed By. STEPHEN GREENBERG, M.D. Daterrime Transcribed: 11/30/16 11:10 am Contrast: 10ml Gadavist NDC 50419 325 126cc REPORT E-PSTEN, JEFFREY ACC6935440 Exam Cate: 11/30/16 DCB: 01/20/1953 EAST RIVER MEDICAL IMAGING, PC vnew.eastriverimaging.com PET/CT • HIGH FIELD MRI • OPEN MRI. MULTIDETECTOR VOLUME CT (VC7) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X•RAY • CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CTIMR ANGIOGRAPNY EFTA00283007  a a . ; dr- 0 PAVE. (WI eivue Fax Server CC: CC PATIENT EPSTEN, JEFFREY ACC.6935440 Exam Date: 11/30/16 DOB. 01/20/1953 EAST RIVER MEDICAL IMAGING, PC wven.eastriverimaging.com PET/CT • HIGH FIELD MRI • OPEN MRI • MULTIDETECTOR VOLUME CT (VC7)• BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY • CORONARY CT ANGIOSRAPNY • VIRTUAL COLONOSCO PY • CT/MR ANGIOGRAPHY EFTA00283008