EFTA01735277.pdf

Fax Name: Sarah Dolezal, ARNP Phone: Fax: Address: Bruce W Moskowitz, M D 1411 North Flagler Dr. Suite 7100 West Palm Beach. FL 33401 To: (Isle Fax #: - 1 Regarding: Messages: above. NOTE: This fax may contain confidential information which Is Intended only for the use of the person(s) named If you are not the Intended redolent you are hereby advised that any disclosure, copying, dstribution or the taking of in error, any action in reliance on the contents of this information is prohibited. If you have received this transmission please notify the sender. Thank You. EFTA R1_00016751 EFTA01735277 SILO Fa^ I-WILVOZ iziwzoiti 11:34:23 AM PAGt 2/004 Fax Server R chard J. Kat; M.D. Steen A Albert M.D. Stephen D. Onsenberg, M.D. Douglas R. I:Scarab, M.D. Down L. Duke, M.D. Seen K. Mermen, MD. EAST Raul S. Choi, AtD, TimothyW. Dew!, M.O. RIVE R Robert L. Ludwig. M.D. James W. Brady, M.D. Adam J. Winer, M.D. MEDICAL IMAGING. PC Mark H. Finals, M.D. Morton Schneider, M.D. (ret) Alison Bender Waimea. MD. (rel.) 519 & 523 East 72nd Street • New York• NY10021 -3 East 751". Street, Ar Firm Avenue • New York, NY 10027 430 East 59th Street, Sutton Plate - New York, NY 10022 Tel: • Fax • wwiteastriwrIMSging.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 Ace No: 6935440 MRN: 0315192 Dear Dr. Moskowitz, MRI SCAN OF THE NECK WTHOUT AND WTH GADOLINIUM Clinical History: 63 ylo male with left supraclavicular lipoma and elevated parathormone. Technique; The examination was performed with sagittal, axial and coronal Ti weighted images. axial and coronal inversion recovery images and post-gadolinium fat suppressed axial and corona] 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 fosse 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 all pulse sequences including fat suppressed STIR and SPGR pulse sequences consistent with 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 inferiorly and posteriody. EPSTEIN. JEFFREY ACC:69354✓40 Exa•n Date: 11/30/15 DOB: 01/2011953 ACCESS YOUR PATENTS IMAGES AND REPORTS @ WWW.EASTRAIERTMAGING. COM PET/CT - HIGH FIELD PIRI • OPEN MRI • AI ULTIDETECTOR VOLUME CT (YCT) • BONE DENSITY • NUCLEAR MEDICINC ULTRASOUND • DIGITAL X-RAY• CORONARYCT ANOIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAFNY EFTA_R1_00016752 EFTA01735278 •• sr • Ciro\ )4, o/4vat sa.j4:ZU AM PALL 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 pneurnatized. The nasopharynx, palatine tonsils, base of tongue, floor of mouth, hypopharyn 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 infrahyoid neck. The musculature of the neck is intrinscally unremarkable. The osseous structures skull base and the foramina are intact. There are degenerative changes n the cervical spine from the CS-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. Electronically Signed By. STEPHEN GREENBERG. M.D. DateMme Transcribed: 11/30/16 11:10 am Contrast: 10ml Gadavist NDC 50419 325 12 8cc REPORT EPSTEIN, JEFFREY ACC 6935440 Exam Date. 11/30/16 DOB 01/20/1953 EAST RIVER MEDICAL IMAGING, PC %WAY e a striverimnIng.corn PET/CT • WON FIELD MRS • OPEN MRS • MULTIDETECTOR VOLUME CT 0/CT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY• cositoNARvcr ANOlOGRAPHY• VIRTUAL COLONOSCOEY • CT/MR ANG IOGRAPNY EFTA_R1_00016753 EFTA01735279  - — • •• • a• as .0 .L0 nr. raVE. I VW& tax server CC: CC PATIENT ERSTEN. JEFFREY ACC.6936440 Exam Date 11/30/1 6 DOB. ovzonsez EAST RIVER MEDICAL IMAGING, PC www.eastriverlmaging.com PET/CT • HIGH FIELD MRS • OPENMRI • MULTIDETECT OR IRDLUME CT (VCT) • BONE DENSITY • ULTRASOUND • DIGITAL X-RAY- CORONARY CT NUCLE ANCIOGRAPHY• VIRTUAL COLONOSCOPY • CT/MR AR MEDICINE ANGIOGRAPHY EFTA_R1_00016754 EFTA01735280