EFTA00317087.pdf

RIS Fax Server 6/5/2018 10:14:36 AM PAGE 2/003 Fax Server Richard J. Katz M.D. Timothy W. Deyer, MD. Steven A /thee, M.D. James W. Brady, M.D. Stephen D. Greenberg, MD Gwen N. Harris, MD. Douglas R. DeCoreto, MD. Adam J. Winer, MD. Gavin L. Duke, M.D. Mark H. Pinals, MD. Paul S. Choi, M.D. George Stassa, MD. (net.) Sean K. Herman, M.D. Morton Schneider, MD. (net) Robert L. Ludwig, MD. Alison Bender Haimes, MO. (ret) 519 & 523 East 72nd Street • New York, NY 10021 .3 East 75th Street, At Filth Atenue • New York, NY 10021 430 East 59th Street, Sutton Place • New York, NY10022 • 424 East 891n Street • New York, NY 10128 Tel: 212-288-1575 • Fax 212-288-7616 • www.eastriserimaging.com BRUCE W MOSKOWITZ, M.D. 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 Patient: EPSTEIN, JEFFREY Exam Date: 6/5/18 Acc No: 7156124 MRN: 0315192 Dear Dr. Moskowitz, MRI SCAN OF THE LEFT CLAVICLE Clinical History: 86-year-old male with left sided lipoma, increase in size. Technique: Magnetic resonance imaging of the left clavicle was performed using T1 and T2 weighted axial sagittal and corona' images. Fat suppression was selectively used. Corrparison: The study is compared to an MRI of the neck dated 11/30/2016. findings: A marker was placed over the region of interest prior to initiation of the study. Evaluation of the left supraclavicular fossa once again demonstrates a lesion identified, inferior to the subclavian vein, and displacing the roots of the brachial plexus inferiorly. This lesion measures approximately 5.8 cm in transverse dimension by 2.8 cm in anterior-posterior dimension by 3.6 cm in craniocaudad dimension. This lesion is isoirrtense to fat on all pulse sequences, consistent wdh a lipoma. When measured at a similar location on the prior study this it measured approximately 6.0 x 2.5 x 3.4 cm in size. Mowing for the overall difference in technique this is without significant change. EPSTEIN, JEFFREY ACC:7156124 Exam Date: 6/5/18 DOB: 01/20/1953 ACCESS YOUR PATENTS WAGES AND REPORTS (0 WWWEASTRIVERAWAGING.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 • CT/MR ANGIOGRAPHY EFTA00317087 R15 Fax Server 6/5/2018 10:14:36 AM PAGE 3/003 Fax Server No discrete soft tissue components are identified. There are small vascular structures, which permeate the lipoma. There is no evidence of adenopathy identified. The osseous structures demonstrates some degenerative change noted at the acromioclavicular joint. No destructive lesions are seen. IMPRESSION Upoma identified within the left supraclavicular fossa, allowing for the difference in technique without significant change from the prior study of 11/30/2016. Very truly yours, DOUGLAS DECORATO, M.D. Electronically Signed By: DOUGLAS DECORATO, M.D. Date/lime Transcribed: 6/5/18 10:06 am REPORT CC: CC PATIENT EPSTEN, JEFFREY ACC:7156124 Exam Date: 6/5/18 DOB: 01/20/1953 EAST RIVER MEDICAL IMAGING, PC meNwaastdmerMugrnscom PET/CT • HIGH FIELD MR1• OPEN MAI • MULTIDETECTOR VOLUME CT (VCT) • BONE DENSITY • NUCLEAR MEDICINE ULTRASOUND • DIGITAL X-RAY• CORONARY CT ANGIOGRAPHY • VIRTUAL COLONOSCOPY • CT/MR ANGIOGRAPHY EFTA00317088