Fax Server 3/23/2018 11:30:31 AM PAGE 2/002 Fax Server Rajakumar, Karthik (MRN 564943382) Wellstar Windy Hill Mospital (wm mm — FINAL RESULT ane: sa/sionas, farthit Tocat ion: eh oie? tex: tie fon Accession #2 25254101 Attend. Dr: EXAM. Nuclear medicine gallblacker emptying study with Drug CLINICAL INDICATION: 10.11 (Right upper quadrant pain) TECHNIQUE: Multiple images of the right upper quadrant were obtained following the administration of Choletec S mCi and cholecystokinin two micrograms intravenously COMPARISON. No comparisons are available at this time, FINDINGS: The gallbladder ejection fraction is calculated as 14 %. Normal valve is greater than 35%. There is normal uptake of radiotracer by the liver with demonstration of gallbladder as well as common bile duct and small bowel activity IMPRESSION: ‘Abnormal gallbladder emptying study, Findings suggestive of either chronie cholecystitis or bilary dyskinesia The Results Reporting Otfice (F1) will complete appropriate follow-up actions based on defined processes F1 Released By: BRIAN M GORDON, MD 3/23/2018 11.29 AM Dictation D/' Work Station: Transcriptionist ~ tra) Reading Radiologist - = Releasing Radiologist - Released Date Time - Fri Mar 23, 2018 11.30 AM Page 1 of 1INBOUND NOTIFICATION ¢ FAX RECEIVED SUCCESSFULLY ** TIME RECEIVED REMOTE CSID DURATION PAGES STATUS February 6, 2018 9:25:19 AM EST 570652, 38 1 Received ~~ 2618 East West Connector, Suite 122 Nemec ‘Austell, GA 90108 Imaging Phone #: (770)739-9770 Fax #: (770)739-4483 wy sien sarorcankieaktieainigam Name: Karthik Rajakumar Exam Date: 2/3/2018 10:03 AM DOB: 10/22/1986 Patient I ‘AHI-868658 Gender: Male Accession #: 1700011 Ordering Physician: C. Gregory Nesmith, MD Exam Name: US Abdomen Limited | 76705 History: Right upper quadrant pain Real-time examination was performed Findings: The gallbladder is normally distended without stones or wall thickening, No focal abnormality is seen in the liver, The hepatic vasculature appears normal, The intra and extra hepatic bile ducts are normal in caliber with the CBD measuring 3.0 millimeters at the porta, hepatis. The right kidney is normal in appearance measuring 9.0 centimeters in length. The pancreas is unremarkable, There is no free fluid Impression: Normal right upper quadrant ultrasound Report Electronically Signed by: Michael Chaliff, MD Report Electronically Signed on: 2/5/2018 09.57 AM Radiology Report from an ACR Accredited Facility