Fax — Name: Sarah Dolezal, ARNP Phone: (RIE ext. 24 Fax: Address: Bruce W. Moskowitz, M.D 1411 North Flagler Or. Suite 7100 West Palm Beach, FL 33401 To: lese # of pages: + Regarding: Messages: NOTE: This fax may contain confidential information which is intended only for the use of the person(s) named above. if you are not the intended recipient, you are hereby advised that any disclosure, copying, distribution or the taking of any action in reliance on the contents of this information is prohibited. If you have recelved this transmission in error, please notify the sender. Thank You. EFTA00283005

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auc ren owrver 42/9/2016 11:34:23 AM PAGE 2/004 Fax Server Richard J. Katz M0, Stephen 0. Greenberg, M.D. Gavin L. Duke, M.D, Seank. Herman, M0 Steven A Aldert, M.D. Dougias R, DeCorato, M.D. Paul S. Choi, M.D, RobertL. Ludwig, M.D. Timothy W. Deyer, M.0. SORE bas ps IX James W, Brady, M.D, Adam J. Wilner, MD. MEDICAL TMAGING, PC Mark H. Pinals, MD. Morton Schneider, M.D. (ret) Alison Bender Haimes, M.D. (ret} 519 & S23 East 72nd Steet » New York, NY 10021 -3 East 75th Street, At Fifth Avenue »New York, NY 10027 430 East 59th Street, Sutton Place - New York, NY 10022 Tel *Fex *www.eastiverimaging.com BRUCE W MOSKOWITZ, M.D, 1411 NORTH FLAGLER DRIVE SUITE 7100 WEST PALM BEACH, FL 33401 Patient: EPSTEIN, JEFFREY Exam Date: 11/3046 Ace No; 6935440 MRN: 0315192 Dear Dr. Moskowitz, MRI NECK WITH M Clinical History: 63 y/o male with left supraclavicular lipoma and elevated parathormone. 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. Eindings: A marker was placed in the left supraclavicular fossa in the region of palpable abnormality. In 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 posteriorly. EPSTEIN, JEFFREY ACC;6935440 Exam Date: 11/30/16 DOB: 01/20/1953 $A ee ACCESS YOUR PATIENTS IMAGES AND REPORTS @ WWW.EASTRIVERIMAGING.COM Se eee ca@—c_ gc ‘a a‘ PETICT - HIGH FIELD MRI + OPEN MRI+ MUL TIDETECTOR VOLUME CT (VCT) * BONE DENSITY - NUCLEAR MEDICINE ULTRASOUND - DIGITAL X-RAY + CORONARY CT ANG/OGRAPHY - VIRTUAL COLONOSCOPY « CT/MR ANGIOGRAPHY EFTA00283006

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seaer cum Ure vA 4670/2460 41:32:23 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 nasopharynx, palatine tonsils, base of tongue, floor of mouth, hypopharynx, 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 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 fossa 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. Date/Time Transcribed: 11/3046 11:10am Contrast: 10mI Gadavist NDC 50419 325 12 8cc REPORT EPSTENN, JEFFREY ACC:6939440 Exam Date: 11/30/16 DOB: 01/20/1953 18h EAST RIVER MEDICAL IMAGING, PC. smssstrermogmacom PET/CT + HIGH FIELD MRI» OPEN MRI* MULTIDETECTOR VOLUME CT (VOT) - BONE DENSITY » NUCLEAR MEDICINE ULTRASOUND + DIGITAL X-RAY - CORONARY CT ANGIOGRAPHY VIRTUAL COLONOSCOPY + CT/MR ANGIOGRAPHY EFTA00283007

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mae we ee 44.08540 AM PAGE 4/004 Fax Server CC: CC PATIENT EPSTEIN, JEFFREY ACC:6936440 Exam Date: 11/30/16 DOB: 01/20/1953 C EAST RIVER MEDICAL IMAGING, PC Wwww.eastriverimaging.com PETICT - HIGH FIELD MRI + OPEN MRI* MULTIDETECTOR VOL UME CT (VCT) - BONE DENSITY + NUCLEAR MEDICINE ULTRASOUND * DIGITAL X-RAY * CORONARY CT ANGIOGRAPHY - VIRTUAL COLONOSCOPY CT/MR ANGIOGRAPHY EFTA00283008