RIS Fax Server 6/5/2018 10:14:36 AM PAGE 2/003 Fax Server Richard J. Katz M.D. Steven A /thee, M.D. Stephen D. Greenberg, MD Douglas R. DeCoreto, MD. Gavin L. Duke, M.D. Paul S. Choi, M.D. Sean K. Herman, M.D. Robert L. Ludwig, MD. Timothy W. Deyer, MD. James W. Brady, M.D. Gwen N. Harris, MD. Adam J. Winer, MD. Mark H. Pinals, MD. George Stassa, MD. (net.) Morton Schneider, MD. (net) Alison Bender Haimes, MO. (ret) 519 & 523 East 72nd Street • New York, NY 10021 .3 East 75th Street, At Filth Ate nue • 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 Dear Dr. Moskowitz, MRI SCAN OF THE LEFT CLAVICLE Clinical History: 86-year-old male with left sided lipoma, increase in size. MRN: 0315192 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 Exa