And the following particulars in respect of each
persons having any proprietory interest in the term.
Name :
Business Address :
Description :
Description of goods to be wareohoused:
List enclosed
Whether any goods other than those belonging to the license or for
which he is an agent or intended to be warhouded.
Particulars of maximum stock intended to be held in the warehouse at any
time:
No. of packages :
Value :
Duty :
Note : In the case spirit intended for denaturation,
this should be separately specified.
05. Particulars of maximum stock actually held any one time under
the expirieng licence (for use in case of renewals only)
Date :
No. of packages :
Value :
Duty :
Particulars of any changes in proprietorship of the
firm since date if 1st renewal (to be filled in only by firm
supplying for renewal).
Particulars of premises to be licensed:
Name and address of owner :
Place at which situated
(factory cum warehouse):
Dimension:
Raw Material Store
Room Finished goods store Room
Room no :
Room
no :
Length : Length :
Breadth : Breadth :
Height : Height :
07. Distance from the customs House :
From Customs House Chittagong :
From Chalan sea port :
From Dhaka Airport :
From Benapole :
From North Commissionerate :
Note: If more than one godown is to be Licensed
separate particulars should be giv for each if
necessary on a necessary sheet.
Name and Address of Banker
of other person to whom reference may be nade regarding the
Epacket Tracking financial status or the license:
I/ We
declare the above particulars to be turn and apply for the grant / renewal of
the licence under section 13, Customs
act, 1969 in accordance therewith.
Liver: is moderately enlarged in size, A/P diameter 118.3 mm. Hepatic parenchymal echotexture is uniform all-over. No focal hyper or hypo-echoic lesion is seen in the liver .Intrahepatic portion of IVC is normal. Portal vein is normal. Porta-hepatis is normal. Ultrasound Physics. Read more about What is Health and Safety Issue. Wages and Benefits
Gall bladder: Normal
in size and contour. Wall thickness is within normal limit. No Evidence of
echogenic structures or biliary sludge is seen within the gallbladder. Intrahepatic
biliary radicals and common ducts are not dilated. Internal diameter of CBD and
that of portal vein are within normal limit.
Pancreas: is normal in size. Parenchymal echotexture is homogeneous. Main
Pancreatic duct not dilated.
Spleen: is normal in size. It is uniform in echotexture. No
focal lesion is seen in the spleen.
Right Kidney: Normal in size, shape
& position. Cortico-medullary differentiation is normal with normal
cortical echogenity. Echogenic renal sinus is normal. No evidence of
hydronephrosis, mass lesion or calculus is seen.
Left Kidney: Normal
in size (Bipolar length is 91.6 mm). There is a well defined hypoechoic solid
mass lesion seen in the anterior cortex of left kidney near its upper
pole. It measures 33.8 mm x 21.3 mm in
sag scan. The mass has pushed the upper pole calyces posteriorly. However, no
evidence of hydronephrosis is seen.
No
abnormality is seen in the lumen of the IVC, renal vein, and hepatic vein.No Lymphadenopathy is noted in
abdomen.
Diagnosis: SOL in the anterior cortex of left kidney near its upper pole, possibilities are –
RCC
Inflammatory lesion.
Advice:
CT scan of kidneys with contrast.
CT guided FNAC of the SOL in left kidney.
Ultrasound Examination of Whole abdomen:- (Ultrasound Physics and Ultrasound Free )
Liver: Normal in size. Hepatic parenchymal echotexture is uniform all-over. No focal hyper or hypo-echoic lesion is seen in the liver .Intrahepatic portion of IVC is normal. Portal vein is normal. Porta-hepatis is normal for Ultrasound Free
Gall bladder: Normal in size and contour. Wall thickness is
within normal limit. No Evidence of
echogenic structures or billary sludge is seen within the gallbladder. Intrahepatic billary
radicals and common ducts are not dilated. Internal diameter of CBD and that of
portal vein are within normal limit.
Pancreas: Is normal in size. Parenchymal echotexture is homogeneous. Main
Pancreatic duct not dilated.
Spleen: Is normal in size. It is
uniform in echotexture. No focal lesion is seen in the spleen.
Kidneys: Both Kidneys are normal in position, shape and
size. Cortico-medullary differentiation is normal in both kidneys with normal
cortical echogenity. Echogenic renal sinuses are normal on both sides. No
evidence of hydronephrosis, mass lesion or calculus is seen on either side. Ureters
are not dilated.
Urinary bladder: Normal in outline. No wall thickening seen.
No demonstrable intravesical lesion is seen.
Aorta, IVC, and other abdominal vessels are normal.
No ascites or Lymphadenopathy is noted in abdomen and pelvis.
Uterus: Is normal in size and anteverted in position.
Endometrium: Is normal in thickness and echogenicity.
Myometrium: Is homogeneous. No focal lesion seen in the myometrium.
Left Ovary: Normal in size, volume and echogenicity.
Right Ovary: Tiny cyst area is seen within the left ovary measuring about 21.1 mm x 11.0 mm x 11.0 mm).
Cul-de-Sac: free of any fluid collection.
Ultrasound Free Comment: Right ovarian cyst probably Retention cyst.
Urinary bladder
Urinary bladder:
Well filled. Normal in outline. Wall thickening seen. No demonstrable
intravesical lesion is seen.
Normal in outline. Wall thickening seen. No demonstrable intravesical lesion is seen.
Uterus : bulky in size. Anteverted in position. Myometrium inhomogenous. Endometrium not seen. Cavity contains small echogenic structure. Cervix dilated.
Both ovaries: Normal in size and shape.
Cul-de-Sac: Small fluid
collection.
Comments: BULKY UTERUS WITH INCOMPLETE ABORTION.
Ultrasound Examination of lower abdomen:-
Urinary bladder: Normal
in outline. No wall thickening seen. No demonstrable intravesical lesion is
seen.Aorta, IVC, and other
abdominal vessels are normal. No ascites or Lymphadenopathy is noted in abdomen
and pelvis.
Uterus: appears enlarged in size and anteverted in position.
Endometrium: Not seen.
Myometrium: is inhomogeneous. Cavity contains huge echogenic structure seen(placenta).
Right Ovary: appears normal in size with multiple echogenicity
Left Ovary: appears normal
Cul-de-Sac: free of any fluid collection.
Diagnosis: RETAINED PRODUCT OF CONCEPTION(PLACENTA).
Ultrasound Examination of Both Breast (Ultrasound Physics and Ultrasound Free )
Rt Breast : Small hypoechoic oval shaped mass with well defined margin is noted at the 12 “o clock position within right breast. The mass measured about 10.4mm in sag scan and 12.1mm in trans scan. Calcification is noted.within the mass with
casting post acoustic shadow.Glandular patterns are normal
in appearance.
Lt.Breast:
No mass lesion is noted within the left breast .Glandular patterns are also normal in appearance.
Comment ; Suggestive of Fibro adenoma within the right breast.
Ultrasound Examination for pain in right iliac fossa:-
Appendix has been identified in both transverse and longitudinal scan. A/P diameter of Appendix measuring 7.1 mm in transverse scan & 8.1 mm in sag scan (Normal < 6.0 mm).
Appendix is swollen, Muscular wall is thickened. However, no peri appendicular collection is seen. No significant intra luminal collection is seen.
Liver, both kidney, gall bladder and biliary tree, spleen, urinary bladder are seen and found normal.
Diagnosis: H/O pain in right iliac fossa, fever, nausea vomiting and swollen appendix in USG is suggestive of acute appendicitis.
Ultrasound Examination of Pelvic Organs/ Left breast:-
Uterus: Is normal in size (83.2mmX40.4mmx40.4mm) and anteverted in position.
Endometrium: Is normal in thickness (<4mm) for the phase of the cycle.
Myometrium: Is homogeneous. No focal lesion seen in the myometrium.
Right Ovary: size: 27.9mmx21.6mmx11.1mm, Volume: 3.5ml.
Normal in size, volume and echogenicity.
Left Ovary: size: 29.3mmx12.5mmx17.8mm, Volume: 3.4ml.
Normal in size, volume and echogenicity.
Cul-de-Sac: free
of any fluid collection.
Left breast:
The skin layer is normal. Thickness is 1.6mm in all quadrants.
Hypoechoic subcutaneous layer is normal in all quadrants
Echogenic fibroaglandular area is also normal in all quadrants except there is a small well defined anechoic cystic lesion with posterior enhancement is seen in the 12 o’clock position. It measures 5.8mmx 4.2mm in size. No septation or internal echoes seen within the cyst.
Retramammary layer with pectorals muscle layer are also appear normal.
No micro or macro calcification is noted within the breast.
Comment: Tiny left breast cyst in 12 o’ clock position
U/S Exam of Left Upper Arm Including Shoulder Joint:-
Skin is normal. Subcutaneous
tissue and fat layers are normal.
Muscle:
Deltoid, subscapularis, Supraspinatus, Infraspinatus, biceps muscles are noted,
all are in normal in appearance.No rupture, fluid collection,
or calcifications are noted within the muscle fibers or in tendons.
Comment: Normal study at ultrasound.
TA and TR Ultrasound Examination of Prostate Gland:-
On TA Examination:
Prostate Size:
It measures –
a) Base to apex : 29.1
mm
b) Depth : 34.6 mm
c) Width : 35.5 mm
Prostate gland in Volume: 18.7 gm. (Approx)
On TR Examination:
Prostate Size:
42.5 mm x 19.5 mm x 35.3 mm
Volume:
14.62 gm (Approx)
Prostate
gland is normal in size, shape and volume. It shows homogenous parenchymal
echotexture all over the peripheral zone and inner gland. No localized lesion
is seen in the gland. Surgical capsule is intact. The ejaculatory duct region
inside the prostate gland is normal.
The seminal vesicles are not
clearly visualized.
Both
testes, epididymis, spermatic cord and the penile urethra are also examined and
found normal in ultrasound. No periurethral calcification is noted.
Comment:Normal study at Ultrasound.
Transvaginal (TVS) Ultrasound Examination:
TVS exam has been performed with a high frequency 6.0 MHz transducer.
Uterus:
Uterus is normal in size.
Endometrium: shows high echo. Endometrium thickness is 10.0 mm which is within normal limit at this secretary phase of her cycle.
Myometrium: There are multiple small hypoechoic nodular
solid mass lesions within Myometrium of uterus both anterior and posterior
Myometrium close to the fundus and a few in the fundus. One of the lesion measures 1.8 mm size in
diameter.
There is another cystic mass lesion within the cervix in its posterior
wall along the endocervical canal.
Ovary:
Both
ovaries are normal in size and echogenicity
Adnexae: no other abnormalities are seen in adnexae.
Pouch of Doglus: Free from any fluid collection
Comments:
Multiple small fibroids in uterus.
Nabothian cyst in the cervix.
Ultrasound Examination of Thyroid Gland:-
Both Lobes:
There
are multiple nodules with hallow around each are noted within the both lobes of
the thyroid gland.
Left lobe: Largest nodule is measuring 8.0 mm x 5.3 and smallest
one is measuring 5.2mmm x 3.4mm in sag scan.
Right lobe: Largest nodule is measuring 6.3 mm and smallest one
is measuring is 6.2mm in sag scan.
No
calcification is noted within both lobes.
Comment: Multiple adenomas within the thyroid gland.
