Professional Documents
Culture Documents
Clinical statement: [] Technique: 3 views of the [] ankle. Comparison: [] Findings: No fracture or dislocation is seen. The ankle mortise appears intact on these nonstress views. No significant soft tissue swelling is identified. Impression: No fracture or dislocation.
Comparison: [] Findings: No fracture or dislocation is seen. No joint effusion is identified. No significant soft tissue swelling is seen. Impression: No fracture or dislocation.
Osseous survey
Clinical Statement: [] Technique: Complete osseous survey, including [] images. Comparison: [] Findings: Skull: No lytic or blastic lesions are seen. Cervical Spine: No lytic or blastic lesions are seen. Thoracic Spine: No lytic or blastic lesions are seen. Lumbosacral Spine: No lytic or blastic lesions are seen. Pelvis: No lytic or blastic lesions are seen. Bilateral upper extremities: No lytic or blastic lesions are seen. Bilateral lower extremities: No lytic or blastic lesions are seen.
Chest Radiograph
Clinical statement: [] Technique: PA and lateral views of the chest. Comparison: [] Findings: The lungs are clear. There are no pleural effusions. The cardiomediastinal silhouette is within normal limits. Impression: No acute cardiopulmonary disease.
Shunt series
Used to evaluate verticuloperitoneal shunt catheters Consists of AP and lateral views of the skull, chest, and abdomen Look for shunt catheter kinking or discontinuity Catheter must be viewed in two orthogonal planes through-out its entirety Catheter tip should be identified, if possible and evaluated for pseudocyst Clinical statement: Evaluate ventriculoperitoneal shunt. Technique: Frontal and lateral radiographs of the skull, thorax, and abdomen were obtained. Comparison:[] Findings: A ventriculoperitoneal shunt extends from the [] region, traverses the [] neck, [] anterior chest, [] abdomen, and terminates in the [] pelvis. The shunt catheter appears intact without evidence of fracture. Impression: Evaluation of ventriculoperitoneal shunt without evidence of fracture
Thyroid ultrasound
Clinical statement: [] Technique: A sonogram of the thyroid gland was performed assessing gray-scale appearance and color doppler flow. Comparison: [] Findings: The left lobe is normal in size measuring [ ] x [ ] x [ ] cm. The right lobe is normal in size measuring [ ] x [ ] x [ ] cm. No nodules are seen. The isthmus is normal in size measuring [ ] in maximum AP diameter. No adjacent enlarged lymph nodes are seen. Impression: []
Abdominal ultrasound
Clinical statement: [] Technique: A sonogram of the abdomen was performed assessing gray scale appearance and color doppler flow. Comparison: []
Findings: The liver is normal in echogencity and size, measuring approximately [ ] cm in longitudinal dimension. No focal lesions are seen. The hepatic veins and portal veins are patent with appropriate directional flow. No intrahepatic ductal dilatation is seen. The gallbladder is not distended and has normal wall thickness. No pericholecystic fluid or gallstones are visualized. The sonographic Murphy's sign is negative. The common duct is not dilated with a diameter of [ ] cm.
The visualized pancreas appears normal. No pancreatic ductal dilatation is visualized. The splenic vein is patent. The spleen is normal in echogenicity and size, measuring [] cm in longitudinal dimension. The right and left kidneys are normal in echogenicity and size, measuring [] and [] cm in longitudinal dimension, respectively. No hydronephrosis, renal mass or calculi are visualized.
The visualized portion of the inferior vena cava is unremarkable. No abdominal aortic aneurysm is identified.
Impression: []
Chest CT
Clinical statement: [] Technique: A chest CT was performed utilizing contiguous axial images from the thoracic inlet to the level of the adrenal glands [with/without] the use of intravenous contrast. Comparison: [] Findings: No thoracic lymphadenopathy is present. No pleural or pericardial effusion is seen. The heart is normal in size. The lungs are clear. The trachea and central airways are patent. Limited evaluation of the upper abdomen is unremarkable. Impression: Normal chest CT.
Scrotal ultrasound
Clinical statement: []
Technique: A sonogram of the scrotum was performed assessing gray scale appearance and color doppler flow.
Comparison: []
Findings:
The right testis measures [ ] x [ ] x [ ] cm and is of normal echotexture. No focal right testicular parenchymal lesions are visualized. Testicular arterial flow is visualized. The right epididymal head is normal in size measuring [ ] cm. The right epididymal body is normal in size measuring [ ] cm. No right hydrocele or varicocele is seen.
The left testis measures [ ] cm and is of normal echotexture. No focal left testicular parenchymal lesions are visualized. Testicular arterial flow is visualized. The left epididymal head is normal in size measuring [ ] cm. The left epididymal body is normal in size measuring [ ] cm. No left hydrocele or varicocele is seen.
Impression: []
Technique: A CT of the abdomen and pelvis was performed utilizing contiguous axial images without the use of oral or intravenous contrast.
Comparison: []
Findings: []
The liver, gallbladder, common bile duct, spleen, pancreas and adrenal glands are unremarkable.. No radiopaque renal, ureteral or urinary bladder calculi are visualized.
The urinary bladder and [uterus/prostate] are unremarkable. [No adnexal masses are seen.]
Impression: []
Comparison: []
Findings:
The right testis measures [ ] x [ ] x [ ] cm and is of normal echotexture. No focal right testicular parenchymal lesions are visualized. Testicular arterial flow is visualized. The right epididymal head is normal in size measuring [ ] cm. The right epididymal body is normal in size measuring [ ] cm. No right hydrocele or varicocele is seen.
The left testis measures [ ] cm and is of normal echotexture. No focal left testicular parenchymal lesions are visualized. Testicular arterial flow is visualized. The left epididymal head is normal in size measuring [ ] cm. The left epididymal body is normal in size measuring [ ] cm. No left hydrocele or varicocele is seen.
Impression: []
Technique: Under sterile conditions, a pediatric straight catheter was inserted into the urinary bladder and contrast was instilled.
Comparison: []
Findings: A scout film of the abdomen is unremarkable. The bladder filled normally and was smooth in contour. There is no vesicoureteral reflux. A normal [female/male] urethra was identified during voiding.
Findings:
No prior films are currently available for comparison. If any prior films can be submitted, comparison will be performed and an addendum to this report will be issued.
The breast tissue is predominantly fatty. No suspicious masses or suspicious clusters of microcalcifications are seen. Impression: No mammographic evidence of malignancy. In the absence of clinical findings, a screening mammogram should be obtained in 1 year. BIRADS 1: Negative
Findings:
The breast tissue is predominantly fatty. No developing masses or suspicious clusters of microcalcifications are seen.
Impression:
No mammographic evidence of malignancy. In the absence of clinical findings, a screening mammogram should be obtained in 1 year.
BIRADS 1: Negative
Findings: [Comparison is made with prior mammograms dated; No prior films are currently available for comparison. If any prior films can be submitted, comparison will be performed and an addendum to this report will be issued.]
[The breasts are almost entirely fatty.; The breast tissue is composed of scattered fibroglandular densities.;; The breast tissue is extremely dense, which decreases the sensitivity of mammography. This makes physical examination relatively more important in this patient.] []
[No suspicious masses or suspicious clusters of microcalcifications are seen in the left/right breast.]
Impression:
[]
Recommendation: [Comparison with prior mammograms is strongly recommended. If the patient is unable to obtain prior mammograms for comparison, the patient will be recalled for additional imaging of the [ ]
Findings:
The breast tissue is heterogeneously dense, which may lower the sensitivity of mammography. No developing masses or suspicious clusters of microcalcifications are seen.
Impression:
No mammographic evidence of malignancy. In the absence of clinical findings, a screening mammogram should be obtained in 1 year.
BIRADS 1: Negative
COMPARISON: [ ]
FINDINGS: The right breast is [almost entirely fatty.; composed of scattered fibroglandular densities.; heterogeneously dense, which may lower the sensitivity of mammography.; extremely dense, which decreases the sensitivity of mammography. This makes physical examination relatively more important in this patient.]
No mammographically suspicious mass or suspicious cluster of calcifications are seen in the right breast.
Findings and recommendations were discussed with the patient and she received a written record summarizing this report. [BIRADS 2: Benign findings]
COMPARISON: [ ]
FINDINGS: The right breast is [almost entirely fatty.; composed of scattered fibroglandular densities.; heterogeneously dense, which may lower the sensitivity of mammography.; extremely dense, which decreases the sensitivity of mammography. This makes physical examination relatively more important in this patient.]
No mammographically suspicious mass or suspicious cluster of calcifications are seen in the right breast.
Findings and recommendations were discussed with the patient and she received a written record summarizing this report. [BIRADS 2: Benign findings]
Comparison: []
Findings: The endometrial cavity is normal in contour without any filling defects. Contrast is seen in the fallopian tubes bilaterally which are normal in course and caliber. There is free intraperitoneal spill of contrast bilaterally.
Technique: Standard barium small bowel series was performed with multiple overhead radiographs. In addition, the small bowel was examined fluoroscopically intermittently throughout the examination.
Comparison: []
Findings: The small bowel is of normal course and caliber. No intrinsic or extrinsic mass lesions are identified. The transit time is within normal limits. The terminal ileum appears normal.
Comparison: []
Findings: The small bowel is of normal course and caliber. No intrinsic or extrinsic mass lesions are identified. The transit time is within normal limits. The terminal ileum appears normal.
Billy Graham My one purpose in life is to help people find a personal relationship with God, ...See More
PROCEDURE: Preliminary ultrasound evaluation of the [right/left] breast with special attention to the area of [sonographic/mammographic/palpable] concern, confirms the presence of a [ ] x [ ] cm mass at the [ ] o'clock position, approximately [ ] cm from the nipple, at a depth of [ ] cm from the skin.
Following universal protocol, patient and site verification was performed with a "time out" prior to the procedure. Informed consent was obtained. The patient was positioned in the supine oblique position, and the lesion was localized with real-time sonography. The skin was cleansed with Chloraprep. [ ] cc's of 1% Lidocaine was used for local anesthesia. A [lateral/medial/oblique] approach to the target was used. An 18-gauge needle, secured to a
spring-loaded device, was advanced to the preselected target. A total of [ ] biopsy specimens were obtained, with pre- and post-fire images documenting needle placement for each pass. Specimens were sent for pathologic analysis, results pending.
Following the procedure, the wound was cleansed and compressed. Steri-strips and sterile gauze were applied and the patient was given post-biopsy instructions. The patient tolerated the procedure well and left the department in good condition.
PROCEDURE: Following universal protocol, patient and site verification was performed with a "time out" prior to the procedure. Preliminary ultrasound of the [right/left] breast with special attention to the area of sonographic concern, confirms the presence of a [ ] x [ ] cm mass at the [ ] o'clock axis, [ ] cm from the nipple.
Informed consent was obtained. The patient was positioned in the supine oblique position. The skin was cleansed. 0.2 cc 1% Lidocaine was used for local anesthesia. Using a [lateral/medial/superior/inferior] approach, a [ ] needle/wire assembly was used to localize the target under real-time sonographic guidance. A post-localization mammographic view was obtained, and sent with the patient to the OR.
The patient tolerated the procedure well and left the department in good condition.
A surgical specimen submitted for radiography demonstrates the targeted lesion to be within the specimen. The [ ] wire is intact. Dr. [ ] was notified of these findings at the time of surgery.
IMPRESSION: Ultrasound-guided needle localization and documented excision [left/right] breast mass.
Contents
[hide]
1 Discussion 2 Sample Dictation 3 Standard Views 4 Greulich and Pyle o 4.1 MALE o 4.2 FEMALE
The most commonly used method is based on a single x-ray of the fingers, hand, and wrist. A hand is easily x-rayed with minimal radiation and shows many bones in a single view. The bones in the x-ray are compared to the bones of a standard atlas, usually "Greulich and Pyle"
Clinical statement: []
Comparison: []
Findings: The patients chronological age is X years. His bone age is most compatible with the
standary of A years. The mean bone of an individual of this chronological age is B years, with a standard deviation of C months.
Impression: Normal/Advanced/Delayed bone age with respect to the age and gender matched standards of Greulich and Pyle.