MRA Head Dictation

Indication: [x]

Technique: An MRA of the head was performed using 3D time-of-flight technique without the use of gadolinium.

Comparison: [x]

Findings: The anterior and posterior cerebral circulations are patent. No hemodynamically significant stenosis, anuerysmal dilatation or dissection is seen. No focal anuerysm is identified.

Impression: Normal MRA of the head.

Brain MRI Dictation

Indication: [x]

Technique: An MRI of the brain was performed utilizing the following sequences: [x]

Comparison: [x]

Findings: The ventricles and sulci are normal in size and configuration. There is no acute infarct or intracerebral hemorrhage. No extra-axial blood or fluid collection is present. No intracranial mass is identified. The brainstem, posterior fossa and cervical medullary junction are preserved. Normal intracranial intravascular flow voids are seen. The orbits, periorbital and paracavernous spaces are normal. No abnormality of the skull base or calvarium is identified.

Impression: Normal MRI of the brain.

C-Spine CT Dictation

Indication: Neck injury.

Technique: Multiple contiguous 3 mm axial images were obtained from the skull base through the thoracic inlet without intravenous contrast. Reformats in the coronal and sagittal planes were also obtained.

Comparison: [x]

Findings: No prevertebral soft tissue swelling is seen. The cervical alignment is maintained without spondylolisthesis. No acute fracture is identified. The vertebral body and disk space heights are preserved. The odontoid process is intact.

Impression: [x]

Neck Soft Tissue CT Dictation

Indication: [x]

Technique: Contiguous 3mm axial images were obtained from the skull base to the thoracic inlet following the administration of intravenous contrast.

Comparison: [x]

Findings: The nasopharynx, oropharynx and hypopharynx are normal. No cervical mass or collection is seen. No aerodigestive tract mass is identified. The parotid, submandibular and thyroid glands are normal. No lymphadenopathy is identified. The osseous structures are intact.

Impression: Normal neck CT.

Petrous Temporal Bone CT Dictation

Indication: [x]

Technique: A CT of the petrous temporal bone was obtained utilizing multiple contiguous 1 mm axial and coronal images without the use of intravenous contrast. Sagittal and coronal reformats were also obtained.

Comparison: [x]

Findings: The external auditory canals, tympanic membranes, and osseous labyrinths are normal bilaterally. There is no evidence of erosion of the ossicles, scutum, or tegmen tympani. The mastoid air cells are well-pneumatized and well aerated. No suspicious osseous lesion or fracture is identified.

Impression: Normal petrous temporal bone CT.

Facial CT Dictation

Indication: Facial injury.

Technique: A facial CT was performed utilizing contiguous 3 mm axial images with reformats in the coronal and sagittal planes. No intravenous contrast was administered.

Comparison: [x]

Findings: The paranasal sinuses are well-developed and aerated. There is no mucosal disease or air-fluid level. The cribriform plate appears intact. The nasal septum is not deviated. No osseous lesion or fracture is visualized.

Impression: Normal facial CT.

Head CT Dictation

Indication: [x]

Technique: Multiple contiguous 5 mm axial images were obtained from the skull base to the vertex without the use of intravenous contrast.

Comparison: [x]

Findings: The ventricles and sulci are within normal limits. No intracranial hemorrhage or extra-axial fluid collection is identified. There is no evidence of acute territorial infarct, focal mass lesion or midline shift. The osseous structures are intact. The paranasal sinuses are well-aerated.

Impression: Normal head CT.

Paranasal Sinus Xray Dictation

Indication: [x]
Technique: [x] views of the paranasal sinuses.
Comparison: No priors available for comparison.
Findings: The paranasal sinuses are grossly clear. No fluid levels are identified. No expansile or destructive osseous lesions are seen. There is no gross evidence of fracture.
Impression: No radiographic evidence of acute sinusitis

L Spine xray Dictation

Indication: [x].
Technique: 4 views of the lumbosacral spine.
Comparison: [x]
Findings: The vertebral body and disc space heights are preserved. The spinal alignment is maintained without evidence of spondylolisthesis. No acute fracture is identified. The SI joints are unremarkable.
Impression: Unremarkable examination of the lumbosacral spine.

Thoracic Spine xray Dictation

Indication: [x]
Technique: [x] views of the thoracic spine.
Comparison: [x]
Findings: The vertebral body and disc space heights are preserved. The spinal alignment is maintained without evidence of spondylolithesis. No acute fracture is identified. No lytic or blastic lesions are seen.
Impression: Unremarkable examination of the thoracic spine.

C-spine xray Dictation

Indication: [x].
Technique: Four views of the cervical spine.
Comparison: [x]
Findings: The cervical spine is visualized from C1-T1. No prevertebral soft tissue swelling is seen. The cervical alignment is maintained without spondylolisthesis. No acute fracture is identified. The vertebral body and disk space heights are preserved. The odontoid process is intact.
Impression: Unremarkable examination of the C-spine.